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Heart Asia

Bishal Gyawali, Shiva Raj Mishra, Salim S Virani, Per Kallestrup
Background: The aim of this study was to assess the status of cardiovascular health among a semi-urban population of Nepal, and determine factors associated with ideal cardiovascular health. Methods: A population-based, cross-sectional study using a systematic random sample was conducted among 2310 adults aged ≥ 25 years in a semi-urban area of the Pokhara Metropolitan City previously named Lekthnath in Nepal. The ideal, intermediate and poor cardiovascular health were defined as the presence of 6-7, 4-5 or 1-3 health metrics, among a list of 7 health behaviours and healthfactors, namely smoking, body mass index, physical activity, fruits and vegetables intakes, harmful alcohol consumption, blood pressure, and fasting blood glucose...
2019: Heart Asia
Clara K Chow, David Brieger, Mark Ryan, Nadarajah Kangaharan, Karice K Hyun, Tom Briffa
Objective: To ascertain the use of secondary prevention medications and cardiac rehabilitation after an acute coronary syndrome (ACS) and the impact on 2-year outcomes. Methods: CONCORDANCE (Cooperative National Registry of Acute Coronary care, Guideline Adherence and Clinical Events) is a prospective, observational registry of 41 Australian hospitals. A representative sample of 6859 patients with an ACS and 6 months' follow-up on 31 May 2016 were included. The main outcome measure was use of ≥75% of indicated medications (≥4/5 (or ≥3/4 if contraindicated) of angiotensin-converting enzyme (ACE) inhibitor/angiotensin receptor blocker, beta-blocker, lipid-lowering therapy, aspirin and other antiplatelet)...
2019: Heart Asia
Fatima Ali, Mohammad Qasim Mehdi, Saleem Akhtar, Nadeem Aslam, Rashid Abbas, Izat Shah, Jabbir Abidi, Sajid Arthur, Zeenat Nizar, Andrea Goodmann, Lisa Bergersen, Babar Hasan
Background: The importance of registries for collaborative quality improvement has been overlooked in low/middle-income countries (LMIC). Aga Khan University Hospital (AKUH) in Pakistan joined the Congenital Cardiac Catheterization Project on Outcomes-Quality Improvement (C3PO-QI) in March 2017 with the goal of leveraging international collaboration to improve patient care and institutional standards. Methods: The C3PO-QI key driver-based approach was used, with certain modifications, for process re-engineering in AKUH's congenital cardiac catheterisation laboratory (CCL) to reduce radiation exposure during cardiac catheterisation procedures (the primary outcome of C3PO- QI)...
2019: Heart Asia
Raja Tiwari, Shruti Marwah, Ambuj Roy, Maneesh Singhal
Objective: Exposure of implantable electrical devices may increase morbidity and mortality significantly. Usually superficial infections are conservatively managed whereas invasive infections necessitate complete capsulectomy, sub-pectoral placement or implant exchange. Most commonly inadequate soft tissue coverage, soft tissue thinning and scar dehiscence over the edge of the pacemaker are the primary predisposing event. Multiple local surgical options have been described, however, with all these designs, the final scar still remains over the edge of the pacemaker and continue to have a tendency of thinning out with time...
2019: Heart Asia
Thomas C Crawford, Kim A Eagle
No abstract text is available yet for this article.
2018: Heart Asia
Philip Jacobs, Ilke Akpinar
No abstract text is available yet for this article.
2018: Heart Asia
James O Neill, Muzahir Hassan Tayebjee
Objective: The South Asian population has a lower burden of arrhythmia compared with Caucasians despite a higher prevalence of traditional cardiovascular risk factors. We aimed to determine whether this was due to differences in the electrophysiological properties of the South Asian heart. Methods: We performed a retrospective cohort study of South Asian and Caucasian patients who underwent an electrophysiology study for supraventricular tachycardia between 2005 and 2017...
2018: Heart Asia
Eugene S J Tan, Swee-Chong Seow, Pipin Kojodjojo, Devinder Singh, Wee Tiong Yeo, Toon Wei Lim
Objective: We studied the optimal duration of ambulatory event monitors for symptomatic patients and the predictors of detected events. Methods: Patients with palpitations or dizziness received a patient-activated handheld event monitor which records 30 s single-lead ECG strips. Patients were monitored in an ambulatory setting for a range of 1-4 weeks and ECG strips interpreted by five independent electrophysiologists. Event pick-up rates and clinical covariates were analysed...
2018: Heart Asia
Ka Hou Christien Li, Mengqi Gong, Guangping Li, Adrian Baranchuk, Tong Liu, Martin C S Wong, Aaron Jesuthasan, Rachel W C Lai, Jenny Chi Ling Lai, Alex Pui Wai Lee, Antoni Bayés-Genis, Rafael de la Espriella, Juan Sanchis, William K K Wu, Gary Tse, Julio Nuñez
Background: Carbohydrate antigen-125 (CA125) is an ovarian cancer marker, but recent work has examined its role in risk stratification in heart failure. A recent meta-analysis examined its prognostic value in heart failure generally. However, there has been no systematic evaluation of its role specifically in acute heart failure (AHF). Methods: PubMed and EMBASE databases were searched until 11 May 2018 for studies that evaluated the prognostic value of CA125 in AHF...
2018: Heart Asia
Nicholas Gregory Ross Bayfield, Adrian Pannekoek, David Hao Tian
Currently, the choice of whether or not to electively operate on current smokers is varied among cardiothoracic surgeons. This meta-analysis aims to determine whether preoperative current versus ex-smoking status is related to short-term postoperative morbidity and mortality in cardiac surgical patients. Systematic literature searches of the PubMed, MEDLINE and Cochrane databases were carried out to identify all studies in cardiac surgery that investigated the relationship between smoking status and postoperative outcomes...
2018: Heart Asia
Mohammad Taghi Moghadamnia, Ali Ardalan, Alireza Mesdaghinia, Kazem Naddafi, Mir Saeed Yekaninejad
Objective: Our objective was to assess the relations between apparent temperature and incidence of acute coronary syndrome (ACS) in Rasht, Iran. Methods: We used a time-series analysis to investigate the relationship between apparent temperature and hospital admission from 2005 to 2014. Distributed lag non-linear models were used to estimate the association between ACS hospitalisation and apparent temperature. To examine the high-temperature effect on ACS hospital admission, the relative risk of ACS hospital admission associated with high temperature, the 99th percentile of temperature (34...
2018: Heart Asia
Bernadette A Tumanan-Mendoza, Victor L Mendoza, April Ann A Bermudez-Delos Santos, Felix Eduardo R Punzalan, Noemi S Pestano, Rudy Boy Natividad, Louie Alfred Shiu, Renelene Macabeo, Hilton Y Lam
Objectives: Hospitalisation for congestive heart failure (CHF) was reported to be 1648 cases for every 100 000 patient claims in 2014 in the Philippines; however, there are no data regarding its economic impact. This study determined CHF hospitalisation cost and its total economic burden. It compared the healthcare-related hospitalisation cost from the societal perspective with the payer's perspective, the Philippine Health Insurance Corporation (PhilHealth). Methods: This is a cost analysis study...
2018: Heart Asia
Faisal Aziz, Marilia Silva Paulo, Emad H Dababneh, Tom Loney
Objective: Estimate the incidence and outcomes of in-hospital cardiac arrest (IHCA) in a tertiary-care hospital in Abu Dhabi emirate, United Arab Emirates (UAE). Methods: Retrospective data from 685 inpatients who experienced an IHCA at a hospital in Abu Dhabi (UAE) between 1 January 2013 and 31 December 2015 were analysed. Sociodemographic variables were age and gender, and IHCA event variables were shift, day, event location, initial cardiac rhythm and the total number of IHCA events...
2018: Heart Asia
Praveen Kumar Gupta, Santhosh Satheesh, Raja J Selvaraj
No abstract text is available yet for this article.
2018: Heart Asia
Sachita Shrestha, Archana Shrestha, Rajendra P Koju, James P LoGerfo, Biraj Man Karmacharya, Nona Sotoodehnia, Annette L Fitzpatrick
Objective: Hypertension is a significant and rising burden in Nepal. The disease remains undetected and inadequately managed. However, no studies have been conducted to understand the inhibiting and facilitating factors to hypertension treatment among newly diagnosed cases. This qualitative study aimed to explore barriers and facilitators to treatment among patients with newly diagnosed hypertension aged ≥18 years in Dhulikhel, Nepal. Methods: We conducted seven focus group discussions with 35 patients with newly diagnosed hypertension identified through community surveillance of the Dhulikhel Heart Study, an observational cohort of Dhulikhel Hospital, Kathmandu University...
2018: Heart Asia
Siddharthan Deepti, Raghav Bansal, Sandeep Singh
Case presentation: A middle-aged patient presented to the emergency department with intermittent chest pain of 4-hour duration. The patient had been recently diagnosed with metastatic adenocarcinoma of the colon and was receiving 5-fluorouracil (5-FU)-based chemotherapy at the time of presentation. The ECG at presentation showed 1 mm ST segment elevation in leads II, III and aVF, with reciprocal changes in leads aVL, V1 and V2 (figure 1A). Serum cardiac troponin I level was elevated at 0...
2018: Heart Asia
S'fisosikayise Madi, Feroza Motara, Callistus Enyuma, Abdullah Ebrahim Laher
Introduction: Life-threatening emergencies are not limited to the emergency department. Any delay in intervention during an emergency often culminates into a poor outcome. Early electrical defibrillation is one of the most important interventions in patients with cardiac arrest. This study aimed to conduct a clinical audit of defibrillator devices at an urban public sector hospital in Johannesburg. Methods: All defibrillator devices within various areas of the hospital were assessed...
2018: Heart Asia
Akshyaya Pradhan, Nirdesh Jain, Salvatore Cassese, Pravesh Vishwakarma, Rishi Sethi, Sharad Chandra, Gaurav Chaudhary, Sudhanshu Kumar Dwivedi, Varun Shankar Narain
Objective: We sought to investigate the incidence and predictors of 30-day mortality associated with ventricular septal rupture (VSR) complicating acute myocardial infarction (AMI) in a cohort of patients admitted to a single centre in India. Methods: From October 2013 to February 2016, a total of 6560 patients with a diagnosis of AMI were admitted to our institution. Among these patients, those with a diagnosis of VSR were retrospectively included in this registry...
2018: Heart Asia
Jayaprasad Narayanapillai, Suresh Madhavan, B Hosgoudru Shankaragouda
Case presentation: A 32-year-old woman with no other medical history presented with 1-month history of fever, weight loss and dyspnoea. On examination she had elevated jugular venous pressure and tachycardia. Her chest X-ray posterioranterior view (figure 1A) showed a rounded mass in the right cardiophrenic angle obscuring the right atrial margin, producing a 'silhouette' sign. Echocardiography showed a large cystic mass with thickened pericardium, lateral to the right atrium, causing right atrial compression (figure 1B)...
2018: Heart Asia
Hideaki Matsuura, Akira Yamada, Kunihiko Sugimoto, Keiko Sugimoto, Masatsugu Iwase, Takashi Ishikawa, Junichi Ishii, Yukio Ozaki
Purpose: The ratio of the left atrial volume index (LAVI) and late diastolic mitral annular velocity (A') is a useful echocardiographic index for identifying advanced left ventricular (LV) diastolic dysfunction in patients with dyspnoea. We investigated the clinical implications and prognostic value of the aforementioned ratio (LAVI/A') in patients with ST elevation (STE) or non-STE (NSTE) acute coronary syndrome (ACS). Methods: We studied 212 patients with ACS...
2018: Heart Asia
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