Chalisa Srisukajorn, Tamonwan Megan Jirakulaporn, Helen C. Huang, E. Fung, P. Teekakirikul
Sudden cardiac death (SCD) in a young asymptomatic individual is a devastating, unpredictable event, with a widespread impact on the public health system. Hypertrophic cardiomyopathy (HCM) is the most common form of genetic heart disease, and considered one of the leading causes of SCD affecting young and frequently asymptomatic patients. A diagnosis of HCM is challenging particularly in young athletes due to overlapping clinical phenotypes between pathological left ventricular hypertrophy (LVH) and exercise-induced physiological LVH. Several investigational tools have been used to differentiate these two distinct entities. This review article focuses upon the diagnosis of HCM in young athletes, SCD risk assessment, and current recommendations for exercise in athletic individuals with HCM
{"title":"Diagnosing Hypertrophic Cardiomyopathy in Athletes","authors":"Chalisa Srisukajorn, Tamonwan Megan Jirakulaporn, Helen C. Huang, E. Fung, P. Teekakirikul","doi":"10.55503/2790-6744.1502","DOIUrl":"https://doi.org/10.55503/2790-6744.1502","url":null,"abstract":"Sudden cardiac death (SCD) in a young asymptomatic individual is a devastating, unpredictable event, with a widespread impact on the public health system. Hypertrophic cardiomyopathy (HCM) is the most common form of genetic heart disease, and considered one of the leading causes of SCD affecting young and frequently asymptomatic patients. A diagnosis of HCM is challenging particularly in young athletes due to overlapping clinical phenotypes between pathological left ventricular hypertrophy (LVH) and exercise-induced physiological LVH. Several investigational tools have been used to differentiate these two distinct entities. This review article focuses upon the diagnosis of HCM in young athletes, SCD risk assessment, and current recommendations for exercise in athletic individuals with HCM","PeriodicalId":53534,"journal":{"name":"Journal of the Hong Kong College of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48126646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Classical May-Thurner syndrome describes compression of the left common iliac vein. However, multiple sites of venous compression can occur. This report describes a case of ilio-caval venous thrombosis from multiple sites of iliac vein compression.
{"title":"Ilio-caval venous stenting for the treatment of severe post-thrombotic syndrome due to multiple sites of iliac vein compression","authors":"Lap-Shing Chan, B. Yan, G. Tan","doi":"10.55503/2790-6744.1507","DOIUrl":"https://doi.org/10.55503/2790-6744.1507","url":null,"abstract":"Classical May-Thurner syndrome describes compression of the left common iliac vein. However, multiple sites of venous compression can occur. This report describes a case of ilio-caval venous thrombosis from multiple sites of iliac vein compression.","PeriodicalId":53534,"journal":{"name":"Journal of the Hong Kong College of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45946028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Lawrence TH Chan, Chi-Wing Wong, Ho Lam, Y. Chan, Bryan PY Yang, Guangming Tan
{"title":"Outcomes of catheter-based interventions for the treatment of intermediate to high","authors":"Lawrence TH Chan, Chi-Wing Wong, Ho Lam, Y. Chan, Bryan PY Yang, Guangming Tan","doi":"10.55503/2790-6744.1504","DOIUrl":"https://doi.org/10.55503/2790-6744.1504","url":null,"abstract":"","PeriodicalId":53534,"journal":{"name":"Journal of the Hong Kong College of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43561504","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Abstracts for Lectures","authors":"Masatoshi, Takeichi, Tadashi, Uemura, Yoichi, Iwai, Takayoshi, Inoue, Sachihiro, C., Suzuki, Tarô, Tanaka, Naoshige, Uchida","doi":"10.55503/2790-6744.1500","DOIUrl":"https://doi.org/10.55503/2790-6744.1500","url":null,"abstract":"s for Lectures","PeriodicalId":53534,"journal":{"name":"Journal of the Hong Kong College of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41683124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"9th Asian Preventive Cardiology and Cardiac Rehabilitation Conference Symposia","authors":"","doi":"10.55503/2790-6744.1499","DOIUrl":"https://doi.org/10.55503/2790-6744.1499","url":null,"abstract":"","PeriodicalId":53534,"journal":{"name":"Journal of the Hong Kong College of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45015457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Institute of Cardiovascular Science and Medicine Faculty of Medicine The University of Hong Kong","authors":"","doi":"10.55503/2790-6744.1501","DOIUrl":"https://doi.org/10.55503/2790-6744.1501","url":null,"abstract":"","PeriodicalId":53534,"journal":{"name":"Journal of the Hong Kong College of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41931941","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"9th Asian Preventive Cardiology and Cardiac Rehabilitation Conference","authors":"","doi":"10.55503/2790-6744.1498","DOIUrl":"https://doi.org/10.55503/2790-6744.1498","url":null,"abstract":"","PeriodicalId":53534,"journal":{"name":"Journal of the Hong Kong College of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135478725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Impact of Renal Insufficiency upon Admission on the Clinical Outcome of Patients with Acute ST-elevation Myocardial Infarction undergoing Primary Percutaneous Coronary Intervention","authors":"Wai Lun Kwong, Kwok Ho Yau, E. Sin, K. Chan","doi":"10.55503/2790-6744.1486","DOIUrl":"https://doi.org/10.55503/2790-6744.1486","url":null,"abstract":"","PeriodicalId":53534,"journal":{"name":"Journal of the Hong Kong College of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48154017","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Channelopathies are the leading causes of sudden cardiac death in patients without structural heart disease. Missing the diagnosis of high-risk but concealed channelopathies could have lethal clinical consequences. However, the diagnosis of channelopathies is often challenging due to the dynamic clinical presentations and elusive electrocardiographic manifestations of these diseases. An integrated approach including clinical assessment, repeated electrocardiography, drug provocation tests, exercise stress test and genetic studies is often required for establishing the diagnosis. Pharmacological provocation testing may have limited sensitivity and may be associated with false positive results. Inju-dicious use of genetic testing is not recommended due to its relatively low yield, limited cost-effectiveness and availability. Variants of unknown signi fi cance could complicate interpretation of genetic fi ndings. This review article focuses on the role of exercise stress testing in the diagnosis and risk strati fi cation of patients with Brugada syndrome, long QT syndrome and catecholaminergic polymorphic ventricular tachycardia.
{"title":"Roles of exercise treadmill test in the diagnosis & risk stratification of cardiac channelopathies","authors":"Kit Chan","doi":"10.55503/2790-6744.1497","DOIUrl":"https://doi.org/10.55503/2790-6744.1497","url":null,"abstract":"Channelopathies are the leading causes of sudden cardiac death in patients without structural heart disease. Missing the diagnosis of high-risk but concealed channelopathies could have lethal clinical consequences. However, the diagnosis of channelopathies is often challenging due to the dynamic clinical presentations and elusive electrocardiographic manifestations of these diseases. An integrated approach including clinical assessment, repeated electrocardiography, drug provocation tests, exercise stress test and genetic studies is often required for establishing the diagnosis. Pharmacological provocation testing may have limited sensitivity and may be associated with false positive results. Inju-dicious use of genetic testing is not recommended due to its relatively low yield, limited cost-effectiveness and availability. Variants of unknown signi fi cance could complicate interpretation of genetic fi ndings. This review article focuses on the role of exercise stress testing in the diagnosis and risk strati fi cation of patients with Brugada syndrome, long QT syndrome and catecholaminergic polymorphic ventricular tachycardia.","PeriodicalId":53534,"journal":{"name":"Journal of the Hong Kong College of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46820964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Recurrent cyanotic spells in an octogenarian","authors":"C. Kwok, C. Wong","doi":"10.55503/2790-6744.1495","DOIUrl":"https://doi.org/10.55503/2790-6744.1495","url":null,"abstract":"","PeriodicalId":53534,"journal":{"name":"Journal of the Hong Kong College of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48612205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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