Ascending aortic aneurysms are asymptomatic and are usually discovered as an incidental finding on chest imaging. However, larger aneurysms can present with symptoms resulting from compression of surrounding structures including the trachea, bronchi, and the esophagus which can result in hoarseness, cough chest pain or back pain. The presence of an aortic arch anomaly, specifically an aberrant right common carotid artery, in a background of an aortic arch aneurysm is extremely rare with a worldwide incidence of <1%. They are usually asymptomatic but can result to catastrophic life threatening events and pose significant challenges to surgical or endovascular treatment. This is a case of a 63-year old Filipino male who presented with a sudden onset of dull back pain radiating to the left anterior chest. Workup revealed an ascending and aortic arch aneurysm with an aberrant right common carotid artery arising directly from the transverse aorta. Surgical aortic arch debranching was done to repair the aberrant vessels prior to Thoracic Endovascular Aortic Repair (TEVAR) wherein a custom-made Thoracic Valiant graft was deployed on the aneurysm. The patient was discharged on the 4th day after TEVAR without any complaints of dyspnea, back pain nor chest pain with no neurologic and visceral organ dysfunction. This case has emphasized that knowledge on the anatomy of the aortic arch is imperative in planning out thoracic surgery and endovascular interventions especially on rare anatomic anomalies such as seen in this case. Keywords aortic aneurysm, aberrant right common carotid artery, TEVAR
{"title":"A Rare Case of an Ascending Aorta and Aortic Arch Aneurysm with an Aberrant Right Common Carotid Artery","authors":"Mikhail M. Olalo, S. Guillermo","doi":"10.31762/ahj2130.0103","DOIUrl":"https://doi.org/10.31762/ahj2130.0103","url":null,"abstract":"Ascending aortic aneurysms are asymptomatic and are usually discovered as an incidental finding on chest imaging. However, larger aneurysms can present with symptoms resulting from compression of surrounding structures including the trachea, bronchi, and the esophagus which can result in hoarseness, cough chest pain or back pain. The presence of an aortic arch anomaly, specifically an aberrant right common carotid artery, in a background of an aortic arch aneurysm is extremely rare with a worldwide incidence of <1%. They are usually asymptomatic but can result to catastrophic life threatening events and pose significant challenges to surgical or endovascular treatment. This is a case of a 63-year old Filipino male who presented with a sudden onset of dull back pain radiating to the left anterior chest. Workup revealed an ascending and aortic arch aneurysm with an aberrant right common carotid artery arising directly from the transverse aorta. Surgical aortic arch debranching was done to repair the aberrant vessels prior to Thoracic Endovascular Aortic Repair (TEVAR) wherein a custom-made Thoracic Valiant graft was deployed on the aneurysm. The patient was discharged on the 4th day after TEVAR without any complaints of dyspnea, back pain nor chest pain with no neurologic and visceral organ dysfunction. This case has emphasized that knowledge on the anatomy of the aortic arch is imperative in planning out thoracic surgery and endovascular interventions especially on rare anatomic anomalies such as seen in this case. Keywords aortic aneurysm, aberrant right common carotid artery, TEVAR","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90276697","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}
L. Evangelista, Marie Kirk Patrich A. Maramara, R. D. Agustin, J. Magno, F. Punzalan
The previous year, 2020, was one challenging year for everyone, most especially to the healthcare workers. We experienced a pandemic no one ever imagined that would happen in our lifetime. Medical frontliners, the People Giving Hope, were called and were given the responsibility of taking care and defending the patients from the unfamiliar enemy, the COVID 19 virus. With the changes brought about the pandemic, transformation of the cardiology fellowship training also happened. Three Cardiology fellows in training gives us a sneak peek of how the pandemic affected their lives after a year of battling the virus. KEYWORDS Covid 19, Cardiology, Training
{"title":"Cardiology Fellowship Training One Year into COVID 19 Pandemic: The Philippine General Hospital Experience","authors":"L. Evangelista, Marie Kirk Patrich A. Maramara, R. D. Agustin, J. Magno, F. Punzalan","doi":"10.31762/ahj2130.0102","DOIUrl":"https://doi.org/10.31762/ahj2130.0102","url":null,"abstract":"The previous year, 2020, was one challenging year for everyone, most especially to the healthcare workers. We experienced a pandemic no one ever imagined that would happen in our lifetime. Medical frontliners, the People Giving Hope, were called and were given the responsibility of taking care and defending the patients from the unfamiliar enemy, the COVID 19 virus. With the changes brought about the pandemic, transformation of the cardiology fellowship training also happened. Three Cardiology fellows in training gives us a sneak peek of how the pandemic affected their lives after a year of battling the virus. KEYWORDS Covid 19, Cardiology, Training","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86164066","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}
D. Foo, K. Lam, M. Bujang, A. Kilung, S. Ahip, T. Ong, A. Fong
{"title":"Imaging Criteria by Echocardiography for Detection of Hypertrophic Cardiomyopathy in Elite Athletes","authors":"D. Foo, K. Lam, M. Bujang, A. Kilung, S. Ahip, T. Ong, A. Fong","doi":"10.31762/ahj2027.0203","DOIUrl":"https://doi.org/10.31762/ahj2027.0203","url":null,"abstract":"","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72531594","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}
AN Khan, Glenn Rose B. Advincula, F. Férnandez, S. Sawit
OBJECTIVE The Philippines has the highest COVID-19 mortality rate by country (per million) in South East Asia. We aim to explore predictors of mortality among critically ill COVID-19 patients. METHODS This single-centered, retrospective cohort study included consecutive patients with confirmed COVID-19 infection and acute respiratory distress syndrome requiring mechanical ventilation and intensive care unit (ICU) admission at The Medical City hospital from March 6 to March 31, 2020. Clinical data were obtained from medical records review and compared between survivors and non-survivors. troponin and NT-proBNP not associated with increased mortality. The clinical course and outcomes of critically ill COVID-19 patients during the first month of the outbreak in Metro Manila are similar to reports from other countries. The mortality of our cohort was high at 73%. We report the use of norepinephrine plus vasopressin and UFH for VTE prophylaxis were predictors of increased mortality among critically ill COVID-19 patients. Mean survival time of non-survivors is likely to be 13 days after ICU admission. We report that elevated troponin and NT-proBNP were not associated with increased mortality. Our findings suggest that those patients who eventually died had greater hemodynamic instability and thus required more vasopressor support. We can conclude that critically ill COVID-19 patients who require inotropic support are at increased risk of death. Although we believe our findings may help guide clinical decision making in COVID-19 patients requiring ICU care, caution must be applied when interpreting results presented here in view of our small cohort. The authors have no conflicts of interest to disclose.
{"title":"A single-centered, retrospective cohort study of critically ill COVID-19 patients: Is the heart at risk?","authors":"AN Khan, Glenn Rose B. Advincula, F. Férnandez, S. Sawit","doi":"10.31762/ahj2027.0201","DOIUrl":"https://doi.org/10.31762/ahj2027.0201","url":null,"abstract":"OBJECTIVE The Philippines has the highest COVID-19 mortality rate by country (per million) in South East Asia. We aim to explore predictors of mortality among critically ill COVID-19 patients. METHODS This single-centered, retrospective cohort study included consecutive patients with confirmed COVID-19 infection and acute respiratory distress syndrome requiring mechanical ventilation and intensive care unit (ICU) admission at The Medical City hospital from March 6 to March 31, 2020. Clinical data were obtained from medical records review and compared between survivors and non-survivors. troponin and NT-proBNP not associated with increased mortality. The clinical course and outcomes of critically ill COVID-19 patients during the first month of the outbreak in Metro Manila are similar to reports from other countries. The mortality of our cohort was high at 73%. We report the use of norepinephrine plus vasopressin and UFH for VTE prophylaxis were predictors of increased mortality among critically ill COVID-19 patients. Mean survival time of non-survivors is likely to be 13 days after ICU admission. We report that elevated troponin and NT-proBNP were not associated with increased mortality. Our findings suggest that those patients who eventually died had greater hemodynamic instability and thus required more vasopressor support. We can conclude that critically ill COVID-19 patients who require inotropic support are at increased risk of death. Although we believe our findings may help guide clinical decision making in COVID-19 patients requiring ICU care, caution must be applied when interpreting results presented here in view of our small cohort. The authors have no conflicts of interest to disclose.","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90953125","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}
B. Toledano, Catherine V. Sta Monica, Gertie May B. Plameras
PURPOSE This is a local study conducted that describes the clinical profile and cost incurred of patients with lymphedema among Filipinos seen in our institution. METHODS A descriptive study using the data from the Philippine Heart Center Lymphedema clinic from 2018-2020. It consists of the patient’s name, age, sex, lymphedema onset, classification, type, stage, affected site, treatment modality, and the number of sessions. The cost incurred was based on the clinic’s costing list, treatment modality, and the number of sessions rendered. RESULTS The analysis included a total of 97 patients. The mean age was 60.3 (± 14.3) years old, with female predominance (74.2% versus 25.8%). The majority is classified as secondary (91.8%) versus primary (8.2%). The classification of primary lymphedema are praecox (62.5%), congenital (25%) and tarda (12.5%) while for secondary it is cancer related (53.9%), phlebolymphedema (34.8%), lipolymphedema (3.4%), obesity induced 3.4%, trauma related, infection (3.4%) and iatrogenic (1.1). The stage of severity is stage IIA (60.8%), III (17.6%), IIB (13.4%), and I (8.2%). The most affected site is bilateral lower extremities (30%), followed by left (18.5%) and right (17.5%) lower extremities. The right and left upper extremities showed equal (16.5%) with no bilateral upper extremities affectation. The majority of treatment is unilateral (68.8%) versus bilateral (31.2%) decompressive lymphatic therapy. The total cost incurred was an average of P17,753 per patient and mostly came from the private section (89.7%) versus (10.3%). CONCLUSION Lymphedema is a chronic and recurrent disease that carries a substantial cost to patients. Its exact incidence, treatment outcomes, and quality of life among Filipinos are yet to be explored. A clinical profile will be the first step to raise awareness and to identify the different subset of populations for prevention, support, and treatment. Keywords Clinical profile, Cost of treatment, Lymphedema
{"title":"Clinical Profile and Cost of Treatment among Patients with Lymphedema in Philippine Heart Center from 2018-2020","authors":"B. Toledano, Catherine V. Sta Monica, Gertie May B. Plameras","doi":"10.31762/ahj2029.0103","DOIUrl":"https://doi.org/10.31762/ahj2029.0103","url":null,"abstract":"PURPOSE This is a local study conducted that describes the clinical profile and cost incurred of patients with lymphedema among Filipinos seen in our institution. METHODS A descriptive study using the data from the Philippine Heart Center Lymphedema clinic from 2018-2020. It consists of the patient’s name, age, sex, lymphedema onset, classification, type, stage, affected site, treatment modality, and the number of sessions. The cost incurred was based on the clinic’s costing list, treatment modality, and the number of sessions rendered. RESULTS The analysis included a total of 97 patients. The mean age was 60.3 (± 14.3) years old, with female predominance (74.2% versus 25.8%). The majority is classified as secondary (91.8%) versus primary (8.2%). The classification of primary lymphedema are praecox (62.5%), congenital (25%) and tarda (12.5%) while for secondary it is cancer related (53.9%), phlebolymphedema (34.8%), lipolymphedema (3.4%), obesity induced 3.4%, trauma related, infection (3.4%) and iatrogenic (1.1). The stage of severity is stage IIA (60.8%), III (17.6%), IIB (13.4%), and I (8.2%). The most affected site is bilateral lower extremities (30%), followed by left (18.5%) and right (17.5%) lower extremities. The right and left upper extremities showed equal (16.5%) with no bilateral upper extremities affectation. The majority of treatment is unilateral (68.8%) versus bilateral (31.2%) decompressive lymphatic therapy. The total cost incurred was an average of P17,753 per patient and mostly came from the private section (89.7%) versus (10.3%). CONCLUSION Lymphedema is a chronic and recurrent disease that carries a substantial cost to patients. Its exact incidence, treatment outcomes, and quality of life among Filipinos are yet to be explored. A clinical profile will be the first step to raise awareness and to identify the different subset of populations for prevention, support, and treatment. Keywords Clinical profile, Cost of treatment, Lymphedema","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87144814","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}
Maria Kristina Cecilia P. Ozaeta, Frances Dianne M. Dela Cruz, Maria Cristina A. Sombrero, Kristine Karla N. Estuita, Valerie Zarza-Geron, P. Quetua, Gilbert G. Florentino, S. Javier
BACKGROUND Echocardiography and electrocardiogram may prove useful in the care of COVID-19 patients but there is limited data postulating their usefulness in this disease. OBJECTIVE To determine electrocardiographic and echocardiographic findings among COVID-19 patients in Makati Medical Center. METHODS A retrospective single center analytical study involving adult Reverse transcription polymerase chain reaction (RT-PCR) confirmed COVID-19 positive patients admitted in Makati Medical Center from March to April 16, 2020. These patients had more than one electrocardiogram (ECG) result and a 2D echocardiography done during their admission. The initial and repeat ECGs during the course of hospital stay were obtained to determine if there were changes in ECG. On the other hand, echocardiographic investigations were confined to studies of left and right ventricular systolic function. RESULTS In the initial ECG findings, the most common abnormalities observed were QT prolongation (39.39%), ischemic changes (15.15%), and fascicular blocks (12.12%). During the course of admission, the most common were still QT prolongation (39.39%) and ischemic changes (13.64%), with the additional observation of further prolongation in QT from baseline (24.24%). For the echocardiographic findings, the right and left systolic functions were preserved in majority of the patients. No significant difference was noted in the electrogram and echocardiographic findings between survivor and non-survivors. CONCLUSION Majority of patients had abnormal ECG at baseline with further worsening during the course of confinement. Almost all abnormalities were related to QT prolongation. Though most patients had elevated cardiac biomarkers, only few patients had notable abnormalities in left and right ventricular function. Keywords COVID 19, Electrocardiogram, 2D Echocardiography
{"title":"Electrocardiogram and Echocardiographic Findings of COVID-19 Patients in Makati Medical Center","authors":"Maria Kristina Cecilia P. Ozaeta, Frances Dianne M. Dela Cruz, Maria Cristina A. Sombrero, Kristine Karla N. Estuita, Valerie Zarza-Geron, P. Quetua, Gilbert G. Florentino, S. Javier","doi":"10.31762/ahj2029.0101","DOIUrl":"https://doi.org/10.31762/ahj2029.0101","url":null,"abstract":"BACKGROUND Echocardiography and electrocardiogram may prove useful in the care of COVID-19 patients but there is limited data postulating their usefulness in this disease. OBJECTIVE To determine electrocardiographic and echocardiographic findings among COVID-19 patients in Makati Medical Center. METHODS A retrospective single center analytical study involving adult Reverse transcription polymerase chain reaction (RT-PCR) confirmed COVID-19 positive patients admitted in Makati Medical Center from March to April 16, 2020. These patients had more than one electrocardiogram (ECG) result and a 2D echocardiography done during their admission. The initial and repeat ECGs during the course of hospital stay were obtained to determine if there were changes in ECG. On the other hand, echocardiographic investigations were confined to studies of left and right ventricular systolic function. RESULTS In the initial ECG findings, the most common abnormalities observed were QT prolongation (39.39%), ischemic changes (15.15%), and fascicular blocks (12.12%). During the course of admission, the most common were still QT prolongation (39.39%) and ischemic changes (13.64%), with the additional observation of further prolongation in QT from baseline (24.24%). For the echocardiographic findings, the right and left systolic functions were preserved in majority of the patients. No significant difference was noted in the electrogram and echocardiographic findings between survivor and non-survivors. CONCLUSION Majority of patients had abnormal ECG at baseline with further worsening during the course of confinement. Almost all abnormalities were related to QT prolongation. Though most patients had elevated cardiac biomarkers, only few patients had notable abnormalities in left and right ventricular function. Keywords COVID 19, Electrocardiogram, 2D Echocardiography","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83720296","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}
L. Suciadi, A. H. Santoso, I. Cahyadi, H. Gunawan, Joshua Henrina Sudjaja, Andreas Willianto, Sylvie Sakasasmita, Alex Komalasari, M. Anwar, A. Sutandar
The outcomes of coronary artery bypass grafting (CABG) surgery are determined by numerous factors. This study aimed to analyze the factors contributing to short-term outcomes of patients undergoing isolated CABG. This retrospective analysis enrolled all adult patients undergoing isolated CABG at our center between January 2013 and December 2016. Clinical characteristics and postoperative events were recorded and analyzed. Overall, 242 patients (mean age, 59.7 ± 9.5 years) were included. The majority of the patients (88.4%) were men. The median left ventricular ejection fraction (LVEF) was 50% ± 15%, with 38% patients having an LVEF lower than 40% and 9.1% having an LVEF lower than 25%. The mean preoperative creatinine level was 1.25 ± 0.73, and the estimated glomerular filtration rate was 68.55 ± 23 ml/min/1.73 m2. The intensive cardiac care unit stay and total in-hospital stay were 70 ± 59 h and 8 ± 4 days, respectively. The in-hospital mortality rate was 2.1%. The most common major adverse events were new-onset atrial fibrillation (31.8%) and significant worsening of renal function (21.5%). Stroke occurred in 3.7% patients, for which preexisting chronic kidney disease (CKD) and dyslipidemia were strong predictors (P < 0.05; area under the curve [AUC], 87.7%). Advanced age and hypertension were considered significant risk factors for developing new-onset atrial fibrillation (P < 0.05; AUC 65%). Worsening renal function and new-onset atrial fibrillation were the most frequent complications that occurred during hospitalization following CABG. Preexisting CKD and dyslipidemia were the major risk factors for developing acute stroke post surgery. KEYWORDS Acute cerebrovascular events, Chronic kidney disease, Coronary artery bypass grafting, Dyslipidemia.
{"title":"Preexisting Chronic Kidney Disease and Dyslipidemia are Strong Predictors for Early Acute Cerebrovascular Event After Isolated Coronary Artery Bypass Grafting: A Single Cardiac Center Experience","authors":"L. Suciadi, A. H. Santoso, I. Cahyadi, H. Gunawan, Joshua Henrina Sudjaja, Andreas Willianto, Sylvie Sakasasmita, Alex Komalasari, M. Anwar, A. Sutandar","doi":"10.31762/ahj2029.0102","DOIUrl":"https://doi.org/10.31762/ahj2029.0102","url":null,"abstract":"The outcomes of coronary artery bypass grafting (CABG) surgery are determined by numerous factors. This study aimed to analyze the factors contributing to short-term outcomes of patients undergoing isolated CABG. This retrospective analysis enrolled all adult patients undergoing isolated CABG at our center between January 2013 and December 2016. Clinical characteristics and postoperative events were recorded and analyzed. Overall, 242 patients (mean age, 59.7 ± 9.5 years) were included. The majority of the patients (88.4%) were men. The median left ventricular ejection fraction (LVEF) was 50% ± 15%, with 38% patients having an LVEF lower than 40% and 9.1% having an LVEF lower than 25%. The mean preoperative creatinine level was 1.25 ± 0.73, and the estimated glomerular filtration rate was 68.55 ± 23 ml/min/1.73 m2. The intensive cardiac care unit stay and total in-hospital stay were 70 ± 59 h and 8 ± 4 days, respectively. The in-hospital mortality rate was 2.1%. The most common major adverse events were new-onset atrial fibrillation (31.8%) and significant worsening of renal function (21.5%). Stroke occurred in 3.7% patients, for which preexisting chronic kidney disease (CKD) and dyslipidemia were strong predictors (P < 0.05; area under the curve [AUC], 87.7%). Advanced age and hypertension were considered significant risk factors for developing new-onset atrial fibrillation (P < 0.05; AUC 65%). Worsening renal function and new-onset atrial fibrillation were the most frequent complications that occurred during hospitalization following CABG. Preexisting CKD and dyslipidemia were the major risk factors for developing acute stroke post surgery. KEYWORDS Acute cerebrovascular events, Chronic kidney disease, Coronary artery bypass grafting, Dyslipidemia.","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76770988","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":"Bigger or Smaller? Common Coronary Stent Diameters used amongst Malaysian Patients","authors":"K. C. Lim, R. Stanislaus, K. Gurupparan","doi":"10.31762/AHJ1926.0301","DOIUrl":"https://doi.org/10.31762/AHJ1926.0301","url":null,"abstract":"","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88501202","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":"Cardiovascular polypharmacy for atherosclerotic cardiovascular disease, therapeutic goals and targets: Are we doing the right thing?","authors":"D. K. Quek","doi":"10.31762/AHJ1926.0201","DOIUrl":"https://doi.org/10.31762/AHJ1926.0201","url":null,"abstract":"","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-05-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81221654","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}
BACKGROUND Echocardiography is a very useful tool that is able to aid in the diagnosis of various cardiac diseases. Transthoracic echocardiography in particular provides important valuable cardiac information allowing the clinician to make crucial decisions. Requests for such procedures have been increasing steadily throughout the years. With the growing number of patients and need to handle imaging workload, we now examine the use of echocardiography in a single district hospital with limited resources. OBJECTIVE To evaluate and audit the usage of transthoracic echocardiography as an outpatient and inpatient basis. This was (12.2%), District Hospitals/Health Clinics (11.7%), Anaesthesiology (5.3%), Surgery (4.8%), Obstetrics & Gynaecology (3.3%) and the rest (8.3%). This particular audit indicates that there is room for improvement for the service. We would need to streamline the indications to reduce imaging burden as well as adopt a more pragmatic approach in request for echocardiography in our current setting.
{"title":"A Clinical Audit of Transthoracic Echocardiography in Malaysia: A District Hospital Experience","authors":"W. J. Quah, Selvesten Anak Panting, T. Fam","doi":"10.31762/ahj1926.0101","DOIUrl":"https://doi.org/10.31762/ahj1926.0101","url":null,"abstract":"BACKGROUND Echocardiography is a very useful tool that is able to aid in the diagnosis of various cardiac diseases. Transthoracic echocardiography in particular provides important valuable cardiac information allowing the clinician to make crucial decisions. Requests for such procedures have been increasing steadily throughout the years. With the growing number of patients and need to handle imaging workload, we now examine the use of echocardiography in a single district hospital with limited resources. OBJECTIVE To evaluate and audit the usage of transthoracic echocardiography as an outpatient and inpatient basis. This was (12.2%), District Hospitals/Health Clinics (11.7%), Anaesthesiology (5.3%), Surgery (4.8%), Obstetrics & Gynaecology (3.3%) and the rest (8.3%). This particular audit indicates that there is room for improvement for the service. We would need to streamline the indications to reduce imaging burden as well as adopt a more pragmatic approach in request for echocardiography in our current setting.","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81441105","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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