Pub Date : 2014-06-01DOI: 10.7603/S40602-014-0013-1
R. Zambahari, J. Rajadurai, A. Fong, A. Chandran, Choo Gim Hooi, Nurul Aida Salleh, O. Ismail, O. Maskon, R. Yusoff, R. Ali, W. Ahmad
{"title":"Malaysia CPG for STEMI","authors":"R. Zambahari, J. Rajadurai, A. Fong, A. Chandran, Choo Gim Hooi, Nurul Aida Salleh, O. Ismail, O. Maskon, R. Yusoff, R. Ali, W. Ahmad","doi":"10.7603/S40602-014-0013-1","DOIUrl":"https://doi.org/10.7603/S40602-014-0013-1","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":"2014-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82404288","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}
Pub Date : 2014-05-21DOI: 10.7603/S40602-014-0010-4
D. Listijono, M. Rubens, M. Rigby
{"title":"Complementary Use of Imaging modalities in Diagnosis of Complex Congenital Heart Disease","authors":"D. Listijono, M. Rubens, M. Rigby","doi":"10.7603/S40602-014-0010-4","DOIUrl":"https://doi.org/10.7603/S40602-014-0010-4","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":"2014-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81402131","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}
Pub Date : 2014-02-07DOI: 10.7603/S40602-013-0006-5
J. Yap, K. Yeo, J. Tan, S. Lim
{"title":"Atrial septostomy in a patient with severe pulmonary hypertension and hypoxia: A therapeutic dilemma","authors":"J. Yap, K. Yeo, J. Tan, S. Lim","doi":"10.7603/S40602-013-0006-5","DOIUrl":"https://doi.org/10.7603/S40602-013-0006-5","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":"2014-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75438391","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}
Pub Date : 2014-01-01DOI: 10.7603/s40602-014-0007-z
Moo Hyun Kim, Young Seok Lee, Michael S Lee
The goal of anticoagulation during percutaneous coronary intervention (PCI) is the primary and secondary prevention of thrombotic and significant bleeding events that increase cardiovascular morbidity and mortality. Unfractionated heparin is the most commonly-used anticoagulant, but low-molecular weight heparin, and more recently bivalirudin are becoming increasingly popular in cardiac catheterization laboratories1. The ACC/AHA/SCAI PCI guidelines2 recommend a 70-100 IU/kg bolus of heparin to achieve an activated clotting time (ACT) of 250-300 seconds for Hemotec and 300-350 seconds for Hemochron systems, when glycoprotein IIb/IIIa inhibitors are not used. When glycoprotein IIb/IIIa inhibitors are used, a bolus of 50-70 IU/kg of unfractionated heparin is recommended to achieve an ACT of 200-250 seconds.
{"title":"Opposition: Unfractionated heparin should no longer be used in the catheterization laboratory.","authors":"Moo Hyun Kim, Young Seok Lee, Michael S Lee","doi":"10.7603/s40602-014-0007-z","DOIUrl":"https://doi.org/10.7603/s40602-014-0007-z","url":null,"abstract":"<p><p>The goal of anticoagulation during percutaneous coronary intervention (PCI) is the primary and secondary prevention of thrombotic and significant bleeding events that increase cardiovascular morbidity and mortality. Unfractionated heparin is the most commonly-used anticoagulant, but low-molecular weight heparin, and more recently bivalirudin are becoming increasingly popular in cardiac catheterization laboratories<sup>1</sup>. The ACC/AHA/SCAI PCI guidelines<sup>2</sup> recommend a 70-100 IU/kg bolus of heparin to achieve an activated clotting time (ACT) of 250-300 seconds for Hemotec and 300-350 seconds for Hemochron systems, when glycoprotein IIb/IIIa inhibitors are not used. When glycoprotein IIb/IIIa inhibitors are used, a bolus of 50-70 IU/kg of unfractionated heparin is recommended to achieve an ACT of 200-250 seconds.</p>","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7603/s40602-014-0007-z","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34130702","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-01-01DOI: 10.7603/s40602-014-0006-0
J. Yap, K. Yeo, J. Tan, S. Lim
{"title":"Atrial septostomy in a patient with severe pulmonary hypertension and hypoxia: A therapeutic dilemma","authors":"J. Yap, K. Yeo, J. Tan, S. Lim","doi":"10.7603/s40602-014-0006-0","DOIUrl":"https://doi.org/10.7603/s40602-014-0006-0","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":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76802580","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}
Pub Date : 2014-01-01DOI: 10.7603/s40602-014-0004-2
Mark Y Chan
Thrombosis is a leading cause of morbidity and mortality, not only in aging industrialized countries, but also many emerging economies1.
血栓形成是发病率和死亡率的主要原因，不仅在老龄化的工业化国家如此，在许多新兴经济体也是如此。
{"title":"Thought Leadership on Thrombotic Disorders in South East Asia.","authors":"Mark Y Chan","doi":"10.7603/s40602-014-0004-2","DOIUrl":"https://doi.org/10.7603/s40602-014-0004-2","url":null,"abstract":"<p><p>Thrombosis is a leading cause of morbidity and mortality, not only in aging industrialized countries, but also many emerging economies<sup>1</sup>.</p>","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7603/s40602-014-0004-2","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34130701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2014-01-01DOI: 10.7603/s40602-014-0008-y
Carolyn S P Lam, Peter Chang, Shaw Yang Chia, Ling Ling Sim, Fei Gao, Fong Ling Lee, Ping Chai, Raymond Ching-Chiew Wong, Swee Chong Seow, Gerard Kui Toh Leong, Poh Shuan Daniel Yeo, David Sim, Terrance Chua, Bernard W K Kwok
Objectives: To study sex differences in clinical characteristics and outcomes among multi-ethnic Southeast Asian patients with hospitalized heart failure (HHF).
Background: HHF is an important public health problem affecting man and women globally. Reports from Western populations suggest striking sex differences in risk factors and outcomes in HHF. However, this has not been studied in a multi-ethnic Asian population.
Methods: Using the population-based resources of the Singapore Cardiac Data Bank, we studied 5,703 consecutive cases of HHF admitted across hospitals in the Southeast Asian nation of Singapore from 1st January, 2008 through 31st December, 2009.
Results: Women accounted for 46% of total admissions and were characterized by older age (73 vs. 67 years; p<0.001), higher prevalence of hypertension (78.6 vs. 72.1%; p<0.001) or atrial fibrillation (22.2 vs. 18.1%; p<0.001), and lower prevalence of coronary artery disease (33.8 vs. 41.0%; p<0.001) or prior myocardial infarction (14.9 vs. 19.8%; p<0.001). Women were more likely than men to have HHF with preserved ejection fraction (42.5% versus 20.8%, p < 0.001). Women were less likely than men to receive evidencebased therapies at discharge, both in the overall group and in the sub-group with reduced ejection fraction. Women had longer lengths of stay (5.6 vs. 5.1 days; p<0.001) but similar in-hospital mortality and one-year rehospitalization rates compared to men. Independent predictors of mortality or rehospitalization in both men and women included prior myocardial infarction and reduced ejection fraction. Among women alone, additional independent predictors were renal impairment, atrial fibrillation, and diabetes. Prescription of beta-blockers and ACE-inhibitors at discharge was associated with better outcomes.
Conclusion: Among multi-ethnic Asian patients with HHF, there are important sex differences in clinical characteristics and prognostic factors. These data may inform sex-specific strategies to improve outcomes of HHF in Southeast Asians.
{"title":"Impact Of Sex On Clinical Characteristics And In-Hospital Outcomes In A Multi-Ethnic Southeast Asian Population Of Patients Hospitalized For Acute Heart Failure.","authors":"Carolyn S P Lam, Peter Chang, Shaw Yang Chia, Ling Ling Sim, Fei Gao, Fong Ling Lee, Ping Chai, Raymond Ching-Chiew Wong, Swee Chong Seow, Gerard Kui Toh Leong, Poh Shuan Daniel Yeo, David Sim, Terrance Chua, Bernard W K Kwok","doi":"10.7603/s40602-014-0008-y","DOIUrl":"https://doi.org/10.7603/s40602-014-0008-y","url":null,"abstract":"<p><strong>Objectives: </strong>To study sex differences in clinical characteristics and outcomes among multi-ethnic Southeast Asian patients with hospitalized heart failure (HHF).</p><p><strong>Background: </strong>HHF is an important public health problem affecting man and women globally. Reports from Western populations suggest striking sex differences in risk factors and outcomes in HHF. However, this has not been studied in a multi-ethnic Asian population.</p><p><strong>Methods: </strong>Using the population-based resources of the Singapore Cardiac Data Bank, we studied 5,703 consecutive cases of HHF admitted across hospitals in the Southeast Asian nation of Singapore from 1st January, 2008 through 31st December, 2009.</p><p><strong>Results: </strong>Women accounted for 46% of total admissions and were characterized by older age (73 vs. 67 years; p<0.001), higher prevalence of hypertension (78.6 vs. 72.1%; p<0.001) or atrial fibrillation (22.2 vs. 18.1%; p<0.001), and lower prevalence of coronary artery disease (33.8 vs. 41.0%; p<0.001) or prior myocardial infarction (14.9 vs. 19.8%; p<0.001). Women were more likely than men to have HHF with preserved ejection fraction (42.5% versus 20.8%, p < 0.001). Women were less likely than men to receive evidencebased therapies at discharge, both in the overall group and in the sub-group with reduced ejection fraction. Women had longer lengths of stay (5.6 vs. 5.1 days; p<0.001) but similar in-hospital mortality and one-year rehospitalization rates compared to men. Independent predictors of mortality or rehospitalization in both men and women included prior myocardial infarction and reduced ejection fraction. Among women alone, additional independent predictors were renal impairment, atrial fibrillation, and diabetes. Prescription of beta-blockers and ACE-inhibitors at discharge was associated with better outcomes.</p><p><strong>Conclusion: </strong>Among multi-ethnic Asian patients with HHF, there are important sex differences in clinical characteristics and prognostic factors. These data may inform sex-specific strategies to improve outcomes of HHF in Southeast Asians.</p>","PeriodicalId":72307,"journal":{"name":"ASEAN heart journal : Official journal of the ASEAN Federation of Cardiology","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2014-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7603/s40602-014-0008-y","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34130703","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2013-09-17DOI: 10.7603/S40602-013-0003-8
Ma Sy, M. Chan
{"title":"Stent Embolization in the Current Era of Percutaneous Coronary Intervention: a NUHCS Experience","authors":"Ma Sy, M. Chan","doi":"10.7603/S40602-013-0003-8","DOIUrl":"https://doi.org/10.7603/S40602-013-0003-8","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":"2013-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91286763","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}
Pub Date : 2013-09-05DOI: 10.7603/S40602-013-0001-X
D. P. Phan, Tran L Pham, Q. Pham, Lan Viet Nguyen
{"title":"Ablation within the aortic sinus of Valsalva for the treatment of ventricular arrhythmias using a standard electrophysiology and ablation system","authors":"D. P. Phan, Tran L Pham, Q. Pham, Lan Viet Nguyen","doi":"10.7603/S40602-013-0001-X","DOIUrl":"https://doi.org/10.7603/S40602-013-0001-X","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":"2013-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81562309","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}
Pub Date : 2013-01-01DOI: 10.7603/s40602-013-0004-7
Raymond C C Wong, Swee Guan Teo, James W L Yip
{"title":"Coronary Artery to Right Atrium Fistula Associated With First Degree Atrioventricular Block: A Rare Association.","authors":"Raymond C C Wong, Swee Guan Teo, James W L Yip","doi":"10.7603/s40602-013-0004-7","DOIUrl":"https://doi.org/10.7603/s40602-013-0004-7","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":"2013-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.7603/s40602-013-0004-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34130700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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