The Asia Pacific Heart Journal最新文献

Outcomes of cardiac valve replacement for rheumatic heart disease in aboriginal Australians 澳洲原住民风湿性心脏病心脏瓣膜置换术的疗效

The Asia Pacific Heart Journal Pub Date : 1999-12-01 DOI: 10.1016/S1328-0163(99)90050-7

Jonathan R. Carapetis PhD, FRACP , Jennifer R. Powers Bsc , Bart J. Currie FRACP , John F. Sangster FRACP , Alistair Begg FRACP , Dale A. Fisher FRACP , Charles J. Kilburn FRACP , James N.C. Burrow FRACP

{"title":"Outcomes of cardiac valve replacement for rheumatic heart disease in aboriginal Australians","authors":"Jonathan R. Carapetis PhD, FRACP , Jennifer R. Powers Bsc , Bart J. Currie FRACP , John F. Sangster FRACP , Alistair Begg FRACP , Dale A. Fisher FRACP , Charles J. Kilburn FRACP , James N.C. Burrow FRACP","doi":"10.1016/S1328-0163(99)90050-7","DOIUrl":"10.1016/S1328-0163(99)90050-7","url":null,"abstract":"<div><p><em>Background:</em> Few studies have looked specifically at the outcomes of cardiac valve replacement for rheumatic heart disease (RHD) in developing or indigenous populations. <em>Aims:</em> To describe outcomes of cardiac valve replacement in patients with rheumatic heart disease living in urban and rural communities in northern Australia. <em>Methods:</em> Retrospective chart review with some prospective follow-up of 81 consecutive patients, predominantly aboriginal, who underwent mitral and/or aortic valve replacement for RHD between 1964 and 1996. Survival analyses were performed using the Kaplan-Meier method, and multivariable analyses using the Cox Proportional Hazards model. <em>Results:</em> Most patients received mechanical prostheses. There was 1 (1.2%) perioperative death. 27/29 late deaths were related to RHD. Actuarial probability estimates for survival at 1, 5 and 10 years were 91%, 79% and 68% and for complication-free survival were 81%, 52% and 44%. Linearised rates (per 100 person-years) were: death, 4.82; all complications, 14.62; emboli, 3.92; bleeding, 2.68; endocarditis, 1.25; reoperation, 0.50; non-structural dysfunction, 2.10. Diminished preoperative left ventricular function was the only variable strongly associated with death (hazard ratio 3.38, 95% CI, 1.01 to 11.28), and this effect was greatest in the first 2 postoperative years. Conclusions: Survival and freedom from complications in this population are less than in similar studies from developing countries. Consideration should be given to operating before the left ventricular function diminishes substantially and to using techniques which obviate the need for anticoagulation.</p></div>","PeriodicalId":101218,"journal":{"name":"The Asia Pacific Heart Journal","volume":"8 3","pages":"Pages 138-147"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1328-0163(99)90050-7","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82224443","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}

引用次数: 25

The National Heart Foundation: Current role and future directions 国家心脏基金会:目前的作用和未来的方向

The Asia Pacific Heart Journal Pub Date : 1999-12-01 DOI: 10.1016/S1328-0163(99)90057-X

Andrew M. Tonkin MD, FRACP

{"title":"The National Heart Foundation: Current role and future directions","authors":"Andrew M. Tonkin MD, FRACP","doi":"10.1016/S1328-0163(99)90057-X","DOIUrl":"10.1016/S1328-0163(99)90057-X","url":null,"abstract":"<div><p>Age-adjusted mortality from cardiovascular disease has fallen by approximately 70% over the past 30 years. The Heart Foundation can claim a significant role in these gains, which relate to both decreased event rates (and risk factor prevalence) and a decrease of case-fatality rates because of better treatment. However, cardiovascular disease remains the major public health burden for Australia and progressive ageing of the population will further increase this burden. Diseases such as coronary artery disease result from interactions between genes and the environment, and it is logical that the Heart Foundation should work across the health-disease spectrum. Current cardiovascular health programs not only centre around major risk factors (tobacco control, nutrition and metabolism, blood pressure and physical activity), but also target high-risk populations (cardiac rehabilitation, Aboriginal people and Torres Strait Islanders, and others in rural and remote areas). Medical activities focus on community education, for example, the need for early presentation with possible acute coronary syndromes, development of better practice guidelines in association with other bodies such as the Cardiac Society of Australia and New Zealand, and monitoring of cardiovascular health. There have been major research achievements by the NHF, particularly noteworthy being the support by the Foundation of the early careers of many national and international leaders in the cardiovascular field.</p></div>","PeriodicalId":101218,"journal":{"name":"The Asia Pacific Heart Journal","volume":"8 3","pages":"Pages 172-177"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1328-0163(99)90057-X","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87912055","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}

引用次数: 0

48th Annual scientific meeting of the cardiac society of Australia and New Zealand, 6–9 August 2000 澳大利亚和新西兰心脏学会第48届年度科学会议，2000年8月6-9日

The Asia Pacific Heart Journal Pub Date : 1999-12-01 DOI: 10.1016/S1328-0163(99)90065-9

引用次数: 0

Orthodox coronary artery bypass surgery: The gold standard in surgical coronary artery disease intervention 正统冠状动脉搭桥手术:外科介入冠状动脉疾病的金标准

The Asia Pacific Heart Journal Pub Date : 1999-12-01 DOI: 10.1016/S1328-0163(99)90051-9

John M. Alvarez FRACS, Jennifer C. Cooke FRACP, Gil C. Shardey FRACS, Jacob Goldstein FRACS, Richard W. Harper FRACP

{"title":"Orthodox coronary artery bypass surgery: The gold standard in surgical coronary artery disease intervention","authors":"John M. Alvarez FRACS, Jennifer C. Cooke FRACP, Gil C. Shardey FRACS, Jacob Goldstein FRACS, Richard W. Harper FRACP","doi":"10.1016/S1328-0163(99)90051-9","DOIUrl":"10.1016/S1328-0163(99)90051-9","url":null,"abstract":"<div><p><em>Background:</em> Advances in technology have produced a plethora of means to perform coronary revascularisation either surgically (that is, off pump CABG, Heartport CABG) and/or percutaneously (that is, stenting, rotablation). When comparing the results obtained by these new technologies, too often reference is made to results from the CABG operation of previous eras. Before tried and tested procedures are superseded by new, radical ones, it is essential to establish what the contemporary results of the CABG operation are on an unselected, general patient population. <em>Aim:</em> To examine contemporary results of primary orthodox CABG surgery in an unselected patient population from an Australian teaching hospital. <em>Method:</em> This was a prospective study of all patients having primary CABG surgery from 1 January 1996 to 30 June 1998. <em>Results:</em> 1002 patients had CABG. The mean age was 63.1 years, 33% were aged more than 70 years. Perioperative AMI occurred in 0.2% and CVA in 0.7%. Operative mortality for urgent or elective CABG was 0.4%. At 12 months, freedom from a repeat revascularisation procedure was 97%. <em>Conclusion:</em> Contemporary CABG surgery is associated with a very low morbidity and mortality. This is the gold standard in surgical coronary artery disease intervention and forms the benchmark to which alternative treatment strategies must be compared.</p></div>","PeriodicalId":101218,"journal":{"name":"The Asia Pacific Heart Journal","volume":"8 3","pages":"Pages 148-153"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1328-0163(99)90051-9","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79326059","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}

引用次数: 10

Ischaemic heart disease — Surgical management: Brian Buxton, O.H. Frazier, Stephen Westaby. Illustrations by B. Croce. London: Mosby,1999 ISBN 0 7234 2911 1 缺血性心脏病-外科治疗:Brian Buxton, O.H. Frazier, Stephen Westaby。插图:B. Croce伦敦:莫斯比出版社，1999 ISBN 0 7234 2911

The Asia Pacific Heart Journal Pub Date : 1999-12-01 DOI: 10.1016/S1328-0163(99)90062-3

D. Ross

引用次数: 3

Cardiac transplantation for congenital long QT syndrome and recurrent sudden cardiac arrests despite automatic defibrillator implantation 心脏移植治疗先天性长QT综合征和复发性心脏骤停，尽管植入了自动除颤器

The Asia Pacific Heart Journal Pub Date : 1999-12-01 DOI: 10.1016/S1328-0163(99)90053-2

Darren L. Walters MBBS, Dorothy J. Radford MD, FRACP, Martin L. Masterson FRACP

引用次数: 0

Operation secrecy: Who does it protect? 行动保密:它保护谁?

The Asia Pacific Heart Journal Pub Date : 1999-12-01 DOI: 10.1016/S1328-0163(99)90063-5

Bill Birnbauer

引用次数: 0

National heart foundation: A new millennium initiative — where could new dollars go? 国家心脏基金会:一个新的千禧年倡议-新的资金可以去哪里?

The Asia Pacific Heart Journal Pub Date : 1999-12-01 DOI: 10.1016/S1328-0163(99)90059-3

Lawrence Beilin MD, MA, FRCP, FRACP

{"title":"National heart foundation: A new millennium initiative — where could new dollars go?","authors":"Lawrence Beilin MD, MA, FRCP, FRACP","doi":"10.1016/S1328-0163(99)90059-3","DOIUrl":"https://doi.org/10.1016/S1328-0163(99)90059-3","url":null,"abstract":"<div><p>A hypothetical, anonymous donation of $6 million for research has provided the National Heart Foundation with an opportunity to consider its most effective potential use. A broad-brush approach would aim to make better use of Australia's intellectual resources and of patient and general populations in Australasia. With Australia's strength in epidemiology, clinical research and population genetics, the Foundation would be well positioned to initiate large-scale genetic studies for multiple-cause (genetic and environmental) diseases such as familial hypertension, pre-eclampsia, and coronary artery disease or stroke in the young. In addition, extra funds would mean that a greater collaborative effort could be fostered in the conduct of clinical trials, allowing clinicians to initiate (rather than be passive participants in) national and international trials addressing important questions in the areas of heart disease and stroke. Trials could include issues of screening, nutritional and drug management, invasive and surgical interventions and different patterns of care in primary practice. In aboriginal and other disadvantaged groups, priority should be given to population studies involving testing of primary and secondary preventative measures to improve cardiovascular health. Overlying all these proposals is a need to promote much greater collaboration between researchers of different disciplines.</p></div>","PeriodicalId":101218,"journal":{"name":"The Asia Pacific Heart Journal","volume":"8 3","pages":"Pages 181-182"},"PeriodicalIF":0.0,"publicationDate":"1999-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/S1328-0163(99)90059-3","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91683040","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}

引用次数: 0

The Asian-Pacific society of cardiology report of the advanced course in cardiology 1–24 September 1999 亚太心脏病学会心脏病学高级课程报告1999年9月1-24日

The Asia Pacific Heart Journal Pub Date : 1999-12-01 DOI: 10.1016/S1328-0163(99)90067-2

Graeme Sloman

引用次数: 0

Cardiovascular health in Australia: Current state and future directions 澳大利亚的心血管健康:现状和未来方向

The Asia Pacific Heart Journal Pub Date : 1999-12-01 DOI: 10.1016/S1328-0163(99)90060-X

Andrew M. Tonkin MD, FRACP , Adrian E. Bauman PhD, FAFPHM , Stan Bennett PhD , Annette J. Dobson PhD , Graeme J. Hankey MD, FRACP , Ian T. Ring FAFPHM

引用次数: 4