Journal of Asian Pacific Society of Cardiology最新文献_第3页

Managing Transradial Artery Access Complications During Coronary Intervention: Three Case Reports 冠状动脉介入治疗中经桡动脉通路并发症的处理:3例报告

Journal of Asian Pacific Society of Cardiology Pub Date : 2023-08-01 DOI: 10.15420/japsc.2022.29

Hartika Safitri, A. A. Alkatiri, D. Firman, A. S. Mangkuanom, N. Iryuza

引用次数: 0

Geographic Areas of Responsibility Among Percutaneous Coronary Intervention-capable Hospitals in the Philippines 菲律宾具有经皮冠状动脉介入能力的医院的地理责任区域

Journal of Asian Pacific Society of Cardiology Pub Date : 2023-07-31 DOI: 10.15420/japsc.2022.49

B. Toledano, K. B. Garganera, Jose Paolo A Prado, M. Sabas, Gregorio S Martinez

{"title":"Geographic Areas of Responsibility Among Percutaneous Coronary Intervention-capable Hospitals in the Philippines","authors":"B. Toledano, K. B. Garganera, Jose Paolo A Prado, M. Sabas, Gregorio S Martinez","doi":"10.15420/japsc.2022.49","DOIUrl":"https://doi.org/10.15420/japsc.2022.49","url":null,"abstract":"Background: Defining geographic areas of responsibility sheds light on the current status of the acute coronary syndrome healthcare system and the unmet needs that will help plan for improvement. Methods: The list of registered percutaneous coronary intervention (PCI)-capable hospitals and the total members of adult interventional cardiologists per island from the Philippine Society of Cardiovascular Catheterization and Interventions as of January 2022 was used. A map was created by establishing a 120 km radius around each PCI-capable hospital, which was then employed to classify provinces as either covered, partially covered or not covered. Results: The analysis included 244 adult interventional cardiologists and 54 PCI-capable hospitals. Luzon registered the highest percentage of interventional cardiologists (85.7%) and PCI-capable hospitals (78.9%), followed by Visayas (8.6%) and (11.5%), and Mindanao (5.7%) and (9.6%), respectively. Most PCI-capable hospitals were privately owned (79.6%) versus government owned (20.4%). The largest percentage of PCI-capable hospitals was in Metro Manila (46.3%), followed by Cebu (9.26%), Laguna and Pampanga (5.57%), Benguet, Davao del Sur, Misamis Oriental, Nueva Ecija and Iloilo (3.7%). Only 46.4% of provinces were covered; 34.1% were partially covered and 19.5% were not covered. Conclusion: Most PCI-capable hospitals in the Philippines are privately owned and centrally located on an island. There may be a need to add PCI-capable hospitals that are government owned, equally distributed and strategically placed in partially and non-covered provinces.","PeriodicalId":321604,"journal":{"name":"Journal of Asian Pacific Society of Cardiology","volume":"196 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116352096","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

Major Adverse Cardiovascular Event Risk Prediction in Asian Patients After Myocardial Infarction: A Novel, Dynamic, Machine-learning Approach 亚洲患者心肌梗死后主要不良心血管事件风险预测:一种新的、动态的机器学习方法

Journal of Asian Pacific Society of Cardiology Pub Date : 2023-07-04 DOI: 10.15420/japsc.2022.26

Fang He, John H Page, Jesisca Tandi, Abhijit Ghosh, C. Liman, J. Sarkar, K. Yeo

{"title":"Major Adverse Cardiovascular Event Risk Prediction in Asian Patients After Myocardial Infarction: A Novel, Dynamic, Machine-learning Approach","authors":"Fang He, John H Page, Jesisca Tandi, Abhijit Ghosh, C. Liman, J. Sarkar, K. Yeo","doi":"10.15420/japsc.2022.26","DOIUrl":"https://doi.org/10.15420/japsc.2022.26","url":null,"abstract":"Background: Cardiovascular disease remains the leading cause of death worldwide. Existing risk scores often focus on primary cardiovascular event prediction among mostly North American and European populations with predictors derived from baseline before and up to index events. Methods: We aim to build machine learning algorithms to model recurrent cardiovascular events among Asian post-MI patients via a retrospective observational cohort study. The study uses multicentre, real-world electronic health records from the Singapore Cardiovascular Longitudinal Outcomes Database (SingCLOUD), integrating nationwide clinical, administrative, laboratory, procedural and medication data from five public hospitals and 18 public outpatient clinics. Data from 4,575 patients admitted between 2011 and 2014 with MI as a primary diagnosis were included in the analysis. Their major adverse cardiovascular events (MACE) risk was modelled using a static approach with baseline and index event information and a dynamic approach which incorporates additional post-discharge data including medication adherence. Results: The static model achieved an area under the receiver operator curve (AUROC) of 0.77 (95% CI [0.72–0.82]) when predicting 1-year MACE risk and 0.80 (95% CI [0.76–0.85]) predicting 2-year MACE risk on a hold-out dataset (n=515); the dynamic model achieved a mean AUROC of 0.75 (95% CI [0.72–0.78]) in estimating 1-year MACE risk from 3, 6, 9 and 12 months post-index. Conclusion: We developed a focused risk model for an Asian population, incorporating post-MI time-variable information via the causal approach. The causal framework enables differentiation of immediate risk components from long-term disease progression, including disease management. The model outperforms existing benchmark risk scores and can be applied to simulate personalised disease trajectory and to inform treatment options.","PeriodicalId":321604,"journal":{"name":"Journal of Asian Pacific Society of Cardiology","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114629638","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

An Overview of the PRESYON 4 Trial and Its Impact on Practice PRESYON 4试验概述及其对实践的影响

Journal of Asian Pacific Society of Cardiology Pub Date : 2023-06-27 DOI: 10.15420/japsc.2022.16

J. Sison

{"title":"An Overview of the PRESYON 4 Trial and Its Impact on Practice","authors":"J. Sison","doi":"10.15420/japsc.2022.16","DOIUrl":"https://doi.org/10.15420/japsc.2022.16","url":null,"abstract":"Cardiovascular diseases have overtaken infectious diseases as the most common causes of morbidity and mortality in the Philippines. Among Filipinos, hypertension is the most common risk factor associated with cardiovascular diseases. The Philippine Heart Association–Council on Hypertension Report on Survey of Hypertension (PRESYON study series) were initiated to assess the problems of increased cardiovascular disease prevalence. The PRESYON studies found an increase in the prevalence of hypertension, from 22% in the 1990s to 37% in 2021. There was also an increase in obesity in the hypertensive population, and the prevalence of smokers was persistently high. However, the incidence of diabetes, stroke and MI decreased slightly. The 2021 survey (PRESYON 4) found a higher BMI and central obesity rate among hypertensive individuals. Angiotensin receptor blockers are the most commonly used drugs for the treatment of hypertension. Despite high rates of treatment (68%) and compliance (86%), the rate of blood pressure control remains low (37%). Most patients are on monotherapy. There was a high level of unawareness of high blood pressure. Hypertension remains a problem in the Philippines due to its increasing prevalence, high rates of unawareness, low rates of blood pressure control and a poor risk profile. Physicians should be more aggressive in achieving blood pressure control, especially through the use of drug combinations, and controlling risk factors through patient education, promoting a healthy lifestyle and smoking cessation.","PeriodicalId":321604,"journal":{"name":"Journal of Asian Pacific Society of Cardiology","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130510093","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

Cardiometabolic Risk Factors and COVID-19 Outcomes in the Asia-Pacific Region: A Systematic Review, Meta-analysis and Meta-regression of 84,011 Patients 亚太地区心脏代谢危险因素与COVID-19结局:84,011例患者的系统评价、荟萃分析和荟萃回归

Journal of Asian Pacific Society of Cardiology Pub Date : 2023-06-23 DOI: 10.15420/japsc.2022.27

Ru Ying Fong, Annie Lee, F. Gao, J. Yap, K. Yeo

{"title":"Cardiometabolic Risk Factors and COVID-19 Outcomes in the Asia-Pacific Region: A Systematic Review, Meta-analysis and Meta-regression of 84,011 Patients","authors":"Ru Ying Fong, Annie Lee, F. Gao, J. Yap, K. Yeo","doi":"10.15420/japsc.2022.27","DOIUrl":"https://doi.org/10.15420/japsc.2022.27","url":null,"abstract":"Background: The aim of this study is to consolidate the available evidence to determine the impact of cardiometabolic risk factors (CMRF) – namely diabetes, hypertension, cardiovascular disease, obesity, smoking and hyperlipidaemia – on the mortality and intensive care unit (ICU) admission rates in Asia-Pacific patients with COVID-19. Methods: MEDLINE, Embase, Web of Science, and the WHO COVID-19 global literature on coronavirus disease were systematically searched for relevant cohort studies published up to June 2021. Univariate and multivariate age, sex, and regional-adjusted regression were performed to evaluate the association between CMRF and mortality and ICU admission rates. Results: Of the 5,914 publications identified in our search, 31 studies involving 84,011 patients were included, and all studies were rated as good quality with a low risk of bias. The overall pooled mortality rate was 9.4%. The overall ICU admission rate was 9.6%. Random-effect meta-analysis showed associations with mortality rates as follows for diabetes, hypertension and cardiovascular disease: OR 2.85, 95% CI [2.25–3.62], p<0.001; OR 2.51, 95% CI [1.93–3.27], p<0.001; and OR 2.75, 95% CI [2.09–3.62], p<0.001 respectively. The associations for ICU admission rates were as follows for diabetes, hypertension and cardiovascular disease: OR 2.86, 95% CI [1.76–4.64], p<0.001; OR 2.93, 95% CI [2.37–3.63], p<0.001 and OR 3.32, 95% CI [2.17–5.06], p<0.001 respectively. Multivariate meta-regression for the mortality model demonstrated that age, sex and regional differences had significant interactions with covariates. Conclusion: Diabetes, hypertension and cardiovascular disease showed significant associations with mortality and ICU admission rates. Age, sex, and regional differences were significant confounders for the associations of CMRF on COVID-19 mortality and ICU admission.","PeriodicalId":321604,"journal":{"name":"Journal of Asian Pacific Society of Cardiology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124982758","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

Validity of Self-reported Self-Care Assessment and Determinants of Self-Care Practices in Older Patients with Heart Failure 老年心力衰竭患者自我报告自我护理评估的有效性和自我护理实践的决定因素

Journal of Asian Pacific Society of Cardiology Pub Date : 2023-06-16 DOI: 10.15420/japsc.2022.23

Misato Soma, T. Noda, K. Ueno, Wakana Takahashi, A. Matsunaga, K. Kamiya

{"title":"Validity of Self-reported Self-Care Assessment and Determinants of Self-Care Practices in Older Patients with Heart Failure","authors":"Misato Soma, T. Noda, K. Ueno, Wakana Takahashi, A. Matsunaga, K. Kamiya","doi":"10.15420/japsc.2022.23","DOIUrl":"https://doi.org/10.15420/japsc.2022.23","url":null,"abstract":"Background: Self-care as a disease management strategy in heart failure (HF) is important for the prevention of rehospitalisation, but it is difficult to assess and does not always reflect actual self-care practices. This study aimed to compare self-reported self-care assessments and actual self-care practices in older patients with HF and examine factors influencing self-care performance. Methods: We included 64 patients with HF aged ≥65 years who had been hospitalised and prescribed rehabilitation with stable symptoms between April 2019 and September 2020. We assessed the B-type natriuretic peptide levels and New York Heart Association (NYHA) classification, Short Physical Performance Battery (SPPB), grip strength, and the Japanese version of the Montreal Cognitive Assessment (MoCA-J). We used the European Heart Failure Self-care Behaviour Scale (EHFScBS) to assess self-care behaviour in patients with HF. The patients filled in a self-assessment chart during their stay, which was used to work out the self-care implementation rate. Results: No significant correlation between the self-care implementation rate and the EHFScBS was identified (r= −0.160, p=0.207). Multiple regression analysis of factors associated with the rate of self-care and EHFScBS revealed that age, NYHA classification, SPPB and MoCA-J scores were significantly associated with the rate of self-care; however, no factors were associated with EHFScBS. The results were similar irrespective of the presence or absence of cognitive decline. Conclusion: In older patients with HF, the self-reported assessment of self-care did not reflect actual self-care performance. A reliable self-care behaviour scale needs to be developed.","PeriodicalId":321604,"journal":{"name":"Journal of Asian Pacific Society of Cardiology","volume":"525 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123065743","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

Left Bundle Branch Pacing in a Child Who Survived Cardiac Arrest with Congenital Complete Heart Block and Recurrent Torsades de Pointes 先天性完全性心脏传导阻滞患儿左束支起搏1例

Journal of Asian Pacific Society of Cardiology Pub Date : 2023-06-09 DOI: 10.15420/japsc.2022.55

F. Hidayati, Hana Soraya, D. Hanafy

引用次数: 0

Haemodynamic Effects of Sildenafil on Subpulmonic Morphological Left Ventricle in Congenitally Corrected Transposition of Arteries After Left Ventricular Assist Device Implantation 西地那非对先天性动脉转位患者肺动脉下形态左心室血流动力学的影响

Journal of Asian Pacific Society of Cardiology Pub Date : 2023-06-09 DOI: 10.15420/japsc.2022.25

Teppei Fujita, Toshimi Koitabashi, Sho Ogiso, T. Naruke, T. Kitamura, K. Miyaji, Junya Ako

引用次数: 0

A Survey of Drug-coated Balloon Usage Patterns in the Asia-Pacific Region 亚太地区药物包覆气球使用模式调查

Journal of Asian Pacific Society of Cardiology Pub Date : 2023-06-07 DOI: 10.15420/japsc.2022.48

A. Ang, C. Li, J. Tan, P. Ong

{"title":"A Survey of Drug-coated Balloon Usage Patterns in the Asia-Pacific Region","authors":"A. Ang, C. Li, J. Tan, P. Ong","doi":"10.15420/japsc.2022.48","DOIUrl":"https://doi.org/10.15420/japsc.2022.48","url":null,"abstract":"Background: Drug-coated balloon (DCB) therapy has been shown to be an effective alternative to drug-eluting stents as a revascularisation option, but usage of DCB varies widely between different countries. The aim of this study was to review the awareness of the DCB expert consensus paper and the prevalence of DCB usage among interventionists in the Asia-Pacific region. Methods: An online questionnaire was designed to explore the awareness of the DCB expert consensus paper and evaluate the prevalence of DCB usage. This was sent to interventional cardiologists in collaboration with the Asian Pacific Society of Cardiology. Results: The total number of respondents was 237. Slightly more than half were unaware of the DCB expert consensus paper, and the majority use fewer than 10 DCBs per month. Statistical analysis showed that awareness of the DCB expert consensus paper had a positive correlation with increased DCB usage when treating patients with high bleeding risk, bifurcation disease and small vessel disease, while increased frequency of DCB usage was positively correlated with the treatment of patients with high bleeding risk and small vessel disease. However, these two factors were not significantly associated with the increased use of DCB to treat in-stent restenosis. Conclusion: With emerging data expanding the indications for DCB and increasing operator experience, DCB usage is likely to become more commonplace during percutaneous coronary intervention.","PeriodicalId":321604,"journal":{"name":"Journal of Asian Pacific Society of Cardiology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129806421","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

Complicated Mycotic Thoracic Aortic Aneurysm Secondary to Staphylococcus aureus Endocarditis 继发于金黄色葡萄球菌心内膜炎的并发真菌性胸主动脉瘤

Journal of Asian Pacific Society of Cardiology Pub Date : 2023-06-01 DOI: 10.15420/japsc.2022.53

Aileen Paula A Chua, B. Toledano, Jose Paolo A Prado

{"title":"Complicated Mycotic Thoracic Aortic Aneurysm Secondary to Staphylococcus aureus Endocarditis","authors":"Aileen Paula A Chua, B. Toledano, Jose Paolo A Prado","doi":"10.15420/japsc.2022.53","DOIUrl":"https://doi.org/10.15420/japsc.2022.53","url":null,"abstract":"A mycotic aortic aneurysm is a rare and life-threatening condition, with the most common culprit being Staphylococcus aureus. The incidence varies widely from 0.6% to 13%. It usually affects immunocompromised patients, such as those undergoing haemodialysis who are subjected to repeated skin punctures. The insidiousness of the presentation of this high-risk condition makes diagnosis and management challenging. The authors document the case of a 75-year-old woman with multiple comorbidities on maintenance haemodialysis, who also recently underwent central line reinsertions, presenting with progressive leukocytosis and persistent anaemia. Diagnostic work-ups initially showed pneumonia and methicillin-resistant S aureus bacteraemia, later revealing infective endocarditis and a mycotic aortic aneurysm in the descending aorta with contained rupture. A hybrid two-step procedure with debranching and anastomoses of aortic branches was employed, followed by transthoracic endovascular aortic repair. However, the initial success was complicated by a type IIIa endoleak and was repaired using a tapered endograft stent deployed in an overlapping fashion to cover the leak. Long-term management involves a single antiplatelet and antibiotics taken according to the patient’s condition and close surveillance of imaging.","PeriodicalId":321604,"journal":{"name":"Journal of Asian Pacific Society of Cardiology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130248763","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