Journal of the Hong Kong College of Cardiology最新文献_第3页

Old but not Vain : Two Cases of Refractory Polymorphic Ventricular Tachycardia associated with Coronary Artery Disease successfully treated with Quinidine 老而不虚:奎尼丁成功治疗冠心病难治性多形性室性心动过速2例

Journal of the Hong Kong College of Cardiology Pub Date : 2023-01-28 DOI: 10.55503/2790-6744.1496

Tit-Kei Ng, Tommy King-Him Ma, Chi-Chun Au, Janice Woon-Yan Wong, Jenny Nga-Lai Chow, A. V. Li, Adrian Yin-Cheung Luk, Sze-Wah Lai, Candy Ming-Yan Cheuk, Jaclyn Chan, L. Tam

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Retrospective observational study comparing two reperfusion strategies in patients with acute STEMI presenting outside office hours 回顾性观察研究比较两种再灌注策略在急性STEMI患者就诊时间以外

Journal of the Hong Kong College of Cardiology Pub Date : 2023-01-28 DOI: 10.55503/2790-6744.1494

D. Lee, K. Chan, M. Lee, Eric C.Y. Wong

{"title":"Retrospective observational study comparing two reperfusion strategies in patients with acute STEMI presenting outside office hours","authors":"D. Lee, K. Chan, M. Lee, Eric C.Y. Wong","doi":"10.55503/2790-6744.1494","DOIUrl":"https://doi.org/10.55503/2790-6744.1494","url":null,"abstract":"Introduction : A pilot cluster-based 24-hour primary percutaneous coronary intervention (PPCI) service in a phased expansion program was launched in October 2018. This study aimed to compare the 30-day mortality and major bleeding event in acute ST-elevation myocardial infarction (STEMI) patients presenting outside of ﬁ ce hours who received historical thrombolytic therapy and PPCI under the newly implemented 24-hour service model. Methods and results : A single center retrospective study was conducted on consecutive STEMI patients presenting outside of ﬁ ce hours, who received urgent thrombolytic therapy or PPCI between 2016-2019. The primary endpoints were 30-day mortality and major bleeding event. The secondary endpoints were thrombolytic failure rate and hospital length of stay. A total of 331 patients were analyzed. 30-day mortality occurred in 11.7% in thrombolytic group and 4.2% in PPCI group ( P ¼ .02). Major bleeding events occurred in 8% in thrombolytic group and 2.1% in PPCI group ( P ¼ .02). Multivariate analysis identi ﬁ ed age ≥ 75 as an independent factor associated with major outcomes. Thrombolytic failure occurred in 31.4% of patients. The median lengths of stay were not different between the two groups (5 vs 4 days, P ¼ .29). Conclusions : Compared with thrombolytic therapy, PPCI in patients with acute STEMI presenting outside of ﬁ ce hours is associated with lower risks of 30-day mortality and major bleeding event. Age ≥ 75 was an independent risk factor associated with mortality and bleeding outcome.","PeriodicalId":53534,"journal":{"name":"Journal of the Hong Kong College of Cardiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44606387","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

Utilisation of the simplified pulmonary embolism severity index in prognostication of pulmonary embolism – a retrospective study in a regional hospital in Hong Kong 简化肺栓塞严重程度指数在预测肺栓塞中的应用-香港一家地区医院的回顾性研究

Journal of the Hong Kong College of Cardiology Pub Date : 2023-01-01 DOI: 10.55503/2790-6744.1516

Ka-Hung Lau, Chi-Suen Chiu, Liang Chow, Ngai-Yin Chan

引用次数: 0

The Clinical Outcomes of Covid-19 Infection with Pre-existing Heart Failure – A Scientific Review Covid-19感染合并既往心力衰竭的临床结果——一项科学综述

Journal of the Hong Kong College of Cardiology Pub Date : 2023-01-01 DOI: 10.55503/2790-6744.1512

Ka-Yi Chan, Hiu-Ching Chan, Calvin Ka-Lam Leung, Qing-Wen Ren, Kai-Hang Yiu

引用次数: 0

Association of Effective Regurgitant Orifice Area to Tricuspid Annular Plane Systolic Excursion Ratio with Outcomes After Tricuspid Annuloplasty 有效返流口面积与三尖瓣环平面收缩偏移率与三尖环成形术后疗效的关系

Journal of the Hong Kong College of Cardiology Pub Date : 2023-01-01 DOI: 10.55503/2790-6744.1511

Y. Tse, H. Li, C. Leung, Siyun Yu, Jiayi Huang, Q. Ren, Mei-Zhen Wu, H. Tse, K. Yiu

{"title":"Association of Effective Regurgitant Orifice Area to Tricuspid Annular Plane Systolic Excursion Ratio with Outcomes After Tricuspid Annuloplasty","authors":"Y. Tse, H. Li, C. Leung, Siyun Yu, Jiayi Huang, Q. Ren, Mei-Zhen Wu, H. Tse, K. Yiu","doi":"10.55503/2790-6744.1511","DOIUrl":"https://doi.org/10.55503/2790-6744.1511","url":null,"abstract":"Background : Assessment of secondary tricuspid regurgitation (TR) severity does not correct for right heart function. We hypothesized that TR severity may be proportional or disproportional to the degree of right ventricular dysfunction and investigated its prognostic implications in patients undergoing tricuspid annuloplasty. Methods : The ratios of pre-procedural effective regurgitant ori ﬁ ce area (EROA) with tricuspid annular plane systolic excursion (TAPSE) were retrospectively assessed in 290 patients undergoing tricuspid annuloplasty. The optimal threshold of EROA/TAPSE ratio associated with increased risk for adverse events was derived from maximally selected rank statistics. Results : The cutoff value of EROA/TAPSE ratio associated with an excess risk of adverse events was 3.42, and 104 (36%) had EROA/TAPSE ratios > 3.42. Compared to those with EROA/TAPSE ratios ≤ 3.42, patients with EROA/TAPSE ratios > 3.42 had a higher prevalence of moderate-to-severe aortic stenosis, a lower prevalence of moderate-to-severe mitral regurgitation, larger right heart dimensions, and more exaggerated tricuspid lea ﬂ et displacement. Over a 4.1-year median follow-up, 79 adverse events (47 heart failure hospitalizations and 32 deaths) occurred. Patients with EROA/TAPSE ratios > 3.42 had higher rates of adverse events than those with EROA/TAPSE ratios ≤ 3.42 (44% vs 18%; P < 0.001) and were independently associated with poor outcomes on multivariate analysis. TR proportionality provided incremental prognostic value to both the EuroSCORE II and STS score (incremental c 2 ¼ 23.510 and 20.616 respectively; P < 0.05). Conclusions : EROA/TAPSE ratio > 3.42 is independently associated with adverse prognosis in patients undergoing tricuspid annuloplasty. Characterization of TR severity to RV function may improve patient selection and risk strati ﬁ - cation for tricuspid annuloplasty.","PeriodicalId":53534,"journal":{"name":"Journal of the Hong Kong College of Cardiology","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45590114","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

Endovenous Intervention: From the Legs to the Lungs 静脉内介入：从腿部到肺部

Journal of the Hong Kong College of Cardiology Pub Date : 2023-01-01 DOI: 10.55503/2790-6744.1508

G. Tan, B. Yan

引用次数: 0

The Telltale of Left Atrial Thrombus Formation in Mitral Stenosis: Revisiting the Virchow’s Triad 二尖瓣狭窄左房血栓形成的提示:重新审视Virchow三联征

Journal of the Hong Kong College of Cardiology Pub Date : 2023-01-01 DOI: 10.55503/2790-6744.1514

Bayushi Eka Putra, Rina Ariani, Anwar Santoso, Prima Almazini, Estu Rudiktyo, Amiliana Mardiani Soesanto

{"title":"The Telltale of Left Atrial Thrombus Formation in Mitral Stenosis: Revisiting the Virchow’s Triad","authors":"Bayushi Eka Putra, Rina Ariani, Anwar Santoso, Prima Almazini, Estu Rudiktyo, Amiliana Mardiani Soesanto","doi":"10.55503/2790-6744.1514","DOIUrl":"https://doi.org/10.55503/2790-6744.1514","url":null,"abstract":"Aims: This study was conducted to assess the relationship of simple hematological parameters with the incidence of left atrial thrombus in rheumatic mitral stenosis in addition to conventional contributing factors. Methods: A cross-sectional analytical study was conducted in patients with significant rheumatic stenosis from 1 January 2018 to 31 July 2021. Thrombus evaluation was confirmed by transthoracic or transesophageal echocardiography. Lab tests were performed within 10 days prior to the echocardiographic evaluation. Subjects with significant mitral regurgitation will be excluded. Logistic regression analysis was done to evaluate the relationship between each variable to the presence of a thrombus. Results: Of the 318 subjects with significant rheumatic mitral stenosis included in the study, 102 patients (32%) had a thrombus in the left atrium. Of all the patients, it was known that subjects with atrial fibrillation rhythm as much as 63.8% and sinus rhythm 36.2%. Atrial fibrillation rhythm (OR 2.39; 95% CI 1.10-5.20, p = 0.028), left ventricular ejection fraction ≥56.68 % (OR 0.42; 95% CI 0.23 - 0.77, p = 0.005), TAPSE ≥18.10 mm (OR 0.44; 95% CI 0.230 - 0.83, p = 0.011), and hematocrit ≥45.15% (OR 2.98; 95% CI 1.27 - 6.98, p = 0.012) are associated with left atrial thrombus. Conclusion: Increased hematocrit was significantly associated with the incidence of left atrial thrombus, which may have contributed to the statis and hypercoagulable state component of the Virchow’s triad.","PeriodicalId":53534,"journal":{"name":"Journal of the Hong Kong College of Cardiology","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136306440","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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24th ASC of ICSM Abstracts ICSM摘要第24届ASC

Journal of the Hong Kong College of Cardiology Pub Date : 2022-11-04 DOI: 10.55503/2790-6744.1488

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24th ASC of ICSM Proceedings ICSM程序第24 ASC

Journal of the Hong Kong College of Cardiology Pub Date : 2022-11-04 DOI: 10.55503/2790-6744.1490

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The development and growth of cardio-oncology or onco-cardiology 心脏肿瘤学或肿瘤心脏病学的发展和成长

Journal of the Hong Kong College of Cardiology Pub Date : 2022-09-23 DOI: 10.55503/2790-6744.1473

B. Cheung, C. Lau

引用次数: 0