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Heart Asia

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https://www.readbyqxmd.com/read/29225703/facilitators-and-barriers-to-healthy-eating-in-a-worksite-cafeteria-a-qualitative-study-from-nepal
#1
Archana Shrestha, Prajjwal Pyakurel, Abha Shrestha, Rabin Gautam, Nisha Manandhar, Elizabeth Rhodes, Dipesh Tamrakar, Biraj Man Karmacharya, Vasanti Malik, Josiemer Mattei, Donna Spiegelman
Objective: Worksite interventions can serve as a potential platform for translating existing knowledge of diabetes prevention and facilitate healthy food choices. The study explored perceptions about healthy eating as well as potential facilitators and barriers to healthy eating among employees in a wire manufacturing factory in Nepal. Methods and materials: We conducted a cross-sectional exploratory qualitative study in a wire manufacturing industry in eastern Nepal...
2017: Heart Asia
https://www.readbyqxmd.com/read/29177017/iatrogenic-radial-arteriovenous-fistula
#2
Nagaraja Moorthy, Rajiv Ananthakrishna
No abstract text is available yet for this article.
2017: Heart Asia
https://www.readbyqxmd.com/read/29177016/-caterpillar-right-ventricle-unusual-manifestation-of-a-rare-disease
#3
Suneesh Kalliath, Gopalan Nair Rajesh
A 66-year-old man presented with abdominal distension and pedal oedema for the past 10 years. He had history of right heart failure on several occasions in the past, and one of these admissions prompted referral to a cardiac specialist. On examination, he had markedly elevated jugular venous pressure with prominent 'y-descent', a tricuspid regurgitation murmur, gross ascites and pedal oedema. A full blood count, routine biochemical screen and serum bicarbonate levels were normal. Right ventricular angiogram revealed a 'caterpillar'-like aneurysm of the right ventricle (RV) apex (figure 1 arrow) with a dilated right ventricular outflow tract and significant tricuspid regurgitation with a dilated right atrium (see online supplementary video 1)...
2017: Heart Asia
https://www.readbyqxmd.com/read/29177015/clinical-significance-of-atrial-high-rate-episodes-for-thromboembolic-events-in-japanese-population
#4
Hiroshi Kawakami, Takayuki Nagai, Makoto Saito, Shinji Inaba, Fumiyasu Seike, Kazuhisa Nishimura, Katsuji Inoue, Takafumi Okura, Takumi Sumimoto, Shigeki Uemura, Jitsuo Higaki, Shuntaro Ikeda
Objective: The clinical significance of atrial high-rate episodes (AHREs) detected by cardiac devices among patients with implantable pacemakers has recently emerged. However, the relationship between AHREs and ischaemic stroke and systemic embolism (SE) is not well understood in the Japanese population. Methods: This study included 343 patients with pacemakers capable of continuous atrial rhythm monitoring (167 males; mean age, 80±7 years). Atrial tachyarrhythmia detection was programmed to the nominal setting of each device, and AHRE was defined as any episode of sustained atrial tachyarrhythmia lasting for more than 6 min...
2017: Heart Asia
https://www.readbyqxmd.com/read/29177014/proctors-in-interventional-cardiology-go-beyond-mentoring-and-monitoring
#5
EDITORIAL
S S Iyengar, Girish S Godbole, V Subashchandra
No abstract text is available yet for this article.
2017: Heart Asia
https://www.readbyqxmd.com/read/28469714/challenges-and-opportunities-in-accessing-trial-data-an-example-from-statin-primary-prevention-trials
#6
Genevieve Umeh, Mark D Huffman
No abstract text is available yet for this article.
2017: Heart Asia
https://www.readbyqxmd.com/read/28469713/addressing-the-shortage-of-research-capacity-in-cardiovascular-disease-in-africa-via-leadership-training
#7
Anastase Dzudie, Karen Sliwa
No abstract text is available yet for this article.
2017: Heart Asia
https://www.readbyqxmd.com/read/28466882/asia-pacific-consensus-statement-on-the-optimal-use-of-high-sensitivity-troponin-assays-in-acute-coronary-syndromes-diagnosis-focus-on-hs-tni
#8
COMMENT
Jack Wei Chieh Tan, Carolyn S P Lam, Sazzli Shahlan Kasim, Tar Choon Aw, Joel M Abanilla, Wei-Ting Chang, Van Phuoc Dang, Maria Iboleon-Dy, Sari Sri Mumpuni, Arintaya Phommintikul, Manh Cuong Ta, Punkiat Topipat, Kai Hang Yiu, Louise Cullen
OBJECTIVE: High-sensitivity troponin (hs-Tn) assays need to be applied appropriately to improve diagnosis and patient outcomes in acute coronary syndromes (ACS). METHODS: Experts from Asia Pacific convened in 2015 to provide data-driven consensus-based, region-specific recommendations and develop an algorithm for the appropriate incorporation of this assay into the ACS assessment and treatment pathway. RESULTS: Nine recommendations were developed by the expert panel: (1) troponin is the preferred cardiac biomarker for diagnostic assessment of ACS and is indicated for patients with symptoms of possible ACS; (2) hs-Tn assays are recommended; (3) serial testing is required for all patients; (4) testing should be performed at presentation and 3 hours later; (5) gender-specific cut-off values should be used for hs-Tn I assays; (6) hs-Tn I level >10 times the upper limit of normal should be considered to 'rule in' a diagnosis of ACS; (7) dynamic change >50% in hs-Tn I level from presentation to 3-hour retest identifies patients at high risk for ACS; (8) where only point-of-care testing is available, patients with elevated readings should be considered at high risk, while patients with low/undetectable readings should be retested after 6 hours or sent for laboratory testing and (9) regular education on the appropriate use of troponin tests is essential...
2017: Heart Asia
https://www.readbyqxmd.com/read/28462952/high-sensitivity-cardiac-troponin-i-assays-in-the-diagnosis-of-acute-myocardial-infarction
#9
EDITORIAL
Andrew R Chapman, David E Newby, Nicholas L Mills
No abstract text is available yet for this article.
2017: Heart Asia
https://www.readbyqxmd.com/read/28405229/epidemiologic-burden-of-hospitalisation-for-congestive-heart-failure-among-adults-aged-%C3%A2-19%C3%A2-years-in-the-philippines
#10
Bernadette A Tumanan-Mendoza, Victor L Mendoza, April Ann A Bermudez-Delos Santos, Felix Eduardo R Punzalan, Noemi S Pestaño, Rudy Boy Natividad, Louie Alfred Shiu, Renelene Macabeo
OBJECTIVES: The study determined the prevalence of hospitalisation due to congestive heart failure (CHF) among adult patients aged 19 years and above in the Philippines and its 17 regions in 2014. It also determined the demographic profile of these patients, aetiology and type of CHF, comorbidities, duration of hospitalisation and the overall in-hospital mortality rate. METHODS: Data collection was done using the hospitalisation claims database of the Philippine Health Insurance Corporation (PhilHealth)...
2017: Heart Asia
https://www.readbyqxmd.com/read/28405228/normal-echocardiographic-mitral-and-aortic-valve-thickness-in-children
#11
Rachel H Webb, Nicola Culliford-Semmens, Karishma Sidhu, Nigel J Wilson
OBJECTIVE: We aimed to define the normal range of aortic and mitral valve thickness in healthy schoolchildren from a high prevalence rheumatic heart disease (RHD) region, using a standardised protocol for imaging and measurement. METHODS: Measurements were performed in 288 children without RHD. Anterior mitral valve leaflet (AMVL) thickness measurements were performed at the midpoint and tip of the leaflet in the parasternal long axis (PSLA) in diastole, when the AMVL was approximately parallel to the ventricular septum...
2017: Heart Asia
https://www.readbyqxmd.com/read/28321268/caudal-fluoroscopy-to-guide-venous-access-for-pacemaker-device-implantation-should-this-now-be-standard-practice
#12
Hitesh C Patel, Carl Hayward, Shane Nanayakkara, Archer Broughton, Justin A Mariani
We describe a technique that uses both posterior-anterior and caudal fluoroscopy to achieve venous access for pacemaker device implantation. A significant advantage of this technique is the ability to clearly demarcate both the anatomy of venous drainage and the lung border. We would encourage all centres to adopt this technique as a safe approach to venous access.
2017: Heart Asia
https://www.readbyqxmd.com/read/28321267/is-endocarditis-prophylaxis-for-dental-procedures-necessary
#13
COMMENT
Kathryn A Taubert, Walter Wilson
OBJECTIVES: Our purpose is to address whether antimicrobial prophylaxis is necessary before certain dental procedures for patients at increased risk for acquiring infective endocarditis (IE). METHODS: We reviewed recommendations for IE prophylaxis made by the American Heart Association (AHA) from 1995 to the present time. We also compared and contrasted the current recommendations from the AHA, European Society of Cardiology (ESC), United Kingdom's National Institute for Health and Care Excellence (NICE) and a consortium of French organisations...
2017: Heart Asia
https://www.readbyqxmd.com/read/28321266/setting-priorities-to-address-cardiovascular-diseases-through-universal-health-coverage-in-low-and-middle-income-countries
#14
REVIEW
David A Watkins, Rachel A Nugent
Over the past decade, universal health coverage (UHC) has emerged as a major policy goal for many low- and middle-income country governments. Yet, despite the high burden of cardiovascular diseases (CVD), relatively little is known about how to address CVD through UHC. This review covers three major topics. First, we define UHC and provide some context for its importance, and then we illustrate its relevance to CVD prevention and treatment. Second, we discuss how countries might select high-priority CVD interventions for a UHC health benefits package drawing on economic evaluation methods...
2017: Heart Asia
https://www.readbyqxmd.com/read/28243317/electrocardiography-in-people-living-at-high-altitude-of-nepal
#15
Nirmal Aryal, Mark Weatherall, Yadav Kumar Deo Bhatta, Stewart Mann
OBJECTIVE: The main objective of this study was to estimate the prevalence of coronary heart disease (CHD) of high-altitude populations in Nepal determined by an ECG recordings and a medical history. METHODS: We carried out a cross-sectional survey of cardiovascular disease and risk factors among people living at four different altitude levels, all above 2800 m, in the Mustang and Humla districts of Nepal. 12-lead ECGs were recorded on 485 participants. ECG recordings were categorised as definitely abnormal, borderline or normal...
2017: Heart Asia
https://www.readbyqxmd.com/read/28243316/in-defence-of-auscultation-a-glorious-future
#16
W Reid Thompson
Auscultation of the heart using a simple stethoscope continues to be a central aspect of the cardiovascular examination despite declining proficiency and availability of competing technologies such as hand-held ultrasound. In the ears and mind of a trained cardiologist, heart sounds can provide important information to help screen for certain diseases such as valvar lesions and many congenital defects. Using emerging technology, auscultation is poised to undergo a transformation that will simultaneously improve the teaching and evaluation of this important clinical skill and create a new generation of smart stethoscopes, capable of assisting the clinician in quickly and confidently screening for heart disease...
2017: Heart Asia
https://www.readbyqxmd.com/read/28243315/acceleration-of-cardiovascular-biological-age-by-amphetamine-exposure-is-a-power-function-of-chronological-age
#17
Albert Stuart Reece, Amanda Norman, Gary Kenneth Hulse
BACKGROUND: Amphetamine abuse is becoming more widespread internationally. The possibility that its many cardiovascular complications are associated with a prematurely aged cardiovascular system, and indeed biological organism systemically, has not been addressed. METHODS: Radial arterial pulse tonometry was performed using the SphygmoCor system (Sydney). 55 amphetamine exposed patients were compared with 107 tobacco smokers, 483 non-smokers and 68 methadone patients (total=713 patients) from 2006 to 2011...
2017: Heart Asia
https://www.readbyqxmd.com/read/28191825/reuse-of-cardiac-implantable-electronic-devices-to-improve-and-extend-lives-a-call-to-action
#18
EDITORIAL
Thomas C Crawford, Kim A Eagle
No abstract text is available yet for this article.
2017: Heart Asia
https://www.readbyqxmd.com/read/28176981/reuse-of-pacemakers-defibrillators-and-cardiac-resynchronisation-devices
#19
Raja J Selvaraj, R Sakthivel, Santhosh Satheesh, Ajith Ananthakrishna Pillai, Pascal Sagnol, Xavier Jouven, Bernard Dodinot, Jayaraman Balachander
OBJECTIVE: Access to pacemakers remains poor among many patients in low/middle-income countries. Reuse of explanted pacemakers is a possible solution, but is still not widespread because of concerns regarding outcomes, especially infection. Our objective was to study early outcomes with implants using reused devices and compare them with those with implants using new devices. METHODS: We studied all patients who underwent implantation of a new or reused pacemaker, cardiac resynchronisation therapy (CRT) device or implantable cardioverter defibrillator (ICD) in the last 5 years at a single institution...
2017: Heart Asia
https://www.readbyqxmd.com/read/28176973/changes-in-ischaemic-ecg-abnormalities-and-subsequent-risk-of-cardiovascular-disease
#20
Takeshi Sawai, Hironori Imano, Isao Muraki, Mina Hayama-Terada, Yuji Shimizu, Renzhe Cui, Akihiko Kitamura, Masahiko Kiyama, Takeo Okada, Tetsuya Ohira, Kazumasa Yamagishi, Mitsumasa Umesawa, Tomoko Sankai, Hiroyasu Iso
OBJECTIVE: The prognostic importance of changes in ischaemic ECG abnormalities over time (especially ST-T abnormalities) among Asians has not been fully investigated. We examined the associations between changes in ischaemic abnormalities upon serial ECG (improvement, persistence, deterioration) and cardiovascular disease (CVD) risk. METHODS: A prospective study cohort was conducted with 9374 men and women aged 40-69 years in four communities. Participants had multiple ECGs at study entry and during the next 10 years, and were followed up for a median period of 23...
2017: Heart Asia
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