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Chan D, Stewart R, Kerr A, Dicker B, Kyle C, Adamson P, Devlin G, Edmond J, El-Jack S, Elliott J, Fisher N, Flynn C, Lee M, Liao Y, Rhodes M, Scott T, Smith T, Stiles M, Swain A, Todd V, Webster M, Williams M, White H, Somaratne J. The Impact of a National COVID-19 Lockdown on Acute Coronary Syndrome Hospitalisations in New Zealand: an ANZACS-QI study. Heart Lung Circ 2021. [PMCID: PMC8203216 DOI: 10.1016/j.hlc.2021.05.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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2
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Patel H, Wu H, Lee A, Saeed Y, To A, El-Jack S, Wei D. Predictive Value of Exercise Treadmill Testing (ETT) in Low-Risk Patients. Heart Lung Circ 2021. [DOI: 10.1016/j.hlc.2021.05.031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Lo STH, Yong AS, Sinhal A, Shetty S, McCann A, Clark D, Galligan L, El-Jack S, Sader M, Tan R, Hallani H, Barlis P, Sechi R, Dictado E, Walton A, Starmer G, Bhagwandeen R, Leung DY, Juergens CP, Bhindi R, Muller DWM, Rajaratnum R, French JK, Kritharides L. Consensus guidelines for interventional cardiology services delivery during covid-19 pandemic in Australia and new Zealand. Heart Lung Circ 2020; 29:e69-e77. [PMID: 32471696 PMCID: PMC7202321 DOI: 10.1016/j.hlc.2020.04.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/08/2023]
Abstract
The global coronavirus disease (COVID-19) pandemic poses an unprecedented stress on healthcare systems internationally. These Health system-wide demands call for efficient utilisation of resources at this time in a fair, consistent, ethical and efficient manner would improve our ability to treat patients. Excellent co-operation between hospital units (especially intensive care unit [ICU], emergency department [ED] and cardiology) is critical in ensuring optimal patient outcomes. The purpose of this document is to provide practical guidelines for the effective use of interventional cardiology services in Australia and New Zealand. The document will be updated regularly as new evidence and knowledge is gained with time. Goals Considerations.
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Affiliation(s)
- S T H Lo
- Department of Cardiology, Liverpool Hospital, NSW, Australia.
| | - A S Yong
- Department of Cardiology, Concord Repatriation General Hospital, NSW, Australia; University of Sydney, Australia
| | - A Sinhal
- Flinders Medical Centre, SA, Australia
| | - S Shetty
- Department of Cardiology, Fiona Stanley Hospital, WA, Australia
| | - A McCann
- Department of Cardiology, Princess Alexandra Hospital, QLD, Australia; University of Queensland, Australia
| | - D Clark
- Department of Cardiology, Austin Hospital, VIC, Australia
| | - L Galligan
- Department of Cardiology, Royal Hobart Hospital, TAS, Australia
| | - S El-Jack
- Department of Cardiology, North Shore Hospital, New Zealand
| | - M Sader
- University of Sydney, Australia; Department of Cardiology, St George Hospital, NSW, Australia
| | - R Tan
- Department of Cardiology, The Canberra Hospital, ACT, Australia
| | - H Hallani
- Department of Cardiology, The Canberra Hospital, ACT, Australia
| | - P Barlis
- Department of Cardiology, Nepean Hospital, NSW, Australia; Department of Cardiology, The Northern Hospital, VIC, Australia; Department of Cardiology, St Vincents' Hospital, VIC, Australia; University of Melbourne, VIC, Australia
| | - R Sechi
- Department of Nursing, Liverpool Hospital, NSW, Australia
| | - E Dictado
- Department of Nursing, Liverpool Hospital, NSW, Australia
| | - A Walton
- Department of Cardiology, Alfred Hospital, VIC, Australia; Monash University, VIC, Australia
| | - G Starmer
- Department of Cardiology, Cairns Hospital, QLD, Australia
| | - R Bhagwandeen
- Department of Cardiology, John Hunter Hospital, NSW, Australia; Lake Macquarie Private Hospital, NSW, Australia
| | - D Y Leung
- Department of Cardiology, Liverpool Hospital, NSW, Australia; University of New South Wales, NSW, Australia
| | - C P Juergens
- Department of Cardiology, Liverpool Hospital, NSW, Australia; University of New South Wales, NSW, Australia
| | - R Bhindi
- University of Sydney, Australia; Department of Cardiology, Royal North Shore Hospital, NSW, Australia
| | - D W M Muller
- University of New South Wales, NSW, Australia; St Vincent's Hospital, NSW, Australia
| | - R Rajaratnum
- Department of Cardiology, Liverpool Hospital, NSW, Australia; University of New South Wales, NSW, Australia; Western Sydney University, NSW, Australia
| | - J K French
- Department of Cardiology, Liverpool Hospital, NSW, Australia; University of New South Wales, NSW, Australia; Western Sydney University, NSW, Australia
| | - L Kritharides
- Department of Cardiology, Concord Repatriation General Hospital, NSW, Australia; University of Sydney, Australia; ANZAC Medical Research Institute, Australia
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Wong B, Thein A, Lee K, Ho C, Armstrong G, El-Jack S, To A. 842 Incidence, Predictors and Prognostic Impact of Patient-Prosthesis Mismatch Following Transcatheter Aortic Valve Implantation. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.849] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Wong B, Lee K, Thein A, Ho C, Armstrong G, El-Jack S. 856 Mid-Term Outcomes of Transcatheter Aortic Valve Implantation for Severe Aortic Stenosis: The Auckland Region Experience 2011-2016. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.863] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Wong B, El-Jack S, To A. 407 Spontaneous Coronary Artery Dissection: The Diagnostic Utility of Computed Tomography Coronary Angiography. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
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Wong B, Hyun Lee K, Thein A, Yao-Cheng Ho C, El-Jack S, Armstrong G. A079 Mid-Term Outcomes of Transcatheter Aortic Valve Implantation for Severe Aortic Stenosis: The Auckland Region Experience 2011-2016. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.05.084] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Wong B, Armstrong G, El-Jack S, To A. A003 Transcatheter Aortic Valve Implantation in New Zealand: The First Decade. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.05.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Wong B, Hyun Lee K, Thein A, Yao-Cheng Ho C, El-Jack S, Armstrong G. A076 Temporal Trends of Patients Undergoing Transcatheter Aortic Valve Implantation 2011-2019. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.05.081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Wong B, To A, El-Jack S. A064 Spontaneous Coronary Artery Dissection: The Diagnostic Utility of Computed Tomography Coronary Angiography. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.05.069] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Wong B, Armstrong G, El-Jack S, To A. 903 Transcatheter Aortic Valve Implantation in New Zealand: The First Decade. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.910] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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Wong B, Thein A, Hyun Lee K, Yao-Cheng Ho C, To A, El-Jack S. A077 Incidence, Predictors and Prognostic Impact of Patient-Prosthesis Mismatch Following Transcatheter Aortic Valve Implantation. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.05.082] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Wang T, Wang M, Glenie T, El-Jack S, Khan A. Meta-Analysis of Randomised Trials Comparing Percutaneous Coronary Intervention Versus Coronary Artery Bypass Grafting for Severe Left Main Disease. Heart Lung Circ 2017. [DOI: 10.1016/j.hlc.2017.06.397] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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Barr P, Smyth D, Harding SA, El-Jack S, Williams MJA, Devlin G, Stewart J, Flynn C, Lee M, Kerr AJ. Variation in Arterial Access for Invasive Coronary Procedures in New Zealand: A National Analysis (ANZACS-QI 5). Heart Lung Circ 2015; 25:451-8. [PMID: 26672436 DOI: 10.1016/j.hlc.2015.10.009] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2015] [Revised: 06/18/2015] [Accepted: 10/19/2015] [Indexed: 10/22/2022]
Abstract
BACKGROUND Radial arterial access (RA) and femoral arterial access (FA) rates for invasive coronary angiography (ICA) vary widely internationally. The European Society of Cardiology (ESC) suggests default RA is feasible. We aim to investigate the variation in RA rates across all New Zealand public hospitals. METHODS AND RESULTS Patient characteristics, procedural details, and inpatient outcome data were collected in the All New Zealand Acute Coronary Syndrome - Quality Improvement (ANZACS-QI) registry on consecutive patients undergoing ICA over five months. Of the 5894 ICAs 81% were via RA. Hospitals averaged 25 - 176 procedures/month (46.5% - 96.4% via RA). Operators averaged 17 procedures/month. Those performing more than 20 ICAs/month had RA rates between 61% - 99%. Of the 75 operators, 69% met the ESC recommendation. After multivariable adjustment higher operator (RR 1.12, CI 1.09 - 1.30) and hospital (RR 1.21, CI 1.15 - 1.28) volume were independent predictors of RA. Those with prior CABG (RR 0.51, CI 0.45 - 0.57), STEMI <12h (RR 0.91, CI 0.87 - 0.96), and female sex (RR 0.96, CI 0.94 - 0.99) were less likely to receive RA. CONCLUSIONS New Zealand has a high RA rate for ICAs. Rates vary substantially between both operators and centres. Radial arterial was highest amongst the highest volume operators and centres.
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Affiliation(s)
- P Barr
- Cardiology Department, Middlemore Hospital, Auckland, NZ.
| | - D Smyth
- Cardiology Department, Christchurch Hospital, Christchurch, NZ
| | - S A Harding
- School of Biological Science, Victoria University, Wellington, NZ
| | - S El-Jack
- Cardiology Department, North Shore Hospital, Auckland, NZ
| | - M J A Williams
- Department of Medicine, Dunedin School of Medicine, University of Otago, Dunedin, NZ
| | - G Devlin
- Medicine, University of Auckland, Auckland, NZ
| | - J Stewart
- Cardiology Department, Auckland City Hospital, Auckland, NZ
| | - C Flynn
- Counties Manukau District Health Board, Auckland, New Zealand
| | - M Lee
- Counties Manukau District Health Board, Auckland, New Zealand
| | - A J Kerr
- Medicine, University of Auckland, Auckland, NZ
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Gladding P, Erogbogbo F, Swihart M, Smart K, El-Jack S, Korcyk D, Webster M, Stewart R, Zeng I, Jullig M, Bakeev K, Jamieson M, Kasabov N, Liang L, Hu R, Schliebs S, Gopalan B, Villas-Boas S. Bioengineering silicon quantum dot theranostics using a network analysis of metabolomic and proteomic data in cardiac ischaemia. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.04.097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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Lin A, Oh T, Alawami M, Chow K, Looi K, Looi J, Ellis C, Webster M, El-Jack S, Scott D, Stewart J, Ormiston J, Armstrong G, Khan A, Kay P, Harrison W, Gamble G, Ruygrok P. Primary Percutaneous Coronary Intervention (PPCI) for ST Segment Elevation Myocardial Infarction (STEMI) Patients: The 2012 Auckland/Northland Experience. Heart Lung Circ 2013. [DOI: 10.1016/j.hlc.2013.05.528] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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Humphreys H, McAleer M, El-Jack S. A Dedicated Cardiovascular Quality Assurance Programme in the Catheterisation Laboratory: A Novel Experience in New Zealand. Heart Lung Circ 2012. [DOI: 10.1016/j.hlc.2012.03.042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Looi J, Cave A, El-Jack S. Transradial Coronary Angiography and Intervention are Safe and may have a Short Learning Curve. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.1043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Looi JL, Cave A, El-Jack S. Transradial Coronary Angiography and Intervention are Safe and May Have a Short Learning Curve. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.04.043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
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