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Hooper J, Assad J, Pender P, Hopkins A, Dimitri H. Temporary Pacing Wires in a Single Centre: Indications, Complications and Outcomes. Heart Lung Circ 2022. [DOI: 10.1016/j.hlc.2022.06.197] [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: 11/24/2022]
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2
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Nayyar D, Nguyen T, Pathan F, Vo T, Richards D, Thomas L, Dimitri H, Otton J. Cardiac magnetic resonance derived left atrial function after ST-elevation myocardial infarction: an important prognostic indicator. Eur Heart J 2020. [DOI: 10.1093/ehjci/ehaa946.0235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
Abstract
Background
The prognostic value of cardiac magnetic resonance (CMR) derived left atrial (LA) strain, ejection fraction (LAEF) and volumes (LAVImax and LAVImin) after STEMI is controversial.
Aim
To assess the relationship between LA function and major adverse cardiovascular events (MACE) within 2 years after STEMI.
Methods
We prospectively recruited 213 consecutive STEMI patients who underwent CMR at median day 4. 202 patients had complete CMR data for feature tracking assessment. LA reservoir and booster strain were quantified by one blinded observer based on the average of three independently repeated measurements from two- and four-chamber views. MACE was a composite of all-cause mortality, reinfarction, new or worsening heart failure, stroke and sustained ventricular arrhythmias.
Results
The cohort included 174 (86.1%) males, median age 56 years (IQR 50–65 years). MACE occurred in 35 (17.3%) patients. Patients with MACE had lower median reservoir strain (18.9 vs 29.4%, p<0.001), booster strain (9.4 vs 13.0%, p=0.002) and LAEF (41.5 vs 49.2%, p<0.001), and higher LAVImax (43.5 vs 38.6ml/m2, p=0.019) and LAVImin (23.7 vs 19.3ml/m2, p<0.001) than patients without MACE. Patients with reduced left ventricular ejection fraction (LVEF≤40%) had lower median reservoir strain (22.5 vs 30.1%, p<0.001), booster strain (11.3 vs 12.9%, p=0.021) and LAEF (43.3 vs 50.3%, p<0.001) than patients with LVEF>40%. AUC analyses showed reservoir strain (AUC 0.769; 95% CI 0.676–0.861, p<0.001), booster strain (AUC 0.684; 95% CI 0.558–0.810, p=0.002) and LAEF (AUC 0.698; 95% CI 0.596–0.800, p<0.001) predicted MACE. Kaplan Meier analyses showed a difference in MACE between high- and low-risk groups for reservoir strain (cutoff 21%, p<0.001), booster strain (cutoff 9.6%, p<0.001) and LAEF (cutoff 41%, p<0.001). Univariate Cox regression analyses showed all LA parameters had a significant effect on MACE, while multivariate analyses found additional prognostic utility using reservoir strain.
Conclusion
LA reservoir strain provided incremental prognostic value beyond established clinical and CMR parameters for predicting MACE after STEMI.
Kaplan Meier analyses
Funding Acknowledgement
Type of funding source: None
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Affiliation(s)
- D Nayyar
- Liverpool Hospital, Sydney, Australia
| | - T Nguyen
- Liverpool Hospital, Sydney, Australia
| | - F Pathan
- Nepean Hospital, Sydney, Australia
| | - T Vo
- Liverpool Hospital, Sydney, Australia
| | | | - L Thomas
- Westmead Hospital, Sydney, Australia
| | - H Dimitri
- Liverpool Hospital, Sydney, Australia
| | - J Otton
- Liverpool Hospital, Sydney, Australia
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Nguyen Nguyen N, Shugman I, Nguyen T, Dimitri H, Premawardhana U. 239 Novel 3D Electroanatomical Mapping Guided Radiofrequency Ablation Technique for Left-Sided Accessory Pathways. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.246] [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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4
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Nayyar D, Nguyen T, Pathan F, Vo T, Richards D, Thomas L, Dimitri H, Otton J. 011 Cardiac Magnetic Resonance Derived Left Atrial Strain Predicts Major Adverse Cardiovascular Events After ST-Elevation Myocardial Infarction. Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.018] [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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5
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Assad J, Prakash V, Pender P, Lo S, Dimitri H. 231 Management of Syncope in a Tertiary Centre – Can We Do Better? Heart Lung Circ 2020. [DOI: 10.1016/j.hlc.2020.09.238] [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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6
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Vo T, Nguyen T, Chen A, French J, Otton J, Mussap C, Richards D, Dimitri H, Thomas L. 4938Left ventricular global longitudinal strain recovery predicts scar size reduction and systolic remodelling post ST-elevation myocardial infarction. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz746.0008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Abstract
Background
Left ventricular (LV) strain has prognostic utility following ST-elevation myocardial infarction (STEMI); however, serial changes in LV strain has not been evaluated post-infarct. We sought to determine the relationship between post-STEMI transthoracic echocardiographic (TTE) LV global longitudinal strain (GLS) and cardiac magnetic resonance (CMR) imaging derived scar size and LV systolic remodelling.
Methods
Following revascularisation, 172 first STEMI patients (85% male, 56.9±10.7 years) had paired TTE for GLS, and CMR to evaluate scar size and LV systolic function at baseline (2–7 days) and follow-up (8–10 weeks). Patients were divided into 3 groups according to absolute baseline GLS: group 1 (GLS ≥16%), group 2 (12%< GLS <16%), group 3 (GLS ≤12%). GLS recovery was defined as ≥10% increase in GLS at follow-up, excluding patients with normal baseline GLS. LV systolic adverse remodelling was defined as ≥15% increase in LVESV. LV systolic reverse remodelling was defined as ≥15% decrease in LVESV. Scar reduction was defined as ≥30% decrease in scar size.
Results
Group 1 and 2 had smaller follow-up scar size and higher LVEF compared to group 3 (p<0.0001 for both, see table). There was no difference in scar size reduction or systolic reverse remodeling among the baseline GLS groups (p>0.05 for both). Importantly, no patients from group 1 demonstrated systolic adverse remodelling. Relative change in GLS is significantly correlated with changes in LVEF (r=0.354, p<0.0001) and scar size (r=−0.262, p<0.0001), see figure. On multivariate binary logistic analysis, patients who demonstrated GLS recovery had greater reduction in scar size (OR=2.77 (1.09–7.01), p=0.032) and LV systolic reverse remodelling (OR=9.63 (1.21–76.41), p=0.032).
Follow-up parameters within GLS groups All patients (n=172) Group 1 (n=47) Group 2 (n=72) Group 3 (n=53) Follow-up GLS, % 16.02±3.44 19.38±1.90 16.36±2.09 12.57±2.69 GLS recovery, n 110 (64%) 19 (40%) 53 (74%) 38 (72%) Follow-up scar size, % 7.67±5.40 5.01±3.38 6.27±3.73 12.02±6.24 Follow-up LVEF, % 51.80±10.20 57.83±6.95 54.14±8.02 43.26±9.83 Data presented as mean ± SD or n (%).
Correlation graphs for change in GLS
Conclusion
Stratification of STEMI patients by baseline GLS was a determinant of CMR scar size as well as LV systolic function. However, the evaluation of GLS recovery could provide additional insights into reduction in scar size and LV systolic remodelling, both important prognostic markers. Thus, echocardiographic serial GLS evaluation may be a relevant non-invasive parameter, that is cheaper and more widely available for monitoring STEMI patients and guiding therapy.
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Affiliation(s)
- T Vo
- Liverpool Hospital, Sydney, Australia
| | - T Nguyen
- Liverpool Hospital, Sydney, Australia
| | - A Chen
- Liverpool Hospital, Sydney, Australia
| | - J French
- Liverpool Hospital, Sydney, Australia
| | - J Otton
- Liverpool Hospital, Sydney, Australia
| | - C Mussap
- Liverpool Hospital, Sydney, Australia
| | - D Richards
- University of Sydney, Westmead Clinical School, Sydney, Australia
| | - H Dimitri
- Liverpool Hospital, Sydney, Australia
| | - L Thomas
- Westmead Hospital, Sydney, Australia
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Vo T, Nguyen T, Chen A, French J, Otton J, Mussap C, Richards D, Dimitri H, Thomas L. P1483Serial changes in peak left atrial strain predicts diastolic remodelling following percutaneous revascularisation for ST-segment elevation myocardial infarction. Eur Heart J 2019. [DOI: 10.1093/eurheartj/ehz748.0248] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/14/2022] Open
Abstract
Abstract
Background
Echocardiographic 2D speckle tracking peak left atrial (LA) strain reflects LA reservoir function. Limited studies have reported the relationship between peak LA strain and diastolic dysfunction. In addition, adverse diastolic remodeling (ADR) has been reported, to have better prognostic value than single diastolic function assessment following ST-elevation myocardial infarction (STEMI).
Purpose
We examined the relationship between serial changes in echocardiographic peak LA strain and diastolic function in STEMI patients.
Methods
186 percutaneously revascularized first presentation STEMI patients (87% male, 56.9±10.6 years) underwent serial TTE at baseline (2–7 days) and at follow-up (8–10 weeks) post-STEMI. Peak LA reservoir strain measurements were analysed from apical 2-, 3- and 4- chamber views. Diastolic function was graded as per 2016 guidelines: normal, grade 1, grade 2 and grade 3. ADR was defined as worsening of diastolic function grade (≥1) from baseline to follow-up, or persistent grade 3.
Results
Lower baseline peak LA strain was associated with grade 2 and grade 3 diastolic dysfunction compared to normal and grade 1 function at follow-up (p<0.05, see figure and table). Change in LA strain was less with worsening grades of diastolic function (see table). ADR was seen in 33 patients. Lower baseline peak LA strain predicted ADR (B=0.86 (0.80–0.92), p<0.0001). In addition, a reduction in peak LA strain at follow up was independently associated with ADR (B=0.91 (0.84–0.97), p=0.007) (see figure).
Diastolic function grades with LA strain Follow-up diastolic function Baseline peak LA strain (%) Follow-up peak LA strain (%) Change in peak LA strain (%) Normal (n=91) 35.70±6.38 40.97±8.10 5.26±6.07 Grade 1 (n=61) 30.70±6.97 34.54±8.77 3.84±6.32 Grade 2 (n=17) 23.95±6.11 25.49±5.93 1.54±4.70 Grade 3 (n=17) 23.66±8.07 23.49±10.64 −0.17±7.44 Data presented as mean ± SD.
Peak LA strain vs diastolic function
Conclusion
Peak LA strain is associated with diastolic function following STEMI and differentiates normal diastolic function from diastolic dysfunction. Serial changes in peak LA strain correlated with diastolic remodelling. Longer-term follow-up is required to determine the prognostic value of changes in peak LA strain, and diastolic remodelling.
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Affiliation(s)
- T Vo
- Liverpool Hospital, Sydney, Australia
| | - T Nguyen
- Liverpool Hospital, Sydney, Australia
| | - A Chen
- Liverpool Hospital, Sydney, Australia
| | - J French
- Liverpool Hospital, Sydney, Australia
| | - J Otton
- Liverpool Hospital, Sydney, Australia
| | - C Mussap
- Liverpool Hospital, Sydney, Australia
| | - D Richards
- University of Sydney, Westmead Clinical School, Sydney, Australia
| | - H Dimitri
- Liverpool Hospital, Sydney, Australia
| | - L Thomas
- Westmead Hospital, Sydney, Australia
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Sharma L, Faour A, Nguyen T, Holmes L, Gibbs O, Dimitri H, Juergens C, Richards D, Thomas L, French J. Simple Indices of Infarct Size Post ST-Elevation Myocardial Infarction (STEMI) Provides Similar Risk Stratification to Cardiac MRI. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.433] [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: 11/26/2022]
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9
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Vo T, Nguyen T, Chen A, French J, Otton J, Mussap C, Richards D, Dimitri H, Thomas L. Left Atrial Strain as a Marker of Diastolic Function in Post ST Elevation Myocardial Infarction. Heart Lung Circ 2019. [DOI: 10.1016/j.hlc.2019.06.287] [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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10
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Vo T, Nguyen T, Chen A, French J, Otton J, Mussap C, Richards D, Dimitri H, Thomas L. Left Ventricular Speckle Tracking Global Longitudinal Strain Predicts Magnetic Resonance Imaging Infarct Scar Volume and Ventricular Remodelling in St-Elevation Myocardial Infarction Patients Revascularised with Percutaneous Coronary Interventions. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.468] [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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11
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Rateesh S, Hopkins A, Richards D, Dimitri H. Use of a Hybrid Cardiac Resynchronisation-P/Subcutaneous Implantable Cardioverter Defibrillator System to Avoid High-Risk Defibrillator Lead Extraction. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.356] [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: 12/01/2022]
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12
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Rateesh S, Faour A, Gibbs O, Berger A, Dimitri H, Lo S. Post Cardiac Arrest Coronary Spasm: Avoid Stenting if You Can! Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.969] [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: 10/28/2022]
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13
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Malaty M, Nguyen T, Dimitri H, Otton J. Pericardial Fat Volume Measured on Cardiac Magnetic Resonance is an Independent Predictor of Infarct Scar Characteristics and Left Ventricular Function in Patients with ST-Elevation Myocardial Infarction. Heart Lung Circ 2018. [DOI: 10.1016/j.hlc.2018.06.489] [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: 10/28/2022]
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14
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Hee L, Chen A, Mussap C, Nguyen T, Juergens C, Dimitri H, French J, Richards D, Thomas L. Is global longitudinal strain better than left ventricular ejection fraction for predicting infarct scar size? Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.550] [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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15
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Xiong J, Nguyen T, Hee L, Premawardhana U, Rajaratnam R, Juergens C, French J, Richards D, Thomas L, Dimitri H. The effect of OSA on post infarction left ventricular function and scar size. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.660] [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: 12/01/2022]
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16
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Hee L, Chen A, Mussap C, Nguyen T, Juergens C, Dimitri H, French J, Richards D, Thomas L. Differential recovery of myocardial systolic global strain after STEMI. Heart Lung Circ 2015. [DOI: 10.1016/j.hlc.2015.06.523] [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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17
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Nguyen T, Phan J, Thomas L, Moses D, Serratore M, Hogan J, Schlaphoff G, Dimitri H, Rajaratnam R, Juergens C, French J, Richards D. Peak High Sensitivity Troponin T as a Marker of Infarct Size and Left Ventricular Function in Revascularised Acute ST Elevated Myocardial Infarction (STEMI). Heart Lung Circ 2013. [DOI: 10.1016/j.hlc.2013.05.109] [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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18
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Le T, Berger A, Dimitri H, Thomas L. Baseline Differences in Atrial Function for Patients Undergoing DC Cardioversion for AF: A Velocity Vector Imaging Echocardiography Study. Heart Lung Circ 2012. [DOI: 10.1016/j.hlc.2012.05.463] [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: 11/26/2022]
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19
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Thavapalachandran S, Leong DP, Stiles MK, John B, Dimitri H, Lau DH, Psaltis PJ, Brooks AG, Alasady M, Lim HS, Young GD, Sanders P. Evidence-based management of heart failure in clinical practice: a review of device-based therapy use. Intern Med J 2010; 39:669-75. [PMID: 19849757 DOI: 10.1111/j.1445-5994.2008.01876.x] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Heart failure is a growing health issue and is associated with significant mortality risk. Device therapy is efficacious in preventing sudden death in patients with heart failure; however, this evidence comes from rigorous clinical trials. It is unclear how device therapy is utilized in 'real-world' practice. The primary objective was to characterize patterns of device use in patients with heart failure at risk of sudden death and to identify barriers to guideline-driven prescription of implantable cardioverter-defibrillators. METHODS We report a cross-sectional study of patients attending general cardiology clinic over a 3-month period. RESULTS Of 1003 consecutive patients attending the cardiology clinic, 176 had heart failure. Of these, 66 were potentially eligible for device therapy, but only 16 of these had actually undergone device implantation. Potentially eligible non-recipients were older (P < 0.001), more likely to have ischaemic cardiomyopathy (P= 0.002), less likely to be prescribed spironolactone (P= 0.005) or warfarin (P= 0.02), and less likely to have a widened QRS > 120 ms (P= 0.005). There was a high prevalence of underuse of evidence-based pharmacotherapies among patients with heart failure. CONCLUSION There is substantial underuse of device therapy in patients with heart failure. Strikingly, whereas patients with symptoms of heart failure were more likely to receive a device, those being managed for ischaemic heart disease were not. There is also a high prevalence of failure to prescribe evidence-based pharmacotherapy in a tertiary hospital general cardiology clinic. This may be explained in part by the lack of a patient database to record treatment contraindications and to alert clinicians to possible gaps in patient therapy.
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Affiliation(s)
- S Thavapalachandran
- Cardiovascular Research Centre, Department of Cardiology, Royal Adelaide Hospital, Adelaide, South Australia, Australia
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Lim H, Willoughby S, Schultz C, Lau D, Alasady M, Leong D, Brooks A, Dimitri H, Dang J, Sharma G, Hillock R, Roberts-Thomson K, Worthley M, Young G, Sanders P. Left Atrial Platelet Activation in Patients with Non-Valvular Atrial Fibrillation. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.876] [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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21
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Dimitri H, Ng M, Brooks A, Shipp N, Antic N, Thornton A, Antic R, Sanders P. Obstructive Events in Sleep Apnoea Causes Acute Atrial Remodelling in Patients with Atrial Fibrillation. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.921] [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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22
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Wilson L, Wong C, Brooks A, Kyriacou N, Kuklik P, Lau D, Lim H, Alasady M, Abed H, Dimitri H, Young G, Sanders P. Incidence and Characteristics of Left Atrial Diverticula in Patients Undergoing AF Ablation. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.912] [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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23
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Dimitri H, Kuklik P, Shipp N, Brooks A, Lobb B, Mackenzie L, Saint D, Sanders P. Atrial Electrophysiology During Hypoxia and Hypercapnea: High Density Multi-Electrode Array Mapping and its Implications for Obstructive Sleep Apnoea. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.867] [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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24
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Schultz C, Willoughby S, Lim H, John B, Chandy S, Alasady M, Dimitri H, Lau D, Laborerie J, Roberts-Thomson K, Young G, Sanders P. Endothelial Dysfunction and Vascular Inflammation in Patients with Atrial Fibrillation. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.871] [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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25
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Lim H, John B, Lau D, Dimitri H, Sanders P. Twin Left Atrial Flutters Using a Common Scar Isthmus Presenting with Tachycardia of Alternating Cycle Length. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.937] [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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26
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Dimitri H, Ng M, Kuklik P, Brooks A, Stiles M, Thornton A, Antic R, Sanders P. Obstructive Sleep Apnoea and its Implications for Atrial Remodelling in Atrial Fibrillation. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.922] [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: 11/26/2022]
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27
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Lim H, Wilson L, Lau D, Kyriacou N, Alasady M, Leong D, Abed H, Dimitri H, Laborderie J, Shipp N, Kuklik P, Willoughby S, Sanders P. Unusual Left Atrial Thrombus Site Undetected by Trans-Oesophageal Echocardiography. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.555] [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: 11/26/2022]
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28
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Wilson L, Wong C, Kyriacou N, Kuklik P, Brooks A, Lau D, Alasady M, Lim H, Abed H, Dimitri H, Young G, Sanders P. Left Atrial and Pulmonary Venous Anatomy: Variability in Patients Undergoing Atrial Fibrillation Ablation. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.917] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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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29
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Lim H, Willoughby S, Gan C, Schultz C, Lau D, Leong D, Alasady M, Dimitri H, Brooks A, Wilson L, Roberts-Thomson K, Worthley M, Young G, Sanders P. Left Atrial Thrombogenesis Due to Atrial Fibrillation: Is it Rate or Rhythm? Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.877] [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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30
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Lau D, Mackenzie L, Kelly D, Shipp N, Drury K, Lim H, Chia N, Kuklik P, Zhang Y, Dimitri H, Lobb B, Brooks A, Saint D, Brown L, Sanders P. High Density Multiple Electrode Characterization of the Substrate for Atrial Arrhythmias in Spontaneously Hypertensive Rats. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.873] [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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31
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Dimitri H, Ng M, Brooks A, Antic N, Thornton A, Abed H, Alasady M, Lau D, Lim H, McEvoy D, Antic R, Sanders P. The Severity of Obstructive Sleep Apnoea Determines the Persistence and Symptoms of Atrial Fibrillation. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.934] [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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32
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Schultz C, Willoughby S, Lim H, Alasady M, Dimitri H, Lau D, Laborderie J, Roberts-Thomson K, Young G, Sanders P. Characterizations of Platelet Activity, Endothelial Function and Inflammation in Patients with Supraventricular Tachycardia. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.901] [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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33
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Neo M, Dimitri H, Sanders P, Saint D. Hypoxia- and Hypercapnia-induced Changes in Rabbit Atrial Action Potential Produce an Arrhythmogenic Substrate. Heart Lung Circ 2010. [DOI: 10.1016/j.hlc.2010.06.874] [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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34
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Wong C, Stiles M, John B, Brooks A, Lau D, Kuklik P, Dimitri H, Willoughby S, Young G, Sanders P. Importance of Anisotropy in the Enhanced Vulnerability to Reentry in Patients with Atrial Fibrillation. Heart Lung Circ 2009. [DOI: 10.1016/j.hlc.2009.05.009] [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: 11/26/2022]
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35
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Wilson L, Kyriacou N, Brooks A, John B, Dimitri H, Lau D, Lim H, Alasady M, Sharma G, Namboodiri N, Young G, Sanders P. Cartosound Imaging during Atrial Fibrillation Ablation Identifies the Real-time Left Atrial–oesophageal Relationship. Heart Lung Circ 2009. [DOI: 10.1016/j.hlc.2009.05.319] [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: 11/24/2022]
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36
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Connolly P, Brooks A, De Sciscio P, Shipp N, Kuklik P, John B, Dimitri H, Wong C, Stiles MK, Wilson L, Young G, Sanders P. Regional Relationship between Complex Signals in Sinus Rhythm and CFAE in Atrial Fibrillation. Heart Lung Circ 2009. [DOI: 10.1016/j.hlc.2009.05.309] [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: 10/20/2022]
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37
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Stiles M, Brooks A, John B, Lau D, Dimitri H, Wong C, Kuklik P, Wilson L, Young G, Sanders P. High-density Non-contact Mapping to Characterise Atrial Remodelling due to Chronic Atrial Flutter. Heart Lung Circ 2009. [DOI: 10.1016/j.hlc.2009.05.338] [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: 11/15/2022]
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38
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Wong C, John B, Stiles M, Brooks A, Kuklik P, Lau D, Dimitri H, Young G, Sanders P. Anisotropic Conduction in Rheumatic Mitral Stenosis Predisposing to Atrial Fibrillation. Heart Lung Circ 2009. [DOI: 10.1016/j.hlc.2009.05.315] [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: 11/15/2022]
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39
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Stiles M, Wong C, John B, Kuklik P, Brooks A, Dimitri H, Lau D, Wilson L, Young G, Sanders P. Common and Distinguishing Features in the Substrate of Atrial Fibrillation and Atrial Flutter. Heart Lung Circ 2009. [DOI: 10.1016/j.hlc.2009.05.324] [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: 11/26/2022]
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40
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Wilson L, Brooks A, Kyriacou N, John B, Dimitri H, Lau D, Lim H, Alasady M, Sharma G, Namboodiri N, Young G, Sanders P. Temporal Changes in the Left Atrial–Oesophageal Relationship at Annual Review Post-Atrial Fibrillation Ablation. Heart Lung Circ 2009. [DOI: 10.1016/j.hlc.2009.05.371] [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: 11/15/2022]
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41
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Stiles M, Lau D, Brooks A, John B, Shashidhar, Dimitri H, Wilson L, Kuklik P, Roberts-Thomson R, Mackenzie L, Young G, Sanders P. Effect of the Duration of Electrogram Recording on Determination of Complex Fractionated Atrial Electrograms. Heart Lung Circ 2007. [DOI: 10.1016/j.hlc.2007.06.278] [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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42
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Lau D, Shashidhar, Platonov P, Carlson J, Brooks A, Stiles M, John B, Dimitri H, Wilson L, Mackenzie L, Young G, Sanders P. Monitoring of Coronary Sinus Activity by Spectral Analysis of the Surface ECG during Catheter Ablation of Atrial Fibrillation. Heart Lung Circ 2007. [DOI: 10.1016/j.hlc.2007.06.279] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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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43
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Lau D, Stiles M, Brooks A, John B, Shashidhar, Dimitri H, Wilson L, Roberts-Thomson R, Saint D, Mackenzie L, Young G, Sanders P. Temporal Stability of Complex Fractionated Electrograms Within the Coronary Sinus During Atrial Fibrillation in Humans. Heart Lung Circ 2007. [DOI: 10.1016/j.hlc.2007.06.280] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [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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44
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Dimitri H, Stiles M, John B, Lau D, Shashidhar X, Mackenize L, Brooks A, Wilson L, Roberts-Thompson R, Wong C, Willoughby S, Young G, Sanders P. Atrial Remodelling in Paroxysmal Versus Permanent Atrial Fibrillation. Heart Lung Circ 2007. [DOI: 10.1016/j.hlc.2007.06.503] [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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