Posts Tagged ‘Kerr’

Relationships between anticoagulation regimen, risk score and adverse outcomes in dialysis patients with atrial fibrillation

Atrial fibrillation (AF) is the commonest cardiac arrhythmia including in end-stage renal failure patients, and there is increasing evidence that anticoagulation leads to more harm than benefit in these patients on dialysis. We reviewed the characteristics, management and outcomes of end-stage renal failure patients in dialysis with AF with a focus on warfarin anticoagulation and risk scores.

T. Wang, J. Sathananthan, C. Hood, G. Gamble, M. Marshall, A. Kerr
Heart, Lung and Circulation – Volume 23, Supplement 1, e1-e48
Abstract & full-text available.

Percutaneous coronary intervention rates and outcomes of coronary angiography in patients with prior CABG – an ANZACS-QI single centre study

Coronary angiography in patients with previous coronary artery bypass grafts(CABG) is technically more difficult, increases lab time, radiation exposure and has been linked to higher in-hospital complications and mortality. We sought to study this by comparing those who underwent coronary angiography with previous CABG versus those without.

G. Sathananthan, C. Flynn, D. Scott, P. Kay, W. Harrison, A. Kerr
Middlemore Hospital, Auckland
Heart, Lung and Circulation – Volume 23, Supplement 1, e1-e48
Abstract & full-text available.

Novel approach to improving cardiac rehabilitation for all: The whanau ora way

Home based cardiac rehabilitation (CR) is an evidenced based intervention that provides further choice of CR interventions for patients after a cardiac event. Te Hononga O Tamaki Me Hoturoa is a kaupapa Maori non-government organisation that has been delivering home based CR for the past six years.

L. Sami, S. Christophers, A. Kerr, A. Mclachan
Heart, Lung and Circulation – Volume 23, Supplement 1, e1-e48
Abstract & full-text available.

Long-term clinical outcome of patient with type I vs type II non-STEMI

Type I (myocardial necrosis from plaque disruption) and type II (myocardial from supply-demand mismatch) are most commonly encountered myocardial infarction (MI). It is unclear if this distinction has important implications on clinical outcome.

A. Kueh, M. Lee, A. Kerr
Counties Manukau District Health, Auckland
Heart, Lung and Circulation – Volume 23, Supplement 1, e1-e48
Abstract & full-text available.

Effects of pre-hospital ECG transmission for ST-elevation myocardial infarction in Counties Manukau

In April 2013 the St John’s Ambulance Service began transmitting ECGs electronically to the Middlemore emergency department (MMH ED) to enable earlier catheter lab activation and out-of-hours bypass to Auckland City Hospital (ACH) for ST-elevation myocardial infarction (STEMI) patients. We assessed whether these changes further reduced time to primary PCI.

M. Jain, A. Loh, M. Lee, D. Hailstone, A. Kerr
Counties Manukau DHB, Auckland
Heart, Lung and Circulation – Volume 23, Supplement 1, e1-e48
Abstract & full-text available.

New Zealand’s ‘approach’ to coronary angiography: A descriptive analysis of arterial access for invasive coronary angiography

Rates of radial (RAA) and femoral arterial access (FAA) for invasive coronary angiography (ICA) vary widely internationally. While clinically significant outcomes are similar, RA may reduce bleeding and STEMI mortality. For the first time, guidelines have recommended RA as the default option. We aim to compare arterial access practices across all hospitals and among all cardiologists performing ICA within New Zealand’s public sector.

P. Barr, C. Flynn, D. Smyth, A. Kerr
Heart, Lung and Circulation – Volume 23, Supplement 1, e1-e48
Abstract & full-text available.

Acute coronary syndrome with non obstructive coronary angiography; Rates, treatment, and outcomes at Middlemore Hospital

Myocardial infarction with non obstructive coronary arteries (MINOCA) describes a heterogeneous subset of acute coronary syndrome (ACS) comprised of proven infarction, myocarditis, pericarditis, cardiomyopathy, and those with normal investigations. Internationally MINOCA accounts for ∼13% of ACS. Previously held as benign, MINOCA increases risk of death and MI. Internationally, fewer patients receive standard ACS treatments. We aim to characterise MINOCA rate, features, treatment and outcome.

P. Barr, A. Kerr
Middlemore Hospital Cardiology, Auckland
Heart, Lung and Circulation – Volume 23, Supplement 1, e1-e48
Abstract & full-text available.

The left ventricular response todobutamine in patients after Apical Ballooning Syndrome compared to male and female controls

The aetiology of apical ballooning syndrome (ABS) is poorly understood. It has been postulated that gender differences in left ventricular(LV) size, response to adrenergic stimulation and the consequent ventricular obstruction with high apical wall stress may be important in the aetiology. We sought to determine whether patients with prior ABS are more likely to develop LV obstruction in response to adrenergic stimulation compared to age-matched male and female controls.

G. Sathananthan, J. Looi, A. Kerr
Middlemore Hospital, Auckland
Heart, Lung and Circulation – Volume 23, Supplement 1, e1-e48
Abstract & full-text available.

The development and implementation of a real time, cardiac rehabilitation tracking system

Cardiac rehabilitation (CR) has an important impact on recovery and outcomes post cardiac event. However, uptake remains suboptimal despite significant effort to provide comprehensive hospital and community programs. Attempts to audit our program identified that the existing hospital data base was impractical to guide and inform our strategies to improve access.

A. McLachlan, K. McLean, S. Breen, A. Kerr
Heart, Lung and Circulation – Volume 23, Supplement 1, e1-e48
Abstract & full-text available.

Management and long-term outcome in heart failure (HF) associated with acute coronary syndrome (ACS) in a contemporary New Zealand cohort

There have been important changes in treatment over the last decade for ACS including increased use of revascularisation and improved medical therapy. Our aim was to assess the characteristics of those presenting with ACS and HF and their outcomes in a contemporary ACS cohort.

A. Kueh, M. Lee, G. Devlin, A. Kerr
Heart, Lung and Circulation – Volume 23, Supplement 1, e1-e48
Abstract & full-text available.

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