Prof Chia Boon Lock receives the SMA Honorary ... - nuhcs

More documents

Recommendations

Info

UPCOMING SYMPOSIUM ON Sudden Cardiac Death Dr Abdul Razakjr Omar, Cardiac Dept @ NUH The Singapore Medical Association will be organising the 39 th SMA Annual National Medical Convention on 5 th July 2008 at the Raffles City Convention Centre. The Heart Institute, National Healthcare Group is privileged to co-host this year’s important national healthcare convention. The recent extensive and frequent media coverage of sudden death among our youth propelled the quest to educate our society about the issues related to sudden cardiac death. Therefore this year the theme for the medical convention is “Prevention of Sudden Cardiac Death: Perception and Reality”. We have the pleasure of having the senior parliamentary secretary of health, Mr Hawazi Diapi to grace the occasion as our guest of honour. Despite a substantial reduction in age-adjusted rates of death from cardiovascular causes during the past 40 to 50 years, cardiovascular disease remains the single most common cause of natural death in developed nations. Sudden cardiac death (SCD) is estimated to account for approximately 50 percent of all deaths from cardiovascular causes. In US, it accounted for 20% of all deaths annually (>300,000 SCD), while in Europe ~100 SCD per 100 000 and in our society ~ 1 per 1000 individuals. The majority of such sudden deaths are caused by acute ventricular tachyarrhythmias, often triggered by acute coronary events (coronary artery disease) Clinical trials have shown that antiarrhythmic- drug therapy is not effective in reducing mortality among patients who are assumed to be at risk for such death, but recent randomized trials have demonstrated a survival benefit in high-risk patients of therapy with an implantable cardioverter–defibrillator, compared to conventional drug therapy. The Centers for Medicare and Medicaid Services estimate that as many as 500,000 Medicare beneficiaries might be eligible to receive a prophylactic ICD in the United States. Given the substantial cost of the ICD, the economic effect of this strategy must be considered in future healthcare planning. The importance of educating all doctors on SCD should be recognized. The highlights of the Medical Convention will include a one-day medical symposium and workshop for healthcare professionals and public forum. The interesting program will be finalized by Dr Eric Hong & Dr Ong HY (Chairmans for Public Symposium) and Dr Seow SC (Scientific Chairman for Medical Symposium) focusing on prevention and latest management of SCD. MRCP (UK) Preparatory Course Dr Eric Hong, Cardiac Dept @ NUH The Final MMed (Int Med)/MRCP PACES Examination Preparatory Course was held from 14-19 April in various hospitals in Singapore under the auspices of the Division of Graduate Medical Studies, Yong Loo Lin School of Medicine. This was an intensive programme consisting of practice sessions in all stations of the examination, culminating in a full mock examination on the last 2 days of the course. The Heart Institute is proud to organize the examination held in the National University Hospital. This demonstrates the department’s strong commitment in training new generation of young medical specialists. The examination was well received by the participants. Many found the cases useful in honing their clinical skills assisted by tutors at hand who critique the participants’ examination and presentation skills. THI PULSE | 4
Carotid Artery Stenting Dr Teo Swee Guan, Cardiac Dept @ NUH Percutaneous transluminal angioplasty and stenting have become an established therapeutic modality for coronary and peripheral arterial diseases, complementing surgical treatment. The application of this technique in carotid artery stenosis is an expected progression. The perceived advantages of carotid artery stenting (CAS) compared to carotid endarterectomy (CEA) include avoidance of general anesthesia and open surgical incision, shorter procedural time and hospitalization, and increased patients’ acceptance. Since FDA approval of CAS in 2004, it has been increasingly used for patients considered as high risk for surgery. In contrast to most endovascular peripheral arterial interventions, CAS represents a more challenging procedure because it requires the use of smaller guidewire system (0.014-in vs 0.035-in guidewire system as in peripheral intervention), distal embolic protection device and rapid exchange system (vs. over-the-wire system). The use of long guiding sheath via common femoral artery to perform balloon angioplasty and stenting also represents new challenge for physicians with less CAS experience. CEA has long been the gold standard for the treatment of carotid artery stenosis. In North American Symptomatic Carotid Endarterectomy Trial (NASCET), symptomatic patients with carotid artery stenosis (70-99%) in CEA arm compared to medical group had higher perioperative stroke/death (5.8% vs 3.3%) but significantly lower major/fatal ipsilateral stroke at 2 years (2.5% vs 13.1%, p
Page 1 and 2: MICA (P) 023/09/2007 Issue No. 11
Page 3: AWARD Lock Dept @ NUH in 2006. Othe
Page 7 and 8: NHG HMDP EXPERT VISIT 26-20 MAY 200
Page 9 and 10: Programme recovering from cardiac e
Page 11 and 12: 16 th ASCVTS Endovascular Aortic St
Page 13 and 14: Chicago ACC Success Dr Eric Chong,
Page 15 and 16: 1. Identify disease susceptibility
Page 17 and 18: GP SYMPOSIUM BY DR JAMES YIP AND DR
Page 19 and 20: publications 1. European Heart Jour

Prof Chia Boon Lock receives the SMA Honorary ... - nuhcs

Create successful ePaper yourself

Delete template?

Save as template?