A5006514529- ECG Monitoring and Analysis
- Cardiac Valve Diseases and Treatments
- Cardiac Arrhythmias and Treatments
- Atrial Fibrillation Management and Outcomes
- Clinical practice guidelines implementation
- Rheumatoid Arthritis Research and Therapies
- Systemic Lupus Erythematosus Research
- Medical Malpractice and Liability Issues
- Cardiac Arrest and Resuscitation
- Cardiac electrophysiology and arrhythmias
- Infective Endocarditis Diagnosis and Management
- Cardiac, Anesthesia and Surgical Outcomes
- Empathy and Medical Education
- Cardiac and Coronary Surgery Techniques
- Music Therapy and Health
- Venous Thromboembolism Diagnosis and Management
- Cardiac pacing and defibrillation studies
- Family and Patient Care in Intensive Care Units
- Autoimmune and Inflammatory Disorders Research
- Acute Myocardial Infarction Research
- Cardiac Imaging and Diagnostics
- Streptococcal Infections and Treatments
- Heparin-Induced Thrombocytopenia and Thrombosis
- Digital Imaging in Medicine
- Bacterial Identification and Susceptibility Testing
Lung Institute
2024
Imperial College London
2024
Barts Health NHS Trust
2018-2020
St Bartholomew's Hospital
2018
Queen Mary University of London
2018
NHS Blood and Transplant
2018
British Heart Foundation
2017
University of Nottingham
2012
To investigate possible predictors for lack of pain improvement after 1 year treatment early rheumatoid arthritis (RA).The Early Rheumatoid Arthritis Network (ERAN) database was used analysis baseline and 1-year data. The ERAN is a hospital-based inception cohort 1,189 people. Short Form 36 questionnaire bodily scores were to calculate change in at as the outcome. proportion Disease Activity Score 28 joints (DAS28) attributable patient-reported components (joint tenderness visual analog...
ECG imaging (ECGI) has been used to guide treatment of ventricular ectopy and arrhythmias. However, the accuracy ECGI in localizing origin arrhythmias during catheter ablation tachycardia (VT) structurally abnormal hearts remains be fully validated.During VT, simultaneous mapping was performed using electroanatomical (CARTO, Biosense-Webster) (CardioInsight, Medtronic) 18 patients. Sites entrainment, pace-mapping, termination were define VT site (SoO). Distance between SoO earliest...
We investigated safety and efficacy of a high throughput atrial fibrillation (AF) ablation service within local non-cardiac centre compared with matched patients at the regional tertiary cardiac centre.Patients were consented in clinic pre-assessed by clerical staff. Locally, other than physicians, staff had no experience trained simulations. Pulmonary vein isolation (PVI) was performed conscious sedation, on uninterrupted anticoagulation for least 4 weeks. No transoesophageal echocardiogram...
Abstract Background * In the United Kingdom, there are one million people suffering from heart failure (HF), with more than 60,000 new cases annually (1). Monitoring for declining left ventricular ejection fraction (LVEF) could optimise treatment approaches and avert healthcare episodes. Easy home-based tracking of cardiac function would be transformative. Previous studies have validated capability artificial intelligence-enabled electrocardiogram (AI-ECG) to correlated changes in LVEF (2)....
Patient understanding of angiography and angioplasty is often incomplete at the time consent. Language barriers constraints are significant obstacles, particularly in urgent setting. We introduced digital animations to support consent assessed effect on patient understanding.Multi-language explaining (www.explainmyprocedure.com/heart) were nine district hospitals for patients with acute coronary syndrome before transfer a cardiac centre their procedure. Reported reason transfer, procedure,...
<i>Atopobium vaginae</i> is an anaerobic gram-positive organism associated with genitourinary infections. Bacteraemia rare, only two cases reported in the literature. This case describes 18-year-old type 1 diabetic, presenting sepsis and haemoptysis, on a background of poor dental hygiene recurrent hospital admissions. Blood cultures grew <i>A. echocardiogram revealed large tricuspid valve lesion. Despite medical therapy, symptoms pulmonary emboli continued she therefore underwent surgical...
The old paternalistic system, where doctors could decide what to tell patients about the risks involved in a procedure, has gone. In this article, authors describe how requirements around informed consent are now clearly defined and need be heeded.
Cardiovascular disease remains the leading cause of death in both United Kingdom (UK) and worldwide 1 .For several coronary valvular conditions, timely surgical or catheter-based interventions improve survival quality life 2,3 .Yet UK National Health Service (NHS) faces an unprecedented backlog over 370,000 patients (in a population 67 million) awaiting critical cardiac procedures, to 30,000 excess deaths 4 .In this Comment, we describe novel strategy for digitally-supported prioritization...
Abstract Background * Reduced left ventricular ejection fraction (LVEF) is linked to poor clinical outcomes (1, 2). Despite its increasing prevalence, reduced LVEF often undetected due resource-limited echocardiography and lack of suitable point-of-care diagnostic tools. Previous studies have shown that an artificial intelligence-enabled electrocardiogram (AI-ECG) algorithm can accurately identify patients with LVEF, but may also offer novel insights on long-term prognosis (3, 4). Purpose We...
Abstract Background • Early detection and treatment of cardiovascular disease (CVD) improves survival, quality life health economic outcomes (1) Despite evidence effectiveness, systems fail to implement technologies for early CVD sustainably, limiting their public impact (2). This challenge may limit the full potential artificial intelligence (AI) in healthcare (3). An AI-enabled stethoscope can detect reduced left ventricular ejection fraction (LVEF), atrial fibrillation (AF) structural...
Abstract Background • The UK National Health Service (NHS) faces an unprecedented backlog of over 400,000 patients awaiting critical cardiac procedures, incurring thousands excess deaths (1). Longer waiting times to transcatheter aortic valve implantation (TAVI) can increase rates unplanned hospitalisation and death (2). Remote patient monitoring (RPM) improve cardiovascular clinical outcomes (3), but its effectiveness in detecting managing TAVI list deterioration is untested. Purpose 1....
<h3>Introduction</h3> Patient understanding of angiography and angioplasty is often incomplete at the time consent. Language barriers constraints are significant obstacles, particularly in urgent setting, where procedures unplanned. We introduced digital animations to support consent for inter-hospital transfer patients with acute coronary syndromes assessed effect on patient understanding. <h3>Methods</h3> Multi-language explaining angioplasty, (www.explainmyprocedure.com/heart) were nine...