- Cardiac Imaging and Diagnostics
- Cardiac Arrest and Resuscitation
- Acute Myocardial Infarction Research
- Coronary Interventions and Diagnostics
- Cardiac, Anesthesia and Surgical Outcomes
- Intensive Care Unit Cognitive Disorders
- Thermal Regulation in Medicine
- Cardiac Arrhythmias and Treatments
- Cardiac Health and Mental Health
- Family and Patient Care in Intensive Care Units
- Cardiac electrophysiology and arrhythmias
- Global Health Care Issues
- Traumatic Brain Injury and Neurovascular Disturbances
- Healthcare Systems and Challenges
- Employment and Welfare Studies
- Radiology practices and education
- Health Systems, Economic Evaluations, Quality of Life
- Cardiac Ischemia and Reperfusion
- Infectious Diseases and Tuberculosis
- Cardiovascular Health and Disease Prevention
- Blood Pressure and Hypertension Studies
- Renal and Vascular Pathologies
- Neonatal and fetal brain pathology
- Cardiac pacing and defibrillation studies
- Traumatic Brain Injury Research
Temple University Hospital
2020-2021
Essex Cardiothoracic Centre
2015-2019
Anglia Ruskin University
2015-2019
Basildon and Thurrock University Hospitals NHS Foundation Trust
2017-2019
St Bartholomew's Hospital
2018
National Health Service
2018
Institute of Post Graduate Medical Education and Research
2017
London Chest Hospital
2013-2014
Queen Mary University of London
2013
Queen Elizabeth Hospital
2011
Survival rates after cardiac arrest (CA) are increasing, with more patients and their families living the psychological consequences of surviving a sudden CA. The currently available neuropsychological assessment tools therapies were not designed for CA, may be inadequate. Essex Cardiothoracic Centre set up United Kingdom's first dedicated multidisciplinary "Care After REsuscitation" (CARE) service, offering CA survivors caregivers systematic psychological, cognitive, specialized medical...
Trials demonstrate significant clinical benefit in patients receiving therapeutic hypothermia (TH) after cardiac arrest. However, incidence of mortality and morbidity remains high this patient group. Rapid targeted brain induction, together with prompt correction the underlying cause may improve outcomes these patients. This study investigates efficacy Rhinochill, an intranasal cooling device over Blanketrol, a surface inducing TH arrest within catheter laboratory.70 were randomized to...
Patients presenting with ST elevation myocardial infarction (STEMI) are routinely treated percutaneous coronary intervention to restore blood flow in the occluded artery reduce infarct size (IS). However, there is evidence suggest that restoration of can cause further damage myocardium through reperfusion injury (RI). Recent research this area has focused on minimizing caused by RI. Therapeutic hypothermia (TH) been shown be beneficial animal models occlusion reducing IS RI if instituted...
European Resuscitation Council guidelines recommend screening for cognitive and emotional problems all survivors of out-of-hospital cardiac arrest (OHCA), prompt referral to a psychiatrist, psychologist or neuropsychologist when appropriate. In our specialist centre we have created the first care after resuscitation (CARE) clinic offer their carers psychological, medical support up 1 year discharge from hospital. In centre, see in excess 70 OHCA year. …
Background: Main objective of the study is details work up patients ventricular tachy-arrhythmias and to find out its association with any structural heart disease.Methods: This institution based observational was conducted in documented sustained VT (ventricular tachycardia) consecutive 102 patients.Results: The mean age 56.7 years number male were 70 (69%). In our study, among 45 diabetic, 64 hypertensive, 30 current smoker, family history disease present 25 SCD (sudden cardiac death) 5...
KORONARNA BOLEST SRCA SE
Epidemiological data from Europe, the USA and elsewhere in developed world show a steep decline coronary heart disease (CHD) mortality during last 40 years.1 Concern about levelling of rates younger adults2 has been somewhat alleviated by The Netherlands showing that men aged <55 years, have again accelerated, increasing only 16% 1993–1999 to 46% 1999–2007.3 A similar pattern was observed young women with 5% 38% same time periods. This is encouraging, particularly context Denmark UK...
<h3>Introduction</h3> In the UK, an estimated 30,000 out of hospital cardiac arrests (CA) are treated by emergency medical services annually. Better access to early chain survival is expected result in improved rates. Therefore, more patients live with consequence CA, which can range from impairment cognitive function, deterioration emotional well-being and perceived quality life (QoL). Follow-up at Essex Cardiothoracic Centre, a current research trial involving CA survivors, emphasised that...
<h3>Background</h3> Primary PCI is the gold standard treatment for acute STEMI, but reperfusion injury limits its beneficial effect on infarct size (IS). In experimental studies, therapeutic hypothermia (HT) consistently reduces IS caused by injury, translation into clinical practice remains a challenge. The purpose of our study (part COOL AMI EU study) was to assess feasibility integrating pre-reperfusion HT using an intravascular temperature management system (Thermogard XP, ZOLL, USA)...
Coronary heart disease in declineEpidemiological data from Europe, the USA and elsewhere developed world show a steep decline coronary (CHD) mortality during last 40 years [1].Concern about levelling of rates younger adults [2] has been somewhat alleviated by The Netherlands showing that men aged <55 years, have again accelerated, increasing only 16% 1993-1999 to 46% 1999-2007 [3].A similar pattern was observed young women with 5% 38% same time periods.This is encouraging, particularly...
Presence of carotid plaque is known to be predictive cardiovascular disease and events. Focused vascular ultrasound (FOVUS) a rapid, point care assessment in the bulb internal artery. Plaque height area can quickly measured used predict coronary disease. We evaluated utility FOVUS for predicting future events cardiac procedures high risk patients. In this prospective study, 514 patients who received were followed related outcomes 1 5 years. Medical information was retrieved through Institute...
Cardiovascular rehabilitation 717smoking, and dyslipidaemia were no different between groups.The main diagnosis in pLVEF patients was acute myocardial infarction (AMI) without ST elevation (51.4%) while mrLVEF rLVEF AMI with (73.0% 76.2%, respectively).Coronarography showed obstructive disease of one coronary artery majority all groups percutaneous intervention the treatment choice pLVEF, groups.Baseline FC better (9.2±2.3METs), followed by (8.6±2.3METs) (8.5±2.3METs).After CRP,...
<h3>Purpose of Study</h3> Multiple studies have suggested sensitivity and specificity 65% 85% for exercise stress tests 89% pharmacological testing. Our study was to evaluate a correlation between the testing, percentage predicted maximum heart rate (PPMHR) coronary anatomy. <h3>Method</h3> This retrospective involving all hospital patients who had test correlated with their ECGs during period May 2002 2003. By angio-catheterizations, stenoses > 70% were considered as significant vessels...