A5075370193- Acute Myocardial Infarction Research
- Coronary Interventions and Diagnostics
- Cardiac Imaging and Diagnostics
- Antiplatelet Therapy and Cardiovascular Diseases
- Cardiac, Anesthesia and Surgical Outcomes
- Mechanical Circulatory Support Devices
- Cardiovascular Issues in Pregnancy
- Cardiac Health and Mental Health
- Cardiac Structural Anomalies and Repair
- Cardiac Valve Diseases and Treatments
- Interpreting and Communication in Healthcare
- Congenital Heart Disease Studies
- Cardiac Arrest and Resuscitation
- Diversity and Career in Medicine
- Cerebrovascular and Carotid Artery Diseases
- Peripheral Artery Disease Management
- Heart Failure Treatment and Management
- Healthcare Policy and Management
- Blood Pressure and Hypertension Studies
- Health Systems, Economic Evaluations, Quality of Life
- Venous Thromboembolism Diagnosis and Management
- Translation Studies and Practices
- Lipoproteins and Cardiovascular Health
- Cardiovascular Health and Disease Prevention
- Emergency and Acute Care Studies
The Alfred Hospital
2017-2025
The Royal Melbourne Hospital
2011-2025
Monash University
2017-2024
NIHR Bristol Cardiovascular Biomedical Research Unit
2022-2023
University Hospitals Bristol NHS Foundation Trust
2023
University Hospitals Bristol and Weston NHS Foundation Trust
2022-2023
Cabrini Hospital
2023
University of Bristol
2022
Alfred Health
2018-2022
Edinburgh Royal Infirmary
2020
Background: Low socioeconomic status (SES) has been previously shown to be associated with worse cardiovascular outcomes. However, unlike in Australia, many of these studies have performed countries without universal healthcare where SES may expected a greater impact on care and We sought determine whether there is an association between baseline characteristics, clinical outcomes use secondary prevention therapy patients ST-segment–elevation myocardial infarction undergoing percutaneous...
BACKGROUND This study aimed to assess whether there are disparities in incidence rates, care, and outcomes for patients with chest pain attended by emergency medical services according socioeconomic status (SES) a universal health coverage setting. METHODS AND RESULTS was population-based cohort of individually linked ambulance, emergency, hospital admission, mortality data the state Victoria, Australia, from January 2015 June 2019 that included 183 232 consecutive attendances adults...
While radial stent deformation has been thoroughly investigated, data on longitudinal are scarce.The aim of the study was to describe associated with proximal optimisation technique (POT).Longitudinal assessed by bench testing and clinical evaluation. Bench performed in silicone models using 3.00 (n=15) 3.50 mm (n=14) platforms. After deployment, stents were sequentially post-dilated main branch up 5.50 mm, increments 0.50 order simulate a spectrum overexpansion. Stent length redefined...
Background Previous studies have reported a protective effect of obesity compared with normal body mass index ( BMI ) in patients undergoing percutaneous coronary intervention PCI ). However, it is unclear whether this extends to the extremely obese. In large multicenter registry‐based study, we sought examine relationship between and long‐term clinical outcomes following , particular evaluate association extreme survival after . Methods Results This cohort study included 25 413 who...
Intravascular lithotripsy (IVL) has been shown to be safe and effective for calcium modification in nonocclusive coronary artery disease (CAD), but there are only case reports of its use calcified chronic total occlusions (CTO). We report data from an international multicenter registry IVL during CTO percutaneous intervention (PCI) provide provisional regarding efficacy safety. During the study period, was used 55 1053 (5.2%) PCI procedures. within occluded segment after successful crossing...
Suboptimal coronary reperfusion (no reflow) is common in acute syndrome percutaneous intervention (PCI) and associated with poor outcomes. We aimed to develop externally validate a clinical risk score for angiographic no reflow use following angiography before PCI.
Abstract Background Gender disparity remains a prominent medical workforce issue, extending beyond surgical specialties with low proportions of female doctors. Aims To examine representation within Australia and New Zealand (NZ) among physician certain comparator focus on cardiology as an outlier gender equality. Methods Data practising specialists, new consultants trainees were sought from the Australian Health Practitioner Regulation Agency, Medical Council NZ Royal Australasian College...
Abstract Aims To evaluate the association of limited English proficiency (LEP) with reperfusion times and outcomes in patients undergoing primary percutaneous coronary intervention (PPCI) for ST-elevation myocardial infarction (STEMI). Methods results This cohort study included 5385 who underwent PPCI 2013–2017 were prospectively enrolled Victorian Cardiac Outcomes Registry. Data linkage to government administrative datasets was performed identify patients’ preferred spoken language,...
Abstract Objectives We aimed to assess the outcomes of cardiogenic shock (CS) complicating acute coronary syndromes (ACS). Background CS remains leading cause mortality in patients presenting with ACS despite advances care. Methods studied 13,184 undergoing percutaneous intervention (PCI) for all subtypes enrolled prospectively a large multicentre Australian registry (Melbourne Interventional Group registry) from 2005 2013. All‐cause was obtained via linkage National Death Index. Patients...
Unplanned readmissions to hospital after percutaneous coronary intervention (PCI) pose a significant burden the healthcare system and are potentially preventable. In this study, we sought determine incidence of, risk factors for, unplanned within 30 days following PCI. We prospectively collected data on 28,488 patients undergoing PCI between 2013 2019, who were enrolled in state-wide multi-centre Victorian Cardiac Outcomes Registry. Patients' then linked from Department of Health...
The prognosis of patients undergoing percutaneous coronary intervention (PCI) for different subtypes acute syndromes (ACS) remains unclear. We compared short- and long-term mortality in PCI unstable angina (UA), non-ST-elevation myocardial infarction (NSTEMI), ST-elevation (STEMI). This was a retrospective cohort study 13 184 (5966 STEMI, 5307 NSTEMI, 1911 UA) between 1 January 2005 30 November 2013 multi-centre registry. Clinical procedural characteristics, as well outcomes, were by ACS...
Abstract Doctor–patient language discordance has been shown to lead worse clinical outcomes. In this study of patients undergoing primary percutaneous coronary intervention for ST‐elevation myocardial infarction at an Australian health service, we demonstrated that limited English proficiency (LEP) is independent predictor prolonged symptom‐to‐door time, but does not 30‐day mortality compared with English‐proficient patients. More effort needs be placed in providing public education varied...
The objective of this study was to investigate the association proximal and nonproximal location culprit coronary lesions with clinical outcomes patients presenting ST-elevation myocardial infarction (STEMI) treated by primary percutaneous intervention (PCI).Proximal lesion in STEMI is associated increased mortality when compared distal thrombolytic era. impact on era PCI remains unclear.We analyzed 3,283 who enrolled Victorian Cardiac Outcomes Registry. We those versus location.Of...
Significant gender disparities exist in some medical specialties, particularly cardiology. We assessed work, personal life and work-life balance women cardiology Australia New Zealand (NZ), compared with other to determine factors that may contribute the lack of specialty.
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