- Cardiac Imaging and Diagnostics
- Cardiac Structural Anomalies and Repair
- Acute Myocardial Infarction Research
- Cardiac tumors and thrombi
- Coronary Interventions and Diagnostics
- Cardiovascular Function and Risk Factors
- Heart Failure Treatment and Management
- Cardiac Health and Mental Health
- Cardiac Valve Diseases and Treatments
- Cardiac Arrhythmias and Treatments
- Atrial Fibrillation Management and Outcomes
- Infective Endocarditis Diagnosis and Management
- Cardiovascular Health and Disease Prevention
- Cardiomyopathy and Myosin Studies
- Coronary Artery Anomalies
- Congenital Heart Disease Studies
- Mechanical Circulatory Support Devices
- Pericarditis and Cardiac Tamponade
- Antiplatelet Therapy and Cardiovascular Diseases
- Cardiovascular Disease and Adiposity
- HIV-related health complications and treatments
- Blood Pressure and Hypertension Studies
- Diabetic Foot Ulcer Assessment and Management
- Pneumothorax, Barotrauma, Emphysema
- Heart Rate Variability and Autonomic Control
King Chulalongkorn Memorial Hospital
2013-2024
Chulalongkorn University
2011-2023
Thai Red Cross Society
2009-2021
Mayo Clinic
1998
Atherosclerotic cardiovascular disease is a global health burden. However, there are heterogeneities among countries or regions in the risk factors and clinical manifestations of atherosclerotic diseases as well management patterns.We collected data from 25 centres Thailand. Patients with documented coronary artery disease, cerebrovascular peripheral arterial at least three atherosclerosis were enrolled between April 2011 March 2014. Data on demographics, pattern factors, including...
Background . White-coat hypertension (HT), masked HT, HT with white-coat effect, and uncontrolled are well-recognized problems of over- undertreatment high blood pressure in real-life practice. However, little is known about the true prevalence Thailand. Objectives To examine characteristics each subtype defined by mean home (HBP) clinic (CBP) using telemonitoring technology Thai hypertensives. Methods A multicenter, observational study included adult hypertensives who had been diagnosed for...
Double orifice mitral valve (DOMV), a rare congenital heart disease, is characterized by 2-orifice (MV) separated tissue bridge, causing spectacles-like morphology. DOMV can present with various severity ranging from asymptomatic to severe valvular dysfunction including regurgitation (MR) and stenosis (MS), as well symptoms coexisting anomalies. Echocardiography the mainstay of investigation for DOMV. We described two cases who presented different disease resulting in treatment decisions.In...
Abstract Objectives Our study aimed to determine the prevalence and prognosis of acute coronary syndrome with non-obstructive artery (ACS-NOCA) in patients hypertrophic cardiomyopathy (HCM). Methods results We enrolled a total 200 consecutive HCM over 139-month period from 2002 2013. The found that 28 (14% overall patients, 51% ACS) had ACS-NOCA, 18 (9% 86% MI) MINOCA as initial clinical presentations. highest disease (NOCA) was ST-elevation myocardial infarction (STEMI) (100%), followed by...
Objectives: HIV infection is associated with ectopic fat deposition, which leads to chronic inflammation and cardiometabolic dysregulation. We assessed the epicardial adipose tissue (EAT) volume its factors among people (PWH). Design: A cross-sectional study. Methods: conducted a study PWH aged at least 50 years age-matched sex-matched HIV-negative older individuals in Bangkok, Thailand. Participants underwent noncontrast, cardiac computed tomography (CT) scan assess coronary artery calcium...
Anomalous origin of the left coronary artery from pulmonary (ALCAPA) is a rare congenital anomaly. The enlarged right provides retrograde collaterals to supply ventricle then preferentially directs into lower pressure system causing steal phenomenon. Few patients who survive through adulthood without surgery must have abundant, well-formed functioning with adequate perfusion ventricle. We present oldest reported patient ALCAPA undergo corrective surgery.A 79-year-old woman presented 3-months...
A 24-year-old woman presented with odourless, chronic progressive vulvar lesions since she was a teenager. The lesion shows multiple erythematous clusters of translucent vesicles varying sizes that resemble frog spawn (figure 1A). She has also been diagnosed as having congenital lymphoedema the lower legs 1B). Figure 1 (A) Multiple at vulva. (B) Congenital her …
Prevalence of cardiovascular disease increases with age. Little is known about the prevalence and risk factors for echocardiographic abnormalities among older people living HIV (PLHIV) from Asia.A cross-sectional study was conducted PLHIV aged >50 years (N = 298) on antiretroviral treatment (ART) HIV-negative controls 100) frequency matched by sex age in Thailand.All participants underwent standard 2-dimensional transthoracic echocardiography performed trained cardiologists who were blinded...
Background We sought to investigate the impact of COVID-19 pandemic and Tele-HF Clinic (Tele-HFC) program on cardiovascular death, heart failure (HF) rehospitalization, transplantation rates in a cohort ambulatory HF patients during after peak pandemic. Methods Using clinic database, we compared data with before, during, (January 1 March 17 [pre-COVID], May 31 [peak-COVID], June October [post-COVID]). During peak-COVID, all were managed by Tele-HFC or hospitalization. After 1, chose either...
Coronary artery disease (CAD) is a leading cause of death in elderly because aging the important non-modifiable risk factors atherosclerosis and also predictor poor outcomes. Underuse guideline directed therapy may contribute to suboptimal factor control worse outcomes elderly. We aimed explore management CAD, as well goal attainment compared nonelderly CAD patients.The CORE-Thailand an ongoing multicenter, prospective, observational registry patients with high atherosclerotic Thailand. The...
Elevated levels of high-sensitivity cardiac troponin (hs-cTn) are suggestive myocardial cell injury and coronary artery disease. We explored the association between hs-cTn subclinical arteriosclerosis using calcification (CAC) scoring among 337 virally suppressed patients with human immunodeficiency virus (HIV) who were ≥50 years old without evidence known disease.Noncontrast computed tomography blood sampling for hs-cTn, both subunit I (hs-cTnI) T (hs-cTnT), performed. The relationship CAC...
This study aimed to examine (i) whether circulating growth differentiation factor-15 (GDF-15) is associated with acute cellular cardiac allograft rejection (ACR); (ii) a longitudinal trend of GDF-15 after heart transplantation; and (iii) the prognostic value in predicting composite outcome severe primary graft dysfunction (PGD) 30 day mortality post-transplant.Serum samples were collected before transplantation at every endomyocardial biopsy (EMB) post-heart de novo transplant patients. A...