A5019350443- Cardiac pacing and defibrillation studies
- Cardiac Arrhythmias and Treatments
- Atrial Fibrillation Management and Outcomes
- Cardiac Imaging and Diagnostics
- Heart Failure Treatment and Management
- Cardiovascular Function and Risk Factors
- Acute Myocardial Infarction Research
- Coronary Interventions and Diagnostics
- Cardiac Valve Diseases and Treatments
- Cardiac electrophysiology and arrhythmias
- Health Systems, Economic Evaluations, Quality of Life
- Cardiac tumors and thrombi
- Lipoproteins and Cardiovascular Health
- Peripheral Artery Disease Management
- Adrenal and Paraganglionic Tumors
- Cardiac Structural Anomalies and Repair
- Cerebrovascular and Carotid Artery Diseases
- Mechanical Circulatory Support Devices
- Pharmaceutical Economics and Policy
- Cardiovascular Health and Risk Factors
- Pulmonary Hypertension Research and Treatments
- Medical Coding and Health Information
- Cardiovascular Health and Disease Prevention
- Cardiac Ischemia and Reperfusion
- Aortic Thrombus and Embolism
University of Liverpool
2012-2023
Liverpool Heart and Chest Hospital
2012-2023
Liverpool John Moores University
2023
Liverpool Heart and Chest Hospital NHS Trust
2017-2018
University of Hull
2004-2008
Essex Cardiothoracic Centre
2007-2008
Castle Hill Hospital
2004-2007
Hull Royal Infirmary
2007
Warrington and Halton Teaching Hospitals NHS Foundation Trust
2007
Background: We tested the hypothesis that a single high sensitivity troponin at limits of detection (LOD HSTnT) (<5 ng/l) combined with presentation non-ischaemic electrocardiogram is superior to low-risk Global Registry Acute Coronary Events (GRACE) (<75), Thrombolysis in Myocardial Infarction (TIMI) (≤1) and History, ECG, Age, Risk factors Troponin (HEART) score (≤3) as an aid early, safe discharge for suspected acute coronary syndrome. Methods: In prospective cohort study, risk...
Percutaneous left atrial appendage (LAA) occlusion can be an interventional alternative to oral anticoagulation for stroke prevention in patients with fibrillation.We delivered LAA therapy using a standardised approach patient referral, multidisciplinary team assessment, implant criteria, imaging and follow-up. We analysed characteristics, efficacy safety of the procedure, 12-month outcomes.Of 143 referrals from October 2014 December 2016, 83 (age 76±8years, 32.5% female, mean CHAD2S2-VASc...
![Graphic][1] A 64 year old woman was admitted with sudden onset of sharp back pain radiating to the right arm, shoulder, and chest. She had undergone His ablation (for supraventricular tachycardia) DDD pacemaker implantation one month previously. Physical examination, blood tests, ECG, chest x ray, computed tomographic scan, check … [1]: /embed/graphic-1.gif
Abstract Background Previous studies have demonstrated the feasibility of primary percutaneous coronary intervention (PPCI) in carefully selected nonagenarians. Although current guidelines recommend immediate revascularization patients with ST elevation myocardial infarction (STEMI) it remains unclear whether PPCI reduces mortality The objective this study is to compare nonagenarians presenting via pathway who undergo intervention, versus those are managed medically. Methods and results A...
Left ventricular (LV) pseudoaneurysm is a serious and rare complication of myocardial infarction (MI). It occurs when an injured wall ruptures contained by overlying adherent pericardium or scar tissue, most commonly it develops in patients with late presentation MI delayed revascularization.A 64-year-old man presented to the emergency department intermittent central chest pain radiating back neck increasing on deep inspiration, which was considered be musculoskeletal origin for week, but...
Purpose of the study: The Center for Medicare & Medicaid Services recently proposed to restrict reimbursement left atrial appendage occlusion (LAAO) certain patient- and process-specific criteria. In 2014, NHS England imposed similar criteria limiting LAAO 10 selected sites as part Commissioning through Evaluation (CtE) process. We aimed assess impact CtE on procedural patient outcomes. Method used: To comply with stringent requirements, our institution developed a multidisciplinary team...
A 41-year-old female with 90 minutes of severe chest pain and ST-elevation in leads V1-V2 underwent emergency coronary angiography a view to primary angioplasty.Physical examination, electrocardiography, angiography.ST-segment elevation anterior myocardial infarction.Coronary angiography, antiplatelet antithrombotic therapy, statin, angiotensin-converting enzyme inhibitor, beta blocker, IVUS percutaneous intervention (PCI)
Journal Article Super conus-collateral Get access K A Ramsdale, Ramsdale The Cardiothoracic Centre, Liverpool, UK Search for other works by this author on: Oxford Academic Google Scholar D R Correspondence to: Dr Thomas Drive, Liverpool L14 3PE, UK; David.Ramsdale@ctc.nhs.uk P Velavan Postgraduate Medical Journal, Volume 84, Issue 988, February 2008, Page 99, https://doi.org/10.1136/pgmj.2007.065235 Published: 05 March 2008
Stroke prevention with left atrial appendage (LAA) occlusion is an important alternative treatment for high-risk fibrillation (AF) patients contraindications to oral anticoagulation (OAC).[1] [2] The presence of LAA thrombus detected on preprocedural imaging usually precludes implantation the endocardial device because a prohibitively high periprocedural embolic risk.[3] Although successful resolution OAC has been described, all previous reports are in without OAC.[4] [5] [6] Furthermore,...