MyMedR

Ethnic differences in utilization of invasive cardiac procedures and in long-term survival following acute myocardial infarction

Mak KH, Kark JD, Chia KS, Tan C, Foong BH, Chew SK

Clin Cardiol, 2004 May;27(5):275-80.

PMID: 15188942

BACKGROUND: Ethnic differences in coronary mortality have been documented, and South Asians from the Indian subcontinent are particularly vulnerable.

HYPOTHESIS: This study sought to determine whether there was a difference in the utilization of invasive cardiac procedures and long-term mortality in survivors of myocardial infarction (MI) among Chinese, Malays, and South Asians in Singapore.

METHODS: All MI events in the country were identified and defined by the Singapore Myocardial Infarction Register, which uses modified procedures of the World Health Organization MONICA Project. Information on utilization of coronary angiography, coronary angioplasty, coronary artery bypass graft, and survival was obtained by data linkage with national billing and death registries. Hazard ratios (HR) were calculated using the Cox proportional hazards model with adjustment for baseline characteristics.

RESULTS: From 1991 to 1999, there were 10,294 patients who survived > or = 3 days of MI. Of these, 40.6% underwent coronary angiography and 16.5% a revascularization procedure < or = 28 days. Malays received substantially less angiography (34.0%) and revascularization (11.4%) than Chinese (41.9%, 17.9%) and South Asians (40.0%, 16.3%). The ethnic disparity increased during the 1990s, particularly in the performance of coronary angiography (p = 0.038). While fatality declined during the study period for Chinese and South Asians, the rate remained stable for Malays. After a median follow-up period of 4.1 years, survival was lowest among Malays (adjusted HR, 1.28; 95% confidence interval, 1.15-1.42, compared with Chinese).

CONCLUSION: Ethnic inequalities in invasive cardiac procedures exist in Singapore and were exacerbated in the 1990s. Inequalities in medical care may contribute to the poorer longterm survival among Malays.

Matched MeSH terms: Coronary Angiography/statistics & numerical data*

Fulltext Severe Plasmodium falciparum infection mimicking acute myocardial infarction

Sulaiman H, Ismail MD, Jalalonmuhali M, Atiya N, Ponnampalavanar S

Malar J, 2014;13:341.

PMID: 25176417 DOI: 10.1186/1475-2875-13-341

This case report describes a case of presumed acute myocardial infarction in a returned traveler who was later diagnosed to have severe malaria. Emergency coronary angiography was normal and subsequent peripheral blood film was positive for Plasmodium falciparum.

Matched MeSH terms: Coronary Angiography

Fulltext A young patient with history of Kawasaki disease presenting with triple vessel disease

Lim AL, Lam HY, Kareem BA, Kamarulzaman MH

Med J Malaysia, 2012 Apr;67(2):219-21.

PMID: 22822650 MyJurnal

Kawasaki disease is primarily a condition that affects young children and it is associated with cardiac morbidity and mortality. This disease has been known to cause coronary artery aneurysms which occurs as a sequelae of vasculitis. The progression of triple vessel disease in adult which results from cardiac complications from Kawasaki disease is rare. We report a case of a young man with history of Kawasaki disease at infancy presenting with triple vessel disease requiring cardiac bypass surgery at the age of 20 years old.

Matched MeSH terms: Coronary Angiography

Acute bilateral medial medullary infarct with hypoplastic vertebral artery

Tai ML, Katiman E, Rahmat K, Tan CT

Clin Neurol Neurosurg, 2012 Dec;114(10):1365-7.

PMID: 22512947 DOI: 10.1016/j.clineuro.2012.03.031

Matched MeSH terms: Cerebral Angiography

Fulltext Tako-Tsubo like syndrome triggered by meperidine

Sacco A, Morici N, Belli O, Bossi I, Mafrici A, Klugmann S

Med J Malaysia, 2011 Dec;66(5):520-1.

PMID: 22390119

We present a case of "inverted Tako-Tsubo" syndrome in a woman sedated with meperidine before undergoing a colonscopy. We discuss possible etiology of this ventricular dysfunction.

Matched MeSH terms: Coronary Angiography

Fulltext It's aneurysmal, it's stenotic, it's tuberculosis

Guru K, Yahya M

Med J Malaysia, 2011 Dec;66(5):515-6.

PMID: 22390117 MyJurnal

Tuberculous vasculitis is a very rare presentation of tuberculosis. So far this is the second reported case in the literature. The diagnosis of this disorder is based on the clinical presentation as well as blood investigation results. With the ever improvement in modern medicine and improvement in endovascular treatment of such diseases, the morbidity and mortality of these patients have been dramatically reduced with better clinical and survival results. We present a case of endovascular stenting of a stenotic subclavian artery with good results.

Matched MeSH terms: Angiography

Fulltext An Unusual Association between Unilateral Intracranial Vessels Occlusion with Iron Deficiency Anaemia and Alpha-Thalassemia Trait: A Case Report

Lee YY, Bhaskar S

Case Rep Med, 2011;2011:271560.

PMID: 22229036 DOI: 10.1155/2011/271560

We report a 33-year-old Malay woman presented with acute left dense hemiparesis and an NIHSS score of 11/15. Computed tomography (CT) scan brain showed a massive right middle cerebral artery (MCA) territory infarct. The right internal carotid artery (ICA) and right proximal MCA were shown occluded from digital substraction angiography (DSA). Carotid dissection, carotid canal anomaly, and intercavernous communication were systematically ruled out. She had no risk factors for atherosclerosis. The connective tissue screening and thrombophilic markers were negative. However, she was anaemic on admission and subsequent investigations revealed that she had alpha-thalassemia and iron deficiency anaemia. The right ICA remained occluded from a repeat CT cerebral angiogram after one year, but otherwise she was neurologically stable. This case illustrates an unusual association between intracranial vessel occlusion with iron deficiency anaemia and alpha-thalassemia trait.

Matched MeSH terms: Angiography

Fulltext Ocular Tuberculosis Initially Presenting as Central Retinal Vein Occlusion

Mahyudin M, Choo MM, Ramli NM, Omar SS

Case Rep Ophthalmol, 2010 Aug 02;1(1):30-35.

PMID: 21116342

A 23-year-old man presented with central retinal vein occlusion. The retinal haemorrhages worsened and signs of retinal vasculitis appeared later as vision dropped from 6/60 to Counting Fingers. No signs of systemic disease were observed. Routine Mantoux test and chest radiograph were negative for tuberculosis. Fundus flourescein angiogram confirmed presence of retinal vasculitis. Both systemic and topical corticosteroid therapy were ineffective. Polymerase chain reaction analysis of vitreous fluid showed presence of Mycobacterium tuberculosis. A full 6-month course of antituberculosis therapy was given and inflammation subsided. Vision improved to 3/60. This is a rare case of ocular tuberculosis without evidence of systemic infection, presenting first as a central retinal vein occlusion.

Matched MeSH terms: Angiography

Fulltext Acute myocardial infarction following ingestion of a non-selective non-steroidal anti-inflammatory drug

Mahmod M, Nor IF, Maskon O

BMJ Case Rep, 2010;2010.

PMID: 22448190 DOI: 10.1136/bcr.02.2009.1549

While selective non-steroidal anti-inflammatory drugs, namely cyclo-oxygenase-2 (COX 2) inhibitors, are known to be associated with acute myocardial infarction, little is known about the cardiovascular safety of the non-selective non-steroidal anti-inflammatory drugs. We report the case of a 44-year-old man who developed anaphylactic reaction and acute inferior myocardial infarction following ingestion of a non-selective anti-inflammatory drug, diclofenac sodium. Coronary angiography revealed a large thrombus in the right coronary artery which was partially removed by intracoronary catheter aspiration. Complete resolution of the remaining thrombus was achieved after treatment with an oral anticoagulant.

Matched MeSH terms: Coronary Angiography

Fulltext Post viral acute multifocal posterior placoid pigment epithiopathy in a teenage child

Nga AD, Ramli N, Mimiwati Z

Med J Malaysia, 2009 Jun;64(2):176-8.

PMID: 20058585 MyJurnal

We report a rare case of a young boy presenting with bilateral blurring of vision following a viral like illness. Fundus examination revealed multiple pale cream-coloured lesions scattered across the posterior pole of both eyes. Fundus fluorescein angiography showed characteristic features of early hypofluorescence and late hyperfluorescence, further confirming the diagnosis of acute posterior placoid pigment epitheliopathy (AMPPPE). He was treated with topical steroids for the accompanying mild anterior uveitis. He had a prompt visual recovery with no adverse sequelae.

Matched MeSH terms: Fluorescein Angiography

Superselective coil embolization in gastrointestinal haemorrhage: early experience

Nawawi O, Young N, So S

Australas Radiol, 2006 Feb;50(1):21-6.

PMID: 16499722

This is a retrospective study to evaluate our early experience of using selective microcoil embolization in patients who had gastrointestinal (GI) haemorrhage. From December 2002 to December 2003, six patients with GI haemorrhage (upper GI, n = 1; lower GI, n = 5) underwent superselective microcoil embolization. Microcatheters were used to carry out embolizations in branches of the superior mesenteric artery. Microcoils were used in five patients and a combination of microcoils and embolospheres was used in one patient. Technical success (bleeding target devascularization) was achieved in all patients who showed active bleeding at the time of angiography. Two patients had recurrent bleeding within 24 h of embolization, of which one (16.7%) died. The other patient did not require active intervention as bleeding was minimal and resolved with conservative management. Satisfactory clinical success (no rebleeding after 30 days) was achieved in five patients. No clinical signs and symptoms of bowel ischaemia occurred in these patients. Follow-up colonoscopy carried out in two patients did not show any signs of ischaemia in the affected bowel segments. Superselective microcoil embolization is an effective and safe method of controlling and arresting bleeding in GI haemorrhage.

Matched MeSH terms: Angiography

A large unilateral submandibular mass

Rajandram RK, Sha PP, Hussaini HM, Jabar NA

Oral Surg Oral Med Oral Pathol Oral Radiol, 2014 Apr;117(4):402-6.

PMID: 23183027 DOI: 10.1016/j.oooo.2012.08.456

Matched MeSH terms: Magnetic Resonance Angiography

Fulltext Giant aneurysm or pituitary macroadenoma: a diagnostical misconstrue

Pany A, Sobri M, Valarmathi S, Nazihah M, Latif AZ, Adnan JS

Med J Malaysia, 2004 Mar;59(1):123-5.

PMID: 15535350

We describe a case of a giant thrombosed intrasellar internal carotid artery aneurysm initially diagnosed as pituitary macroadenoma. The differentiating neuroimaging features were discussed.

Matched MeSH terms: Cerebral Angiography

Fulltext Giant left atrium in a patient with prosthetic mitral valve

Loch A, Sadiq MA, Wan Ahmad WA

Eur Heart J, 2013 Apr;34(13):981.

PMID: 23391585 DOI: 10.1093/eurheartj/eht021

Matched MeSH terms: Magnetic Resonance Angiography

Fulltext Images in clinical medicine. Carotid-cavernous sinus fistula

Govindaraju R, Narayanan P

N Engl J Med, 2016 Mar 31;374(13):e15.

PMID: 27028934 DOI: 10.1056/NEJMicm1509943

Matched MeSH terms: Cerebral Angiography

Bone in the eye

Jumaat BH, Dahalan A, Mohamad M

Am J Ophthalmol, 2003 Feb;135(2):254-6.

PMID: 12566045

PURPOSE: To report a case of choroidal osteoma presenting with massive subretinal hemorrhage not associated with choroidal neovascularisation (CNV).

DESIGN: Case report.

METHODS: An 18-year-old man presented with sudden loss of vision in the right eye following competitive swimming. He was found to have a massive subretinal hemorrhage involving the macula.

RESULTS: Following resolution of the hemorrhage, the patient was found to have an underlying choroidal osteoma. There was no evidence of choroidal neovascularisation clinically and angiographically. He regained his normal vision.

CONCLUSIONS: Choroidal osteoma presenting with massive subretinal hemorrhage not associated with underlying choroidal neovascularization need not result in poor visual outcome.

Matched MeSH terms: Fluorescein Angiography

Fulltext Tuberculous retinal vasculitis

Hoh HB, Kong VY, Jaais F

Med J Malaysia, 1998 Sep;53(3):288-9.

PMID: 10968169

A patient who was referred to the eye department for routine ocular assessment prior to commencement of antituberculous therapy was found to have periphlebitis in both eyes despite being visually asymptomatic. Fluorescein angiography confirms the presence of vasculitis without any retinal oedema or areas of non-perfusion, which may sometimes accompany the condition. Within 2 months of systemic treatment, the ocular signs regressed without any permanent effect on vision. This case highlights a rare ocular complication associated with systemic tuberculosis which fortunately did not result in loss of vision due to prompt treatment.

Matched MeSH terms: Fluorescein Angiography

Myocardial infarction in a young Indian grandmultipara

Kannan P, Raman S, Ramani VS, Jeyamalar R

Aust N Z J Obstet Gynaecol, 1993 Nov;33(4):424-6.

PMID: 8179560

Matched MeSH terms: Coronary Angiography

Fulltext The role of abdominal angiography in difficult gastrointestinal bleeding

Ding PH, Wong TJ

Med J Malaysia, 1994 Sep;49(3):306-9.

PMID: 7845288

Two cases of leiomyomas of the jejunum presenting with gastrointestinal bleeding of uncertain origin are described. Diagnosis was finally established by selective angiography. Laparotomy and resection of the tumour were successfully performed. The approach and management of this rare tumour are outlined.

Matched MeSH terms: Angiography

Fulltext Spinal dural arteriovenous malformation: a cause of myelopathy

Ng WK, Samad SA, Tan CT

Med J Malaysia, 1996 Mar;51(1):151-3.

PMID: 10967999

Spinal vascular malformation is an uncommon but potentially treatable cause of myelopathy. We describe two cases of angiographically proven spinal vascular malformation in Malaysia. The first case is a 47-year-old man who had a progressive myelopathy and the second a 60-year-old man with intermittent attacks of transient paraparesis leading to paraplegia. As the clinical presentation of spinal vascular malformation is variable, it should be considered as a cause of patients with myelopathy.

Matched MeSH terms: Angiography

Displaying publications 181 - 200 of 287 in total