Publications by authors named "Kelvin C M Chua"

Article Synopsis
  • * A total of 22 patients, primarily elderly males with a mean age of 71.7 years, underwent the LBBP procedure, achieving an 86% success rate in lead implantation without major complications.
  • * The findings indicate that the Agilis HisPro™ catheter, paired with the Tendril STS Model 2088TC lead, is a promising and safe method for performing LBBP.
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A patient with permanent atrial fibrillation, triple mechanical prosthetic valve replacements, and nonischemic cardiomyopathy presented with symptomatic high-grade atrioventricular block. A transvenous implantable cardioverter-defibrillator system was achieved with the defibrillator lead and bipolar pace-sense lead in separate anterolateral branches of the coronary sinus with successful defibrillation testing.

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Background: The Tpeak to Tend (Tpe) interval on the 12-lead electrocardiogram predicts an increased risk of sudden cardiac arrest (SCA). There is controversy over whether Tpe would be more useful if corrected for heart rate (Tpec).

Objectives: We evaluated whether the predictive value of Tpe for SCA improves with heart rate correction and sought to determine an optimal cutoff value for Tpec in the context of SCA risk.

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Introduction: Remote monitoring of cardiac implantable electronic devices (CIED) has been shown to improve patient safety and reduce in-office visits. We report our experience with remote monitoring via the Medtronic CareLink(®) network.

Methods: Patients were followed up for six months with scheduled monthly remote monitoring transmissions in addition to routine in-office checks.

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Introduction: Improvements in risk stratification for sudden cardiac arrest (SCA) will require discovery of markers that extend beyond the LV ejection fraction (LVEF). The frontal QRS-T angle has been shown to predict risk of SCA but the value of this marker independent of the LVEF has not been investigated.

Methods And Results: Cases of adult SCA with an archived electrocardiogram (12-lead ECG) available before the event, with a computable frontal QRS-T angle, were identified from the Oregon Sudden Unexpected Death Study (Oregon SUDS) ongoing in the Portland, Oregon metro area.

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