Ten-year survival and factors associated with increased mortality in patients admitted for acute decompensated heart failure in Thailand.

Introduction: Data on the long-term outcomes of Asian patients admitted for acute decompensated heart failure is scarce. The objectives of this study were to determine short-term, intermediate-term and long-term survival among patients admitted for acute decompensated heart failure in Thailand, and to identify factors independently associated with increased mortality.

Methods: Patients who were admitted with a primary diagnosis of heart failure were enrolled in the Thai Acute Decompensated Heart Failure Registry (ADHERE) from 18 hospitals located across Thailand during 2006.

A comparative study of outcomes after transcatheter closure of secundum-type atrial septum defect in adults younger than 60 years and the older ones.

Objective: To compare the results of transcatheter atrial septal defect (ASD) closure between adults younger than 60 years and the older ones in terms of the clinical and echocardiographic outcomes.

Material And Method: The cohort study consisted of 333 adult patients who underwent device closure of secundum ASD at Central Chest Institute of Thailand between January 2007 and June 2012. They were divided into two groups, group 1 were patients with age younger than 60 years, and group 2 were patients with age equal or older than 60 years.

Visual-functional mismatch and results of fractional flow reserve guided percutaneous coronary revascularization.

Objective: To identify mismatches in the significance ofcoronary artery stenosis determined by physician 's visual estimation (VE) vs. quantitative coronary angiography (QCA), by VE vs. fractional flow reserve (FFR), and independent predictors for mismatch between VE and FFR.

Cases report: Experience with rheolytic thrombectomy device (Angiojet) in acute ST elevation myocardial infarction with large amount of coronary thrombus.

Background: Primary percutaneous coronary intervention (PCI) in acute ST elevation myocardial infarction (STEMI) is a clinical challenge. Adequate thrombus removal before stenting is an important factor that predicts procedural success, and finally reflects to clinical outcomes.

Cases Report: In the present report, 2 cases of acute STEMI underwent primary PCI.

A comparison of one-year outcome in adult patients with heart failure in two medical setting: heart failure clinic and daily physician practice.

Objective: To compare between adult patients with heart failure after hospital discharge in a heart failure clinic and daily practice in terms of survival, readmission rate, and quality of life.

Material And Method: The authors followed 100 patients who received care in the heart failure clinic (n = 50) or the usual care (n = 50) for twelve months.

Results: During follow-up, patients in the heart failure clinic group had fewer readmissions (12 vs.

Immediate, short and intermediate results of transcatheter closure of secondum-type atrial septal defect using Amplatzer septal occluder devices.

Objectives: To study the immediate, short, and intermediate results of transcatheter closure of secondum-type atrial septal defect using Amplatzer septal occluder devices (TCAA) in terms of clinical symptoms and residual lesions and shunts determined by transthoracic two-dimensional (TTE) and three-dimensional echocardiography (TDE).

Material And Method: Thirty-six patients, who underwent successful TCAA at the Chest Disease Institute between August 2002 and August 2007 and were followed up clinically, by TTE and TDE at day 1-3, 4-6 months, and 1-year post TCAA, were analyzed.

Results: TCAA was performed in 75 patients during the study period.

Experience of percutaneous mechanical mitral commissurotomy using metallic commissurotome in patients with mitral stenosis at chest disease institute.

Background: Percutaneous metallic mitral commissurotomy (PMMC) has been accepted as an alternative to the traditional balloon technique. The advantage of the metallic commissurotome is that it is designed for several reuse and resterization and it is an interesting tool as seen by the authors.

Objective: To evaluate the efficacy and safety of PMMC among a wide range of patients with severe mitral stenosis.

Significance of lead aVR ST segment elevation in acute coronary syndrome.

Objectives: To study the relation between lead aVR ST segment elevation (aVRSTE) and angiographic_coronary artery lesions in patients with acute coronary syndrome (ACS).

Material And Method: From January 2001 to December 2001, the authors retrospectively studied 26 consecutive patients who were admitted to the coronary care unit, Chest Disease Institute with ACS. The admission 12-lead EKGs,chest X-ray, troponin T, creatine phosphokinase (CPK), creatine kinase MB fraction (CK MB) and blood chemistry including fasting blood sugar, renal function test (BUN and creatinine), electrolytes and lipid profiles were obtained and analyzed before coronary angiogram.

Autologous pericardial valved conduit for the Ross operation.

The feasibility and function of autologous pericardial valved conduit for right ventricular outflow tract reconstruction in the Ross operation were assessed. Between June 1997 and April 2002, 31 patients underwent this procedure at our institution; one was lost to follow-up. The other 26 males and 4 females were aged 17 to 60 years (mean, 36.