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RISS 인기검색어
- 검색키워드
- 저자 : Khairul Shafiq Ibrahim (검색결과 3 건)
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Raja Ezman Faridz Raja Shariff,Khairul Shafiq Ibrahim,Hafisyatul Aiza Zainal Abidin,Sazzli Kasim 아시아심장혈관영상의학회 2021 Cardiovascular Imaging Asia Vol.5 No.4
Objective: Little is known regarding the levels of knowledge and attitudes amongst non-cardiology clinicians in managing valvular heart diseasel (VHD). Materials and Methods: To determine the knowledge and attitudes towards management of VHD patients amongst internal medicine clinicians in Malaysia. We conducted a 20-item survey study, distributed amongst internal medicine clinicians. Results: A total of 75 responses was obtained. Respondents included medical officers (50.7%), consultants (32.0%), and pre-consultant specialist (17.3%). Respondents were comfortable using online resources from both formal (94.7%) and informal (74.7%) sources. A large proportion felt that they had ‘insufficient’ or ‘very insufficient’ knowledge and experience managing VHD patients (36.0%), and less than half felt that management of VHD patients within their institutions was ‘adequate’ or ‘very adequate’ (49.4%). Although many were felt to be overzealous with echocardiography monitoring in mild VHD (55.9% felt that it was required within 2 years), nevertheless attitudes regarding referrals to cardiology services for consult and intervention were felt to be appropriate. Conclusion: The survey highlights the need for education amongst internal medicine clinician to tackle both the overzealous attitude in monitoring patients with mild valvular disease on one extreme and in improving early referrals for VHD indicated for intervention on the other.
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Raja Ezman Faridz Raja Shariff,Lim Chiao Wen,Rizmy Najme Khir,Khairul Shafiq Ibrahim,Sazzli Kasim 아시아심장혈관영상의학회 2021 Cardiovascular Imaging Asia Vol.5 No.3
We report a rare case of delayed cardiac perforation that progressed to cardiac tamponade and initially presented as loss of pacemaker lead capture. A 50-year-old female with a singlelead permanent pacemaker for third-degree atrioventricular dissociation presented with lethargy, dyspnea, and reduced effort tolerance. Home monitoring by her cardiac device and an electrocardiogram performed on arrival showed loss of capture. Transthoracic echocardiogram revealed cardiac tamponade requiring urgent pericardiocentesis, revealing hemorrhagic effusion. Delayed perforation of her device leads was suspected, even though neither CT nor cardiac MRI revealed contrast leakage or displaced lead position. Cardiac perforation following device implantation is rare. This case is unique as it highlights an extreme presentation in which delayed perforation led to gradual accumulation progressing to tamponade and loss of device capture, both of which resolved following emergency pericardiocentesis. The main treatment of suspected lead perforation remains revision of leads, although evidence to support either a percutaneous or surgical approach remain debatable.
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A Unique Cause of Mitral Regurgitation–Mitral Commissural Prolapse
Nur Farihah Yaacob,Raja Ezman Raja Shariff,Mohd Rahal Yusoff,Khairul Shafiq Ibrahim,Sazzli Kasim 아시아심장혈관영상의학회 2023 Cardiovascular Imaging Asia Vol.7 No.3
A 65-year-old female patient was referred following worsening failure symptoms. Transthoracic echocardiography (TTE) demonstrated a prolapsed posterior leaflet of the mitral valve (MV). However, there was a widely spreading mitral regurgitation (MR) jet, casting some suspicion on the exact etiology of the MR. Transesophageal echocardiography, using three-dimensional (3D) reconstruction and multi-planar imaging, revealed changes suggestive of a postero-medial commissure prolapse. Commissural prolapse is an often-overlooked cause of MR. Accurate diagnosis is only achieved in approximately one-third of cases using two-dimensional TTE as conventional views are often unable to visualize the exact mechanism of MR. Meticulous assessment and early recognition of MV commissural prolapse, or flail, is important for accurate diagnosis and pre-procedural or surgical planning. Alongside some unique features to suggest the presence of commissural prolapse, we hope to highlight the pivotal role of multi-planar imaging and 3D reconstruction in such a diagnosis.
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