1.Concurrent stroke and ST-elevation myocardial infarction: Is it a contraindication for intravenous tenecteplase?
Wan Asyraf Wan Zaidi ; Suguna Elengoe ; Hamat Hamdi Che Hassan ; Afliza Abu Bakar ; Rabani Remli
The Medical Journal of Malaysia 2020;75(2):169-170
Acute ischemic stroke (AIS) and acute ST-elevation
myocardial infarction (STEMI) are leading causes of
mortality worldwide. Concurrent AIS presentation with
STEMI is rare and potentially fatal. Most importantly to date
many centres in Malaysia are still not aware on how to treat
this condition. We report a case of AIS, which was treated
with intravenous tenecteplase (TNK) according to ischemic
stroke dosage and lead to improvement of neurological
deficit.
2.Cardiac and metabolic effects of Bariatric Surgery among obese patients in a Malaysian Tertiary Hospital: A 6-month prospective cohort study
Mohd Haidir Roslan ; Mohd Asyiq Raffali ; Shawal Faizal Mohamad ; Nik Ritza Kosai Nik Mahmood ; Hamat Hamdi Che Hassan
Journal of the ASEAN Federation of Endocrine Societies 2023;38(2):94-100
Objective:
Obesity is known to be associated with left ventricular diastolic dysfunction due to its effect on blood pressure and glucose tolerance. We aimed to investigate whether weight loss after bariatric surgery might improve diastolic dysfunction through in-depth echocardiographic examination.
Methodology:
We recruited twenty-eight patients who were about to undergo bariatric surgery by purposive sampling. They underwent echocardiography at baseline and 6 months after surgery with a focus on diastolic function measurements and global longitudinal strain (GLS). They also had fasting serum lipid and glucose measurements pre- and post-surgery.
Results:
The mean weight loss after surgery was 24.1 kg. Out of the 28 subjects, fifteen (54%) initially had diastolic dysfunction before surgery. Only two had persistent diastolic dysfunction 6 months after surgery. The mean indexed left atrial volume 6 months post-surgery was 27.1 from 32 ml/m2 prior to surgery. The average E/e’ is 11.78 post-surgery from 13.43 pre-surgery. The left ventricular GLS became (-)25.7% after surgery from (-)21.2% prior to surgery. Their post-surgery fasting serum lipid and glucose levels also showed significant improvement.
Conclusion
Our study reinforced the existing evidence that bariatric surgery significantly improved echocardiographic parameters of diastolic function and left ventricular global longitudinal strain, along with various metabolic profiles.
Bariatric Surgery
;
Obesity