1.A review of heart valve disease research in Malaysia
Paul LZ Khoo ; Jun S Poon ; Gerald JS Tan ; Yahya Awang ; KM John Chan
The Medical Journal of Malaysia 2020;75(6):722-730
Introduction: Heart valve disease comprises a cluster of
conditions affecting the aortic, mitral, pulmonary and
tricuspid valves. This paper reviews all the research on heart
valve disease in Malaysia published between the years 2000-
2016.
Methods: The methodology was based on the search
process described in the paper, “Bibliography of clinical
research in Malaysia: methods and brief results”. The
search databases included PubMed, Scopus and several
Malaysian journals such as MyJurnal and UKM Journal
Repository, by using the following keywords: (heart valve
disease OR infective endocarditis OR rheumatic heart
disease) and (Malaysia).
Results: In all 94 papers were identified of which 39 papers
were selected and reviewed on the basis of their relevance.
The local studies contributed to the knowledge and
understanding of the epidemiology, aetiology,
pathophysiology, clinical presentations, investigations,
treatment, and outcomes of heart valve disease in the
country.
Discussion: The clinical relevance of the studies performed
in the country is discussed along with recommendations for
future research.
2.Anomalous aortic origin of a coronary artery (AAOCA): A case report
Muhammad Anwar bin Azrin ; John Chan Kok Meng ; Yahya Awang ; David Chew Soon Ping
The Medical Journal of Malaysia 2019;74(5):436-438
Anomalous Aortic Origin of a Coronary Artery (AAOCA) is a
rare anomaly of the coronary artery with a considerable risk
of sudden cardiac death due to ischaemia of the heart.
Symptoms may include chest pain on exertion,
breathlessness or dizziness. We encountered a case of a 46-
year-old female who complained of exertional chest pain
with a positive-stress test and subsequently diagnosed with
AAOCA through CT angiography (CTA). She successfully
underwent a coronary artery bypass graft (CABG) surgery
using a saphenous vein graft with uneventful recovery. Right
internal mammary artery (RIMA) was not used as it was
flimsy and the flow was very poor.