Clinical Practice Guidelines (CPG)
Clinical Practice Guidelines- Management Of Acute ST Segment Elevation Myocardial Infarction (STEMI) 2014 - (3rd edition)
ST segment myocardial infarction (STEMI) is the most deadly among the clinical presentations of acute coronary syndrome (ACS). Unlike many medical conditions, STEMI is associated with high mortality and morbidity in its early stages, including sudden death. The National Cardiovascular Disease (NCVD) ACS Registry revealed that there was a 10% mortality for patients who were admitted to hospital with STEMI in 2006-2008.
- Coronary artery disease (CAD) comprises a broad spectrum of manifestation rangingfrom asymptomatic atherosclerosis to stable angina pectoris (SAP), acute coronarysyndrome (ACS), myocardial infarction (MI) and congestive heart failure (CHF). Themanagement of SAP has not been extensively studied in large randomised clinicaltrials.In Malaysia, these patients may be managed by cardiologists, physicians and primarycare doctors. The CPG on Management of SAP was developed to help guide cliniciansin the management of this group of patients.
- Pulmonary arterial hypertension (PAH) is defined as a group of diseases characterised by a progressive increase of pulmonary vascular resistance (PVR) leading to right ventricular failure and premature death. Untreated, it is a potentially devastating disease.
- Atrial fibrillation (AF) is an atrial tachyarrhythmia characterized by uncoordinated atrial activation with consequent deterioration of atrial mechanical function.
- In 2009, cardiovascular disease (CVD) was the leading cause of death in both men and women1. CVD includes coronary heart disease (CHD), cerebrovascular disease and peripheral arterial disease. CHD is a spectrum ranging from stable angina to acute coronary syndromes (ACS)
- Cardiovascular Disease (CVD) is one of the main causes of mortality and morbidity in Malaysia. The estimated incidence of Acute Coronary Syndrome (ACS) is 141 per 100,000 population per year, and the in-patient mortality rate is approximately 7%.
- Clinical Practice Guidelines for PCI Treatment of ischemic heart disease has evolved rapidly over the last decade. In Malaysia, we have now published Guidelines on treatment of various aspects of heart disease, including hypertension and myocardial infarction.
- Women account for 49.7% of the Malaysian population. Therefore it is not surprising to note that with the advances in medicine, there are increasing instances of diseases or presentations that are more unique to women.
Clinical Practice Guidelines - Management Of Acute ST Segment Elevation Myocardial Infarction (STEMI) 2007 - (2nd edition)In this new millennium, there has been an exponential increase of scientific knowledge and publications. Indeed, one of the greatest challenges of modern day medical practice is to keep pace with this information and applying them into routine clinical practice.
- Coronary artery disease (CAD) is an important cause of morbidity and mortality in Malaysia. It can be treated by optimal medical therapy, percutaneous coronary interventions (PCI) and coronary artery bypass graft surgery (CABG). Recently there has been an increase in the number and complexity of PCI cases being performed in this country.