Sarawak General Hospital How to benefit from an NCVD Registry: The NCVD Experience from Malaysia 15 th Vietnam Congress of Cardiology, National Convention Centre, Hanoi, 9-11 October 2016; Dr Alan Fong MBChB(Bristol), MRCP(UK), FRCP (Edin), FACC, FESC, FAPSIC, FNHAM, FAsCC Consultant Cardiologist, Sarawak General Hospital Heart Centre; & Head, Clinical Research Centre, Sarawak General Hospital
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Sarawak General Hospital
How to benefit from an NCVD Registry:
The NCVD Experience from Malaysia
15th Vietnam Congress of Cardiology, National Convention Centre, Hanoi, 9-11 October 2016;
Dr Alan Fong MBChB(Bristol), MRCP(UK), FRCP (Edin), FACC, FESC, FAPSIC, FNHAM, FAsCC
Consultant Cardiologist, Sarawak General Hospital Heart Centre;
& Head, Clinical Research Centre, Sarawak General Hospital
Sarawak General Hospital
Background
Sarawak General Hospital
Where we are…..
Sarawak General Hospital
Sarawak Heart Centre
2km
H
H♥
Sarawak General Hospital
National Health and Morbidity Surveys.. (e.1986)
Sarawak General Hospital
The NCVD Registries (e.2006)
http://www.acrm.org.my/ncvd/aboutUs_overview.php
Sarawak General Hospital
NCVD PCI Registry
Report 2013-2014
Sarawak General Hospital
Snapshot from the Annual Report of the NCVD-ACS Registry
2011-2013
Suggested citation: W.A. Wan Azman, K.H. Sim. (Eds). Annual Report of the NCVD-ACS Registry, Year 2011-2013. Kuala Lumpur, Malaysia: National Cardiovascular Disease Database, 2015.
Sarawak General Hospital
NCVD-ACS Registry Participating Hospitals
HPP
UMMC IJN HKL
HTAR HS HA
HM
PJHUS
HQEI HQEII
HSA
NCVD-ACS Registry, Malaysia (2011-2013)
HTF
HRPB
HTJ
HRPZ II
HTAA
HSB
Total SDP= 19 hospitals
*Each SDP started to contribute data at different time period
HSNZ
Sarawak General Hospital
N ACS admissions = 14,763
Sarawak General Hospital
Mean age: 58.5 (12.2) years
N ACS admissions = 14,763
Sarawak General Hospital
N ACS admissions = 14,763
Sarawak General Hospital
CV Risk factors 2006-2010
(N=16,866)
2011 (N=4,047)
2012 (N=4,589)
2013 (N=6,127)
2011-2013
(N=14,763)
Dyslipidaemia 33.0 39.2 36.4 37.0 37.4
Hypertension 61.0 67.0 65.6 63.2 65.0
Diabetes 43.0 46.2 46.6 45.0 45.8
Family History of premature CVD
11.0 14.5 13.2 12.4 13.2
MI history 19.0 22.0 20.8 16.2 19.2
Documented CAD 17.0 17.3 20.2 24.4 21.2
New onset angina (< 2 weeks)
55.0 61.4 57.6 56.4 58.2
Chronic angina (onset > 2 weeks ago)
11.0 11.4 9.6 9.4 9.9
Chronic Lung Disease 4.0 3.6 2.8 3.1 3.2
Renal disease 7.0 8.2 7.2 7.8 7.8
Peripheral vascular disease
1.0 1.2 0.8 0.6 0.8
Cerebrovascular disease 4.0 4.2 3.6 3.5 3.8
Heart Failure 7.0 8.6 8.6 5.3 7.2
Current Smoker 33.0 37.6 37.8 38.2 38.0
BMI > 23kgm-2 75.0 75.6 75.0 78.2 76.5
Hypertension 65%
Diabetes 46%
Sarawak General Hospital
Presence of cumulative risk factors (Percentage),
NCVD-ACS Registry, 2011-2013
Sarawak General Hospital
Sarawak General Hospital
Type of cardiac presentation for patients with ACS (%) by admission, NCVD-ACS Registry, 2006 - 2013
2006 2007 2008 2009 2010 2011 2012 2013
N 3,392 3,640 2,839 3,594 3,401 4,047 4,589 6,127
STEMI 42.0 46.0 54.0 47.0 53.0 50.8 52.0 50.0
NSTEMI 34.0 29.0 24.0 29.0 30.0 27.0 25.0 26.2
UA 24.0 24.0 22.0 24.0 17.0 22.2 23.3 23.8
Sarawak General Hospital
Type of cardiac presentation for patients with ACS (%) by admission,
NCVD-ACS Registry, 2006 - 2013
Sarawak General Hospital
Age group of patients by ACS stratum
NCVD-ACS Registry, 2011-2013
Mean age (SD) for STEMI: 56.2 (12.0); NSTEMI: 60.8 (11.8) and UA: 60.8 (12.0)
Sarawak General Hospital
Age group of patients by ACS stratum
NCVD-ACS Registry, 2011-2013
NSTEMI
Sarawak General Hospital
Sarawak General Hospital
Sarawak General Hospital
Type of treatment among STEMI patients by Age Group ,