Làm thế nào để tận dụng cơ sở dữ liệu sổ bộ tim mạch quốc gia bài học kinh nghiệm từ malaysia

15th Vietnam Congress of Cardiology, National Convention Centre, Hanoi, 9-11 October 2016; How to benefit from an NCVD Registry: The NCVD Experience from Malaysia 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 H H♥ 2km 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 HTF HSB HQEI HQEII HRPZ II HSNZ HPP HRPB HTAA PJHUS UMMC IJN HKL HTAR HS HA Total SDP= 19 hospitals HTJ HSA HM *Each SDP started to contribute data at different time period NCVD-ACS Registry, Malaysia (2011-2013) Sarawak General Hospital N ACS admissions = 14,763 Sarawak General Hospital Guidelines (and patients) advocate early intervention / invasive strategy! How? Sarawak General Hospital UK and Malaysia Sarawak 2013 – Approx 280 PCI pmp Sarawak General Hospital STEMI reperfusion strategies in UK and Malaysia Malaysia 2013 – approx 70% lytic, approx 9% PPCI Sarawak General Hospital More local research (….definitely needed!) Sarawak General Hospital Addressing the problems >3 billion at risk Sarawak General Hospital Regional collaboration – 2016 and beyond Sarawak General Hospital Malaysia CPGs for Acute STEMI Sarawak General Hospital 3rd Malaysian CPG for STEMI Sarawak General Hospital Sharing our experience Sarawak General Hospital Thrombolysis in STEMI: developing countries Sarawak General Hospital A recent hit… with global implications Sarawak General Hospital Summary: how the NCVD has helped us…  Systematic collection of local data important  Better understanding of the local disease burden  Strategies to improve therapeutic protocols  Addressing the evidence gap by research  Translating research into guidelines Sarawak General Hospital Sarawak General Hospital Disclaimer Research/Educational Grants/Lecture Honoraria from Ministry of Health Malaysia, Astra Zeneca, Boehringer Ingelheim, B.Braun, Medtronic, Merck AG, MSD, Novartis AG, Orbus Neich, Pfizer Ltd, Roche Diagnositics, Siemens Diagnositics, Sanofi-Aventis St Jude Medical Sarawak General Hospital 500km in October 2015 – World Heart Day Sarawak General Hospital Sarawak – more than just hornbills Sarawak General Hospital ... How? Sarawak General Hospital UK and Malaysia Sarawak 2013 – Approx 280 PCI pmp Sarawak General Hospital STEMI reperfusion strategies in UK and Malaysia Malaysia 2013 – approx 70% lytic, approx... cardiologist centre Sarawak General Hospital STEMI: comparison between NCVD and TIMI developmental dataset An Asian Validation of the TIMI risk score for ST-Segment Elevation Myocardial Infarction: Results... Total SDP= 19 hospitals HTJ HSA HM *Each SDP started to contribute data at different time period NCVD-ACS Registry, Malaysia (2011-2013) Sarawak General Hospital N ACS admissions = 14,763 Sarawak