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  1. Article: Advancements in Access for End-Stage Renal Disease and the Creation of Endovascular Fistulas.

    Katsiroubas, Jessica / Basharkhah, Susan / Leong, Kevin / Lamb, Tara / Ilonzo, Nicole

    Surgical technology international

    2023  Volume 43

    Abstract: The prevalence of end-stage renal disease has increased significantly since the 1980s, and the demand for successful, safe, and durable hemodialysis access is rising. Autogenous arteriovenous fistulas continue to be the gold standard modality for ... ...

    Abstract The prevalence of end-stage renal disease has increased significantly since the 1980s, and the demand for successful, safe, and durable hemodialysis access is rising. Autogenous arteriovenous fistulas continue to be the gold standard modality for hemodialysis access. Biologic and synthetic grafts are used with comparable outcomes but are not without their own complications. Newer developments in hemodialysis access utilize endovascular technology, including dual catheter-based systems and thermal resistance devices, which are pushing the boundaries of fistula creation optimistically forward.
    Language English
    Publishing date 2023-11-16
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1225512-9
    ISSN 1090-3941
    ISSN 1090-3941
    DOI 10.52198/23.STI.43.CV1657
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article ; Online: ECG worth a 'few hundred' words.

    Ng, Shonda / Leong, Kevin Ming Wei / Chia, Pow-Li

    Emergency medicine journal : EMJ

    2022  Volume 39, Issue 12, Page(s) 887–917

    MeSH term(s) Humans ; Electrocardiography
    Language English
    Publishing date 2022-11-22
    Publishing country England
    Document type Journal Article
    ZDB-ID 2040124-3
    ISSN 1472-0213 ; 1472-0205
    ISSN (online) 1472-0213
    ISSN 1472-0205
    DOI 10.1136/emermed-2021-212252
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Orchestrating a New Path for Multiple Sclerosis: Achieving Physical, Cognitive, and Emotional Rehabilitation Goals Through Physical and Music Therapy.

    Weigel, Megan / Hutchinson, Brian / Magee, Wendy L / Leong, Kevin / Sweitzer, Tom / Weiss, Jamie L / Su, Wendy / Fleming, Renée

    International journal of MS care

    2023  Volume 25, Issue 4, Page(s) 168–175

    Abstract: Background: Interdisciplinary therapies for the management of people with multiple sclerosis (MS) are underappreciated. There is an urgent need to introduce music therapy (MT), either alone or in combination with physical therapy (PT), into clinical ... ...

    Abstract Background: Interdisciplinary therapies for the management of people with multiple sclerosis (MS) are underappreciated. There is an urgent need to introduce music therapy (MT), either alone or in combination with physical therapy (PT), into clinical practice to achieve synergy with disease-modifying therapies. A holistic approach to rehabilitation for people with MS may mitigate symptoms and reduce polypharmacy, potentially lowering health care costs.
    Results: As MS progresses, patients experience a range of worsening symptoms, and many develop psychosocial comorbidities. As disease-modifying therapies delay disability progression, nonpharmacologic treatments become increasingly important. The main aim of PT is to improve or maintain patients' functional mobility, strength, and flexibility. Because it targets multiple functions, MT can help improve functional and psychosocial domains and may be a valuable intervention to help patients achieve the physical, cognitive, and emotional goals of PT. Exploratory studies showed that MT, alone or in combination with PT, can lead to functional improvements in mobility, balance, gait, and fatigue. Similar to PT, MT also has benefits in improving fine motor skills, cognition, learning, and memory and in providing emotional support.
    Conclusions: Both MT and PT have the potential to improve overall well-being and health-related quality of life in physically active patients with MS, and MT can provide added emotional support for those who are less able to engage in physical activity. However, MT is not typically a part of standard of care, and PT visits are limited. Nevertheless, interdisciplinary therapies should be incorporated into clinical practice.
    Language English
    Publishing date 2023-02-22
    Publishing country United States
    Document type Journal Article
    ISSN 1537-2073
    ISSN 1537-2073
    DOI 10.7224/1537-2073.2021-144
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  4. Article: Atrial tumor thrombus: A rare complication of hepatocellular carcinoma.

    Leong, Kevin / Kuppasani, Kishore / Pyrsopoulos, Nikoloas

    JAAPA : official journal of the American Academy of Physician Assistants

    2019  Volume 32, Issue 2, Page(s) 23–26

    Abstract: Hepatocellular carcinoma is the fifth most common cancer worldwide. Advanced hepatocellular carcinoma with tumor thrombus metastasis to the right atrium is rare, generally considered inoperable, and has a poor prognosis. This article describes the ... ...

    Abstract Hepatocellular carcinoma is the fifth most common cancer worldwide. Advanced hepatocellular carcinoma with tumor thrombus metastasis to the right atrium is rare, generally considered inoperable, and has a poor prognosis. This article describes the management of two patients with hepatocellular carcinoma and incidental findings of tumor thrombus invasion into the right atrium.
    MeSH term(s) Aged ; Carcinoma, Hepatocellular/complications ; Female ; Heart Atria ; Humans ; Liver Neoplasms/complications ; Male ; Thrombosis/etiology ; Vena Cava, Inferior
    Language English
    Publishing date 2019-01-29
    Publishing country United States
    Document type Case Reports ; Journal Article
    ZDB-ID 2415226-2
    ISSN 0893-7400 ; 1547-1896
    ISSN (online) 0893-7400
    ISSN 1547-1896
    DOI 10.1097/01.JAA.0000552723.65316.80
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  5. Article ; Online: Prognostic benefits of His-Purkinje capture in physiological pacemakers for bradycardia.

    Tan, Eugene S J / Soh, Rodney / Lee, Jie-Ying / Boey, Elaine / Chan, Siew-Pang / Lim, Toon Wei / Yeo, Wee Tiong / Leong, Kevin M W / Seow, Swee-Chong / Kojodjojo, Pipin

    Journal of cardiovascular electrophysiology

    2024  Volume 35, Issue 4, Page(s) 727–736

    Abstract: Introduction: Clinical outcomes of long-term ventricular septal pacing (VSP) without His-Purkinje capture remain unknown. This study evaluated the differences in clinical outcomes between conduction system pacing (CSP), VSP, and right ventricular pacing ...

    Abstract Introduction: Clinical outcomes of long-term ventricular septal pacing (VSP) without His-Purkinje capture remain unknown. This study evaluated the differences in clinical outcomes between conduction system pacing (CSP), VSP, and right ventricular pacing (RVP).
    Methods: Consecutive patients with bradycardia indicated for pacing from 2016 to 2022 were prospectively followed for the clinical endpoints of heart failure (HF)-hospitalizations and all-cause mortality at 2 years. VSP was defined as septal pacing due to unsuccessful CSP implant or successful CSP followed by loss of His-Purkinje capture within 90 days.
    Results: Among 1016 patients (age 73.9 ± 11.2 years, 47% female, 48% atrioventricular block), 612 received RVP, 335 received CSP and 69 received VSP. Paced QRS duration was similar between VSP and RVP, but both significantly longer than CSP (p < .05). HF-hospitalizations occurred in 130 (13%) patients (CSP 7% vs. RVP 16% vs. VSP 13%, p = .001), and all-cause mortality in 143 (14%) patients (CSP 7% vs. RVP 19% vs. VSP 9%, p < .001). The association of pacing modality with clinical events was limited to those with ventricular pacing (Vp) > 20% (p
    Conclusion: Conduction system capture is associated with improved clinical outcomes. CSP should be preferred over VSP or RVP during pacing for bradycardia.
    MeSH term(s) Humans ; Female ; Middle Aged ; Aged ; Aged, 80 and over ; Male ; Bradycardia/diagnosis ; Bradycardia/therapy ; Bradycardia/etiology ; Prognosis ; Cardiac Pacing, Artificial/adverse effects ; Cardiac Conduction System Disease ; Heart Failure/diagnosis ; Heart Failure/therapy ; Heart Failure/etiology ; Pacemaker, Artificial ; Bundle of His ; Electrocardiography ; Treatment Outcome
    Language English
    Publishing date 2024-02-13
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1025989-2
    ISSN 1540-8167 ; 1045-3873
    ISSN (online) 1540-8167
    ISSN 1045-3873
    DOI 10.1111/jce.16211
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    Zs.A 2863: Show issues Location:
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  6. Article ; Online: Response to letter to the editor entitled "Should all individuals with a non-diagnostic arrhythmic electrocardiogram be ordered routinely higher intercostal space electrocardiography?"

    Leong, Kevin M W / Varnava, Amanda M

    Pacing and clinical electrophysiology : PACE

    2019  Volume 42, Issue 4, Page(s) 492

    MeSH term(s) Arrhythmias, Cardiac ; Electrocardiography ; Humans ; Thoracic Wall
    Language English
    Publishing date 2019-02-28
    Publishing country United States
    Document type Letter ; Comment
    ZDB-ID 424437-0
    ISSN 1540-8159 ; 0147-8389
    ISSN (online) 1540-8159
    ISSN 0147-8389
    DOI 10.1111/pace.13632
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    Zs.MO 399: Show issues

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  7. Article: Proarrhythmogenic effects of lamotrigine during ajmaline testing for Brugada syndrome.

    Leong, Kevin M W / Seligman, Henry / Varnava, Amanda M

    HeartRhythm case reports

    2017  Volume 3, Issue 3, Page(s) 167–171

    Language English
    Publishing date 2017-01-22
    Publishing country United States
    Document type Case Reports
    ZDB-ID 2834871-0
    ISSN 2214-0271
    ISSN 2214-0271
    DOI 10.1016/j.hrcr.2016.11.006
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  8. Article ; Online: Cavotricuspid-Isthmus Dependent Flutter or Left-Sided Atrial Tachycardia?

    Leong, Kevin Ming Wei / Guerrero, Fernando / Lim, Phang Boon

    The Journal of invasive cardiology

    2017  Volume 29, Issue 8, Page(s) E92–E93

    Abstract: A 52-year-old man with previous mitral valve replacement, cavotricuspid isthmus, and left-sided roof-line ablation for previous typical atrial flutter and tachycardia presented with recurrence of symptoms with an atrial tachycardia measuring 260 ms cycle ...

    Abstract A 52-year-old man with previous mitral valve replacement, cavotricuspid isthmus, and left-sided roof-line ablation for previous typical atrial flutter and tachycardia presented with recurrence of symptoms with an atrial tachycardia measuring 260 ms cycle length on electrocardiogram. Rhythmia electroanatomical mapping (Boston Scientific) was performed to understand the mechanism of arrhythmia and to guide ablative treatment.
    Language English
    Publishing date 2017-08
    Publishing country United States
    Document type Journal Article
    ZDB-ID 1154372-3
    ISSN 1557-2501 ; 1042-3931
    ISSN (online) 1557-2501
    ISSN 1042-3931
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    Zs.MO 272: Show issues
    Zs.MG 31: Show issues

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  9. Article ; Online: Ventricular Conduction Stability Noninvasively Identifies an Arrhythmic Substrate in Survivors of Idiopathic Ventricular Fibrillation.

    Chow, Ji-Jian / Leong, Kevin M W / Shun-Shin, Matthew J / Ormerod, Julian O M / Koa-Wing, Michael / Lefroy, David C / Lim, Phang Boon / Linton, Nicholas W F / Ng, Fu Siong / Qureshi, Norman A / Whinnett, Zachary I / Peters, Nicholas S / Francis, Darrel P / Varnava, Amanda M / Kanagaratnam, Prapa

    Journal of the American Heart Association

    2023  Volume 12, Issue 8, Page(s) e028661

    Abstract: Background Idiopathic ventricular fibrillation (VF) is a diagnosis of exclusion following normal cardiac investigations. We sought to determine if exercise-induced changes in electrical substrate could distinguish patient groups with various ventricular ... ...

    Abstract Background Idiopathic ventricular fibrillation (VF) is a diagnosis of exclusion following normal cardiac investigations. We sought to determine if exercise-induced changes in electrical substrate could distinguish patient groups with various ventricular arrhythmic pathophysiological conditions and identify patients susceptible to VF. Methods and Results Computed tomography and exercise testing in patients wearing a 252-electrode vest were combined to determine ventricular conduction stability between rest and peak exercise, as previously described. Using ventricular conduction stability, conduction heterogeneity in idiopathic VF survivors (n=14) was compared with those surviving VF during acute ischemia with preserved ventricular function following full revascularization (n=10), patients with benign ventricular ectopy (n=11), and patients with normal hearts, no arrhythmic history, and negative Ajmaline challenge during Brugada family screening (Brugada syndrome relatives; n=11). Activation patterns in normal subjects (Brugada syndrome relatives) are preserved following exercise, with mean ventricular conduction stability of 99.2±0.9%. Increased heterogeneity of activation occurred in the idiopathic VF survivors (ventricular conduction stability: 96.9±2.3%) compared with the other groups combined (versus 98.8±1.6%;
    MeSH term(s) Humans ; Brugada Syndrome/complications ; Brugada Syndrome/diagnosis ; Heart Conduction System ; Ventricular Premature Complexes/etiology ; Ventricular Premature Complexes/complications ; Electrocardiography ; Ventricular Fibrillation/diagnosis ; Ventricular Fibrillation/etiology ; Survivors
    Language English
    Publishing date 2023-04-12
    Publishing country England
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ZDB-ID 2653953-6
    ISSN 2047-9980 ; 2047-9980
    ISSN (online) 2047-9980
    ISSN 2047-9980
    DOI 10.1161/JAHA.122.028661
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  10. Article ; Online: An electrocardiogram opinion from an National Health Service walk-in centre.

    Leong, Kevin Ming Wei / Ng, Fu Siong / Patil, Shashank / Lim, Phang Boon

    Emergency medicine journal : EMJ

    2017  Volume 34, Issue 9, Page(s) 620

    MeSH term(s) Adult ; Ambulatory Care Facilities/organization & administration ; Chest Pain/etiology ; Electrocardiography/methods ; Electrocardiography/standards ; Humans ; Male ; Pneumothorax/diagnosis ; Pneumothorax/diagnostic imaging
    Language English
    Publishing date 2017-08-21
    Publishing country England
    Document type Case Reports ; Journal Article
    ZDB-ID 2040124-3
    ISSN 1472-0213 ; 1472-0205
    ISSN (online) 1472-0213
    ISSN 1472-0205
    DOI 10.1136/emermed-2016-206406
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