Cardiovascular Imaging: Year-in-Review 2015-2016 Adj Ass Prof Ong Hean Yee FESC MBBCh BAO, ASCeXAM, FRCP, Senior Consultant and Head of Department Department of Cardiology Khoo Teck Puat Hospital THE 15 NATIONAL CONGRESS OF CARDIOLOGY 2016 Disclosure Advisory Board Novartis, Boehringer Ingelheim, Bayer, Sanofi, Pfizer, Astra Zeneca Principle Investgator Novartis, Sanofi, Bayer, Astra Zeneca, Eli-Lilly, Amgen, Pfizer Sponsorship (2014-2015 only) Astra Zeneca, Bayer All Honorariums donated to Department Research and Training Fund THE 15 NATIONAL CONGRESS OF CARDIOLOGY 2016 EJ OfficialOpening 29 ~ 52 Patah N ov e m ~ - - - - - Touc ing Lives Pioneeri g Care, ~ak,ng a Differenc e A"9 MO KIO ; S igapore b er 10 - - - Khoo Teck Puat Hospital Alexandra Heal Jurong Island lh Sentosa Bukom Island r - - _ THE 15 rn NATIONAL CONGRESS OF CARDIOLOGY 2016 Cardiovascular Imaging 2015-16 Focused Cardiac Ultrasound Cardiac CT Perfusion Therapeutic Ultrasound CAC - 15 year prediction High Risk Plaque THE 15 NATIONAL CONGRESS OF CARDIOLOGY 2016 Cardiovascular Imaging 2015-16 Focused Cardiac Ultrasound Cardiac CT Perfusion Therapeutic Ultrasound CAC - 15 year prediction High Risk Plaque THE 15 NATIONAL CONGRESS OF CARDIOLOGY 2016 Focused Cardiac Ultrasound International Evidence-Based for Focused Gabriele Via, MD, Arif Hussain, Robert Reardon, MD, Mahmoud Aleksandar N Neskovic, MD, PhD, Aecom mendations Ultrasound Cardiac MD, Mike Wells, MD, BSc, BSc Hons, MBBCh, FCEM, Dip PEC, ElBarbary, MD, Vicki E Noble, MD, Iarnes W Tsung, MD, MPH, FESC, FACC, Susanna Price, MD, MBBS, BSc, MRCP, EDICM, PhD, FFICM, FESC, Achikam Oren-Grinberg, MD, MS, Andrew Liteplo, MD, RDMS, Ricardo Cordioli, MD, Nitha Naqvi, MD, MSc, MRCPCH, Philippe Rola, MD, Jan Poelaert, MD, PhD, Tatjana Golob Gulic, MD, Erik Sloth, MD, PhD, DMSc, Arthur Labovitz, MD, FACC, Bruce Kimura, MD, FACC, Raoul Breitkreutz, MD, Navroz Masani, MBBS, FRCP, Justin Bowra, FACEM, CCPU, Daniel Talmor, MD, MPH, Fabio Guarracino, MD, Adrian Goudie, BMedSci(Hons), Rajesh Chawla, MD, FCCM, Maurizio Galderisi, MBBS, FACEM DDU, Wang Xiaoting, MD, MD, Micheal Blaivas, MD, FACEP, FAIUM, Tomislav Petrovic, MD, Enrico Storti, MD, Luca Neri, MD, and Lawrence Melniker, MD, MS, International Liaison Committee on Focused Cardiac UltraSound (ILC-FoCUS) for the International Conference on Focused Cardiac UltraSound (IC-FoCUS) J Am Soc Echocardiogr 2014; 27: 683, e1-e33 THE 15™NATIONAL CONGRESS OF CARDIOLOGY 2016 Focused Cardiac Ultrasound A&E ICU + + J Am Soc Echocardiogr 2014; 27: 683, e1-e33 THE 15 ™ NATIONAL CONGRESS OF CARDIOLOGY 2016 Focused Cardiac Ultrasound Diagnostic Performance Ultrasound Performed of Focused Cardiac by Emergency for the Assessment Physicians Aorta Dilation and Aneurysm of Ascending Peiman Nazerian, MD, Simone Vanni, MD, PhD, Fulvio Morello, MD, PhD, Matteo Castelli, MD, Maddalena Ottaviani, MD, Claudia Casula, MD, Alessandra Petrioli, MD, Maurizio Bartolucci MD, and Stefano Grifoni, MD -E 20 E Q) eQ)> 10 '- : O • .• • i =-1111-=- • • •.•• ~ =! o c&-20 20 40 60 • • 80 Average (mm) 100 Acac Emerg Med 2015; 22: 536–541 THE 15 rn NATIONAL CONGRESS OF CARDIOLOGY 2016 Focused Cardiac Ultrasound Nazerian et al Ascending Aorta measurement in A+E vs CT Acad Emerg Med 2015; AE 22:et 536 Jones al Hypotension due to Cardiac Dysfunction vs Hypovelemia Shock 2005; 24: 513-7 Yim ES et al Screening for HCM in Sports Clinic Use of hand held echo machine in underpriviledged community J Ultrasound Med 2013; 32: 333-8 Fedson S JASE 2003;16:901-5 Spencer KT Clinical Examination versus handheld machine JACC 2001;37:2013-8 THE 15 NATIONAL CONGRESS OF CARDIOLOGY 2016 Focused Cardiac Ultrasound A&E ICU + = + ? J Am Soc Echocardiogr 2014; 27: 683, e1-e33 THE 15 ™ NATIONAL CONGRESS OF CARDIOLOGY 2016 15 year warranty A 15-Year Warranty Period Asymptomatic Individuals Coronary for Without Artery Calcium A Prospective Follow-Up of 9,715 Individuals Valentina Valenti, MD,* Briain Hartaigh, PHD,*t Ran Heo, MD,* Iksung Cho, MD,* Joshua Schulman-Marcus, MD,+ Heidi Gransar, MS,§ Quynh A Truong, MD, MPH,* Leslee J Shaw, PHD,11 Pratik Sandesara, MD, I Fay Y Lin, MD,1 Sebastiano Sciarretta, Joseph Knapper, MD,11 MD,#** Hyuk-Jae Chang, Anita A Kelkar, MD,11 MD, PHD,tt Tracy Q Callister, MD,H James K Min, MD* J Am Coll Cardiol Img 2015; Aug (8): 900-9 THE 15 ™ NATIONAL CONGRESS OF CARDIOLOGY 2016 15 year warranty TABLE Clinical Characteristics of the Study Sample Overall Risk Factor Cohort Age, yrs Male (N = 9,715) 53.4 ± 10.5 59.3 CAC = (n = 4,864) 52.1 ± 10.8 57.9 54.6 ± 10.0 60.8 (n = 4,851) 0.003 43.4 Dyslipidemia 62.6 57.8 Diabetes 8.3 5.7 Family history of premature CAD 39.3 68.7 Death 69.7 36.8 67.7 67.3