Imperial College London

Dr Fu Siong Ng

Faculty of MedicineNational Heart & Lung Institute

Reader in Cardiac Electrophysiology
 
 
 
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Contact

 

+44 (0)20 7594 3614f.ng Website

 
 
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Location

 

430ICTEM buildingHammersmith Campus

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Summary

 

Publications

Publication Type
Year
to

190 results found

Ng FS, Holzem KM, Koppel AC, Janks D, Gordon F, Wit AL, Peters NS, Efimov IRet al., 2014, Adverse Remodeling of the Electrophysiological Response to Ischemia-Reperfusion in Human Heart Failure Is Associated With Remodeling of Metabolic Gene Expression, CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, Vol: 7, Pages: 875-U234, ISSN: 1941-3149

Journal article

Roney CH, Cantwell C, Siggers JH, Ng FS, Peters NSet al., 2014, A Novel Method for Rotor Tracking Using Bipolar Electrogram Phase, Computing in Cardiology (CinC) 2014, Pages: 233-236

Assessing the location and stability of electrical rotors can help target ablation therapy for atrial fibrillation. Rotor cores can be tracked by identifying singularities in the phase of spatially distributed electrical recordings. This is routinely applied to unipolar electrogram and action potential data, but not to bipolar electrogram data, which contains local activation only. We developed and tested a technique to track phase singularities from simulated bipolar data. Bipolar electrogram phase was found to be as effective as action potential and as unipolar electrogram phase for rotor tip detection when using simulated data, suggesting that it may be used clinically as an alternative method to unipolar phase to locate rotor phase singularities in atrial fibrillation.

Conference paper

Sau A, Qureshi N, Roney C, Bai W, Kim S, Ng FS, Kanagaratnam P, Peters N, Francis D, Lim PBet al., 2014, The influence of late-gadolinium enhanced cardiac MRI defined scar on left atrial electrophysiological properties in patients with persistent atrial fibrillation, Annual Meeting of the European-Society-of-Cardiology (ESC), Publisher: OXFORD UNIV PRESS, Pages: 780-780, ISSN: 0195-668X

Conference paper

Sau A, Qureshi N, Bai W, Kim S, Ariff B, Ng FS, Kanagaratnam P, Peters N, Lim PBet al., 2014, Late-gadolinium enhanced cardiac MRI defined scar is predominantly located on the left atrial septum and posterior wall in patients with persistent atrial fibrillation, Annual Meeting of the European-Society-of-Cardiology (ESC), Publisher: OXFORD UNIV PRESS, Pages: 799-799, ISSN: 0195-668X

Conference paper

Roney CH, Cantwell C, Qureshi NA, Ali RL, Chang ETY, Lim PB, Sherwin SJ, Peters NS, Siggers JH, Ng FSet al., 2014, An Automated Algorithm for Determining Conduction Velocity, Wavefront Direction and Focal Source Location using a Multipolar Catheter, IEEE Engineering in Medicine and Biology Conference

Determining locations of focal arrhythmia sources and quantifying myocardial conduction velocity (CV) are two major challenges in clinical catheter ablation cases. CV, wavefront direction and focal source location can be estimated from multipolar catheter data, but currently available methods are time-consuming, limited to specific electrode configurations, and can be inaccurate. We developed automated algorithms to rapidly identify CV from multipolar catheter data with any arrangement of electrodes, whilst providing estimates of wavefront direction and focal source position, which can guide the catheter towards a focal arrhythmic source. We validated our methods using simulations on realistic human left atrial geometry. We subsequently applied them to clinically-acquired intracardiac electrogram data, where CV and wavefront direction were accurately determined in all cases, whilst focal source locations were correctly identified in 2/3 cases. Our novel automated algorithms can potentially be used to guide ablation of focal arrhythmias in real-time in cardiac catheter laboratories.

Conference paper

Rutledge CA, Ng FS, Sulkin MS, Greener ID, Sergeyenko AM, Liu H, Gemel J, Beyer EC, Sovari AA, Efimov IR, Dudley SCet al., 2014, c-Src kinase inhibition reduces arrhythmia inducibility and connexin43 dysregulation after myocardial infarction, Journal of the American College of Cardiology, Vol: 63, Pages: 928-934, ISSN: 0735-1097

ObjectivesThe aim of this study was to evaluate the role of tyrosine kinase cellular-Src (c-Src) inhibition on connexin43 (Cx43) regulation in a mouse model of myocardial infarction (MI).BackgroundMI is associated with decreased expression of Cx43, the principal gap junction protein responsible for propagating current in ventricles. Activated c-Src has been linked to Cx43 dysregulation.MethodsMI was induced in 12-week-old mice by coronary artery occlusion. MI mice were treated with c-Src inhibitors (PP1 or AZD0530), PP3 (an inactive analogue of PP1), or saline. Treated hearts were compared to sham mice by echocardiography, optical mapping, telemetry electrocardiographic monitoring, and inducibility studies. Tissues were collected for immunoblotting, quantitative polymerase chain reaction, and immunohistochemistry.ResultsActive c-Src was elevated in PP3-treated MI mice compared to sham at the scar border (280%, p = 0.003) and distal ventricle (346%, p = 0.013). PP1 treatment restored active c-Src to sham levels at the scar border (86%, p = 0.95) and distal ventricle (94%, p = 1.0). PP1 raised Cx43 expression by 69% in the scar border (p = 0.048) and by 73% in the distal ventricle (p = 0.043) compared with PP3 mice. PP1-treated mice had restored conduction velocity at the scar border (PP3: 32 cm/s, PP1: 41 cm/s, p < 0.05) and lower arrhythmic inducibility (PP3: 71%, PP1: 35%, p < 0.05) than PP3 mice. PP1 did not change infarct size, electrocardiographic pattern, or cardiac function. AZD0530 treatment demonstrated restoration of Cx43 comparable to PP1.Conclusionsc-Src inhibition improved Cx43 levels and conduction velocity and lowered arrhythmia inducibility after MI, suggesting a new approach for arrhythmia reduction following MI.

Journal article

Hwang HJ, Ng FS, Efimov IR, 2014, Mechanisms of Atrioventricular Nodal Excitability and Propagation, Cardiac Electrophysiology: From Cell to Bedside: Sixth Edition, Pages: 275-285, ISBN: 9781455728565

Book chapter

Rutledge CA, Ng FS, Sulkin MS, Greener ID, Sergeyenko AM, Liu H, Gemel J, Beyer EC, Sovari AA, Efimov IR, Dudley SCet al., 2013, c-Src Kinase Inhibition Reduces Arrhythmia Inducibility and Connexin43 Dysregulation After Myocardial Infarction, Scientific Sessions and Resuscitation Science Symposium of the American-Heart-Association, Publisher: LIPPINCOTT WILLIAMS & WILKINS, ISSN: 0009-7322

Conference paper

Ng FS, Shadi IT, Peters NS, Lyon ARet al., 2013, Selective heart rate reduction with ivabradine slows ischaemia-induced electrophysiological changes and reduces ischaemia-reperfusion-induced ventricular arrhythmias, JOURNAL OF MOLECULAR AND CELLULAR CARDIOLOGY, Vol: 59, Pages: 67-75, ISSN: 0022-2828

Journal article

Ng FS, Janks D, Wit AL, Peters NS, Efimov IRet al., 2013, Adverse impact of heart failure on the electrophysiological response to ischaemia-reperfusion in human myocardium, Spring Meeting for Clinician Scientists in Training, Publisher: ELSEVIER SCIENCE INC, Pages: 81-81, ISSN: 0140-6736

Conference paper

Ng FS, Janks D, Wit AL, Peters NS, Efimov IRet al., 2012, Adverse Impact of Heart Failure on the Electrophysiological Response to Ischemia-Reperfusion in Humans, CIRCULATION, Vol: 126, ISSN: 0009-7322

Journal article

Debney MT, Ng FS, Lyon AR, Peters NSet al., 2012, INCREASING GAP JUNCTION COUPLING WITH ROTIGAPTIDE REDUCES THE INCIDENCE OF VENTRICULAR ARRHYTHMIAS DURING REGIONAL ISCHAEMIA, Autumn Meeting of the British-Society-for-Cardiovascular-Research (BSCR), Publisher: BMJ PUBLISHING GROUP, Pages: A3-A3, ISSN: 1355-6037

Conference paper

Laughner JI, Ng FS, Sulkin MS, Arthur RM, Efimov IRet al., 2012, Processing and analysis of cardiac optical mapping data obtained with potentiometric dyes, AMERICAN JOURNAL OF PHYSIOLOGY-HEART AND CIRCULATORY PHYSIOLOGY, Vol: 303, Pages: H753-H765, ISSN: 0363-6135

Journal article

Al-Aidarous SI, Roney CH, Peters FMD, Ng FS, Chowdhury RA, Peters NSet al., 2012, CONDUCTION BLOCK INDUCED BY ACIDOSIS IN HL-1 MOUSE ATRIAL MYOCYTES CAN BE REVERSED BY ADMINISTERING THE GAP JUNCTIONAL COUPLER ROTIGAPTIDE, Annual Conference of the British-Cardiovascular-Society (BCS), Publisher: B M J PUBLISHING GROUP, Pages: A66-A66, ISSN: 1355-6037

Conference paper

Roney CH, Ng FS, Chowdhury RA, Chang ETY, Patel PM, Lyon AR, Siggers JH, Peters NSet al., 2012, Hysteresis of cardiac action potential duration restitution occurs in the absence of calcium transient duration hysteresis - a dual optical mapping study of ex vivo rat hearts, 2nd Congress of the European-Society-of-Cardiology Council on Basic Cardiovascular Science - Frontiers in Cardiovascular Biology, Publisher: OXFORD UNIV PRESS, Pages: S63-S63, ISSN: 0008-6363

Conference paper

Ng FS, Cooper SA, Chowdhury RA, Patel PM, Dupont E, Lyon AR, Peters NSet al., 2011, Short-term enhancement of gap junctional coupling during early myocardial infarction modifies late susceptibility to ventricular arrhythmias, EUROPEAN HEART JOURNAL, Vol: 32, Pages: 797-797, ISSN: 0195-668X

Journal article

Ng FS, Owusu-Agyei AA, Chang ETY, Chowdhury RA, Patel PM, Larsen BD, Haugan K, Dupont E, Lyon AR, Peters NSet al., 2010, ZP1210, a Novel Gap Junction Modulator, Attenuates Conduction Slowing and Prevents Cx43 Dephosphorylation During Metabolic Stress, American Heart Association (AHA) Scientific Sessions 2010, Pages: A13633-A13633

Conference paper

Ng FS, Lyon AR, Cooper SA, Chang ETY, Shadi IT, Chowdhury RA, Patel PM, Dupont E, Peters NSet al., 2010, Conduction slowing in the infarct border zone correlates with ventricular arrhythmia inducibility in a chronic myocardial infarction model, Heart Rhythm Congress 2010, Pages: ii10-ii10

Conference paper

Ng FS, Lyon AR, Owusu-Agyei AA, Larsen BD, Haugan K, Chowdhury RA, Patel PM, Dupont E, Peters NSet al., 2010, ZP1210 attenuates gap junctional uncoupling and conduction slowing in a metabolic stress model: an optical mapping study, Heart Rhythm Congress 2010, Pages: ii11-ii11

Conference paper

Owusu-Agyei AA, Ng FS, Chang ETY, Chowdhury RA, Cooper SA, Larsen BD, Haugan K, Patel PM, Lyon AR, Dupont E, Peters NSet al., 2010, The gap junction modulator ZP1210 attenuates ischaemia-induced connexin43 dephosphorylation, Heart Rhythm Congress 2010, Pages: ii11-ii11

Conference paper

Cooper SA, Ng FS, Chowdhury RA, Owusu-Agyei AA, Shadi IT, Patel PM, Dupont E, Lyon AR, Peters NSet al., 2010, Heterogeneity of fibrosis in the infarct border zone correlates with arrhythmia inducibility post-myocardial infarction, Heart Rhythm Congress 2010, Pages: ii2-ii2

Conference paper

Ng FS, Shadi IT, Peters NS, Lyon ARet al., 2010, Ivabradine reduces the incidence of reperfusion ventricular fibrillation following regional ischaemia: insights into anti-arrhythmic protective effect from optical mapping, European Society of Cardiology (ESC), Pages: 1043-1043

Conference paper

Ng FS, Lyon AR, Shadi IT, Chang ETY, Chowdhury RA, Duopnt E, Peters NSet al., 2010, Modulation of Gap Junctional Coupling as an Anti-Arrhythmic Strategy to Prevent Reperfusion Arrhythmias, British Cardiovascular Society Annual Conference 2010, Pages: A2-A3

Conference paper

Ng FS, Lyon AR, Shadi IT, Chang ETY, Chowdhury RA, Dupont E, Peters NSet al., 2010, Gap Junction Modulation - An Anti-Arrhythmic Strategy to Prevent Reperfusion VF, 31st Annual Scientific Sessions of the Heart Rhythm Society (HRS), Pages: S353-S353

Conference paper

Ng FS, Lyon AR, Shadi IT, Chang ETY, Chowdhury RA, Dupont E, Peters NS, Ng FS, Lyon AR, Shadi IT, Chang ETY, Chowdhury RA, Dupont E, Peters NSet al., 2010, Moderate gap junctional uncoupling with carbenoxolone slows conduction and increases vulnerability to ventricular arrhythmias—an optical mapping study, 6th Annual Congress of the European Cardiac Arrhythmia Society (April 2010), Pages: 234-234

It is uncertain whether moderate conductionslowing through gap junctional uncoupling on its own, inthe absence of action potential or structural changes, issufficient to be pro-arrhythmic. We used optical mapping:(1) to study the effects of carbenoxolone (CBX), a gapjunction uncoupler, on conduction velocity and actionpotential duration and (2) to assess the effects of moderateconduction slowing and gap junctional uncoupling onarrhythmia vulnerability in structurally normal hearts.Methods: Rat hearts (n = 12) were perfused on aLangendorff apparatus, loaded with a voltage-sensitivedye (RH237) and perfused with an excitation–contractionuncoupler (10 μM blebbistatin). Transmembrane voltagetransients were recorded using a 256-photodiode array.Hearts were then perfused with 30 μM CBX (n=6) orcontrol (n=6) for 30 min and epicardial activation mappedevery 2 min during ventricular pacing. Subsequently, heartswere subjected to programmed ventricular stimulation andassigned an inducibility quotient depending on ease ofarrhythmia inducibility. Results: CBX slowed conductionvelocity (conduction velocity index: baseline 100%, CBX70±2%, P<0.01), with no change in control hearts after30 min (baseline 100%, controls 98±3%, P=NS). CBX didnot affect action potential duration (APD90: baseline 90±3 ms, CBX 94±5 ms, P=NS). Inducibility of ventriculararrhythmias was increased in CBX hearts compared withcontrol hearts (inducibility quotient: CBX 5.0±1.0, control2.5±1.0, P<0.05). Conclusions: Gap junctional uncouplingwith CBX produced a 30% reduction in conductionvelocity without changes in action potential duration andresulted in increased arrhythmia vulnerability. These results suggest that moderate conduction slowing produced by gap junctional uncoupling in isolation, i.e. in the absence of changes in action potential duration or structural abnormalities, is sufficient to increase susceptibility to ventricular arrhythmias.

Conference paper

Chang ETY, Ng FS, Chowdhury RA, Inuabasi L, Dupont E, Peters NSet al., 2010, Carbenoxolone limits increase in Connexin43 expression in ischaemic rat ventricular tissue, 6th Annual Congress of the European Cardiac Arrhythmia Society, Pages: 234-235

Conference paper

Nicholson-Thomas D, Chowdhury RA, Ng FS, Dupont E, Lyon AR, Peters NSet al., 2010, A novel approach to visualising three-dimensional connexin43 distribution in a rat infarct model, 6th Annual Congress of the European Cardiac Arrhythmia Society, Pages: 172-173

Conference paper

Ng FS, Lyon AR, Shadi IT, Chang ETY, Chowdhury RA, Dupont E, Peters NSet al., 2010, Modulation of gap junctional coupling as an antiarrhythmic strategy to prevent reperfusion ventricular arrhythmias, 6th Congress of the European Cardiac Arrhythmia Society, Publisher: Springer Verlag, Pages: 173-174, ISSN: 1572-8595

Conference paper

Chowdhury RA, Inuabasi L, Kirubakaran S, Hall MCS, Ng FS, Garratt CJ, Peters NSet al., 2010, Structural and Electrical Remodelling as a Mechanism of the "Second Factor" in the Self-Perpetuation of Atrial Fibrilation: A Study in a Chronic Goat Model, SET for Britain 2010 (House of Commons, UK Parliament)

Conference paper

Ng FS, Lyon AR, Chowdhury RA, Dupont E, Peters NSet al., 2010, Pharmacological Modulation of Gap Junctional Coupling with AAP10 and Carbenoxolone Reduces the Incidence and Delays the Onset of Reperfusion Arrhythmias Following Regional Ischaemia, Medical Research Society Meeting 2010, Pages: 4P-4P

Conference paper

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