Publications
99 results found
Savage HO, Gerber RT, Tang K, et al., 2011, Reproducibility of the syntax score (synergy between percutaneous coronary intervention with taxus and cardiac surgery) in a real world setting: implications for the choice of contemporary revascularisation strategy, Circulation, ISSN: 0009-7322
Khamis RY, Mikhail GW, 2009, Transcatheter Treatment for Valvular Heart Disease, GM2, Vol: 39, Pages: 7-14
Khamis RY, Dancy M, 2009, Palpitations., Medicine, Vol: 37, Pages: 100-106
‘Palpitation’ is a lay term usually used by patients when they are aware of their heart beat. Most patients are eventually found to have either a cardiac arrhythmia or anxiety. The pattern of presentation, accompanying features and risk factors determine which further investigations are needed in order to reach a diagnosis. Obtaining a 12-lead echocardiogram (ECG) at the onset of symptoms is the gold standard in diagnosing cardiac arrhythmias. The resting 12-lead ECG offers valuable information regarding the presence of pre-existing conditions such as pre-excitation and ischaemic heart disease. Event recorders used over a 2-week period offer an effective way to capture cardiac arrhythmias. Holter monitors are also used in patients who have frequent symptoms. With the advent of new transcatheter cardiac ablation techniques and depending on the rhythm disturbance, management has become more successful.
Khamis RY, Mayet J, 2008, Echocardiographic assessment of left ventricular hypertrophy in elite athletes, HEART, Vol: 94, Pages: 1254-1255, ISSN: 1355-6037
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- Citations: 5
Khamis RY, Timmis AD, Sin B, et al., 2007, Diagnostic evaluation of troponin negative chest pain: electron beam ct calcium scoring compared with exercise stress testing, The Society for Acute Medicine International Conference, Publisher: Society of Acute Medicine, Pages: 32-32
Khamis RY, Mikhail GM, 2007, Coronary revascularisation in women: does gender play a role in determining outcomes?, Cardiology International, Pages: 144-147, ISSN: 1468-8581
Women with ischaemic heart disease (IHD) have worse outcomes than men. In acute myocardial infarction treated with either thrombolysis or primary angioplasty, women have higher in-hospital mortality than men, with more intracranial haemorrhage after thrombolysis. Women with acute coronary syndromes benefit less from early intervention than men. Both sexes benefit equally from drugeluting stents in preventing repeat revascularisation, with no more adverse outcomes seen in women. This is in contrast to earlier data from trials using bare metal stents. There has been a lack of research that includes enough women to provide clear reasons for the discrepancy in outcome. But, this could be explained by the higher risk profile and more co-morbid factors seen in women with IHD. Atypical presentation, a delay in seeking medical help, limited access to investigations and revascularisation procedures remain debated issues. However, in most studies done to date, correction for co morbid factors seen in women reveals that gender per se is not associated with worse outcomes. National campaigns and scientific initiatives, such as the Her at Heart initiative, have been active in trying to fulfil the need for more education, as well as more research into gender differences in IHD.
Hassan T, Khamis R, 2005, Acute Coronary Syndromes, Emergency Medicine Guidelines ( EMIBank, Editors: HAssan, Leeds, Publisher: Leeds Teaching Hospitals.
Khamis RY, Rajakulasingam RK, 2003, Combined salmeterol and fluticasone for COPD., Lancet, Vol: 10;361(9369):1652
Thirstrup S, Kampmann JP, 2003, Combined salmeterol and fluticasone for COPD, LANCET, Vol: 361, Pages: 1650-1651, ISSN: 0140-6736
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- Citations: 1
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