[{"title":"Annual Report of the NCVD-ACS Registry Year 2020-2021","imageObject":{"title":""},"imageSecond":{"title":""},"blurb":"\u003Cp style=\"text-align:justify\"\u003EThe 2020\u20132021 Report of the National Cardiovascular Disease \u2013 Acute Coronary Syndrome (NCVD-ACS) Registry is the 8th Report since its inception in 2006. Over the last 15 years, we gained great insight into ACS in Malaysia \u2013 including patient profiles, clinical presentations, clinical management, and prognosis.\u003C\/p\u003E\r\n","content":"\u003Cp style=\"text-align:justify\"\u003E\u003Cspan style=\"color:#3498db\"\u003EPREFACE\u003C\/span\u003E\u003Cbr \/\u003E\r\nThe 2020\u20132021 Report of the National Cardiovascular Disease \u2013 Acute Coronary Syndrome (NCVD-ACS) Registry is the 8th Report since its inception in 2006. Over the last 15 years, we gained great insight into ACS in Malaysia \u2013 including patient profiles, clinical presentations, clinical management, and prognosis.\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EThis Report is unique, capturing data during the COVID-19 pandemic, illustrating the commitment of centres across Malaysia that continued to provide care for ACS during this challenging time. Also, it demonstrates the perseverance to continue contributing data to this Registry, from which this Report is built on.\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EAs we emerge from the COVID-19 pandemic, valuable lessons were learnt, notwithstanding the way we manage ACS cases during and after the pandemic. The NCVD-ACS has been very much a part of this learning journey \u2013 generating data, valuable clinical information, and peer-reviewed publications. Data from the NCVD ACS Registries are now incorporated into National Clinical Practice Guidelines, making them more relevant to the local clinical setting.\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EThis Report continues to reflect the immense work from across Malaysia, from all the contributing source data providers (SDPs) \u2013 sites from both public and private sectors. From that commitment together with our team from Heart House and the Writing Committee led by Prof Dr Wan Azman Wan Ahmad, we can generate this valuable Report. I would like to thank Prof Dr Wan Azman and all those who contributed time and energy, beyond their clinical duties, to put the Report together. This Report will be a valuable resource for healthcare providers, policy makers and other stakeholders.\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EI acknowledge the efforts of the previous NCVD Governance Board and Steering Committee of the NCVD ACS Registry, who provided leadership, including during the pandemic.\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EWe also thank the Ministry of Health Malaysia, who provided invaluable support and resources, together with the National Heart Association of Malaysia, to sustain this Registry, which is one of the oldest and largest Registries for ACS in Asia. Our Registry will play a greater role beyond our borders, and this 8th Report will continue to champion this effort.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThank you.\u003Cbr \/\u003E\r\n\u003Cstrong\u003EDr. Alan Fong Yean Yip\u003C\/strong\u003E\u003Cbr \/\u003E\r\nChairman, NCVD Governance Board\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u00a0\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Ca href=\"management.file\/doc\/202405117557113419.pdf\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202405115945111793.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202405111594357117.png","document":"202405117557113419.pdf"},"files":{"library":["202405115945111793.jpg"]},"id":"402","fid":"238","url":"annual-report-of-the-ncvd-acs-registry-year-2020-2021"},{"title":"Annual Report of the NCVD-PCI \u003Cbr\u003ERegistry Year 2019-2020","imageObject":{"title":""},"imageSecond":{"title":""},"content":"\u003Ch1\u003E\u003Cspan style=\"font-size:20px\"\u003E\u003Cspan style=\"color:#3498db\"\u003E\u003Cstrong\u003EFOREWORD\u003C\/strong\u003E\u003C\/span\u003E\u003C\/span\u003E\u003C\/h1\u003E\r\n\r\n\u003Cp\u003EGreetings and Salam!\u003Cbr \/\u003E\r\nSeventeen years ago, on 9th August 2006, we started the national multicentre NCVD PCI registry. Today, we are proud to see this registry grown and continue to bear fruits!\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThe first three reports accumulated data of our PCI experience from 2007 to 2014; it included 38,595 patients, 41,997 procedures and 54,202 coronary lesions. From 2015\u20132016, we had 19,494 patients who underwent procedures and 14,815 (76%) patients with coronary lesions. In 2017\u20132018 report, it included 21,618 patients who underwent procedures, with 15,144 (70.1%) with coronary lesions.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThis latest report (2019-2020) included 24,309 patients who underwent procedures, with 19,007 (78.2%) with coronary lesions.\u003Cbr \/\u003E\r\nWe hope the registry provides a \u201creal-world\u201d database of contemporary PCI practice in Malaysia. The registry is a guide to evaluate PCI outcomes based on selected performance measures; to determine the cost-effectiveness of PCI, and to determine the level of adherence to practice guidelines. The registry is also a platform to stimulate research; to facilitate quality improvement activities; to act as a reference for future studies; to facilitate research and development; and to benchmark with other national\/regional PCI registries such as ASPECT, ASEAN.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EWith commitment and teamwork, much has been achieved. However, much remains to be done. The way forward is to go beyond \u201coutput\u201d to \u201coutcome\u201d, and beyond \u201cquantity\u201d to \u201cquality\u201d. With the sizeable number of cases reported, we may now embark on more analysis on trends and subgroups, to determine the factors that contribute to procedural success and long-term patient-centred outcomes. To this end, we may embark in appraising our practice by referring to both clinical practice guidelines and appropriateness use criteria.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EBeyond its value in improving healthcare service, our registry has proven to be a platform for registry-based randomised controlled trials and post-marketing surveillance as required by the recent regulations for medical devices. This is integral in the ever-changing field of interventional cardiology.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThe way forward for the coming decades will depend on the continuous commitment and support in leadership and funding from NHAM. The machinery of the NCVD registry lies with each of us. The NCVD-PCI registry will continue to be a voluntary collaborative group, with shared ownership. Participating sites will continue to have free access to their \u2018own\u2019 institutional database to facilitate local quality-assurance activities.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EWe will continue to uphold the \u2018code of honor\u2019: Together, everyone achieves more.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EHappy Reading. We welcome feedback and comments.\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cem\u003E\u003Cstrong\u003EDr Liew Houng Bang\u003C\/strong\u003E\u003Cbr \/\u003E\r\nChairman\u003Cbr \/\u003E\r\nNCVD-Percutaneous Coronary Intervention (PCI) Registry\u003C\/em\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u00a0\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EClick below to download the report in PDF copy:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003E\u003Ca href=\"management.file\/doc\/202307124235611798.pdf\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u00a0\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u00a0\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202307125613989117.png","document":"202307124235611798.pdf"},"files":{"library":["202307128395716191.jpg"]},"blurb":"\u003Cp style=\"text-align:justify\"\u003EThe first three reports accumulated data of our PCI experience from 2007 to 2014; it included 38,595 patients, 41,997 procedures and 54,202 coronary lesions. From 2015\u20132016, we had 19,494 patients who underwent procedures and 14,815 (76%) patients with coronary lesions. In 2017\u20132018 report, it included 21,618 patients who underwent procedures, with 15,144 (70.1%) with coronary lesions.\u003C\/p\u003E\r\n","id":"246","fid":"238","url":"annual-report-of-the-ncvd-pci-br-registry-year-2019-2020"},{"title":"Annual Report of the NCVD-ACS\u003Cbr\u003E\u00a0Registry Year 2018 - 2019","imageObject":{"title":""},"imageSecond":{"title":""},"content":"\u003Ch1\u003E\u003Cspan style=\"font-size:20px\"\u003E\u003Cspan style=\"color:#3498db\"\u003E\u003Cstrong\u003EPREFACE\u003C\/strong\u003E\u003C\/span\u003E\u003C\/span\u003E\u003C\/h1\u003E\r\n\r\n\u003Cp\u003EThe 2018\u20132019 Report of the National Cardiovascular Disease \u2013 Acute Coronary Syndrome (NCVD-ACS) Registry is the 7th Report since its inception in 2006. Over the last 15 years, we gained great insight into ACS inbMalaysia \u2013 from the patient profiles to clinical presentations, clinical management and prognosis.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EDuring this time, we have also seen the evolution of diagnostic and treatments, with improvements in access to hospitals managing patients with ACS and the manner by which medical education on improving ACS cases is shared. The NCVD-ACS has been very much a part of this journey \u2013 generating data, valuable clinical information and peer-reviewed publications, such that patients with ACS in Malaysia are experiencing improved clinical outcomes. Data from the NCVD ACS Registries is now incorporated into the National Clinical Practice Guidelines, making them more relevant to the local clinical setting.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThis Report is the result of immense work from across Malaysia, from all the contributing source data providers (SDPs) \u2013 sites from both public and private sectors \u2013 under a voluntary reporting process. From that commitment, our team in the Heart House, and the Writing Committee led by Prof Dr Wan Azman Wan Ahmad, were able to generate this valuable Report. I would like to thank him and all those who contributed time and energy, beyond their clinical duties, to put these chapters together. This Report is the fruit of a truly National effort, befitting its title, which in itself will be a valuable resource for healthcare providers, policy\u003Cbr \/\u003E\r\nmakers and other stakeholders.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EI acknowledge the efforts from the previous NCVD Governance Board and Steering Committee of the NCVD ACS Registry, who provided the leadership, including during this pandemic. On behalf of the newly appointed NCVD Governance Board, I would like to congratulate A\/Prof Ahmad Syadi Mahmood Zuhdi on his appointment and that of the new Steering Committee, who I am sure will elevate this Registry to even greater\u003Cbr \/\u003E\r\nheights.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EWe also thank the Ministry of Health Malaysia, who provided invaluable support and resources, together with the National Heart Association of Malaysia, to sustain this Registry. As one of the oldest and largest Registries for ACS in Asia, our Registry will play a greater role beyond our borders. The NCVD-ACS Registry continues the legacy of its pioneering team, whom I am sure will be very proud of this 7th Report.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThank you.\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cbr \/\u003E\r\n\u003Cstrong\u003EDr. Alan Fong Yean Yip\u003Cbr \/\u003E\r\nChairman, NCVD Governance Board\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u00a0\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EClick below to download the report in PDF copy:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003E\u003Ca href=\"management.file\/doc\/202307129868511835.pdf\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u00a0\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u00a0\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202307125614188893.png","document":"202307129868511835.pdf"},"blurb":"\u003Cp style=\"text-align:justify\"\u003EThe 2018\u20132019 Report of the National Cardiovascular Disease \u2013 Acute Coronary Syndrome (NCVD-ACS) Registry is the 7th Report since its inception in 2006. Over the last 15 years, we gained great insight into ACS inbMalaysia \u2013 from the patient profiles to clinical presentations, clinical management and prognosis.\u003C\/p\u003E\r\n","id":"252","fid":"238","url":"annual-report-of-the-ncvd-acs-br-registry-year-2018-2019"},{"title":"Summary - Annual Report NCVD-ACS\u003Cbr\u003E\u00a0Registry 2006-2019","imageObject":{"title":""},"imageSecond":{"title":""},"content":"\u003Cp\u003ESummary of key findings from the\u00a0\u003Cstrong\u003EAnnual Reports of the National Cardiovascular Disease Database (NCVD) ACS Registry 2006 - 2019\u003C\/strong\u003E.\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EClick below to download the report in PDF copy:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003E\u003Ca href=\"management.file\/doc\/202307121310958464.pdf\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u00a0\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u00a0\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202307129241564801.png","document":"202307121310958464.pdf"},"blurb":"","id":"253","fid":"238","url":"summary-annual-report-ncvd-acs-br-registry-2006-2019"},{"title":"Annual Report of the NCVD-ACS \u003Cbr\u003ERegistry Year 2016 - 2017","imageObject":{"title":""},"imageSecond":{"title":""},"content":"\u003Cp\u003EThis is the 6th report of the National Cardiovascular Disease-Acute Coronary Syndrome Registry (NCVD-ACS).We have gained tremendously from the previous reports of 2006, 2007\u20132008, 2009\u20132010, 2011\u20132013, and 2014\u20132015. We were able to see the trends in the way our patients present and the treatment they received. More importantly, with concerted efforts especially in getting our patients to undergo coronary angiogram and angioplasty, we have been able to reduce mortality, which is the hardest end-point. The number of primary PCIs have increased and even with thrombolytic therapy we see an improvement in a shorter door-to-needle time. I would like to postulate that these improvements are due to better knowledge and improvement in managing\u003Cbr \/\u003E\r\nprocesses in the Emergency Departments. It could only be done with knowing where we stand, achieved by having our NCVD-ACS.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThis report was made possible primarily due to the many source data providers (SDPs) who have voluntarily contributed valuable information into our secured electronic database. The information obtained from SDPs across the country have not only provided a snapshot of ACS in Malaysia, but more significantly, uninterrupted annual data on the disease since 2006. We would like to acknowledge the contribution of our peers and colleagues in both the Governance Board of the NCVD and the Steering Committee of the NCVD-ACS Registry. We also commend the efforts of the NCVD Medical Writing Committee for this report, led by Prof Dr. Wan Azman Wan Ahmad, who has put in over a decade of work into all the reports of the NCVD-ACS Registry published to date. His leadership and tireless efforts can be reflected in this excellent report which you have today.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EWe would also like to thank the Ministry of Health (MOH) Malaysia for the initial financial grant for the NCVD Registries and the National Heart Association of Malaysia together with the Health Informatics Centre, MOH Malaysia for the yearly financial support which helped sustain the NCVD-ACS Registry for the last 15 years. In the event the MOH wishes to set up a national data warehouse, we hope this will improve data collection and resource sharing in a smooth manner and enable easy access of the data to be utilised by the relevant stakeholders.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EFinally, it is our genuine hope that this report will encourage even greater participation of centres in Malaysia, and we especially invite the private institutions to come on board to submit their data to the NCVD-ACS Registry. This will give a true reflection of the standard of care for the whole country. It is hoped that with the wealth of data accumulated from this registry, there will be more outcome-based research that will help to improve healthcare delivery and patient outcomes in Malaysia.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThank you.\u003Cbr \/\u003E\r\nDatuk Dr. Rosli Mohd Ali\u003Cbr \/\u003E\r\nChairman, NCVD Governance Board\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EClick below to download the report in PDF copy:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003E\u003Ca href=\"management.file\/doc\/202307121511299864.pdf\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u00a0\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u00a0\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"document":"202307121511299864.pdf","imageObject":"202307129562181241.png"},"blurb":"\u003Cp style=\"text-align:justify\"\u003EThis is the 6th report of the National Cardiovascular Disease-Acute Coronary Syndrome Registry (NCVD-ACS).We have gained tremendously from the previous reports of 2006, 2007\u20132008, 2009\u20132010, 2011\u20132013, and 2014\u20132015. We were able to see the trends in the way our patients present and the treatment they received. More importantly, with concerted efforts especially in getting our patients to undergo coronary angiogram and angioplasty, we have been able to reduce mortality, which is the hardest end-point. The number of primary PCIs have increased and even with thrombolytic therapy we see an improvement in a shorter door-to-needle time.\u003C\/p\u003E\r\n","id":"254","fid":"238","url":"annual-report-of-the-ncvd-acs-br-registry-year-2016-2017"},{"title":"Annual Report of the NCVD-PCI \u003Cbr\u003ERegistry Year 2017 - 2018","imageObject":{"title":""},"imageSecond":{"title":""},"content":"\u003Cp\u003EThe 2017-2018 PCI Registry is the sixth report since the inception of the Registry in 2007. This report provides information on not only the interventional cardiology practice in major cardiac centres in Malaysia but also the patients who underwent the interventional procedures. Such data is crucial as it represents facts rather than the usual estimates generated for the practicing healthcare professionals, private and public hospital administrators, policy makers, patients advocates, as well as the pharmaceutical and insurance industries. In addition to being an academic reference, the report can be used to improve quality of care, delivery of services, and healthcare planning.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EA vast amount of data was collected, and this was only made possible with the countless hours the medical and nursing staff from individual sites throughout Malaysia spent uploading the information online. I thank them for their effort, commitment, perseverance, and enthusiasm for the last ten years; they have truly gone beyond the call of duty.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EOur sincere gratitude to the writing committee headed by Prof Dr Wan Azman Wan Ahmad, which devoted many weekends pouring through the data, analysing the figures, and transforming the data into meaningful information. I thank them for the effort and commitment, which truly showcased their passion for this project. Our thanks also to the NCVD secretariat staffs in the Heart House, who quietly worked behind the scene, consistently following through and coordinating with the site investigators, the sub-investigators, the writing committee, the statisticians, etc. Without them, the registry and report would not have come together.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EWe strongly encourage everyone involved in the registry to fully utilise its immense data and to publish in medical journals so that the information can be shared worldwide; enabling Malaysia to truly contribute to the practice of cardiology globally. Lastly, we would like to thank the National Heart Association of Malaysia and Health Informatics Centre of the Ministry of Health Malaysia, to make this costly registry a reality. Thank you.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThank you.\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EDr Rosli Mohd Ali\u003C\/strong\u003E\u003Cbr \/\u003E\r\nChairman, NCVD Governance Board\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EClick below to download the report in PDF copy:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003E\u003Ca href=\"management.file\/doc\/202307121043189596.pdf\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u00a0\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u00a0\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202307121409136598.png","document":"202307121043189596.pdf"},"blurb":"\u003Cp style=\"text-align:justify\"\u003EThe 2017-2018 PCI Registry is the sixth report since the inception of the Registry in 2007. This report provides information on not only the interventional cardiology practice in major cardiac centres in Malaysia but also the patients who underwent the interventional procedures. Such data is crucial as it represents facts rather than the usual estimates generated for the practicing healthcare professionals, private and public hospital administrators, policy makers, patients advocates, as well as the pharmaceutical and insurance industries. In addition to being an academic reference, the report can be used to improve quality of care, delivery of services, and healthcare planning.\u003C\/p\u003E\r\n","id":"255","fid":"238","url":"annual-report-of-the-ncvd-pci-br-registry-year-2017-2018"},{"title":"Research Article: Sex and gender differences in presentation, treatment and outcomes in acute coronary syndrome, a 10 year study from a multi-ethnic Asian population: The Malaysian National Cardiovascular Disease Database\u2014Acute Coronary Syndrome (NCVD-ACS","imageObject":{"title":""},"imageSecond":{"title":""},"blurb":"","content":"\u003Cp\u003E\u003Cstrong\u003EClick below to download the report in PDF copy:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003E\u003Ca href=\"management.file\/doc\/202312265731880601.pdf\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u00a0\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202312266001158783.jpg"},"files":{"documents":["202312265731880601.pdf"]},"id":"317","fid":"238","url":"research-article-sex-and-gender-differences-in-presentation-treatment-and-outcomes-in-acute-coronary-syndrome-a-10-year-study-from-a-multi-ethnic-asian-population-the-malaysian-national-cardiovascular-disease-database-acute-coronary-syndrome-ncvd-acs"},{"title":"Research Article: Short and long-term mortality prediction after an cute ST-elevation myocardial infarction (STEMI) in Asians: A machine learning approach","imageObject":{"title":""},"imageSecond":{"title":""},"blurb":"","content":"\u003Cp\u003E\u003Cstrong\u003EClick below to download the report in PDF copy:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003E\u003Ca href=\"management.file\/doc\/202312268250012317.pdf\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u00a0\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202312262320085711.jpg"},"files":{"documents":["202312268250012317.pdf"]},"id":"318","fid":"238","url":"research-article-short-and-long-term-mortality-prediction-after-an-cute-st-elevation-myocardial-infarction-stemi-in-asians-a-machine-learning-approach"},{"title":"Annual Report of the NCVD-PCI\u003Cbr\u003ERegistry 2015-2016","imageObject":{"title":""},"imageSecond":{"title":""},"blurb":"\u003Cp style=\"text-align:justify\"\u003ETen years ago, on 9th August 2006, we started this national multicentre NCVD PCI registry. Today, we are proud to see this registry grown and starting to bear fruits! The 2015-2016 report is the fifth report of the NCVD-PCI registry.\u003C\/p\u003E\r\n","content":"\u003Cp style=\"text-align:justify\"\u003E\u003Cstrong\u003EFOREWORD FROM THE NCVD-PCI REGISTRY CHAIRMAN:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003E\u003Cbr \/\u003E\r\nGreetings and Salam!\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003ETen years ago, on 9th August 2006, we started this national multicentre NCVD PCI registry. Today, we are proud to see this registry grown and starting to bear fruits! The 2015-2016 report is the fifth report of the NCVD-PCI registry.\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EWe hope the registry will provide a ''real-world\" database of contemporary PCI practice in Malaysia. We began this registry with the objectives to evaluate the outcomes of PCI based on selected performance measures, to determine the cost-effectiveness of PCI, to determine the level of adherence to practice guideline, to stimulate research, to facilitate quality improvement activities, to act as a reference for future studies, to facilitate research and development, and to benchmark against other national\/regional PCI registries. e.g. ASPECT, ASEAN.\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EMuch has been achieved, through the commitment and teamwork from everyone! However, there is more to do still. The way forward is to go beyond \"output\" to \"outcome\", beyond \"quantity'' to \"quality''. With the sizeable number of cases reported, we may now embark on more analysis of trends and subgroups, to determine the factors that contribute to procedural success and long-term patient-centred outcomes. To this end, we may embark to appraise our practice based on both clinical practice guidelines (CPG) and appropriateness use criteria (AUC).\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EBeyond the value to service improvement, our registry may provide the platform for 'registry-based randomised controlled trials\", post-marketing surveillance as required by the recent governance of medical devices in the everchanging field of interventional cardiology.\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EThe way forward for the next decade and beyond will depend on continual commitment and support in leadership and funding from NHAM. The machinery of the NCVD registry lies with each of us. The NCVD-PCI registry will continue to be a voluntary collaborative group, with shared ownership. Participating sites will continue to have free access to their 'own' institutional database to facilitate local quality-assurance activities. We continue to uphold the 'code of honour',\u00a0\u003Cem\u003ETogether everyone achieves more.\u003C\/em\u003E\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003EWe would also like to take this opportunity to thank everyone who has contributed to this registry. Happy Reading.\u003Cbr \/\u003E\r\nWe welcome feedback and comments.\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003E\u003Cbr \/\u003E\r\n\u003Cstrong\u003EDr Liew Houng Bang\u003C\/strong\u003E\u003Cbr \/\u003E\r\nChairman, Steering Committee\u003Cbr \/\u003E\r\nNCVD-PCI Registry\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003ETo download the report please click the link below:\u003C\/p\u003E\r\n\r\n\u003Cp style=\"text-align:justify\"\u003E\u003Cstrong\u003E\u003Ca href=\"management.file\/doc\/202312266335087811.pdf\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202312268683517103.jpg"},"files":{"documents":["202312266335087811.pdf"]},"id":"319","fid":"238","url":"annual-report-of-the-ncvd-pci-br-registry-2015-2016"},{"title":"Summary - Annual Report NCVD-ACS \u003Cbr\u003ERegistry 2006-2015","imageObject":{"title":""},"imageSecond":{"title":""},"blurb":"","content":"\u003Cp\u003E\u003Cspan style=\"font-size:16px\"\u003E\u003Cstrong\u003ESummary of key findings from the\u00a0Annual Reports of the National Cardiovascular Disease Database (NCVD) ACS Registry 2006 - 2015.\u003C\/strong\u003E\u003C\/span\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cspan style=\"font-size:16px\"\u003E\u003Cstrong\u003EClick link below to download in PDF:\u003C\/strong\u003E\u003C\/span\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003E\u003Ca href=\"management.file\/doc\/202312293341107817.pdf\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202312291074813371.jpg"},"files":{"documents":["202312293341107817.pdf"]},"id":"330","fid":"238","url":"summary-annual-report-ncvd-acs-br-registry-2006-2015"},{"title":"Annual Report of the NCVD-ACS\u003Cbr\u003E\u00a0Registry 2014-2015","imageObject":{"title":""},"imageSecond":{"title":""},"blurb":"","content":"\u003Cp\u003E\u003Cstrong\u003EFOREWORD FROM THE NCVD-ACS REGISTRY CHAIRMAN:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003EAfter a decade since the inception of the National Cardiovascular Disease, Acute Coronary Syndrome (NCVDACS) Registry, it is my great honour and pleasure to present you this 5th Report \u2013 a compilation of data involving patients admitted with ACS in Malaysia, between the years of 2014\u20132015.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EData from 17,771 patients from 23 source data providers (SDPs) was collected and analysed. The volume of data compiled reflects the dedication of all those involved at the SDPs, staff of the National Heart Association of Malaysia (NHAM) and those involved from the Ministry of Health (MOH), who have been consistent in their efforts to ensure the data collected remained of the highest quality. There has been a year-on-year increase in thenumber of patient notification reports into the NCVD-ACS Registry; In 2015, for the first time, we crossed the 10,000 patients mark!\u003C\/p\u003E\r\n\r\n\u003Cp\u003EOn behalf of the Steering Committee of the NCVD-ACS Registry, I would like to thank all those who contributed to the writing of this report and the Governance Board of the NCVD for their support. This report also examines the similarities and differences among the patients with ACS admitted between 2014\u20132015 and those described in the previous report.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EOver the last decade, deaths from circulatory diseases including ACS, remains the principal cause of mortality in the country. Data from previous NCVD-ACS Registry reports have been published and have directly contributed to our National Clinical Practice Guidelines (CPGs). Through the NCVD-ACS Registry reports, we have seen the impact of CPGs and the subsequent reduction in in-hospital and 30-day all-cause mortality rates.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EFinally, I would like to acknowledge Prof Datuk Paduka Dr Wan Azman and Prof Datuk Dr Sim Kui Hian for their vision and leadership over the last decade and for their direct involvement in this NCVD Registry. Through their efforts, the NCVD-ACS Registry is now one of the largest, prospective, single disease registries of Malaysia. This Registry will provide greater insight into ACS pathophysiology, management and impact on patients in our nation. It will also serve as the main resource for future research and policy planning to improve health outcomes of such patients.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThank you.\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EDr Alan Fong Yean Yip\u003C\/strong\u003E\u003Cbr \/\u003E\r\nChairman, Steering Committee\u003Cbr \/\u003E\r\nNCVD-ACS Registry\u003C\/p\u003E\r\n\r\n\u003Cp\u003ETo download the report click the link below:\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003E\u003Ca href=\"management.file\/doc\/202312296423813370.pdf\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202312293416038337.jpg"},"files":{"documents":["202312296423813370.pdf"]},"id":"331","fid":"238","url":"annual-report-of-the-ncvd-acs-br-registry-2014-2015"},{"title":"Annual Report of the NCVD-PCI \u003Cbr\u003ERegistry 2013-2014","imageObject":{"title":""},"imageSecond":{"title":""},"blurb":"","content":"\u003Cp\u003E\u003Cstrong\u003EFOREWORD FROM THE NCVD-PCI REGISTRY CHAIRMAN:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003EGreetings and Salam!\u003C\/p\u003E\r\n\r\n\u003Cp\u003ETen years ago, on 9th August 2006, we started this national multicentre NCVD PCI registry. Today, we are proud to see this registry grown and starting to bear fruits! This latest report accumulates our PCI experience involving 38,595 patients, 41,997 procedures and 54,202 coronary lesions since 2007 to 2014.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EWe hope the registry will provide a \u201creal-world\u201d database of contemporary PCI practice in Malaysia. We began this registry with the objectives to evaluate the outcomes of PCI based on selected performance measures, to determine the cost-effectiveness of PCI, to determine the level of adherence to practice guideline, to stimulate research, to facilitate quality improvement activities, to act as a reference for future studies, to facilitate research and development, and to benchmark against other national\/regional PCI registries. e.g. ASPECT, ASEAN.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EMuch has been achieved, through the commitment and teamwork from everyone! However, there is more to do still. The way forward is to go beyond \u201coutput\u201d to \u201coutcome\u201d, beyond \u201cquantity\u201d to \u201cquality\u201d. With the sizeable number of cases reported, we may now embark on more analysis of trends and subgroups, to determine the factors that contribute to procedural success and long-term patient-centred outcomes. To this end, we may embark to appraise our practice based on both clinical practice guidelines (CPG) and appropriateness use criteria (AUC).\u003C\/p\u003E\r\n\r\n\u003Cp\u003EBeyond the value to service improvement, our registry may provide the platform for \u2018registry-based randomised controlled trials\u201d, post-marketing surveillance as required by the recent governance of medical devices in the ever-changing field of interventional cardiology.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThe way forward for the next decade and beyond will depend on continual commitment and support in leadership and funding from NHAM. The machinery of the NCVD registry lies with each of us. The NCVD-PCI registry will continue to be a voluntary collaborative group, with shared ownership. Participating sites will continue to have free access to their \u2018own\u2019 institutional database to facilitate local quality-assurance activities. We continue to uphold the \u2018code of honour\u2019, Together everyone achieves more.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EWe would also like to take this opportunity to thank Dr Rosli Mohd Ali, for his leadership, dedication and perseverance.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EHappy Reading. We welcome feedback and comments.\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EDr Liew Houng Bang\u003C\/strong\u003E\u003Cbr \/\u003E\r\nChairman\u003Cbr \/\u003E\r\nNCVD-Percutaneous Coronary Intervention (PCI) Registry\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EClick below to download the report in PDF copy:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003E\u003Ca href=\"management.file\/doc\/202401029647411079.pdf\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202401024479067191.jpg"},"files":{"documents":["202401029647411079.pdf"]},"id":"332","fid":"238","url":"annual-report-of-the-ncvd-pci-br-registry-2013-2014"},{"title":"Annual Report of the NCVD-ACS\u003Cbr\u003ERegistry 2011-2013","imageObject":{"title":""},"imageSecond":{"title":""},"blurb":"","content":"\u003Cp\u003ELaunched: April, 2015\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EForeword from the Chairman & Co-Chairman of the NCVD-ACS Registry:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003EIt is with genuine pride and enthusiasm that we compile and present this, the 4th report of the National Cardiovascular Disease Database \u2013 Acute Coronary Syndrome (NCVD-ACS) Registry year 2011 to 2013 for Malaysians in general, and healthcare providers in particular. It is a culmination of sustained dedication and commitment of many people whom we are proud to acknowledge on behalf of the National Heart Association of Malaysia (NHAM).\u003C\/p\u003E\r\n\r\n\u003Cp\u003EOver the years, the number of hospitals involved in the registry has steadily increased and we now have 22 hospitals involved. We are also in the process of involving private hospitals in the registry.\u003C\/p\u003E\r\n\r\n\u003Cp\u003ESince we started in 2006, we have managed to collect important data from 31,635 patients in the management of Acute Coronary Syndrome (ACS). From our registry, we know that the disease trend is alarming, involving younger patients with multiple co-morbidities. This has enabled us to get a clearer picture of the profile of patients presenting with ACS in our country. With this information we can better plan for improvements in treating this number one killer in our country.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThe Ministry of Health Malaysia and the NHAM have been providing support and funding for this to continue. We would also like to take this opportunity to thank the editors Prof Dr Wan Azman Wan Ahmad and YB Senator Datuk Dr Sim Kui-Hian together with the writing committee for their tireless efforts over the weekends to prepare this report. On behalf of the NCVD-ACS committee, we would also like to extend our sincere thanks to those who have worked hard in maintaining this registry, in particular the staff in the various hospitals and the Ministry of Health Malaysia.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EFinally once again, on behalf of the NHAM, thank you and keep up the good work. We encourage the health providers to use this information effectively to combat this nationwide problem.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThank you.\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cbr \/\u003E\r\n\u003Cstrong\u003EDato' Dr Azhari Rosman\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u003C\/strong\u003E\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u003Cstrong\u003EDatuk Dr Jeyaindran Tan Sri Sinnadurai\u003C\/strong\u003E\u003Cbr \/\u003E\r\nChairman\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Co-Chairman\u003Cbr \/\u003E\r\nNCVD-ACS Registry\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 NCVD-ACS Registry\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EClick below to download the report in PDF copy:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003E\u003Ca href=\"management.file\/doc\/202401021711356450.pdf\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202401020144657131.jpg"},"files":{"documents":["202401021711356450.pdf"]},"id":"333","fid":"238","url":"annual-report-of-the-ncvd-acs-br-registry-2011-2013"},{"title":"Annual Report of the NCVD-PCI\u003Cbr\u003E Registry 2010-2012","imageObject":{"title":""},"imageSecond":{"title":""},"blurb":"","content":"\u003Cp\u003E\u003Cstrong\u003EForeword from the Chairman of the NCVD-PCI Registry:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThis is the 3rd report for the NCVD-PCI Registry accounting for the period from 2010-2012. This report gives us an opportunity to compare the baseline characteristics, presentation, lesion complexity, device use and clinical outcome between these two periods 2007-2009 and 2010-2012. The mean age for PCI remains approximately the same i.e. 57 years. Our PCI population is still younger than in the Western countries. Of concern 72% have three or more cardiovascular risk factors. Males still predominate females by 4:1.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EIn this report, more procedures were for stable coronary artery disease (CAD) as compared to acute coronary syndrome (65.2% vs. 56.4%). This may not be a true reflection as some stable CAD cases were PCI for patients post AMI. The door to balloon time has remained the same with a median of 90 min but what appears troubling is the delay in transferring patients to a hospital with catheterization lab facilities (180 min in 2007-2009 vs. 220 min in 2010-2012).\u003C\/p\u003E\r\n\r\n\u003Cp\u003EWe continue to perform a high number of complex lesions (Type B2 and C lesions: 58.8% in 2007- 2009 vs. 61.6% in 2010-2012).The use of drug eluting stent (DES) has increased over the years from 53.0% to 64.0%, reflecting the change in practice and possibly due to reduced cost of DES.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThe procedural success rate remains high (96.8% vs. 95.3%). The mortality rate has continued to remain low both for in-hospital (1.8% vs. 1.1%) and 30-day outcome (1.7% vs. 2.3%), for the two periods 2007-2009 and 2010-2012.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EI would like to thank Prof Dr Wan Azman and his team for the excellent work undertaking the writing of this report, NCVD secretariat for managing the registry and to all the participating hospitals and their staff for sending in data.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EAnd I look forward to discussions that will be generated from this publication and future publications.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThank you.\u003Cbr \/\u003E\r\n\u003Cstrong\u003EDato\u2019 Dr Rosli Mohd Ali\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u00a0\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EClick below to download the report in PDF copy:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003E\u003Ca href=\"management.file\/doc\/202401025860421172.pdf\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202401026104712581.png"},"files":{"documents":["202401025860421172.pdf"]},"id":"334","fid":"238","url":"annual-report-of-the-ncvd-pci-br-registry-2010-2012"},{"title":"Annual Report of the NCVD-ACS \u003Cbr\u003ERegistry 2009 & 2010","imageObject":{"title":""},"imageSecond":{"title":""},"blurb":"","content":"\u003Cp\u003E\u003Cstrong\u003EForeword from the Chairman & Co-Chairman of the NCVD-ACS Registry:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThis report will present findings from data collected in the year 2009 and 2010, and we compared these with the findings from previous years. Over this period, the number of hospitals involved in the registry has increased and we now have 16 hospitals. However there is still no involvement yet from the private hospitals. The continuing challenge appears to be to sustain the number of data entries from each participating hospital. In some centers, the numbers have increased, whilst in others it has actually decreased. Part of the reason is due to lack of manpower in participating centers to key-in data. The number of follow-up is also decreasing.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EIt cannot be overstated that such a database is very important for any nation particularly that pertaining to coronary artery disease. As it is, the picture beginning to emerge appears rather alarming. Apart from the fact that is still the number one killer in our country, it appears to affect an even younger proportion of our population. More worrying is that the number of women having this disease is also on the rise. However, it may be just a presumption. Therefore, it is hoped that this registry will give us a better idea of the groups most at risk and also the pattern of disease. This will enable us to plan the necessary steps to mitigate its impact on our society. The National Heart Association of Malaysia (NHAM) is fully aware of this registry\u2019s importance and continues to fund the ACS registry.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThe WHO and United Nations has already recognized this problem and has undertaken several initiatives for various countries to adopt in combating this disease. However, the cornerstone of any strategy is still data. For coronary artery disease, this (ACS registry) together with the PCI registry forms the backbone of our information. Last year, we have improved on the data entry forms and have appointed study coordinators in various centres. We hope that this will improve the quality and amount of information submitted to the database. However commitment and participation are the two main ingredients of a successful registry.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EOn behalf of the NCVD-ACS committee, we are grateful to many people in making this registry a reality. Not least the Ministry of Health, the participating centers, the doctors, nurses and paramedics involved in data collection, entry and the writing committees for their tireless efforts. It is hoped that in future, more centres, and the number of individuals involved in this project including the writing committee members, will come forward. Our ambition is to one day submit our registry and be accepted in a peer reviewed journal. We congratulate everyone involved for their excellent work and hope that we can continue to do this over the coming years.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThank you.\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cbr \/\u003E\r\n\u003Cstrong\u003EDatuk Prof Dr Azhari Rosman\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u003C\/strong\u003E\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u003Cstrong\u003EDatuk Dr Jeyaindran Tan Sri Sinnadurai\u003C\/strong\u003E\u003Cbr \/\u003E\r\nChairman\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Co-Chairman\u003Cbr \/\u003E\r\nNCVD-ACS Registry\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 NCVD-ACS Registry\u003Cbr \/\u003E\r\nPresident\u003Cbr \/\u003E\r\nNational Heart Association of Malaysia\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EClick below to download the report in PDF copy:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003E\u003Ca href=\"https:\/\/acrm.org.my\/ncvd\/pciReport_09.php\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202401025173164610.jpeg"},"id":"335","fid":"238","url":"annual-report-of-the-ncvd-acs-br-registry-2009-2010"},{"title":"Annual Report of the NCVD-ACS\u003Cbr\u003ERegistry 2007 & 2008","imageObject":{"title":""},"imageSecond":{"title":""},"blurb":"","content":"\u003Cp\u003E\u003Cstrong\u003EMESSAGE FROM THE AMERICAN COLLEGE OF CARDIOLOGY\u003C\/strong\u003E\u003Cbr \/\u003E\r\nHeart House, 2400 N Street NW, Washington DC, 20037\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nOn behalf of the American College of Cardiology, we extend our sincerest congratulations for the 2007 & 2008 report of the Malaysian NCVD Acute Coronary Syndrome Registry. This is a tremendous accomplishment offering valuable patient data of 6,500 additional Malaysian patients entered since your landmark 2006 inaugural report.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nThere have been tremendous advances in ACS treatment over the last 25 years. Despite these advances, however, it is clear that evidence is unevenly translated into clinical practice. In virtually all countries and practice settings where it has been measured, there are significant gaps between guideline recommendations and actual clinical care. In the United States, the Institute of Medicine has said there is a \"quality chasm\" in healthcare, and has strongly advocated the need to make healthcare delivery more effective, safe, equitable, timely, efficient, and patient-centered.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nTo achieve these aims of higher quality of care, a critical first step is to measure how care is currently being delivered. Only in this way, can gaps in care delivery be identified and targeted quality improvement interventions be implemented. In this way, quality improvement itself becomes \"evidence-based\", and is more likely to lead to substantive improvements in patient outcomes.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nWith this context, the Malaysian Acute Coronary Syndrome Registry continues to be a tremendous accomplishment. This is a world-leading effort demonstrating the importance of clinical registries as a facilitator of improving quality of care and patient outcomes. The data reported here should lead to targeted local and national quality improvement efforts for ACS care in Malaysia. The ongoing existence of the registry will allow tracking of the impact of these quality improvement efforts on processes of care and patient outcomes. If you do not measure it, you cannot manage it!\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nThe American College of Cardiology National Cardiovascular Data Registry (NCDR) currently includes an ACS registry as well as four other quality improvement registry programs in the United States. The mission of the NCDR is to improve the quality of cardiovascular patient care by providing information, knowledge and tools, implementing quality initiatives; and supporting research that improves patient care and outcomes.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nThis is clearly a shared mission with the Malaysian Acute Coronary Syndrome Registry\/NCVD. As such, I hope that we can work collaboratively to show the world how to optimally measure and improve the quality of care and outcomes of patients with cardiovascular disease.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nSincerely,\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\n\u003Cstrong\u003ERalph G. Brindis, MD MPH FACC\u003C\/strong\u003E\u003Cbr \/\u003E\r\nPresident, American College of Cardiology\u003Cbr \/\u003E\r\nImmediate Past Chair and Chief Medical Officer, ACC National Cardiovascular Data Registry\u003Cbr \/\u003E\r\n(NCDR)\u003Cbr \/\u003E\r\nEmail: rbrindis@acc.org\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\n\u003Cstrong\u003EJohn S. Rumsfeld, MD PhD FACC FAHA\u003C\/strong\u003E\u003Cbr \/\u003E\r\nChief Science Officer and Chairman of the Management Board,\u003Cbr \/\u003E\r\nAmerican College of Cardiology National Cardiovascular\u003Cbr \/\u003E\r\nData Registry (NCDR)\u003Cbr \/\u003E\r\nEmail: jrumsfel@acc.org\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\n\u003Cstrong\u003EKindly click on the link below to download the full report.\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003E\u003Ca href=\"https:\/\/acrm.org.my\/ncvd\/acsReport_07-08.php\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202401027415761130.jpg"},"id":"336","fid":"238","url":"annual-report-of-the-ncvd-acs-br-registry-2007-2008"},{"title":"Annual Report of the NCVD \u003Cbr\u003E PCI Registry year 2007-2009","imageObject":{"title":""},"imageSecond":{"title":""},"blurb":"","content":"\u003Cp\u003E\u003Cstrong\u003EMESSAGE FROM DIRECTOR-GENERAL OF HEALTH MALAYSIA\u003C\/strong\u003E\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nSince the introduction of percutaneous coronary (PCI) registry in Malaysia in 1983, it has been extensively practiced and developed, keeping pace with advanced technologies worldwide.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nIn recognition of the importance of a nation-wide record for PCI, NCVD-PCI registry was introduced and the first report was published in 2009, which covered comprehensive information including patient characteristics, lesion, procedural details and outcome.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nAs a continuation of their sincere effort, the National Cardiovascular Disease Database team has now published the PCI registry report for the year 2007 to 2009. The current data provides more comprehensive information regarding the practice of PCI in Malaysia. It will undoubtedly contribute in future planning and funding of cardiac care services.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nI would like to express my appreciation to the National Cardiovascular Disease Database team for the production and publication of the PCI registry report 2007-2009. I would like to thank the Clinical Research Centre, National Institute of Health, Malaysia and the National Heart Association of Malaysia for co-ordinating and supporting this registry.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nI hope this report will help to improve the over-all cardiac service and research in Malaysia.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nThank you.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\n\u003Cstrong\u003EDato' Dr. Hasan Bin Abdul Rahman\u003C\/strong\u003E\u003Cbr \/\u003E\r\nDirector-General of Health Malaysia\u003Cbr \/\u003E\r\nMinistry of Health Malaysia\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EKindly click on the link below to download the full report.\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003E\u003Ca href=\"https:\/\/acrm.org.my\/ncvd\/pciReport_07-09.php\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202401025013968147.jpg"},"id":"337","fid":"238","url":"annual-report-of-the-ncvd-br-pci-registry-year-2007-2009"},{"title":"Annual Report of the NCVD-PCI\u003Cbr\u003E Registry Year 2007","imageObject":{"title":""},"imageSecond":{"title":""},"blurb":"","content":"\u003Cp\u003E\u003Cstrong\u003EForeword By The Director General Of Health, Malaysia\u003C\/strong\u003E\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nPercutaneous Coronary Intervention (PCI) for coronary artery disease has seen rapid and significant technological advances since its introduction, in the last 30 years. The technique has been adopted worldwide and now is the commonest modality of revascularization, with increasing numbers of patients being treated every year.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nIn Malaysia, PCI has taken a great stride forward in the last 20 years. It was performed at various setups, including the National Heart Institute, Ministry of Health hospitals, university hospitals and also private hospitals. In recognition of the importance of this treatment modality in this country, it is timely for Malaysia to have its own registry.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nThis report provides information on the establishment of PCI services in our country, patient characteristics, clinical presentations, lesions characteristics, procedural details with regards to device utilisation and outcomes. As the report comprehensively covers such vital information it will undoubtedly be used as a point of reference for policy makers in future planning and funding of cardiac care services.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nI would like to congratulate the National Cardiovascular Disease Database team for the production and publication of the inaugural PCI Registry report for year 2007. Together, I would like to commend the Clinical Research Centre, National Institute of Health, Malaysia and the National Heart Association of Malaysia for coordinating and supporting this registry. This is indeed an important endeavour in striving to provide state-of-the-art care for our ischaemic heart disease patients in this country.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\nI wish you all the best and thank you for this fine effort.\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\n\u003Cstrong\u003EY. Bhg. Tan Sri Dato' Seri Dr Hj Mohd Ismail Merican\u003C\/strong\u003E\u003Cbr \/\u003E\r\nDirector-General of Health Malaysia\u003Cbr \/\u003E\r\nMinistry of Health Malaysia\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EClick below to download the report in PDF copy:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003E\u003Ca href=\"management.file\/doc\/202401021430006716.pdf\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202401026170304061.jpg"},"files":{"documents":["202401021430006716.pdf"]},"id":"338","fid":"238","url":"annual-report-of-the-ncvd-pci-br-registry-year-2007"},{"title":"Annual Report of the NCVD-ACS\u003Cbr\u003E Registry 2006","imageObject":{"title":""},"imageSecond":{"title":""},"blurb":"","content":"\u003Cp\u003E\u003Cstrong\u003EInaugural Report of the Acute Coronary Syndrome (ACS) Registry 2006\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EAbout\u00a0NCVD\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThe National Cardiovascular Database (NCVD) is a service supported by the Ministry of Health Malaysia (MOH) to collect information about cardiovascular disease in Malaysia, which will enable us to know the incidence of cardiovascular disease, and to evaluate its risk factors and treatment in the country. This information is useful in assisting the MOH, Non - Governmental Organizations, private healthcare providers and industry in programme planning and evaluation, leading to cardiovascular disease prevention and control.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EThe NCVD is established to integrate various existing databases in individual hospitals either in MOH hospitals or private and other data sources to achieve a nation-wide cardiovascular database.\u003C\/p\u003E\r\n\r\n\u003Cp\u003ERationale for Acute Coronary Syndrome (ACS) registry Several important issues arise when applying the rigorous standards and protocols from clinical trials into real-life practice which include questions like:\u003C\/p\u003E\r\n\r\n\u003Cp\u003E* Are the population and the patient groups in Malaysia similar to those being investigated in the clinical trials?\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\n* Are our hospitals following the guidelines set out by the expert committees?\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\n* Are we seeing the same results and benefits of implementing evidence-based strategies?\u003Cbr \/\u003E\r\n\u003Cbr \/\u003E\r\n* Which strategy will be the best value in terms of cost-effectiveness for the Ministry?\u003C\/p\u003E\r\n\r\n\u003Cp\u003EFurthermore, at present much of what we understand about risk and likelihood of CV disease and indeed its incidence and prevalence are derived from \"Western\" data. There is now an increasing awareness of ethnic variations and risk, socio-cultural and socio-economic influences as well as geographical variations. The risk prediction of ACS is also unclear andmay be different from CV disease patients with chronic stable angina.These are the reasons why a registry is needed, as it is provides the real-life data that would represent the population.\u003C\/p\u003E\r\n\r\n\u003Cp\u003EFor further reading, kindly download full document below...\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003EClick below to download the report in PDF copy:\u003C\/strong\u003E\u003C\/p\u003E\r\n\r\n\u003Cp\u003E\u003Cstrong\u003E\u003Ca href=\"management.file\/doc\/202401020186613471.pdf\" target=\"_blank\"\u003E\u003Cimg alt=\"\" src=\"management.file\/img\/202307128395716191.jpg\" style=\"height:73px; width:318px\" \/\u003E\u003C\/a\u003E\u003C\/strong\u003E\u003C\/p\u003E\r\n","video":{"title":""},"document":{"title":""},"file":{"imageObject":"202401023611706814.jpg"},"files":{"documents":["202401020186613471.pdf"]},"id":"339","fid":"238","url":"annual-report-of-the-ncvd-acs-br-registry-2006"}]
National Heart Association of Malaysia
D-13A-06, Menara Suezcap 1, KL Gateway,
No.2 Jalan Kerinchi, Gerbang Kerinchi Lestari,
59200 Kuala Lumpur, Malaysia.
