Contents pages

Heart

Lung and Circulation Contents Vol. 25 Supplement 1, 2016

ABSTRACTS FROM THE ‘CARDIAC SOCIETY OF AUSTRALIA AND NEW ZEALAND ANNUAL SCIENTIFIC MEETING’; IN ROTORUA, NEW ZEALAND; 23–25 JUNE 2016 S1 Management of Aortic Stenosis: Wellington Hospital Population Shakiya Ershad, Phillip Matsis, Catherine Goggin, Brett Adams, Mary Heeney, Shona Paxton, Mariusz Wolbinski and Alexander Sasse

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Tricuspid Annular Plane Systolic Excursion (TAPSE) by 2-Dimensional (2D) Echocardiography Laura Perston, John Lainchbury and Richard Troughton

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Farewell to Legs? 1 year Experience of Femoral Access in the Cardiovascular Unit North Shore Hospital – Safe to Reduce Further? Ruth Newcombe, Tony Scott, Seif El Jack and Tim Glenie

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A Novel Form of High Intensity Interval Training for Improving Cardiorespiratory Fitness in CAD Patients Brendon Roxburgh, Thomas Meder, Tyler Elliott, Graeme Carrick-Ranson and Stacey Reading

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Risk Factor Burden in Young First-acute Coronary Syndrome Patients: The ANZACS-QI New Zealand National Cohort Nikki Earle, Katrina Poppe, Malcolm Legget, Rob Doughty, Anna Rolleston and Andrew Kerr

S6

Inter-observer Agreement and Variability Using 3D Echocardiography Based Mitral Valve Reconstruction Mariusz Wolbinski, Ali Al-Sinan, Ben Wilkins, Shakiya Ershad, Catherine Goggin and Alexander Sasse

System Change to Deliver Timely Reperfusion for Myocardial Infarction in Regional New Zealand: The NMDHB STEMI Pathway Experience Tammy Pegg, Kris Gagliardi, Gilda McArthur and Nick Fisher

S6

Feasibility and Benefits of Changing from a Femoral Vein to Basilic Vein Approach in Patients Undergoing Right Heart Catheterisation at Tauranga Hospital Jason Money, Graeme Porter, Emma Aiken and James Gilling

Paramedic-initiated Helivac to Tertiary Hospital for Primary Percutaneous Coronary Intervention: A Strategy for Improving Treatment Delivery Times Paul Davis, Peter Ruygrok, Stephen Jennison, Ryan Howard and Graham Howie

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Comparison of Procedural Success and Outcomes in Contemporary Coronary CTO PCI in a New Zealand Tertiary Referral Centre Sarah Fairley and Scott Harding

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CT Coronary Angiography can Safely Exclude Significant Coronary Artery Disease in Patients Undergoing Isolated Valve or Ascending Aorta Surgery Adele Pope, Amelia Shin, Pete Barr, Alexander Smith, Andrew Fyfe, Francis Wu, Jen Li Looi, Ruvin Gabriel and Niels van Pelt

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Contemporary Revascularisation Practice in Diabetics and Non-diabetics after ACS in New Zealand: An ANZACS-QI Sub-study Michael Stubbs, Andrew Kerr, Mark Webster and Mildred Lee

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Resurrect: Resumption of Platelet Function by Verify Now P2Y12 Assay After the Cessation of Ticagelor in Patients with Acute Coronary Syndrome Awaiting Coronary Artery Bypass Grafting Surgery Usman Bhutta, Marcus Lee, Liz Low, Liz Wanner, Kat Raman, Vijay Pera, Kashif Khokhar, T.V. Liew, Cherian Sebastian, Spencer Heald, Christopher Nunn and Gerard Devlin

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The ERUPT Study - Evaluating the Rate of Undiagnosed Type 2 Diabetes in Patients (Erupt) Referred for Coronary Angiograms Cathrine Patten Exercise Treadmill Tests in Patients with Low Cardiovascular Risk: Are We Wasting Our Time? Rachel Forrest, Bob Marshall, Judy Searle and Sarah Dixon

S7

Improving Discharge Medication Prescription Rates for ACS Patients at Tauranga Hospital, a Quality Improvement Initiative- ANZACS-QI Chethan Kasargod, Jennifer Goodson and Jonathan Tisch

S11 The Natural and Unnatural History of Acute Rheumatic Fever in the Modern Era Abigail North, Walston Martis, Tim Sutton, Dianna Lennon, Briar Peat, Vigna Vignakumar and Ross Nicholson

S8

Investigation Into Resuscitated Sudden Death; How Are We Doing? Amanda Graham, Mark Bekhit, Anna Wilson, Janice Swampillai, Spencer Heald and Martin K. Stiles

S12 Performance of Contemporary Risk Scores for Mitral Valve Surgery Tom Kai Ming Wang, Sophie Harmos, Tharumenthiran Ramanathan and Peter Ruygrok

S8

Outcome Comparison Between Endotracheal Intubation and Laryngeal Mask Airway Use in Outof-hospital Cardiac Arrest: A New Zealand Registry Study Paul Davey and Bridget Dicker

S12 Low Pressure Radial Artery Haemostasis: Safe or too Minimalistic? Tonia Bromley

S8

Atrial Fibrillation in New Zealand Primary Care Katrina Poppe, Rob Doughty, Jeff Harrison, Matire Harwood and Rod Jackson

S9

Reduced Hospitalisation and Improved Documentation of Risk Stratification – Impact of a New Acute Atrial Fibrillation (AF) Pathway Muhammad Arshad, David Smyth, Iain Melton, Scott Pearson and Richard Troughton

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Computed Tomography Coronary Angiogram to Exclude Significant Coronary Artery Disease in Prospective Renal Transplant Candidates Amelia Shin, Adele Pope, Pete Barr, Alexander Smith, Andrew Fyfe, Francis Wu, Jen Li Looi, Ruvin Gabriel and Niels van Pelt

S10 A Multiscale Computational Model of the Heart: Exploring Space Medicine and Terrestrial Applications Patrick Gladding, Sarah Gleeson, Yi-Wen Liao, Clementina Dugo, Andrew Cave, Lifeng Zhou, Martin Orr, Kazuaki Negishi, Alan Borowski, Jagir Hussan, Peter Hunter, Mohammed Kassemi, David Martin, Benjamin Levine, Todd Schlegel and James Thomas S10 Machine Learning Applied to Advanced ECG and Echocardiographic Metadata, in Patients with Left Ventricular Dysfunction Sarah Gleeson, Yi-Wen Liao, Clementina Dugo, Andrew Cave, Lifeng Zhou, Zina Ayar, Jonathan Christiansen, Tony Scott, Liane Dawson, Andrew Gavin, Todd Schlegel and Patrick Gladding S11 Initial Trial of a Simple Echocardiogram Severity Score Assessment by Cardiac Sonographers at Waikato and Tairawhiti District Health Boards Matches Cardiologist Gradings Reasonably Well, Gives Helpful Information on Pathology Load and Demonstrates Regional Cardiologist Reporting Inequity Mark Davis, Jackie Toy, Kyle Forster, Jill Eastham, Tom Mortemore and Tracy Low

S12 Long-term Survival and Outcomes for Patients Receiving Consecutive Bio-prosthetic Aortic Valve Replacements Matthew Haydock, Carissa Wilkes, Indran Ramanathan and David Haydock S13 PFO Closure in Cryptogenic Embolic Events, Wellington Registry 2008-2016 Andrew Borrie, Phillip Matsis, Scott Harding, Peter Larsen and Alexander Sasse S13 How Many Patients are Discharged with 5 Secondary Prevention Medications after ACS in NZ? Aleksandar Cicovic, Chethan Kasargod, Mildred Lee, Barry Kneale, Jennifer Goodson and Andrew Kerr S14 NZ Clinicians Prefer Clopidogrel to Ticagrelor after ACS in the Elderly and in Renal Impairment: An ANZACS-QI Substudy Aleksandar Cicovic, Chethan Kasargod, Mildred Lee, Barry Kneale, Jennifer Goodson and Andrew Kerr S14 A Systematic Literature Review Examining Antithrombotic Therapy in Atrial Fibrillation (AF) Patients with an Acute Coronary Syndrome (ACS) Aimee Fake, Peter Larsen and Scott Harding S14 Recurrent Ischaemic Heart Disease Hospitalisations in New Zealand are Declining More Rapidly than First Hospitalisations: An ANZACS-QI National Data-Linkage Study Corina Grey, Rod Jackson, Sue Wells, Wing Cheuk Chan, Harvey White, Yannan Jiang and Andrew Kerr S15 Variation in the Use of Ticagrelor after Myocardial Infarction Across NZ: ANZACS-QI Registry Data Chethan Kasargod, Jennifer Goodson, Mildred Lee, Barry Kneale and Andrew Kerr S15 Time to Reperfusion in Patients with ST Elevation Myocardial Infarction Presenting via Different and Distinct Logistic Pathways Matthew Kent, Peter Ruygrok, Karishma Sidhu, Jim Stewart, Anil Nair, Chris Ellis and Mark Webster

S16 Acute Coronary Syndrome (ACS) Outcomes in the Very Elderly in the Bay of Plenty Barry Kneale, Josh Nicholson and Jennifer Goodson

S21 Atrial Fibrillation After Cardiac Surgery Mohammed Alawami, Rajaie Ghashi and Laurence Walker

S16 Evolving Transcatheter Aortic Valve Implantation (TAVI)- Mercy Experience 2008–2016 John Ormiston, Malcolm Legget, Bruce Webber, Mark Webster, Jim Stewart, Indran Ramanathan, Parma Nand and Nelis Kruger

S21 What a Shocker - Six Months of Direct Current Cardioversion (DCCV) at Tauranga Hospital Rory Bennett and Catherine Moore

S17 How Effectively are we Picking Low-Hanging Fruit? An Audit of Diabetes Screening in ACS Patients at BOPDHB Allan Plant, Jennifer Goodson and Jonathan Tisch S17 STEMI in Christchurch: A Retrospective Study of Delay Maxine Rhodes S17 PCI Practice in New Zealand after ACS – More Complex in those with Diabetes? (ANZACS-QI) Michael Stubbs S17 Surgical Risk Scores in Transcatheter Aortic Valve Implantation: Meta-analysis of Performance Tom Kai Ming Wang and Peter Ruygrok S18 Dialysis-requiring Acute Kidney Injury after Coronary Artery Bypass Grafting: Performance of Six Risk Models Tom Kai Ming Wang, Tharumenthiran Ramanathan and Harvey White S18 Percutaneous MitraClip Versus Mitral Valve Surgery: Meta-analysis of Treating Severe Mitral Regurgitation Tom Kai Ming Wang, Michael Tzu Min Wang and Peter Ruygrok S19 Sonographer Led Valve Follow-Up Clinic, 10 Years Experience Steve White, Tammy Pegg and Nick Fisher S19 Left Atrial Appendage Closure. Experience from Wellington Regional Hospital Ben Wilkins, Phillip Matsis and Alexander Sasse S19 Heart Failure Diagnoses in Primary Care: Can we Help the Queries? Raewyn Fisher, Catherine Callagher and Julie Jay S20 Heart Failure in Primary Care: Improving Management (a Pilot Study) Raewyn Fisher, Julie Jay and Catherine Callagher S20 Impact of a Heart Failure Discharge Pathway on Quality of Care Markers Among Heart Failure Patients Admitted to General Medicine Sajith Senadeera, Richard Troughton and Anthony Spencer S21 An Audit of Clinical Utilisation of Amino-terminal Fraction Brain Natriuretic Peptide (NT-proBNP) Assays in Taranaki Base Hospital Pavan Thaneeru

S22 Longevity Study in Elderly (>79 years) Patients Following Permanent Pacemaker Insertion Chethan Kasargod, Dean Boddington, Sheryl Tait, Kate Swinson, Tracey Cumming and Jennifer Goodson S22 Improving Pacing Services in NZ Dean Boddington, Jonathan Tisch, Sheryl Tait, Tracey Cumming and Kate Swinson S22 First 100 Cryoablation Procedures for AF by an AF Ablation Novice Operator Dean Boddington and Sergej Cicovic S23 Provision of Pacemaker Services to Fiji Dean Boddington and Fiona Riddell S23 Superior Vena Cava Isolation In Atrial Fibrillation Ablation: The Auckland Experience Hilary Goh, Christine Jones, Khang Li Looi, Andrew Gavin and Nigel Lever S23 Prolonged Temporary Pacing: Auckland Experience Kelly Turner, Maree Oliver, Margaret Hood, Nigel Lever and Khang Li Looi S24 Outcomes of Atrial Fibrillation Ablation: The Auckland Experience Hilary Goh, Christine Jones, Khang Li Looi, Andrew Gavin and Nigel Lever S24 Routine Echocardiography Post Atrial Fibrillation Ablation is of Low Utility Hilary Goh, Christine Jones, Khang Li Looi and Nigel Lever S24 Catch Me if You Can! Chethan Kasargod, Barbara Barker, Michelle Bayles and Graeme F. Porter S25 Minimally-invasive MAZE Procedure for Atrial Fibrillation: A Meta-analysis Tom Kai Ming Wang, Tivya Kulasegaran, Michael Tzu Min Wang and Tharumenthiran Ramanathan S25 Nurse-led Elective Direct Current Cardioversion in the Era of Novel Anticoagulants – a 4-year Analysis Gary T.E. Lau, Warren Smith and Steph MadenholtTitley S25 Long-term Follow-up of Primary and Secondary Prevention Implantable Cardioverter Defibrillator in Patients with Heart Failure Khang-Li Looi, Lisa Cooper, Karishma Sidhu, Liane Dawson, Debbie Slipper, Andrew Gavin and Nigel Lever

S26 Trends in the Use and Outcomes of Cardiac Resynchronisation Therapy in Patients with Heart Failure in the Northern Region of New Zealand Khang-Li Looi, Lisa Cooper, Karishma Sidhu, Liane Dawson, Debbie Slipper, Andrew Gavin and Nigel Lever S26 Implantation of Complex Cardiac Implantable Electronic Devices: Provision of Service at a Regional Cardiac Centre Khang-Li Looi, Lisa Cooper, Karishma Sidhu, Liane Dawson, Debbie Slipper, Margaret Hood, Nigel Lever and Andrew Gavin S27 Cardiac Resynchronisation Therapy in Heart Failure Patients with Chronic Kidney Disease Khang-Li Looi, Lisa Cooper, Karishma Sidhu, Liane Dawson, Debbie Slipper, Andrew Gavin and Nigel Lever S28 Underuse of Primary Prevention Implantable Cardioverter Defibrillator in Women With Heart Failure Khang-Li Looi, Lisa Cooper, Karishma Sidhu, Liane Dawson, Debbie Slipper, Andrew Gavin and Nigel Lever S28 Direct Access to Echocardiography in Line with New Zealand Regional Minimum Standards Leads to Early Detection and Treatment of Valvular Pathology. We Provided Quantitative Data to Facilitate Planning of Similar Care Pathways Danielle Gelbart, Tammy Pegg, Nick Fisher and Steve White S28 The Establishment of CTCA at Northland District Health Board Stephen Jennison, Samraj Nandra, Erin Doherty, Bruce O’Brien and Natalie Presnall S29 Enhancing Echocardiography Services in a Regional Hospital in New Zealand Bernhard Kuepper and Adam Simpson S29 Prevalence and Predictors of Left Atrial Thrombus Prior to DC Cardioversion for Atrial Fibrillation >48 hrs Duration: Do All Patients Need Transoesophageal Echocardiography? Jessica Lovatt, Richard Troughton, John Lainchbury, Paul Bridgman, Christina Chan and Muhammad Arshad

S30 Early versus Delayed Surgery for Infective Endocarditis Complicated by Cerebral Embolism: A Meta-Analysis Michael Tzu Min Wang, Tom Kai Ming Wang and James Pemberton S30 Meta-analysis of Mitral Valve Repair versus Replacement for Infective Endocarditis Michael Tzu Min Wang, Tom Kai Ming Wang and James Pemberton S31 Utility of Endocarditis-specific Risk Scores to Predict Mortality and Morbidity After Infective Endocarditis Surgery Tom Kai Ming Wang, Timothy Oh, Jamie Voss, Nicholas Kang and James Pemberton S31 Meta-analysis of Risk Scores at Predicting Mortality After Surgery for Infective Endocarditis Tom Kai Ming Wang, Michael Tzu Min Wang and James Pemberton S31 Renal Failure After Isolated Aortic Valve Replacement: Predictors and Outcomes Tom Kai Ming Wang, David Choi and Tharumenthiran Ramanathan S32 Contemporary Characteristics and Outcomes of Mitral Valve Repair and Replacement 2005–2012 Tom Kai Ming Wang, Sophie Harmos and Tharumenthiran Ramanathan S32 Mitral Valve Surgery for Octogenarians and Septuagenarians: 8-Year Cohort Study Tom Kai Ming Wang, Sophie Harmos, Tharumenthiran Ramanathan and Peter Ruygrok S32 Fontan Follow-up: A Review of Central New Zealand Congenital Care Ben Wilkins and Andrew Aitken S33 A Waiting Room Questionnaire to Promote a Patientcentered Approach in Cardiology Nurse Clinics Andy Mclachlan, Chris Aldridge, Patricia Sedgewick and Noreen Tully S33 Prolonged Temporary Tunnelled Pacing: Preventing Pressure Areas and Wound Complications Maree Oliver, Kelly Turner and Nigel Lever

S29 Improvement in Risk Assessment and Management of Anticoagulation in Patients with AF in an Australasian Setting: Impact of a New Acute AF Pathway Muhammad Arshad, David Smyth, Iain Melton, Scott Pearson and Richard Troughton

S34 In Your Own Words: What do Patients Priortise for Lifestyle Change Following Outpatient Cardiac Rehabilitation? Chris Aldridge, Andy McLachlan, Katherine McLean, Lani Ioelu, Renee McEwing, Kylie Beehre, Sree Manmadhan and Mary Morgan

S30 Accelerated Diagnostic Protocol Driven Chest Pain Units: An Effective But Underutilised Potential Ken Jin Boon and Sally Aldous

S34 Cardiovascular Risk Assessment in New Zealand: The Challenge of Targeting at Risk Populations Kim Arcus and Gerry Devlin

S34 “A Heart Attack is Not Always as Dramatic as You Think”. Results of a Public Awareness Campaign in New Zealand Kim Arcus, Gerry Devlin, Gina Williams, Janna Alexander and Shameen DeSilva

S37 Improving Cardiac Rehabilitation Nurse-led Clinics Boost Uptake of Cardioprotective Medications at 6 Months Wendy Marshall, Susan Reed, Yvonne Johansen, Cathy Gasparini Gasparini and Jocelyne Benatar

S35 Improving Engagement with Healthcare Using a Whanau Ora Approach- a Case Report Jocelyne Benatar, Nathan Asrmstrong, Deidre Cameron and Eraina Harbour

S37 Referral and Attendance at Cardiac Rehabilitation for ACS Patients in South Auckland Andy Mclachlan, Katherine McLean, Chris Aldridge and Andrew Kerr

S35 Improved Physical and Mental Health in Patients with Cardiovascular Disease Following Participation in a Community-Based Exercise Rehabilitation Program Led by Clinical Exercise Physiologists Tyler Elliott, Brendon Roxburgh and Stacey Reading

S38 A Comparison of Heartrate and Rating of Perceived Exertion-based Methods for Prescribing Exercise Intensity in Individuals with Permanent Atrial Fibrillation Graeme Carrick-Ranson, Stacey Reading and Cindy Morrison

S36 A Community Exercise Program in Partnership with Te Hononga o Tamaki Me Hoturoa- a Holistic Approach to Exercise Rehabilitation Cathy Gasparini, Yvonne Johansen, Susan Reed, Wendy Marshall, Jocelyne Benatar, Sugar Te Paa, Nathan Armstrong and Lisa Moodie S36 Primary Prevention of Cardiovascular Disease – What Happens in the Rest of the World? Fraser Hamilton, Gerry Devlin and Kim Arcus S36 Treatment Predicts Who Attends Cardiac Rehabilitation- Are We Underplaying CAD that is Medically Managed? Yvonne Johansen, Wendy Marshall, Susan Reed, Cathy Gasparini and Jocelyne Benatar S37 Cardiovascular Disease Risk Assessment and Management in People Who Experience Serious Mental Illness: An Evidence Review Helen Lockett, Ruth Cunningham, Candace Bagnall and Kim Arcus

S38 Qualitative Evaluation of Prior Cardiovascular Risk Assessment and its Effectiveness in Patients Presenting with their First Diagnosis of Acute Coronary Syndrome Rosalind Poulgrain, Merrin Rutherford and Stewart Mann S39 Cardiac Rehabilitation Nurse Clinics Cathy Gasparini, Jocelyne Benatar, Wendy Marshall, Yvonne Johansen and Susan Reed S39 Experiences of the Cardiovascular Risk Assessment in First Time Acute Coronary Syndrome Patients: Preliminary Findings Merrin Rutherford, Miss Rosalind Poulgrain and Stewart Mann

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AUTHOR INDEX