Shahid Aziz

Pakistan Institute of Nuclear Science and Technology

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David R. Ramsdale

University of Liverpool

Faisal Rasheed

Aligarh Muslim University

Amardeep Ghosh Dastidar

United Lincolnshire Hospitals NHS Trust

Chih Wong

Southmead Hospital

Rabaab Zahra

Quaid-i-Azam University

Rod Stables

Liverpool Heart and Chest Hospital

Andrew Skyrme‐Jones

North Bristol NHS Trust

Simone König

University of Münster

Laisha Gogola

North Bristol NHS Trust

Lynsey Hewitson

Great Western Hospitals NHS Foundation Trust

Cooperative Institutions

Laboratoire Lorrain de Recherche en Informatique et ses Applications

267

University of Liverpool

Liverpool Heart and Chest Hospital

Duke Medical Center

Inserm

McMaster University

University Hospitals Bristol NHS Foundation Trust

Clinical Research Institute

University Hospitals Bristol and Weston NHS Foundation Trust

University of Bristol

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Thyrotoxicosis and Neck Pain: Getting the Right Test at the Right Time

The American Journal of Medicine (2013)

Shahid Aziz Ali A. Rizvi

Neck pain

Subacute thyroiditis

Leukocytosis

Levothyroxine

Complete blood count

10.1016/j.amjmed.2013.02.019

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Citations (1)

Amyloidosis with cardiac involvement

Postgraduate Medical Journal (2010)

Adrian Sze Wai Yong Shahid Aziz

Journal Article Amyloidosis with cardiac involvement Get access Adrian Sze Wai Yong, Adrian Sze Wai Yong Department of Cardiology, Southmead Hospital, North Bristol NHS Trust, Westbury-on-Trym, Bristol, UK Search for other works by this author on: Oxford Academic Google Scholar Shahid Aziz Shahid Aziz Department of Cardiology, Southmead Hospital, North Bristol NHS Trust, Westbury-on-Trym, Bristol, UK Correspondence to Dr Shahid Aziz, Department of Cardiology, Medical Directorate, Southmead Hospital, Westbury-on-Trym, Bristol BS10 5NB, UK; shahid.aziz@nbt.nhs.uk Search for other works by this author on: Oxford Academic Google Scholar Postgraduate Medical Journal, Volume 86, Issue 1022, December 2010, Pages 742–743, https://doi.org/10.1136/pgmj.2010.106831 Published: 01 November 2010

Shahid

10.1136/pgmj.2010.106831

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Anomalous origin of left internal mammary artery.

PubMed (2003)

Shahid Aziz David R. Ramsdale

We present a case of a left internal mammary artery (LIMA) originating from the third part of the subclavian artery. Awareness of this possibility is particularly important when considering reintervention after coronary artery bypass surgery and the LIMA appears to be missing rather than obviously occluded.

Left coronary artery

Left subclavian artery

Mammary artery

Left behind

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Citations (4)

Association of type-D personality and left-ventricular remodelling in patients treated with primary percutaneous intervention after ST-segment elevation myocardial infarction

BMC Cardiovascular Disorders (2024)

Zia-ul-Sabah Saif Aboud M. Alqahtani Bandar Hezam Alghamdi Javed Iqbal Wani Shahid Aziz

Type-D personality is an established predisposing factor for various diseases. Type-D traits have been shown to pose a 26% increased risk of coronary artery disease after controlling for other confounding factors. Significant associations have been reported between type-D personality traits and dyslipidaemia, impaired endothelial function, coronary heart disease (CAD), acute myocardial infarction, and other adverse cardiovascular events. To assess the association between type-D personality and left-ventricular adverse remodelling in patients treated with percutaneous coronary intervention following index ST-segment elevation myocardial infarction. All patients hospitalized and treated with percutaneous coronary intervention (PCI) after their index ST-segment elevation myocardial infarction (STEMI) between 1 January 2022 to 31 December 2023 were prospectively enrolled. Type-D personality traits in the study population were determined at baseline using type-D Scale-14 (DS14) instrument, whereas any positive change in left ventricular end diastolic volume (LVEDV) ≥ 20% at follow up period of 12-months from baseline was defined as left-ventricular adverse remodelling (LVAR). Univariate and multivariate analysis was done to establish the independent predictors of LVAR. The area under receiver-operating characteristic curve (AUROC) was employed to assess the sensitivity and specificity of the identified independent predictors. A total of 124 patients were enrolled in the study. The mean age of the study population was 67 ± 10 years and the overall incidence of LVAR was found to be 25%. Multivariate regression analysis revealed that type-D personality is a significant independent predictor of LVAR $$\:(OR:2.51;95\%CI:1.16-5.77;p=0.03)$$ apart from the already established independent predictors Killip Class $$\:\:(OR:7.30;95\%CI:3.03-17.55;p<0.0001)$$ , baseline Global Longitudinal strain (GLS) $$\:\:(OR:2.69;95\%CI:1.19-6.61;p=0.01)$$ , and 3-vessel CAD $$\:\:(OR:2.27;95CI:1.10-5.33;p=0.04)$$ . In ROC curve analysis type-D personality as an independent predictor of LVAR achieved a sensitivity of 41.4% and a specificity of 87.1%, p < 0.02. Type-D personality trait is a significant independent predictor of LVAR in patients treated with PCI after their index-STEMI.

Angiology

Vascular surgery

Elevation (ballistics)

10.1186/s12872-024-04254-7

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Chronic Total Occlusions – The Challenge Continues

European Cardiology Review (2006)

Shahid Aziz David R. Ramsdale

Chronic total occlusions (CTOs) remain one of the greatest challenges facing interventional cardiologists and represent 10-15% of all percutaneous coronary intervention (PCI) procedures performed.1 Not only are procedures more prolonged and involve additional radiation exposure, but audit data from the British Cardiovascular Intervention Society for 2005 reported a procedural success of only 68% compared with 95% for non-CTO lesions.2 Many patients are therefore left untreated or referred for coronary artery bypass graft (CABG) surgery.

Interventional cardiology

10.15420/ecr.2006.0.2.1c

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Citations (1)

Which is the true channel?

PubMed (2004)

Abdul R. Halabi Michael H. Sketch James E. Tcheng Punit Goel Kul Aggarwal

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Chronic total occlusions--a stiff challenge requiring a major breakthrough: is there light at the end of the tunnel?

Heart (2005)

Shahid Aziz

tunnel?

Coronary occlusion

Lumen (anatomy)

10.1136/hrt.2004.058495

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Citations (31)

Risk factor profiles for gastric cancer prediction with respect to Helicobacter pylori: A study of a tertiary care hospital in Pakistan

Artificial Intelligence in Gastroenterology (2023)

Shahid Aziz Simone König Muhammad Umer Tayyab Saeed Akhter Shafqat Iqbal

Tertiary care

10.35712/aig.v4.i1.10

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Prognostic role of the Rockwood Clinical Frailty Scale in patients with acute heart failure:results from a single-centre retrospective cohort study

European Heart Journal Acute Cardiovascular Care (2021)

Fraser Todd Chih Wong Lynsey Hewitson Ahmed Mohamed J Doolub

Abstract Funding Acknowledgements Type of funding sources: None. Background Acute decompensated heart failure carries a poor prognosis and places a significant burden on healthcare resources. Our ability to predict patients at high risk of deterioration is limited. The Rockwood Clinical Frailty Scale (CFS) is an established frailty screening tool that stratifies patients on a nine-point scale ranging from 1 (very well) to 9 (terminally ill) providing a useful measure of physiological reserve. CFS is used extensively for general prognostication in geriatric populations, yet its impact on mortality specifically in patients admitted with acute heart failure remains sparsely investigated. Purpose We performed a retrospective cohort study to investigate the prognostic role for CFS for short term mortality in patients admitted with acute heart failure. Methods Over a period of 16 weeks (7th January – 27th April 2020), 283 consecutive patients presenting to our hospital with signs and symptoms of acute heart failure were identified. Discharge summaries, electronic notes and shared care networks were manually searched for each patient to determine frailty score, baseline demographics, admission bloods and co-morbidity indices. Short term mortality at 30 days was recorded from electronic hospital and GP records. Univariate and multivariate Cox regression analysis was performed to identify clinical and biochemical predictors of mortality. Results In total, 283 patients were admitted with acute heart failure over the study period (mean age 81+/-10 years, 46% female. The mean CFS score was 5+/-1 and mean Charlson Comorbidity Index score 8+/-3. 15% of patients died within 30 days. On univariate analysis age, creatinine, Charlson Comorbidity Index and CFS were associated with prognosis. On multivariate analysis, only CFS was found to be an independent predictor of mortality (hazard ratio 1.36, p = 0.029). Conclusion This study demonstrates a clear relationship between increasing frailty score and short-term mortality in acute heart failure. The CFS is a rapid and easily accessible screening tool used widely throughout the UK. This work highlights its potential for use alongside other parameters in prognostication of patients presenting with acute decompensated heart failure. Further work is needed to explore the impact on longer term mortality and to determine practical implementation in this setting. Abstract Figure.

Charlson comorbidity index

Univariate analysis

Vital signs

Acute care

10.1093/ehjacc/zuab020.042

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Citations (1)

Creatine kinase testing: What and why?

British Journal of Cardiac Nursing (2010)

Shahid Aziz

The enzyme creatine kinase (CK) is present in large concentrations in skeletal muscle, smooth muscle and cardiac muscle. Elevated levels of CK in the blood can occur in conditions where there is damage to cardiac or skeletal muscle. This article briefly discusses the underlying biology and clinical applications of serum CK testing.

Creatine kinase

Cardiac muscle

10.12968/bjca.2010.5.8.69339

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