Kelvin SW SiewUniversity of Malaya | UM · Department of Medicine
Kelvin SW Siew
Doctor of Medicine, MBBS (Malaya)
About
19
Publications
6,329
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103
Citations
Introduction
Dr Siew completed his School of Medicine at the University of Malaya in 2018. He had experience as a clinical researcher in the Cardiology Department, University Malaya Medical Centre where he acquires the skills on data analysis and literature review. Besides, he has keen interest in the field of cardiology and worked on numerous research projects. At present, he is practising clinical medicine in the Department of Internal Medicine, Sligo University Hospital, Ireland.
Skills and Expertise
Additional affiliations
July 2018 - present
Education
September 2013 - June 2018
Publications
Publications (19)
Background:
Swallow or deglutition syncope is an unusual type of neurally-mediated syncope associated with life-threatening bradyarrhythmia and hypotension. It is a difficult condition to diagnose with commonly delayed diagnosis and management. There is lack of review articles that elucidate the basic demographics, clinical characteristics and man...
Takotsubo syndrome (TTS), also known as Takotsubo cardiomyopathy, is a transient left ventricular wall dysfunction that is often triggered by physical or emotional stressors. Although TTS is a rare disease with a prevalence of only 0.5% to 0.9% in the general population, it is often misdiagnosed as acute coronary syndrome. A diagnosis of TTS can be...
Background:
Staphylococcus has replaced streptococcus as the most common cause of infective endocarditis (IE) in developed health care systems. The trend in developing countries is less clear.
Aim:
To examine the epidemiological trends of infective endocarditis in a developing nation.
Methods:
Single-centre, retrospective study of patients adm...
Non-Ischemic Cardiomyopathies are rare, the clinical data of cardiomyopathies among Malaysian and the regional population are extremely sparse. We aimed to establish demographic data, clinical characteristics, current management strategies and prognosis of Malaysian patients with non-ischemic dilated and hypertrophic cardiomyopathy. We aimed to com...
A middle-aged woman had a central venous catheter insertion for fluid resuscitation presented with tachypnea and oxygen desaturation 6 h later. Diagnosis was made based on the chest X-ray performed 6 h after the catheter placement. Thereafter, the patient received appropriate treatment.
Background: Percutaneous Transvenous Mitral Commissurotomy (PTMC) is a procedure of choice for the treatment of severe mitral stenosis. We aimed to describe our experiences on management of rheumatic heart disease with PTMC in Malaysia.
Background
Atorvastatin and sacubitril/valsartan (EntrestoTM) have been cornerstones in managing patients with coronary artery disease and heart failure. We report a case of life-threatening rhabdomyolysis associated with the co-administration of atorvastatin and sacubitril/valsartan.
Case Summary
A 58-year-old male with coronary heart disease and...
Introduction:
Coronary artery disease (CAD) is the leading cause of mortality in Malaysia. Psychological risk factors are associated with detrimental outcomes in CAD. Our study aimed to evaluate procedural anxiety and depression levels among subjects who underwent coronary angioplasty.
Methods:
A single-centre prospective cohort study was conducte...
Primary cardiac tumor remains exceedingly rare, accounting for 0.5 cases per million of the population annually. We report a case of cardiac tumor, which was initially misdiagnosed as heart failure secondary to acute coronary syndrome. The diagnosis was revised later after routine echocardiography in the ward. A 39-year-old gentleman who presented...
Background
Optimal cut-offs for B-type natriuretic peptide (BNP) for the diagnosis of heart failure differ based on ethnicity. There are no data for Southeast Asian patients. We aimed to define the optimal cut-off points and the strength of B-type natriuretic peptide as a predictor of heart failure in Southeast Asian multiethnic population.
Method...
Stigmatization and social anxiety affecting people living with psoriasis have been associated with poorer quality of life and psychological comorbidities. We conducted a survey among 164 individuals to evaluate misconceptions, discriminatory behavior, and prejudices toward people with psoriasis. At least one misconception was recorded in 64.6% (n =...
Full Text Link: http://www.dermatology.org.my/pdf/MJD_June2019.pdf
Familial benign chronic pemphigus is a rare autosomal dominant genodermatosis that frequently involves the flexures. The disease often runs a recurrent course with limited treatment options. We report the case of a 65-year-old male patient who successfully achieved disease remissi...
Full Suppl. Publication: https://onlinelibrary.wiley.com/doi/abs/10.1002/ejhf.1488
Swallow syncope is a rare neurally-mediated syncope associated with life-threatening bradyarrhythmia and hypotension. It is a difficult condition to diagnose, commonly missed by physicians resulting in delayed diagnosis and treatment. We reviewed entire published literature and summarize all the data to provide a guidance for physicians encounterin...
We aim to determine factors associated with steatosis and liver fibrosis progression in CHC, Malaysian population. The conclusion from our study will be beneficial for clinician to provide an optimal management plan for their CHC patients.
Identify the frequency of contact sensitisation to various allergens using Patch Test.
Questions
Questions (5)
My paper had been accepted for publication in Journal X recently. The editor would like a statement of mine in acknowledge section to state that an abstract of the topic was published previously in Y conference. May I know how should I put those in words?
Cardiomyopathy (CMP) is an uncommon diseases that often lead to heart failure. Dilated and Hypertrophic CMP are the major type of CMP. The epidemiology data (Incidence and Prevalence) of the diseases is lacking in the Asian region. Owing to the less advance medical record system in my country, we are unable to know the exact number of patient with CMP in the population hence the prevalence. I only have the number of CMP admission to my hospital per year (2013-2018), would it be possible to calculate "Incident rate" for the given year, per 100,000 hospital admission? Or Is there any better method of calculation could be more representative of the population? Your professional input are highly appreciated.
Dear all,
I am new to choosing a target journal for submission and all advise are highly appreciated. I am intended to submit a rare cardiology case with literature review of 100 + cases reported over the past 6 decades. Is there any suitable journal with reasonable impact factors still accepting case reports?
I emailed BMJ heart but apparently they no longer accepting case reports as they did once upon a time. Do Heart Asia, Open heart, BMC be a suitable choice?
A recent study ( ) published in 2018 show that in Premature TVD patient, PCI has an equal long-term benefit on all-cause mortality compare to CABG superior to medical therapy alone. Another study showed ( ) LIMA grafting is superior to PCI (BMS/DES), associating with a lower risk of future coronary diseases progression. Say, an elderly patient presented with massive AMI and may not be fit for surgery, PCI may be the best option. For these Premature TVD (younger age group), if they were to fit for surgery, wouldn't CABG offer better long-term benefit? It would be interesting to explore perspectives on coronary revascularization.
Liver Biopsy had been the Gold standard for staging of liver steatosis and fibrosis. FibroScan is a recent advancement of non invasive imaging came along with LSM and CAP score. Based on several studies, LSM score is reflecting closely to METAVIR staging system for liver fibrosis. May I know what is the most commonly use staging system for steatosis where CAP score could reference to? I found Kleiner Classification and NAFLD score, however I am unsure which is the accurate system.
