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M EDIC AL S PO TLIGHT A/Prof Tan Huay Cheem

Director, National University Heart Centre, Singapore (NUHCS) Associate Professor Tan Huay Cheem graduated from the National University of Singapore (NUS) in 1987 and obtained his Masters of Medicine in Internal Medicine and Membership of Royal College of Physician (United Kingdom) in 1992. He did his Interventional Cardiology fellowship at Duke University Medical Centre, North Carolina, USA, in 1995. He received Fellowship of American College of Cardiology in 2001, Fellowship of Society of Coronary Angiography and Intervention in 2002 and Fellowship of Royal College of Physician in 2004. He also received Vascular Ultrasonography training at St Vincentʼs Hospital, Sydney, Australia; and carotid stenting at Taiwan National University Hospital. He is presently a Senior Consultant in the Cardiac Department at the National University Hospital (NUH), Singapore. His concurrent appointments are Director, NUHCS and Associate Professor, Yong Loo Lin School of Medicine, NUS. Prof Tan is regularly invited as lecturer and faculty in many international cardiology meetings. He is also an active clinical researcher and is a visiting professor to several hospitals in China. Email:

Primary Percutaneous Coronary Intervention At NUHCS: -What’s new? There has been a steady rise in the incidence of acute myocardial infarction (AMI) in Singapore. Data from the Singapore Myocardial Infarction Registry (SMRI) showed that the incidence of heart attacks has increased from 6815 in Year 2007 to 7813 in Year 2011. The crude incidence rate was 248 and 271 per 100 000 in Year 2007 and 2011 respectively. Between the 2 types of AMI – namely, non ST-segment elevation myocardial infarction (NSTEMI), and ST-segment elevation myocardial infarction (STEMI) – the increase has been seen mainly in the former. The number of patients with NSTEMI and STEMI in Year 2011 were 5048 and 2100 respectively. Among the patients with

STEMI, 67.9% received reperfusion therapy; and the majority (99%) underwent primary percutaneous coronary intervention (PPCI). The 30-day mortality rate for STEMI patients has also dropped from 15.9% in 2007 to 14.3% in 2011. What is even more significant is that the 30-day mortality is found to be lower for those who received PPCI: from 7.0% to 4.9% in the same time period. There are two important reasons for the reduction in mortality for patients with STEMI. Firstly, it is the widespread adoption of primary PCI as the primary modality of reperfusion therapy. Nowadays, almost every patient who is admitted to a public hospital within 12

Team NUHCS with Health Minister (from left): Minister Gan Kim Yong, Assoc Prof Tan Huay Cheem (Director & Senior Consultant, NUHCS), Assoc Prof Shirley Ooi (Senior Consultant, Emergency Medicine Dept (EMD), Dr Edgar Tay (Consultant, NUHCS) & A/Prof Ronald Lee (Senior Consultant, NUHCS)

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Medico Issue 16  
Medico Issue 16