1 - sarawak heart foundation

HEARTTALK
Sarawak Heart Foundation (383498-P)
No.11, 1st Floor, Lot 2343, Block 10 KCLD Bormill Estate Commercial Centre,
Jalan Tun Ahmad Zaidi Adruce 93150 Kuching Tel: 082-258 212
Fax: 082-258 303
Email: [email protected] Website: sarawakheartfoundation.org.my
Facebook: SarawakHeartFoundation
Volume 9
KDN No.: PPK434/04/2013 (032273)
June 2014
HEARTTALK
Volumn 9 - Jun 2014
Chairman
TYT Tun Pehin Sri Haji Abdul TaibMahmud
Deputy Chairman
YB Tan Sri Datuk Amar Dr. James Jemut Masing
Board of Trustees
YABhg Puan Sri Dato Hajjah Jamilah Anu
YB Senator Datuk Prof Dr Sim Kui Hian
YB Dr Annuar Rapaee
YBhg Dato Sri Empiang Jabu
YBhg Dato Anne Teng
YBhg Datuk Dr Stalin Hardin
YBhg Datuk Fong Joo Chung
YBhg Datuk Prof Dr Chew Peng Hong
YBhg Dato Haji Abdillah Haji Abdul Rahim
Dr Mohd Hirman Ritom
Ms Pauline Kon Suk Khim
Mr Eric Lim Swee Khoon
Advisor
YBhg Datuk Patinggi Tan Sri Dr. Wong Soon Kai
Medical Advisor
Dr. Yii Kie Sing
HEARTTALK
Volumn 9 - Jun 2014
Content
Pg
1 Message from Editor
- Mr. Eric Lim Swee Khoon is also a Trustee of
the Foundation
Happy New Year 2014, Gong Xi Fa Chai and Selamat Hari Gawai!
First of all, the Editorial Committee and Board of Trustees would like to extend our
heartiest congratulations to:
-our Chairman, His Excellency Tun Pehin Sri Haji Abdul Taib Mahmud on being
appointed Governor of Sarawak on 1 March 2014 and also being conferred the
title “TUN” by the Yang Di-Pertuan Agong XIV on 26 May 2014
2
i) 30th Anniversary of YJM Dinner
ii) Women’s Heart Day 2014
-YAB Tan Sri Datuk Amar Haji Adenan Bin Haji Satem on his appointment as the 5th
Chief Minister of Sarawak on 28 February 2014
iii) Fund-Raising Dinner jointly organized
by SABATI and Sarawak Heart Foundation
-our Trustee, Senator Datuk Prof. Dr. Sim Kui Hian on his appointment as Senator
on 26 May 2014 and also being conferred the title “DATUK” by the Yang Di-Pertuan
Agong XIV on 7 June 2014, and
3
Congratulatory message to Chairman, SHF
-Professor John Chan Kok Meng for the Hunterian Professor award 2014/2015 by
The Royal College of Surgeons of England.
4
Congratulatory message to Chief Minister of Sarawak
5
Congratulatory message to Board of Trustee, SHF
6
Hunterian Professorship
– Prof Dr.John Chan,
Consultant Cardiothoracic Surgeon, SGH
7-8 Health Talk by Dr. Chai Chiun Hian, Neurologist,
Sarawak General Hospital, Kuching
Editor
9
i) Health Screening @ Betong
Mr. Eric Lim Swee Khoon
ii) Health Screening @ Saratok
Editorial Board
iii) Miri Heart Week
Ms Jennifer Goh
Message From Editor
10 Upcoming Events/Friends/Donation
The first half of the 2014 proved to be a very eventful year for the Sarawak Heart
Foundation. It started off with the fund-raising dinner jointly organized by SABATI
and Sarawak Heart Foundation on 8 March 2014 at Pullman Hotel where RM2
million was raised to fund the acquisition of medical equipment for the minimally
invasive heart surgery at SGH Heart Centre and also for the Foundation’s activities.
During the first half of 2014, various community health screenings were carried
out. The first health screening was held in conjunction with Women’s Heart Day
2014. The event was held on 8 March 2014 at Merdeka Plaza. The Foundation also
did the health screening at Saratok and Betong on 17 and 18 May 2014 respectively.
The response to these events was overwhelming to say the least. These events
would not be made possible without the support from the nurses and doctors from
the Sarawak General Hospital Heart Centre, Divisional and District Health Offices at
Betong and Saratok.
The Miri Heart Week 2014 was our main event for the first half of this year. The
3-days event was held from 27 to 29 June 2014 at Bintang Megamall, Miri. There
were public health screenings, poster exhibitions, coloring contests, health talks,
healthy cooking and various activities to liven up the atmosphere such as zumba,
aerobics, body-building and cultural dance troupe.
I would like to take this opportunity to thank all our corporate sponsors and
donors, the staffs and nurses from the various public hospitals and friends of the
Foundation for their support in all our events and hope that they will continue to
support our cause. I also hope that other new corporations will step forward and
adopt some of the future events of the Foundation as part of their Corporate Social
Responsibility (CSR) Programme.
Eric Lim Swee Khoon
Editor
II
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HEARTTALK
Volumn 9 - Jun 2014
HEARTTALK
Volumn 9 - Jun 2014
30thth Anniversary
Anniversary
30
of YJM
YJM DInner
DInner
of
Heartiest Congratulations to
Our Chairman, His Excellency,
Tun Pehin Sri Haji
Abdul Taib Mahmud
SMN, SBS, DK (Johor), DK (Pahang), DP, PSM, SPDK, SUMW,
SSDK, SSAP, DSGM, DPPN, SSSA, SPMT, KT.WE (Thailand),
KEPN (Indonesia), SPMB (Brunei), K.O.U (Korea), AO (Australia), PCD
@ Hotel Istana, KL
27 February 2014
On being appointed as
WOMEN’S HEART DAY 2014
ON 8 MARCH 2014
Governor of
Sarawak
on 1 March 2014
and also on being conferred
Darjah Seri Maharaja Mangku Negara (SMN)
which carries the title “TUN” by
Seri Paduka Baginda Yang Di-Pertuan Agong XIV
Almu’tasimu Billahi Muhibbuddin Tuanku AlHaj Abdul
Halim Mu’adzam Shah Ibni Almarhum Sultan Badlishah
on 26 May 2014
FUND-RAISING DINNER
on 8 March 2014
From:
Deputy Chairman & Board Of Trustees
Sarawak Heart Foundation
The Sarawak Heart Foundation had collaborated with SABATI for the fundraising dinner which was held on 8 March 2014 in order to raise RM2 million
for the minimal invasive heart surgery programme and SHF activities.
2
3
HEARTTALK
Volumn 9 - Jun 2014
HEARTTALK
Volumn 9 - Jun 2014
Heartiest Congratulations
to
Heartiest Congratulations to
Our Board of Trustee,
Yang Berhormat
Senator Datuk Prof.
Dr. Sim Kui Hian
On his appointment as
Senator
on 26th May 2014
Yang Amat Berhormat
Tan Sri Datuk Amar Haji Adenan Bin Haji Satem
DA, PSM, PNBS, JBS, PPB, PPD
On being appointed as
the 5th Chief Minister
of Sarawak
on 28th February 2014
From:
Chairman & Board Of Trustees
Sarawak Heart Foundation
4
panglima
and also on being conferred
Jasa Negara (PJN) which carries the title
“DATUK”
by
Seri Paduka Baginda Yang Di-Pertuan Agong XIV
Almu’tasimu Billahi Muhibbuddin Tuanku AlHaj Abdul
Halim Mu’adzam Shah Ibni Almarhum Sultan Badlishah
in conjunction with
His Majesty’s Official Birthday
on 7th June 2014
From:
Chairman & Board Of Trustees
Sarawak Heart Foundation
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HEARTTALK
Volumn 8 - Dec 2013
HEARTTALK
Volumn 9 - Jun 2014
Hunterian Professorship
Professor John Chan Kok Meng,
Consultant Cardiothoracic Surgeon,
SGH Heart Centre
STROKE AND
PREVENTION OF STROKE
by Dr. Chai Chiun Hian, Neurolgist, SGH
1. What is Stroke?
Stroke, or Brain Attack, is caused by insufficient blood supply to part of the brain, leading to brain damage.
Stroke is common and it is the second leading cause of death worldwide (1). Stroke is also the leading cause of adult disability. In Malaysia,
stroke is the third largest cause of death after heart disease and cancer (2). It is estimated that 6 new stroke cases occur every hour in
Malaysia (3).
2. Are there different types of Stroke?
The Royal College of Surgeons of England
recently awarded the Hunterian Professorship
2014/2015 to Professor John Chan Kok Meng,
Consultant Cardiothoracic Surgeon at the
Sarawak General Hospital Heart Centre in
Kuching, Sarawak. Professor Chan will deliver the
Hunterian Lecture to the Society of Cardiothoracic
Surgery of Great Britain and Ireland in March
2015 during which he will be formally presented
with the College Medal.
The Hunterian Professorship is a highly regarded and prestigious award
within the field of surgery and is awarded annually in stiff competition. It was
founded by the Hunterian Trust at the end of the 19th century, and is named
after John Hunter, who lived from 1728-1793, and is considered to be the
founder of scientific surgery. Past recipients of the Hunterian Professorship
include such famous surgeons as Abernethy, Brodie, Treves, Spencer Wells,
Bland Sutton, Hutchinson, Trotter and Moynihan. The title of Professor is
accorded for the duration of the year of the award.
The award is in recognition of Professor Chan’s contribution to surgical
research, in particular, his work on the pathophysiology and surgical treatment
of functional ischaemic mitral regurgitation, carried out at the National Heart
and Lung Institute at Imperial College London, UK. Professor Chan was also
recently formally awarded a PhD by Imperial College London for this work.
This ground breaking research provided additional insights into this very
challenging medical condition, led to the development of a new technique to
image the mitral valve using cardiovascular magnetic resonance, and also
demonstrated the benefits of repairing the mitral valve at the time of coronary
artery bypass graft surgery in patients with mitral valve regurgitation. It
has been recently referenced in the latest guidelines of the American Heart
Association (AHA) and the American College of Cardiology (ACC) on Valvular
Heart Disease. Professor Chan first presented his findings at the AHA Scientific
Sessions in 2012 and has been invited back again to provide an update on this
subject at the upcoming AHA Scientific Sessions in November 2014. He was
also invited to organize an international course on this subject at the European
Association of Cardiothoracic Surgery at Windsor, UK, in February 2014, and a
repeat course is planned in February 2015.
Haemorrhagic stroke : less common type of stroke, accounting for the remaining ~20% of
stroke. It is caused by rupture or burst of weakened blood vessel, leading to bleeding inside the
brain. Haemorrhagic stroke causes higher death rate compared to ischaemic stroke.
Transient Ischaemic attack (TIA) is when
symptoms of stroke last less than 24 hours
and the person recovers fully. It is caused
by temporary interruption of blood supply to
area of the brain.
In both Ischaemic and Haemorrhagic Stroke, symptoms of stroke persist for more than 24 hours.
4. What are the symptoms and signs of stroke?
Stroke occurs suddenly, sometimes only noticed when a person wakes up from sleep. As different areas in the brain control different
functions, symptoms of stroke depend upon which area of the brain is affected. Some of the common symptoms are:
•
•
•
•
Numbness, weakness, or both over one-side of the body (arm & leg)
Difficulty talking, slurred speech, or difficulty in understanding speech
Difficulty swallowing
Dizziness, nausea, vomiting or loss of balance
• Severe headache or vomiting
• Confusion
• Blurring of vision in one or both eyes
What is F.A.S.T?
A simple checklist if you suspect someone has a
stroke. The acronym of stroke symptoms stands for:
F
Face drooping:
ask the person to smile.
Does one side of the face
droop?
A
Arm
weakness: ask
the person to raise
both arms. Does one
arm drift downward?
S
T
Speech difficulty: Time to call ambulance:
ask the person to repeat a
simple sentence or talk to
them. Is the speech slurred
or strange?
if someone shows any of the above
symptoms, call an ambulance (call 999
or send them to the nearest hospital
immediately. Check the time so you
know when the stroke occurred.
Stroke is a medical emergency!
Once stroke is suspected, call an ambulance or send the person to the nearest hospital, as soon as possible.
The earlier the treatment is initiated the better is the outcome for the patient.
5. What are risk factors for stroke?
Risk factors are categorized as non-modifiable and modifiable risk factors:
Non-modifiable risk factors: risk factors that cannot be changed.
• Age: Risk of stroke doubles every decade after 55 year-old (4). But strokes can affect young people too.
• Gender: Men have higher risk than women to develop stroke.
• Ethnicity and family history of stroke.
Modifiable risk factors: risk factors that can be reduced or controlled.
• Hypertension: most prevalent risk factor, up to 75.1% (5)
• Heart disease (includes irregular heart rhythm – Atrial fibrillation,
certain types of heart valves disease and severe heart failure)
• Previous history of stroke or transient ischaemic attack [22.0% (6)]
• Active smoker [19.0% (5)]
• Others: obesity, physical inactivity, heavy alcohol consumption.
6
3. What is a mini-stroke or
Transient Ischaemic attack?
There are 2 main types of stroke:
Ischaemic stroke : most common type of stroke and accounts for about ~80% of stroke. It is
caused by blockage of blood vessels supplying the brain.
7
• Diabetes mellitus [45.7% (5)]
• Dyslipidaemia [21.8% (5)]
HEARTTALK
Volumn 8 - Dec 2013
6. What are risk factors for stroke?
Treatment involves doctors and staff from multiple medical disciplines and depends on the type of stroke a person had.
HEARTTALK
Volumn 8 - Dec 2013
ing
Health Screen
@ Saratok
17/5/2014
In Ischaemic Stroke:
• Blood-thinning medications maybe initiated to prevent further clot formation.
• Thrombolytic or “clot-buster” drug to dissolve blood clot blocking blood vessel in the brain. However, it is only available in certain
hospitals and only appropriate for selected group of patients who come to hospital within 4.5 hours from the onset of stroke.
• Medications to control other risk factors, such as hypertension, diabetes mellitus, dyslipidaemia, atrial fibrillation
• Surgery (carotid endarterectomy) maybe beneficial if there is severe narrowing of blood vessel in the neck
In Haemorrhagic Stroke:
• Medication to control risk factors, such as hypertension, diabetes mellitus, dyslipidaemia, atrial fibrillation
• Surgery. If cause of bleeding in the brain can be found such as abnormal ballooning of blood vessel (aneurysm), or sometimes to relieve
pressure in the brain.Rehabilitaton plays an important role in post-stroke care.
7. So, how do we prevent stroke?
Stroke prevention could be achieved by controlling the risk factors via life-style modification and drug treatments.
Life-style modifications:
• Dietary advice: Reduced daily fat intake to 30% or less, and replacing saturated fat with monounsaturated and polyunsaturated fat.
Eat at least 5 portions of fruit and vegetables per day, and at least 2 portions of fish per week. Reduced salt intake to reduce blood
pressure.
• Physical activity: Exercise 5 days a week, each time 30 minutes or more, but to adjust
to each individual maximum safe capacity. Whenever possible to incorporate exercise into
daily routine, such as brisk walking, cycling and using staircase.
• Weight management: To achieve ideal body weight based on Asian Body Mass Index (BMI)
BMI
Singapore
Western
Obesity
≥ 27.5
> 30
Overweight
23 – 27.4
25.1 – 30
Normal
18.5 – 22.9
18.5 – 24.9
Underweight
< 18.5
< 18.5
Health
Screening
@ Betong
Asian Body Mass Index (BMI) (source: Singapore Ministry of Health and Health Promotion Board) http://www.hpb.gov.sg/HOPPortal/
health-article/HPB-039406
18 May 2014
• Smoking cessation: Stop smoking. Seek help at quit smoking clinics.
• Modest alcohol consumption:
Men: limit alcohol intake to < 21 units per week.
Women: < 14 units of alcohol per week
Drug treatments to modify risk factors:
• Hypertension: Prevalence of hypertension among Malaysian is high, at 43.5% in people aged 30 years and above (6). Majority of
hypertensive patient in Malaysia remained undiagnosed. Target blood pressure for people younger than 80 year-old is < 140/90 mmHg,
and for 80 year-old or more is < 150/90 mmHg (6).
• Diabetes mellitus: Medications for optimal blood sugar control in addition to diabetic diet
• Heart disease: Anticoagulation therapy (to prevent formation of blood clot in the heart) in people with abnormal heart rhythm (Atrial
fibrillation), heart valve disease and severe heart failure.
• Hypercholesterolemia: High-risk patients required medication (statin) to control cholesterol level.
Conclusions:
• Stroke can affect anyone and it is one of the leading causes of disability and death.
• Stroke is a medical emergency!
• Increased awareness of stroke symptoms and signs (F.A.S.T. checklist) with timely action to seek medical treatment will improve
outcome.
• Stroke is preventable via control of modifiable risk factors.
article by
References:
1. The Global Burden of Stroke.
http://www.world-heart-federation.org/cardiovascular-health/stroke/
3. Keat –Wei L & Siew-Hua G. Burden of stroke in Malaysia.
International Journal of Stoke 2012;7:165-67.
4. National Institutes of Health, National Institute of Neurological
Disorders and Stroke. Stroke: Hope Through Research.
www.ninds.nih.gov, May 1999.
5. Nazifah SN, Azmi IK, Hamidon BB, Looi I, Zariah AA, Hanip MR.
National Stroke Registry (NSR): Terengganu and Seberang Jaya
Experience. Med J Malaysia 2012;67:302-304.
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27-29 June 2014
This year SHF was invited by YBhg Dato Prof. Lau Siu Wai (Dr), Group
Executive Chairman, Miri Housing Group of Companies to do health
screening and physical activities at Bintang Megamall, Miri. There
were a total of 1216 people doing health screening. The 3-days
program had included children’s coloring contest, health talk, healthy
cooking demonstration and various fun dances. About 4,000 people
visited and took part in the Miri Heart Week.
2. Stroke in Malaysia.
http://www.nasam.org/english/prevention-what_is_a_stroke.php
6. Clinical Practice Guidelines on Management of Hypertension.
4th Edition. Malaysian Society of Hypertension, Ministry of Health
Malaysia, Academy of Medicine of Malaysia 2013.
Miri Heart Week:
Dr. Chai Chiun Hian MD, MRCP (UK)
Fellowship in Neurology (Melb)
Neurologist, Sarawak General Hospital
On behalf of the Chairman and Board of Trustees, we would like to
thank YBhg Dato Prof. Lau Siu Wai (Dr), Group Executive Chairman,
Miri Housing Group of Companies for his generous sponsorship and
support, Mr. Alex Chung and Mr.Allen Wong, Bintang Megamall, Dr.Jack
Wong, Director of Miri Hospital, Ms Jackie Tan, De Jackie Inspiration,
Ms Mandy Wong, Zumba Fitness Erikings, Ms Teresa Lee, Unity
Cultural Dance Troupe, all various performers and volunteers who had
contributed and partipated toward the Miri Heart Week a great success.
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UpComing
EVENTS
• 23/7/14
Hari Raya visit to SGH Heart Centre
• 2/8/14
Health Talk & Free Health Screening
@ Auditorium Tan Sri William Tan, SMK St. Joseph, Kuching
• 16/8/14
Free Health Screening and Physical Activities
@ Eastern Mall, 17th Mile, Siburan
• 28/9/14
World Heart Day @ Kuching Park Lake, MBKS, Kuching
• 21-23/11/14Sibu Heart Week @ wisma sanyan, Sibu
#
“Friend of the
foundation” Form
Sarawak Heart Foundation
(383498-P)
How can you Help?
If you are someone who is caring and would like to help Sarawak Heart Foundation, you
can register as a “Friend of the Foundation” (as a volunteer to help in the various projects
undertaken by the Foundation from time to time and especially with fund-raising)
Passport
Size
Please fill in the below and send to us.
Thank You.
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Sarawak Heart Foundation
No.11, 1st Floor, Lot 2343 Bormill Estate Commercial Centre , Jalan Tun Ahmad Zaidi Adruce, 93150 Kuching Sarawak
Tel: 082-258212 Fax: 082-258303 Email address: [email protected]
#
Sarawak Heart Foundation
(383498-P)
DONATION FORM
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PAYMENT
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For Direct Remittance, please bank into RHB Bank A/C No. 21104350033342
(Please fax or email the bank-in slip to Fax: 082-258303)
Email: [email protected]
All donations payable to:
Sarawak Heart Foundation
No. 11, 1st Floor, Lot 2343, Block 10 KCLD
Bormill Estate Commercial Centre
Jalan Tun Ahmad Zaidi Adruce, 93150 Kuching, Sarawak.
Tel: 082-258212 ; Fax: 082-258303
Website: sarawakheartfoundation.org.my
All donations are tax exempt.
Ref. JHDN 01/35/42.51/179-6.4381