Babu Kundian

Biography

An academic consultant cardiologist within the field of Interventional Cardiology. Possesses an extensive background in teaching and research with an MA in Clinical Education and MD degree. Acquired deep understanding of curriculum design and implementation and incorporates a wide range of learning styles to match students’ needs. Passionate about supporting students to adopt a broad, holistic approach to medicine incorporating understanding of socio-economic impacts on health and disease. An experienced and skilled appraiser and teacher, ensuring students’ wellbeing remains at the forefront of all teaching. Completed the NorthWest Coaching and Mentoring programme; recognised as a mentor in the region; brings a compassionate and respectful approach to supporting students in difficulty and broader support. An effective leader following 12years’ at Consultant level; excellent at building relationships with a broad range of healthcare professionals. Keen to support the next generation of doctors to fulfil their medical ambitions and to navigate the current challenges faced in a modern medical career and within the NHS.

Teaching and Supervision

Currently an Honorary Professor at University of Chester Medical School. Carried out role as an Honorary Lecturer for Newcastle University (2004-2012) and Honorary Lecturer for Liverpool University. Led on a broad variety of teaching methods for both clinical and classroom-based teaching using case-based, problem-based and tutorial methods. • Completed a Coaching & Mentoring programme at NHS Northwest Leadership Academy; recognised as a mentor in the region supporting students with their career progression • Responsible for marking dissertations and assessments and providing simulation-based teaching (Chester University) • Accomplished an MA in Clinical Education in Clinical Practice at Edgehill University Liverpool, 2020 Units included: Educational Supervision in the Clinical Context, Delivering Teaching and Facilitating Learning Opportunities, Teaching and Learning in the Clinical Context, Research and Clinical Education, Using Simulation to Support Clinical Learning, Educational Leadership in Health Settings, Dissertation • Extensive experience in leading teaching programmes for both medical students and junior doctors. Role includes supervising, appraising, coaching and mentoring SpR's in cardiac catheterisation (COCH) and PCI training (LHCH). • Taught on allied health professional courses including Critical Care Course at Teesside University (2004-07) and Clinical Skills & Diagnosis at Newcastle University (2008-12). Included workshops, lectures and seminars using presentations, videos and one-to-one teaching. • Offered teaching at educational meetings for primary and secondary care workers in clinical and operative skills including Caths & PCI for SpR's and junior doctors • Undertook research in clinical education and subsequently published in the Journal of Medicine and Healthcare; supervised educational research study • Chaired and spoken at the RCP Evening Cardiology Teach In 2019 at Liverpool Medical institute Postgraduate Teaching • Acted as Deputy Programme Director for Cardiology, Mersey region; involved in asssessments and dealt with trainees in difficulty • Took on role as Physician Education Supervisor and Assessor for ST/CMT level trainees and allied health professionals including nurses, pharmacist and physician associates • Given lectures for MSc Cardiovascular Medicine at University of Chester Undergraduate Teaching • Worked as a honorary lecturer for Newcastle University, Liverpool and Chester University. From 2013, in post as Educational Supervisor for Year 2 to Year 5 medical students at COCH • Delivered lectures, CBL sessions and assessments including OSCE for Final MBChB students • PACES examiner for MRCP exams for the RCP 3 Organisation • National Advanced Imaging ECHO Course, COCH • Organised four state-of-the-art educational meetings for the regional cardiologists, paramedics and junior doctors for over 6 years with excellent feedback received; attended by more than 100 delegates Lectures given (Invited) • International Cardiology Conference with delegates from USA, Europe and Japan: 15th New Frontiers in Interventional Cardiology, Krakow, Poland • RCP London - Update in Medicine 22/10/15 Liverpool Appraisals and Revalidation Lead 2017 to 2024 Appraisal and Revalidation Lead for 340 doctors at Countess of Chester Hospital • Allocate doctor-appraiser pairings each year following local and national guidelines • Run appraiser training sessions as required to maintain adequate numbers of trained appraisers within the trust • Regularly update spreadsheet of Doctor-Appraiser pairings with list of individual Appraiser workload • Run appraiser training sessions as required (usually one per year) to maintain adequate numbers of trained appraisers within the trust • Run regular Appraiser Support Group meetings with trained appraisers to discuss new developments • Ensure quality control by running regular audits of appraisal inputs and outcomes • Partake in regular monthly meetings with the MD/RO to discuss issues including doctors in difficulty • Attend and contribute to Appraisal Lead

Research and Knowledge Exchange

Carried out clinical research from September 2004 to October 2007 within acute myocardial infarction, resulting in an academic MD Degree from Newcastle University. Primary aim of the thesis was evaluation of a re-organisation of service from one based on thrombolysis (including a rescue angioplasty service) to a Primary PCI service at the James Cook University Hospital for patients with acute myocardial infarction. Included final analysis of the randomised rescue angioplasty trial, Middlesbrough Early Revascularisation to Limit Infarction (MERLIN) randomized trial “Early invasive versus conservative treatment in patients with failed fibrinolysis - no late survival benefit;” Kunadian B, de Belder MA et al, Am Heart J. 2007 May; 153(5): 763 -71. Funded by grants from South Cleveland Heart Fund. • Completed Statistics module in MSc Evidence Based Framework at School of Health and Social Care, University of Teesside. Acquired in depth knowledge of research methodology. • Extensive research work led to publications in 29-peer reviewed journals (17 first author) including the Lancet, BMJ, AHJ, CCI, IJC and the Heart journals. Includes original articles (11 first author, total 18), reviews (3 first author, total 5), images and case reports (2 first author, total 3); 39 abstract presentations (24 first author) at major cardiology scientific sessions including TCT, AHA, ACC, ESC, and BCS. • Written a book chapter on adjunctive technology in PCI in “Essential Interventional Cardiology” (Second edition) book. Contributed to EACTS clinical guideline “On anti-platelet and anticoagulation management in cardiac surgery” published in European Journal of Cardiothoracic Surgery 2008 Jul; 34(1): 73-92. • Contributed to the PCI quality assessment programme in the UK. Validated the NWQIP PCI risk assessment model published in Heart journal “External Validation of Established Risk Adjustment Models for Procedural Complications after Percutaneous Coronary Intervention; Kunadian B, de Belder MA et al, Heart. 2008 Aug; 94(8):1012-8”. Led to assessing risk adjusted PCI operator outcomes. Result: Achieved status as first group to publish individual PCI operator outcomes in the UK as seen in the BMJ journal “Cumulative funnel plots for the early detection of inter-operator variation: retrospective database analysis of observed versus predicted results of percutaneous coronary intervention; Kunadian B, de Belder MA et al, BMJ. 2008 Apr 26; 336(7650): 931-4”. This method and model has since been adopted by the British Cardiovascular Intervention Society (BCIS) to provide individual and hospital outcomes. • Act as reviewer for a wide range of cardiology journals (60 manuscripts) from 2007 to date including Heart Journal, The International Journal of Cardiology, The Journal of Invasive Cardiology, Annals of Internal Medicine, European Journal of Cardio-thoracic surgery, Therapeutics and Clinical Risk Management. • Regularly participate in research at LHCH on quality outcomes in PCI meeting with the Clinical Director every three months for a formal evaluation. Bibliography Peer-Reviewed Publications 6 1. P. Aravind and Dr. Babu Kunadian. An exploratory evaluation of vaping-related education in high school curriculum.International Journal of Educational Research and Review (ISSN: 2756-4789) Vol. 3(4) pp. September, 2022. 2. Babu Kunadian, Mumtaz Patel and Cathy Sherratt. Factors Associated with Subspecialty Choice of Cardiology Trainees in the North West of England: Forced by Vacancy or have a Clear Plan of Future? J Med Healthcare, 2022 Volume 4(6): 1-13 3. Chew PG, Frost F, Mullen L, Fisher M, Zadeh H, Grainger R, Albouaini K, Dodd J, Patel B, Velavan P, Kunadian B, Rawat A, Obafemi T, Tong S, Jones J, Khand A. A direct comparison of decision rules for early discharge of suspected acute coronary syndromes in the era of high sensitivity troponin. Eur Heart J Acute Cardiovasc Care. 2018 Feb 1:2048872618755369. doi: 10.1177/2048872618755369. 4. Shahzad A, Kemp I, Mars C, Wilson K, Roome C, Cooper R, Andron M, Appleby C, Fisher M, Khand A, Kunadian B, Mills JD, Morris JL, Morrison WL, Munir S, Palmer ND, Perry RA, Ramsdale DR, Velavan P, Stables RH; for the HEAT-PPCI trial investigators. Unfractionated heparin versus bivalirudin in primary percutaneous coronary intervention (HEAT-PPCI): an openlabel, single centre, randomised controlled trial. Lancet. 2014 Jul 4. pii: S0140-6736(14)60924-7. 5. Babu Kunadian, Robert Morley, Anthony P Roberts, Zulfiguar Adam, Darragh Twomey, James A Hall, Robert A Wright, Andrew GC Sutton, Douglas F Muir, and Mark A de Belder. Impact of Implementation of Evidence Based Strategies to Reduce Door - to - Balloon Time in Patients Presenting With STEMI: Continuous Data Analysis and Feedback Using a Statistical Process Control Plot Heart. 2010 Oct; 96(19):1557-63. Epub 2010 Aug 23. 6. Murray S, Kunadian B, Fisher M Seek and you shall find: angiographically silent left main stem plaque rupture with residual filamentous lad thrombus (found by IVUS and Pronto extraction) Eurointervention, 2009 Nov 5;5 7. Kunadian B, Dunning J, Roberts AP, Morley R, Twomey D, Hall JA, Sutton AG, Wright RA, Muir DF, de Belder MA. Cumulative funnel plots for the early detection of inter-operator variation: retrospective database analysis of observed versus predicted results of percutaneous coronary intervention. BMJ. 2008 Apr 26;336(7650):931-4. Epub 2008 Mar 26. 8. Babu Kunadian, Joel Dunning, Anthony P. Roberts, Robert Morley, Darragh Twomey, Mark A. de Belder, Funnel Plots for Comparing Performance of PCI Performing Hospitals and Cardiologists: A More Meaningful Presentation of the New York State PCI Hospital Mortality Data Catheter Cardiovasc Interv. 2009 Apr 1;73(5):589-94 9. Subramanian H, Kunadian B, Dunning J. Is it worth performing surgical ventricular restoration in patients with ischemic cardiomyopathy and akinetic but non-aneurysmal segments in the left ventricle? Interactive Cardiovascular & Thoracic Surgery 7(4):702-7, 2008 Aug. 10. Kunadian B, Vijayalakshmi K, Dunning J, Sutton AG, Muir DF, Wright RA, Hall JA, de Belder MA. Rescue angioplasty after failed fibrinolysis for acute myocardial infarction: Predictors of a failed procedure and one year mortality Catheter Cardiovasc Interv. 2008 Feb 1;71(2):138-45 11. Subramanian H, Kunadian B, Dunning J. Is it ever worth contemplating an aortic valve replacement on patients with low gradient severe aortic stenosis but poor left ventricular function with no contractile reserve? Interact Cardiovasc Thorac Surg. 2008 Apr;7(2):301-5. Epub 2008 Jan 23. 12. Kunadian B, Dunning J, Millner RW. Modifiable risk factors remain significant causes of medium term mortality after first time Coronary artery bypass grafting. J Cardiothorac Surg. 2007 Dec 3;2:51. 13. Kunadian B, Dunning J, Das R, Roberts AP, Turley AJ, Morley R, Twomey D, Hall JA, Wright R, Sutton AG, Muir DF, de Belder MA. External Validation of Established Risk Adjustment Models for Procedural Complications after Percutaneous Coronary Intervention. Heart. 2007 Nov 21. [Epub ahead of print] 14. Vijayalakshmi K, Kunadian B, Victoria J Whittaker, Robert A Wright, Andrew GC Sutton, James A Hall, Mark A de Belder The impact of chronically diseased coronary arteries and stenting on the TIMI frame count in elective coronary angiography and angioplasty procedures Catheter Cardiovasc Interv. 2007 Nov 1;70(5):691-700. PMID: 17932899 15. Vijayalakshmi K, Kunadian B, Robert A Wright; James A Hall, Upendra Somasundrum, Michael J Stewart, Andrew Sutton, Adrian Davies, Mark A de Belder Impact of catheter sizes and intracoronary glyceryl trinitrate on the TIMI frame count when digital angiograms are acquired at lower frame rates during elective angiography and percutaneous coronary intervention Acute Card Care. 2007;9(4):231-8. 16. Kunadian B, Vijayalakshmi K, Dunning J, Sutton A, de Belder MA. Towards an understanding of the role of rescue angioplasty for failed fibrinolysis: comparison of the MERLIN, RESCUE and REACT trials. J Invasive Cardiol. 2007 Sep;19(9):359-68. 17. Vijayalakshmi K, Kunadian B, Whittaker VJ, Wright RA, Hall JA, Sutton A, Muir D, de Belder MA. Intra-aortic counter pulsation does not improve coronary flow early after PCI in a high-risk group of patients: observations from a randomized trial to explore its mode of action. J Invasive Cardiol. 2007 Aug;19(8):339-46. 18. Kunadian B, Vijayalakshmi K, de Belder MA. Treatment of restenosis after bare-metal and drug-eluting stenting of an aorto-ostial lesion: challenges associated with excessive stent overhang. J Cardiovasc Med (Hagerstown). 2007 Sep;8(9):744-7. 19. Kunadian B, Thornley AR, Babu TN, Dunning J. Should high risk patients receive clopidogrel as well as aspirin post coronary arterial bypass grafting? Interact Cardiovasc Thorac Surg. 2006 Dec;5(6):755-60. Epub 2006 Sep 19. 20. Kunadian B, Thornley AR, Tanos M, Dunning J. Should clopidogrel be stopped prior to urgent cardiac surgery? Interact Cardiovasc Thorac Surg. 2006 Oct;5(5):630-6. Epub 2006 Jul 28. 21. Kunadian B, Vijayalakshmi K, Balasubramanian S, Dunning J. Should the tricuspid valve be replaced with a mechanical or biological valve? Interact Cardiovasc Thorac Surg. 2007 Aug;6(4):551-7. Epub 2007 May 31. 22. Kunadian B, Vijayalakshmi K, Thornley AR, de Belder MA, Hunter S, Kendall S, Graham R, Stewart M, Thambyrajah J, Dunning J. Meta-analysis of valve hemodynamics and left ventricular mass regression for stentless versus stented aortic valves. Ann Thorac Surg. 2007 Jul;84(1):73-8. 23. Kunadian B, Vijayalakshmi K, Dunning J, Thornley AR, Sutton AG, Muir DF, Wright RA, Hall JA, de Belder MA. Should patients in cardiogenic shock undergo rescue angioplasty after failed fibrinolysis: comparison of primary versus rescue angioplasty in cardiogenic shock patients. J Invasive Cardiol. 2007 May;19(5):217-23. 24. Kunadian B, Sutton AG, Vijayalakshmi K, Thornley AR, Gray JC, Grech ED, Hall JA, Harcombe AA, Wright RA, Smith RH, Murphy JJ, Shyam-Sundar A, Stewart MJ, Davies A, Linker NJ, de Belder MA. Early invasive versus conservative treatment in patients with failed fibrinolysis--no late survival benefit: the final analysis of the Middlesbrough Early Revascularisation to Limit Infarction (MERLIN) randomized trial. Am Heart J. 2007 May;153(5):763-71. 25. Kunadian B, Dunning J, Vijayalakshmi K, Thornley AR, de Belder MA. Meta-analysis of randomized trials comparing anti-embolic devices with standard PCI for improving myocardial reperfusion in patients with acute myocardial infarction. Catheter Cardiovasc Interv. 2007 Mar 1;69(4):488-96. 26. Kunadian B, Thornley AR, de Belder MA. Percutaneous treatment of a large coronary aneurysm with a ball thrombus: an interventional challenge. J Invasive Cardiol. 2006 Dec;18(12):E302-4. No abstract available. 27. Vijayalakshmi K, Kunadian B, Wright RA, Hall JA, Stewart MJ, Davies A, Sutton A, de Belder MA. A prospective randomised controlled trial to determine the early and late reactions after the use of iopamidol 340 (Niopam) and iomeprol 350 (Iomeron) in cardiac catheterisation. Eur J Radiol. 2007 Feb;61(2):342-50. Epub 2006 Nov 13. 28. Vijayalakshmi K, Kunadian B, Wright RA, Sutton AG, Hall JA, de Belder MA. Successful thrombus extraction with the Rescue thrombus management system during acute percutaneous coronary intervention improves flow but does not necessarily restore optimal myocardial tissue perfusion. Catheter Cardiovasc Interv. 2006 Jun;67(6):879-86. 29. Vijayalakshmi K, Whittaker VJ, Kunadian B, Graham J, Wright RA, Hall JA, Sutton A, de Belder MA. Prospective, randomised, controlled trial to study the effect of intracoronary injection of verapamil and adenosine on coronary blood flow during percutaneous coronary intervention in patients with acute coronary syndromes. Heart. 2006 Sep;92(9):1278-84. Epub 2006 Jan 31. Book chapter 1. de Belder M, Kunadian B Edited: Norell MS, Perrins EJ, Meier B, Lincoff AM, Elsevier 2006, pp 14-1 – 14-20 Rotational and directional atherectomy – In: Essential Interventional Cardiology, 2nd Edition 8 Contribution to guidelines 1. Dunning J, Versteegh M, Fabbri A, Pavie A, Kolh P, Lockowandt U, Nashef SA; on behalf of the EACTS Audit and Guidelines Committee. Guideline on antiplatelet and anticoagulation management in cardiac surgery. Eur J Cardiothorac Surg. 2008 Mar 27. [Epub ahead of print] 2. Kereiakes DJ, Antman EM. Clinical guidelines and practice: in search of the truth. J Am Coll Cardiol. 2006 Sep 19;48(6):1129-35. Epub 2006 Aug 28. Presentations Expert presentation Presentation at the Transcatheter Cardiovascular Therapeutics (TCT) Conference, Washington, USA on the use of antiembolic devices during primary angioplasty featured as an expert presentation on the TCT website (Jan 2007). National and International Published abstracts (Oral & Posters) – British Cardiac Society-Manchester 2005 1. Kunadian B, Vijayalakshmi K, Andrew AJ, Hall JA, Wright RA, Sutton AGC, de Belder MA Impact of a 24-hour Primary PCI service for ST elevation Myocardial Infarction (STEMI) on Consultants’ work patterns Heart 2005; 91(Suppl 1):A27 2. Kunadian B, Vijayalakshmi K, Andrew AJ, Hall JA, Wright RA, Sutton AGC, de Belder MA Impact of change of protocol for the management of patients with ST elevation myocardial infarction: An 18- month UK tertiary cardiac centre experience. Heart 2005; 91(Suppl 1):A26 3. Vijayalakshmi K, Kunadian B, Hall JA, Wright RA, de Belder MA Successful thrombus extraction with the Rescue Thrombus Management SystemTM during acute percutaneous coronary intervention (PCI): Does not necessarily restore optimal myocardial tissue perfusion Heart 2005; 91(Suppl 1):A24 4. Vijayalakshmi K, Kunadian B, Hall JA, Wright RA, de Belder MA A prospective, randomised, controlled trial to study the effect of intra coronary injection of verapamil and adenosine on coronary blood flow during urgent percutaneous coronary intervention Heart 2005; 91(Suppl 1):A23 5. Vijayalakshmi K, Kunadian B, Morley R, Hall JA, Wright RA, de Belder MA Percutaneous coronary intervention with drug-eluting stents (DES) for Bifurcation lesions: 6-month results. Heart 2005; 91(Suppl 1):A6 6. Turley A, Roberts AP, Kunadian B, Davies A, de Belder MA, Drury J, Stewart M. The impact of the introduction of NT-pro BNP into primary care on secondary care referral rates Heart 2005; 91(Suppl 1):A57 I. European Society of Cardiology – Sweden 2005 7. Turley A, Roberts AP, Kunadian B, Davies A, de Belder MA, Drury J, Stewart M. The impact of the introduction of NT-proBNP into primary care on secondary care referral rates European Heart Journal 2005; 26 (Suppl):P4173 II. Transcatheter Cardiovascular Therapeutics-Washington DC 2005 8. Kunadian B, Vijayalakshmi K, Dunning J, Hall JA, Wright RA, Sutton AGC, de Belder MA Rescue Angioplasty versus a Conservative Management for Failed Thrombolysis in Acute Myocardial Infarction: A Meta-Analysis. The American Journal of Cardiology 2005;96(Suppl A):62H 9. Vijayalakshmi K, Kunadian B, Morley R, Hall JA, Sutton AGCC, Wright RA, de Belder MA Full metal jacket in drug-eluting stent (DES) era: Immediate and mid-term results The American Journal of Cardiology;96(Suppl A):129H 10. Vijayalakshmi K, Kunadian B, Hall JA, Sutton AGCC, Wright RA, de Belder MA A prospective randomised controlled trial to study the effect of intra coronary injection of verapamil and adenosine on coronary blood flow during percutaneous coronary intervention following an acute coronary syndrome The American Journal of Cardiology;96(Suppl A):155H III. American Heart Association-Dallas-Texas 2005 11. Vijayalakshmi K, Kunadian B, Hall JA, Sutton AGCC, Wright RA, de Belder MA A prospective, randomised, controlled trial to study the effect of intra coronary injection of verapamil and adenosine on coronary blood flow during percutaneous coronary intervention following an acute coronary syndrome Circulation 2005;112(17)II-423 IV. American College of Cardiology – Atlanta 2006 12. Kunadian B, Vijayalakshmi K, Dunning J, Hall JA, Wright RA, Sutton AGC, de Belder MA Rescue Angioplasty versus Conservative Management for Failed Thrombolysis in Acute Myocardial Infarction: A Meta-Analysis JACC 2006; 47(4, suppl A):173A 13. Kunadian B, Sutton AG, Vijayalakshmi K, Campbell PG, Graham R, Price DJ, Gray JC, Grech ED, Hall JA, de Belder MA. Rescue angioplasty vs conservative treatment in patients with failed fibrinolysis- no late survival benefit. The final analysis of the Middlesbrough early revascularisation to limit infarction (MERLIN) randomised trial JACC 2006; 47(4, suppl A):173A V. British Cardiac Society-Glasgow 2006 14. Kunadian B, Vijayalakshmi K, Muir DF, Hall JA, Wright RA, Sutton AGC, de Belder MA Comparison between MERLIN (Middlesbrough Early Revascularisation to Limit INfarction trial) and REACT (REscue Angioplasty versus Conservative therapy of repeat Thrombolysis) trials - 6 months results Heart 2006; 91(Suppl II ):A45 15. Kunadian B, Vijayalakshmi K, Dunning J, Hall JA, Wright RA, Sutton AGC, de Belder MA Rescue Angioplasty versus Conservative Management for Failed Thrombolysis in Acute Myocardial Infarction: A Meta-Analysis Heart 2006; 91(Suppl II):A44 16. Kunadian B, Sutton AG, Vijayalakshmi K, Campbell PG, Graham R, Price DJ, Gray JC, Grech ED, Hall JA, Harcombe AA, Wright RA, Smith RH, Murphy JJ, Shyam-Sundar A, Stewart MJ, Davies A, Linker NJ, de Belder MA. Rescue angioplasty vs conservative treatment in patients with failed fibrinolysis- no late survival benefit. The final analysis of the Middlesbrough early revascularisation to limit infarction (MERLIN) randomised trial. Heart 2006; 91(Suppl 1):A45 17. Kunadian B, Vijayalakshmi K, Muir DF, Hall JA, Wright RA, Sutton AGC, de Belder MA Primary angioplasty performed “out-of-hours” has the same outcomes as for patients treated “in-hours” Heart 2006; 91(Suppl II):A66 18. A Thornley, B Kunadian, M Cunnington, R Wright, A Sutton, D Muir, J Hall, M de Belder Angioplasty for unstable angina and non ST elevation myocardial infarction in the over 75s: Different features, different management, and different outcomes Heart 2006; 92(Suppl II):A68 19. M Cunnington, B Kunadian, A Thornley, R Wright, A Sutton, D Muir, J Hall, M de Belder UK national guidelines for drug eluting stents – “NICE” at the time, but due for an update? Heart 2006; 92(Suppl II):A50 VI. European Society of Cardiology –Barcelona 2006 20. Kunadian B, Vijayalakshmi K, Muir DF, Hall JA, Wright RA, Sutton AGC, de Belder MA Primary angioplasty performed out-of-hours has the same outcomes as for patients treated in-hours European Heart Journal 2006; 27 (Suppl):P1420 21. Kunadian B, Dunning J, Vijayalakshmi K, Muir DF, Hall JA, Wright RA, Sutton AGC, de Belder MA Stenting in chronic total occlusions reduces restenosis compared with balloon angioplasty but is associated with a higher risk of non-fatal MI European Heart Journal 2006; 27 (Suppl):P5307 22. Kunadian B, Dunning J, Vijayalakshmi K, Muir DF, Hall JA, Wright RA, Sutton AGC, de Belder MA Meta-analysis of randomised trials comparing anti-embolic devices with standard PCI for improving myocardial reperfusion in patients with acute myocardial infarction European Heart Journal 2006; 27 (Suppl):P4587 VII. Transcatheter Cardiovascular Therapeutics-Washington DC 2006 23. Kunadian B, Whittaker VJ, Thornley A, Vijayalakshmi K, Muir DF, Hall JA, Wright RA, Sutton AGC, de Belder MA No clinical benefit with the use of anti-embolic devices during PCI for native vessel acute myocardial infarction: A Meta analysis The American Journal of Cardiology 2006; 98(8)-25M VIII. American Heart Association-Chicago 2006 24. Vijayalakshmi K, Kunadian B, Whittaker VJ, Vijayalakshmi K, Muir DF, Hall JA, Wright RA, Sutton AGC, de Belder MA A prospective, randomised evaluation of prophylactic intra-aortic balloon pumping in high risk patients undergoing percutaneous coronary angioplasty Circulation 2005;114(18)II-739 IX. American College of Cardiology – New Orleans 2007 25. Kunadian B, Vijayalakshmi K, Thornley A, Dunning J, Vijayalakshmi K, Muir DF, Hall JA, Wright RA, Sutton AGC, de Belder MA Rescue angioplasty after failed fibrinolysis for acute myocardial infarction: Predictors of a failed procedure and one year mortality JACC 2007; 49(9, suppl II):30B X. British Cardiac Society-Glasgow 2007 26. Kunadian B, Vijayalakshmi K, Thornley A, Dunning J, Vijayalakshmi K, Muir DF, Hall JA, Wright RA, Sutton AGC, de Belder MA Should patients in cardiogenic shock undergo rescue angioplasty after failed fibrinolysis? Comparison of primary vs. rescue angioplasty in cardiogenic shock patients Heart 2007; 93(Suppl I):A70 27. Kunadian B, Vijayalakshmi K, Thornley A, Dunning J, Vijayalakshmi K, Muir DF, Hall JA, Wright RA, Sutton AGC, de Belder MA Rescue angioplasty after failed fibrinolysis for acute myocardial infarction: Predictors of a failed procedure and one year mortality Heart 2007; 93(Suppl I):A70 28. Thornley A, Kunadian B, Lister A, Turley A, Moffitt A, Close J, Cave M, Hall J, de Belder M. Cardiac rehabilitation and patient education following primary percutaneous coronary intervention Heart 2007; 93(Suppl I):A28 29. Turley A, Thornley A, Kunadian B, Roberts A. Johnson M, Gedney J, de Belder M. A novel score based on age and cardiac biomarkers predicts outcome in severe sepsis and septic shock. Heart 2007; 93(Suppl I):A79 30. Tough J, Thornley A, Turley A, Kunadian B, Morley R, Stewart M, de Belder M. Rapid access chest pain clinic referrals for angiography: room for improvement? Heart 2007; 93(Suppl I):A91 XI. European Society of Cardiology –Austria 2007 31. Kunadian Babu, Kunadian Vijayalakshmi, Andrew R Thornley, Michael Stewart, Jeetendra Thambyrajah, and Joel Dunning A Meta-Analysis of Valve Hemodynamics and LV Mass Regression for Stentless versus Stented Aortic Valves European Heart Journal 2006; 27 (Suppl):P4587 XII. Transcatheter Cardiovascular Therapeutics-Washington DC 2007 32. Kunadian B, Roberts AP, Morley R, Muir DF, Hall JA, Wright RA, Sutton AGC, de Belder MA Application of statistical process control to plot the door – to - balloon time for data feedback and analysis in patients presenting with acute myocardial infarction The American Journal of Cardiology 2007; 100(8)-Suppl 1 XIII. American Heart Association- Orlando 2007 33. Babu Kunadian, Raj Das, Joel Dunning, Kunadian Vijayalakshmi, Andrew G Sutton, Douglas F Muir, Robert A Wright, James A Hall, and Mark A de Belder Abstract 3720: External Validation of Established Risk Adjustment Models for Procedural Complications after Percutaneous Coronary Intervention on an Independent Data Set Circulation, Oct 2007; 116: II_845 - II_846. XIV. American College of Cardiology – Chicago 2008 34. Babu Kunadian, Joel Dunning, Anthony P. Roberts, Robert Morley, Darragh Twomey, Mark A. de Belder, Funnel Plots for Comparing Performance of PCI Performing Hospitals and Cardiologists: A More Meaningful Presentation of the New York State PCI Hospital Mortality Data JACC 2007; 51(10, suppl B):B57 XV. British Cardiac Society- Manchester 2008 35. Kunadian B, Dunning J, Das R, Roberts AP, Turley AJ, Morley R, Twomey D, Hall JA, Wright R, Sutton AG, Muir DF, de Belder MA. External Validation of Established Risk Adjustment Models for Procedural Complications after Percutaneous Coronary Intervention. Heart 2008; 94(Suppl II):A5-A145 36. Darragh T, Kunadian B, Roberts AP, Morley R, Muir DF, Hall JA, Wright RA, Sutton AGC, de Belder MA Application of statistical process control to plot the door – to - balloon time for data feedback and analysis in patients presenting with acute myocardial infarction Heart 2008; 94(Suppl II):A5-A145 XVI. European Society of Cardiology – Munich 2008 37. B. Kunadian, J. Dunning, AP. Roberts, R. Morley, D. Twomey, JA. Hall, AGC. Sutton, RA. Wright, DF. Muir, MA. de Belder Analysis and comparison of operator-specific in-hospital outcomes in percutaneous coronary intervention practice: cumulative funnel plots to display results and for the early detection of variation European Heart Journal 2008; 29 (Suppl):505-732 38. B. Kunadian, D. Twomey, AP. Roberts, R. Morley, JA. Hall, AGC. Sutton, RA. Wright, DF. Muir, MA. de Belder Statistical process control to plot the door to balloon time for data feedback and analysis in patients presenting with acute myocardial infarction European Heart Journal 2008; 29 (Suppl):901-962 XVII. Transcatheter Cardiovascular Therapeutics-Washington DC 2008 39. B. Kunadian, D. Twomey, AP. Roberts, R. Morley, JA. Hall, AGC. Sutton, RA. Wright, DF. Muir, MA. de Belder Impact of Implementation of Different Methods to Reduce Door - to - Balloon Time in Patients Presenting With STEMI: Continuous Data Analysis and Feedback Using Statistical Process Control Plot The American Journal of Cardiology 2008; (8)-Suppl p11 40. Pei Gee Chew, Fredrick Frost, Michael Fisher, Liam Mullen, Heider Zadeh, Khalid Albouaini, Bilal Patel, Velu Velavan, Babu Kunadian, Anju Rawat, Toba Obafemi, Julia Jones, Sarah Tong, Aleem Khand A direct comparison of accelerated discharge strategies in suspected acute coronary syndrome: a prospective cohort study of undetectable high sensitivity troponin T versus low risk TIMI, GRACE and HEART scores

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