Anna Maria Choy

+44 (0)1382 383482
Senior Clinical Lecturer and Honorary Consultant Cardiologist

Biography

Dr Choy is a Senior Clinical Lecturer in the Centre for Cardiovascular and Diabetes Medicine and a consultant cardiologist with interests in inherited and acquired arrhythmias. She is also the lead for international medical students at the medical school. Prior to her appointment in 2004 to University of Dundee, she was an associate professor in Cardiology, and head of the Arrhythmia Service at the University of Malaya, Kuala Lumpur. She was an American Heart Association Fellow at Vanderbilt University School of Medicine where she trained in electrophysiology and was a research fellow to Professor Dan Roden. She was awarded the North American Society of Pacing and Electrophysiology Young Investigator award for her research in 1997.

Her research interests are arrhythmia related; focusing on implantable cardiac electronic devices for arrhythmia management, the familial arrhythmias, anti arrhythmic drugs and atrial fibrillation.

Dr Choy is also the national lead clinician for FANS (the Familial Arrhythmia Network for Scotland), a national specialist network for patients with malignant arrhythmias due to genetic disease. Although the recognition and understanding of these conditions has increased rapidly, many of these advances have not been translated into better care of individuals at risk and their families. Anna Maria and colleagues started FANS, through funding from the Scottish government, to ensure that individuals and families in Scotland with these conditions will receive timely, evidenced based and equitable care using an integrated multidisciplinary approach and to facilitate research links across Scotland into these conditions. In recognition of this work, she was awarded the National Award for Outstanding Contribution to the Management of Inherited Cardiac Conditions from the Arrhythmia Alliance in 2009.

Research

Arrhythmia and heart failure related research including investigator initiated (research grants from CHSS, Tenovus, St Jude Medical) and clinical trials. Arrhythmia related research focusing on implantable cardiac electronic devices for arrhythmia management; the familial arrhythmias, anti arrhythmic drugs and atrial fibrillation.

Group alumni

Dr D Elder, Clinical research fellow 2009-20011; The effects of Right Ventricular Pacing in the Heart Failure Population

Lectures and conferences

Invited National Presentations

  • Scottish Arrhythmia Symposium 2009, 2010, 2011, 2012 (Main organiser), CPD accredited
  • Cardiac Risk in the Young, Scottish Inaugural meeting, Holyrood, Scottish parliament, Dec 2 2011
  • Inaugural meeting of the Association of Inherited Cardiac Condition, Cardiff 23 no 2011.
  • Arrhythmia Alliance UK, Arrhythmia Update, Edin Sep 2010
  • CHSS and BHF CPWG, Holyrood: 03/02/2010: Sudden Cardiac Death and Inherited cardiac Conditions
  • RCPE: 03/10 Pacing for Syncope
  • Scottish Cardiac Society 04/2010 The Familial Arrhythmia Network Scotland
  • Scottish Arrthythmia Symposium: 18/03/09: The Genetic Arrhythmias
  • Scottish Genetics Forum, Western General Hospital, Edinburgh June 2008: ‘Familial Arrhythmia Network for Scotland: ‘A cardiologist’s perspective’
  • Holyrood, Scottish Parliament: May 2008’ Families at Risk of Sudden cardiac death in Scotland’,
  • Scottish Cardiac Society March 2008: ‘Sudden cardiac death: the solution’
  • RCPE, Ninewells November 8th 2006; ‘Updates in Management of Common Arrhythmias’.
  • RCPE, Edinburgh Cardiac Risk: From cradle to grave March 2007, RCPE
  • Intervention Subgroup of the National Advisory Committee, 14/09/06; ‘Management of Inherited Heart Disease’

Teaching

  • Cardiac Arrhythmia : Diagnosis and management:
  • Inherited cardiac Conditions: Management in the Genetic Era
  • Sudden cardiac Death : causes and prevention
  • Lectures to Foundation Year Doctors on management of angina, arrhythmia management, ECG interpretation training of cardiology SPRs in arrhythmia devices (implantation procedures/ troubleshooting/ complications).
  • Educational and clinical Supervisor to FY1 doctors
  • Lectures to nurses on electrophysiology, arrhythmia therapies, arrhythmia management

Undergraduate teaching

  • Formal Lectures in Arrhythmia and arrhythmia management, and Inherited Cardiac Conditions
  • Problem based learning in cardiology: facilitated tutorials; Harvey teaching sessions
  • Tutorials in Therapeutics to year 4 medical students.
  • Ward Bedside Teaching
  • SSC in cardiology and arrhythmia: 4-6 students/year
  • Undergraduate Invigilating
    • Portfolio Exams
    • SSC marking
  • 4th year medical student projects (2005-2010, 10 MS to date)

Postgraduate teaching

  • Examiner and Convenor for MD thesis for University of Dundee.
  • PhD Monitoring Committee
  • MD supervisor

Publications

Most recent publication since 2009:

1. Elder DE,, Lang CC, Rekhraj S, Szwejkowski B, George J, 2. Pringle SD, Struthers AD, Choy AM Renin-Angiotensin System Blockers are Associated With Reduced Mortality and Heart Failure Hospitalisation in Patients Paced for Complete Atrio-Ventricular Block Heart Rhythm. 2011 Nov 15. [Epub ahead of print] Impact 4.26

2. Elder DH, Li Wei, BR Szwejkowski, R Libianto, A Nadir, M Pauriah, S Rekraj, TK Lim, J George, A Doney, SD Pringle, AM Choy, AD Struthers, CC Lang. The Impact of Renin Angiotensin Aldosterone System Blockade on Heart Failure Outcome and Mortality in Patients identified to have Aortic Regurgitation: A Large Population Cohort Study. Journal of the American College of Cardiology 2011 Nov 8; 58(20): 2084-91. Impact Factor 14·3 Rank 2/114 Cardiac & Cardiovascular.

3. MA ALZadjali, V Godfrey, F Khan, AM Choy, Doney AS, AK. Wong, JR Petrie, AD Struthers, CC Lang. Insulin resistance is highly prevalent and is associated with reduced exercise tolerance in non-diabetic patients with heart failure. Journal of The American College of Cardiology 2009: Mar 3;53(9):747-53, Impact Factor 14·3 Rank 2/114 Cardiac & Cardiovascular.

4. MA Nadir; DH Elder; Li Wei; R Libianto,TK Lim, M Pauriah, SD Pringle, AD Doney; AM Choy; AD Struthers; CC Lang. Impact of Renin-Angiotensin System Blockade Therapy on Outcome in Aortic Stenosis. Journal of the American College of Cardiology 2011 Aug 2;58(6):570-6. Impact Factor 14·3 Rank 2/114 Cardiac & Cardiovascular.

5. Szwejkowski BR, Elder DHJ, Choy AMJ, Pringle SD, Struthers AD, Lang CC. Pulmonary hypertension predicts all-cause mortality in patients with left ventricular systolic dysfunction. European Journal of Heart Failure. 2011 (in press). Impact Factor 4.512

6. Elder DHJ, Lang CC, Rekhraj S, Szwejkowski B, George J, Pringle SD, Struthers AD, Choy AM. Right ventricular pacing impairs endothelial function in man. Europace (2011) 13(6): 853-858 first published online February 22, 2011 doi:10.1093/europace/eur028 (impact factor 1.8 Rank 64/114, Cardiac & Cardiovascular).

7. Ford GA, Choy AM, Deedwania P, Karalis DG, Lindholm CJ, Pluta W, Frison L, Olsson SB; SPORTIF III, V Investigators. Direct thrombin inhibition and stroke prevention in elderly patients with atrial fibrillation: experience from the SPORTIF III and V Trials. Stroke. 2007 Nov;38(11):2965-71. Epub 2007 Sep 20.PubMed PMID: 17885258. (Impact factor 7).