Dr. Lim Tiong Keng

Cardiology

Credentials	Bachelor of Medicine & Surgery (London) 1998 Member of the Royal College of Physicians (UK) 2002 Doctor of Medicine (London) Fellow of the European Society of Cardiology Fellow of the American College of Cardiology
Language	English, Mandarin Chinese, Hokkien/Teochew
Background	Dr Lim Tiong Keng is a Consultant Cardiologist and Accredited Specialist in Advanced Echocardiography and Cardiac Magnetic Resonance Imaging (MRI) at the Mount Elizabeth Medical Centre and Hospital. With over 20 years of clinical experience, his clinical practice includes management of coronary artery disease, hypertension, arrhythmia, valvular heart disease, dyslipidaemia and adult congenital heart disease. Currently, Dr Lim is a Visiting Consultant at the National Heart Centre Singapore. He was an Adjunct Associate Professor at the Duke NUS Graduate Medical School, a Clinical Senior Lecturer at the Yong Loo Lin School of Medicine, NUS and a Core Clinical Faculty Member of the Singhealth Cardiology Senior Residency Program prior joining the private practice. Dr Lim graduated MBBS from the prestigious United Medical & Dental Schools of Guy’s & St Thomas’ Hospitals (University of London, King’s College London) in 1998 and obtained his post graduate MRCP (UK) qualification in 2002. Subsequently he obtained further post graduate qualification with award of the Doctor of Medicine under University of London through his cardiac research work at the Northwest London NHS Trust under the mentorship of Professor Roxy Senior. Dr Lim was triple accredited in both transthoracic & transoesophageal echocardiography (TEE) awarded by the British Society of Echocardiography in 2007 & 2012 respectively and he furthers obtained accreditation in transthoracic echocardiography by the European Association of Echocardiography in 2009. He passed the Cardiovascular Magnetic Resonance Accreditation Examination set by the ESC Working Group on Cardiovascular Magnetic Resonance in 2012. Following completion of the Cardiovascular Magnetic Resonance training in the Royal Brompton Hospital, London (UK) and Glenfield Heart Centre, Leicester (UK), he achieved level 3 accreditation in cardiac MRI set by the Society of Cardiovascular Magnetic Resonance (USA) in 2013. Additionally, he has expertise in various cardiac imaging with particular emphasis on advanced echocardiography (stress echo, contrast echo, TAVI TEE, intra-operative TEE, interventional TEE & 3D TEE) and cardiac MRI (1.5T and 3T) with full range of studies undertaken including angiography, cardiomyopathy, stress cardiac MRI (Adenosine), viability assessment, quantification of ventricular function and valvular disease. In recognition of his academic and clinical achievement in the field of Cardiology, he was elected for the prestigious fellowship endorsed by the European Society of Cardiology and the American College of Cardiology in 2013. In addition, he is a reviewer for several peer-reviewed international journals. With his expertise in advance cardiac imaging, he was appointed as a grader for the echocardiography accreditation under the European Association of Cardiovascular Imaging (EACVI) since 2014 and a grader for the abstract submission for one of the world largest Cardiology Scientific Meeting organised by the European Society of Cardiology. With Dr Lim’s track record on his academic and clinical excellence, he was bestowed with the Silver award for Singhealth Clinical Service in 2016 and subsequently he was appointed as an Adjunct Associate Professor at the Duke NUS Graduate Medical School in 2018. Dr Lim has been presented both at the national and international platforms and published more than 30 peer reviewed medical scientific papers in some of the most prestigious internationally recognised cardiology journals with high impact factor such as the Circulation, Journal of American College Cardiology, European Heart Journal, American Journal of Cardiology and Journal of the American Society of Echocardiography.
Publications	1. Lim TK, Noman A, Choy AMJ, Khan F, Struthers AD, Lang CC The APEX Trial: Effects of Allopurinol on Exercise Capacity, Coronary and Peripheral Endothelial Function and Natriuretic Peptides in Patients with Cardiac Syndrome X. Cardiovascular Therapeutics 2018 Feb;36(1). doi: 10.1111/1755-5922.12311. JIF: 2.4 2. Go YY, Sugimoto T, Bulluck H, Acharyya S, Allen JC, Chia SY, Jaufeerally FR, Sim D, Lim TK, Liew R, Lam CSP. Age and ejection fraction modify the impact of atrial fibrillation on acute heart failure outcomes. European Journal of Heart Failure 2018; Apr;20(4):821-822. JIF: 6.5 3. Singh A, Lim TK, McMann G. Cardiac MRI of simultaneous left ventricle and left atrial appendage thrombi in a patient in sinus rhythm. British Journal of Hospital Medicine 2013; 74(4):229-229. JIF: 0.4 4. Pauriah Maheshwar; Khan Faisel; Lim Tiong K; Elder Douglas H; Godfrey Valerie; Kennedy Gwen; Belch Jill J F; Booth Nuala A; Struthers Allan D; Lang Chim C. B-type natriuretic peptide is an independent predictor of endothelial function in man. Clinical science (London, England: 1979) 2012; 123(5):307-12. JIF: 5.6 5. Vasa-Nicotera Mariuca; Sinning Jan-Malte; Chin Derek; Lim Tiong Keng; Spyt Tomasz; Jilaihawi Hasan; Grube Eberhard; Werner Nikos; Nickenig Georg; Kovac Jan. Impact of paravalvular leakage on outcome in patients after transcatheter aortic valve implantation. JACC. Cardiovascular interventions 2012; 5(8):858-65. JIF: 7.3 6. Nadir M Adnan; Rekhraj Sushma; Wei Li; Lim Tiong K; Davidson John; MacDonald Thomas M; Lang Chim C; Dow Ellie; Struthers Allan D. Improving the primary prevention of cardiovascular events by using biomarkers to identify individuals with silent heart disease. Journal of the American College of Cardiology 2012; 60(11):960-8. JIF: 19.8 7. Chahal Navtej S; Lim Tiong K; Jain Piyush; Chambers John C; Kooner Jaspal S; Senior Roxy. Population-based reference values for 3D echocardiographic LV volumes and ejection fraction. JACC. Cardiovascular imaging 2012; 5(12):1191-7. JIF: 7.2 8. Elder Douglas H J; Wei Li; Szwejkowski Benjamin R; Libianto Renata; Nadir Adnan; Pauriah Maheshwar; Rekhraj Sushma; Lim Tiong K; George Jacob; Doney Alex; Pringle Stuart D; Choy Anna-Maria; Struthers Allan D; Lang Chim C. The impact of renin-angiotensin-aldosterone system blockade on heart failure outcomes and mortality in patients identified to have aortic regurgitation: a large population cohort study. Journal of the American College of Cardiology 2011; 58(20):2084-91. JIF: 19.8 9. Chahal Navtej S; Lim Tiong K; Jain Piyush; Chambers John C; Kooner Jaspal S; Senior Roxy. Does subclinical atherosclerosis burden identify the increased risk of cardiovascular disease mortality among United Kingdom Indian Asians? A population study. American Heart Journal 2011; 162(3):460-6. JIF: 4.5 10. Nadir M Adnan; Wei Li; Elder Douglas H J; Libianto Renata; Lim Tiong K; Pauriah Maheshwar; Pringle Stuart D; Doney Alex D; Choy Anna-Maria; Struthers Allan D; Lang Chim C. Impact of renin-angiotensin system blockade therapy on outcome in aortic stenosis. Journal of the American College of Cardiology 2011; 58(6):570-6. JIF: 19.8 11. Chahal Navtej S; Lim Tiong K; Jain Piyush; Chambers John C; Kooner Jaspal S; Senior Roxy. The distinct relationships of carotid plaque disease and carotid intima-media thickness with left ventricular function. Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 2010; 23(12):1303-9. JIF: 4.1 12. Chahal Navtej S; Lim Tiong K; Jain Piyush; Chambers John C; Kooner Jaspal S; Senior Roxy. New insights into the relationship of left ventricular geometry and left ventricular mass with cardiac function: A population study of hypertensive subjects. European heart journal 2010; 31(5):588-94.JIF: 20.2 13. Chahal Navtej S; Lim Tiong K; Jain Piyush; Chambers John C; Kooner Jaspal S; Senior Roxy. Normative reference values for the tissue Doppler imaging parameters of left ventricular function: a population-based study. European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology 2010; 11(1):51-6 . JIF: 4.1 14. Chahal Navtej S; Lim Tiong K; Jain Piyush; Chambers John C; Kooner Jaspal S; Senior Roxy. Ethnicity-related differences in left ventricular function, structure and geometry: a population study of UK Indian Asian and European white subjects. Heart (British Cardiac Society) 2010; 96(6):466-71. JIF: 5.5 15. Dwivedi Girish; Janardhanan Rajesh; Hayat Sajad A; Lim Tiong K; Greaves Kim; Senior Roxy. Relationship between myocardial perfusion with myocardial contrast echocardiography and function early after acute myocardial infarction for the prediction of late recovery of function. International journal of cardiology 2010; 140(2):169-74. JIF: 6.2 16. Lim T K; Dwivedi G; Hayat S; Majumdar S; Senior R. Independent value of left atrial volume index for the prediction of mortality in patients with suspected heart failure referred from the community. Heart (British Cardiac Society) 2009; 95(14):1172-8 (Article; Published in Print). JIF: 5.6 17. Lim Tiong K; Choy AnnaMaria J; Khan Faisel; Belch Jill J F; Struthers Allan D; Lang Chim C. Therapeutic development in cardiac syndrome X: a need to target the underlying pathophysiology. Cardiovascular therapeutics 2009; 27(1):49-58 (Review Article; Published in Print). JIF: 2.4 18. Dwivedi Girish; Janardhanan Rajesh; Hayat Sajad A; Lim Tiong K; Senior Roxy. Improved prediction of outcome by contrast echocardiography determined left ventricular remodelling parameters compared to unenhanced echocardiography in patients following acute myocardial infarction. European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology 2009; 10(8):933-40. JIF: 4.1 19. Dwivedi Girish; Janardhanan Rajesh; Hayat Sajad A; Lim Tiong K; Senior Roxy. Comparison between myocardial contrast echocardiography and (99m)technetium sestamibi single photon emission computed tomography determined myocardial viability in predicting hard cardiac events following acute myocardial infarction. The American journal of cardiology 2009; 104(9):1184-8. JIF: 3.3 20. Lang Chim C; Karlin Paula; Haythe Jennifer; Lim Tiong K; Mancini Donna M. Peak cardiac power output, measured noninvasively, is a powerful predictor of outcome in chronic heart failure. Circulation. Heart failure 2009; 2(1):33-8. JIF: 5.6 21. Dwivedi Girish; Janardhanan Rajesh; Hayat Sajad A; Lim Tiong K; Senior Roxy. Improved prediction of outcome by contrast echocardiography determined left ventricular remodelling parameters compared to unenhanced echocardiography in patients following acute myocardial infarction. European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology 2009; 10(8):933-40. JIF: 4.1 22. Leaver Heather; Lim Tiong K; Thomson Philip; Leaver Joanne; Choy Anna M J; Lang Chim C. Compliance to recommended liver function monitoring in patients on statin therapy. Cardiovascular therapeutics 2009; 27(2):96-100 . JIF: 2.4 23. Hayat S A; Dwivedi G; Jacobsen A; Lim T K; Kinsey C; Senior R. Effects of left bundle-branch block on cardiac structure, function, perfusion, and perfusion reserve: implications for myocardial contrast echocardiography versus radionuclide perfusion imaging for the detection of coronary artery disease. Circulation 2008; 117(14):1832-41. JIF: 19.3 24. Lim Tiong K; Lim Eric; Dwivedi Girish; Kooner Jaspal; Senior Roxy. Normal value of carotid intima-media thickness–a surrogate marker of atherosclerosis: quantitative assessment by B-mode carotid ultrasound. Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 2008; 21(2):112-6. JIF: 4.1 25. Lim Tiong Keng; Hayat Sajad Ahmed; Gaze David; Celik Esra; Collinson Paul; Senior Roxy. Independent value of echocardiography and N-terminal pro-natriuretic Peptide for the prediction of major outcomes in patients with suspected heart failure. The American journal of cardiology 2007; 100(5):870-5. JIF: 3.3 26. Lim Tiong Keng; Dwivedi Girish; Hayat Sajad; Collinson Paul O; Senior Roxy. Cost effectiveness of the B type natriuretic peptide, electrocardiography, and portable echocardiography for the assessment of patients from the community with suspected heart failure. Echocardiography (Mount Kisco, N.Y.) 2007; 24(3):228-36. JIF: 1.3 27. Lim Tiong Keng; Collinson Paul O; Celik Esra; Gaze David; Senior Roxy. Value of primary care electrocardiography for the prediction of left ventricular systolic dysfunction in patients with suspected heart failure. International journal of cardiology 2007; 115(1):73-4. JIF: 6.2 28. Ashrafian Houman; Lim Tiong K; Senior Roxy. Carotid ultrasound imaging: an effective technique for detecting early atherosclerosis-vascular screening for cardiovascular disease has come of age. Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 2007; 20(1):1-3. JIF: 4.1 29. Lim Tiong Keng; Senior Roxy. Noninvasive modalities for the assessment of left ventricular function: all are equal but some are more equal than others. Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology 2006; 13(4):445-9. JIF: 2.9 30. Lim Tiong Keng; Burden Leah; Janardhanan Rajesh; Dwivedi Girish; Ping Chai; Moon James; Pennell Dudley J; Senior Roxy. Contrast echocardiography versus gated single photon emission computed tomography for the assessment of parameters of left ventricular remodeling after acute myocardial infarction. Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 2006; 19(3):280-4. JIF: 4.1 31. Lim Tiong K; Ashrafian Houman; Dwivedi Girish; Collinson Paul O; Senior Roxy. Increased left atrial volume index is an independent predictor of raised serum natriuretic peptide in patients with suspected heart failure but normal left ventricular ejection fraction: Implication for diagnosis of diastolic heart failure. European journal of heart failure 2006; 8(1):38-45. JIF: 6.5 32. Greaves Kim; Jeetley Paramjit; Hickman Michael; Dwivedi Girish; Sabharwal Nikant; Lim Tiong K; Janardhanan Rajesh; Senior Roxy. The use of hand-carried ultrasound in the hospital setting–a cost-effective analysis. Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 2005; 18(6):620-5 . JIF: 4.1 33. Lim Tiong Keng; Burden Leah; Janardhanan Rajesh; Ping Chai; Moon James; Pennell Dudley; Senior Roxy. Improved accuracy of low-power contrast echocardiography for the assessment of left ventricular remodeling compared with unenhanced harmonic echocardiography after acute myocardial infarction: comparison with cardiovascular magnetic resonance imaging. Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 2005; 18(11):1203-7. JIF: 4.1 34. Senior Roxy; Dwivedi Girish; Hayat Sajad; Lim Tiong Keng. Clinical benefits of contrast-enhanced echocardiography during rest and stress examinations. European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology 2005; 6 Suppl 2:S6-13. JIF: 4.1

Credentials

Bachelor of Medicine & Surgery (London) 1998
Member of the Royal College of Physicians (UK) 2002
Doctor of Medicine (London)
Fellow of the European Society of Cardiology
Fellow of the American College of Cardiology

Language

English, Mandarin Chinese, Hokkien/Teochew

Background

Dr Lim Tiong Keng is a Consultant Cardiologist and Accredited Specialist in Advanced Echocardiography and Cardiac Magnetic Resonance Imaging (MRI) at the Mount Elizabeth Medical Centre and Hospital. With over 20 years of clinical experience, his clinical practice includes management of coronary artery disease, hypertension, arrhythmia, valvular heart disease, dyslipidaemia and adult congenital heart disease. Currently, Dr Lim is a Visiting Consultant at the National Heart Centre Singapore. He was an Adjunct Associate Professor at the Duke NUS Graduate Medical School, a Clinical Senior Lecturer at the Yong Loo Lin School of Medicine, NUS and a Core Clinical Faculty Member of the Singhealth Cardiology Senior Residency Program prior joining the private practice.

Dr Lim graduated MBBS from the prestigious United Medical & Dental Schools of Guy’s & St Thomas’ Hospitals (University of London, King’s College London) in 1998 and obtained his post graduate MRCP (UK) qualification in 2002. Subsequently he obtained further post graduate qualification with award of the Doctor of Medicine under University of London through his cardiac research work at the Northwest London NHS Trust under the mentorship of Professor Roxy Senior. Dr Lim was triple accredited in both transthoracic & transoesophageal echocardiography (TEE) awarded by the British Society of Echocardiography in 2007 & 2012 respectively and he furthers obtained accreditation in transthoracic echocardiography by the European Association of Echocardiography in 2009. He passed the Cardiovascular Magnetic Resonance Accreditation Examination set by the ESC Working Group on Cardiovascular Magnetic Resonance in 2012. Following completion of the Cardiovascular Magnetic Resonance training in the Royal Brompton Hospital, London (UK) and Glenfield Heart Centre, Leicester (UK), he achieved level 3 accreditation in cardiac MRI set by the Society of Cardiovascular Magnetic Resonance (USA) in 2013. Additionally, he has expertise in various cardiac imaging with particular emphasis on advanced echocardiography (stress echo, contrast echo, TAVI TEE, intra-operative TEE, interventional TEE & 3D TEE) and cardiac MRI (1.5T and 3T) with full range of studies undertaken including angiography, cardiomyopathy, stress cardiac MRI (Adenosine), viability assessment, quantification of ventricular function and valvular disease.

In recognition of his academic and clinical achievement in the field of Cardiology, he was elected for the prestigious fellowship endorsed by the European Society of Cardiology and the American College of Cardiology in 2013. In addition, he is a reviewer for several peer-reviewed international journals. With his expertise in advance cardiac imaging, he was appointed as a grader for the echocardiography accreditation under the European Association of Cardiovascular Imaging (EACVI) since 2014 and a grader for the abstract submission for one of the world largest Cardiology Scientific Meeting organised by the European Society of Cardiology.

With Dr Lim’s track record on his academic and clinical excellence, he was bestowed with the Silver award for Singhealth Clinical Service in 2016 and subsequently he was appointed as an Adjunct Associate Professor at the Duke NUS Graduate Medical School in 2018. Dr Lim has been presented both at the national and international platforms and published more than 30 peer reviewed medical scientific papers in some of the most prestigious internationally recognised cardiology journals with high impact factor such as the Circulation, Journal of American College Cardiology, European Heart Journal, American Journal of Cardiology and Journal of the American Society of Echocardiography.

Publications

1. Lim TK, Noman A, Choy AMJ, Khan F, Struthers AD, Lang CC
The APEX Trial: Effects of Allopurinol on Exercise Capacity, Coronary and Peripheral Endothelial Function and Natriuretic Peptides in Patients with Cardiac Syndrome X. Cardiovascular Therapeutics 2018 Feb;36(1). doi: 10.1111/1755-5922.12311. JIF: 2.4

2. Go YY, Sugimoto T, Bulluck H, Acharyya S, Allen JC, Chia SY, Jaufeerally FR, Sim D, Lim TK, Liew R, Lam CSP. Age and ejection fraction modify the impact of atrial fibrillation on acute heart failure outcomes. European Journal of Heart Failure 2018; Apr;20(4):821-822. JIF: 6.5

3. Singh A, Lim TK, McMann G. Cardiac MRI of simultaneous left ventricle and left atrial appendage thrombi in a patient in sinus rhythm. British Journal of Hospital Medicine 2013; 74(4):229-229. JIF: 0.4

4. Pauriah Maheshwar; Khan Faisel; Lim Tiong K; Elder Douglas H; Godfrey Valerie; Kennedy Gwen; Belch Jill J F; Booth Nuala A; Struthers Allan D; Lang Chim C. B-type natriuretic peptide is an independent predictor of endothelial function in man. Clinical science (London, England: 1979) 2012; 123(5):307-12. JIF: 5.6

5. Vasa-Nicotera Mariuca; Sinning Jan-Malte; Chin Derek; Lim Tiong Keng; Spyt Tomasz; Jilaihawi Hasan; Grube Eberhard; Werner Nikos; Nickenig Georg; Kovac Jan. Impact of paravalvular leakage on outcome in patients after transcatheter aortic valve implantation. JACC. Cardiovascular interventions 2012; 5(8):858-65. JIF: 7.3

6. Nadir M Adnan; Rekhraj Sushma; Wei Li; Lim Tiong K; Davidson John; MacDonald Thomas M; Lang Chim C; Dow Ellie; Struthers Allan D. Improving the primary prevention of cardiovascular events by using biomarkers to identify individuals with silent heart disease. Journal of the American College of Cardiology 2012; 60(11):960-8. JIF: 19.8

7. Chahal Navtej S; Lim Tiong K; Jain Piyush; Chambers John C; Kooner Jaspal S; Senior Roxy. Population-based reference values for 3D echocardiographic LV volumes and ejection fraction. JACC. Cardiovascular imaging 2012; 5(12):1191-7. JIF: 7.2

8. Elder Douglas H J; Wei Li; Szwejkowski Benjamin R; Libianto Renata; Nadir Adnan; Pauriah Maheshwar; Rekhraj Sushma; Lim Tiong K; George Jacob; Doney Alex; Pringle Stuart D; Choy Anna-Maria; Struthers Allan D; Lang Chim C. The impact of renin-angiotensin-aldosterone system blockade on heart failure outcomes and mortality in patients identified to have aortic regurgitation: a large population cohort study. Journal of the American College of Cardiology 2011; 58(20):2084-91. JIF: 19.8

9. Chahal Navtej S; Lim Tiong K; Jain Piyush; Chambers John C; Kooner Jaspal S; Senior Roxy. Does subclinical atherosclerosis burden identify the increased risk of cardiovascular disease mortality among United Kingdom Indian Asians? A population study. American Heart Journal 2011; 162(3):460-6. JIF: 4.5

10. Nadir M Adnan; Wei Li; Elder Douglas H J; Libianto Renata; Lim Tiong K; Pauriah Maheshwar; Pringle Stuart D; Doney Alex D; Choy Anna-Maria; Struthers Allan D; Lang Chim C. Impact of renin-angiotensin system blockade therapy on outcome in aortic stenosis. Journal of the American College of Cardiology 2011; 58(6):570-6. JIF: 19.8

11. Chahal Navtej S; Lim Tiong K; Jain Piyush; Chambers John C; Kooner Jaspal S; Senior Roxy. The distinct relationships of carotid plaque disease and carotid intima-media thickness with left ventricular function. Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 2010; 23(12):1303-9. JIF: 4.1

12. Chahal Navtej S; Lim Tiong K; Jain Piyush; Chambers John C; Kooner Jaspal S; Senior Roxy. New insights into the relationship of left ventricular geometry and left ventricular mass with cardiac function: A population study of hypertensive subjects. European heart journal 2010; 31(5):588-94.JIF: 20.2

13. Chahal Navtej S; Lim Tiong K; Jain Piyush; Chambers John C; Kooner Jaspal S; Senior Roxy. Normative reference values for the tissue Doppler imaging parameters of left ventricular function: a population-based study. European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology 2010; 11(1):51-6 . JIF: 4.1

14. Chahal Navtej S; Lim Tiong K; Jain Piyush; Chambers John C; Kooner Jaspal S; Senior Roxy. Ethnicity-related differences in left ventricular function, structure and geometry: a population study of UK Indian Asian and European white subjects. Heart (British Cardiac Society) 2010; 96(6):466-71. JIF: 5.5

15. Dwivedi Girish; Janardhanan Rajesh; Hayat Sajad A; Lim Tiong K; Greaves Kim; Senior Roxy. Relationship between myocardial perfusion with myocardial contrast echocardiography and function early after acute myocardial infarction for the prediction of late recovery of function. International journal of cardiology 2010; 140(2):169-74. JIF: 6.2

16. Lim T K; Dwivedi G; Hayat S; Majumdar S; Senior R. Independent value of left atrial volume index for the prediction of mortality in patients with suspected heart failure referred from the community. Heart (British Cardiac Society) 2009; 95(14):1172-8 (Article; Published in Print). JIF: 5.6

17. Lim Tiong K; Choy AnnaMaria J; Khan Faisel; Belch Jill J F; Struthers Allan D; Lang Chim C. Therapeutic development in cardiac syndrome X: a need to target the underlying pathophysiology. Cardiovascular therapeutics 2009; 27(1):49-58 (Review Article; Published in Print). JIF: 2.4

18. Dwivedi Girish; Janardhanan Rajesh; Hayat Sajad A; Lim Tiong K; Senior Roxy. Improved prediction of outcome by contrast echocardiography determined left ventricular remodelling parameters compared to unenhanced echocardiography in patients following acute myocardial infarction. European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology 2009; 10(8):933-40. JIF: 4.1

19. Dwivedi Girish; Janardhanan Rajesh; Hayat Sajad A; Lim Tiong K; Senior Roxy. Comparison between myocardial contrast echocardiography and (99m)technetium sestamibi single photon emission computed tomography determined myocardial viability in predicting hard cardiac events following acute myocardial infarction. The American journal of cardiology 2009; 104(9):1184-8. JIF: 3.3

20. Lang Chim C; Karlin Paula; Haythe Jennifer; Lim Tiong K; Mancini Donna M. Peak cardiac power output, measured noninvasively, is a powerful predictor of outcome in chronic heart failure. Circulation. Heart failure 2009; 2(1):33-8. JIF: 5.6

21. Dwivedi Girish; Janardhanan Rajesh; Hayat Sajad A; Lim Tiong K; Senior Roxy. Improved prediction of outcome by contrast echocardiography determined left ventricular remodelling parameters compared to unenhanced echocardiography in patients following acute myocardial infarction. European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology 2009; 10(8):933-40. JIF: 4.1

22. Leaver Heather; Lim Tiong K; Thomson Philip; Leaver Joanne; Choy Anna M J; Lang Chim C. Compliance to recommended liver function monitoring in patients on statin therapy. Cardiovascular therapeutics 2009; 27(2):96-100 . JIF: 2.4

23. Hayat S A; Dwivedi G; Jacobsen A; Lim T K; Kinsey C; Senior R. Effects of left bundle-branch block on cardiac structure, function, perfusion, and perfusion reserve: implications for myocardial contrast echocardiography versus radionuclide perfusion imaging for the detection of coronary artery disease. Circulation 2008; 117(14):1832-41. JIF: 19.3

24. Lim Tiong K; Lim Eric; Dwivedi Girish; Kooner Jaspal; Senior Roxy. Normal value of carotid intima-media thickness–a surrogate marker of atherosclerosis: quantitative assessment by B-mode carotid ultrasound. Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 2008; 21(2):112-6. JIF: 4.1

25. Lim Tiong Keng; Hayat Sajad Ahmed; Gaze David; Celik Esra; Collinson Paul; Senior Roxy. Independent value of echocardiography and N-terminal pro-natriuretic Peptide for the prediction of major outcomes in patients with suspected heart failure. The American journal of cardiology 2007; 100(5):870-5. JIF: 3.3

26. Lim Tiong Keng; Dwivedi Girish; Hayat Sajad; Collinson Paul O; Senior Roxy. Cost effectiveness of the B type natriuretic peptide, electrocardiography, and portable echocardiography for the assessment of patients from the community with suspected heart failure. Echocardiography (Mount Kisco, N.Y.) 2007; 24(3):228-36. JIF: 1.3

27. Lim Tiong Keng; Collinson Paul O; Celik Esra; Gaze David; Senior Roxy. Value of primary care electrocardiography for the prediction of left ventricular systolic dysfunction in patients with suspected heart failure. International journal of cardiology 2007; 115(1):73-4. JIF: 6.2

28. Ashrafian Houman; Lim Tiong K; Senior Roxy. Carotid ultrasound imaging: an effective technique for detecting early atherosclerosis-vascular screening for cardiovascular disease has come of age. Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 2007; 20(1):1-3. JIF: 4.1

29. Lim Tiong Keng; Senior Roxy. Noninvasive modalities for the assessment of left ventricular function: all are equal but some are more equal than others. Journal of nuclear cardiology : official publication of the American Society of Nuclear Cardiology 2006; 13(4):445-9. JIF: 2.9

30. Lim Tiong Keng; Burden Leah; Janardhanan Rajesh; Dwivedi Girish; Ping Chai; Moon James; Pennell Dudley J; Senior Roxy. Contrast echocardiography versus gated single photon emission computed tomography for the assessment of parameters of left ventricular remodeling after acute myocardial infarction. Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 2006; 19(3):280-4. JIF: 4.1

31. Lim Tiong K; Ashrafian Houman; Dwivedi Girish; Collinson Paul O; Senior Roxy. Increased left atrial volume index is an independent predictor of raised serum natriuretic peptide in patients with suspected heart failure but normal left ventricular ejection fraction: Implication for diagnosis of diastolic heart failure. European journal of heart failure 2006; 8(1):38-45. JIF: 6.5

32. Greaves Kim; Jeetley Paramjit; Hickman Michael; Dwivedi Girish; Sabharwal Nikant; Lim Tiong K; Janardhanan Rajesh; Senior Roxy. The use of hand-carried ultrasound in the hospital setting–a cost-effective analysis. Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 2005; 18(6):620-5 . JIF: 4.1

33. Lim Tiong Keng; Burden Leah; Janardhanan Rajesh; Ping Chai; Moon James; Pennell Dudley; Senior Roxy. Improved accuracy of low-power contrast echocardiography for the assessment of left ventricular remodeling compared with unenhanced harmonic echocardiography after acute myocardial infarction: comparison with cardiovascular magnetic resonance imaging. Journal of the American Society of Echocardiography : official publication of the American Society of Echocardiography 2005; 18(11):1203-7. JIF: 4.1

34. Senior Roxy; Dwivedi Girish; Hayat Sajad; Lim Tiong Keng. Clinical benefits of contrast-enhanced echocardiography during rest and stress examinations. European journal of echocardiography : the journal of the Working Group on Echocardiography of the European Society of Cardiology 2005; 6 Suppl 2:S6-13. JIF: 4.1