Ren Yik Lim

• Place of Birth: Butterworth, Malaysia
• Date of Birth: 10/04/1983
• Presently living in Darwin, Australia.
  
• Citizen of: Malaysia
• Permanent Resident of Australia
• Gender: Male

• I am a clinically focused General Cardiologist / Interventional Cardiologist, currently working Darwin, Top End, Northern Territories.
• I have extensive experience working in regional/ remote areas where a high degree of independence in required.
• I am a good team player and a hard worker
• I seek to contribute to patient care and service delivery to the highes possible standards.
• Previously due to 19AB restrictions as a foreign graduate I had restrictions in working in most urban areas across Australia. My 19AB restriction end in October 2025 and I am actively looking for alternate possibilities out of the NT.

• Diagnostic coronary angiography
• Intracoronary Imaging (IVUS and OCT)
• Percutaneous Coronary Interventions (PCI)
• FFR/iFR assessment
• Complex PCI STEMI. Rotablation/ LM PCI/ Bifurcation PCI
• First operator experience in Balloon Aortic Valvuloplasty (Further experience required to be independent operator)
• First operator experience in PFO closures. (Further experience required to be independent operator

• Transthoracic Echocardiogram (Performing and Reporting)
• CT Coronary Angiogram (Level B)
• Exercise Stress Test and Stress Echocardiogram
• Transoesophageal Echocardiogram (Requires short period of retraining if need to perform)
• Temporary Pacing wire insertion
• Pericardial Tap
• Permanent Pacemaker Insertion (Needs retraining)

Extensive experience in general cardiology as Advance Trainee  and  as Specialist Cardiologist in Darwin.  These include:

• Managing Acute and chronic cardiology patients
• Have experience managing severe End Stage Heart Failure patients awaiting heart transplantation.
• Cardiology outpatient clinics, including specialist heart failure clinics and arrythmia clinics
• Presenting and advocating for patients in cardiosurgical conferences and Multidisciplinary Team Meetings.
• Management of patients presenting with complex valvular issues such as rheaumatic heart disease, mechanical valve thrombosis, infective endocarditis.
• Frequent Outreach Clinics with in remote populations in the Northern Territories. Cardiologist in charge of 2 remote communities in the Top End.
  

• I have 3 years of general medicine experience, (2 years as a Basic Physician Trainee in Ireland and 1 year as a Specialist Registrar in General Internal Medicine)
• This gave me a wide breadth of exposure to acute medicine and chronic illnesses across various specialties including oncology, respiratory, rheaumatology, geriartric medicine and nephrology
• Procedural skills that I have obtained throughout my training include Pleural Aspiration, Ascitic Tap, DC Cardioversion and Lumbar Puncture

Fellowship of Royal College of Physicians Ireland (FRCPI)

Fellowship of Royal Australasian College of Physicians (FRACP)

Level B certification in Cardiac CT Coronary Angiogram.

Certificate of Satisfactory Completion of Specialist Training (CSCST) in Cardiology. Awarded by the Royal College of Physician Ireland (RCPI)

Basic Specialist Training (BST) in General Internal Medicine Awarded by RCPI

MRCP(UK) (2010)

British Society of Echocardiography examinations: Passed written exam.

European Society of Cardiology Knowledge Based Assessment exam.

Advanced Cardiac Life Support Certification.

Winner of Royal College of Physicians David Mitchell Award, for audits that improve patient care. (2013). (National Level)

• Role in Audit: Team Leader for Project/ Planning of Audit/ Data Collection and Analysis/ Applying Interventions to Improve outcomes/ Reaudit Process / Presentation of Audit Results at National Level

• Comparison of diagnostic performance between quantitative flow ratio, non-hyperemic pressure indices and fractional flow reserve. . 2020 Jun;10(3):442-452.Cardiovascular Diagnostic Therapeutics doi: 10.21037/cdt-20-179.
• Quantitative flow ratio to predict long-term coronary artery bypass graft patency in patients with left main coronary artery disease. 2022 July. The International Journal of Cardiovascular Imaging. https://doi.org/10.1007/s10554-022-02699-5
• Functionally Significant Coronary Artery Disease in Patients Undergoing Transcatheter Aortic Valve Implantation is Associated With Increased Mortality. Nov 2020. Heart, Lung and Circulation 10.1016/j.hlc.2020.09.838. Heart, Lung and Circulation
• Diagnostic Accuracy of Quantitative Flow Ratio (QFR) Compared to Instantaneous Flow Wave Free Ratio (iFR) and DILEMMA Score to Predict Fractional Flow Reserve (FFR)June 2019. Heart Lung and Circulation. DOI:10.1016/j.hlc.2019.06.607
• Ethnic differences in coronary luminal volume, left ventricular mass and CT derived fractional flow reserve. September 2018. Journal of the American College of Cardiology 72(13):B156. DOI:10.1016/j.jacc.2018.08.1542
• Irish Medical Journal - Association of Oesophageal Hypertension with Bradycardia Mediated Deglutition Syncope. November/December 2015 Volume 108 Number 10
• World Allergy Organization Journal- A case of oral vancomycin desensitization
• BMJ Case Reports- Woman with chest pains and shortness of breath since 18 y.o: A case of Left Circumflex artery fistulating into the right atrium

• Diagnostic and Prognostic Utility of CT Coronary Angiography in Top End Australia's Indegenious and Non indegenious Population: A retrospective analysis. (Accepted for presentation at CSANZ 2024)
• Dilemma Score Predicts 1 Year Mortality in Patients with Coronary Artery Disease Undergoing Transcatheter Aortic Valve Replacement: Poster Presentation at TCT meeting 2018 and CSANZ meeting 2018
• Ticagrelor Use and Platelet Reactivity in Maori and Diabetic Patients with Acute Coronary Syndrome: Outcomes: Oral Presentation at CSANZ meeting 2017 / Conference Abstract in Heart and Lung Journal
• A Study on Obstacles to Commencement of Uptitration of Disease Modifying Therapies in Stable Patients with Established Heart Failure with Reduced Ejection Fraction: Poster Presentation at European Heart Failure Society Meeting 2015
• Retrospective Analysis of LDL Control in Very High Risk Patient with Coronary Artery Disease Requiring PCI: Poster Presentation at International Congress of Cardiology 2011/ National David Mitchell Award from Royal College of Physicians Ireland (Award Section) 2013
• The Association between Timeliness of Reperfusion Therapy, Left Ventricular Function and In Patient Mortality of Patients Presenting Out of Hours vs Working Hours. (International Journal of Cardiology) and Poster Presentation at International Congress: Poster Presentation at International Congress of Cardiology 2012
• Prevalence and definition of Chronotropic Incompetence in patients presenting for EST to Waterford Regional Hospital: Poster and Presentation at Irish Cardiac Society Meeting

International/ National Conference Presentations:
International/ National Conference Presentations:

• A study on the Safety of Performing Rotational Atherectomy (RA) without Upfront Temporary Transvenous Pacing (TTP) Compared to Upfront TTP. (Poster presentation CSANZ 2019)
• Dilemma Score Predicts 1 Year Mortality in Patients with Coronary Artery Disease Undergoing Transcatheter Aortic Valve Replacement: Poster Presentation at TCT meeting 2018 and CSANZ meeting 2018
• Comparison of diagnostic performance between QFR, iFR, novel diastolic pressure ratio, DILEMMA score and FFR. Mini oral presentation in CSANZ 2019, oral presentation in TCT and ESC.
• Oral Presentation CSANZ meeting 2017: Ticagrelor Use and Platelet Reactivity in Maori and Diabetic Patients with Acute Coronary Syndrome.
  
• Oral Presentation CSANZ meeting 2017: A Case of OCT Elucidating Coronary Plaque Rupture in a Patient Presenting with STEMI with Normal Diagnostic Coronaries.
  
• Oral Presentation EuroPCR scheduled May 2016: A Case of Iatrogenically induced coronary artery aneurysm.
  
• Poster Presentation European Society of Cardiology Heart Failure, Seville. A Study on Obstacle to Commencement of Uptitration of Disease Modifying Therapies in Stable Patients with Established Heart Failure with Reduced Ejection Fraction.
  
• Oral Presentation American College of Cardiology meeting in San Francisco. (A Case of Spontaneously Resolving Coronary Artery Aneurysm)
  
• Oral Presentation American College of Cardiology meeting in San Francisco (To Stent or Not to Stent: Acute Spontaneous Coronary Artery Dissection Without Obstruction)
  
• Poster Presentation in International Congress of Cardiology . Retrospective Analysis of LDL control in Patients requiring Percutaneous Coronary Intervention (PCI)
  
• Poster Presentation in International Congress of Cardiology (The Association Between Timeliness of Reperfusion Therapy, Left Ventricular Function and Inpatient Mortality of STEMI patients presenting out of hours vs working hours).
  
• Oral Presentation in RCPI St Lukes Symposium on LDL levels in Very High Risk Patients Requiring PCI. Won David Mitchell Award for this presentation
  
• Irish Thoracic Society Poster Presentation: European Respiratory Society Audit on patients admitted with Acute Exacerbation of COPD.
  
• Poster Presentation at Irish Cardiac Society Meeting 2012. Poster presentation on Prevalence and definition of Chronotropic Incompetence in patients presenting for EST to Waterford Regional Hospital.
  
• Poster Presentation in the Irish Otolarngology Society Meeting 2009. The Natural History of Vestibular Schwannoma, The Beaumont Experience – Research into the natural progression of Vestibular Schwannoma’s in patients that did not undergo surgery

The pursuits in life that I enjoy are:

• Running for leisure in the outdoors
• Spending time with my family, (a wife who is an ophthalmologist and a currently 5 year old daughter)
• Reading on various different topics

1. Dr Choo Wai Kah

Cardiologist/ Electrophysiologist

Gold Coast Private Hospital

email: alfredwaikah@gmail.com

2. Dr Hussam Tayeb

Cardiologist

WA Cardiology

email:  hussamtayeb@gmail.com