Richard Lim
Richard Lim
Associate Professor

University of Queensland
Australia

Education

MBBS 1984 University of Newcastle upon Tyne, UK
MRCP 1987 Royal College of Physicians London,UK
MD 1993 University of Newcastle upon Tyne, UK
MPhil 1994 University of Newcastle upon Tyne, UK

 

Biography

Richard Lim,  MBBS(Hons), MRCP(UK), MD, MPhil, FRCP(Lond), FACC, FESC, Interventional Cardiologist at The Princess Alexandra Hospital Brisbane since July 1997 and Associate Professor of Medicine at The University of Queensland, graduated 1984 from The University of Newcastle upon Tyne UK, undertaking cardiology specialist training at St Bartholomew’s Hospital London (1989–94) where he also completed his research doctorate on prognostic assessment of CAD by nuclear cardiology and MPhil research thesis on outcomes of patients awaiting revascularisation. After sub-specialty experience at the Royal Hull & East Yorkshire Hospitals leading to his Certificate of Completion of Specialist Training (UK 1996), he enjoyed a sabbatical year concentrating on IVUS, pressure wire and atherectomy procedures as Post-Doctoral Interventional Fellow at the University of Maryland Hospital in Baltimore USA.

Research Interest

My research effort concentrates on the supervision of PA Hospital registrars and UQ medical students as they plan, initiate, complete and present as well as publish their first-ever projects in the field of cardiology. Work has been presented by trainees at the ESC, ACC, euroPCR and CSANZ meetings supported by Travelling Fellowships. I have been principal and co-investigators in many multicentre Phase I, II and III clinical trials since 1997. In 2002-2005, I collaborated with Professor Tom Marwick in the NHMRC-funded project entitled “Importance of the transmural distribution of viable myocardium to outcome of patients after revascularization”.

 

Professional Activities:

 

Publications

  1. Chacko Y, Chan R, Haladyn JK, Lim R. Over-aggresive stent expansion without intravascular imaging: impact on restenosis. Heart Asia 2014; 6: 32-35.
  2. Chacko Y, Haladyn JK, Smith D, Lim R. Compliance charts to guide non-complex small artery stenting: validation by quantitative coronary angiography. Heart Asia 2013; 5: 76-9.
  3. Sharman JE, Qasem AM, Hanekom L, Gill DS, Lim R, Marwick TH. Radial          pressure waveform dP/dT max is a poor indicator of left ventricular systolic function. Eur J Clin Inv 2007; 37: 276-81.
  4. Sharman JE, Lim R, Marwick TH. Cardiac syndrome X: Relevance of arterial pressure waveform analysis to patients with chest pain and normal coronary arteries. J Human Hypertension 2006; 20: 473-4.
  5. Sharman JE, Lim R, Ahmad M, Qasem A, Coombes JS, Burgess MI, Franco J, Garrahy P, Wilkinson IB, Marwick TH. Validation of a generalised transfer function to non-invasively derive central blood pressure during exercise.  Hypertension 2006; 47:1203-8.
  6. Moir S, Haluska B, Leung D, Lim R, Garrahy P, Marwick TH. Quantitative myocardial contrast echocardiography for prediction of thrombolysis in myocardial infarction flow in acute myocardial infarction. Am J Cardiol 2004; 93: 1212-7.
  7. Laskey WK, Zawacki K, Lim R, Herzog W. Effects of local heparin administration on coronary thrombin activity during percutaneous transluminal coronary angioplasty. Cathet Cardiovasc Interv 1999; 48: 84-8.
  8. Lim R, Laskey WK. Ischemic preconditioning in unstable coronary syndromes: Evidence for time dependence. J Am Coll Cardiol 1997; 30: 1461-5.
  9. Lim R, Zawacki K, Laskey WK. Creatine kinase release after catheter-based coronary intervention. Cathet Cardiovasc Diagn 1997; 41: 117-9.
  10. Lim R, Laskey WK. Time for ischemic preconditioning during coronary angioplasty? Cathet Cardiovasc Diagn 1997; 42: 268-9.
  11. Lim R, Walters MI, Norell MS. Transferring patients for primary infarct angioplasty. Heart  1997; 78: 325-6.
  12. Lim R, Anderson H, Walters M, Kaye G, Norell M, Caplin J. Femoral complications and bed rest duration after coronary arteriography. Am J Cardiol 1997; 80: 222-3.
  13. Vassilikos VP, Lim R, Kreidieh I, Nathan AW, Edmondson SJ, Rees GM, Banim SO, Dymond DS. Myocardial revascularisation in elderly patients with refractory or unstable angina and advanced coronary disease. Coron Artery Dis 1997; 8: 705-9.
  14. Lim R, Dyke L, Dymond DS. Objective assessment of `cardioprotective' efficacy as a prognostic guide to management of mildly symptomatic revascularizable coronary artery disease. J Am Coll Cardiol 1995; 26: 1140-5.
  15. Lim R, Caplin JL, Dymond DS. Safety in numbers: Waiting and weighting for coronary surgery. Eur Heart J 1995; 16: 1764-6.
  16. Lim R, Kreidieh I, Dyke L, Thomas J, Dymond DS. Exercise testing without interruption of medication for refining the selection of mildly symptomatic patients for prognostic coronary angiography. Br Heart J 1994; 71: 334-40.
  17. Lim R, Dyke LJ, Dymond DS. Suppression of inducible painless myocardial ischemia by conventional medical therapy: Effect on short-term outcome and left ventricular systolic function. Am J Cardiol 1994; 73: 26B-29B.
  18. Dymond DS, Lim R. Defining `emergency' and `urgency': the domino effect. J R C P       Lond 1994; 28: 286-7.
  19.             Pepine CJ, Geller NL, Knatterud GL, et al for the ACIP Investigators. The Asymptomatic Cardiac Ischemia Pilot (ACIP) study: Design of a randomized clinical trial, baseline data and implications for a long-term outcome trial. J Am Coll Cardiol 1994; 24: 1-10.
  20. Knatterud GL, Bourassa MG, Pepine CJ, et al for the ACIP Investigators. Effects of treatment strategies to suppress ischemia in patients with coronary artery disease: 12-week results of the Asymptomatic Cardiac Ischemia Pilot (ACIP) study. J Am Coll Cardiol 1994; 24: 11-20.
  21. Lim R, Dyke L, Thomas J, Dymond DS. Novel approach to the interpretation of long        -term "deterioration" in ejection fraction in individual patients with coronary artery disease. Br Heart J 1993; 70: 226-32.
  22. Lim R, Dyke L, Dymond DS. Long-term effect of inducible silent ischaemia on left ventricular systolic function. Int J Card Imaging 1993; 9: 291-6.
  23. Chua TP, Fry IDR, Frankel RJ, Lim R. Serum cholesterol concentration before and after streptokinase in acute myocardial infarction. J Int Med 1993; 234: 603-5.
  24. Lim R, Dymond DS. Should antianginal medication be stopped for exercise testing? Lancet 1992; 340: 161-2.
  25. Lim R, Dyke L, Dymond DS. Effect on prognosis of abolition of exercise-induced painless myocardial ischemia by medical therapy. Am J Cardiol 1992; 69: 733-5.
  26. Lim R, Dymond D. Decompensation of myocardial function after valve replacement for mitral regurgitation. Eur J Med 1992; 1: 311-2.
  27. Kreidieh I, Davies DW, Lim R, Nathan AW, Dymond DS, Banim SO. High-risk coronary angioplasty with elective intra-aortic balloon pump support. Int J Cardiol 1992; 35: 147-52.
  28. Lim R, Dyke L, Dymond DS. Early prognosis after thrombolysis: Value of exercise radionuclide ventriculography performed on anti-ischaemic medication. Int J Card Imaging 1991; 7: 125-31.
  29. Lim R, Kreidieh I, Dymond D, Spurrell R, Nathan A, Edmondson SJ, Rees GM, Banim SO. Is the waiting list a safe place for outpatients awaiting coronary bypass surgery? Health Trends 1991; 23: 149-52.
  30. Lim R, Kreidieh I, Dymond DS. Do routine clinic visits prevent destabilisation in patients awaiting coronary revascularisation? J R Soc Med 1991; 84: 660-1.
  31. Lim CW, Bennie MJ, Lim R. Bradyarrhythmias in acute myocardial infarction: should thrombolysis lower the decision threshold for temporary pacing? Postgrad Med J 1991; 67: 649-51.
  32. Walshaw MJ, Lim R, Ahmad R, Hind CRK. Bronchial reactivity in patients undergoing long-term haemodialysis for chronic renal failure. Blood Purif 1991; 9: 70-3.
  33. Lim R, Paterson IC. Apparent relapse of Legionella pneumonia. Br J Clin Pract 1990; 44: 375.
  34. Lim R, Wilson DTR. Abolition of electrocardiographic pattern of left ventricular aneurysm by posterior myocardial infarction. Br J Clin Pract 1990; 44: 328-9.
  35. Lim R, DeSouza AD, Beggs D. Neurofibrosarcoma presenting as spontaneous haemothorax. Br J Clin Pract 1990; 44: 289-91.
  36. Walshaw MJ, Lim R, Evans CC, Hind CRK. Factors influencing the compliance of patients using oxygen concentrators for long-term home oxygen therapy. Resp Medicine 1990; 84: 331-3.
  37. Lim R, Walshaw MJ, Saltissi S, Hind CRK. Cardiac arrhythmias during acute exacerbations of chronic airflow limitation: effect of fall in plasma potassium concentration induced by nebulised beta2-agonist therapy. Postgrad Med J 1989; 65: 449-52.
  38. Lim R. Idiopathic hypoparathyroidism presenting as the neuroleptic malignant syndrome. Br J Hosp Med 1989; 41: 182-3.
  39. Lim R, Parker JLW. Apparent haematuria: an early sign in polymyositis. Br Med J 1988; 296: 1725-6.
  40. Walshaw MJ, Lim R, Evans CC, Hind CRK. Prescription of oxygen concentrators for long-term oxygen treatment: reassessment in one district. Br Med J 1988; 297:1030-2

Abstracts

  1. Singbal Y, Hogan L, Haladyn JK, Fryer M, Garrahy P, Lim R. A comparison of baseline and residual SYNTAX scores in prediction of mortality after primary percutaneous coronary intervention for STEMI. Eur Heart J 2015; 35 (suppl 1): in press.
  2. Fryer M, Haladyn K, Malancioiu A, Garrahy P, Lim R. Residual SYNTAX score and mortality after primary percutaneous coronary intervention for STEMI. Eur Heart J 2014; 35 (suppl 1): in press.
  3. Starmer G,  Haladyn K, Lim R. Fluoroscopy time vs serum creatine kinase as a prognostic marker after percutaneous coronary intervention Eur Heart J 2014; 35 (suppl 1): in press.
  4. Chacko Y, Haladyn K, Chan R, Lim R. Does over-aggressive stent expansion without IVUS guidance predispose to restenosis? Eur Heart J 2012; 33 (suppl 1): 845.
  5. Amin J, Butterly S, Malancioiu A, Garrahy P, Lim R. PCI for STEMI with cardiogenic shock, pre-hospital arrest or intubation: Contemporary real-world experience. Heart Lung Circulation 2012; 21 (suppl 1): 168.
  6. Haladyn K, Chacko Y, Chan R, Lim R. Relationship between restenosis and over-aggressive stent expansion in non-complex PCI without IVUS guidance. Heart Lung Circulation 2012; 21 (suppl 1): 172.
  7. Chacko Y, Haladyn K, Smith D, Lim R. Lumen diameter derived from compliance charts in stenting: A valid approximation to quantitative coronary angiography measurements. Heart Lung Circulation 2011; 20 (suppl 2): 136.
  8. Starmer G, Haladyn K, Indrajith V, Bhuiyan K, Crown S, Lim R. A comparison of fluoroscopy time and serum creatine kinase as predictors of long-term outcome after percutaneous coronary intervention. Heart Lung Circulation 2010; 19 (suppl 2): 118.
  9. Starmer G, Haladyn K, Indrajith V, Lim R. The clinical importance of routine vs ad hoc measurement of serum creatine kinase after percutaneous coronary intervention (PCI). Heart Lung Circulation 2010; 19 (suppl 2): 151.
  10. Chan R, Lim R. Does stent size “mismatch” predispose to restenosis? Heart Lung Circulation 2010; 19 (suppl 2): 128.
  11. Crown S, Dahiya A, Indrajith V, Starmer G, Garrahy P, Lim R. Fluoroscopy time: A simple predictor of long-term outcome after percutaneous coronary intervention. Heart Lung Circulation 2009: 18 (suppl 3): 212.
  12. Sharman J, Qasem A., Hanekom L., Gill D, Lim R., Marwick TH. Radial artery pulse upstroke is not a good marker of left ventricular dysfunction: A comparison of radial tonometry, angiographic and echocardiographic measures of dP/dt. Heart Lung Circulation 2006: 15S: S35.
  13. Sharman JE, Lim R, Franco J, Phillips KP, Padgett MJ, Garrahy P, Marwick TH. Validation of the SphygmoCor generalized transfer function during exercise. Heart Lung Circulation 2005: 14: S46.
  14. Franklin K, Anderson V, Lim R, Marwick T. Non-invasive risk stratification in uncomplicated acute coronary syndromes is associated with less revascularization but equivalent outcomes to angiographic evaluation. J Am Coll Cardiol 2002; 39: 281B.
  15. Haluska B, Short L, Garrahy P, Lim R, Marwick T. Can contrast echo identify vessel patency in acute infarction: Comparison with prediction of TIMI flow using ECG analysis. Heart Lung Circulation 2001; 10: 59.
  16. Haluska B, Wahi S, Garrahy P, Lim R, Marwick T. Application of contrast echo in acute coronary syndromes: Feasibility and accuracy. Heart Lung Circulation 2000; 9: 131.
  17. Laskey WK, Zawacki K, Lim R, Calamunci N, McCarron D, Herzog W. Effects of local heparin delivery on coronary thrombin and anti-thrombin activity during percutaneous transluminal coronary angioplasty. J Am Coll     Cardiol 1998; 31: 457A
  18. Burn S, Lim R, Steel S, Howey S, Caplin JL. Can the exercise ECG provide information on myocardial viability in the survivors of a Q-wave myocardial infarction? Clin Sci 1997; 92 (Suppl 36): 10P.
  19. Walters MI, Wright M, Lim R, Norell MS, Caplin JL. Electrical cardioversion of atrial fibrillation: What is the most effective initial energy? Clin Sci 1996; in press.
  20. Wright M, Walters MI, Lim R, Norell MS, Caplin JL. Left atrial size and cardioversion of atrial fibrillation: Is it really useful? Clin Sci 1996; in press.
  21. Walters MI, Wright M, Lim R, Norell MS, Caplin JL. Current guidelines for DC cardioversion of atrial fibrillation: Low energy or low efficacy? Heart 1996; 75 (Suppl 1): 44P.
  22. Walters MI, Wright M, Lim R, Norell MS, Caplin JL. Cardioversion of atrial fibrillation: Is it time to review current guidelines? Eur Heart J 1996; 17: 491A.
  23. Walters MI, Schilling R, Panting J, Lim R, Norell MS. Femostop reduces the femoral complication rate of intracoronary stenting. Eur J C P E 1996; 6: 294P.
  24. Lim R, Walters M, McRae K, Bennie MJ, Caplin, Norell M. Reducing potential delay to  thrombolysis in at-risk patients referred to a dedicated chest pain clinic. Eur J C P E 1996; 6: 298P.
  25. Lim R, Anderson H, Walters M, Kaye G, Norell M, Caplin J. Randomized study of bed rest duration and femoral complications after coronary arteriography. Circulation 1995; 92(suppl I): I-648 - I-649.                                                               
  26. Lim R, Kreidieh I, Dymond DS. Estimating a maximum waiting time for coronary balloon angioplasty based on procedural outcome. Circulation 1995; 92 (suppl I): I-616 - I-617.
  27. Lim R, Burn S, Walters M, Button I, Schilling R, Panting J, Kaye G, Caplin J, Norell M. Referrals to a rapid access chest pain clinic: Do cardiologists and primary care physicians agree on the need for hospital admission? Circulation 1995; 92 (suppl I): I-678.
  28. Lim R, Anderson H, Nobbs A, Kaye GC, Norell MS, Caplin JL. Randomised study of bed rest duration and femoral complications after cardiac catheterisation. Eur Heart J 1995; 16 (suppl): 327A.
  29. Lim R, Anderson H, Walters M, Panting J, Norell MS, Caplin JL. Shorter bed rest and femoral complications: Less strict, but less safe? Clin Sci 1995; 89 (suppl 33): 36P.
  30. Walters MI, Lim R, Panting J, Kaye GC, Norell MS, Caplin JL. Improving the identification of patients for angiotensin converting enzyme inhibitor treatment after acute myocardial infarction. Clin Sci 1995; 89 (suppl 33): 28P.
  31. Walters M, Lim R, Panting J, Schilling R, Norell M, Kaye G, Caplin J. Radionuclide ventriculography after acute myocardial infarction: Which patient and why? J Heart Failure 1995; 2: 562A.
  32. Psyrropoulos DP, Lim R, Deanfield JE, Dymond DS. Detection of ST segment depression for predicting surgical coronary artery disease: Exercise off medication, exercise on medication, or ambulatory monitoring? Eur Heart J 1994; 15 (suppl): 481A.
  33. Lim R, Kreidieh I, Dymond DS. Waiting time to first balloon coronary angioplasty and procedural outcome. Aust NZ J Med 1994; 24: 665P.
  34. Lim R, Dyke L, Dymond DS. Clinical assessment of `cardioprotection' as a prognostic guide when early revascularisation or continuing medical treatment seem equally justifiable. Aust NZ J Med 1994; 24: 619P.
  35. Lim R, Kreidieh I, Dyke L, Elstob J, Deanfield JE, Dymond DS. Which patients with minimal angina require coronary angiography on prognostic grounds? Aust NZ J Med 1994; 24: 642P.
  36. Lim R, Dyke L, Dymond DS. Clinical assessment of `cardioprotection' as a prognostic guide to the management of coronary artery disease. Br Heart J 1994; 71: 84P.
  37. Lim R, Kreidieh I, Dyke L, Dymond DS. Exercise testing on medication for refining the selection of mildly symptomatic patients for prognostic coronary angiography. Circulation 1993; 88 (suppl I): I-64.
  38. Lim R, Kreidieh IA, Dyke LJ, Thomas JM, Elstob JE, Dymond DS. Exercise testing on medication for refining the selection of patients for prognostic coronary angiography. Eur Heart J 1993; 14 (suppl): 416A.
  39. Lim R, Dyke LJ, Thomas JM, Dymond DS. Interpretation of deterioration in ejection fraction in the individual with coronary artery disease: An individualised prognostic approach. Br Heart J 1993; 69 (suppl): 62P.
  40. Lim R, Dyke L, Dymond DS. Detection of deterioration in ejection fraction in the individual with coronary artery disease: An individualised prognostic approach. Proceedings of the 1st International Congress of Nuclear Cardiology, Cannes, 1993.
  41. Lim R, Kreidieh I, Dyke LJ, Dymond DS. The `cardioprotectiveness' of anti-ischaemic medication: From concept to clinical measurement. Clin Sci 1993; 84 (suppl 28): 21P-22P.
  42. Vassilikos V, Lim R, Kreidieh I, Wong C, Rees G, Edmondson S, Banim S, Nathan A, Dymond D. Coronary revascularisation in the elderly. Eur Heart J 1992; 13 (suppl): 41A.
  43. Wong C, Lim R, Vassilikos V, Powe A, Elstob J, Varma N, Kreidieh I, Nathan AW, Banim SO. Monitoring and tilting for "Collapse ?cause". Clin Sci 1992; 82 (suppl 27): 24P-25P.
  44. Lim R, Dyke L, Dymond DS . Should antianginal medication be withdrawn for exercise radionuclide angiography when coronary disease is likely? Circulation 1992; 86(suppl I): I-468.
  45. Lim R, Dyke L, Dymond DS. Does easily inducible silent myocardial ischemia lead to silent deterioration of left ventricular systolic function? Circulation 1992; 86 (suppl I): I-189.
  46. Lim R, Kreidieh I, Elstob JE, Powe AJ, Way SJ, Dymond DS. Effect of anti-anginal medication on predictive accuracy of exercise electrocardiography for prognostically important coronary artery disease. Eur Heart J 1992; 13 (suppl): 115A.
  47. Lim R, Wallis JW, Kreidieh I, Rees GM, Edmondson SJ, Dymond DS. Triage in        patients listed for elective coronary bypass surgery. Clin Sci 1992; 82 (suppl 26): 6P-7P.
  48. Lim R, Dyke L, Dymond DS. The predictability of serial ejection fraction measurements by first-pass exercise radionuclide ventriculography: Relevance to long-term follow-up of coronary artery disease. Eur J Nuc Med 1992; 19: 672.
  49. Lim R, Dyke L, Dymond D. Chronic effect of painless myocardial ischaemia on left ventricular function. Eur J C P E 1992; 2 (suppl 1A): A217.
  50. Lim R, Dyke L, Dymond DS. Exercise radionuclide ventriculography performed on anti-ischaemic medication in medically treated coronary artery disease: A long-term reproducibility study. Clin Sci 1992; 82 (suppl 26): 34P.
  51. Lim R, Dyke L, Dymond DS. Prediction of failure of medical treatment and need for early revascularisation in patients with coronary artery occlusion. Clin Sci 1992; 82 (suppl 26): 6P.
  52. Lim R, Dyke L, Dymond DS. Does easily inducible silent myocardial ischaemia lead to asymptomatic deterioration of left ventricular systolic function? Eur J Nuc Med 1992; 19: 672.
  53. Vassilikos V, Lim R, Davies DW, Varma N, Banim SO, Dymond DS. Percutaneous 7balloon coronary angioplasty in the elderly. Clin Sci 1992; 82 (suppl 26): 34P-35P.
  54. Vassilikos V, Lim R, Wallis J, Kreidieh I, Wong C, Edmondson S, Rees G, Banim S, Dymond D. Coronary bypass surgery in the elderly. Clin Sci 1992; 82 (suppl 27): 38P.
  55. Chua TP, Fry IDR, Frankel RJ, Lim R. Should serum cholesterol concentration be measured before or after thrombolysis in acute myocardial infarction? Proceedings of the Vth World Congress of Cardiac Rehabilitation, Bordeaux; 1992.
  56. Lim R, Dyke L, Dymond D. Prognostic importance of failure of medical therapy to normalise exercise ejection fraction response in coronary artery disease. J Am Coll Cardiol 1991; 17: 183A. 
  57. Lim R, Dyke L, Dymond D. Should prognostic testing by radionuclide ventriculography be performed on or off medical therapy for coronary disease? Proceedings of the First Biennial Symposium of the European Working Group on Nuclear Cardiology. Rotterdam, 1991; 192.
  58. Lim R, Dyke L, Dymond DS. Prognostic implication of failure of medical therapy to abolish exercise-induced silent myocardial ischaemia. Proceedings of the First Biennial Symposium of the European Working Group on Nuclear Cardiology. Rotterdam, 1991; 212.
  59. Lim R, Bennie MJ, Dyke L, Dymond DS. Effect of regular anti-anginal monotherapy            on rest and exercise left ventricular ejection fraction in stable coronary artery disease.      Clin Sci 1991; 81 (suppl 25): 20P.
  60. Kreidieh I, Davies DW, Lim R, Dymond DS, Banim SO. High-risk coronary angioplasty with elective intra-aortic balloon pump support. Clin Sci 1991; 80 (suppl 24): 25P.
  61. Lim R, Dyke L, Dymond DS. Is an abnormal exercise ejection fraction response on medical treatment of prognostic significance in coronary artery disease? Br Heart J 1991; 66: 89P.
  62. Lim R, Dyke L, Dymond DS. Prognostic significance of failure of medical therapy to abolish exercise-induced painless myocardial ischaemia. Eur Heart J 1991; 12 (suppl): 2A.
  63. Lim R, Dyke L, Dymond DS. Should post-infarction exercise testing be performed on or off anti-ischaemic medication? Eur Heart J 1991; 12 (suppl): 251A.
  64. Lim R, Vassilikos V, Kreidieh I, Davies DW, Dymond DS. Percutaneous balloon angioplasty in patients with coronary bypass grafts. Clin Sci 1991; 81 (suppl 25): 4P.
  65. Lim R, Kreidieh I, Vassilikos V, Dymond DS. Interval between diagnostic coronary angiography and first PTCA: Effect on procedural outcome. Proceedings of 10th Asian Pacific Congress in Cardiology, Seoul; 1991: 148P.
  66. Lim R, Kreidieh I, Banim SO, Dymond DS. Safety in numbers: Is the waiting list a safe place for outpatients awaiting CABG or PTCA? Proceedings of 10th Asian Pacific Congress in Cardiology, Seoul; 1991: 153P.
  67. Lim R, Dyke L, Dymond DS. Prognostic significance of failure of medical therapy to abolish exercise-induced silent ischaemia in chronic stable angina. Clin Sci 1991; 80 (suppl 24): 10P.
  68. Lim R, Walshaw MJ, Saltissi S, Hind CRK. Atypical chest pain in patients with chronic airflow limitation: does 24-hour ambulatory ST-segment monitoring facilitate assessment? Thorax 1990; 45: 327P.
  69. Lim R, Walshaw MJ, Saltissi S, Hind CRK. Dyspnoea in patients with chronic airflow limitation: does 24-hour ambulatory ST-segment monitoring aid assessment? Proceedings of the 4th International Congress on Ambulatory Monitoring, London; 1990.
  70. Lim R, Walshaw MJ, Saltissi S, Hind CRK. Diurnal variation in silent myocardial ischaemia following recovery from acute exacerbations of chronic airflow limitation.             Clin Sci 1989; 76 (suppl 20): 8P.
  71. Walshaw MJ, Lim R, Evans CC, Hind CRK. Factors influencing compliance in patients using oxygen concentrators for long-term oxygen therapy. Thorax 1989; 44: 900P.
  72. Walshaw MJ, Lim R, Humphreys L, Ahmad R, Hind CRK. Bronchial hyper-reactivity in patients undergoing haemodialysis. Thorax 1989; 44: 321P.
  73. Walshaw MJ, Lim R, Evans CC, Hind CRK. Prescription of oxygen concentrators for long-term oxygen therapy in the Liverpool district: are the patients eligible? Thorax 1988; 43: 859P.
  74. Walshaw MJ, Lim R, Evans CC, Hind CRK. Prescription of oxygen concentrators for long-term oxygen therapy in the Liverpool district: are the patients complying with their therapy? Thorax 1988; 43: 859P.
  75. Walshaw MJ, Lim R, Evans CC, Hind CRK. Is the packed cell volume a useful guide to therapy in patients undergoing long-term oxygen therapy? Thorax 1988; 43: 860P.
  76. Lim R, Walshaw MJ, Saltissi S, Hind CRK. Serum potassium concentrations during acute exacerbations of chronic airflow limitation and following recovery: effect of beta2-agonists delivered by home nebulisers. Clin Sci 1988; 75 (suppl 19): 24P.
  77. Lim R, Walshaw MJ, Saltissi S, Hind CRK. Silent myocardial ischaemia during acute exacerbations of chronic airflow limitation. Thorax 1988; 43: 829P.
  78. Lim R, Walshaw MJ, Saltissi S, Hind CRK. Cardiac arrhythmias during acute exacerbations of chronic airflow limitation and following recovery: effect of beta2-agonists delivered by home nebulisers. Clin Sci 1988; 75 (suppl 19): 20P.

Letters

  1. Lim R, Starmer G. ACS scores: risky business? Heart 2009; 95: 1707.
  2. Lim R, Norell MS. Coronary Palmaz-Schatz stent implantation in acute  myocardial infarction. Heart 1996; 76: 91.
  3. Lim R, Dymond DS. Drugs and the exercise test. Br Med J 1992; 305: 1364.
  4. Lim R, Connolly AJ, Elstob JE. Tribulations for clinical trials. Br Med J 1991;302: 1271.
  5. Lim R. Deaths of patients waiting for coronary surgery. Br Med J 1991; 302: 1539.
  6. Lim R. Stopping treatment in patients with hypertension. Br Med J 1991; 303: 469.
  7. Lim R. Waiting for coronary angioplasty. Br Med J 1991; 303: 717.
  8. Lim R. How maximal is "maximum"? Lancet 1990; 336: 517.
  9. Lim R. Early thrombolytic treatment. Br Med J 1989; 299: 741.
  10. Lim R. Judgments about patients' lifestyles. Br Med J 1988; 297: 625.

 

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