Dr Anthony Brazzale MBBS (Hons I) FRACP
Dr Brazzale is a Clinical and Interventional Cardiologist with special interests in the assessment of patients with chest pain and shortness of breath, as well as the investigation and management of coronary artery disease. Dr Brazzale performs coronary angiography and percutaneous coronary interventions, via both the radial and femoral approach, utilising fractional flow reserve measurements and intravascular imaging where indicated.
Having grown up on a mango farm in Mutchilba, on the Atherton Tablelands, he moved to Townsville to study medicine at James Cook University. Dr Brazzale graduated with First Class Honours and received the University Medal for his academic achievements. Additionally, he was awarded the Whole Time Medical Specialist Prize for achieving the highest grade in his medical cohort.
After completing his internship at the Cairns Base Hospital, he moved to Brisbane to pursue cardiology training. His cardiology training was undertaken at both the Royal Brisbane and Women’s Hospital and the Nambour Hospital, providing him with a solid foundation in clinical cardiology as well as the performance and interpretation of a broad range of cardiac investigations. Dr Brazzale subsequently undertook a further year of sub-speciality training in Interventional Cardiology at Western Health in Melbourne.
Dr Brazzale has a public appointment as a Consultant Staff Specialist in Interventional Cardiology at the Cairns Hospital where he provides emergency cardiac care for patients suffering from acute heart attacks.
Dr Brazzale is committed to providing patients of North Queensland with the highest level of contemporary cardiac care.
Qualifications
Bachelor of Medicine, Bachelor of Surgery
Honours Class I
University Medal
James Cook University (2008)
Fellowship of The Royal Australasian College of Physicians
Specialist in Cardiology (2015)
Interventional Cardiology Fellowship
Y.L Lim Training Fellowship in Interventional Cardiology (2016)
Western Health: Sunshine and Footscray Hospitals
Awards and Prizes
Award for Excellence in Clinical Teaching
Awarded by The University of Queensland Medical Society 2012
University Medal (Bachelor Honours)
Awarded by James Cook University 2008
Whole Time Medical Specialist Prize
Awarded by James Cook University 2008
Tropical Medical Training Prize in Rural Medicine
Awarded by James Cook University 2008
RCPA Scholarship in Pathology for Medical School Students
Awarded by the Royal College of Pathologists of Australasia 2007
Rimington Memorial Prize for Year 4 Integrated Clinical Pathology
Awarded by James Cook University 2006
High School Dux Year 10, 11 and 12
Mareeba State High School 2001-2002 and Dimbulah State School 2000
Personal Achievements
Olympic Torchbearer
Sydney 2000 Olympic Torch Relay
Australian Champion: Long Jump and 4 x 100m Relay
Australian School Sports Track and Field Championships Canberra 1997
Conditions Treated
Coronary Artery Disease
- Chest pain and shortness of breath evaluation
- Cardiovascular risk assessment
- Acute myocardial infarction (MI)
- Post MI follow-up and care
Acute and Chronic Heart Failure
Valvular Heart Disease
- Aortic, mitral, tricuspid and pulmonary valve stenosis and regurgitation
- Valve replacement work-up and follow-up
- Rheumatic heart disease
Structural Heart Disease
- Patent Foramen Ovale (PFO) and Atrial Septal Defects (ASD)
Lipid disorders
Hypertension
Cardiac arrhythmias and syncope
Procedures Performed
- Coronary angiography via both the radial and femoral approach
- Percutaneous coronary intervention using coronary stents and scaffolds
- Intravascular imaging – intravascular ultrasound (IVUS) and optical coherence tomography (OCT)
- Rotational atherectomy for the treatment of calcific coronary artery disease
- Structural interventions including aortic valvuloplasty and percutaneous closure of patent foramen ovale (PFO) and atrial septal defects (ASD)
- Pericardiocentesis for the treatment of pericardial effusions and cardiac tamponade
- Intra-aortic balloon pump insertion for patients with cardiogenic shock
- Right heart catheterisation for the investigation of pulmonary hypertension
- Loop recorder insertion for the investigation of syncope and cryptogenic stroke
- Temporary pacing wire insertion for significant conduction system disease
Special interest in complex coronary stenting:
- Unprotected left main, multi-vessel and bifurcation disease
- Chronic total occlusions
- Bypass graft intervention
- Severe calcific disease requiring rotational atherectomy
Original Research
Brazzale AG and Atherton JJ. New Therapies in Chronic Heart Disease. Cardiology Today. 2015; 5(3): 18-21.
Zhang X, Wan Y, Chata R, Brazzale A, Atherton JJ et al. A pilot study to demonstrate diagnostic potential of galectin-3 levels in saliva. Journal of Clinical Pathology. 2016; 69 (12): 1100-1104.
Abstracts and Poster Presentations
Reyaldeen R, Dermedgoglou A, Nucifora J, Lam W, Brazzale A, Starmer G. Coexistance of Incidental Coronary Artery Disease in Takotsubo Cardiomyopathy: A Single Regional Experience. Heart, Lung and Circulation. 2018; 27: S86.
Dermedgoglou A, Reyaldeen R, Nucifora J, Saireddy R, Preston S, Starmer G, Brazzale A. Feasibility and Safety of Rotational Atherectomy in Far North Queensland: A Single Non-Surgical Centre Experience. Heart, Lung and Circulation. 2018; 27: S450.
Reyaldeen R, Dermedgoglou A, Nucifora J, Brazzale A, Starmer G. Out-of-Hospital Ventricular Fibrillation Arrest Outcomes and Predictors of Survival in Far North Queensland. Heart, Lung and Circulation. 2018; 27: S463.
Dermedgoglou A, Reyaldeen R, Nucifora J, Hillier S, Brazzale A, Starmer G. Structural Heart Interventions in Far North Queensland: Feasibility and Safety in a Regional Centre. Heart, Lung and Circulation. 2018; 27: S479.
Reyaldeen R, Dermedgoglou A, Collings S, Spears A, Brazzale A, Sutcliffe S, Starmer G, Lam W. The diagnostic utility of early cardiac magnetic resonance (CMR) in myocardial infarction with non-obstructed coronary arteries (MINOCA). Euro-Echo-Imaging 2018. Milan. Italy (Poster Presentation).
Noaman S, Goh C, Al-Mukhtar O, Seman M, Mulligan A, Zakhem B, Brazzale A, Walton A. Comparison of Short-term Clinical Outcomes of Proximal Versus Distal Culprit Lesions in ST-Elevation Myocardial Infarction. Heart, Lung and Circulation. 2016; 25: S170.
Noaman S, Goh C, Al-Mukhtar O, Jumaah H, Brazzale A, Walton A, Stub D, Chan W. Comparison of Short-Term Clinical Outcomes of Transradial Versus Transfemoral Vascular Access in ST-Elevation Myocardial Infarction. Heart, Lung and Circulation. 2016; 25: S170.
Goh C, Noaman S, Jumaah H, Zakhem B, Brazzale A, Walton A, Stub D, Cox N. Short-term Outcomes of Single Versus Multivessel Coronary Artery Disease in ST-Elevation Myocardial Infarction Complicated by Cardiogenic Shock. Heart, Lung and Circulation. 2016; 25: S196.
Peverill W, Hayman S, Brazzale A, Puchalski R, Stewart P, Dooris M. Percutaneous coronary intervention in the very elderly. Heart, Lung and Circulation. 2015; 24: S291-292.
Puchalski R, Peverill W, Brazzale A, Hayman S, Dooris M, Stewart P. Outcomes of Percutaneous Coronary Intervention in a Nonagenarian Population. Heart, Lung and Circulation. 2013; 22: S45.
Clinical Trial Sub-Investigator
ABSORB III, ABSORB IV, ACCELERATE, ARTS-HF, ATLANTIC, BIOSOLVE-IV, CAAN-AF, CONCORDANCE, DECLARE, EDIFY, FOURIER, GLAGOV, IMPROVE-IT, LATITUDE, PEGASUS, RELAX, SOLID and TIGRIS.
