Cardiology Services
We understand your cardiac function is of utmost importance. Our group of specialists not only able to predict your chance of a major cardiac event, they are able to prevent and protect your from it. Utilising the most advanced imaging and physiological technology, we are confident we will keep your cardiac health at the optimal level.
Coronary heart disease remains the leading cause of death in adults in developed and developing countries alike. Over the years the mortality from CHD has fallen substantially however remains significant. The screening and diagnosis of CHD before patient suffers significant events such as heart attack and sudden arrhythmia is of considerable research interest. Although the appropriateness and cost effectiveness of screening for CHD is yet to be established, However CHD risk assessment and preventing CHD risk factors such as hypertension, hyperlipidaemia and diabetes remain the cornerstone of CHD management.
Coronary Heart Disease (CHD) remains responsible for about one-third or more of all deaths in individuals over age 35. It has been estimated that nearly one-half of all middle-aged men and one-third of middle-aged women will develop some manifestation of CHD. Population-based epidemiologic data, such as that from the Framingham Heart Study, provide the best assessment of the risk factors that contribute to the development of coronary heart disease and those epidemiologic data provide critical information regarding targets for the primary and secondary prevention of CHD.
Physician in different specialties may require treating patient with arrhythmia. Better understanding of arrhythmia mechanisms using intracardiac recordings and programmed electrical stimulation and mapping techniques have resulted in improved approaches to rhythm disturbances. Arrhythmia should be assessed and treated promptly to eliminate symptoms, to prevent sudden death from haemodynamic compromise and to minimise indirect complication of arrhythmia such as stroke.
Aging of population and prolongation of patient lives by modern technological innovation has resulted in increasing prevalence and incidence of heart failure. Despite improvement in medical therapy there is still no effective methods in curing the disease. Hence early detection of heart failure in patients with risk factors is crucial. The magnitude of the problem of heart failure (HF) cannot be assessed because large differences exist among studies in their definition of the condition and the methods used to establish its presence.
Trans-thoracic, Trans-oesophageal and stress echocardiography are vital in assessing patients cardiac health. Stress testing is the traditional non-invasive approach to detecting obstructive coronary artery disease (CAD). The stress testing provides real-time physiologic evidence of coronary artery stenosis by demonstrating the consequence of reduced coronary flow on symptoms, changes on electrocardiogram, or regional wall motion abnormalities on Echocardiography.
Anatomic assessment of the coronary artery with invasive coronary arteriography is needed when there is conflict between strong clinical suspicion and findings on stress testing. However catheter based angiogram is associated with risk of complication such as dissection and complications related to contrast media. To improve safety and minimise complication, much has been done in the development of non-invasive methods of coronary angiography.
