Cardiac & Heart
- Cardiac Procedures
- Cardiac Consultation Services
- Inpatient Hospital Care
General Cardiology & Heart Services:
- Stress Echo
- 24hr BP monitor
- Pacemaker check
Percutaneous Coronary Intervention Services (to treat narrowing of the coronary arteries of the heart)
Transcatheter aortic valve implantation (TAVI)
- TAVI is a minimally invasive procedure that replaces a damaged aortic valve
Aortic Stenosis and Other valvular disorders
- Aortic Stenosis is the narrowing of the heart valve leaflets
Left Atrial Appendage Closures Services
- These are devices that are placed in the left atrial appendage sealing the appendage and offer an alternative to patients with atrial fibrillation and are unsuitable to take anti-coagulation.
- AMULET: The left atrial appendage (LAA) occlusion procedure is an alternative to long-term anticoagulant treatment and has been designed to seal the left atrial appendage at the ostium completely.
WATCHMAN: The WATCHMAN is a small device that gets implanted into the heart also sealing the left atrial appendage.
Atrial Septal Defect/ PFO Closures Services
- Atrial Septal Defect (ASD) is a congenital disability that causes a hole in the wall between the heart’s upper chambers (atria).
- A patent foramen ovale (PFO)
- Heart failure medication plan
- Functional Exercise Testing – 6 Minute walk test to evaluate cardiovascular disease
- Watch a narrated and animated journey on what happens in Heart Failure.
Diagnostic tests for heart services:
- 12 lead Electrocardiograph
- Exercise Stress Tests
- Holter Monitoring
- Ambulatory Blood Pressure Monitoring
- Pacemaker Diagnostic and Monitor Services
- Cardiac Electrophysiology Testing
- Transoesophageal Echocardiography
- Coronary Angiography
Treatments and other heart conditions:
Ischemic Heart disease
Ischemic heart disease occurs when damage or disease in the heart's major blood vessels arise, and it reduces the blood supply to the heart.
Heart arrhythmia is a heart relates services that refers to a group of symptoms where the heartbeat is irregular, too slow, or too fast. Arrhythmias are broken down into:
- Slow heartbeat (bradycardia).
- Fast heartbeat (tachycardia).
- Irregular heartbeat (flutter or fibrillation).
- Early heartbeat (premature contraction).
ASD and PFO closures Patent Foramen Ovale (PFO)
The heart is divided into four chambers. The upper chambers are called the right and left atria. The lower chambers are the right and left ventricles. In fetal circulation, the foramen ovale is an opening that allows blood to bypass the lungs and go directly from the right atria to the left atria. Shortly after birth, the higher pressure in the left atria and the lower pressure in the right atria causes permanent closure of the foramen ovale in the majority of people. A PFO occurs when the opening does not close. This opening can allow blood to pass from the right atria to the left atria. Many times a PFO is not discovered until adulthood.
PFO’s are suspected to be a cause of cryptogenic stroke (a stroke that cannot be linked to a specific cause). Some research suggests there may be a link between PFO’s and migraine headaches.
Atrial septal defect (ASD)
An ASD is a hole in the part of the septum that separates the atria—the upper chambers of the heart. This heart defect allows oxygen-rich blood from the left atrium to flow into the right atrium instead of flowing to the left ventricle as it should. Many children who have ASDs have few if any, symptoms.
Heart failure occurs when the heart muscle has become too weak or too stiff to pump blood through the body as effectively as normal.
Intravascular Ultrasound (or IVUS) lets cardiologists see inside a coronary artery in real time, yielding information beyond routine imaging methods such as coronary angiography or non-invasive Multislice CT scans.
Percutaneous Coronary Intervention (PCI)
Percutaneous Coronary Intervention (PCI) is sometimes called angioplasty with a stent. PCI is a non-surgical procedure that uses a catheter to place a stent in the heart's blood vessel that has been narrowed by plaque build-up. Adjunctive imaging is sometimes used to further assist in a coronary intervention such as Intravascular Ultrasound (IVUS) and Intravascular Optical Coherence Tomography (OCT).
This diagnostic imaging allows Interventional Cardiologists such as Dr Fahmy to see inside a coronary artery in real-time. The sound waves help to explore the blood vessels and assess various conditions. These tests are beyond routine imaging methods available with your GP, such as Coronary Angiography or non-invasive Multislice CT scans. The IVUS and OCT test provide heart specialists with detailed information to diagnose and treat.
Intravascular optical coherence tomography (OCT) can add value to angiography as a diagnostic and/or intervention tool for percutaneous coronary intervention (PCI) guidance.
This is a procedure which attempts to “bore out” a narrowing in a coronary artery which might not otherwise respond to stenting.
Structural Heart Disease (SHD)
Structural Heart Disease is a heart relates services for people with structural heart disease that falls into two categories:
- People are born with the disease – i.e. a hole within the chambers of the heart
- They acquired Structural Heart Disease through wear and tear – i.e. a tight or leaky heart valve.
TAVI (Tranascatheter Aortic Valve Implantation)
Transcatheter Aortic Valve Implantation (TAVI) is a cardiac procedure where a new aortic valve is implanted using a long narrow tube called a catheter. Usually, the catheter is inserted into a large blood vessel in your groin or through a small incision in your chest.