Common Heart Disease Cardiac Specialist Centre
We hope this section gives you some simple understanding of a few of the commonest conditions. We will be adding more as we continue to have feed backs and questions from our esteemed friends.
Preventive Cardiology

What is Preventive Cardiology?

Heart disease is the number 1 global cause of death and also a major disease burden. Some of the risk factors such as obesity and diabetes are predicted to reach epidemic levels in the coming decade. Preventive Cardiology can play a big role in curbing these trends. There are 2 levels of prevention - Primary and Secondary.

PRIMARY PREVENTION

Who is it for?

This is targeted at the general population who do not have established heart disease yet.

What does it include?

Primary prevention begins with establishing the risk profile of an individual through a systematic health check. This typically includes checks for hypertension, obesity, diabetes and cholesterol. This kind of assessment is recommended for all individuals above 40 years old; even earlier if there is some other indicator e.g. family history of heart disease. In fact, for hypertension and obesity, regular checking has been recommended for anyone above 18 years old. Based on the results of the health check, each individual can be stratified into low, intermediate or high global risk for cardiovascular disease. In particular, intermediate and high risk individuals may have silent disease that will benefit from early detection and treatment. Based on each person’s risk level, the doctor can also determine the specific target for treatment, for example the target level of cholesterol. In general, higher risk individuals will need more aggressive control of their risk factors.

SECONDARY PREVENTION

Who is it for?

Individuals who already have evidence of heart disease, stroke or peripheral vascular disease.

What does it include?

Secondary prevention refers to intensive therapy to prevent recurrence of disease, prolong life and improve quality of life. Good secondary prevention also means patients are less likely to undergo procedures to open their heart arteries in the long run. Secondary prevention is mainly done through intensive control of risk factors, more stringently than in primary prevention. This include lifestyle modification, mainly regular exercise, heart healthy diet, smoking cessation and stress management. For specific cases, such as after discharge from hospital for heart attack or heart failure, a structured cardiac rehabilitation program is highly beneficial.

How does Preventive Cardiology help?

There is medical evidence that adopting the principles of preventive cardiology saves lives and reduce heart attacks and strokes. If a person has no risk factor at all or control the risk factors very well, they are likely to stay active longer and have a better quality of life, in both physical and mental wellbeing, in their old age.

Consultation
Know Your Cardiologists

I feel breathless when walking.

I feel a tightness over my chest.

Do I need to take my medicine for my blood pressure?

Do I need to take my medicine for my cholesterol?

Do I really need stents for my artery?

Do I really need to have a bypass operation?

When should I go for health screening?

I have heart problem, can I take Viagra?

I have heart problem, should I exercise?

Heart Disease
Learn about your heart Conditions

You may need an ultra sound scan of your heart to assess its function.

You may need a treadmill stress test.

You may need closer monitoring.

You may need a more thorough risk assessment and life style change.

You may only need to take your medicine.

You may get away with just stenting.

This generally should start at 40 years old.

Yes, but there are certain strict conditions to fulfill.

Yes, but you will need to find out the appropriate intensity.