Chronic Heart Failure: How to manage the condition

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A 60-year-old man complains of progressive shortness of breath when he walks up the slope or when he walks to the nearby market. He also complains of breathlessness when he lies flat on the bed at night and has to sleep on two pillows to feel better. Occasionally, when he is sleeping, the breathlessness gets quite […]

Heart Murmur: When to evaluate?

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Murmurs are unusual sounds that occur during a heart cycle, heard by a doctor using a stethoscope. They can indicate turbulent or abnormal blood flow across the heart valves or other holes in the heart. A heart cycle consists of a systolic phase (ejection of blood from the left heart ventricle) and a diastolic phase […]

An Update on Transcatheter Aortic Valve Replacement (TAVR) : Replacing the aortic valve without rib cracking

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The aortic valve allows blood to be pumped out of the heart to the rest of the body. With ageing, the aortic valve may become narrowed (aortic valve stenosis [AS]). When the valve narrowing becomes severe, patients develop breathlessness, fainting spells and chest discomfort. Left untreated, the death rate is high, with up to 50% of […]

Peripheral Artery Disease – Understanding the condition and its management

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Peripheral artery disease (PAD) encompasses diseases involving the arteries supplying the lower and upper limbs, arteries supply the abdominal organs (including the kidney arteries), aortic disease (particularly aortic aneurysms) and carotid artery (artery running along the neck to supply the brain) disease. Lower limb PAD is perhaps the most common form of PAD and is […]

About Hypertension – What can a doctor do for patients?

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In my experience, the most difficult part of treating hypertension is convincing patient that they have hypertension. The first response from patient very often is usually of disbelief: ‘I have never had hypertension!’ So it is very important to be certain that they do have hypertension. After sitting them down in my office for a […]

Percutaneous Mitral Valve Repair

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Mitral valve regurgitation (MR) (leaky mitral valve) is a common valvular abnormality. The mitral valve allows blood to enter the left ventricle where the blood is then pumped out of the heart to the rest of the body. When the mitral valve leaflets cannot close properly, leakage of the blood occurs from the left ventricle […]

Aortic Aneurysms

Nurse Monitoring Patient Having A Computerized Axial Tomography (CAT) Scan

Aortic aneurysms affect 3%-4% of the adult population aged 60 years and above and are more common in men. The condition is characterised by an abnormal enlargement and ballooning of the largest and main artery, the aorta, that carries blood from the heart to the rest of the body. The aorta is situated next to […]

Advances in Coronary Stent Technology

Heart blood health with red cells flowing through three dimensional veins from the human circulatory system representing a medical health care symbol of cardiology and cardiovascular fitness.

In the last few decades, developments in percutaneous coronary intervention (PCI) have revolutionised the management of coronary artery disease. In Singapore, more than 6000 PCI procedures are performed each year to treat patients presenting with angina or myocardial infarction. Implantation of stents to treat stenotic or ruptured coronary lesions has become a well-established therapy. The […]

Transcatheter Aortic Valve Replacement (TAVR)

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The aortic valve allows blood to be pumped out of the heart to the rest of the body. With aging, the aortic valve may become narrowed (aortic valve stenosis [AS]). When the valve narrowing becomes severe, patients develop breathlessness, fainting spells and chest discomfort. Left untreated, the death rate is high, with up to 50% […]

Statins

Men with chest pain - heart attack

The use of statins has long been regarded as the cornerstone in the treatment of patients with hypercholesterolemia and coronary artery disease. Statins are one of the biggest classes of drugs prescribed in the world. The evidence of statin use has been extensively evaluated in large randomised clinical trials which focused on primary endpoints of […]

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