Heart Failure

Heart failure can result in many symptoms such as lower limb swelling, breathlessness on lying flat, abdominal bloatedness and loss of appetite. More importantly, heart failure results in poorer quality of life, frequent hospitalisation and reduced survival.

However, many of these symptoms and limitation in activities can be treated with the right combination of evidence-based medication and the appropriate lifestyle adjustments.

At The Heart & Vascular Centre, we provide consultation and treatment for patients at all stages of heart failure. Heart failure therapy that we provide include:

For the diagnosis of heart failure

 

  1. Echocardiogram
    This is an ultrasound study of the heart. It evaluates the heart function as well as possible causes of heart failure such as valvular heart disease.
  2. Cardiac Magnetic Resonance Imaging (MRI)
    This is a dedicated study of the heart and evaluates possible causes of heart failure, such as amyloidosis or sarcoidosis.
  3. CT Coronary Angiography
    This is a non-invasive method for the detection of coronary artery disease in low risk patients.
  4. Coronary Angiography
    This is a minimally invasive method to detect coronary artery disease. Coronary artery disease is the most common cause of heart failure.
  5. Cardiac biopsy
    If the cause of heart failure is not clear, a biopsy of the heart muscle and assessment under the microscope can reveal the actual cause of the heart failure.

For the treatment of heart failure

  1. Coronary Angioplasty
    Ballooning or stenting of blocked coronary arteries can aid in the recovery of heart function in heart failure patients.
  2. Implantable Cardioverter Defibrillators (ICD)
    In patients with severely weak heart function, an ICD is recommended for the prevention of Sudden Cardiac Death due to lethal arrhythmias.
  3. Artificial Heart Pump (Left Ventricular Assist Device)
    In patients with severely weak heart function and do not feel better despite medication, a Ventricular Assist Device can help improve symptoms and prolong survival. This involves and open-heart surgery and the implantation of a pump to “assist” the heart.After successful implantation of the Left Ventricular Assist Device, patients will then experience an improvement in exercise capacity and relieve from heart failure symptoms. This device is also able to prolong the life expectancy of a heart failure patient.
  4. Home Dobutamine
    ServiceIn patients with severely weak heart function and end stage heart failure but are unwilling or unsuitable for Ventricular Assist Device surgery, home dobutamine infusion can be a useful method for the palliation of heart failure symptoms so that the patient can be in the comfort of his/her home.
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The Heart & Vascular Centre
3 Mount Elizabeth #08-06
Mount Elizabeth Medical Centre
Singapore 228510
T: (65) 6735 3022
F: (65) 6735 3021
After hours: (65) 9664 0822
* Directions

The Heart & Vascular Centre (Novena)
38 Irrawaddy Road #09-21
Mt Elizabeth Novena Specialist Centre
Singapore 329563
T: (65) 6694 0140
F: (65) 6694 0150
After hours: (65) 9236 1026
* Directions

 

+65 6735 3022

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