Heart Failure Treatments

Accurate diagnosis of heart failure

Common to have many patients who are wrongly diagnosed to have heart failure; we use a combination of clinical history, physical examination, biochemical markers and cardiac imaging to accurately diagnose heart failure

Measurement of N-Terminal pro Type B natriuretic peptide

We offer this service in the clinic with results within 15 minutes; it helps us to diagnose and follow-up patients with heart failure

Optimal medical therapy (OMT)

Appropriate and evidenced based medications will be used to achieve the best results for heart failure patients

Home inotropic therapy

We offer home inotropic therapy for chronic heart failure patients who are having multiple episodes of recurrent heart failure, in order to keep them out of hospital

Cardiac resynchronization therapy (CRT)

Heart failure patients who have left ventricular dyssynchrony can be offered this special type of pacing therapy

Implantation of Implantable cardioverter defibrillator (ICD)

This is done for patients with heart failure and severely depressed ventricular function to prevent sudden cardiac death;

Six minute walk test (6MWT)

We use this test to assess the functional capacity of our heart failure patients.

Left Ventricular Assist Device

We offer this treatment for patients with end stage heart failure and who are considered suitable candidates for the therapy.

Heart failure is a chronic disease process that will progressively worsen. The definitive answer to advanced heart failure is heart transplantation. However, there are a shortage of donor hearts worldwide in comparison with the number of patients who would benefit from transplantation. A viable alternative is to implant a left ventricular assist device, a so-called artificial heart. This device can take over the function of the failing heart and provide the patient with a reasonable quality of life.

Technological breakthroughs have enable minaturization of the device and the current version is the HeartMate II LVAD which is small enough to be implanted into smaller adults, especially women and Asians. It is an axial flow device which means it has few moving parts and in a recent randomized controlled study, it was shown to be superior in terms of durability and complication rate when compared to a pump of an older design. It is very quiet in operation and is implanted into the abdominal cavity. It is ideal for patients who have advanced heart failure and who are dependent on inotropes or who have frequent hospitalizations for heart failure.

Right heart catheterization

We use this to assess the hemodynamic profile of the heart failure patients in order to adjust the treatment to tune up the patient.

Common to have many patients who are wrongly diagnosed to have heart failure; we use a combination of clinical history, physical examination, biochemical markers and cardiac imaging to accurately diagnose heart failure

We offer this service in the clinic with results within 15 minutes; it helps us to diagnose and follow-up patients with heart failure

Appropriate and evidenced based medications will be used to achieve the best results for heart failure patients

We offer home inotropic therapy for chronic heart failure patients who are having multiple episodes of recurrent heart failure, in order to keep them out of hospital
Heart failure patients who have left ventricular dyssynchrony can be offered this special type of pacing therapy

This is done for patients with heart failure and severely depressed ventricular function to prevent sudden cardiac death;

We use this test to assess the functional capacity of our heart failure patients.

We offer this treatment for patients with end stage heart failure and who are considered suitable candidates for the therapy

We use this to assess the hemodynamic profile of the heart failure patients in order to adjust the treatment to tune up the patient.