Heart Conditions

I offer experienced advice for patients looking to maintain their heart health and prevent future cardiac issues. I provide personalised advice on achieving optimal primary cardiac prevention by focusing on lifestyle modifications, including diet, exercise, and stress management. Additionally, I assess individual risk factors and offer tailored strategies to reduce the likelihood of developing heart disease in the future.

Primary Cardiac Prevention

Secondary Cardiac Prevention

I have extensive experience in providing long-term surveillance and follow-ups for patients with a history of heart conditions, ensuring prompt recovery and a smooth return to normal life. My focus is on reducing the risk of recurrence or complications by closely monitoring progress and adapting treatment plans as needed for optimal outcomes.

Cardiac Prevention & Heart-Health Checks

Specialised Advanced Cardiac Care

Coronary Artery Disease

I offer skilled advice in the diagnosis and treatment of coronary artery disease, ensuring a comprehensive approach to care. Coronary artery disease occurs when the arteries supplying blood to the heart become narrowed or blocked due to the buildup of a plaque, often caused by factors such as high cholesterol, smoking, and high blood pressure. The major symptoms include chest pain during exertion (angina) or more severe pain indicative of a heart attack.

I have extensive expertise in diagnosing and treating coronary microvascular dysfunction, commonly referred to as microvascular angina. Microvascular angina primarily affects women and is characterised by the inability of the heart's small vessels to adapt to the increased oxygen demand during emotional or physical stress. This results in symptoms such as chest pain, despite the absence of significant blockages in the larger coronary arteries.

Microvascular Angina

I offer comprehensive services for managing resistant hypertension, combining optimised lifestyle changes, medical management, and minimally invasive procedures like renal denervation. Resistant hypertension is defined as high blood pressure that remains uncontrolled despite the use of at least three medications and carries an increased risk of heart attacks, stroke, dementia, and sight impairment.

Resistant Arterial Hypertension

Additional Cardiac Care

I have expertise in diagnosing and managing cardiac rhythm abnormalities, providing tailored treatment plans to ensure optimal heart function. When needed, I offer guidance on referral for more advanced rhythm management, including ablation or device therapy.

While I do not perform interventions for heart valve disease, I provide expert diagnosis, follow-up care, and guidance on optimal medical therapy. I also advise when surgical or keyhole procedures are needed. Heart valve disease can involve stenosis, where a valve narrows and restricts blood flow, or regurgitation, where a valve leaks and causes blood to flow backward, both of which can lead to complications if untreated.

I have expertise in diagnosing and managing cardiac causes of dizziness, fainting, and loss of consciousness, including conditions like postural hypotension and postural orthostatic tachycardia syndrome (PoTS). Postural hypotension occurs when blood pressure drops upon standing, leading to dizziness or fainting, often due to dehydration, medication, or nervous system disorders. PoTS is a condition where the heart rate rises excessively upon standing, causing symptoms like dizziness, palpitations, and fatigue, often affecting young individuals, particularly women.