Cardiovascular diseases remain a major cause of premature death in Malaysia and its prevalence is still on the rise.
We use Interventional Cardiology to diagnose and help lower many heart and vascular problems. Interventional Cardiology also helps us avoid surgery with treatments like angioplasty and valve repair or replacement.
As always, we go beyond offering specialised expertise and leading treatments by making our care accessible and convenient.
An angiogram detects blockages using x-rays taken during the injection of a contrast agent (iodine dye). The procedure provides information that helps your vascular surgeon determine your best treatment options.
Our busy but well-run service provides outpatient care and investigative tests on the heart including:
Exercise Stress Tests
Exercise/Dobutamine Stress Echo
Rhythm monitoring devices
Permanent Pacemaker checks
AVISENA is also renowned for providing expert care in Coronary Imaging and treatment, including:
Coronary Angioplasty with Stenting
Permanent Pacemaker implantation
We also have a strong Cardiac surgical team comprising two Cardiothoracic Surgeons, a Cardiac Anaesthetist and the OT team providing expert surgical management. They provide treatment for:
Coronary Artery Bypass Surgery
Valve Replacement/Repair Surgery
Atrial/Ventricular Septal Defect Closure Surgery
Artis Q with PURE® is visionary breakthrough in X-ray generation. Offering peerless high contrast resolution at any angle. While its high-dynamic range detector enables advanced 3D imaging and enhanced guidance especially during interventional procedures in cardiology.
Procedure Angiogram <Visuals>
Intervention Procedure (PCI) <Visuals>
Other Procedure Angiogram <Visuals>
Future (Cerebral Angiogram) <Visuals>
CT Angiogram uses a CT scanner to produce detailed images of both blood vessels and tissues in various parts of the body. After scanning, the images will be processed using a special computer and software and reviewed in different planes and projections for easy diagnosis.
A CT (computed tomography) scan is a relatively simple, safe and completely painless examination that radiologists have performed for many years
SOMATOM® Perspective is a 128-slice CT scanner with the ability to scan the entire heart in only 0.48 seconds
It has one of the lowest patient radiation exposures. This allows radiation doses below 1mSv for non-invasive coronary angiography compared to 8mSv to 40mSv radiation exposure encountered with other scanners
A test used to survey all heart vessels for an assessment of heart attack risk:
Determine the presence and extent of atherosclerosis (plaque)
Help determine the risk of a future heart attack
Recommend and monitor patient treatment
Follow the progression or regression of coronary artery disease
Gives the probability of blockages
Family or personal history of CAD
Past or present smoker
High cholesterol, diabetes and high blood pressure
Male over 40 years of age, female over 50 years of age
Complete a questionnaire to ensure your safety during this procedure
Heart rate (HR) and Blood pressure (BP) will be taken to ensure good HR (<70bpm), BP (120/90) for the procedure
Medication (beta-blocker) will be given if necessary
Before the procedure, a staff nurse will insert an intravenous (IV) catheter into a vein, usually in your arm or hand
The radiographer begins by positioning you on the CT examination table, usually lying flat on your back, while providing breathing instructions
An automatic injection pump connected to the IV line will give contrast material at a controlled rate
During scanning, the table will move relatively rapidly through the opening of the machine as the actual CT scanning is performed
During CT angiography of the coronary arteries or aorta in the chest, electrocardiogram (ECG) leads will be placed on your chest to record heart rhythm during scanning. Depending upon how fast and regular your heart beats, your heart rate may be temporarily slowed down for the duration of the exam with medication to obtain motion free images of the heart
Hold your breath during the scanning (for 20 sec). Any motion, whether breathing or body movements, can lead to artefacts on the images
When the examination is completed, Radiographer verifies that the images are of high enough quality for accurate interpretation by the Cardiologist