Heart Partners Clinic | Singapore | DocDoc

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Overview
Physician
Procedures

Heart Partners Clinic

Singapore
Overview

Heart Partners Clinic is one of the most esteemed medical facilities in Singapore specializing in the treatment of a wide range of heart diseases. Formerly known as Woo Medical & Cardiac Clinic, the facility was established by Dr. Bobby Woo back in 1989. Dr. Woo personally chose Dr. Victor Lim as senior partner and the name was changed to Heart Partners Clinic.

Dr. Victor Lim boasts of an extensive training background and an impressive portfolio of experience in the field of cardiology. He was the recipient of an ASEAN scholarship that paved the way for the completion of his secondary and pre-university education in Singapore. He also trained at the University of Glasgow in Scotland, UK and a member of the Royal College of Physicians UK. He completed Advanced Specialty Training in Cardiology at the National Heart Centre in Singapore and is accredited by Singapore’s Ministry of Health.

With his team of highly qualified cardiologists and well-trained staff, Dr. Victor Lim made name for Heart Partners Clinic by providing genuine care to heart patients from all over the world who are seeking high-quality but affordable interventional cardiology treatments.

Languages Spoken
  • Bahasa Melayu
  • English
  • Mandarin
  • Chinese
  • Cantonese
  • Hainanese
  • Bahasa Indonesia
Clinic Highlights
  • General cardiac assessment and screening
  • General health and cardiac health blood profile testing
  • ECG
  • Treadmill stress testing
  • Transthoracic and transoesophageal echocardiography
  • Carotid intima-media thickness assessment
  • Myocardial perfusion scan
  • CT coronary angiography
  • Ambulatory BP measurement
  • 24-hour Holter assessment
  • Diagnostic coronary angiography
  • Coronary angioplasty and stenting
  • Electrophysiological studies of abnormal heart rhythm
  • Permanent pacemaker implantation
  • Implantable cardio-defibrillator (ICD)
  • Cardiac resynchronization therapy (CRT)
  • Coronary artery bypass graft surgery
  • Surgical repair or replacement for valvular heart disease
Facilities
  • Cardiac Health Screen
  • ECG
  • Echocardiogram
  • Treadmill ECG
Insurance
  • AIA
  • Great Eastern
  • AXA
Physician
Dr. Victor Lim
Dr. Victor LimVerifiedCardiologist in Singapore
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Backed by a career spanning over a decade in the field of cardiology, Dr. Victor Lim is an established and well-recognized general and interventional cardiologist specializing in percutaneous coronary angioplasty and stenting. His passion lies in the transradial technique, a viable alternative to traditional angioplasty and stenting methods. Dr. Lim has been teaching this technique all over the Asia-Pacific region to promote its many benefits, such as greater comfort for the patient, cost-efficiency, and lower risk to life. Dr. Lim is driven to provide genuine care for all his patients with compassion, competence, and kindness.

Procedures
Cardiology
CT (Computerized Tomography) Coronary Angiography
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A CT Coronary Angiography is a new heart imaging procedure used to detect or assess blockages or buildup in the coronary arteries. It employs CT (Computed Tomography) technology, which eliminates the need to insert a catheter into the arteries, making diagnosis non-invasive. Risks are limited to iodine allergy, a possible reaction to the intravenous dye that is used to create a CT image, which can be avoided with pre-treatment medications. The CT scan itself lasts around 15 minutes if a slow and steady heart rate is achieved right away. To do so, you may be required to take a beta-blocker, a special medication to slow down the heart rate. It may take another 20 minutes, however, to achieve the ideal heart rate before the CT scan can is conducted.

Carotid Intima-Media Thickness Assessment (CIMT)
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A Carotid Intima-Media Thickness or CIMT assessment is an important test that evaluates a person’s cardiovascular health. Often used to diagnose and monitor the progression of heart diseases, this test measures the thickness of the tunica intima and tunica media, which are the innermost layers of the artery walls. The goals are to check for plaque buildup and inflammation and evaluate the degree of the problems that the artery is currently experiencing. The procedure involves an external ultrasound scan and, occasionally, an ultrasound catheter. A Carotid Intima-Media Thickness assessment plays an important role in detecting heart disease, especially since many patients who suffer from early and intermediate stages of several heart diseases such as atherosclerosis and coronary artery disease do not show outward symptoms.

Coronary Angiography
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A Diagnostic Coronary Angiography is a procedure that takes an x-ray image of the blood vessels in the heart. The blood vessels are first filled with a contrast solution that helps identify the location of the coronary artery disease. This diagnostic procedure also helps evaluate the severity of the condition. A diagnostic coronary angiography is performed under local anesthesia and IV sedation. It is done by inserting a thin tube into the skin and an artery, usually in the arm or groin. Guided by a fluoroscope, the catheter is placed in the opening of the coronary artery, and a special solution is then injected into each artery to produce an angiogram.

Coronary Angioplasty
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A Coronary Angioplasty is a procedure that aims to open up clogged arteries in the heart. During the procedure, a catheter with a thin, expandable balloon is inserted and inflated to push fat and cholesterol build-up against the artery wall, making more room for the blood to flow smoothly. At this point, a stent, a small wire mesh tube coated with medication that helps keep the artery open and from narrowing again, is also inserted. In some cases, bare-metal stents, which do not have medication, are also used. This procedure relieves chest pain and shortness of breath while reducing the patient's risk of heart attack.

Coronary Artery Bypass Graft Surgery (CABG)
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A coronary artery bypass graft surgery is a surgical procedure that aims to improve the flow of blood to the heart. It is primarily used to treat severe coronary heart disease, a condition wherein plaque or waxy substance accumulates in the walls of the coronary arteries. This is currently the most commonly performed open-heart surgery in the United States and is only performed by board-certified cardiothoracic surgeons. It can help relieve the patient of his symptoms for as long as 10 to 15 years and significantly reduce the risks of a heart attack. Patients will be required to stay in the hospital for a few days after the surgery, and they can go back to their normal activities after one to two months.

Electrophysiological studies (EPS)
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Electrophysiological studies are tests used to diagnose abnormal heart rhythms. It can detect the source of arrhythmia, evaluate the effects of medications, and determine the most appropriate treatment, which could be surgery, a pacemaker, cardiac ablation, or an implantable cardioverter defibrillator. The test is conducted while the patient is conscious but is under a sedative to help keep him calm and relaxed. Local anesthesia in the area where the test will be conducted will also be administered. The test takes anywhere from 1 to 4 hours. After the procedure, it is normal to feel some soreness in the puncture site for several days, but patients are allowed to return to their normal activities after one to two days.

Implantable Cardio Defibrillator (ICD) and Cardiac Resynchronization Therapy (CRT)
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An Implantable Cardio-Defibrillator and a Cardiac Resynchronization Therapy are both effective treatment options for people who are suffering from heart disease. An Implantable Cardio-Defibrillator or ICD is a battery-powered device placed under the skin and connected to the heart with the purpose of monitoring a person’s heart rate. If the device detects abnormal heart rhythms, it automatically delivers an electric shock to restore the normal heartbeat. It is most helpful in preventing sudden deaths caused by irregular heart rhythms or arrhythmias. A Cardiac Resynchronization Therapy or CRT is the restoration of the normal pumping action of the ventricles using a CRT pacemaker. A CRT can maintain the heart’s efficiency and can regulate normal blood flow to alleviate the common symptoms of heart problems such as shortness of breath. Since this is an ongoing therapy, it can also improve the patient’s overall quality of life.

Myocardial Perfusion Scan
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A Myocardial Perfusion Scan or MPI is a simple nuclear procedure used to assess the severity of several heart conditions including coronary artery disease, hypertrophic cardiomyopathy, and abnormalities in the motions of the heart wall. The test is designed to measure the amount of blood in the heart muscles when you are active or at rest to evaluate how well the blood travels through the heart. The scan begins with a series of exercises or stress test, followed several hours later by a resting test. Prior to the procedure, a radionuclide will be injected into the vein, which are not absorbed by blocked or clogged arteries, so these areas appear on the scan as defects or cold spots. The procedure lasts around 30 minutes.

Permanent Pacemaker (PPM)
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A Permanent Pacemaker is a small device that is placed under the skin of the chest to send electrical impulses to the heart. Its purpose is to maintain the heartbeat’s regular rhythm and normal speed. The device is made up of a pulse generator, a battery, and the wires connecting it to the heart. The insertion of the device is minimally invasive and does not require an open-heart surgery. Nevertheless, patients usually have to stay in the hospital for one to four days after the procedure, depending on the state of their health. Total recovery period after a permanent pacemaker insertion lasts for 4 to 6 weeks. After this, patients can return to their normal activities, including sports, but they will have routine checkups to ensure that the device is working properly.

Transthoracic (TTE) and Transesophageal (TEE) Echocardiography
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Echocardiography is a diagnostic ultrasound technique that allows the accurate visualization of cardiac walls and heart structures, as well as the elucidation of blood flow in specific areas of the heart. Two of the most common forms of echocardiography are transthoracic (TTE) and transesophageal (TOE). TTE, usually performed with the patient lying on the left, is a test that investigates valvular heart disease; it determines abnormalities in all four cardiac valves and ventricles. On the other hand, TOE, usually performed under sedation, involves the insertion of the ultrasound probe into the esophagus behind the heart to visualize cardiac structures. TOE provides more comprehensive views of the posterior structures of the heart. Both TTE and TOE are effective techniques to diagnose cardiovascular disease.

Valve Replacement Surgery
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The tricuspid, pulmonary, mitral, and aortic valves in the heart are responsible for controlling blood flow through the different chambers of the heart. If even one of these valves does not work properly due to a valvular heart disease, blood flow is affected, and symptoms are triggered. Severe valve damage often requires surgical repair or replacement, which involve different procedures depending on specific problems. A commissurotomy is performed to open up thickened valves that may have stuck together, while an annuloplasty repairs enlarged annulus, a ring of tissue at the heart valve’s base. A decalcification is done to remove buildup of calcium, while some procedures simply reshape a valve or shorten the cords that support them. A tissue patch is also done if some valves have holes or tears. These are invasive procedures that require general anesthetic and can last for 2 to 4 hours. Patients also need to stay in the hospital for a week after a successful surgical repair or replacement of valvular heart disease for observation.

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