Webinar
Heart Disease
Ask Dr Julian Tan about:
- Risk factors of heart disease
- How to diagnose the different forms and stages of heart disease
- Treatment options for people with heart disease
- Cardiac rehabilitation
Dr Julian Tan is a physician and cardiologist at Mount Elizabeth Hospital. He is proficient in all aspects of interventional cardiology, and has a particular interest in the performing of complex percutaneous coronary intervention, namely bifurcation coronary intervention and chronic total occlusion (CTO) intervention. He was Principal Investigator of many multinational clinical trials, and Co-investigator in many landmark trials during his time at Tan Tock Seng hospital.
Dr Julian is also a Clinical Senior Lecturer at the Yong Loo Lin School of Medicine, NUS and a Core Clinical Faculty Member of the NHG Cardiology Senior Residency Program and a Clinical Teacher at the Lee Long Chian School of Medicine (LKCMedicine)
Questions 8
What are the different types of heart specialists in Singapore?
Great question! Your friend is entirely right. Not many people know this, but there are actually 3 main "types" of cardiologists in Singapore, according to their further sub-specialty training and qualifications. These are: Non-Invasive Cardiologist Interventional Cardiologist Electrophysiologists (EP) 1. Non-Invasive Cardiologist Non-invasive heart doctors manage patients in the outpatient setting. Their role is to prevent and manage heart-related problems, such as hypertension and heart failure.
Who is most at risk of heart disease in Singapore, and when does one need to see a cardiologist?
There are 3 main categories of Singaporeans whom are most at risk for heart disease: 1. Strong family history of heart disease You will have an increased risk of heart attacks if your parents or siblings have cardiovascular disease, even if you have a healthy diet and exercise regularly. Consequently, you should be screened regularly for risk factors if you belong to this group. A heart specialist will be able to order tests and set up a treatment plan (which includes lifestyle modifications and potentially medications) which can reduce your risk for heart attacks. 2.
How much does it cost to see a cardiologist in Singapore, and is it Medisave claimable?
Private heart specialists typically charge about $150 - $200 for a first consultation. Medications will typically add on another $100 - $200 in total to your final bill. At the National Heart Centre, the rates for seeing a cardiologist are as follows: Consultation Singapore Citizen Private First Consultation $$57 $120 - $155 Follow-up Consultation $38 $79 - $112 Even if you go as a new patient via a polyclinic referral, rest assured that a consultant will still be seeing you on your first visit.
How can I get the best results after an angioplasty?
I'm glad to hear that you are determined to make healthier lifestyle choices to get the best results after your angioplasty! I warn all my patients that an angioplasty is NOT a cure for heart disease. It can certainly help to control your symptoms, but it does NOT fix the underlying heart disease that caused the symptoms in the first place. To reduce the risk of further heart issues, you'll need to make important changes to your lifestyle. All my patients get a customised care plan and cardiac rehabilitation programme after their angioplasty.
Is an angioplasty or taking medication better for treating heart disease?
Treating heart disease usually begins with lifestyle changes and/or medications that help improve blood flow to your heart muscle. However, your angiogram will clearly show the blockage in your coronary arteries. I always make sure to explain ALL available treatment options to my patients.
What is the difference between an angiogram and angioplasty?
This is a common question that often confuses my patients, because they sound similar! An angiogram is merely a diagnostic tool used to reveal blockages in heart vessels. On the other hand, an angioplasty is a treatment that involves inserting heart stents to improve blood flow to heart muscle. Widening a narrowed heart vessel results in fewer angina symptoms and a better quality of life. A coronary angiogram and angioplasty may be done soon after a heart attack, or if you have angina.
What is the best heart stent in Singapore for blocked coronary arteries?
A heart stent is a metal tube that's inserted into your narrowed heart artery during an angioplasty. It acts as an internal support framework to keep the artery open by pressing plaque back against the artery wall. There are many different types of heart stents available in Singapore: Bare Metal Stent (seldomly used nowadays) – a metallic mesh tube. Drug-eluting Stent – a metallic stent that's been coated with medication to prevent re-narrowing of the heart vessel.
How much does an angioplasty cost in Singapore, and what affects the costs?
The total cost for an angioplasty in Singapore depends on whether you go to a private or public institution.