24 Te Modern Family New Families & Family Health


Don’t ignore feeling faint or breathless


There are many reasons for feeling faint or out of breath and, sometimes, it’s due to heart-related causes. Here’s what you need to know if that’s the case for you


C


ardiac causes of feeling faint are usually related to heart rate or blood pressure.


Rhythm disturbances (arrhythmia) is a common factor. Tis is where the heart beats too fast or too slow, and it can be associated with symp- toms of palpitations and breath- lessness. One of the common arrhythmias — called atrial fibrilla- tion (AF) — has many triggers and risk factors, which unfortunately increase with age. AF is associated with a significant


increase in stroke risk, which can be mitigated if diagnosed early. Faints or near-blackouts can be caused by AF, and also if the heart becomes too slow because of heart block. Tere are now many technological advances that can capture these arrhythmias using smartwatches or patch heart monitors. Tere’s even an injectable micro monitor the size of a pen lid that can be implanted to monitor the heart for up to four years, allowing these rhythm disturbances to be picked up and diagnosed early. Dr Kare Tang is a consultant cardi-


ologist specialising in diagnostics and interventional cardiology. He would be happy to advise, either by a face-to-face appointment or via a phone consultation.


Promotional Content • Saturday 8th February 2025


Get treatment for your irregular heartbeats


Atrial fibrillation (AF) is the leading cause of stroke, a major contributor to heart failure and the most common serious cause of palpitations


T


he most common serious cause of palpitations is atrial fibrillation (AF), a leading cause of stroke


and a major contributor to heart failure. Catheter ablation procedures can offer a solution and cure for many, but the longer AF is left, the harder it is to treat. Time is, therefore, of the essence. Oxford-trained Dr Malcolm Finlay is a consultant cardi- ologist at St Bartholomew’s Hospital in London and is internationally recog- nised for innovation in the treatment of heart rhythm problems, including treat- ment of patients with AF and other heart rhythm problems. Dr Finlay now offers appointments


and day-case ablation treatments at London’s One Welbeck healthcare facility, including the latest pulsed-field ablation, which can make catheter abla- tion even quicker and safer. Get in touch today for an initial consultation.


Dr Kare Tang


Visit: karetang.co.uk T: 07920 111537 E: medicalsecretary@live.co.uk


Dr Kare Tang consults at LycaHealth in Canary Wharf, Orpington and Essex


T: 020 7183 0514 E: pa@drmalcolmfinlay.com Visit: drmalcolmfinlay.com


DR MALCOLM FINLAY PERFORMS PRIVATE MEDICAL SERVICES EXCLUSIVELY THROUGH RADNOR MEDICAL LTD. REGISTERED OFFICE: C/O SANDISON EASSON & CO, REX BUILDINGS, ALDERLEY ROAD, WILMSLOW, SK9 1HY. (COMPANY NUMBER: 15387669 – REGISTERED IN ENGLAND AND WALES).


Bespoke prostate care in London B


From water to steam and implants to lasers — what’s the best treatment for your prostate?


enign Prostatic Hypertrophy (BPH)


is a common condition among ageing men, character-


ised by prostate enlargement, leading to urinary symptoms. Treatment options include


lifestyle modifications such


as moderating alcohol and caffeine intake, and medications such as pros- tate relaxing tablets (alpha-blockers), and prostate shrinking tablets (5-alpha reductase inhibitors), providing symp- tomatic relief for patients. But if these measures fail, the following surgical treatment options can be considered.


Transurethral Resection of the Prostate (TURP) TURP involves the removal of excess prostate tissue through a resecto- scope inserted into the urethra. Tis procedure has a long history of effec- tiveness, providing significant relief for patients with moderate to severe symptoms caused by small- to medi- um-sized prostates.


Photovaporisation of the Prostate (PVP) Tis Greenlight Laser therapy vaporises prostate tissue via the urethra, and has shown effectiveness in improving symp- toms of BPH, with potentially shorter recovery times compared to TURP.


Holmium Laser Enucleation of the Prostate (HoLEP) Another popular surgical approach is HoLEP.


its entirety resulting in greatly improved urine flow. It’s considered particularly beneficial for larger prostates, but can be used for prostates of all sizes. It currently stands as one of the most effective and durable treatments for BPH.


Minimally invasive surgical techniques (MIST) MIST procedures are gaining popularity, especially for patients seeking alterna- tives to traditional surgical procedures. • UroLift involves the placement of permanent implants to lift and hold the enlarged prostate tissue, thus reducing pressure on the urethra. • Rezum injects steam into the pros- tate causing it


to shrink down over


the subsequent weeks, resulting in improved urine flow. • Aqablation is an emerging MIST, which uses high-pressure water jets to remove obstructing prostate tissue. All


three approaches preserve


sexual function and have a quick recovery period.


Prostate Artery Embolisation (PAE) PAE involves blocking blood flow to the prostate, leading to shrinkage and is an option for a select group of men. Tere are a range of BPH treat-


HoLEP utilises a laser to enucleate, or dissect, prostate tissue in


ments tailored to the specific needs of patients. Regular follow-ups are essen- tial to monitor outcomes and ensure continued wellbeing after surgery. For a bespoke prostate assessment book an appointment to see Mr Nkwam, one of London’s leading prostate specialists.


Mr Michael Nkwam has private consulting rooms at: HCA UK at Te Shard, 32 St Tomas Street, London SE1 9BS; Shirley Oaks Hospital, Poppy Lane, Surrey CR9 8AB; and Chelsfield Park Hospital, Bucks Cross, Kent BR6 7RG Secretary: Tracey Andrews — T: 07590 963 377 E: secnkwam@outlook.com


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