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Saturday 6th March 2021 • Promotional Content


Specialist clinics Healthcare Innovations 47


What’s new in cardiology that can help you today?


serious heart condition) need help immediately. Otherwise, the stress of modern life means feeling your heart beat is common.


If this is the case,


Heart failure Cardiology trials can study thou- sands of patients to prove what works and what doesn’t. New to the table recently are the ‘glifozin’ drugs, know as SGLT-2 inhibitors. T ey help control sugar in diabetes patients, but seem to have added benefi ts for patients who’ve suff ered heart failure. T us, your cardiologist might add dapaglifozin or empaglifozin even if you didn’t have diabetes. T is is on top of bisoprolol, ramipril, entresto and spironolactone. Why take these pills? Quite simply, because they can make you live longer and feel better.


Valves T e aortic valve is the heart’s outfl ow valve, and if narrowed, can cause chest pain, breathlessness, dizziness or even sudden collapse and death. Severe symptomatic aortic stenosis (SSAS)


has a prognosis as bad as most cancers, and treatment is needed urgently to relieve the obstruction and take the strain off the heart. It’s a disease that can occur in younger patients (under 60) because of a problem with the valve from birth (a bicuspid valve), or develop in later life with the valve ‘chalking up’. Patients with this condition may be suitable for open heart surgery, but TAVI (transcatheter aortic valve intervention) is increasingly popular, with amazing results. Dr Malik leads the TAVI program at Hammersmith Hospital, and has done over 300 cases — some now as day-case procedures with the patient awake.


Palpitations Red fl ag symptoms (family history of sudden death, dizziness or collapse, or if you’re already known to have a


stop caff eine and drink two litres of water a day — this might cure you and avoid a host of tests. T e key is to detect atrial fi brillation (AF). We can do this with smart watches, monitors on the skin, or even by implanting a chip (a LinQ device) that has a battery life of four years. T e technology to treat AF has really come on, as has the evidence base behind ablation (an inva- sive treatment) that may be best for some patients. For most, taking pills is the answer.


Chest pain We don’t need to operate as much as we used to. You need immediate attention for acute chest pain — if it lasts 15 to 20 minutes and comes on at rest, and especially if it moves to the left arm, teeth or jaw; that could be a heart attack, in which case call 999. However, in stable coronary disease, it appears that treating your artery with a stent may make it look better but actually make little diff erence to your


Dr Iqbal Malik, MA MBBCHir FRCP PhD OneWelbeck Heart Health, One Welbeck Street, London W1G 0AR T: +442074360669 E: info@londoncardiovascularclinic.co.uk londoncardiovascularclinic.co.uk YouTube: youtube.com/user/LondonCardioClinic


quality of life, and no diff erence to your risk of heart attack, or how long you live. Statins are key here. T ere must be a reason so many cardiolo- gists take them!


MEET THE EXPERT


Dr Iqbal Malik is a consultant cardiologist with over 15 years experience in managing heart disease. He works at Imperial College Healthcare NHS Trust and is the medical director of OneWelbeck Heart Health, the largest private practice cardiology group in London. Dr Malik’s research interests are in diabetes, coronary artery disease and major heart disorders such as aortic stenosis and holes in the heart. He sees patients with symptoms such as chest pain, palpitations, breathlessness and dizziness.


Your heart matters: warning signs you should look out for


Despite signifi cant strides over the past few years, heart disease is still a major cause of death and disability in the UK. Spot the symptoms early and prevent further heart damage


Cardiology Care Cardiology Care provides a full heart service and believes in working with its patients to maintain and improve their health. T e organisation’s physi- cian believes in providing comprehen- sive cardiac care services to patients in a friendly, relaxed environment. He also believes in educating patients to help them achieve the best physical state possible.


Trust a leading specialist Dr Naveen Mudalagiri MBBS BSc(HONS) MD FRCP PGCERT HBE FHEA is a specialist consultant cardi- ologist and interventional cardiolo- gist with professional accreditation and expertise in the diagnosis and management of cardiac problems. He’s registered with the General Medical Council (GMC number 4619541) and is on the specialist register for cardi- ology and general internal medicine. He performs coronary angiography and angioplasty (stent insertion). In addition, he provides treatment


and assessments for heart rhythm disorders (palpitations) including pace- maker


implantation, valvular heart disease, hypertension and heart failure. Dr Naveen Mudalagiri is an


accredited member and Fellow of the Royal College of Physicians and member of the British Cardiovascular Intervention Society. He’s chairman for the London, Kent, Surrey and Sussex Educational Facility, an advi- sory member for the National Institute for Health and Care Excellence and sits on various Royal College of Physicians committees.


“T e organisation’s physician believes in providing comprehensive cardiac care services to patients in a friendly, relaxed environment.”


SO, WHAT DO I LOOK OUT FOR?


• Chest pains: Could this be a heart attack? Usually described as a pressure, heaviness, band-like tightness around the chest. If you have chest pains and feel very unwell, call 999. However, if the symptoms come on with exertion, you may have angina (reduced blood fl ow to heart). You should book an appointment to see a doctor, but don’t really need to call the emergency services. If you’re feeling sick or vomit, you should call an ambulance.


• Arm/jaw pains: Arm pains can be a sign of a heart attack or angina. If the pains spread to the neck, jaw or back, it’s more likely to be heart-related and if it doesn’t go away, call 999.


• Stomach pains: The heart, food pipe (gullet) and stomach lie near each other, so it can be diffi cult to tease out what’s causing the problem. Call 111 or speak to a doctor.


• Sweating: Sweating associated with chest pains/tightness could be a heart attack, so call an ambulance.


• Leg pains: Cramp-like pains in the calves when walking could be due to a narrowing of your leg arteries (vascular disease).


• Swollen legs/ankles: Swollen legs or ankles could be a sign of heart failure. In the fi rst instance, be sure to speak to a doctor to fi nd out the cause.


Appointments off ered at: HCA London Bridge Hospital, London BMI London Independent, London KIMS Hospital Maidstone, Kent Spire Alexandra, Chatham, Kent LycaHealth, London and Kent T: 020 3916 5159 E: cardiologycare@outlook.com cardiologycare.uk


• atigue and shortness of breath: Feeling tired is a common symptom and if it occurs after a long day at work then it’s probably nothing to worry about. However, if you get very tired or short of breath without a change in your lifestyle, seek help.


• Flutters/palpitations: The vast majority of palpitations aren’t serious; however, some can be dangerous. If your heart beat is fast and jumps around, you should see a doctor. If you have fast heart beats and faint, call an ambulance.


• Major risk factors for heart disease and stroke include high blood pressure, diabetes, smoking, high cholesterol and a family history of heart disease. Get a cholesterol and blood pressure check.


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