{"id":1460,"date":"2020-12-08T14:24:26","date_gmt":"2020-12-08T14:24:26","guid":{"rendered":"https:\/\/bluamoeba.com\/yas\/?page_id=1460"},"modified":"2023-02-10T09:10:43","modified_gmt":"2023-02-10T09:10:43","slug":"cardiology","status":"publish","type":"page","link":"https:\/\/yashealthcare.ae\/testing\/services\/cardiology\/","title":{"rendered":"Cardiology &#8211; Services"},"content":{"rendered":"<section id=\"bt_bb_section69e91076826cf\"  class=\"bt_bb_section bt_bb_top_spacing_medium bt_bb_bottom_spacing_medium bt_bb_layout_boxed_1200 bt_bb_vertical_align_top\" ><div class=\"bt_bb_port\"><div class=\"bt_bb_cell\"><div class=\"bt_bb_cell_inner\"><div class=\"bt_bb_row_wrapper\"><div  class=\"bt_bb_row bt_bb_column_gap_35\" ><div  class=\"bt_bb_column col-xl-8 bt_bb_align_left bt_bb_vertical_align_top bt_bb_animation_fade_in animate bt_bb_padding_normal bt_bb_animation_fade_in animate\"  data-width=\"8\" data-bt-override-class=\"{}\"><div class=\"bt_bb_column_content\"><header class=\"bt_bb_headline bt_bb_color_scheme_8 bt_bb_dash_none bt_bb_size_medium bt_bb_align_inherit bt_bb_dash_type_none\" style=\"; --primary-color:#ccb04c; --secondary-color:#ffffff;\" data-bt-override-class=\"{}\"><h3 class=\"bt_bb_headline_tag\"><span class=\"bt_bb_headline_content\"><span>Healthy Heart<\/span><\/span><\/h3><\/header><div class=\"bt_bb_separator bt_bb_border_style_none bt_bb_top_spacing_extra_small bt_bb_bottom_spacing_small\" data-bt-override-class=\"null\"><\/div><div  class=\"bt_bb_row_inner\" ><div  class=\"bt_bb_column_inner col-xl-6 bt_bb_align_left bt_bb_vertical_align_top\"  data-width=\"6\" data-bt-override-class=\"{}\"><div class=\"bt_bb_column_inner_content\"><div  class=\"bt_bb_text\" ><p><a name=\"top\"><\/a>Set in a modern facility,\u00a0Yas Healthcare&#8217;s Cardiology Department is conducted with skill, expertise and personalized care.<\/p>\n<p>Through Advanced technology we utilize up to date methods for the assessment, investigation and management of suspected cardiac patients which usually requires a combination of General Evaluation, Advanced non Invasive Evaluation &amp; Advanced Invasive Evaluation.<\/p>\n<\/div><div class=\"bt_bb_separator bt_bb_border_style_none bt_bb_bottom_spacing_small\" data-bt-override-class=\"null\"><\/div><div class=\"bt_bb_column_inner_highlight\"><\/div><\/div><\/div><div  class=\"bt_bb_column_inner col-xl-6 bt_bb_align_left bt_bb_vertical_align_top\"  data-width=\"6\" data-bt-override-class=\"{}\"><div class=\"bt_bb_column_inner_content\"><div class=\"bt_bb_image bt_bb_shape_square bt_bb_target_self bt_bb_align_inherit bt_bb_hover_style_simple bt_bb_content_display_always bt_bb_content_align_middle\" data-bt-override-class=\"{}\"><span><img width=\"270\" height=\"150\" src=\"https:\/\/yashealthcare.ae\/testing\/wp-content\/uploads\/2020\/12\/healthyheart.jpg\" class=\"attachment-boldthemes_medium_rectangle size-boldthemes_medium_rectangle\" alt=\"https:\/\/yashealthcare.ae\/testing\/wp-content\/uploads\/2020\/12\/healthyheart.jpg\" decoding=\"async\" loading=\"lazy\" data-full_image_src=\"https:\/\/yashealthcare.ae\/testing\/wp-content\/uploads\/2020\/12\/healthyheart.jpg\" title=\"healthyheart\" \/><\/span><\/div><div class=\"bt_bb_separator bt_bb_border_style_none bt_bb_bottom_spacing_normal bt_bb_hidden_md bt_bb_hidden_lg\" data-bt-override-class=\"null\"><\/div><div class=\"bt_bb_column_inner_highlight\"><\/div><\/div><\/div><\/div><div class=\"bt_bb_separator bt_bb_border_style_none bt_bb_bottom_spacing_small\" data-bt-override-class=\"null\"><\/div><div  class=\"bt_bb_row_inner\" ><div  class=\"bt_bb_column_inner col-xl-12 bt_bb_align_left bt_bb_vertical_align_top\"  data-width=\"12\" data-bt-override-class=\"{}\"><div class=\"bt_bb_column_inner_content\"><div class=\"bt_bb_accordion bt_bb_style_outline bt_bb_shape_square\"><div class=\"bt_bb_accordion_item\"><div class=\"bt_bb_accordion_item_title\">General Evaluation<\/div><div class=\"bt_bb_accordion_item_content\"><div  class=\"bt_bb_text\" >\n<ul class=\"endo_tips\">\n<li>A comprehensive clinical history<\/li>\n<li>A thorough clinical examination focusing upon but not limited to the cardiovascular system<\/li>\n<li>A 12 lead ECG assessment in all case: This is a tracing of the heart\u2019s electrical activity taken at rest.<\/li>\n<li>A chest Xray (CXR) in most cases: A CXR can provide information about heart and major blood vessel size and shape but also provides additional information regarding the lungs<\/li>\n<li>Urinalysis in most cases: A urine sample analysis can often provide important clues to a number of medical conditions that can influence the heart or cardiovascular system<\/li>\n<li>Blood tests in many cases: Blood tests can provide important information about conditions that can affect your heart. Some blood tests also provide information regarding the function of other vital organs such as the kidneys, liver or thyroid. These results can help your doctor to decide what medications and what dose are safe to be used for your condition.<\/li>\n<\/ul>\n<\/div>\n<\/div><\/div><div class=\"bt_bb_accordion_item\"><div class=\"bt_bb_accordion_item_title\">Advanced non invasive Evaluation<\/div><div class=\"bt_bb_accordion_item_content\"><div  class=\"bt_bb_text\" >\n<p>Dependent upon the type and severity of symptoms and\/or the presence of any abnormal clinical findings identified during the clinical examination, more advanced cardiac investigations may be required. These investigations could include a combination of the following non invasive tests if clinically indicated<\/p>\n<ul class=\"endo_tips\">\n<li>\n<ul class=\"endo_tips\">\n<li>24 hour ambulatory ECG recording ( Holter) or more prolonged Holter assessments (up to 7 days) This investigation essentially comprises a belt worn recording device that is connected to your chest using 5 electrodes. Worn for 24 hours commonly but up to 7 days on occasions, the device can record the cardiac rhythm and help determine the explanation for frequently occurring palpitations.<\/li>\n<li>Cardiac event recorder assessment (Cardiomemo or External Loop Recorder)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>These alternative heart rhythm recorders can be useful in identifying the explanation for infrequently occuring palpitation or to investigate dizzy spells or collapses.<\/p>\n<h5>Cardiomemo<\/h5>\n<p>recorders don\u2019t require you to be attached to the monitor permanently \u2013 they can be pressed to the chest to take a recording at the time of symptoms \u2013 they are most useful for palpitations that are unpredictable, infrequent but prolonged for more than a few minutes. The later point is important as it may take a minute of two for you to recognise your symptoms, find your monitor and find a convenient location for you to apply the monitor to the skin of your chest to take the recording.<\/p>\n<h5>External Loop Recorders<\/h5>\n<p>require the recording device to be constantly attached to your chest using a few electrodes. They constantly record but dont save the heart rhythm data until a button is pressed on the device. The device will then store the heart tracing recorded for upto a few minutes BEFORE the button was pressed and upto a few minutes AFTER the button was pressed. These devices can be helpful in identifying the cause of infrequent and briefly occuring palpitaion, dizzy episodes and collapses<\/p>\n<ul class=\"endo_tips\">\n<li>\n<ul class=\"endo_tips\">\n<li>\n<h5>Ambulatory blood pressure monitoring<\/h5>\n<p>A blood pressure monitor that is worn for up to 24 hours and that records the blood pressure half hourly throughout the day and hourly overnight. Results from this investigation can help determine whether the blood pressure is abnormally elevated and help determine the requirement for life style change and\/ or medication to control the blood pressure more effectively.<\/li>\n<li>\n<h5>Adult Transthoracic Echocardiography (TTE)<\/h5>\n<p>An ultrasound scan of the heart at rest. This commonly performed cardiac investigation can provide important information regarding the hearts structure and function. The scan usually takes around 30 minutes and can assess the size and shape of the cardiac chambers, the contractile function of the pumps (ventricles), and the anatomy and function of the cardiac valves themselves.<\/li>\n<li>\n<h5>Adult Stress Echocardiography (Exercise or Chemical)<\/h5>\n<p>An ultrasound of the heart during physical exercise or for those unable to exercise sufficiently a scan performed after accelerating the heart rhythm with an infusion of an intravenous medication. This type of scan is most commonly used to assess the likelihood of blood flow abnormalities to the heart (coronary artery disease) but is also sometimes used to provide additional information regarding the function of abnormal cardiac valves.<\/li>\n<li>\n<h5>Exercise Stress ECG<\/h5>\n<p>A 12 lead ECG recorded during physical exercise. This test is commonly performed to assess exercise induced chest pain, breathlessness or palpitation. The test requires you to walk on a treadmill whilst the heart\u2019s electrical activity is recorded. The treadmill starts slowly but will intermittantly increase in speed and slope to accelerate the heart rate slowly. Patients who are unable to exercise on the treadmill, or cannot exercise sufficiently to accelerate their heart rate enough, or who develop abnormalities on the recorded tracings may require additional or alternative tests to confirm or exclude cardiac disease.<\/li>\n<li>\n<h5>Cardiac CT imaging<\/h5>\n<p>A detailed CT scan of the heart and the major blood vessels utilising Xray. This investigation can provide additional information about the structure, size and geometry of the heart and the major blood vessels. Modern cardiac CT (CT coronary angiography) can also help identify the presence of coronary artery disease in patients suspected as having angina from the clinical history and other non invasive tests. As cardiac CT imaging requires exposure to a higher dose of xray radiation than a standard Xray this investigation is not performed unless the suspicion of either ischaemic heart disease or structural heart disease is sufficiently high to justify this test.<\/li>\n<li>\n<h5>Cardiac MRI<\/h5>\n<p>A Magnetic Resonance Imaging study of the heart. This investigation is frequently used to provide additional information about the hearts anatomy and function. Not all patients are suitable for MRI imaging and in particular patients with claustrophobia, metallic implants and most pacemaker devices will be unsuitable candidates.<\/li>\n<li>\n<h5>Carotid duplex ultrasound<\/h5>\n<p>An ultrasound of the major blood vessels carrying blood through the neck to the head. This investigation is often performed in patients with stroke or transient ischemic attacks (mini strokes) and can help identify narrowed segments that may indicate the cause and suggest possible treatment options.<\/li>\n<li>\n<h5>Peripheral arterial duplex ultrasound<\/h5>\n<p>An ultrasound of the arteries within the lower limbs. This investigation can help identify blood flow obstructions that may help explain exercise induced leg discomfort (claudication)<\/li>\n<li>\n<h5>Renal ultrasound and renal arterial duplex ultrasound<\/h5>\n<p>An ultrasound of the kidneys and the arteries carrying blood to the kidneys. This investigation can help identify the cause of abnormal kidney function and may be of value in assessing selected patients with poorly controlled blood pressure.<\/li>\n<li>\n<h5>Tilt testing *<\/h5>\n<p>This investigation is primarily requested to evaluate possible cardiovascular causes of dizziness or collapse. The test assesses the heart rhythm (ECG) and blood pressure (automated monitor) whilst at rest laid flat and quietly on a special tilting couch and then in an upright position whilst still secured to the couch. The test can detect abnormal changes in blood pressure and the cardiac rhythm that can be helpful in identifying the explanation for some collapse events or dizziness.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p><strong>Notes<\/strong><\/p>\n<p>* Please note that YAS healthcare currently does not have the facility or equipment for all of the advanced non invasive procedures described above.<\/p>\n<p>In consequence those marked * will, for the time being, need to be performed in an alternative government or private hospital or institution.<\/p>\n<\/div>\n<\/div><\/div><\/div><div class=\"bt_bb_column_inner_highlight\"><\/div><\/div><\/div><\/div><div class=\"bt_bb_separator bt_bb_border_style_none bt_bb_top_spacing_extra_small bt_bb_bottom_spacing_small\" data-bt-override-class=\"null\"><\/div><div class=\"bt_bb_separator bt_bb_border_style_none bt_bb_top_spacing_extra_small bt_bb_bottom_spacing_small\" data-bt-override-class=\"null\"><\/div><div class=\"bt_bb_separator bt_bb_border_style_none bt_bb_top_spacing_extra_small bt_bb_bottom_spacing_small\" data-bt-override-class=\"null\"><\/div><header class=\"bt_bb_headline bt_bb_dash_bottom bt_bb_size_inherit bt_bb_align_inherit bt_bb_dash_type_none\" data-bt-override-class=\"{&quot;bt_bb_align_&quot;:{&quot;current_class&quot;:&quot;bt_bb_align_inherit&quot;,&quot;xl&quot;:&quot;inherit&quot;}}\"><h3 class=\"bt_bb_headline_tag\"><span class=\"bt_bb_headline_content\"><span>Our Doctor<\/span><\/span><\/h3><\/header><div class=\"bt_bb_separator bt_bb_border_style_none bt_bb_top_spacing_extra_small bt_bb_bottom_spacing_small\" data-bt-override-class=\"null\"><\/div><div  class=\"bt_bb_row_inner\" ><div  class=\"bt_bb_column_inner col-xl-4 bt_bb_align_left bt_bb_vertical_align_top bt_bb_padding_normal\"  data-width=\"4\" data-bt-override-class=\"{}\"><div class=\"bt_bb_column_inner_content\"><div class=\"bt_bb_image bt_bb_shape_square bt_bb_target_self bt_bb_align_inherit bt_bb_hover_style_zoom-in bt_bb_content_display_show-on-hover bt_bb_content_align_middle bt_bb_content_exists\" data-bt-override-class=\"{&quot;bt_bb_align_&quot;:{&quot;current_class&quot;:&quot;bt_bb_align_inherit&quot;,&quot;xl&quot;:&quot;inherit&quot;}}\"><span><img width=\"265\" height=\"265\" src=\"https:\/\/yashealthcare.ae\/testing\/wp-content\/uploads\/2022\/10\/Dr-Khalil.jpg\" class=\"attachment-full size-full\" alt=\"https:\/\/yashealthcare.ae\/testing\/wp-content\/uploads\/2022\/10\/Dr-Khalil.jpg\" decoding=\"async\" loading=\"lazy\" data-full_image_src=\"https:\/\/yashealthcare.ae\/testing\/wp-content\/uploads\/2022\/10\/Dr-Khalil.jpg\" title=\"Dr-Khalil\" srcset=\"https:\/\/yashealthcare.ae\/testing\/wp-content\/uploads\/2022\/10\/Dr-Khalil.jpg 265w, https:\/\/yashealthcare.ae\/testing\/wp-content\/uploads\/2022\/10\/Dr-Khalil-160x160.jpg 160w\" sizes=\"(max-width: 265px) 100vw, 265px\" \/><\/span><div class=\"bt_bb_image_content\"  style=\"background-color: rgba(17, 82, 120, 0.6);\"><div class=\"bt_bb_image_content_flex\"><div class=\"bt_bb_image_content_inner\"><div class=\"bt_bb_separator bt_bb_border_style_none\" data-bt-override-class=\"null\"><\/div><\/div><\/div><\/div><\/div><div class=\"bt_bb_separator bt_bb_border_style_none bt_bb_bottom_spacing_normal\" data-bt-override-class=\"null\"><\/div><header class=\"bt_bb_headline bt_bb_dash_bottom bt_bb_superheadline bt_bb_size_inherit bt_bb_align_left bt_bb_dash_type_none\" data-bt-override-class=\"{&quot;bt_bb_align_&quot;:{&quot;current_class&quot;:&quot;bt_bb_align_left&quot;,&quot;xl&quot;:&quot;left&quot;}}\"><h6 class=\"bt_bb_headline_tag\"><span class=\"bt_bb_headline_superheadline\">Consultant Cardiology<\/span><span class=\"bt_bb_headline_content\"><span><b>Dr. Kamesh Sambasivan Pulya<\/b><\/span><\/span><\/h6><\/header><div class=\"bt_bb_separator bt_bb_border_style_none bt_bb_bottom_spacing_small\" data-bt-override-class=\"null\"><\/div><div  class=\"bt_bb_text\" ><div class=\"fancybox-title fancybox-title-inside-wrap\">\n<div class=\"fancybox-title fancybox-title-inside-wrap\">\n<div class='yrm-content yrm-content-3 yrm-content-hide' id='yrm-uE4xN' data-id='3' data-show-status='false' data-after-action='' style=\"visibility: hidden;height: 0;\">\n<div id='yrm-inner-content-yrm-uE4xN' class='yrm-inner-content-wrapper yrm-cntent-3'>\n<p><strong>Qualifications<\/strong><\/p>\n<p>M.B.B.S<br \/>\nInternal medicine, Germany<br \/>\nConsultant cardiologist, UK<\/p>\n<p><strong>Interest<\/strong><\/p>\n<ul>\n<li>Coronary Artery Disease<\/li>\n<li>Hypertension<\/li>\n<li>Cardiomyopathies &amp; Heart Failure<\/li>\n<li>Atrial Fibrillation&amp; Cardiac Arrhythmias<\/li>\n<li>Congenital &amp; Valvular Heart Disease<\/li>\n<li>Palpitations, Chest Pain, Discomfort, Breathlessness, Dizziness, Giddiness,Missed Beats, Swelling of Legs, Persistent Cough<\/li>\n<\/ul>\n<p><strong>Diagnostics<\/strong><\/p>\n<ul>\n<li>ECG<\/li>\n<li>Treadmill Test<\/li>\n<li>Echocardiography- Colour and Doppler<\/li>\n<li>Stress Echocardiography<\/li>\n<li>24-72 hr Holter Test, Cardiac Memo<\/li>\n<li>24 hr Ambulatory Blood Pressure Testing<\/li>\n<li>Transoesophageal Echocardiography<\/li>\n<li>CT-SCAN Of Coronary Arteries<\/li>\n<\/ul>\n<\/div><\/div>\n<div class='yrm-btn-wrapper yrm-btn-wrapper-3 yrm-more-button-wrapper  '\n\t\tdata-custom-more-class-name='' data-custom-less-class-name=''><span title='' data-less-title='' data-more-title='' class='yrm-toggle-expand  yrm-toggle-expand-3 ' data-rel='yrm-uE4xN' data-more='Read More' data-less='Read Less'><span class='yrm-text-wrapper yrm-text-wrapper-custom-dimensions'><span class=\"yrm-button-text-3 yrm-button-text-span\">Read More<\/span><\/span><\/span><\/div>\n<\/div>\n<\/div>\n<\/div><div class=\"bt_bb_separator bt_bb_border_style_none bt_bb_bottom_spacing_small\" data-bt-override-class=\"null\"><\/div><div class=\"bt_bb_column_inner_highlight\"><\/div><\/div><\/div><div  class=\"bt_bb_column_inner col-xl-4 bt_bb_align_left bt_bb_vertical_align_top\"  data-width=\"4\" data-bt-override-class=\"{}\"><div class=\"bt_bb_column_inner_content\"><div class=\"bt_bb_column_inner_highlight\"><\/div><\/div><\/div><div  class=\"bt_bb_column_inner col-xl-4 bt_bb_align_left bt_bb_vertical_align_top\"  data-width=\"4\" data-bt-override-class=\"{}\"><div class=\"bt_bb_column_inner_content\"><div class=\"bt_bb_column_inner_highlight\"><\/div><\/div><\/div><\/div><div class=\"bt_bb_column_highlight\"><\/div><\/div><\/div><div  class=\"bt_bb_column col-xl-4 bt_bb_align_left bt_bb_vertical_align_top bt_bb_animation_fade_in animate bt_bb_padding_normal bt_bb_animation_fade_in animate\" style=\"background-color: rgba(255, 255, 255, 1);\" data-width=\"4\" data-bt-override-class=\"{}\"><div class=\"bt_bb_column_content\"><div  class=\"bt_bb_row_inner\" ><div  class=\"bt_bb_column_inner col-xl-12 bt_bb_align_left bt_bb_vertical_align_top bt_bb_padding_text_indent\" style=\"border-radius: 26px;background-color: rgba(246, 238, 234, 1);\" data-width=\"12\" data-bt-override-class=\"{}\"><div class=\"bt_bb_column_inner_content\"><div class=\"bt_bb_separator bt_bb_border_style_none bt_bb_bottom_spacing_normal\" data-bt-override-class=\"null\"><\/div><header class=\"bt_bb_headline bt_bb_dash_bottom bt_bb_size_small bt_bb_align_inherit bt_bb_dash_type_none\" data-bt-override-class=\"{}\"><h4 class=\"bt_bb_headline_tag\"><span class=\"bt_bb_headline_content\"><span>All Services<\/span><\/span><\/h4><\/header><div class=\"bt_bb_separator bt_bb_border_style_none bt_bb_bottom_spacing_small\" data-bt-override-class=\"null\"><\/div><div class=\"bt_bb_custom_menu btMenuAsInSidebar bt_bb_direction_vertical\"><div class=\"menu-services-menu-container\"><ul id=\"menu-services-menu\" class=\"menu\"><li id=\"menu-item-1500\" class=\"menu-item menu-item-type-post_type menu-item-object-page menu-item-1500\"><a href=\"https:\/\/yashealthcare.ae\/testing\/services\/laboratory-medicine\/\">Laboratory Medicine &#8211; 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