I am Dr Paul Chiam, Senior Consultant Cardiologist at The Heart & Vascular Centre based at Mount Elizabeth (Orchard) Hospital and Mount Elizabeth Novena Hospital, and Associate Professor at the National University of Singapore. I trained in general and interventional cardiology at the National Heart Centre, Singapore, and subsequently spent eighteen months at the renowned Lenox Hill Heart and Vascular Institute of New York on a Ministry of Health HMDP scholarship to subspecialize in complex coronary angioplasty, carotid artery stenting, peripheral artery angioplasty, and structural heart disease (heart valve) interventions. I also spent a further three months training in intracranial angioplasty and stenting at the Department of Endovascular Neurosurgery, University of Buffalo, New York. I then returned to the National Heart Centre Singapore in 2008, and led the team that performed the first Transcatheter Aortic Valve Replacement (TAVR) in Asia in 2009. TAVR, also known as Transcatheter Aortic Valve Implantation (TAVI), is a technique of replacing the aortic valve without open heart surgery. I am the first Asian proctor for the Edwards Lifesciences and Medtronic CoreValve TAVI programs, and have trained and proctored new centres in Malaysia, Thailand, Brunei, Vietnam, Philippines, India, Hong Kong, South Korea and Japan. Treatments that I specialise in include:
- Carotid stenting
- Coronary atherectomy / rotablation
- Coronary balloon angioplasty including coronary stenting
- Percutaneous transvenous mitral commissurotomy (PTMC)
- Peripheral transluminal angioplasty
- Transcatheter Aortic Valve Replacement (TAVR)
- Patent Foramen Ovale (PFO) closure
Doctor, my mother was diagnosed with a swollen heart and blockage of blood flow in her heart. She also has a kidney problem. From her diagnosis in Penang, the doctor said that her kidney, the one with a stone in it, is shrinking. The doctor mentioned it is risky to do a surgery since my mother is 73 years old. In this pandemic, we are facing problems to continue her treatment abroad. Now, both of her knees are swollen. Is the swelling on her knees due to her kidney or heart problem? What should we do, Doc? We are worried about contracting coronavirus if we take her to the hospital. With a swollen heart and swollen knees, she easily gets tired after walking a few steps.
Good afternoon, Doctor. My father is 84 years old and has diabetes and heart disease. Every month, he has to see specialists at the hospital, but during this pandemic, I am worried about going to the hospital. Now his feet are swollen and he has difficulty breathing. Is there any medication to treat his condition? Can I get the prescription? Thanks in advance.
Doc, my child is 8 months old. These 4 months, he has not gained any weight and is experiencing loss of appetite. I saw a paediatrician and the doctor’s hypothesis was that my son has congenital heart disease. Should my son undergo surgery? Is there any relation between having congenital heart disease and loss of appetite?
Good evening, Doctor. I have been feeling pain in my chest lately, as though I am being stabbed by a blunt object, and the pain spreads to my back. This is usually followed by cramps in my jaw. I have sleeping problems at night. My sex life is deteriorating, and I'm feeling somewhat impotent and having premature ejaculation. My ECG and chest x-ray results show everything is fine. Four months ago before taking medication, my blood pressure was 140/100 but it is now 120/90. HDL cholesterol was 150 and LDL was 215. Can I fix my problem solely by taking medicine? And is there any link between heart disease and sexual activity?
Doctor, my father is 65 years old and he often complains about pain in his chest and shortness of breath. After consulting a doctor, he was diagnosed with pulmonary edema, with his lungs squeezing his heart. It has been 2 months and his shortness of breath is getting severe. Is it possible for him to receive home treatment? Is this condition curable?
I am 17 years old. This one year I have been feeling pain in my left chest. It causes me to have difficulty breathing. Is this a symptom of heart problems?
I am a 20 year old female with obesity problems. I sweat often on my palms and feet. This disturbs my daily life. I heard that sweaty palms and feet are a sign of a weak heart. Is this true, Doc?
My brother is an active smoker. He is 40 years old. Lately he's been complaining about pain in his chest. Is his condition related to a heart problem?
Doctor, I want to ask. My CA calcium score is 13.98 mm cubic, LAD calcium score is 91.28 mm cubic, LCX calcium score is 54.16 mm cubic, and total scanned calcium score is 159.41 mm cubic. What do these results mean?
Hi Doctor. My name is Umi. I want to ask about ballon valvuloplasty, Doc. What is the procedure about? Are there any side effects after undergoing treatment?
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