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Managing a large calcium lesion in a coronary artery is a challenge during coronary angioplasty. Here, we present a case of a severely calcified right coronary artery. With newer devices available, we used the Lithix IVL—a contact lithotripsy device—to treat the lesion. After multiple attempts, we achieved good expansion and implanted a well-expanded stent. This […]

A strong-willed 74-year-old lady was admitted for abdominal pain, but unfortunately developed a severe heart attack while in the ward and required intubation. I was called to attend to her at midnight. An urgent angiogram revealed severe three-vessel disease, and one major blockage was successfully opened. She remained in a critical state for the next

Throwback to 2025! I was honored to perform a live case at Hospital Serdang as part of the MYLIVE 2025 live transmissions. Teaming up with Prof. Tan Huay Cheem from NUHCS Singapore, it was an incredibly rewarding experience where we successfully demonstrated practical techniques to make a complex PCI simple.”

Looking back at 2024, I had the privilege of performing a successful live peripheral intervention for an elderly female with critical limb ischemia during the Malaysia Live 2024 event hosted by IJN. I co-performed this case alongside Dr. Ahmad Rafizi, an endovascular surgeon from PPUM.

Transforming hypertension care! 📉 Sharing a recent success story of a middle-aged female patient with resistant hypertension who remained uncontrolled despite being on 3 maximum-dose medications. I offered her a cutting-edge solution: Renal Denervation (RDN). This minimally invasive procedure uses radiofrequency or ultrasound energy to disrupt overactive nerves around the renal arteries, helping to permanently

Can chemotherapy drugs affect the heart ? Chemotherapy may adversely affect the heart, causing issues like weakened heart muscles or artery spasms. Pre-treatment heart assessments are standard, particularly for patients over 40, allowing oncologists to adjust treatments if necessary. A collaborative approach between cardiologists and oncologists ensures both cancer efficacy and heart safety. Case Summary

Pre operative Heart Assessment saved patients life ? The Patient: A 62-year-old man with high blood pressure, scheduled for complex spine surgery. The Risk Profile: He was at high risk for heart disease due to heavy smoking, hypertension, and high cholesterol. The Finding: Routine pre-operative CT scan angiogram revealed severe, untreated disease in his main

Another case of silent heart disease. A young, active hiker came to see me just for a routine medical check-up. He mentioned his performance had dropped over the last few months because he was tiring easily. A CT scan revealed a severe main artery blockage, and a coronary angiogram confirmed a 99% blockage! The patient

  Cardiovascular disease—primarily heart attacks—is the leading cause of death in kidney failure patients. Up to 50% of hemodialysis patients have established coronary artery disease (CAD). Active screening for CAD is vital, as it allows for timely, life-saving interventions. Clinical Case Summary: The Patient: A middle-aged female with newly diagnosed kidney failure and recurring sudden