Department of Medicine

SERVICE/ SECTION

1. Non-Invasive Cardiorspiratory Laboratory (NICL)

i. Echocardiography

Transthoracic (TTE)
Transoesophageal (TEE)
Iraopeartive
Dobutamine Stress (DSE)

ii. Electrocardiogram (ECG)

Standard 12-Lead ECG
Treadmill Stres ECG
24-hour Ambulatory ECG
24-hour Ambulatory Blood Pressure Monitoring
Rhytm Card (Event Recorder)
King of Heart (Loop Recorder)

iii. Respiratory Function Tests

Spirometry
Lung Volume
Carbon Monoxide Diffusion

iv. Pacemaker & ICD Clinic

Follow-up & Programming

2. Invasive Cardiovascular Laboratory (ICL)

a. Left & Right heart Eatheterisation	b. Electrophysiology Study
c. Rotational Atherectomy	d. ANgioplasty & Stenting for Peripheral Vascular Disease
e. Balloon Valvuloplasty for Aortic, Pulmonary & Mitral Valve Stenosis as well as TAVI	f. Atrial Septal Defect Closure using Amplatz Septal Occluder
g. Left Atrial Appendage Occulusion	h. Use of Intra-Aortic Balloon Pump for life support & high risk Angioplasty
i. Coil Embolization for Fistula	j. Endovascular Stenting of Aorta for Abdomal Aortic Aneurysm
k. Electrophysiological Study & Radiofrequency Ablation	l. Renal Denervation
m. Intra-Vascular Imaging Intra-Vascular Ultrasound (IVUS) Optical Coherent Tomography (OCT)	n. Patent Ductus Arteriousus Closure Using Coil Device Amplatz Ductal Occlude
o. Angiography Coronary Renal Iliac & Peripheral	p. Intracardiac Device Implantation Single Chamber Pacemaker Dual Chamber Pacemaker Implatable Cardioverter Defibrillator (ICD) Cardiac Resynchronization Theraphy (Biventricular Pacemaker)
q. Percutaneous Transluminal Coronary Angioplasty & Stenting Which Includes High risk cases including Rescue PCI & Cardiogenic Shock Primary PCI service for ST Elevation Myocardial Infarction (STEMI) Complex cases (Bifurcations, Chronic total Occlusions, Left main Stem PCI) High risk patient (Chronic Kidney Disease, Diabetes & Patients with other comobilities) Drug eluting Balloon /Stent

3. Non-Invasive Therapeutic Treatment

Extracorporeal Shockwaves Myocradial Revascularization (ESMR)

4. Introduction of The New Procedure

a. Transcatheter Aortic Valve Implantation (TAVI)

5. Cardiology Ward (4u/CCU)

a. Cardiology wards have intensive care facilities to receive patients from within and outisde the UMMC and referral from both private & government hospitals around the Klang Valley who require cardiac care & undergo invasive cardiac procedures.

b. Health teaching program.

Our Clinics at Universiti Malaya Medical Center (UMMC)

Cardiac Ward 4S and Interventional Cardiology Ward (ICW)	Menara Selatan	Cardiac Ward which includes Coronary Care Unit (CCU), High-dependency Unit (HDU) and General Cardiac Ward (GCW) in the 4^th floor while our ICW Ward is located in the 8^th floor, which is on the same floor as our Interventional Laboratory.
Cardiology Outpatient Clinic	Klinik Perubatan 1, Menara Utama UMMC	Mondays Focuses on valvular heart diseases, namely rheumatic heart disease.
	Klinik Perubatan 1, Menara Utama UMMC	Thursdays Varieties of patients with ischemic heart disease, cardiomyopathy etc.
	Menara Selatan 1^stfloor	Mondays Heart Failure Clinic.
Pacemaker and ICD Clinic		Mondays and Tuesdays Pacemaker therapy & programming for sinus node dysfunction, heart block etc as well as implantable cardioverter defbrillator (ICD) for both primary and secondary prevention of SCD. In the pacer clinic, we also see patients who are candidates for electrophysiology study and catheter ablation for arrhythmias.

Cardiology Service

SERVICE/ SECTION

Our Clinics at Universiti Malaya Medical Center (UMMC)