Heart Center (Cardiology)

Brilliant Minds, Healing Hearts

At Abdi Waluyo’s Heart Center, advanced technology and medical expertise come together to provide patients with a comprehensive program for advanced treatment of heart disease and vascular disorders, available in one convenient location.

Heart disease is one of the leading cause of death in Indonesia, according to the Ministry of Health. At RS Abdi Waluyo, advanced technology and medical expertise come together to provide patients with a comprehensive program for advanced treatment of heart disease and vascular disorders, available in one convenient location. Our goal is to help each patient live a long life with a healthy heart.

Cardiologists, cardiac surgeons and other heart specialists at RS Abdi Waluyo provide advanced detection, diagnosis and treatment of a wide range of diseases and conditions, including heart attack, heart failure, heart rhythm disorders, deep vein thrombosis, peripheral arterial disease and more.

With advanced resources, including leading-edge technology in the hands of our experienced clinicians, the Cardiovascular Center offers the following services:

CARDIAC CT AND CARDIAC MRI

RS Abdi Waluyo is a modern hospital that offers cardiac magnetic resonance and cardiac CT.

Cardiac CT
Cardiac CT is a highly advanced, non-invasive scanner that has the ability to help doctors identify heart disease in seconds by capturing thousands of detailed cross-sectional images of the patient’s beating heart. These scans provide physicians with 3D views and may help avoid the use of more invasive diagnostic testing methods.

The Cardiac CT indicators include:

• Evaluation of acute and chronic chest pain after prior negative or equivocal stress testing
• Initial detection of atherosclerosis (blockage in the coronary arteries), especially when unable to exercise or uninterpretable ECG
• Coronary artery calcium scoring, a non-contrast test that enables detection of calcium buildup in the coronary arteries in an early phase to enable earlier detection and prevention of heart disease.

Cardiac MRI
Cardiac magnetic resonance (CMR) imaging provides sophisticated images of the heart without any radiation. Using a powerful magnetic field and radio signals, the CMR gives the highest definition of heart structures and function that give details about how the blood is flowing throughout the body.

MRI is used to detect the following:

• Cardiomyopathies (heart muscle disorders)
• Viability (whether or not heart muscle is alive after a heart attack); planning prior to CABG in reduced left ventricular function and CAD
• Congenital heart disease
• Myocarditis (heart muscle infection)
• Cardiac masses

Cardiac MRI can help explain and further clarify results from other initial diagnostic tests such as echocardiography and CT scanning.

CARDIAC CATHERIZATION TREATMENT

During a cardiac catheterization, interventional cardiologists thread a thin catheter through blood vessels and into the coronary arteries. Using X-rays, they look for signs of heart disease and determine the size and location of fat and calcium deposits that may narrow the openings in the arteries.
RS Abdi Waluyo offers some of the most technologically advanced patient care equipment in the country including the GE Innova 3100, a large field-of-view catheterization lab with three-dimensional imaging. This superior technology provides faster and more precise cardiovascular exams, potentially decreasing time spent in the operating room or saving a patient from surgery altogether.

It provides “head-to-toe” imaging of not only the carotid and coronary vessels, but of peripheral vessels as well. As a result, patients no longer need to visit two labs — the cardiac cath lab and the vascular lab — to get a complete imaging picture. The system can be used for all types of heart and vascular diagnostic tests. It is also used for minimally invasive or interventional treatments and surgery, such as coronary stenting, diagnostic catheterization, balloon angioplasty and embolization.

Cardiac Catheterization Treatments
Transradial Cardiac Catheterization (through the wrist): RS Abdi Waluyo is one of a few hospitals in the area to offer this alternate approach that has a lower risk of bleed complications and is generally more comfortable for the patient.

Angioplasty: Instead of open-heart surgery, angioplasty uses a balloon tipped catheter to unblock a coronary artery. Stents, small, flexible tube made of plastic or wire mesh, are sometimes used to support the damaged artery walls. .

NON-INVASIVE PROCEDURES:

• Ambulatory Blood Pressure Monitoring (ABPM)
  
  Ambulatory Blood Pressure Monitoring (ABPM) is a safe device that allows blood pressure to be monitored 24 hours at regular intervals for patients with severe hypertension. The portable monitor is worn on a belt connected to a standard cuff on the upper arm and uses an oscillometric technique to detect systolic, diastolic and mean blood pressure as well as heart rate. When complete, the device is connected to a computer that prepares a report of the 24 hour, day time, night time, and sleep and awake average systolic and diastolic BP and heart rate.
• Cardiac MRI (CMR)
  
  Cardiac MRI (CMR) uses a specialized MRI camera which provides a very accurate assessment of your heart’s structure and function, as well as an evaluation of the status of the major blood vessels within your chest. It can assess if heart function may be improved with bypass surgery or angioplasty in patients with previous heart muscle damage (ie. from a heart attack). Electrodes will be attached to your chest to monitor your heart rhythm. . The actual time in the scanner can range from 30 minutes to one hour.
• Cardiac Event Detector
  
  Cardiac Event Detector: A CED uses a small portable EKG to record your heart rhythm over a period of time, usually several days or weeks. During that time, when you feel any symptoms, you press a button and the monitor records your heart rhythm.
• Cardiac Viability
  
  Cardiac Viability: Cardiac PET (Positron Emission Tomography) Viability is a test to help your physician determine the viable (live and healthy) tissue in the heart muscle. A low dose radiotracer will be injected intravenously. Several blood sugar levels may be obtained via finger stick. The testing process lasts approximately four hours, much of which is waiting to allow the body’s blood sugar levels to regulate. Two scans will be performed during this process which lasts approximately twenty minutes each. No food (including gum or mints) or drink should be consumed after midnight before the test. Bring your morning medicines with you to take when the test is complete. Do not take you medicines prior to the test (this includes injected insulin). Two piece clothing should be worn.
• CT Super Scan
  
  CT Super Scan: 3D real-time images of the heart are captured in a few seconds. A Calcium Scoring test, or more thorough examination can be performed to provide early detection of heart disease.
• Doppler Echocardiography
  
  Doppler Echocardiography: A study of the blood flow through the heart using ultrasonic sound waves performed together with an echocardiogram.
• Enhanced External Counterpulsation (EECP)
  
  Enhanced External Counterpulsation (EECP): EECP is a non-invasive, outpatient procedure to relieve angina pectoris by improving coronary blood flow. EECP uses unique equipment to inflate and deflate a series of pneumatic compressive cuffs enclosing the lower extremities
• Electrocardiogram (EKG)
  
  Electrocardiogram (EKG): An EKG records the electrical activity of the heart. EKG measures the heart’s rhythm and rate to determine irregularities in the heart beat.
• Holter Monitoring
  
  Holter Monitoring: A 24-hour recording of the heart rhythm during normal daily activity. Monitor application takes 15 to 20 minutes. Please wear two-piece clothing with a button-up-the-front shirt or blouse.
• Extracorporeal Shockwave Myocardial Revascularisation (ESMR)
  
  Extracorporeal Shockwave Myocardial Revascularisation (ESMR) therapy is a new approach to non-invasive, risk-free therapy using Extracorporeal Shockwave technology for Myocardial Revascularisation to improve the blood supply to the heart muscles. Ischemic myocardial areas no longer accessible by conventional revascularization therapies like Bypass surgery or Ballon Angioplasty and stent, could be treated with the ESMR therapy to relieve symptoms resulted from the mycopcardial ischemia. The whole treatment duration is 20-30 minutes and the patient should undergo series of nine treatment sessions during a nine week period.
• Nuclear Exercise Stress Testing
• Pacemaker and ICD FOLLOW-UP
• Peripheral Vascular Sonography
• Radionuclide Ventriculography
• Stress Testing