Centre Of Excellence

At Bali International Hospital Cardiovascular Center, we specialize in providing a full range of cardiovascular services, from preventive care to advanced treatments. Our team of experienced cardiologists and healthcare professionals are dedicated to delivering personalized and compassionate care to ensure the best possible outcomes for our patients.

We leverage state-of-the-art technology and innovative procedures to diagnose and treat cardiovascular conditions with precision. Our commitment to staying at the forefront of medical advancements enables us to offer treatments and interventions for optimal patient care.

Patient well-being is our top priority. Our patient-centered approach focuses on open communication, education, and involving you in every step of your cardiovascular care journey. We strive to create a supportive and comfortable environment for all our patients.

Our Services

1. Diagnostic Cardiac Imaging: Our Diagnostic Cardiac Imaging services utilize cutting-edge technology to provide a comprehensive assessment of your heart's health

2. Interventional Cardiology: Our Interventional Cardiology services involve minimally invasive procedures to treat a variety of heart conditions.

3. Electrophysiology and Arrythmia center: Our Electrophysiology services focus on the electrical activities of the heart, diagnosing and treating heart rhythm disorders.

4. Rehabilitation and Lifestyle Management: Our Rehabilitation and Lifestyle Management services are designed to support patients in their journey to heart health

5. Cardiac intensive care: our Cardiac Intensive Care Unit, patients receive continuous monitoring using advanced technology to track vital signs, cardiac rhythm, and other critical parameters.

Who needs for cardiovascular examination:

Cardiovascular examination or check-ups are recommended for individuals across different age groups, depending on various risk factors and health considerations. Here are some general guidelines on who may benefit from cardiovascular examination or check-ups:

1. Age: Adults Over 40, the risk of cardiovascular diseases increases. Regular check-ups become more important, especially for those with additional risk factors.

2. Risk Factors:

- Family History: Individuals with a family history of heart disease or related conditions may be at higher risk and should undergo regular cardiovascular assessments.

- High Blood Pressure: Hypertension is a significant risk factor for cardiovascular diseases. Regular monitoring and check-ups are essential for individuals with high blood pressure.

- High Cholesterol: Elevated cholesterol levels contribute to atherosclerosis. Those with high cholesterol or a history of high levels should undergo regular screenings.

- Diabetes: People with diabetes are at an increased risk of cardiovascular diseases. Regular monitoring of blood glucose levels and cardiovascular health is crucial.

- Smoking: Tobacco use is a major risk factor for heart disease. Smokers or those with a history of smoking should undergo cardiovascular assessments regularly.

3. Existing Medical Conditions:

- Previous Heart Conditions: Individuals with a history of heart attacks, heart failure, or other cardiovascular conditions require regular follow-up and monitoring.

- Obesity: Excess weight, especially central obesity, is associated with an increased risk of heart disease. Regular cardiovascular assessments are important for those with obesity.

4. Lifestyle Factors:

-  Physical Inactivity: Sedentary lifestyles contribute to heart disease. Regular check-ups are important, especially for those with low physical activity levels.

-  Unhealthy Diet: Poor dietary habits can contribute to high blood pressure, high cholesterol, and obesity. Individuals with unhealthy diets should undergo regular assessments.

5. Gender and Ethnicity:

-  Gender and Age: Men over 45 and women over 55 are generally at higher risk, but individual risk factors may warrant earlier assessments.

-   Ethnicity: Some ethnic groups may have a higher predisposition to certain cardiovascular conditions.

Symptoms or Concerns:

a. Chest pain,

b. Shortness of breath,

c. Palpitations,

d. Fatigue

e. Concerns: Those with concerns about their heart health, even in the absence of symptoms, may benefit from preventive cardiovascular check-ups.

CENTER OF EXCELLENCE CARDIOLOGY

1.  Diagnostic Cardiac Imaging:

a. MRI 3 Tesla: Magnetic Resonance Imaging is a medical imaging technique that uses a powerful magnetic field and radiofrequency pulses to generate detailed images of the internal structures of the body. Unlike X-rays or CT scans, MRI does not use ionizing radiation, making it a safer option for certain diagnostic purposes. Our MRI 3 Tesla machines represent a significant advancement in imaging technology, includes higher resolution, reduced scan time, and improved signal-to-noise ratio.

b. CT Scan 256 Slices: A CT scan (Computed Tomography) with 256 slices is an advanced medical imaging technique that uses X-rays to create detailed cross-sectional images of the heart and blood vessels. The "256 slices" refers to the number of individual detectors or slices in the CT scanner, illustrating its high precision and ability to capture detailed images of the cardiovascular system.

c. Catheterization Laboratory (Cath Lab Biplane): A Cath Lab Biplane Machine is an advanced medical imaging system used in cardiac catheterization laboratories (Cath Labs). It is specifically designed for cardiovascular procedures that require real-time, detailed imaging of blood vessels and the heart.

Our Cathlab Biplane refers to the dual imaging capability of the machine. Unlike traditional angiography systems, a biplane machine has two sets of X-ray detectors and generators positioned at right angles to each other. This allows for simultaneous imaging in two planes, typically providing views from both the front and side of the patient. The advantages include: simultaneous imaging, 3D reconstruction, and reduced contrast dye usage. Cathlab biplane machine is used for

·  Cardiac Catheterization: Visualizing the coronary arteries and assessing blood flow to diagnose and treat coronary artery disease.

·  Interventional Procedures: Guiding the placement of stents, balloons, and other devices during interventional cardiology procedures.

·  Electrophysiology Studies: Mapping and treating abnormal heart rhythms using catheter-based techniques.

·  Structural Heart Interventions: Guiding procedures for repairing or replacing heart valves and addressing congenital heart defects.

d. Echocardiography transesophageal and transthoracal: Echocardiography is a non-invasive medical imaging technique that uses ultrasound waves to create real-time images of the heart's structure and function. It is a valuable tool for diagnosing and monitoring various cardiovascular conditions. Our cardiologist can perform trans esophageal echocardiography which is involves inserting a specialized ultrasound probe into the esophagus to obtain close-up images with higher resolution and detailed visualization of the heart. We also perform transthoracal echocardiography.

e. USG Doppler: Ultrasonography, often referred to as ultrasound, is a non-invasive imaging technique that uses high-frequency sound waves to produce real-time images of internal structures in the body. Doppler ultrasound is an extension of this technology, incorporating the Doppler effect to assess blood flow and vascular structures.

f. ECG: An Electrocardiogram (ECG or EKG) is a non-invasive medical test that records the electrical activity of the heart over a specific period. It is a widely used diagnostic tool to assess the heart's rhythm, identify abnormalities, and provide valuable information about cardiac health.

2.  Interventional cardiology

Our Interventional cardiology involves minimally invasive procedures to diagnose and treat various cardiovascular conditions. These procedures are performed in cardiac catheterization laboratory (Cath Lab) within the hospital. With our Cathlab biplane machine, which has two sets of X-ray detectors and generators positioned at right angles to each other, we will get simultaneous imaging in two planes, typically providing views from both the front and side of the patient and gives high resolution of 3D image with lower dye dose needed.

a. Clinical Applications:

·  Coronary Artery Disease (CAD): Treatment of blockages in coronary arteries to improve blood flow to the heart muscle.

·  Peripheral Vascular Interventions: Management of arterial blockages in other parts of the body, such as the legs.

b. Interventional Procedures:

· Coronary Angiography: A diagnostic procedure that involves injecting a contrast dye into the coronary arteries to visualize blood flow and identify blockages or abnormalities.

· Angioplasty and Stent Placement: Therapeutic procedures to open narrowed or blocked arteries using a balloon (angioplasty) and often deploying a stent to maintain vessel patency.

· Congenital heart service intervention: procedures for congenital heart defect, such as PDA closure, ASD closure, VSD closure, and others

· Ablation Procedures: Correcting arrhythmias by using catheters to deliver energy to abnormal heart tissue.

c. Cardiac Catheterization Team:

· Interventional Cardiologists: Highly trained cardiologist specializing in interventional procedures for adult and pediatric patient.

· Nurses: Skilled healthcare professionals assisting in the preparation, execution, and post-procedure care.

3.     Electrophysiology and Arrythmia center

Our Electrophysiology and Arrhythmia Center is focused on the diagnosis and treatment of heart rhythm disorders, also known as arrhythmias. It houses state-of-the-art equipment and is staffed by a multidisciplinary team of cardiac electrophysiologists and nurses.

a. Clinical indication includes:

· Atrial Fibrillation (AFib) Management: EP studies and ablation procedures are frequently employed to treat and manage atrial fibrillation, a common arrhythmia.

· Supraventricular Tachycardia (SVT): Identification and treatment of rapid heart rhythms originating above the heart's ventricles.

· Ventricular Tachycardia (VT): Intervention to manage or eliminate life-threatening ventricular arrhythmias.

b. Electrophysiology and Arrythmia Procedures includes:

· Electrophysiology (EP) Studies:

EP studies involve mapping the electrical activity of the heart to identify the source and nature of abnormal heart rhythms.

Techniques: Catheters with electrodes are carefully positioned within the heart to record electrical signals and provoke arrhythmias for diagnostic purposes.

· Catheter Ablation:

Ablation is a therapeutic procedure where targeted energy is delivered through catheters to eliminate or modify abnormal electrical pathways causing arrhythmias.

· Device Implantation:

Pacemakers implanted to regulate and maintain a normal heart rate in patients with bradycardia (slow heart rate).

· Holter Monitoring and Event Recorders:

As Ambulatory Monitoring, devices worn by patients for continuous monitoring of heart rhythms outside the hospital setting. It also useful for capturing intermittent or sporadic arrhythmias that may not be detected during routine office visits.

c. Electrophysiology  and arrythmia Team:

·       Electrophysiologist Cardiologists: Highly trained cardiologist specializing in electropgysiology of the heart.

·       Nurses: Skilled healthcare professionals assisting in the preparation, execution, and post-procedure care

4.     Rehabilitation and Lifestyle Management

Cardiac Prevention and Rehabilitation focused on the holistic care of individuals with heart conditions or those at risk of cardiovascular diseases. We aims to prevent further cardiac events and enhance the overall well-being of patients through a combination of education, lifestyle modifications, and supervised exercise.

a. Clinical Applications:

· Post-Cardiac Event Rehabilitation: Providing comprehensive care and support for individuals who have experienced a heart attack, angioplasty, or cardiac surgery.

· Secondary Prevention: Implementing strategies to prevent recurrent cardiac events and improve long-term outcomes

b. Cardio preventive and rehabilitation program

· Risk Assessment:

- Comprehensive evaluation for Identification of cardiovascular risk factors through medical assessments, including blood pressure, cholesterol levels, and lifestyle habits. Risk Profiles are individulized to guide targeted interventions.

· Lifestyle Modification:

- Guidance on heart-healthy diets, managing weight, and controlling cholesterol and blood pressure through dietary choices.

- Support for individuals looking to quit smoking, a major risk factor for heart disease. Implementation of stress-reducing strategies to improve overall cardiovascular health.

·  Supervised Exercise Programs:

- Customized Exercise Plans: Tailored exercise regimens based on the patient's medical history, fitness level, and cardiac condition.

- Monitored Sessions: Exercise sessions are supervised by healthcare professionals to ensure safety and effectiveness.

- Cardiorespiratory Fitness Improvement: Focus on enhancing cardiovascular endurance and strength through aerobic and resistance training.

·  Medication Management:

Optimization of Medications: Adjustment and management of medications to control blood pressure, cholesterol levels, and other cardiovascular risk factors.

·  Education and Support:

Informing patients about their specific heart condition, risk factors, and strategies for managing their cardiovascular health.

·  Addressing the emotional and psychological aspects of living with heart disease and promoting mental well-being.

c. Benefits:

·  Risk Reduction: Effective management of risk factors contributes to a significant reduction in the likelihood of future cardiac events.

· Improved Quality of Life: Cardiac prevention and rehabilitation programs aim to enhance overall well-being and functional capacity.

· Patient Empowerment: Equipping patients with the knowledge and tools to actively participate in their own cardiac health management.

d. Preventive and Rehabilitation team

· Cardiologist Consultant in Cardiac Preventive and Rehabilitation

· Medical rehabilitation specialist

· Physiotherapist

· Ocupational therapist

5. Cardiac intensive care

Our Intensive care provides intensive care for patients with acute or critical cardiac conditions. It is equipped with advanced monitoring and life support systems to manage complex cardiac cases. We offer high quality services accompanied by advanced equipment.

a. Clinical Applications:

· Myocardial Infarction (Heart Attack): Immediate care for patients experiencing a heart attack, including interventions such as thrombolytic therapy or percutaneous coronary intervention (PCI).

· Heart Failure Exacerbations: Management of acute decompensated heart failure, providing support until the patient stabilizes.

· Cardiac Arrest: Immediate response and advanced life support measures for patients in cardiac arrest.

b. High-Level Monitoring:

Continuous Cardiac Monitoring: Advanced telemetry systems continuously monitor patients' heart rhythms, allowing immediate detection of any abnormalities.

Hemodynamic Monitoring: Continuous tracking of blood pressure, heart rate, and other vital signs to assess cardiac function.

c. Specialized Medical Team:

· Cardiologists: Specialized physicians with expertise in managing acute cardiac conditions.

· Cardiac Nurses: Skilled nurses trained in the care of critically ill cardiac patients.

d. Advanced Life Support:

· Ventilator Support: Mechanical ventilation is available for patients with compromised respiratory function.

· Intra-Aortic Balloon Pump (IABP): Used for temporary circulatory support in cases of severe heart failure.

e. Post-Cardiac Procedure Care:

· Immediate Post-Surgical Care: Patients recovering from cardiac surgeries or interventional procedures receive specialized care.

· Revascularization Treatments: Management of patients post-coronary angioplasty, coronary artery bypass grafting (CABG), or other interventions.