Heart Institute Virtualbook_EN

Bumrungrad International Hospital

Bumrungrad Heart Institute

Introduction The heart is the hardest working organ in the body. It works non-stop as long as we live, beating 60-100 times a minute or about 100,000 times a day, pumping oxygen and nutrient-rich blood throughout the body to sustain life. Presently, Thailand has become a full-edged aged society, thereby heart diseases and their complications keep rising. According to the World Health Organization, cardiovascular disease is the number one cause of death worldwide, killing approximately 17.9 million people each year. The Heart Institute, Bumrungrad Hospital, in recognizing the importance of continuously improving the quality of care to meet the needs of patients and in dealing with even more complex heart diseases, is committed to delivering safe and world-class quality treatment to our patients.

Vision and Mission The Heart Institute aims to provide a comprehensive range of treatment and the best possible treatment outcomes for patients of all types of heart diseases. With the patient-centered approach, the Institute focuses on personalized care in treating the particular and complex diseases and symptoms in each individual patient. Expert medical specialists, nurses, pharmacists, physiotherapists, dietitians, etc. in a multidisciplinary team collaborate seamlessly to deliver eective care. A modern institute for cardiovascular treatment and care, the Heart Institute services cover all types of heart diseases, with a Coronary Care Unit (CCU), open 24 hours a day for emergency and postoperative patients so that patients can return to normal daily activities as soon as possible.

Chest pain

Fainting, loss of consciousness

disease Heart symptoms

Tiredness when lying down

Shortness of breath

Unusually getting tired easily

Swelling in the legs

Palpitations, rapid heartbeat

Coronary artery disease

7 pillars of heart disease care

Cardiac arrhythmias

Cardiac preventive and enhancing

Structural heart disease

Cardiogenetics

Congenital heart disease

Heart failure

coronary artery disease This sub-specialty focuses on the diagnosis and treatment of blockages in the coronary arteries, which can lead to heart attacks and other serious cardiac events.

Dr. Visuit Vivekaphirat

Cardiologist and Interventionist

Treatment approaches

Prevention

• Medications • Coronary angioplasty and stenting • Coronary artery bypass surgery

• Maintain healthy weight. • Exercise regularly. • Do not smoke. • Reduce stress. • Eat heart-healthy foods.

Coronary intervention & percutaneous coronary intervention 2022 Summary

Total procedures 812 cases PCI performed 527 cases Success rate 99.2% USA benchmark 95 %

USA benchmark 2.65 % 0.39 % Composite complications

Average length of stay

1 day

post-procedure

Cardiac Arrhythmia and Electrophysiology Cardiac arrhythmia and atrial brillation (AFib) are important areas of cardiology because they can increase the risk of stroke and other serious cardiovascular events.

Prof.Dr. Koonlawee Nademanee

Cardiologist, Electrophysiologist and Director of the Bumrungrad Heart Institute

Sr.Gp.Capt.Dr. Kriengkrai Jirasirirojanakorn

Treatment approaches

Cardiologist, Electrophysiologist

Medications

Electrical cardioversion to adjust the heart rhythm

Implantation of a pacemake or debrillator

Cardiac ablation

Prevention

Maintain healthy weight.

Eat heart-healthy foods.

Exercise regularly.

See a doctor regularly for health check-ups

Avoid risk factors including coee, alcohol, stress, and smoking.

Electrophysiology 2022 Summary

Atrial brillation ablation success rate

Ventricular tachycardia ablation success rate

100 %

Total procedures 183 cases

USA benchmark 6.5 % 4.3 % Complications

Complications 0 %

Structural Heart Disease

This sub-specialty involves minimally invasive procedures to replace the aortic valve in patients with aortic stenosis, a condition in which the valve becomes narrowed and obstructs blood ow. Valvular Heart Disease

Dr. Wattanaphol Phipathananunth

Cardiologist, TAVR team

Treatment approaches

Medications

Mitral valve replacement surgery

Mitral valve repair

Mitral valve clip procedure

Open surgery for aortic valve replacement

Non-surgical transcatheter aortic valve implantation (TAVI)

Prevention

Eat healthy foods.

Follow the doctor's advice if with a chronic disease such as high blood pressure, diabetes, and thyroid disorders.

Maintain healthy weight the

Do not smoke or drink alcohol. Do not use addictive substances.

Exercise regularly.

Reduce stress.

weight within the standard.

Transcatheter aortic valve replacement (TAVR/TAVI) 2022 Summary

Highest volume in a private hospital

cases

New vascular approach: (Transcarotid, Transaortic)

Dr. Pattanasak Lertpradit

0 % Complications

100 % success rate

Cardiothoracic Surgeon, TAVR team

Assoc.Prof.Dr. Kriengchai Prasongsukarn

Cardiothoracic Surgeon, TAVR team

Advance Heart Failure and Heart Transplantation This sub-specialty focuses on the care of patients with severe heart failure, including those who may require advanced treatments from multidisciplinary team or heart transplantation.

Assoc.Prof.Dr. Teerapat Yingchoncharoen

Dr. Aekarach Ariyachaipanich

Heart Failure Specialist & Heart Tranplantation

Treatment approaches

Medications

Use of an automated implantable cardioverter- debrillator (AICD)

Use of a permanent pacemaker.

Use of a ventricular assist device (VAD)

Heart transplant surgery

Prevention

Weigh yourself every day. Body weight should not increase more than 1 kg per day.

Exercise appropriately.

Drink the right amount of water.

Keep observing one’s own symptoms.

Consume no more than 2,000 mg of sodium per day (or 1 teaspoon of salt)

Keep doctor’s appointments as scheduled.

Do not smoke or drink alcohol.

Take medications as prescribed by your doctor.

2022 Summary Advanced heart failure

• Clinical care program certication by JCI • First and only private hospital in Thailand with heart transplant capability. 100 % 1 year surival rate after heart transplantation 0 % Complications

Dr. Piyachat Pipatpongsopon

Dr. Manasawee Vassara

Cardiologist, Heart failure specialist

Coronary Bypass Surgery

This sub-specialty involves surgical procedures to bypass blocked or narrowed coronary arteries, restoring blood ow to the heart muscle.

Coronary Bypass Surgery 2022 Summary

Dr. Pat Ongcharit

Prof.Dr. Vichai Benjacholamas

Cardiothoracic Surgeon, Heart Transplant team

Cardiothoracic surgery

Coronary artery bypass grafting

430 71 cases procedures performed

Post-op-strok USA

In-hospital mortality USA benchmark

Bumrungrad Heart Institute

benchmark

% 3 %

% 2.1 %

4 %

Readmission after surgery

Congenital Heart

Dr. Preecha Laohakunakorn

Pediatric Cardiologist

Implantation of a pacemaker

This sub-specialty focuses on the diagnosis and treatment of heart defects that are present from birth.

Medications

or debrillator.

Treatment approaches

Surgery

to repair

Interventional catheterization

abnormal

Prevention Practice guidelines during pregnancy:

structures

Get pregnancy check-ups as advised for early detection of diseases.

Keep underlying diseases such as diabetes under control.

From

2023 to

2003

Do not use addictive substances.

Do not smoke or drink alcohol.

The Rak Jai Thai program, aka the Healing Hearts program, provided heart surgeries to

50 from provinces across Thailand

825

underprivileged children

Cardiogenetics

This sub-specialty deals with the genetic basis of cardiovascular disease, including inherited conditions such as hypertrophic cardiomyopathy and familial hypercholesterolemia.

Prevention

Get genetic testing to detect inherited heart disease risk to plan for prevention and monitoring of disease development. This is suitable for those with history or family history of the following:

With plans to have children

Acute heart attack

Aortic aneurysm, dissection and rupture

Relatives’ death from heart disease with unknown causes

Parents with heart disease before 45 years old

Relatives’ sudden death while exercising

2022 Summary Cardiogenetics Genotype-guided antiplatelet therapy implementation Whole-genome sequencing lab : Familial DCM, FH, inherited arrhythmia Cardiogenetics

CYP2C19 screening 360

cases

are Clopidogrel non-responders 53%

Cardiogenetics Genotype-guided antiplatelet therapy implementation

Asst.Prof.Dr. Polakit Teekakirikul

Cardiologist and Medical Geneticist

This sub-specialty provides supervised exerciseand lifestyle modication programs to help patients recover from heart disease and prevent future cardiac events. Cardiac Rehabilitation

Dr. Tanaporn Laprattanagul

Cardiac Physiologist

Helping patients enhance

Assisting heart disease patients in rehabilitation

their exercise performance, and assessing

their heart health to plan the most appropriate exercise regimens.

while also taking the appropriate steps to prevent recurrence.

Cardiac Rehabilitation 2022 Summary

Post op bypass surgery patient reach optimal functional status within

benchmark 100 % 90 % Bumrungrad Heart Institute

7 days

benchmark 97 % 90 % Bumrungrad Heart Institute

Post PCI patient reach optimal function status within

4 days

cardiac preventive and cardiac imaging

The Heart Institute provides cardiovascular screening and imaging tests, with expertise in specialized imaging including echocardiogram, computerized tomography (CT) scan, and magnetic resonance imaging (MRI), for diagnosis and monitoring of heart disease conditions.

Electrocardiogram (EKG)

Exercise stress test (EST)

Screening

Coronary computed tomography angiography (CCTA)

Echocardiogram (Echo)

Non-invasive cardiac imaging

Cardiovascular nuclear medicine

Stress echocardiogram Coronary CTA

9,625 Echocardiogram

Cardiac MRI

3,105 2,638 98

41 cases

cases

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