ASIAN CARDIOVASCULAR INSTITUTE

Overview

ASIAN CARDIOVASCULAR INSTITUTE

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Expertise / Institute

Welcome to the Asian Cardiovascular Institute

With the aim to further transform the cardiovascular healthcare in the country, Asian Hospital and Medical Center created the Asian Cardiovascular Institute (ACVI). The Asian Cardiovascular Institute brings together the best among cardiologists, cardiovascular surgeons, radiologists, electrophysiologists, and allied health care professionals to provide high quality, comprehensive, and value-based care.

Our Mission

The Asian Cardiovascular Institute will provide world-class, compassionate cardiovascular healthcare within the reach of every individual.

Our Vision

The Asian Cardiovascular Institute shall establish a state-of-the-art, holistic cardiovascular institution with the highest standards of community-driven patient care.

Our Core Values

• Patient-centered

• Evidence-informed innovation

• Collaboration

• Catalyzing Action

• Integrity

Expertise built on innovation and excellence

It is the first and only advanced cardiovascular care facility in the southern part of the Metropolis which offers comprehensive cardiovascular diagnostic and treatment procedure using holistic approach to heart and vascular care. It combines world class medical expertise, advanced technologies, and up-to-date heart and vascular care education to dramatically improve the prevention and treatment of heart diseases.

Remarkable Breakthroughs

Thoracic Endovascular Repair (TEVAR)

In December 2018, the Asian Cardiovascular Institute’s (ACVI) Interventional Cardiology Section (Cathlab), Thoracic and Cardiovascular Surgery (TCVS), and Peri-operative Services (POS) teams performed its first Hybrid Thoracic Endovascular Repair (TEVAR). Hybrid TEVAR is a combination of TEVAR and a surgical procedure to treat two different diseases. It’s performed to lessen the risks and complications in treating two heart diseases that need an open-heart surgery by performing one minimally invasive procedure instead of two. TEVAR is a minimally invasive treatment for thoracic aorta aneurysms.

Transcatheter Aortic Valve Replacement (TAVR)

As part of its mission to establish a state-of-the-art, holistic cardiac institution with the highest standards of community-driven patient care, ACVI’s Structural Heart Disease, Catheterization Lab (Cath Lab) and Intensive Care Unit performed its first Transcatheter Aortic Valve Invasion (TAVI) in October 2018. TAVI also called Trans Aortic Valve Replacement (TAVR) is a treatment for aortic valve disease problems; it is a minimally invasive procedure for replacing a diseased aortic valve. TAVR benefits not just young patients who can handle open-heart surgery but chose to have TAVR performed, but also those that are not very young who cannot withstand the open-heart surgery and usually require bio-prosthetic valves.

Centers of Excellence

Diagnostic Cardiology

Head: Ofelia Valencia, MD

Also known as the Non-invasive Cardiac laboratory, ACVI provides several interrelated diagnostic tests and procedures that do not need penetration of the body, as by incision.

A. Cardiac Non-Imaging

· Electrocardiogram (ECG)

· 24-Hour Holter Monitoring

· Ambulatory Blood Pressure

· Treadmill Stress Test

B. Diagnostic Cardiac Imaging

· 2D Echocardiogram

· Stress Echocardiogram

· Dobutamine Stress Echocardiogram

· Trans-esophageal Echocardiogram

C. Nuclear Cardiology/Magnetic Resonance Imaging (MRI) and Computerized Tomography (CT) Scan Cardiac Imaging

· Myocardial Perfusion Imaging

· CT Scan and MRI

· Other nuclear and imaging tests

D. Vascular Imaging Section

· Vascular Imaging Procedures or Peripheral Vascular

· Carotid and Vertebral

· Deep Vein Thrombosis (DVT) Screening

· Ankle Brachial Index (ABI)

· Lower Extremity Bilateral Arterial with ABI

· Lower Extremity One Leg Arterial with ABI

· Lower Extremity Bilateral Venous

· Lower Extremity One Leg Venous

· Bilateral Leg Arterial Duplex Scan (without ABI)

· Lower Extremity Bilateral Venous and Arterial with ABI

· Lower Extremity One Leg Venous and Arterial with ABI

· Hemodialysis Access Scan (Dialysis Graft Scan) for Fistula/Graft

· Upper Extremity Bilateral Arterial and Venous

· Upper Extremity Bilateral Venous

· Upper Extremity One Arm Venous

· Upper Extremity Bilateral Arterial

· Upper Extremity One Arm Artery

· HST Renal Duplex Scan

· HST Abdominal Aorta Duplex Scan

· HST Transcranial Duplex Scan

General Adult Cardiology

Head: John Dionisio Foronda, MD

Care Coordination promotes the Plan’s purpose of helping patients’ live healthier lives in each of its special programs. ACVI has developed disease specific approaches to the management of members’ chronic medical conditions. The emphasis of the program is disease prevention or limiting complication of an existing condition and wellness education for targeted members and clinicians to improve the overall health, wellness, and quality of life of the member’s life.

A. Heart Failure Clinic

B. Cardiac Anesthesia

C. Coronary Artery Disease

D. Adult and Grown-up Congenital Heart Disease

Cardiac Physiology, Arrhythmia, and Pacemaker Syncope

Head: Paul Quetua, MD

The Electrophysiology, Arrhythmia, and Pacemaker Program team provides the most advanced diagnostic and treatment options for patients with an arrhythmia or congestive heart failure.

A. Arrhythmia Consultation

B. Cardiac Resynchronization Therapy

C. Holter Monitor

D. Implantable Cardioverter Defibrillator (ICD)

E. Pacemaker Implantation

F. Pacemaker Interrogation

G. Tilt Table Test (Syncope)

Preventive Cardiology and Rehabilitation

Head: Eduardo Yambao, Jr., MD

The Preventive Cardiology and Rehabilitation Program is designed to increase understanding and offers services to patients with cardiovascular disease and those who have a high risk of developing it. Individualized programs are designed to reduce risk factors and prevent disease from getting worse. The team includes specialists from many areas to offer nutritional services, prescriptive exercise programs, stress testing, cardiovascular disease risk-reduction programs and a peripheral vascular rehabilitation program.

Patients benefit from five specialized programs namely:

A. Preventive Cardiology Program

B. Cardiac Rehabilitation Program

C. Preventive Cardiology Nutrition Program

D. Women’s Cardiovascular Center

E. Nutritional Counseling

Interventional Cardiology

Head: Christopher Delos Reyes, MD

At the Institute, each patient meets with a team of specialists, including an interventional cardiologist and a cardiac surgeon at the same time. Drawing on their many years of experience, these specialists develop an individualized treatment plan and present it to the patient.

The Cardiovascular Catheterization Laboratory (Cath Lab) is a vital part of cardiac care. It is a venue for many procedures that enable cardiologists to:

a) locate blood vessel narrowing or blockages that could cause chest pain,

b) measure the pressure and oxygen levels in different parts of the heart,

c) check the pumping function of the heart,

d) take sample tissues from the heart,

e) diagnose heart defects present from birth, and

f) examine the heart valves for problems.

During Cardiac Catheterization, the cardiologist will insert a long thin tube called a catheter in an artery or vein, usually in the groin, neck, or arm. Through the catheter, the doctor can do diagnostic tests and treatments on the heart. Cardiac catheterization is usually done while the patient is awake. The cardiologist might administer medications to help the patient relax during the procedure.

A. Interventional Cardiovascular (Catheterization lab)

· Coronary Angiogram

· Coronary Angioplasty

· Peripheral Procedures

· Interventional Neurology Procedures

B. Endovascular Therapy

· Transcatheter Aortic Valve Replacement

· Embolization

C. Congenital Heart Disease

General Pediatric Cardiology and Congenital Heart Disease

Head: Kim Tolentino, MD and Jean Villareal, MD

ACVI’s experienced, multidisciplinary team of physicians and healthcare specialists makes up the pediatric cardiac team at Asian Hospital. A team of pediatric cardiologists work together in the pre-operative evaluation of pediatric heart patients or adults with congenital heart disease.

A. ECG Pediatric

B. Hemodynamic Studies (Cath Lab)

C. Patient Ductus Arteriosus (PDA) Occlusion

D. Balloon Valvuloplasty (Cath Lab)

Cardiovascular Surgery Program

Head: Roger Lim, MD

Asian Hospital and Medical Center’s highly skilled cardiovascular surgeons work with specialists in cardiovascular diseases and other areas to deliver the highest quality of heart care for adult and young cardiac patients. The Cardiac Center’s overall mortality rate is 3%, including all cardiac and thoracic aortic cases. This is comparable with the mortality rate of the US Society of Thoracic Surgeons Database, the global standard for heart surgery outcomes. The overall mortality rate for Coronary Artery Bypass Graft including re-operation is 1%.

A. Aortic Valve Replacement

B. Carotid Endarterectomy

C. Coronary Artery Bypass

D. Endovein Harvest

E. Left Ventricular Assist Device

F. Maze Procedure

G. Mitral Valve Repair and Replacement

H. Off-pump coronary Artery Bypass (OPCAB)

I. Surgical Ventricular Restoration (DOR Procedure)

J. Thoracic and Abdominal Aortic Aneurysm Repair

Structural Heart Disease

Head: Fabio Enrique Posas, MD

It is designed to uphold a collaborative research environment for structural heart disease researchers and investigators. This program enables the researchers to conduct basic and clinical studies, and innovative diagnostic techniques and treatment modalities and to understand the natural history and clinical outcomes of various structural heart disease after instituting a new diagnostic and treatment modality.

A. Transcatheter Aortic Valve Invasion (TAVI)

B. Mitral Clip

Cardiology Fellowship Training

Head: Michael Reyes, MD

The mission is to train outstanding physicians in clinical care, teaching, and research in order to become board eligible in adult cardiovascular medicine. Once they have completed their training in Internal Medicine, the program will provide a curriculum tailored to the needs and goals in accordance with PHA established guidelines. The fellows are expected to become leaders in the expanding global academic cardiovascular medicine community and they approach this mission with enthusiasm, inviting fellows to join.

Location

4th Floor, Lifestyle Medicine Center, Tower 1, Asian Hospital and Medical Center

Contact Number

(02) 8 771 9000 local 5748 or (02) 8 876 5748