Date: Monday, February 26, 2007
Source: Borneo Bulletin
Dr Patrick, Dr Teo and Dr Hj Nazar with
a patient after successful surgery
Advanced bi-plane angiogprahy system
Gleneagles JPMC has
chalked up a number of successes in sophisticated
cardiac treatments using EP analyser and a
multi-million dollar advanced bi-plane angiography
In a media briefing yesterday, Gleneagles JPMC,
which is the only stand alone Cardiac Centre in
Borneo, claimed to be the first and only medical
centre here to have the advanced bi-plane
GJPMC said that with the addition of the bi-plane
angiography system to their Catheterisation
Laboratory, patients do not have to go overseas to
get advanced treatments on non-surgical closure of
Patent Ductus Arteriosus (PDA).
The Electrophysiological Study and Radio Frequency
Catheter Ablation, used to treat electrical disorder
of the heart, is now possible with the bi-plane and
EP analyser. Gleneagles JPMC said with the arrival
of the equipment, GJPMC will also introduce these
treatments for paediatric cases in the coming
Speaking on PDA treatment, Dr Patrick Ang C H,
Director of Invasive Cardiac Laboratory and
Co-Medical Director cum Head of Cardiology and
Consultant Cardiologist & Physician, said the
non-surgical closure of PDA is necessary when the
ductus arteriosus (DA) - a blood vessel
communicating between the lung and the aorta, which
is important during the foetus growth as it serves
to divert blood away from the lungs but is not
actively in use yet - fails to completely close
PDA in patients cause unnecessary shunting of blood
and can result in a heart murmur, failure to grow,
poor feeding, heart failure and lung congestion.
Previously, PDAs can only be closed by surgical open
chest method. With the advancement of technology,
PDAs can now safely be closed non-surgically.
These procedures require only a small puncture and
the devise can then be delivered to the PDA site by
special catheters. GJPMC said there is no need for
general anaesthesia and the patients can be
discharged the next day.
On February 7, GJPMC successfully closed large PDAs
non-surgically on its first two young patients in
Brunei Darussalam using the Amplatzer duct occuders.
The patients were able to walk on the same day and
were discharged the next day.
For the Electrophysiological Study and Radio
Frequency Catherer Ablation, the treatment is
basically to normalise heart rhythm, said Dr Teo Wee
Sion, a visiting Electrophysiologist to GJPMC.
Speaking on the treatment, Dr Teo said the primary
function of the heart is to supply blood and
nutrients to the body. The regular beating, or
contraction, of the heart moves the blood throughout
the body. Each heartbeat is controlled by electrical
impulses travelling through the heart. In normal
hearts these electrical impulses occur in regular
intervals. When something goes wrong with the
heart's electrical system, the heart does not beat
regularly, resulting in a rhythm disorder known as
Dr Teo said it is now possible to bring back or
repair the electrical circuit system using RF
Dr Hj Nazar Luqman, a consultant cardiologist at
RIPAS Hospital, said, before the RF Catherer
Ablation is performed, it is necessary to have the
heart electrical system studied first. This is
called Electrophysiological Study. He said this is
much like sending an electrician to find out where
the electrical fault is in a house.
The Electrophysiological Study is basically the
mapping of the heart electrical system, he added.
He said with the introduction of the bi-plane
angiography system and the EP analyser at GJMPS, it
is now possible to perform this specialised cardiac
treatment for the first time in Brunei Darussalam.
Dr Teo and Dr Hj Nazar together with surgeons,
anaesthetists, cardiac technicians and nurses
performed this procedure on four patients on
February 10 and 11, this year for the first time in
Brunei. All patients have been cured of their
problems and are doing well.
According to GJPMC General Manager, Mr Lee Cheow
Seng, these procedures will be performed regularly
in Brunei and will save patients with this problem
the need to travel abroad for the treatment.