Chest pain

Chest pain is a concerning symptom as that may be the first evidence of coronary artery disease. Hence, patients with chest pain need proper clinical assessment to assess if the chest pain that they are having are indeed coming from the heart. Further evaluation may involve a treadmill ECG test, a heart scan, or a coronary angiogram depending on the clinical context.

Shortness of breath

Shortness of breath can be due to several causes. It can be the first sign of several cardiac conditions including valvular heart disease, heart failure and coronary artery disease. They can also be due to lung conditions such as chronic obstructive lung disease which is common among smokers. Shortness of breath can also be due to low blood counts in the blood which may also be due to serious underlying conditions such as cancer. Hence, the initial clinical assessment would involve trying to differentiate between these conditions. Following which, appropriate investigations and therapies can be initiated together with appropriate subspecialists if required.


Palpitations is the abnormal sensation of the heartbeat. This may manifest as sensation of heart beating faster than usual, skipped beats or simply feeling like “something is not right”. While a presumptive diagnosis is often made on the description of the sensation, a definitive diagnosis has to be made when an ECG is taken during the sensation itself to document what the heart is doing at that specific point in time. Thus, the diagnosis may potentially be obtained by getting a 24 hour monitoring of the heart rhythm via a patch pasted on the chest.

The underlying cause of palpitations can be benign or due to conditions which may potentially be life threatening. Hence, prompt evaluation and clinical assessment is often needed to ascertain if your sensation of palpitations is due to a cause which can potentially be dangerous.

Lower leg swelling

Lower leg swelling is a common symptom especially among the elderly population. Most commonly they are due to incompetent veins in the legs or side effects of medications. However, they can also be due to cardiac conditions as well as kidney or liver issues. Initial evaluation of leg swelling would usually involve blood tests as well as a cardiac ultrasound. Further therapies can then be planned after initial evaluation.

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We believe in providing affordable cardiovascular medical care for adults living in heartland areas. A specialist heart clinic accessible to all those living in the northern areas of Sembawang, Admiralty, Yishun, Woodlands and Canberra.

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