An implantable loop recorder (ILR) is a small device (usually the size of an USB thumbdrive) that is implanted underneath the skin of the chest to the left of the breastbone. It serve as a continuous ECG-recording machine to capture any abnormal heart rhythm. The device has a two to three years battery life allowing for long term and constant monitoring, giving the cardiologist ample opportunity to capture any abnormal heart rhythm.
It is recommended for patients who experience symptoms such as syncope (fainting), seizures, recurrent palpitations, or dizziness. ILR is best used in patients who experience these symptoms often but not regular enough to be captured by a 24-hour or 30-day external monitor.
The implantation is performed in a procedure lab by an electrophysiologist under local anaesthesia. A small incision (about 1-2cm) is made at the chest area, just left of the breastbone and the ILR is inserted under the skin with no wires inserted into the heart. On average, the procedure last about 20 to 30 minutes and patients can go home the same day with almost no restrictions on activity or work.
Implantable Devices
Implantable Devices
Implantable Devices
Dr Chan Wan Xian is a heart failure intensivist specialised in managing complex heart failure and patients with mechanical hearts.
Trained in cardiac imaging and she is experienced is treating women at risk of heart disease, especially during pregnancy.
Dr Chuang Hsuan-Hung is a heart failure intensivist trained in advanced cardiovascular imaging. He specialises in heart failure and heart transplant intensive care.
Experienced in managing genetic heart disease, cardio-oncology and sports cardiology.
Dr Pipin Kojodjojo specializes in cardiac electrophysiology and management of heart rhythm disorders in both adolescents and adults.
Experienced in managing patients with atrial fibrillation and unexplained blackouts (syncope).
Dr Stanley Chia is an interventional cardiologist with a distinguished academic record.
He is skilled and experienced in managing complex cardiovascular disease and difficult coronary interventional procedures like stenting of the left main artery.
Dr Jeremy Chow is an electrophysiologist specialising in the implantation and management of electronic cardiac devices.
Experienced in arrhythmia management, stroke prevention and trained in procedures such as electrophysiology studies and ablations.
Dr Cliff Wong is an echocardiologist trained in imaging of the heart.
He specializes in cardiac imaging (echocardiography and cardiovascular computed tomography). Experienced in managing cardiomyopathy, heart failure, valvular heart diseases and cardio-oncology.
Dr Goh Ping Ping is an echocardiologist trained in imaging of the heart.
She is a strong advocate of preventive cardiology and awareness for women’s heart health. She manages a broad spectrum of cardiovascular disease including heart attack patients.
Dr Liew Boon Wah Matthew is a cardiologist who specialises in coronary artery interventional procedures.
He is experienced in the assessment of chest pain syndromes and both diagnostic and interventional coronary artery procedures.
Dr Edgar Tay is an interventional cardiologist specialised in structual heart disease, adult congenital and pulmonary hypertension.
Trained in procedures like TAVI, Mitralclip and pulmonary angioplasty for chronic thromboembolic pulmonary hypertension.
