Cryptogenic Stroke: When a Stroke Has No Obvious Cause

Reviewed by Dr Edgar Tay, interventional cardiologist and structural heart specialist at Asian Heart & Vascular Centre. Last reviewed September 2026. Reading time: about 8 minutes. TL;DR About one stroke in four has no identified cause after a full investigation, and is then called cryptogenic. In younger patients a patent foramen ovale (PFO), a small […]

Hole in the Heart (PFO) in Singapore: Do You Need It Closed?

Reviewed by Dr Edgar Tay, interventional cardiologist and structural heart specialist at Asian Heart & Vascular Centre. Last reviewed August 2026. Reading time: about 10 minutes. TL;DR A patent foramen ovale (PFO) is a small flap-like opening between the two upper chambers of the heart that everyone has before birth and that fails to seal […]

Pacemakers in Singapore: Slow Heartbeat, Heart Block, and When You Need a Device

Reviewed by Dr Pipin Kojodjojo, consultant cardiologist specialising in cardiac devices at Asian Heart & Vascular Centre. Last reviewed August 2026. Reading time: about 11 minutes. TL;DR A pacemaker is a small implanted device that steps in when the heart’s own electrical system fails to keep the rate up. It does not speed up a […]

Life With a Pacemaker in Singapore: Recovery, Device Checks and Everyday Limits

Reviewed by Dr Pipin Kojodjojo, consultant cardiologist specialising in cardiac devices at Asian Heart & Vascular Centre. Reading time: about 9 minutes. TL;DR Recovery from a traditional pacemaker implant, the kind with a generator under the collarbone and leads running into the heart, is mostly about protecting the wound and the leads while they settle. […]

Aortic Regurgitation: Do You Need Treatment Now, and What Are the Latest Valve Options?

By Dr Edgar Tay. Reviewed by Dr Edgar Tay, interventional cardiologist and structural heart specialist at Asian Heart & Vascular Centre. Last reviewed July 2026. Reading time: about 6 minutes. TL;DR Aortic regurgitation is a leaking aortic valve, where blood flows backwards into the heart’s main pumping chamber with each beat. It can stay silent […]

Tilt Table Testing in Singapore: What It Is and What It Diagnoses

Reviewed by Dr Pipin Kojodjojo, consultant cardiologist and electrophysiologist at Asian Heart & Vascular Centre. Last reviewed July 2026. Reading time: about 9 minutes. A tilt table test is a safe, outpatient assessment used to find out why a person keeps fainting. The patient lies on a motorised table that tilts them upright while heart […]

Medtronic Affera AF Ablation in Singapore: PFA and RF With One Catheter

By Dr Pipin Kojodjojo, consultant cardiologist and electrophysiologist, Asian Heart & Vascular Centre (AHVC). Last reviewed June 2026. Reading time: about 7 minutes. The Medtronic Affera system combines high-density cardiac mapping with a focal dual-energy catheter that can deliver pulsed field ablation (PFA) or radiofrequency (RF) energy. AHVC reports that its doctors were the first […]

Atrial Fibrillation in Singapore: What to Do After a Smartwatch Alert

Reviewed by Dr Pipin Kojodjojo, consultant cardiologist and electrophysiologist, Asian Heart & Vascular Centre (AHVC).  A smartwatch alert for possible atrial fibrillation (AF or AFib) is not something to panic about, but it should be checked. Save the recording, note any symptoms, and arrange a clinical review. Seek emergency help immediately for chest pain, fainting, […]