If you have come here because your blood pressure is behaving differently, your heart feels as if it is racing, you get breathless on stairs, or a doctor has advised an ECG, Echo, Holter or ABPM — this page is meant to make the next step easier to understand.
At Orbit, we bring together basic cardiac assessment, non-invasive heart testing, monitoring and specialist cardiology consultation in one organised setting. If a patient needs an advanced hospital procedure such as angiography, angioplasty or pacemaker implantation, the cardiologist can evaluate the case and guide the patient toward the appropriate next level of care.
Heart care often begins with simple measurements and the right test at the right time. Not every patient needs every investigation. The cardiologist decides what is useful after considering your symptoms, age, medical history, examination and previous reports.
Routine blood pressure assessment can help identify persistently high or low readings and provides an important starting point when reviewing headaches, dizziness, chest discomfort, breathlessness or long-term cardiovascular risk.
Available at OrbitBody weight is recorded as part of a broader cardiac assessment. Weight change, obesity, diabetes, blood pressure, smoking, cholesterol and family history may all influence cardiovascular risk and treatment planning.
Available at OrbitA simple pulse assessment may give useful clues about a very fast, very slow or irregular heartbeat. If an abnormal rhythm is suspected, an ECG or longer rhythm monitoring may be advised.
Available at OrbitAn ECG records the electrical activity of the heart. It can help assess heart rate and rhythm and may show changes seen with arrhythmias, conduction problems, previous heart damage or an acute cardiac event.
Available at OrbitEcho uses ultrasound to create moving images of the heart. It helps the doctor assess pumping function, chamber size, heart valves, wall motion and several structural heart problems without surgery.
Available at OrbitA Holter monitor records the heart rhythm continuously for an extended period. It can be useful when palpitations, skipped beats, dizziness or rhythm problems come and go and are not captured during a short ECG.
Available at OrbitAmbulatory Blood Pressure Monitoring measures blood pressure repeatedly through the day and night. It helps the doctor see a fuller blood pressure pattern instead of relying only on a single clinic reading.
Available at OrbitDepending on the clinical situation, the doctor may advise tests such as lipid profile, blood sugar/HbA1c, kidney function, electrolytes, thyroid testing, CBC or cardiac biomarkers. The exact panel should be chosen for the patient — not ordered as a one-size-fits-all package.
Available / arranged as advisedYour symptoms, medicines, BP readings, ECGs, Echo reports, laboratory results and previous hospital records are reviewed together. The aim is to understand what matters now and what should happen next.
Specialist reviewUsually, no.
A person coming with uncontrolled blood pressure may need a different work-up from someone with palpitations. A patient with breathlessness may need an Echo, while a person whose symptoms occur only once every few days may need rhythm monitoring.
The useful approach is to start with the clinical problem and then choose the investigation — not to order every cardiac test simply because it is available.
If you already have previous ECGs, Echo reports, angiography/angioplasty records, discharge summaries, BP logs, blood reports or a list of current medicines, bring them with you.
Old reports often help the cardiologist compare what has changed and may prevent unnecessary repetition of investigations.
Many heart symptoms overlap with non-cardiac conditions, so symptoms alone cannot establish a diagnosis. They do, however, tell us when proper assessment should not be delayed.
Severe or persistent chest pain/pressure, especially with sweating, breathlessness, fainting, nausea, pain spreading to the arm/jaw/back, or a sudden collapse should not be managed as a routine clinic visit. Seek emergency medical care immediately. A clinic webpage cannot determine whether symptoms represent a heart attack.
Cardiology is much wider than “heart attack treatment.” It includes prevention, blood pressure control, rhythm disorders, heart muscle disease, valve disease, heart failure and long-term care after cardiac procedures.
Evaluation of persistent high blood pressure, medication review, home BP strategy and ABPM-guided assessment when appropriate.
Risk assessment and treatment planning for patients with dyslipidaemia, diabetes, obesity, smoking history or strong family history.
Assessment of suspected or established narrowing in the coronary arteries, including medical treatment and decisions about further testing or intervention.
Long-term follow-up after myocardial infarction may include medication optimisation, risk-factor control, assessment of heart function and prevention planning.
Evaluation of breathlessness, swelling, low pumping function and recurrent fluid overload, with guideline-based medication and follow-up planning.
Assessment of fast, slow or irregular rhythms including atrial fibrillation and other rhythm disorders, using ECG and longer monitoring when required.
Evaluation of valve narrowing or leakage, symptom monitoring, Echo follow-up and guidance on medical, catheter-based or surgical options when needed.
Assessment of diseases affecting the heart muscle, including reduced pumping function, enlarged heart or inherited cardiomyopathies.
Heart-risk assessment before an emergency occurs, with attention to blood pressure, cholesterol, diabetes, weight, lifestyle and family history.
Medication review and practical management of multiple conditions where blood pressure, heart rhythm, kidney function and mobility all matter together.
Review of anti-hypertensives, antiplatelets, anticoagulants, cholesterol-lowering therapy and heart-failure medicines according to diagnosis and individual risk.
Ongoing cardiology review after stenting, CABG, pacemaker or other major cardiac treatment, including symptoms, medicines and secondary prevention.
These are important parts of modern cardiology, but they are not routine clinic-room procedures. When one of them is needed, the cardiologist considers the indication, benefits, risks and the hospital facility where it should be performed.
A catheter-based test that outlines the coronary arteries using contrast dye and X-ray imaging to identify significant narrowing or blockage.
Hospital / cath-lab basedA catheter-based procedure used to open a narrowed or blocked coronary artery, commonly with balloon dilatation and stent placement.
Hospital / cath-lab basedA stent is placed in selected narrowed coronary arteries to help keep the treated artery open after PCI.
Hospital / cath-lab basedEmergency PCI may be used in selected acute heart attacks to restore blood flow through an acutely blocked coronary artery.
Emergency hospital careIntravascular imaging technologies can help interventional cardiologists assess the artery from inside and optimise selected complex coronary procedures.
Advanced cath-lab basedPressure-based coronary measurements may help determine whether a particular narrowing is significantly limiting blood flow and whether intervention is likely to help.
Advanced cath-lab basedA pacemaker may be recommended for selected patients whose heart rhythm is too slow or has specific electrical conduction problems.
Procedure facility requiredAn implantable cardioverter-defibrillator can monitor the heart rhythm and treat certain dangerous ventricular arrhythmias in appropriately selected patients.
Procedure facility requiredSelected heart-failure patients with electrical conduction delay may benefit from a specialised pacing system designed to improve coordination of the heart's pumping chambers.
Procedure facility requiredAn invasive electrical study of the heart used in selected patients to identify the origin and mechanism of certain arrhythmias.
EP-lab basedSelected abnormal rhythm pathways can be treated using catheter-based energy after specialist electrophysiology assessment.
EP-lab basedA controlled electrical shock may be used under medical supervision to restore normal rhythm in selected arrhythmias such as atrial fibrillation.
Monitored settingTranscatheter aortic valve replacement is a minimally invasive valve procedure used for selected patients with severe aortic valve disease.
Structural-heart centreA catheter-based balloon procedure may be considered for certain narrowed heart valves in selected patients.
Structural-heart / cath-labSome severe valve problems require surgical repair or replacement after detailed imaging and multidisciplinary evaluation.
Cardiac surgery centreCoronary artery bypass graft surgery creates alternate routes for blood flow around significant coronary blockages in appropriately selected patients.
Cardiac surgery centreCT-based imaging can provide detailed anatomical information about the heart and coronary arteries in selected clinical situations.
Advanced imaging centreCardiac MRI can help characterise heart muscle, scarring, inflammation, cardiomyopathy and selected structural conditions when indicated.
Advanced imaging centreExercise or pharmacological stress testing can help assess symptoms, exercise response and suspected ischaemia in carefully selected patients.
Monitored testing facilityA structured programme of supervised recovery, exercise, education and risk-factor reduction may be recommended after heart attack, PCI, bypass surgery or in selected heart conditions.
Specialised rehab programmeSelected structural defects may be treated with catheter-based devices or surgery after specialised imaging and congenital/structural heart assessment.
Specialist heart centreFor many patients, the most important treatment is careful long-term medical management. A procedure is recommended only when the condition and evidence support it.
Appropriate medicines, salt reduction, weight management, activity planning and repeated BP review.
Risk-based lipid management to reduce future cardiovascular events, especially in patients with established coronary disease or high risk.
Medicines that reduce platelet clotting may be prescribed for specific coronary conditions or after stent treatment. They should not be started or stopped casually.
Blood-thinning medicines may be advised in selected patients, including some people with atrial fibrillation or other clot-related risks.
Modern heart-failure treatment may use several complementary medicine classes chosen according to heart function, symptoms, kidney function and blood pressure.
Medicines may be used to reduce chest pain and improve blood-flow balance while the cardiologist determines whether further coronary evaluation is necessary.
Selected arrhythmias are managed with medicines, anticoagulation, monitoring and — when required — cardioversion, ablation or device therapy.
Diabetes control, smoking cessation, physical activity, nutrition and weight management are part of cardiovascular treatment, not optional extras.
After angioplasty, bypass surgery or device implantation, follow-up focuses on symptoms, medicines, wound/device issues, rehabilitation and prevention of another event.
Patients often feel less anxious when they know what is likely to happen next.
Chest discomfort, breathlessness, BP fluctuations, palpitations, dizziness, swelling, previous heart disease or preventive assessment — the starting point is your actual concern.
Blood pressure, pulse, weight and relevant clinical observations may be recorded before or during your consultation.
Your history, symptoms, medicines, risk factors and previous reports are considered together.
ECG, Echo, Holter, ABPM or blood investigations may be advised depending on the clinical question.
The plan may involve medicines, BP or cholesterol control, rhythm treatment, lifestyle changes, follow-up testing or review after a defined period.
If angiography, angioplasty, pacemaker, electrophysiology treatment, valve intervention or surgery is indicated, the cardiologist can discuss the reason and guide the patient to an appropriate hospital-based facility.
Yes. Resting ECG is available as part of cardiac diagnostic support. The ECG should be interpreted in the context of symptoms and clinical findings.
Yes. Echocardiography is available for assessment of heart structure and function when clinically advised.
Yes. Holter monitoring can record heart rhythm over a longer period and is often considered when symptoms such as palpitations or dizziness are intermittent.
ABPM stands for Ambulatory Blood Pressure Monitoring. It records blood pressure repeatedly over approximately 24 hours and can help the doctor understand daytime and night-time blood pressure patterns.
The exact tests depend on the situation. Common examples may include lipid profile, glucose/HbA1c, kidney function, electrolytes, thyroid tests, CBC and, in acute settings, cardiac biomarkers such as troponin. A clinician should decide what is appropriate.
These are invasive hospital-based cardiac catheterisation procedures and require an appropriately equipped cath lab. Orbit's role is consultation, diagnostic support and treatment planning; if such a procedure is indicated, the cardiologist can guide the patient regarding the next level of care.
Pacemaker implantation requires a hospital procedure environment with appropriate monitoring and device support. Patients can be assessed by the cardiologist and guided regarding the appropriate procedure facility if pacing is required.
Yes. High blood pressure is an important cardiovascular risk factor and often causes no obvious symptoms. Persistent or difficult-to-control readings deserve proper medical assessment.
Not necessarily. Each test answers a different clinical question. The cardiologist should decide which investigation is useful based on your symptoms and examination.
Seek emergency medical care immediately rather than waiting for a routine clinic appointment, particularly if the pain is severe, persistent or associated with sweating, breathlessness, fainting, nausea or pain spreading to the arm, jaw or back.
Whether the issue is blood pressure, palpitations, breathlessness, an abnormal ECG, previous angioplasty, heart failure, high cholesterol or simply a concern about future heart risk, the first useful step is a careful review rather than guessing from symptoms.
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