Cardiovascular Center

The Medial City’s Cardiovascular Program offers integrated, state-of-the-art care, encompassing non-invasive diagnostics, minimally-invasive interventional services, open heart surgery, and cardiac rehabilitation.

The team has also served as a model center for myocardial infarction (MI) and stroke cases, boasting of improved survival and enhanced quality of life for its patients.

With its expert staff of Interventional Cardiologists and state-of-the-art equipment, and a rapid response team, patients coming in for an acute MI can have a life saving procedure to open blocked arteries within minutes of being seen in the emergency room.

In 2015, The Medical City became the first hospital in the Philippines to receive Clinical Care Program Certification from the Joint Commission International for its Acute Myocardial (AMI) program. Under the program, a heart attack patient who walks through the doors of the hospital’s Emergency Department should have the blocked coronary artery opened in the Catheterization Laboratory within 90 minutes.
TMC is also one of the first hospitals in the Philippines to offer Cardiac Catheterization via the radial (wrist) artery. Catheterization via the wrist artery is safer, leads to less bleeding, and is much more comfortable for patients, who can ambulate after the procedure and be discharged a few hours later. TMC Catheterization Laboratory currently uses transradial access in almost 90% of its coronary procedures. This is the highest percentage, by far, of all the Cardiac Catheterization Labs in the country and matches the leading centers in Europe and Japan.

Services

Cardiac and Peripheral Vascular Center

• 2D Echo with Doppler Study
• ECG (12 lead - ECG)
• Holter Monitoring
• Peripheral Vascular Studies
• Stress Echo
• Stress Test
• Tilt Testing
• Transesophageal Echo Study

 

Cardiac and Vascular Catheterization Laboratory

• Cardiac Catheterization and Coronary Intervention
    - Coronary Angiography
    - Right and Left Heart Catheterization
    - Valvular and Congenital Defect Studies
    - Electrophysiology studies
    - Pacemaker Implantation/Insertion
    -Implantable Cardioverter Defibrillator implantation
    - Percutaneous Transluminal Angioplasty

• Balloon Angioplasty

• Intracoronary Stenting

• Rotablation of Calcified Arteries
    -Balloon Valvuloplasty

• Vascular/Peripheral Radiology
    - Arteriography
    - Diagnostics

• Abdominal Aorta

• Cerebral

• Hepatic, Etc.

• Renal

• Thoracic Aorta

• Upper Lower/ Extremities
    - Interventional

• Coiling (Cerebral)

• Embolization (Glue, Particles, Gelfoam)

• Triple A Repair (Abdomino-Aortic Aneurysm)



Diagnostic Procedures

1. Coronary Angiogram and Left Heart Catheterization
A fluoroscopy-guided procedure involving insertion of diagnostic catheters into the groin artery or the forearm artery (under local anesthesia) and injection of radio-opaque contrast medium to visualize the arteries that supply blood to the heart and determine the extent and number of narrowings (stenoses) that may cause a heart attack.

2. Hemodynamic Studies/Right Heart Catheterization
Involves inserting a special catheter (Swan Ganz catheter), with guidance via fluoroscopy, into the right side of the heart to acquire important data (pressures and flow) to determine and define cardiac function.

3. Intravascular Ultrasound (IVUS)
IVUS provides for a view of the artery from within the artery itself, using ultrasound-capable miniature catheters, thereby making diagnosis much more accurate, and cardiac interventions, like the insertion of stents to relieve artery blockages, easier and more precise.

4. Fraction Flow Reserve (FFR) Analyzer
FFR measurements help identify lesions that restrict blood-flow to the heart and therefore serve as an accurate guide for whether a borderline narrowing should be opened up with a stenting procedure

5. Electrophysiological Studies (EPS)
EPS can diagnose heart rhythm irregularities that can be dangerous in the future. With EPS the cardiologist can plan treatment with medicines or procedures such as Radio Frequency Ablation or implantation of an Implantable Cardioversion-Defibrillation device.



Therapeutic Procedures

1. Percutaneous Transluminal Coronary Angioplasty/Percutaneous Coronary Intervention
Procedure for opening narrowed coronary arteries (arteries that provide blood flow to the heart muscle) through the percutaneous approach using miniature balloons and an expandable tube mesh (stent)

2. Rotablation
Some coronary artery narrowings are highly calcified and may resist opening by regular balloon angioplasty and stenting. In these cases, the Rotablator can be used. This is a device that uses a miniature burr that spins rapidly within the narrowing, thereby pulverizing the hardened plaque into minute particles that harmlessly pass down the artery.

3. Temporary Pacemaker Insertion
A fluoroscopy-guided procedure wherein a special catheter is inserted and positioned in the right heart and then connected to an external pacemaker device to correct abnormally slow heart rhythms.

4. Permanent Pacemaker Implantation
When the patient's abnormally slow heart rate is felt to be permanent, a permanent pacemaker is placed with the impulse generator (permanent pacemaker device) implanted under the skin in the chest area close to the shoulder area.

5. Intra-Aortic Balloon Pump Insertion
A temporary device, inserted through the skin and placed in the aorta, that supplements the contraction of a heart that has been weakened by a heart attack

6. Balloon valvuloplasty
Opening valves in the heart, which have been narrowed by disease and calcification, through the use of balloons inserted through a leg vein and artery.

7. Automatic Implantable Cardioverter and Defibrillator Implantation
A procedure which involves implanting a device which is capable of detecting abnormal, potentially dangerous heart beats, and automatically performing cardioversion and defibrillation (application of a small electrical current to interrupt a dangerous irregular heart rhythm)



Cardiovascular Surgery

Adult Cardiac Surgery

Ischemic heart disease
• Coronary artery bypass grafting (CABG) on pump or off pump with/ without endoscopic vein harvest
• Surgery for complications of MI – LV aneurysmectomy
Repair of VSD
• Insertion of intraaortic balloon counterpulsation catheter

Valve surgery
• Aortic valve replacement
• Open mitral commissurotomy
• Mitral valve repair
• Mitral valve replacement
• Tricuspid annuloplasty

Aortic/Pulmonary artery surgery
• Repair of aortic dissection
• Repair of thoracic aortic aneurysm (ascending, arch and descending aorta)
• Repair of thoracoabdominal aneurysm
• Pulmonary thrombectomy, endareterctomy

Pericardial disease
• Subxiphoid pericardiostomy with biopsy
• Pleuropericardial window
• Pericardiectomy

Tumors
• Excision of cardiac myxomas, fibroelastomas, other tumors

Arrhythmia surgery
• Maze procedure
• Permanent pacemaker insertion


Congenital cardiac surgery

• Repair of patent ductus arteriosus
• Repair of aortic coarctation
• Repair of aortopulmonary window
• Repair of atrial septal defect
• Repair of ventricular septal defect
• Repair of Tetralogy of Fallot
• Systemic-pulmonary shunting
• Pulmonary artery banding
• Repair of anomalous pulmonary venous return
• Repair of transposition of the great arteries
• Repair of other complex congenital cardiac diseases


Peripheral Vascular Surgery

Arterial
• Open repair of aortic aneurysm
• Endovascular stenting of abdominal aortic aneurysm
• Peripheral artery bypass
• Thromboembolectomy
• Carotid endarterectomy
• Repair of major vascular trauma
• Repair of congenital or acquired arteriovenous fistula

Vascular access
• Hemodialysis access
• Port A Cath insertion
• Peripherally inserted central line

Venous
• Vena cava thrombectomy (in association with tumors)
• Vena cava filter
• Vein stripping
• Subfascial ligation of venous perforators



Cardiac Rehabilitation

Six Components of Cardiac Rehabilitation
1. Medical Evaluation (risk factor identification)
2. Nutritional Counseling
3. Risk Factors (cholesterol, hypertension, smoking, weight management, diabetes, psychological)
4. Physical Activity Counseling
5. Exercise Training/Testing
6. Psychosocial Evaluation/Support

WE OFFER THE FOLLOWING FOR CARDIAC PATIENTS
PHASE 1: (In-hospital Phase)
PHASE II: (Out-patient Phase)
PHASE III: (Out-patient Maintenance)

Our Team

Dr. Gregorio S. Martinez, Jr. – Director, Cardiovascular Center

Dr. Carlos Ponciano R. Esguerra – Section Head, Adult Cardiology

Cardiovascular Critical Care Anesthesia
Dr. Celina Z. Ancheta

Pediatric Cardiac Anesthesis
Dr. Grace G. Catalan

Cardiovascular Anesthesia/Critical Care/Neuro Anesthesia
Dr. Geraldine Rhapaela B. Jose

Cardiothoracic Anesthesia
Dr. Vincent Joseph O. Platon
Dr. Rafael S. Poblete

Thoracic and Cardiovascular Anesthesia
Dr. Abelardo Alan Prodigalidad, Jr.

Cardiology/Vascular Medicine
Dr. Maria Teresa B. Abola
Dr. Patricia J. Agunod-Cheng
Dr. Gina V. Alemany
Dr. Rosalie D. De la Cruz
Dr. Kristoffer Y. Villena
Dr. Joel R. Sabangan
Dr. Rodrigo C. Santos

Cardiology/Electrophysiology
Dr. Michael-Joseph F. Agbayani

Cardiology
Dr. Mariann N. Almajar
Dr. Maria Magdalena S. Avelino
Dr. Ma. Imelda L. Balajadia
Dr. Albert Hans P. Bautista
Dr. Zalveen A. Chua
Dr. Erwin M. Dolores
Dr. Carlos Ponciano R. Esguerra
Dr. Marcelo R. Esguerra
Dr. Ann Margarett P. Flores
Dr. Loewe Go
Dr. Adriel E. Guerrero
Dr. Marisa P. Joson
Dr. Edna L. Lim
Dr. Alvin C. Lim
Dr. Ma. Paz Mildred Luque
Dr. Christopher P. Nazal
Dr. Arlinda B. Pacina
Dr. Eric S. Pascual
Dr. Joel S. Paz
Dr. Raul E. Ramboyong
Dr. Eugenio Jose F. Ramos
Dr. Cesar S. Recto II
Dr. Rene V. Reyes
Dr. Kathleen F. Sabiniano
Dr. Ma. Rosiete M. Samson
Dr. Rosalyn C. Sarmiento
Dr. Minda M. Siasoco
Dr. Beaver R. Tamesis
Dr. Rogelio V. Tangco
Dr. Efren R. Vicaldo (Meralco Dr.)
Dr. Josette G. Villanueva-Cristobal

Cardiology/Echocardiography
Dr. Irwin Paul N. Bundalian
Dr. Erlyn C. Demerre
Dr. Iris M. Garcia
Dr. Victor L. Lazaro
Dr. Vanessa Rosette C. Lim
Dr. Ana Beatriz R. Medrano
Dr. Gerard Ryan T. Mercadal
Dr. Maita S. Senadrin
Dr. Edwin S. Tucay

Interventional Cardiology
Dr. Jeffrey M. Chua
Dr. Agapito S. Fortuno
Dr. Luis Martin I. Habana
Dr. Anthony N. Lontoc
Dr. Donato R. Marañon
Dr. Gregorio S. Martinez, Jr.
Dr. Marlou I. Mendoza
Dr. Ariel A. Miranda
Dr. Jose Paolo A. Prado
Dr. Michelangelo L. Sabas
Dr. Ronald S. Santos
Dr. Joel S. Tañedo
Dr. Camilo G. Te, Jr.
Dr. Frederick P. Vicente
Dr. Jesus Edgar A. Villano
Dr. Liberty O. Yaneza
Dr. Maria Malaya C. Dorotan-Guevara

Cardiology/Critical Care
Dr. Jude Erric L. Cinco

Cardiology/Cardiac Rehabilitation
Dr. Rachel Rose O. Del Rosario
Dr. Achilles C. Esguerra

Cardiology/ Nephrology
Dr. Adriano G. Dela Paz

Cardiology/Cardiac Pacing & Electrophysiology
Dr. Giselle G. Domingo
Dr. Anthony B. King, Jr.
Dr. Marcellus Francis L. Ramirez

Cardiology/Electrophysiology
Dr. Marita Rhodora C. Penequito
Dr. Luigi Pierre S. Segundo

Cardiology/Cardiac Tomography MRI
Dr. Simonette Kristine T. Sawit

Pediatric Cardiology
Dr. Cecilienne S. Acosta.
Dr. Dexter Eugene D. Cheng
Dr. Pacita Jay M. Lopez-Ballelos
Dr. Olympia Q. Malanyaon
Dr. Della G. Pelaez

TCVS/Cardiovascular Surgery
Dr. Karlos Noel R. Aleta
Dr. Avenilo L. Aventura, Jr.
Dr. Bernard M. Baluga
Dr. Eduardo R. Bautista
Dr. Lorenzo Rommel G. Cariño
Dr. Winston SJ Centeno
Dr. Christopher C. Cheng
Dr. Roberto S. Cristobal
Dr. Jaime F. Esquivel
Dr. Carlo Martin H. Garcia
Dr. Felixberto S. Lukban
Dr. Adrian E. Manapat
Dr. Francisco M. Peralta, Jr.
Dr. Aquileo C. Rico
Dr. Emmanuel C. San Pedro
Dr. Edgar S. Tuazon

TCVS/Pediatric Cardiovascular Surgery
Dr. Gisel T. Catalan
Dr. Karl Michael G. Reyes

Contact Us

Cardiac and Peripheral Vascular Center
2nd Flr., Podium Building, The Medical City, Ortigas Ave. Pasig City
Operating Hours: Mon – Sat / 6AM – 10PM; Sunday and Holidays / 8AM – 5PM
8-988-1000 / 8-988-7000 ext. 6299 / 6243

Cardiac Rehabilitation
2nd Flr., Podium Building, The Medical City, Ortigas Ave. Pasig City
Operating Hours: Mon, Wed, Fri / 8AM – 5 PM; Tue, Thu, Sat / 7AM – 5PM
8-988-1000 / 8-988-7000 ext. 6461

Cardiac and Vascular Catheterization
3rd Flr., Podium Building, The Medical City, Ortigas Ave. Pasig City
Operating Hours: Mon – Sat / 7AM – 5PM
8-988-1000 / 8-988-7000 ext. 6278 / 6320