The Problem of Coronary Heart Disease Coronary Risk Factors

The problem of coronary heart disease

The number one cause of death in modern Western society is coronary heart disease (CHD), whether it be from sudden fatal heart attacks or blocked coronary arteries causing angina and heart failure.

Coronary heart disease is responsible for 1 in 3 deaths in certain western countries. However, there has been a very pleasing reduction in deaths from coronary heart disease and stroke in the past 20 years because people have made the effort to reduce their risk factors. In spite of this, it is still a major cause of preventable death and we still need to work hard at reducing the risk.

Please seek Medical attention as soon as possible if you are unsure of you or your family's health condition.

What are the Risk Factors?

•       High Blood Glucose from Over-consumption of Sugar & Carbohydrates
  
•       Hypertension (high blood pressure)
•       Smoking
•       High Triglycerides & LDL (Particle B)
  
•       Diabetes
•       Obesity
•       Lack of exercise
•       Stress
•       Inflammation & Oxidative Stress
  
•       Alcohol excess
•       Family history

These risk factors increase the likelihood of development of hardening of the arteries (or atherosclerosis); the benefit of reducing them is obvious. The factors are interrelated; for example, excessive intake of alcohol will lead to hypertension.

Hypertension

The higher the blood pressure, the greater the risk. Regular checks, say yearly for people over 40 years, are advisable. Doctors recommend that you have the diastolic level (lower level) of blood pressure kept at 90 mmHg or below.

Smoking

Cigarette smoking has been clearly shown to increase the risk of heart disease. The death rate from coronary heart disease is about 70% higher for smokers than for non-smokers and for very heavy smokers the risk is almost 200% higher. The more one smokes, the greater the risk.

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* Pre-Departure COVID-19 PCR  Swab & Serology Test for Travellers available at AIPC, Make your appointment at Tel: 6694 1661. Click here for more details.

Richard Weller: Could the sun be good for your heart?

Our bodies get Vitamin D from the sun, but as dermatologist Richard Weller suggests, sunlight may confer another surprising benefit too. New research by his team shows that nitric oxide, a chemical transmitter stored in huge reserves in the skin, can be released by UV light, to great benefit for blood pressure and the cardiovascular system. What does it mean? Well, it might begin to explain why Scots get sick more than Australians...

Hypertension Symptoms & Treatment, Blood Pressure monitoring, BP Chart

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Stress and heart attacks

The stress of our modern lifestyle is regarded as a risk factor. Evidence for this is supported by the increased incidence of heart attacks in Asians (who have a low incidence) when they move into western societies or become business executives in their own environment. Consider ways to modify your stress factors and seek relaxation programs such as meditation.

The significance of risk factors

Most of the risk factors are interdependent, and if two or more are present they have a multiplication effect. If only one risk factor is present, the patient does not have so much cause for concern. Your doctor is the best person to assess the combined risk.

Rules for living

•     Reduce consumption of sugar and carbohydrates especially wheat products eg bread, cakes, pasta, snacks etc.
  
•       Don’t smoke.
•       Drink alcohol in only very small amounts or not at all.
•       Keep to an ideal weight.
•       Take regular exercise.
•       Practise relaxation.

Note: The risk factors for coronary heart disease apply also to other cardiovascular disease, such as cerebral artery disease and hardening of the arteries of the legs.

Causes of Cardiovascular Heart disease

Heart Health - Coronary Heart Disease, Learn what is Angina and Stroke, as well as How to Lower Cholesterol

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AIPC is part of the National Influenza Sentinel Surveillance programme with MOH. If you have a fever of > 38 degrees with a cough, our clinic is able to test for COVID-19. For children below 12 years old with clinical diagnosis of HFMD (eg fever, oral ulcers, rash), our clinic can test for Hand Foot & Mouth Disease (The tests are for surveillance purposes only).

Healthy Diets for Optimal Health

The cholesterol hypothesis is wrong - Dr Malcolm Kendrick, Author of the 'The Great Cholesterol Con'

Ten contradictions from the medical literature that show why the cholesterol / saturated fat / heart disease hypothesis is wrong.

Dr Malcolm Kendrick, author of the best selling book "The Great Cholesterol Con" speaking at Rosemary Cottage Clinic Education Trust* Autumn Seminar, 27th September 2014, in Chichester West Sussex.

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Risk Factors of COVID-19 Complications

Source : Observer Research Foundation

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Lung, Neurological, Liver & Kidney Diseases

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Co-infection of COVID-19 with other infectious diseases is possible.

Reduce your risk of getting sick with COVID-19

• Make sure your vaccinations are up-to-date. People older than 65 years, and those with many underlying conditions, such as those who are immunocompromised or with significant liver disease, are recommended to receive vaccinations against influenza (Flu 2020) and pneumococcal disease (PCV). Click here for Vaccination schedules (NAIS/NCIS).
  
• Do not delay getting medical care for your underlying condition because of COVID-19. AMDA International Peace Clinic has contingency MOH infection prevention protocols to protect you from getting COVID-19 if you need care for your underlying condition.
• Continue your medications and do not change your treatment plan without talking to your doctor.
• Make sure that you have at least a two-week supply of your chronic disease medications.
• Call AMDA @ Tel: 6694 1661 for a medical appointment if you have any concerns about your underlying medical conditions or if you get sick. AMDA is a PHPC-accredited medical clinic. Under the MOH Swab & Go Home programme, our doctors can do a COVID-19 PCR Swab test if you meet the MOH medical crtieria.

Singapore is free from vaccine-preventable diseases like poliomyelitis, diphtheria, tetanus and pertussis (whooping cough) because of our successful immunisation progamme.

Up to $400 per Medisave Account per year can be used for Vaccinations under the National Adult & Childhood Immunisation Schedule - Influenza, Pneumococcal (PCV13/PPSV), Human Papillomavirus (HPV2/HPV4), Hepatitis B, Tetanus, Diphtheria & Pertussis (Tdap), Measles, Mumps & Rubella (MMR) and Chickenpox (Varicella).

National Adult Immunisation Schedule (NAIS) Singapore @ AMDA International Peace Clinic. Make your vaccination appointment at Tel: 6694 1661.

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Health Assessment & Screening Packages

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Public Health Preparedness Clinic

National University Health System Primary Care Network

Singapore Ministry of Health Chronic Disease Management Programme (CDMP)

The information provided in this website is for knowledge purposes only. It does not constitute medical advice.

Should you encounter any medical problem that you are unsure of, always consult your doctor or health care provider for assistance and medical advice.

Dr Don V H LAU   Chairperson of AMDA Singapore

MBBS (Monash), B.Med.Sc.(Hons) (Monash), Grad.Dip.Derm.(Wales,UK)

AMDA International Peace Clinic is a part of AMDA (Association of Medical Doctors of Asia). We are part of the network of AMDA Peace Clinics & Friendship Hospitals around the world. We participate in AMDA's worldwide Emergency Disaster Aid Relief missions, Social Development projects and Vaccination programmes.

AMDA, founded in 1984 has carried out more than 200 medical missions, contributing medical expertise and supplies in 65 countries over the last 36 years. AMDA holds General Consultative Status with the United Nations Economic & Social Council (UN ECOSOC) since 1995.

AMDA International Chapters   Afghanistan Albania Bosnia & Herzegovina Bangladesh Bolivia Cambodia Canada Colombia Guyana Haiti Honduras India Indonesia Kazakhstan Korea Kosovo Malaysia Mongolia Nepal New Zealand Pakistan Peru Philippines Sakha Republic Singapore Sri Lanka Sudan Taiwan Uganda Vietnam Zambia

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AMDA Medical Team

Together, Being here for you.

Doing Our Best in the COVID-19 Pandemic!

“Do all the good you can,
By all the means you can,
In all the ways you can,
In all the places you can,
At all the times you can,
To all the people you can,
As long as ever you can.”
― John Wesley

Risk Factors of COVID-19 Complications

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COVID-19 Singapore Public places visited by cases in the community

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COVID-19 : Country cases, Deaths, Recovered & Vaccinated

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For Medical Professionals

Learn from the China Experience on COVID-19 Prevention and Treatment

AMDA International Peace Clinic

9 Taman Serasi #01-11, Botanic Gardens View

Tel : 65-6694-1661  Fax : 65-6694 1771

Email : info@amda.sg

Clinic hours:

Monday to Friday: 9am-12.30pm / 2pm-6.30pm    Saturday: 9.30am-1pm

*Last registration is 30mins before the closing time

Closed on Sundays & Public Holidays

- Cashless service with most International Insurance companies and Insurance Medical cards are accepted

- Japanese & Mandarin-speaking Doctors and Medical staff

Please contact us at Tel: 6694 1661 to make an appointment.

OUR MEDICAL TEAM

Dr Don Lau – Medical Director

MBBS (Monash), B Med Sc (Hons) (Monash), Dip Pract Derm (Wales, UK)

Chairperson of AMDA Singapore

Medical Conditions Treatable with Chiropractic:  

• Head & Neck – Neckaches/ Spondylosis/ Wry Neck/ Whiplash/ Headaches/ Migraine/ Facial Palsy
• Back – Back Strain/ Slipped Disc/ Scoliosis/ Sciatica/ Spondylosis/ Spondylolisthesis/ Spondylolysis
• Shoulder – Frozen Shoulder/ Rotator Cuff Tear/ Impingement Syndrome
• Elbow – Tennis Elbow/ Golf Elbow
• Hip / Knee – Anterior Knee Pain/ Runner’s Knee/ Meniscus Injury/ Ligament Injury
• Foot – Plantar Fasciitis/ Heel Pain/ Metatarsalgia
• Joint – Arthritis/ Cartilage Wear & Tear/ Osteoarthritis
• Ligament – Sprains/ ACL Laxity/ Ankle Sprain
• Muscle – Strains/ ITB Tightness/ Hamstring Tear
• Tendons – Tendonitis/ Repetitive Strain Injury/ Tendinopathy
• Sports Injuries
• Obesity – Exercise & Meal Planning 
• Post Operation/ Hospitalization
• Fibromyalgia

Dr Lee Sao Bing – Opthalmologist (in-house Specialist)

MBBS, MMed(Ophth), FRCSEd(Ophth), MD, FAMS

Dr Pang Yoke Teen – ENT (Visiting Consultant)

FRCS (ORL), FRCS(EDIN), (FRCSGLASG), FAMS, MBBS

AMDA International Peace Clinic

Medical Services

• General Practice Family Medicine
• Minor Surgical Procedures / Laser Treatments
• Management of Chronic Diseases (Diabetes / Hypertension / Heart Disease / High Cholesterol Management)
• Chiropractic Pain Management (Joint pains, Knee Pain, Back Pain, Migraine, Sports Injuries)
• Chiropractic Shockwave Treatment / Deep Muscle Stimulator DMS Therapy
• Dermatology Treatments - Skin Problems (Eczema, Acne, Rash & Hives, Boils, Dermatitis, Pigmented or Dry Skin, Moles, Skin Tags, Corns & Calluses, Wart, Treatment of Insect Bites & Stings)
• Dermoscopy - Non-invasive Detection of Skin Cancer
• Allergies Test & Management / Treatment of Allergic Rhinitis / Asthma Management
• Vaccinations / Immunization (National Adult Immunisation Schedule / National Child Immunisation Schedule / Influenza)
• Infectious diseases & Virology (COVID-19, Dengue, Flu, Hepatitis B)
• Respiratory Medicine - Cough, Wheezing, Shortness of breath
• Eye Health / Ophthalmology (Conjunctivitis, Foreign body in the Eye)
  
• Ear Nose Throat / ENT Rhinoscopy (Nose Bleed-Epistaxis, Snoring & Sleep Apnoea, Vertigo & Dizziness, Removal of Ear Wax)
• Audiogram – Hearing test
• Personal Health (Stomach ache, Irritable Bowel Syndrome, Heartburn, Treatment of Gout)
• Elderly / Senior Health (Arthritis)
• Men's Health
• Women's Health (Osteoporosis, Heavy Periods, Breast lumps, Urinary Tract Infection, Anaemia, Tremors)
• Child Health & Nutrition / Paediatrics
• Travel Health (Vaccinations / Travellers' Diarrhoea)
• Health Assessment, Screening & Management / Blood tests
• Pre-Employment check-up / Work Permit / Employment Pass / Student Pass / Driving License Check-up
• Obesity / Weight control
• Neurological Disorders / Dementia Screening
• Depression / Anxiety Management
  
• Insomnia & Stress Management

Minor Surgical Procedures :

·       Injection for Supraspinatus or Bicipital Tendonitis / Epicondylitis / Trigger finger / Plantar Fasciitis

·       Tendon Sheath Injection

·       Excision of small Skin tumours / Lipomas / Nail bed / Ear lobe cysts / Meibomian cyst

·       Removal of Skin sutures / Skin tags / Sebaceous cysts / Various foreign bodies / Corneal foreign body

·       Liquid Nitrogen Therapy

·       Treatment of Plantar Warts / Calluses / Corns / Ganglions

·       Splinters under nails

·       Olecranon and Pre-patellar Bursitis

·       Ear syringing

·       Embedded earring stud

AMDA International Peace Clinic dedicates part of our profits to AMDA's Worldwide Emergency Disaster Aid Relief missions, Social Development projects & Vaccination programmes.

Dr Shigeru Suganami

Founder & President of AMDA - Association of Medical Doctors of Asia

INTERVIEW of Dr Shigeru Suganami, Founder & President of AMDA - Association of Medical Doctors of Asia, Medical Director of AMDA International Peace Clinic with Mr Ando of JPlus Magazine Singapore (in Japanese / Part 1 of 8)

INTERVIEW with Dr Shigeru Suganami, Medical Director of AMDA International Peace Clinic (in Japanese / Part 2 of 8)

INTERVIEW with Dr Shigeru Suganami, Medical Director of AMDA International Peace Clinic (in Japanese / Part 3 of 8)

INTERVIEW with Dr Shigeru Suganami, Medical Director of AMDA International Peace Clinic (in Japanese / Part 4 of 8)

AMDA Activities

AMDA Emergency Aid Relief Kumamoto Earthquake Apr 16