Heart Attack Archives | Surrey Cardiovascular Clinic

The SCVC Blog

Cardiovascular care news and articles from our expert team

Troponin-Negative Chest Pain: A Dangerous Illusion

Troponin-negative presentations are often sent home without a timely work up or prompt imaging tests like a CT angiogram. A delay can be critical. Until these services become widely available, and in good time, patients experiencing unexplained chest symptoms who have not had clinical follow up and diagnosis confirmed are advised to 'vote with their feet'- either head back into hospital in event of further symptoms, or even consider arranging to fund their own urgent CT angiogram from an independent medical provider.

Exercise and Digital Tools Should Be the First Line in Reducing Visceral Fat in Cardiac Patients

We use waist-to-height ratio (WHtR) as a screening tool, followed by low-dose CT to measure VAT index (VATI) against gender- and ethnicity-specific thresholds. Where VATI is high, patients enter a six-month digital lifestyle programme using tools like the Dr Shape food app, CGM, and body composition scales. Pharmacological therapy, including GLP-1 receptor agonists, is reserved for non-responders—making this a precise, cost-effective, and highly personalised pathway for VAT reduction.

Why the Mediterranean Diet Works: It’s More Than Just What You Eat

For years, the Mediterranean diet has been praised as one of the healthiest ways to eat. Rich in vegetables, olive oil, fish, nuts, and whole grains, it’s been linked to lower rates of heart disease, diabetes, and obesity. But why does it work so well?

How AFib can present as a heart attack or stroke

When clots from the left atrial appendage dislodge, they can travel to various parts of the body, including the coronary artery, which receives about 5% of the blood from each heartbeat, or the cerebral arteries, accounting for approximately 20% of each cardiac cycle's output

Preventing a Heart Attack: What Can Be Done?

While predicting a heart attack with absolute certainty may still be beyond our reach, the ability to identify patients at high risk is a significant step forward. The latest techniques used to find people at risk are summarised in a […]

Imagine if you could predict a heart attack

The idea of predicting a heart attack may have once seemed like science fiction, but it is rapidly becoming a reality. With the advent of advanced imaging techniques and artificial intelligence, we are now able to detect the early signs of coronary heart disease and intervene before a heart attack occurs. This represents a major shift in the way we approach cardiovascular care, moving from a reactive model to a proactive one.

Understanding Heart Attacks Beyond Coronary Artery Disease

The medical understanding of a "heart attack" can sometimes diverge from the layperson's perception. Many people interpret a heart attack as any acute, potentially fatal cardiac event, regardless of its cause. This discrepancy necessitates a deeper exploration of heart attack causes unrelated to coronary artery disease, particularly for understanding familial risks and discussing preventative measures like statins.

How and why Cardiologists use different types of CT to diagnose coronary heart disease

Ultimately, the approach to cardiac CT screening is highly individualized, reflecting the diverse presentations and risk factors among patients. By employing a sophisticated pre-consultation process, cardiologists can tailor their assessment and management plans to best suit each patient's unique needs, enhancing the precision and effectiveness of cardiac care.