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The Ramkhamhaeng
Hospital Group
Bangkok
Ramkhamhaeng

Synphaet Hospital 

Vibhavaram


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Ram Hospital 1

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The Ramkhamhaeng Heart Center :
 We have the latest  technology for the treatment of heart disease
including PTCA and Cardiac Stents.

The CT-Scan 64 slices
The State-of-Art  for Heart Diseases.

What is it?:
It is the latest development in computer tomography scanning. It renders 64 slices or 194 pictures/sec . This  facilitates and enhances the rapid and correct diagnosis of  heart disease or diseases of other organs. The dynamic cardiac function and the coronary vessels can clearly be demonstrated in real time.

How is it done?:
It can be classified as a non-invasive investigation tool for your heart or the other organs. The results of the CT-scan 64 is similar to  the information obtained by  cardiac catheterization. CT 64 is painless and quick. If any cardiac occlusions are discovered they can be repaired with a balloon or stent. CT 64 can be used as an outpatient diagnostic tool saving you time and costs.

How effective is it?:
The sensitivity of the new CT-scan 64 slices is almost 100 percent if used correctly, while the cardiac stress test by thread-mill is only 30-50 percent sensitive.

The justification for the CT-scan 64 slices:
@   The early diagnosis of patients at risk for cardiac or coronary disease
@  who has chest pain or fatigability
@   Abnormal EKG or Stress test by thread-mill
@   Cardiac evaluation before  major surgery
@   Periodic monitoring of cardiac bypass or cardiac intervention using  balloon or stents.

Cardiovascular disease, an ailment that affects the heart and circulatory system, is the number one cause of death in the many parts of the world  today. The American Heart Association estimates that one in five Americans have some form of cardiovascular disease, whether that be heart disease, high blood pressure, diabetes, high cholesterol, and/or vascular disease.

The Heart Center at Ramkhamhaeng Hospital is designed to meet the needs of patients with or at risk for heart disease. This clinical center of excellence is a  state-of-the-art facility that provides a unique blend of technologies and therapies in one convenient location.

At The Heart Clinic our philosophy is to prevent, diagnose and treat patients for  heart disease. The Center's staff is a team of experienced nurses, technicians and physicians who are passionate about their commitment to providing the best preventive care, diagnosis and treatment for cardiovascular disease.

Thailand has gained renown for all forms of  cardiac care, and other types of specialized medicine.  Ramkhamhaeng Hospital has many internationally trained doctors with world-class credentials.  In this era of jet travel, computers, and the Internet, Globalized medicine has arrived. We offer world class healthcare in a beautiful tropical setting at a fraction of the cost of the USA or Europe.  If you are uninsured and/or pay your own medical bills because it is an elective surgery or you don't have or can't get insurance
info@ramhospital.com

The Healthcare You Need At
Prices You Can Afford

Our package price for a Cardiac Cath, Balloon Angioplasty, and medicated cardiac stent is $8500 USD.  Prices are subject to change depending upon conditions encountered and your unique clinical setting. Approved by the FDA , a new medicated stent, designed to keep arteries open, is considered by cardiac experts to be the biggest development in coronary care in the past decade. The new stents are coated with medications which prevent recurrent blockages in the arteries. Clinical trials have shown that renarrowing occurs in less than five percent of patients with the medicated stents. Without the medicated but a using a normal stent the price is $5000 USD. This price includes 8 hours of recovery in the Intensive Care Unit.

info@ramhospital.com for more information.

Cardiac Catheterization by AXIOM AFC 

Cardiac Catheterization

What Other Terms Are Used To Describe Cardiac Catheterization?

  • Heart Cath
  • Angiogram

What Is Cardiac Catheterization?

  • This procedure is nonsurgical and is performed under X-ray guidance in the Cardiac Catheterization Lab.
  • A catheter (a long, thin, flexible tube) is inserted through an artery (blood vessel) in the thigh up into the heart. Occasionally an artery in the arm is used.
  • X-rays (pictures) are taken of the heart and coronary arteries.
  • The patient is given a mild sedative to help him relax but remains awake during the procedure to allow him to answer questions regarding his comfort level, any chest pain or shortness of breath.
  • A small area of the groin or arm is shaved and cleansed where the catheter will be inserted.
  • Medication will be used to anesthetize (numb) this area so a small incision can be made where the catheter will be inserted.
  • The catheter is inserted through the femoral artery in the groin (or an artery in the arm at the crease of the elbow). X-ray is used to guide the catheter up into the heart.
  • A colorless dye is injected through the catheter, and X-ray pictures are taken of the heart and coronary arteries.
  • The patient can watch the procedure on the monitor if he wants to.
  • The test takes about an hour.

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Percutaneous Transluminal Coronary Angioplasty or PTCA & Stent:

Percutaneous Transluminal Coronary Angioplasty (PTCA)

What Other Terms are Used to Describe Percutaneous Transluminal Coronary Angioplasty?

  • Balloon Angioplasty
  • Angioplasty
  • PTCA

Why is an Angioplasty Done?

  • A PTCA is a procedure that opens narrowed arteries to increase blood flow.
  • A PTCA may be done instead of coronary artery bypass surgery depending upon the type and location of the narrowing, the extent of the disease and the risk involved. 

How is A Balloon Angioplasty Done?

Ramkhamhaeng MD's have the expertise to do Balloon Angioplasty using the artery in the lower arm or wrist which causes less problems than those in the lower leg.  The arm artery will be used in about 90% of all cases.

  • This procedure is nonsurgical and is performed under X-ray guidance in the Cardiac catheterization lab.
  • A PTCA may be done immediately following a cardiac catherization or sometime later.
  • The patient is given a mild sedative to help him relax but remains awake during the procedure to allow him to answer questions regarding his comfort level, any chest pain or shortness of breath.
  • A small area of the groin or arm is shaved and cleaned where the catheter is inserted.
  • Medication is used to anesthetize (numb) the area so a small incision can be made where the catheter will be inserted.
  • A catheter with a deflated balloon on the tip is inserted through the artery in the groin or arm. X-ray is used to guide the catheter up into the heart.
  • The catheter is threaded up into the narrowed artery of the heart. The balloon is then inflated and deflated several times to squeeze the plaque deposits against the wall of the artery. 
  • The test takes 1-2 hours.

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Stents

What is a Stent?

  • Stents are tiny mesh-like tubes made from stainless steel. They are placed permanently inside an artery (blood vessel) to hold it open after a balloon angioplasty (PTCA).
  • The actual procedure for placement of the stent is the same as an angioplasty with the addition of the stent placement.

Why is a Stent Used?

  • A stent may be used to keep an artery open that has closed or partially closed after a previous angioplasty(ies) to improve the flow of blood.
  • In some cases, stents are used when blocked bypass vein grafts are opened through angioplasty.

How is a Stent Placed?

  • First, an angioplasty is done to open the blockage in the area.
  • After the artery is opened, a catheter, which has a stent over a deflated balloon on the tip is reinserted into the artery up to the area previously opened by angioplasty.
  • Once in place, the balloon is inflated, expanding the stent and pressing it against the artery wall.
  • The balloon is deflated and the catheter and balloon are removed, but the stent remains expanded and in place to help keep the narrowed portion open after angioplasty.
  • The stent will remain in the artery permanently.
  • The artery will heal around the stent.
  • The procedure lasts one to two hours.

What Symptoms May Be Experienced During the Procedure?

  • A slight burning or stinging from the medicine used to numb the catheter insertion site
  • A slight discomfort or pressure as the catheter is being inserted
  • Slight nausea and/or extra heartbeats
  • Chest pain may occur as the balloon catheter is being inflated, but it is temporary

 What Happens After the procedure is Completed?

  • After X-rays are taken, the balloon and catheter are removed.
  • The sheath (IV) is usually left in place in the leg overnight until the blood thinning medications are discontinued and clotting time returns to normal.
  • A bandaid or pressure dressing will be placed over the area where the catheter was inserted.
  • The patient will be admitted to a special cardiac care unit ( ICU) to be closely observed.
  • When the sheath is removed from the groin, (usually the following day), firm pressure is applied to the sheath insertion site for 15-30 minutes until the bleeding stops.
  • If an artery in the arm is used, pressure will be applied over sheath insertion site for 15-30 minutes.
  • The insertion site will be checked frequently for signs of bleeding.
  • Blood pressure and the pulse in the leg (or arm) used will be checked frequently.
  • A knot under the skin where the catheter was inserted may occur. This is only temporary.
  • Bruising to the leg/groin area may occur where the catheter was inserted. The bruising may spread down the leg and is only temporary.
  • Most patients are discharged in eight hours with minimal activity restrictions.

What Precautions Should Be Observed Following the Procedure?

  • Avoid bending the leg at the hip (groin area) for six to eight hours after the catheter is removed.
  • Hold the bandaid firmly if it is necessary to cough or sneeze.
  • Avoid bending or using the arm for six to eight hours if it was used for the insertion of the catheter.

What Signs and Symptoms Should Be Reported Immediately?

  • Discomfort or sudden pain at the insertion site
  • A warm, moist and sticky feeling, or bleeding
  • Any discomfort in chest, neck, jaw, arms or upper back, shortness of breath, weakness or dizziness

Approved by the FDA, a new medicated stent, designed to keep arteries open, is considered by cardiac experts to be the biggest development in coronary care in the past decade. The new stents are coated with medications which prevent recurrent blockages in the arteries. Clinical trials have shown that renarrowing occurs in less than five percent of patients with the medicated stents
 

The combination of PTCA and Medicated Cardiac Stents  makes for a safe and economical method of treatment for Coronary Artery Disease that does not require surgery.

Our English speaking International Visitor support staff.  They will meet you at the airport, take you to your hotel, escort you to the hospital everyday, answer your questions, and then escort you back to the airport.
 
To chat live with The DocBangkok use
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info@ramhospital.com

Ramkhamhaeng (pronounced ram-cam-hang)  Hospital sits at the center of one of Thailand’s largest and most respected hospital groups. With 350 beds and seven sister hospitals Ramkhamhaeng has the resources, experience and expertise to provide international quality health care at very competitive prices. This combined with a long tradition of Thai hospitality has earned Ramkhamhaeng Hospital the confidence of the people of Thailand, the Region, and the World.

Thailand has gained renown for all forms of cosmetic surgery, cardiac care, and other types of specialized medicine.  Ramkhamhaeng Hospital has many internationally trained doctors with world-class credentials.  In this era of jet travel, computers, and the Internet, Globalized medicine has arrived. We offer world class healthcare in a beautiful tropical setting at a fraction of the cost of the USA or Europe.  If you pay your own medical bills because it is an elective surgery or you are uninsured and don't have or can't get insurance Contact Us.

We have the latest medical equipment, such as
Cardiac Cath, MRI (Magnetic Resonance Imaging), Spiral CT Scan (Spiral Computerized Tomography Scan) and Ultrasound to support our medical staff in the fast and accurate diagnosis and treatment of
disease.

The hospital also has a long history of providing quality specialty clinics like Plastic Surgery, Cardiac Rehabilitation, In Vitro Fertilization + Embryo Transfer, and The Test Tube Baby Clinic.

The hospital specializes in personalized services for all our international visitors.  We will meet you at the airport and escort you to the hospital, walk you through the hospital stay and then escort you back to the airport for your departure.

info@ramhospital.com
A PDF Downloadable Brochure About Ramkhamhaeng Hospital

 

 


Thai Version

We accept:


Several Things Set The Ramkhamhaeng Hospital Group Apart For The International Visitor
A World Class City
Bangkok  
Ramkhamhaeng

A Mountain Resort
Chiang Mai
Ram Hospital 1

Personalized Services
The hospital specializes in personalized services for all our international visitors.  We will meet you at the airport and escort you to the hospital, walk you through the hospital stay and then escort you back to the airport for your departure.
Slide Show Beautiful Thailand



 

Ramkhamhaeng Hospital
2138 Ramkhamhaeng Rd., Huamark, Bangkapi, Bangkok 10240 , Thailand.


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