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Monday 08:30 - 17:30 Tuesday 08:30 - 05:30 Wednesday 08:30 - 17:30 Thursday 08:30 - 17:30 Friday 08:30 - 05:30 Saturday 08:30 - 13:30

Dr Khor Leet Ming Cardiologist

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Dr Khor Leet Ming Cardiologist

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Consultant Cardiologist based in Penang, Malaysia

25/10/2026

23rd Penang Cardiovascular Conference 2026

09/10/2026

Better Early Than Late ❤️

This 37-year-old gentleman, a smoker with underlying hypertension, presented to the hospital late at night with a seemingly non-specific symptom: an intermittent sensation of a “strong heartbeat.”

Not a rapid heartbeat. Not an irregular heartbeat. No chest pain. No shortness of breath.

He was compliant with his antihypertensive medications, including a beta-blocker. However, he was understandably concerned because his father had previously undergone coronary artery bypass grafting (CABG).

A CT coronary angiogram revealed significant single-vessel coronary artery disease. Subsequent invasive coronary angiography confirmed a very severe stenosis of more than 80% in a major coronary artery.

Immediate angioplasty was done to the major blockage with a single stent and he was discharged well the next day. He recovered well and was discharged the following day.

He was grateful that he had not dismissed his non-specific symptoms as merely a consequence of poor sleep or else he could have ended up not waking up from sleep at all if he had suffered from a major heart attack.

Because sometimes, the symptoms of significant coronary artery disease are not as dramatic as we expect. Not every patient presents with crushing chest pain or obvious breathlessness.

⚠️ The takeaway:

1️⃣Being young does not mean you are free from coronary artery disease.
2️⃣ Being compliant with your medications does not eliminate cardiovascular risk.
3️⃣ Smoking and hypertension remain important risk factors.
4️⃣ Symptoms that seem minor or unusual should not be ignored, especially when cardiovascular risk factors or a family history of heart disease are present.

Better early than late.

Listen to your body. Seek medical attention when something doesn’t feel right. Early assessment can make a critical difference. 🩺

❗️Please note: A sensation of a strong heartbeat alone does not necessarily indicate coronary artery disease. Persistent, recurrent or concerning symptoms warrant medical assessment. Seek emergency care for symptoms suggestive of a heart attack.

01/07/2026

Daycare CTO PCI?🫢

🏥 A 51-year-old gentleman with hypertension and hyperlipidaemia was electively admitted for coronary angiography due to angina and an abnormal stress test.

🚗Prior to admission, his insurance provider required an additional hospital visit for a repeat ECG and cardiac markers, both of which were predictably normal.

The angiogram was subsequently approved as a *daycare procedure*. However, the patient was still admitted as an inpatient for the procedure.

Coronary angiography revealed two-vessel disease with a chronic total occlusion ( ) of the RCA. Successful PCI was performed to the RCA CTO, and the patient was discharged well the following day after one night of close observation.

While diagnostic angiography may be suitable as a daycare procedure in selected patients, the reality is that angioplasty is sometimes required during the same setting. In such cases, overnight monitoring is often necessary to ensure patient safety and to detect any post-procedural complications early.

❗️Dear insurance companies, please DO NOT make healthcare access unnecessarily difficult for your clients. People purchase medical insurance for peace of mind and timely access to appropriate care. After all, health remains our greatest wealth.

17/06/2026

Navigating through Left Main Angioplasty (LM-PCI)

A 70 year old 🙎‍♂️, known case of ischemic heart disease with history of angioplasty done in 2017, was admitted recently for unstable angina.

Subsequent angiogram done showed severe left main disease with patent previous stents in all 3 vessels.

Patient declined bypass surgery and opted for angioplasty.

Two options of provisional LM-LAD stenting vs two stent strategy were considered.

After IVUS imaging done showing significant ostial LCx disease, we decided for 2 stent strategy. LM-PCI was done using 2 stent strategy with DK Crush technique under IVUS guidance with good post-PCI outcome and patient was discharged well the next day.

📝 In summary, complex PCI can be done with proper planning, strategy, stepwise manner guided by intravascular imaging for the best outcome.

〰️〰️〰️〰️〰️〰️〰️〰️〰️〰️〰️〰️〰️〰️〰️〰️〰️〰️

一名70岁男性，患有缺血性心脏病，并曾于2017年接受“通波仔”手术，近日因心绞痛入院。

随后进行的冠状动脉造影显示严重左主干冠状动脉病变，而先前植入于三条冠状动脉的支架状态良好。

在与患者讨论治疗方案后，患者拒绝接受心脏绕道术/搭桥（CABG），选择进行“通波仔”。

我曾考虑采用左主干至左前降支（LM-LAD）预留分支支架策略（Provisional Stenting）或双支架策略。经血管内超声（IVUS）评估后，发现左回旋支（LCx）开口存在明显病变，因此决定采用双支架策略最终成功完成左主干PCI。患者恢复良好，并于翌日顺利出院。

📝对于复杂PCI病例，通过周密规划治疗方案、合理的介入策略以及血管内影像技术的辅助，可获得更理想的治疗效果。

19/05/2026

Meril PRISM scientific dinner event ✨
Thank you for the invitation!

19/05/2026

Bonjour! So happy to be here at euroPCR 2026 in Paris! 🇫🇷🫀

25/03/2026

The Chameleon of the Heart

A young, fit gentleman, in his forties, no medical illness previously, non-smoker, was referred by our friendly neighbourhood doctor, for cardiac assessment after presenting to his clinic with typical symptoms of gastritis- central chest pain relieved completely after burping, associated with sweating after taking spicy food.

Based on his symptoms, he would have been discharged home with gastric medications. But, the vigilant doctor decided to play safe and refer although his ECG was normal.

At the hospital, ECG done was still normal but his cardiac troponin was elevated.

Proceeded with urgent coronary angiogram noted severe single vessel disease involving the widowmaker artery. If he was treated as gastritis, one day his wife may end up becoming a widow if he gets into a massive heart attack.

📝 Moral of the story: Do not assume every gastritis symptom is definitely due to gastritis. Please get yourself checked by a doctor even if it’s simple gastritis.

22/03/2026

🧪 Clorox: A lifesaver or disaster?

Recently a 72 year old lady previously very healthy, a vegetarian with no known medical illness, presented to me with sudden onset shortness of breath but no chest pain after accidentally inhaling Clorox while washing her house toilet.

She was diagnosed to have acute heart failure. Her Electrocardiogram and Echocardiogram were normal but her cardiac troponin was slightly elevated.

Hence, an angiogram was performed for her due to raised troponin and noted she has severe two vessel disease. Had she not detected this earlier, she could have suffered from a major heart attack out of the blue.

She was discharged well after a successful angioplasty. 😊

Moral of the story, please always do health check-up once you are in your golden years even if you have no health issues.

For online appointments: shorturl.at/5KMno

21/03/2026

Selamat Hari Raya Aidilfitri kepada semua umat Islam. Maaf zahir dan batin. 🌙

14/03/2026

Having a heart screening test soon? Here is what you need to know before you go!

Schedule your appointment here: shorturl.at/5KMno

Address

Lorong Bagan 1, Taman Bagan
Ajam Bagan
13400

Opening Hours

Monday	08:30 - 17:30
Tuesday	08:30 - 05:30
Wednesday	08:30 - 17:30
Thursday	08:30 - 17:30
Friday	08:30 - 05:30
Saturday	08:30 - 13:30

Website

https://www.bagan.com.my/medical/dr-khor-leet-ming/

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