Comprehensive Cardiac Services at Knox Heart Centre

NOW OFFICIALLY OPEN – Second Cardiac Catheterisation Laboratory (Cath Lab) 

The Knox Private Cardiac Cath Labs are the newest, state of the art Interventional Cath Labs in Eastern Victoria and allow our team to treat more patients in our community with time critical heart health issues

Knox Private Cardiac comprehensive services include: Diagnostic Cardiology services, 2 Cath Labs and Hybrid theatre with Cath Lab capabilities for cardiac interventions, Cardiothoracic surgery (open heart surgery) in our main theatres, dedicated Cardiac wards, Coronary care and Intensive Care. 

View our new Catheter Lab and Cardiology services below:

 

Knox Private Hospital is the largest and most established private hospital in the eastern region of Victoria specializing in diagnostic, elective and emergency cardiovascular care, including open heart surgery, 24/7.

Diagnostic cardiac services are available onsite at Knox Heart Centre. Interventional cardiac procedures are performed in our cardiac catheter laboratories. An additional hybrid theatre, with Cath Lab capabilities is available to provide further Interventional support. Cardiothoracic surgery (open heart surgery) is performed in one of the 15 operating theatres on-site.

Knox Private Hospital has over 30 years’ experience in cardiac care and treat approximately 200 patients a month. Knox Private Hospital has had one of the fastest door to balloon times in the state and consistently performs very well in this area to achieve the best possible patient outcomes. Reducing the Door to balloon time (the time from when a patient arrives at the hospital to the time in which they have been treated by an Interventional Cardiologist) significantly reducing the risk of increased heart damage.

Heart disease often involves more than one medical condition and requires a team of medical specialist who to manage and treat the disease on a whole. Knox Private has one of the largest teams of  team visiting echo-cardiologists, interventional cardiologists, electrophysiologists and cardiothoracic surgeons, in Eastern Victoria who work together to provide seamless patient care.

Our cardiology service is staffed around the clock with medical support and nursing teams throughout our dedicated cardiology and cardiothoracic patient wards, coronary care unit and intensive care unit.  Cardiac rehabilitation programs are delivered at The Victorian Rehabilitation Centre, who are part of the broader Healthscope network. 
 

Located onsite at Knox Private Hospital, we are able to streamline the care of private patients within the hospital and if necessary, our Cardiologists can facilitate follow up care of uninsured patients with local public hospitals.

We have 4 state of the art GE 4D ultrasound machines for use in transthoracic echocardiography, stress echocardiography and transoesophageal echocardiography, complete with a 4D TOE probe. We operate our own high quality Holter monitoring service utilizing small, lightweight Mortara monitors.

Stress echocardiography is a non-invasive test used primarily to screen for ischaemic heart disease. Unlike thallium scanning, stress echocardiography requires no radiation. The stress echocardiogram is performed by a cardiologist and experienced cardiac sonographer with results faxed to the referring doctor shortly after completion of the test. A stress echo compares the function of the left ventricle at rest to the performance immediately after peak exercise, identifying areas that may be affected by impaired coronary perfusion. The stress echocardiogram is limited to assessing left ventricular function. In some cases, the patient may need an echocardiogram in addition to the stress echo to comprehensively assess for structural abnormalities. In the instance where a patient has a positive result for stress echo, we will work with the referring doctor to expedite transition to angiography in either Knox private or public hospital.

Echocardiography is used to assess the structure and function of the heart using non-invasive, harmless ultrasound. It is a comprehensive assessment of the heart and great vessels. The echocardiogram includes examination of valves, chamber quantification, and interrogation of blood flow and assessment of systolic and diastolic function. Common indications included murmur for investigation, surveillance of known valvular disease, assessment of cardiomyopathy, quantification post myocardial infarction, assessment for cardiac source of embolism in stroke and TIA patients, screening for genetic conditions (Marfans syndrome, Hypertrophic cardiomyopathy), investigation of palpitations and assessment in atypical chest pain. Results are faxed to the referring doctor within 24-48 hours of the test being performed. If a significant pathology is identified, the sonographer will liaise with the referring doctor and Cardiologist to ensure prompt treatment can be provided.

We pride ourselves in offering full one hour appointments to ensure a full comprehensive study can be performed every time.

Holter monitoring is used to assess the patient’s ECG over a period of up to 24 hours. The tiny monitor is fitted which the patient returns 24 hours later for analysis by our experienced cardiac technologists.

A Cardiologist reviews the data and provides a written report to the referring doctor. In the case of significant arrhythmia, we will liaise with the referring doctor immediately to establish a plan of evaluation by a Cardiologist and hospital admission if required. Holter monitoring is frequently used to assess palpitations, syncope/pre-syncope, suspected arrhythmias and atrial fibrillation quantification. Please allow 15 minutes to have the Holter monitor fitted. Holter monitor to be returned 24 hours after the initial appointment.


Fees

Outpatient tests are BULK BILLED for pensioners and healthcare card holders.

We are able to accommodate patients at short notice if required by the referring doctor.


Referral

Download an electronic version of our referral form.

Should you require any further information about our services, or to book appointments, please call us on

9210 7060 Monday to Friday 8.00am to 5.00pm.


Diagnostic Imaging

Health Care Imaging, at Knox Private Hospital offer:

  • Coronary Calcium Scoring / IVP
  • Low dose CT Angiography & Cardiac CT
  • Doppler
  • Nuclear Medicine
  • Peripheral Vascular Ultrasound

Click here for more information

Cardioversion (DRC) is a day procedure performed to convert an abnormal heart rhythm (atrial fibrillation) to normal heart rhythm (sinus rhythm).

Coronary angiography is a minimally invasive x-ray procedure performed in the cardiac catheterisation laboratory using x-ray dye or contrast injected into the coronary arteries, and can identify narrowed or blocked coronary arteries and abnormalities of the heart muscle and heart valves.

Coronary angioplasty, also known as percutaneous coronary intervention (PCI), is a minimally invasive procedure performed in the cardiac catheterisation laboratory to open closed or narrowed coronary arteries supplying the heart muscle, using a balloon procedure and stent implantation to restore blood flow.

Heart valve implantation is performed for high risk, elderly patients with severe aortic stenosis (narrowing of the heart’s aortic valve), whereby a new aortic valve is implanted in the same location as the diseased valve, avoiding the need for conventional open heart surgery.

Implantable cardioverter defibrillator (ICD) is a small electronic device that is inserted under the skin in the upper chest/shoulder area with special wires passed through a vein into the heart chambers. It senses dangerously abnormal heart rhythms and delivers pacing or a small shock to restore normal heart rhythm when required.

Percutaneous transluminal septal myocardial ablation (PTSMA) is a minimally invasive procedure performed in the cardiac catheterisation laboratory to reduce the overgrowth of heart muscle associated with hypertrophic obstructive cardiomyopathy.

Transoesophageal echocardiogram (TOE) is a semi-invasive ultrasound imaging of the heart under light sedation via a transducer placed in the oesophagus which enables closer and much clearer views of the heart muscle, heart valves and the sac around the heart.

Balloon valvuloplasty procedure is performed minimally invasively in the cardiac catheterisation laboratory to open narrowed or stenosed heart valves including the aortic valve (aortic valvuloplasty) and the mitral valve (mitral valvuloplasty).

  • A pacemaker (PPM) is a small electronic device that is inserted under the skin in the upper chest/shoulder area with connecting wires passed through a vein to the heart. The pacemaker senses if the heart rhythm is abnormally slow allowing stimulation of heart activity when required.
  • Implantation of pacemakers and implantable cardioverter defibrillators (ICD), including biventricular pacing devices for the treatment of advanced heart failure
  • Trans-telephonic monitoring
  • Laser-assisted lead extraction of chronic infected or non-functional devices
  • Catheter-based ablation for complex supraventricular and ventricular tachyarrhythmias, using state-of-the-art mapping systems, intracardiac echocardiography, and pulsed fluoroscopy, all of which limit radiation exposure.
  • Coronary bypass surgery (CAGs), including total arterial grafting (coronary artery bypass graft - CABG) and off-pump surgery
  • Cardiac valve repair & replacement
  • Reconstruction/ replacement of the thoracic aorta, including the arch
  • Radio frequency ablation for life-threatening arrhythmias
  • Correction of congenital cardiac abnormalities in adults

Cardiac rehabilitation programs are offered at The Victorian Rehabilitation Centre (VRC)

The program is designed to educate, recondition and improve functional confidence with increased endurance for patients following cardiac pathology or surgery.

VRC inpatient (Phase I) and outpatient (Phase II) comprehensive rehabilitation services.

The cardiac rehabilitation team, comprising of Rehabilitation Physicians, specialised nursing staff and allied health professionals, develop a tailored cardiac management plan tailored to your needs.

The goals of cardiac rehabilitation include:

  • Maximising physical, psychological, and social recovery
  • Minimising the progression of coronary artery disease
  • Reducing risk factors and adopting a healthier lifestyle
  • Successful return to work, home and recreational activities

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