The National University Heart Centre, Singapore (NUHCS) has become the first tertiary centre in Singapore to implement Photon-Counting Computed Tomography (PCCT) technology for a high workload of complex cardiac cases, aiming to enhance cardiac care for high-risk patients. This innovative imaging method is set to transform diagnostics for complex cardiac cases, particularly benefiting older adults and individuals with renal conditions.
As Singapore faces an ageing population, with projections indicating nearly one in four citizens will be 65 or older by 2030, the demand for safer cardiac diagnostics is increasing. Cardiovascular disease already accounts for nearly one in three deaths in the country. The introduction of PCCT at NUHCS and the National University Hospital (NUH) addresses this need by offering a less invasive alternative to traditional coronary angiograms.
Associate Professor James Yip, Executive Director and Senior Consultant at NUHCS, highlighted the significance of this advancement: “With Singapore’s ageing population, we are seeing more patients with complex cardiac conditions who may not tolerate invasive coronary angiogram well.” The PCCT technology allows for detailed imaging of coronary arteries in a single scan, reducing the need for invasive procedures and minimising the use of contrast media, crucial for patients with kidney issues.
A 90-year-old patient with severe aortic stenosis was the first to benefit from this technology, undergoing a Transcatheter Aortic Valve Implantation (TAVI) without the need for an invasive angiogram. The procedure was successful, with the patient discharged after two days and showing stable kidney function.
This development marks a significant step towards more patient-centred cardiac care, reducing procedural risks and improving diagnostic accuracy. As Singapore’s healthcare system evolves to meet the needs of an ageing society, such innovations promise a safer and more efficient care experience for a broader range of patients.
