Heart Health Awareness
Controlling risk factors for heart disease is crucial for longevity.
Also following successful treatment of heart disease with surgery it is essential to closely monitor and control risk factors to prevent recurrance.
The main risk factors to look out for are.....
High Blood Pressure
Smoking
Cholesterol (especially LDL and surrogates like Lp(a) and ApoB
Diabetes
Weight and lack of exercise
Sleep and good breathing patterns
How often should I check my blood pressure?...
Patients with diagnosed hypertension should check their blood pressure monthly
Patients with elevated blood pressure (over 120/70) who meet criteria for treatment should monitor their blood pressure monthly
Patients with elevated blood pressure but who do not require treatment should monitor their blood pressure at least yearly
Patients over 40 years old with normal blood pressure 120/70 or lower) should monitor it yearly.
Patients under 40 with normal blood pressure should monitor it every 3 years.
Full guidelines here:
Hypertension & High Blood Pressure


Aortic Surgery




Aortic Aneurysms and dissections are serious lifethreatening conditions which often require long and complex heart operations to repair.
These conditions are highly varied and the operations to repair them are constantly advancing.
Thanks to our proctor Mr John Yap we have launched the service of aortic surgery in Malta including Bentall aortic root replacement surgery and Hemi-arch replacement with selective antegrade cerebral protection.
The first cases were operated in Malta in November 2025 by David Sladden under the supervision and mentorship of Mr John Yap from St Bartholomew's Hospital, London.
Cardiac Oncology
Chemotherapy and immunotherapy can be harmful to the heart in some cases.
There are clear European guidelines on these....
https://academic.oup.com/eurheartj/article/43/41/4229/6673995?login=false


How often should we perform an ECG and Echocardiogram in patients receiving Chemotherapy or Immunotherpay...?
Dr David Sladden
Consultant Heart and Lung Surgeon
Mater Dei Hospital, St James Hospital, St Thomas Hospital
