Heart Rhythm Care

Specialized evaluation and management of cardiac rhythm disorders

Irregular heartbeats, skipped beats, or sudden episodes of rapid heart rhythm can be concerning.

A structured and precise assessment is essential to identify the underlying cause and guide appropriate management.

When to Seek Evaluation

You may benefit from assessment if you experience:

• Palpitations or awareness of heartbeats

• Irregular or “skipped” beats

• Sudden episodes of rapid heart rate

• Dizziness or lightheadedness

• Near-fainting or fainting (syncope)

• Unexplained fatigue or reduced exercise tolerance

If such symptoms are present, a structured clinical evaluation may be appropriate.

Clinical Scope

This service focuses on the evaluation and management of:

• Premature ventricular contractions (PVCs)

• Premature atrial contractions (PACs)

• Supraventricular tachycardia (SVT)

• Atrial fibrillation and atrial flutter

• Bradycardia and conduction disorders

• Syncope and unexplained dizziness

• Long-term rhythm monitoring and follow-up

Diagnostic Approach

Assessment is performed using a structured, evidence-based approach, which may include:

• Detailed clinical evaluation

• Electrocardiogram (ECG)

• Holter monitoring (24-hour or extended monitoring, up to one week)

• Echocardiography

• Exercise testing (when appropriate)

• Advanced imaging (in selected cases):

  • CT coronary angiography

  • Cardiac magnetic resonance imaging (CMR)

All findings are interpreted within the full clinical context to ensure accurate diagnosis and appropriate management planning.

Management Principles

Management is individualized and may include:

• Reassurance in benign conditions

• Lifestyle and trigger modification

• Pharmacological therapy when indicated

• Risk stratification for clinically significant arrhythmias

• Long-term follow-up and monitoring strategies

All decisions are aligned with internationally recognised cardiology guidelines and tailored to the patient’s clinical profile.

Clinical Philosophy

Care is delivered with emphasis on:

• Structured clinical reasoning

• Clear and transparent communication

• Evidence-based decision making

• Patient-centred approach

The goal is not only symptom control, but also ensuring clarity of diagnosis and long-term cardiovascular safety.

Professional Expertise

Dr Sallam is a Consultant Cardiologist and Cardiac Electrophysiologist with subspecialty expertise in cardiac rhythm disorders.

Clinical practice integrates advanced cardiovascular evaluation with focused experience in arrhythmia assessment and management.