Cardiology at Huadong Hospital Shanghai | CMCS

Expert Heart Disease Care at One of Shanghai's Most Prestigious Academic Medical Centers

The Department of Cardiology at Huadong Hospital — affiliated with Fudan University — is one of Shanghai's most distinguished cardiology centers, with a national reputation for excellence in coronary artery disease, heart failure, structural heart disease, cardiac electrophysiology, and the management of complex cardiovascular conditions in older adults. As one of Shanghai's most prestigious hospitals with a long tradition of serving senior patients and high-profile individuals, Huadong Hospital's cardiology department offers particular expertise in the cardiovascular management of elderly patients with multiple comorbidities — a unique strength that sets it apart from other cardiology centers. China Medical Concierge Shanghai (CMCS) provides seamless end-to-end coordination for international patients throughout their cardiac care journey at Huadong Hospital.

About the Department

The cardiology department is a national key clinical specialty operating dedicated cardiac care wards, a coronary care unit (CCU), cardiac catheterization laboratories, an electrophysiology laboratory, an echocardiography laboratory, a heart failure clinic, a geriatric cardiology clinic, and works in close collaboration with geriatric medicine, cardiac surgery, clinical nutrition, and critical care through a fully integrated multidisciplinary Heart Team.

Conditions Treated

Coronary Artery Disease

• Stable CAD — Optimal medical therapy; FFR and iFR-guided PCI; drug-eluting stent implantation; CCTA for non-invasive assessment; CABG coordination for complex multivessel disease
• Acute Coronary Syndromes — Primary PCI for STEMI (24/7 capability); radial access PCI; DAPT optimization (ticagrelor, prasugrel); cangrelor; mechanical circulatory support for cardiogenic shock (Impella, VA-ECMO)
• Complex PCI — Left main PCI; bifurcation PCI; CTO PCI; calcified lesion PCI with rotational atherectomy and IVL; IVUS and OCT-guided PCI
• Post-ACS Management — Cardiac rehabilitation; PCSK9 inhibitors (evolocumab, alirocumab); inclisiran; icosapentaenoic acid (Vascepa)

Heart Failure

• HFrEF — Quadruple therapy: ARNI (sacubitril/valsartan) + beta-blocker + MRA + SGLT2 inhibitor; ivabradine; hydralazine + nitrates for intolerant patients
• HFpEF — SGLT2 inhibitors (empagliflozin, dapagliflozin); spironolactone; finerenone; blood pressure and rate control
• Advanced Heart Failure — Inotropic support; Impella; VA-ECMO; CRT; ICD; LVAD evaluation; cardiac transplantation evaluation
• Cardiac Amyloidosis — Tafamidis for ATTR-CM; acoramidis; eplontersen and patisiran for hereditary ATTR; PYP scan for ATTR diagnosis; daratumumab for AL amyloidosis
• Hypertrophic Cardiomyopathy — Beta-blockers; mavacamten; aficamten; alcohol septal ablation; surgical myectomy coordination; ICD for SCD prevention

Geriatric Cardiology

Huadong Hospital's geriatric cardiology program is one of China's most specialized, addressing the unique cardiovascular needs of older patients with multiple comorbidities:

• Cardiovascular Risk in Older Adults — Individualized risk-benefit assessment; polypharmacy review; frailty-adjusted treatment targets; coordination with geriatric medicine
• Heart Failure in Older Adults — HFpEF predominance in elderly; SGLT2 inhibitors; diuretic optimization; nutritional support coordination; rehabilitation
• Atrial Fibrillation in Older Adults — Rate vs. rhythm control; anticoagulation with DOACs (apixaban preferred for elderly); bleeding risk assessment (HAS-BLED); fall risk and anticoagulation; LAA closure for high bleeding risk
• Aortic Stenosis in Older Adults — TAVR for high and intermediate surgical risk elderly patients; frailty assessment before TAVR; shared decision-making
• Orthostatic Hypotension — Medication review; non-pharmacological measures; fludrocortisone; midodrine; coordination with geriatric medicine

Structural Heart Disease

• TAVR — For severe aortic stenosis; transfemoral approach; valve-in-valve TAVR; frailty-adjusted patient selection
• MitraClip / TEER — For primary and secondary mitral regurgitation; COAPT criteria for functional MR
• Left Atrial Appendage Closure (LAAC) — Watchman FLX and Amulet for AF patients with contraindication to anticoagulation; particularly relevant for elderly with high fall risk
• PFO Closure — For cryptogenic stroke; Amplatzer PFO Occluder
• Percutaneous Mitral Balloon Valvuloplasty (PMBV) — For rheumatic mitral stenosis

Cardiac Electrophysiology

• Atrial Fibrillation — Rate and rhythm control; pulmonary vein isolation (PVI) by radiofrequency and cryoablation; pulsed field ablation (PFA); cardioversion; antiarrhythmic drugs
• SVT Ablation — AVNRT; AVRT; WPW syndrome; atrial flutter CTI ablation
• Ventricular Tachycardia — Catheter ablation for scar-related and idiopathic VT; ICD programming optimization
• Pacemaker & Device Therapy — Permanent pacemaker; His bundle pacing; left bundle branch area pacing (LBBAP); leadless pacemaker (Micra); CRT-P and CRT-D; S-ICD
• Inherited Arrhythmias — Long QT syndrome; Brugada syndrome; CPVT; genetic testing and family screening

Hypertension

• Resistant Hypertension — Spironolactone; eplerenone; finerenone; renal denervation (Symplicity Spyral); amiloride; doxazosin
• Hypertension in Older Adults — Individualized BP targets; orthostatic hypotension avoidance; fall risk; frailty-adjusted treatment
• Secondary Hypertension — Renal artery stenosis; primary hyperaldosteronism; pheochromocytoma; sleep apnea; coordination with nephrology and endocrinology

Pulmonary Hypertension

• PAH — ERA + PDE5i + prostacyclin combination; sotatercept for PAH; riociguat for CTEPH
• CTEPH — Riociguat; balloon pulmonary angioplasty (BPA); pulmonary endarterectomy coordination

Cardiac Imaging

• Echocardiography — TTE and TEE; 3D echocardiography; stress echo; ICE for procedural guidance; strain imaging (GLS) for subclinical LV dysfunction
• Cardiac CT — CCTA; TAVR planning CT; calcium scoring; structural heart disease planning
• Cardiac MRI — Myocardial viability; cardiomyopathy characterization; cardiac amyloidosis; myocarditis; T1 mapping; ECV quantification
• Nuclear Cardiology — Myocardial perfusion imaging; PYP scan for ATTR amyloidosis; FDG-PET for cardiac sarcoidosis

Why International Patients Choose Huadong Hospital Cardiology

• Geriatric Cardiology Expertise — Unique integration with China's premier geriatric medicine department; frailty-adjusted cardiovascular care for older adults
• LAA Closure for Elderly AF — Watchman FLX and Amulet for elderly AF patients with high fall risk and anticoagulation contraindication
• Cardiac Amyloidosis Program — Tafamidis, acoramidis, and eplontersen for ATTR-CM; PYP scan diagnosis; particularly relevant for elderly patients
• Mavacamten for HCM — Cardiac myosin inhibitor for obstructive HCM
• Pulsed Field Ablation (PFA) — Latest-generation AF ablation technology
• Cost-Effectiveness — World-class cardiac care at significantly lower cost than equivalent treatment in Western countries

The CMCS Patient Journey

1. Initial Inquiry — Share your cardiac diagnosis, ECG, echocardiography reports, cardiac catheterization data, and current medications with CMCS.
2. Medical Record Preparation — We translate and organize your records for specialist pre-consultation review.
3. Specialist Matching — We identify the most appropriate cardiologist based on your condition — interventional cardiology, structural heart disease, heart failure, electrophysiology, or geriatric cardiology.
4. MDT Submission — Where appropriate, we facilitate pre-arrival case review by Huadong's cardiac Heart Team.
5. Priority Scheduling — We secure a consultation with minimal waiting time.
6. Travel & Logistics — Assistance with visa invitation letters, accommodation near Huadong Hospital, and Shanghai airport transfers.
7. Procedural Coordination — Full coordination of cardiac catheterization, TAVR, ablation, or device implantation procedures.
8. Post-Procedure Follow-Up — Procedure report translation, medication guidance, and remote follow-up coordination after you return home.

Book a Consultation

If you have coronary artery disease, heart failure, structural heart disease, an arrhythmia, or a complex cardiovascular condition — particularly if you are an older adult with multiple comorbidities — CMCS can arrange a specialist consultation with Huadong Hospital's cardiology team in Shanghai.

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