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Monday 09:00 - 17:00 Tuesday 09:00 - 17:00 Wednesday 09:00 - 17:00 Thursday 09:00 - 17:00 Friday 09:00 - 17:00 Saturday 09:00 - 13:00

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Sunny-Side-Up Pediatric Sports Cardiology

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Malaysia
Kuala Lumpur
Sunny-Side-Up Pediatric Sports Cardiology

Facilitate Pediatric Sports Cardiology & Clinical Cardiac Physiology Healthcare services. Develop clinical management of Pediatric Congenital Heart Disease.

Provide Clinical Athletic Healthcare services for young athletes with congenital heart disease.

26/12/2023

Sports Cardiology:

Muscular fitness is vital as it significantly contributes to improved overall health via the mechanism of increasing fat-free mass (lean muscle mass), increased metabolic rate, healthy maintenaince of bone mass, improved cardiovascular fitness, increased insulin sensitivity / improved blood glucose and improved overall fitness for the performance of activities of the daily living (e.g., carrying groceries / schoolbags, stairs-climbing). Hence, muscular fitness is an important component of health-related fitness.

13/12/2023

Clinical Pediatric Sports Cardiology:
Congenital Heart Defects in Loeys-Dietz Syndrome

Loeys-Dietz Syndrome is a genectic connective tissue disorder with a wide spectrum of multisystem involvement. Loeys-Dietz Syndrome and other aortopathies (e.g., Marfan Syndrome) have overlapping clinical features. Loeys-Dietz Syndrome is characterized by rapidly progressive aortic enlargement and weakened blood vessels. Hence, children with Loeys-Dietz Syndrome are susceptible to aortic dissection and aneurysms throughout the arterial tree. Children with Loeys-Dietz Syndrome also have cranosynostosis, cleft palate, clubfoot, pes planus (flat foot), scoliosis, cervical spine instability, pectus anomalies, joint hypermobility, and gastrointestinal distress.

Physical exercise activities are important for children with Loeys-Dietz Syndrome. Most parents of children born with Congenital Heart Defects (CHDs) and co-morbidities (e.g., Loeys-Dietz Syndrome, Down Syndrome) are against sports and exercise because of over-protectiveness. Abundance of clinical scientific evidence-based researches demonstrated the importance of physical exercise for improved overall health improvement, heart-lung functions, and fitness. It is vital for children with Loeys-Dietz Syndrome to engage in medically supervised medical fitness program with individualized exercise prescription. Another benefit of organized medically supervised medical fitness program is its favorable benefit to minimize physical inactivity that increases the risks of acquiring coronary heart disease and diabetes.

02/02/2023

Medical Exercise Physiology and Down Syndrome:

Medically supervised clinical exercise physiological intervention is important for children with Down Syndrome. Medically supervised clinical exercise physiological intervention is safe and effective in the health improvement and rehabilitation of physically limitations associated with Down Syndrome, particularly congenital heart defects (CHDs) and musculoskeletal anomalies. Most often, children with Down Syndrome have lower overall fitness. Congenital heart defects (CHDs) and musculoskeletal anomalies are not the only barriers to physical exercise in children with Down Syndrome. Other medical conditions, such as gastrointestinal condition, overweight / obesity, diabetes, and osteoporosis are also common barriers to physical exercise in children with Down Syndrome. A safe & comprehensive medically supervised clinical exercise physiological intervention, which includes individualized scientific evidence-based medical exercise prescription emphasizing on cardiovascular and respiratory medical fitness, as well as bone health and muscle strengthening, and postural stability. The effect of postural stability intervention significantly improves functional capabilities and prevents risk of injuries and falls in children with Down Syndrome.

01/02/2023

Pediatric Sports Cardiology:
Congenital Heart Defects - Coarctation of the Aorta

There is over 40 types of Congenital Heart Defects (CHDs). Most children born with a CHD called Coarctation of the Aorta (CoA), have coarctation repair or balloon angioplasty performed during childhood. Chest X-ray, ECG, Exercise Cardiac Stress Test, & Echocardiography are important to evaluate the function of left ventricular and the anatomy of the aorta for medical clearance for sports participation.
Three (3) months after surgical of balloon angioplasty, the Heart Kids with normal peak systolic blood pressure during rest and exercise can participate in sports. However, during the 1st post-operative year, it is recommended that the Heart Kids with CoA to avoid high intensity static and contact sports (classes IIIA, IIIB, & IIIC), such as Gymnastics, Body Building, Wrestling, Boxing, Cycling, Decathlon, Triathlon, Speed Skating. It is highly recommended for Heart Kids with CoA repair to participate in clinically supervised medical fitness program to monitor exercise hypertension experiences and long-term cardiovascular risks.

20/09/2022

Clinical Sports Cardiology and Special Olympics for children with Congenital Heart Defects and Down Syndrome

Up to 50% of children born with Down Syndrome are also born with Congenital Heart Defects (CHDs). Children and adolescents, even adults with Down Syndrome have a wide range of physical health conditions and delayed motor development. Special Olympics integrated with Sports Cardiology health program is vital for individuals with Congenital Heart Defects (CHDs) in Down Syndrome. Integrated inclusive medical fitness program must be developed and facilitated with individualized scientific evidence-based exercise prescription, emphasizing on motor skill development, in addition to, considerations of the presence of CHDs and orthopedic conditions. Special Olympics integrated with Sports Cardiology programs provide opportunities for individuals with CHDs in Down Syndrome to regularly participate in physical exercise and become physically fit. Regular participation of medical fitness programs, such as Sports Cardiology and Special Olympics, is associated with reduced all-cause morbidity and mortality and hospitalizations.

13/09/2022

Pediatric Sports Cardiology:

There is over 40 types of Congenital Heart Defects (CHD). Most children born with a CHD called Coarctation of the Aorta (CoA), have coarctation repair or balloon angioplasty performed during childhood. Chest X-ray, ECG, Exercise Stress Test, & Echocardiography are important to evaluate the function of left ventricular and the anatomy of the aorta for medical clearance for sports participation.
Three (3) months after surgical or balloon angioplasty, the Heart Kids with normal peak systolic blood pressure during rest and exercise can participate in sports. However, during the 1st post-operative year, it is recommended that the Heart Kids with CoA to avoid high intensity static and contact sports (classes IIIA, IIIB, & IIIC), such as Gymnastics, Body Building, Wrestling, Boxing, Cycling, Decathlon, Triathlon, Speed-skating. It is highly recommended for Heart Kids with Coarctation of the Aorta repair to participate in medical fitness program to monitor exercise hypertension experiences and long-term cardiovascular risks.

13/09/2022

International Congenital Heart Defect Awareness Month 2022:

Congenital Heart Defect (CHD) is abnormal structure of the heart present at birth. There is over 40 types of known CHDs. Some CHDs may not require much treatment other than periodic visits to the Pediatric Cardiologist. Others can be treated with medications or surgical procedures. CHDs, even though repaired are not cured.

07/09/2022

Clinical Pediatric Sports Cardiology:

Atrial Septal Defect (ASD) is one type of Congenital Heart Defect (CHD), characterized by a hole in the upper chambers of the heart. Echocardiography & ECG are required for evaluation. Young heart kids with small or large ASD with normal right heart volume can participate in all sports. Those with mild Pulmonary Hypertension can still participate in Class 1A low intensity competitive sports.

06/09/2022

Clinical Pediatric Sports Cardiology:

There is over 40 types of Congenital Heart Defects (CHD). Transposition of the Great Arteries (TGA) is one of the CHDs. Heart kids born with TGA and have undergone Mustard or Senning surgeries can have significant hemodynamic abnormalities. Sports Pre-participation Cardiac Evaluation includes physical examination, chest radiography, echocardiography, electrocardiography, and exercise stress testing. If there is mild or no cardiac chamber enlargement and syncope (fainting), as well as no history of Cardiac Arrhythmias, particularly Atrial Flutters, Supraventricular Tachycardia, & Ventricular Tachycardia, TGA heart kids can participate in low to moderate static and low dynamic competitive sports (Class IA & IIA), such as cricket, golf, diving, and equestrian

03/09/2022

Clinical Sports Cardiology:
Special Olympics Artistic Gymnastics for Pediatric Patient with Down Syndrome

For pediatric patient population with Down Syndrome, Special Olympics Artistic Gymnastics provides opportunity and hope to have positive physical health and psycho-social wellness. Children with Down Syndrome have co-morbidities (simultaneous presence of chronic diseases). Up to 50% of those born with Down Syndrome are also born with Congenital Heart Defects. These special heart kids also have other medical conditions, including orthopedic (muscles, bones, ligaments, joints) gastrointestinal, thyroid, visual, as well as ear, nose, & throat disorders. Scientific evidence-based clinical researches have demonstrated that Special Olympics Artistic Gymnastics is specifically effective for motor development and overall health of these special kids. The inclusive health programming must be scientifically evidence-based, as well as must taken into considerations of the individual's health and fitness status and evidence-based individualized exercise prescriptions. Then the children with Down Syndrome will receive the health impact of Special Olympics Artistic Gymnastics inclusive health program, which the health benefits carry through to adulthood.

01/09/2022

Clinical Sports Cardiology:
Special Olympics, Sports Cardiology, & Exercise-based Inclusive Health Programs for Children with Special Needs & Disabilities

Special Olympics, sports exercise cardiology, medical health fitness, and exercise-based therapeutic recreational programs are safe and effective inclusive health programs for clinical pediatric patients with disabilities. Adapted sports and exercise oriented inclusive health programs are paving into sports medicine healthcare settings. These sports / exercise inclusive health programs combined with individualized exercise prescriptions play vital role in impacting the overall health of pediatric patients with Congenital Heart Defects, Down Syndrome, Cerebral Palsy, and pediatric neuromuscular disorders. These inclusive health programs in clinical sports medicine healthcare setting is viable in facilitating reinforcement in physical fitness for activities of daily living (ADLs), as well as improvement in heart and lung health of special children. Children with special needs and disabilities who participated in Special Olympics, medical fitness, and exercise-based inclusive health programs are healthier than peers who have not participated.

25/08/2022

Clinical Pediatric Cardiac Physiology:
Clinical Pediatric Sports Cardiology

The ductus arteriosus is normal fetal connection between the aorta and the pulmonary artery. The ductus arteriosus closes shortly after birth. Patent Ductus Arteriosus (PDA) occurs when the opening between the two major blood vessels failed to close.
Heart kids with small PDA and normal left heart chamber can participate in all sports and exercise. However, heart kids with large PDA that causes enlargement of the left ventricle, should undergo either transcatheter closure or surgical closure of the PDA before any sports participation. Three months post-interventional closure of PDA, heart kids with no symptoms, as well as, absence of pulmonary hypertension or left ventricular enlargement can participate in sports.
Congenital heart defects (CHDs), even though repaired are not cured. Heart kids require lifelong care. Healthy lifestyle - regular exercise, healthful eating, and no smoking - are vital for future health. Reduced physical exercise significantly influences the future health. In this age of digitalization, which leads to increased sedentary (physically inactive) lifestyle negatively impact the health of heart kids, who are susceptible to acquired coronary heart disease, diabetes, and obesity, when successfully transitioned into adulthood. Clinical scientific evidence-based researches demonstrated that the social return on investments of health is greater in clinical patient population participants of medical fitness programs with individualized exercise prescription than general participation of sports and physical activity.

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Kuala Lumpur, Wilayah Persekutuan
Kuala Lumpur
50050

Opening Hours

Monday	09:00 - 17:00
Tuesday	09:00 - 17:00
Wednesday	09:00 - 17:00
Thursday	09:00 - 17:00
Friday	09:00 - 17:00
Saturday	09:00 - 13:00

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Sunny-Side-Up Pediatric Sports Cardiology

26/12/2023

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20/09/2022

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25/08/2022

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