Dr. Muhammad Faisal

Education & Qualifications

• Clinical Cardiac Electrophysiology Fellowship (FCPS) (2019) - National Institute of Cardiovascular Diseases, Karachi, Pakistan.
• Adult Cardiology Fellowship (FCPS) (2017) - National Institute of Cardiovascular Diseases, Karachi, Pakistan.
• Fellowship Internal Medicine (IMM) (2012) - Liaquat National Hospital Karachi, Pakistan.
• Bachelor Of Medicine and Surgery (MBBS) (2007) - Liaquat University of Medical and Health Sciences Jamshoro, Pakistan.

Clinical Competencies & Procedures

1.Arrhythmia Evaluation and Management

• Detailed history and physical examination.
• Review of medications, comorbidities, and prior cardiac interventions.
• Specialized assessment of palpitations, tachycardia (fast heart rate), bradycardia     (slow heart rate), dizziness, and syncope (fainting).
• Diagnosis and management of Cardiac Syncope. (Fainting or passing out).
• Diagnosis, management and advanced treatment for heart failure patients.
• ECG interpretation, Holter monitoring, and event monitoring.
• Diagnosis and management of Channelopathies (Long/Short QT Syndrome, Brugada     Syndrome, ARVC, CPVT).
• Diagnosis, management and risk stratification of Wolf Parkinson white syndrome (WPW).
• Risk assessment of Hypertrophic Cardiomyopathy (HCM).
• Risk stratification and evaluation for sudden cardiac death (SCD) in high-risk     individuals.
• Risk assessment of athletes before participating in competitive sports.
• Genetic counselling for inherited arrhythmia syndromes.
• Expert in counselling about risk factors provoking heart rhythm disorders     including Hypertension, Diabetes, Smoking , Obesity and Obstructive sleep     apnea syndrome (OSA).

Long-term management of

1. Atrial flutter.
2. Supraventricular Tachycardia {SVT-AVNRT, AVRT, Atrial tachycardias (AT)}

Ventricular Tachycardia (VT).

1. Idiopathic Ventricular Tachycardia / Ventricular Fibrillation. (Idiopathic VT / VF).

2.Device Clinics (CIED Management)

In-person monitoring of cardiacimplantable electronic devices (CIEDs), including:

• Permanent Pacemakers, (PPM)
• Implantable cardioverter-defibrillators (ICDs),
• Biventricular pacemakers (Cardiac resynchronization therapies – CRT-P, CRT-D),
• Implantable Loop Recorders. (ILR)

This includes:

• Interrogation and reprogramming of devices.
• Monitoring for lead malfunctions or battery depletion.
• Pre-operative device interrogation and mode change before and after procedures.

3. Performing Diagnostic Testing,interpreting and Reporting

• 12-lead ECG interpretation.
• Exercise Stress test to evaluate exercise induce arrhythmias, WPW syndrome, Chronotropic     incompetence, Syncope, Program rate adaptive pacemakers.
• Transthoracic Echocardiography.
• 24–48 hours, extended up to 7 days of Holter monitoring.
• Implantable Loop Recorders. (ILR)
• Head-up tilt table test (HUTT) for syncope.
• Cardiac Magnetic Resonance Imaging (CMR) for diagnosis of specific cardiac     conditions causing arrhythmia.

Pre- and post-procedure care:Pre-procedural planning and post-procedural follow-up for catheter ablation anddevice implantation.

4.Anticoagulation Management

Managing stroke preventionstrategies, especially for patients with atrial fibrillation, valvular heartdiseases, prosthetic heart valves.

5.Common Conditions Managed

• Atrial Fibrillation (AFib) & Atrial Flutter: Rhythm and rate control     strategies.
• Bradycardia/Heart Block: Pacing management.
• Ventricular  Ectopy and Tachycardia: Management of premature ventricular contractions     (PVCs)
• Inherited  Arrhythmia Syndromes: Long QT syndrome, Brugada syndrome, Arrhythmogenic Right     Ventricular Cardiomyopathy (ARVC), and other Channelopathies.