Bapa anda kena attack pada usia 48. Tertaip dalam keluarga sebagai "kena heart attack waktu dia masih muda".
Sekarang anda 42. Setiap kali rasa tight di dada — anda fikir, "saya OK je, mungkin kelas yoga semalam berat". Tapi malam, anda terjaga tertanya: "Adakah aku akan jadi macam ayah?"
Risiko cardiac kanak-kanak dari ibu/bapa yang ada heart disease pada usia muda adalah 3-4 kali ganda berbanding populasi umum. Ini bukan kebimbangan paranoid — ia statistik klinikal sebenar.
Cardiac Screening An-Nur (RM499-RM1,359) direka khas untuk profil seperti anda. Bukan replacement untuk Wellness Screening tahunan — tapi additional layer untuk yang ada concern khusus jantung.
Your father had a heart attack at 48. Tagged in the family as "had heart attack while still young".
Now you\'re 42. Every time you feel chest tightness — you think, "I\'m fine, probably from yesterday\'s heavy yoga class". But at night, you wake up wondering: "Will I become like my father?"
Cardiac risk in children of parents who had heart disease at young age is 3-4 times higher than the general population. This isn\'t paranoid worry — it\'s real clinical statistics.
An-Nur Cardiac Screening (RM499-RM1,359) is designed specifically for profiles like yours. Not a replacement for annual Wellness Screening — but an additional layer for those with specific cardiac concerns.
3 Tier Cardiac Screening An-Nur
3 An-Nur Cardiac Screening Tiers
| Tier Tier | Kandungan Klinikal Clinical Contents | Untuk Siapa For Whom |
|---|---|---|
| Preferred RM499Preferred RM499 | Lipid Profile lengkap, ECG rest, Echocardiogram, Konsultasi KardiologiFull Lipid Profile, Rest ECG, Echocardiogram, Cardiology Consult | Profil moderate-risk, >35 thn, family historyModerate-risk profile, >35, family history |
| Comprehensive RM1,029Comprehensive RM1,029 | + Stress ECG (exercise treadmill), Cardiac biomarkers (Troponin), Carotid Doppler+ Stress ECG (exercise treadmill), Cardiac biomarkers (Troponin), Carotid Doppler | High-risk: diabetes + hypertension + family historyHigh-risk: diabetes + hypertension + family history |
| Premium RM1,359Premium RM1,359 | + Calcium Score (CT scan), Coronary Angiogram (if indicated), Holter monitoring 24-jam+ Calcium Score (CT scan), Coronary Angiogram (if indicated), 24-hour Holter monitoring | Very high-risk: simptom + ujian biasa positiveVery high-risk: symptoms + initial tests positive |
3 Tier Cardiac Screening An-Nur
3 An-Nur Cardiac Screening Tiers
Pilih ikut profil risiko + simptom
Pick by risk profile + symptoms
Preferred RM499
Preferred RM499
Lipid + ECG + Echo + Kardiologi consult. Moderate-risk.
Lipid + ECG + Echo + Cardiology consult. Moderate-risk.
Comprehensive RM1,029
Comprehensive RM1,029
+ Stress ECG + Troponin + Carotid Doppler. High-risk.
+ Stress ECG + Troponin + Carotid Doppler. High-risk.
Premium RM1,359
Premium RM1,359
+ Calcium Score CT + Holter 24h. Very high-risk.
+ Calcium Score CT + 24h Holter. Very high-risk.
7 Faktor Risiko Cardiac — Tick Mana Yang Anda Ada
7 Cardiac Risk Factors — Tick Which You Have
- 1. Family history heart attack <55 tahun — Risiko anda 3-4× tinggi.
- 2. Diabetes (terutama tak terkawal) — Diabetes mempercepat atherosclerosis. Risiko jantung 2-4× tinggi.
- 3. Tekanan darah tinggi >140/90 — Risiko stroke + serangan jantung 2× tinggi.
- 4. Kolesterol tinggi (LDL >160 mg/dL) — Plak terbina dalam arteri. Risk multiplied.
- 5. Smoker / ex-smoker (< 10 tahun bersih) — Damage permanent pada endothelium arteri.
- 6. Obesiti (BMI >30) — Inflammation chronic + diabetes T2.
- 7. Hidup sedentary (<30 min exercise/minggu) — Heart muscle weakening.
Score:
- 0-1 risk factor → Wellness Screening sahaja sudah cukup
- 2-3 risk factors → Tambah Cardiac Preferred RM499
- 4+ risk factors → Cardiac Comprehensive RM1,029 atau Premium RM1,359
1. Family history heart attack <55 years — Your risk 3-4× higher.
2. Diabetes (especially uncontrolled) — Diabetes accelerates atherosclerosis. Cardiac risk 2-4× higher.
3. High blood pressure >140/90 — Stroke + heart attack risk 2× higher.
4. High cholesterol (LDL >160 mg/dL) — Plaque builds in arteries. Risk multiplied.
5. Smoker / ex-smoker (< 10 years clean) — Permanent damage to arterial endothelium.
6. Obesity (BMI >30) — Chronic inflammation + T2 diabetes.
7. Sedentary life (<30 min exercise/week) — Heart muscle weakening.
Score:
- 0-1 risk factor → Wellness Screening alone is enough
- 2-3 risk factors → Add Cardiac Preferred RM499
- 4+ risk factors → Cardiac Comprehensive RM1,029 or Premium RM1,359
7 Cardiac Risk Factors — Score Anda?
7 Cardiac Risk Factors — Your Score?
Self-check: tick mana yang anda ada → tentukan tier yang sesuai
Self-check: tick what you have → determine right tier
Family HX heart attack <55
Family HX heart attack <55
Risiko 3-4× tinggi
3-4× higher risk
Diabetes
Diabetes
2-4× cardiac risk
2-4× cardiac risk
BP >140/90
BP >140/90
2× stroke/heart
2× stroke/heart
LDL >160 mg/dL
LDL >160 mg/dL
Plak terbina dalam arteri
Arterial plaque builds
Smoker / Ex-smoker
Smoker / Ex-smoker
Endothelium damage
Endothelium damage
BMI >30
BMI >30
Chronic inflammation
Chronic inflammation
Sedentary <30min/wk
Sedentary <30min/wk
Heart muscle weakens
Heart muscle weakens
Score Anda?
Your Score?
Klik untuk pilih tier
Apa Berlaku Semasa Cardiac Screening Day?
What Happens on Cardiac Screening Day?
Anda boleh expect (Preferred + Comprehensive):
- Konsultasi Pakar Kardiologi (30 minit) — Sejarah keluarga, simptom semasa, pemeriksaan fizikal
- Ujian Darah (15 minit) — Lipid Profile, HbA1c, Troponin, FBC
- ECG Rest (10 minit) — Rakaman irama jantung baseline
- Echocardiogram (20 minit) — Ultrasound jantung — lihat struktur dan fungsi
- Stress ECG (Comprehensive) (30 minit) — Berjalan di treadmill, monitor heart response
- Carotid Doppler (Comprehensive) (15 minit) — Ultrasound saluran arteri leher
- Total tempoh: Preferred 1.5-2 jam · Comprehensive 2-3 jam · Premium 4-5 jam
What to expect (Preferred + Comprehensive):
- Cardiology Specialist Consultation (30 min) — Family history, current symptoms, physical exam
- Blood Tests (15 min) — Lipid Profile, HbA1c, Troponin, FBC
- Rest ECG (10 min) — Baseline heart rhythm recording
- Echocardiogram (20 min) — Heart ultrasound — see structure and function
- Stress ECG (Comprehensive) (30 min) — Walk on treadmill, monitor heart response
- Carotid Doppler (Comprehensive) (15 min) — Neck artery ultrasound
- Total duration: Preferred 1.5-2 hrs · Comprehensive 2-3 hrs · Premium 4-5 hrs
Apa Berlaku Semasa Cardiac Screening?
What Happens During Cardiac Screening?
Step-by-step pengalaman pesakit di An-Nur
Step-by-step patient experience at An-Nur
Konsultasi Pakar Kardiologi (30 min)
Cardiology Specialist Consult (30 min)
Sejarah keluarga, simptom semasa, pemeriksaan fizikal
Family history, current symptoms, physical exam
Ujian Darah (15 min)
Blood Tests (15 min)
Lipid Profile, HbA1c, Troponin, FBC
Lipid Profile, HbA1c, Troponin, FBC
ECG Rest + Echocardiogram (30 min)
Rest ECG + Echocardiogram (30 min)
Rakaman irama + ultrasound jantung untuk struktur dan fungsi
Rhythm recording + heart ultrasound for structure and function
Stress ECG (Comprehensive+, 30 min)
Stress ECG (Comprehensive+, 30 min)
Berjalan treadmill, monitor heart response — kesan ischemia
Walk treadmill, monitor heart response — detect ischemia
Carotid Doppler (Comprehensive+, 15 min)
Carotid Doppler (Comprehensive+, 15 min)
Ultrasound arteri leher — kesan plak yang boleh sebabkan stroke
Neck artery ultrasound — detect plaque that can cause stroke
💡 Insight Klinikal — Bila Cardiac Tidak Diperlukan
💡 Clinical Insight — When Cardiac Is Not Needed
Cardiac Screening adalah specialised tool — bukan untuk semua orang. Kalau anda:
- <35 tahun, tiada family history, aktif fizikal
- Tiada simptom (sakit dada, sesak nafas, palpitasi)
- Blood pressure + kolesterol dalam julat normal
→ Wellness Screening biasa dah cukup. Cardiac Screening akan over-treat dan tidak cost-effective. Pakar An-Nur akan terus terang dengan anda kalau Cardiac tidak perlu — supaya budget anda lebih bermanfaat di tempat lain.
Cardiac Screening is a specialised tool — not for everyone. If you:
- <35 yo, no family history, physically active
- No symptoms (chest pain, breathlessness, palpitations)
- Blood pressure + cholesterol in normal range
→ Regular Wellness Screening is enough. Cardiac Screening would over-treat and isn\'t cost-effective. An-Nur specialists will be straight with you if Cardiac isn\'t needed — so your budget can be more beneficial elsewhere.
Soalan Lazim (FAQ)
FAQ
1. Cardiac Screening menggantikan Wellness Screening?
Tidak. Cardiac adalah additional layer untuk jantung — bukan replacement. Wellness covers kanser, diabetes, tiroid, lung, dll. Cardiac focused pada jantung sahaja. Untuk profil high-risk: combine both.
2. Stress ECG sakit / berbahaya?
Tidak sakit — cuma sedikit penat (macam jogging 15-20 min). Berbahaya hanya kalau ada underlying heart disease serius — itu sebab kami monitor 100% selama ujian. Kemudahan emergency cardiologist on-site.
3. Calcium Score CT — risiko radiasi?
Modern CT calcium score guna low-dose radiation — kurang dari 1 mSv (mammogram = 0.4 mSv, X-ray dada = 0.1 mSv). Risiko teramat minimal vs manfaat early detection.
4. Saya pernah heart attack. Vaksin denggi atau Cardiac Screening dulu?
Kedua-dua penting tapi prioritise Cardiac follow-up dulu. Heart attack survivor wajib Cardiac Comprehensive RM1,029 setiap 6-12 bulan. Vaksin denggi tinggi priority TAPI tidak urgent.
5. Kos Cardiac di An-Nur vs IJN / cardiac centres lain?
RM499-RM1,359 di An-Nur adalah 30-50% lebih jimat dari pusat cardiology specialist (RM800-2,500). Quality tests + Pakar Kardiologi sama — tapi struktur kos lebih ringan. Pesakit complex case yang require intervention akan dirujuk ke center yang sesuai.
1. Does Cardiac Screening replace Wellness Screening?
No. Cardiac is an additional heart layer — not replacement. Wellness covers cancer, diabetes, thyroid, lung, etc. Cardiac focused on heart only. For high-risk profile: combine both.
2. Is Stress ECG painful / dangerous?
Not painful — just slightly tiring (like 15-20 min jogging). Dangerous only if there\'s serious underlying heart disease — that\'s why we monitor 100% during the test. On-site cardiologist emergency response available.
3. Calcium Score CT — radiation risk?
Modern CT calcium score uses low-dose radiation — less than 1 mSv (mammogram = 0.4 mSv, chest X-ray = 0.1 mSv). Extremely minimal risk vs early detection benefit.
4. I\'ve had a heart attack. Dengue vaccine or Cardiac Screening first?
Both important but prioritise Cardiac follow-up first. Heart attack survivors must do Cardiac Comprehensive RM1,029 every 6-12 months. Dengue vaccine high priority BUT not urgent.
5. Cardiac cost at An-Nur vs IJN / other cardiac centres?
RM499-RM1,359 at An-Nur is 30-50% cheaper than specialist cardiology centres (RM800-2,500). Quality tests + Cardiology Specialist same — but cost structure lighter. Complex cases requiring intervention will be referred to appropriate centres.
📚 Sumber Klinikal / Rujukan
📚 Clinical Sources / References
- American Heart Association — Cardiac Screening Guidelines
- European Society of Cardiology
- National Heart, Lung, and Blood Institute (NIH)
- Institut Jantung Negara (IJN) Malaysia
- MyHEALTH Portal Malaysia (KKM)
- Internal: Cardiac Screening — All Tiers RM499-RM1,359
- Internal: Kos Rawatan Jantung An-Nur
- Internal: Jantung Berdebar — Tanda Aritmia
- Internal: Panduan Lengkap 18 Pakej An-Nur