Shinzō VetCardio, 27-2, Jalan PJU 5/4, Dataran Sunway, Petaling Jaya (2026)

22/09/2026

🐾 A Rare Gathering of Veterinary Specialists — All in One Forum! 🐾

Join us for a special forum dedicated to senior pet care, where specialists from different fields come together to share their expertise and answer the questions that matter most to pet owners.

From internal medicine, cardiology, anesthesiology, ophthalmology to oncology, this is a rare opportunity to hear directly from multiple specialists in one place and gain valuable insights into caring for your ageing pets.

💬 Pet owners are invited to bring your questions!

❤️ Special Pet Owner Sharing — 9:25 AM
We are also honored to have two pet owners share their personal experiences in managing care for their dogs with advanced heart disease — including their journey, challenges and what they have learned along the way.

🎤 Forum with Veterinary Specialists — 9:45 AM

This special event is held in conjunction with the Opening Ceremony of Shinzo Veterinary Clinic.

📅 18 October 2026 (Sunday)
⏰ 9:25 AM — Pet Owner Sharing
⏰ 9:45 AM — Specialist Forum
📍 Shinzo Veterinary Clinic, B-2-7, Sunway Nexis

Seats for limited.
Registration is required at
https://forms.gle/M2b3vVcXVJuf7gPd7

20/09/2026

When was the last time you went “fishing” for a heartworm?

Today was supposed to be my day off. But yesterday, a dog was referred to us for possible intervention. The situation was serious as heartworms had made their way into the right atrium, while severely increased pulmonary pressure had already led to right-sided heart failure.

The dog had been stabilised at an emergency centre, but there was still a problem that needed to be dealt with.

I immediately reached out to my teammates, and thank God, they were available and willing to come in to help.

This morning, we gathered for a mission: go fishing to retrieve the heartworm from the right atrium.

One hour later… mission accomplished.

The procedure went smoothly, and the heartworm was successfully removed.

Sometimes, you plan for a quiet day off, and suddenly you find yourself standing in a procedure room, surrounded by your team, dealing with a life-threatening case.

But these are the moments that remind me why teamwork matters so much. Huge thanks to my amazing teammates for answering the call when I needed them. 🙏🏻

15/09/2026

This is my first time giving a non-cardiology-related talk to my fellow colleagues at the Malaysian Veterinary Medical Association (MAVMA).

It’s a sharing session titled “The Defamation Without a Face.”

Honestly, I found this topic much harder to deliver than my usual cardiology topics, perhaps because it is less about clinical knowledge and more about navigating something that can affect all of us as professionals.

Veterinarians today are living in an era where defamation may sometimes feel inevitable. I hope that, as professionals, we continue to uphold the highest standards of integrity, professionalism, and respect, both in our practice and in the way we communicate with one another.

Hopefully, this sharing session will encourage us to think, reflect, and approach these situations with greater awareness and wisdom.

Thank you MAVMA for inviting me.

09/09/2026

Malaysia — Singapore

A return visit to Singapore for a productive training session at Canopy Veterinary Centre.

It was rewarding to work with the veterinary team and support their development of basic echocardiography skills. Seeing vets build confidence in cardiac imaging and expand their diagnostic capabilities is an important step towards improving patient care.

The trip was made even more memorable by celebrating my birthday in Singapore. I was asked why I would choose to spend my birthday working. For me, sharing knowledge and helping colleagues in the region develop their skills is one of the most meaningful ways I could spend my birthday.

And, of course, a good dinner with colleagues was the perfect way to round off the day.

It was a fulfilling trip professionally, and a memorable way to mark another year.

我重返新加坡，在Canopy兽医中心再次开展了培训课程。

与兽医团队合作并支持他们发展基础超声心动图技能，是一件有意义的事。看到兽医师们在心脏影像方面建立信心、拓展诊断能力，是提升东南亚动物医疗质量的重要一步。

这次也在新加坡庆祝了我的生日。有人问我为什么会选择在生日那天工作。对我而言，分享一些知识、帮助他人提升技能，也是度过生日的方式之一。

这是一次纪念又长一岁的难忘方式。

02/09/2026

I was once asked by a pet owner,

“What machine do you use for echocardiography?”

It made me wonder:
Will pet owners one day ask what C-arm machine is being used to X-ray their pets?

Perhaps they should. Because, exposure matters.

We’re not talking about a few seconds of exposure like radiography. We’re talking about minutes, and sometimes even hours, of continuous X-ray aka fluoroscopy.

Fluoroscopy is not simply about producing an image. The equipment used, its intended application, exposure settings, and duration all matter when it comes to radiation safety.

If fluoroscopy is performed using a machine that was not designed or intended for prolonged fluoroscopic exposure, what does that mean for the pet being directly exposed to the X-ray beam？

And what does it mean for the operators who are standing nearby, procedure after procedure?

Did you know that interventional cardiologists have a high risk of developing brain tumour?

We ask questions about image quality.
Perhaps we should also be asking questions about radiation safety. Because when it comes to X-rays, what you cannot see may matter just as much as what you can.

曾经有位宠物主人问我：「你做心脏超声用的是什么机器？」

这让我忍不住想：有一天，宠物主人会不会也开始问兽医，给宠物拍 X 光或做透视时，用的是什么样的 C 臂机？

或许，他们真的该问因为辐射剂量，真的很重要。

我们谈论的并不是几秒钟的曝光，而是数分钟，甚至数小时的透视操作。

透视这件事，远不止「能不能拍出片子」那么简单。你用的是什么设备、这台设备本来设计用来做什么、曝光参数怎么设、曝光时间有多长 - 每一样都和辐射安全有关。

如果你拿一台本来就不是为了长时间透视而设计的设备来做透视，那直接暴露在 X 光下的宠物，会受到怎样的影响？

而那些一次又一次站在旁边操作设备的人呢？

你知道吗？介入心脏科医生患脑肿瘤的风险较高。

我们一直在关注影像质量。也许，是时候也开始关注辐射安全了。
因为在 X 光面前，那些看不见的风险，可能和我们看得见的影像一样重要。

01/09/2026

When I was asked by Malaysian Association of Veterinary Anesthesia and Critical Care (MAVACC) to give a cardiology talk, I chose a fundamental topic: understanding congestive heart failure.

I knew the webinar would have an audience with different levels of experience, including veterinarians, veterinary nurses, and students. So rather than focusing primarily on how we diagnose or how we treat congestive heart failure, I wanted to start with something more fundamental, something I rarely talk about in my past lectures.

Many people might have these questions: How do we diagnose it? How do we treat it?

I think before we can answer them, we need to understand what is actually happening in the first place - the underlying mechanism of congestive heart failure.

A good understanding of the pathophysiology gives us the foundation to understand why patients develop the clinical signs we see, why certain diagnostic findings occur, and ultimately, why we choose particular treatments.

With only 30 minutes to talk, I didn’t have enough time to go deeply into diagnosis and management. So I focused on one fundamental concept: left ventricular filling pressure.

Understanding what happens to left ventricular filling pressure—and why it increases—helps us connect the dots between cardiac dysfunction, congestion, clinical signs, diagnostic findings, and the rationale behind treatment.

I hope the attendees took away something useful from the short session, even within the limited time.

Thank you, MAVACC, for inviting me and for the opportunity to share.

Link to replay:

https://www.youtube.com/live/k_BkOae_GFQ?si=C7NAVp2Nf4XcALUA

28/08/2026

Thank you, Sin Chew Daily, a Malaysian Chinese newspaper, for featuring me and highlighting the work of veterinary cardiologists in Malaysia.

Veterinary specialist services in Malaysia are still in their infancy, but awareness and access are growing. The establishment and development of organisations such as the Malaysian College of Veterinary Specialists are important steps towards recognising, developing, and promoting veterinary specialist services in Malaysia.

Pet owners should know that specialist care is available when their pets require more advanced diagnostics, treatment, and management.

I’m grateful for the opportunity to share more about veterinary cardiology and, hopefully, help raise awareness of the specialist services available to improve the health and quality of life of our beloved pets.

非常感谢《星洲日报》的用心报道，让兽医专科服务这个话题走进更多家庭的视野。

在马来西亚，兽医专科还在慢慢成长，但这扇门已经打开。

我想对每一位毛孩家长说：当您觉得爱宠的情况超出常规时，不必无助。现在，已经马来西亚有专科兽医可以并肩作战。多一份了解，就多一个守护它们的可能。

全文/ article link:
https://metro.sinchew.com.my/?p=7796617

12/08/2026

【From Kuala Lumpur to Jakarta: A Journey of Hearts, Passion, and Partnership】

I am honoured to have been invited by PET+VET Animal Clinic in Jakarta, Indonesia, to conduct a 3-day, 2-night training session for their veterinary team, focusing on several requested cardiology topics.

PET+VET is a veterinary clinic group in Indonesia with a strong focus on providing comprehensive veterinary care and developing clinical expertise within its team. It was a pleasure to spend time with their vets and have the opportunity to share knowledge, exchange experiences and learn from one another.

The session was not just about echocardiography. We focused on how to approach a cardiac case as a whole — starting with a thorough history and clinical assessment, followed by the appropriate use and interpretation of electrocardiography, echocardiography and Doppler evaluation. We also worked through several clinical cases together, discussing the thought process behind each case and how to integrate the different findings to arrive at a more meaningful clinical assessment.

The vets also had the opportunity for hands-on practical experience, allowing them to put some of the concepts discussed into practice.

Beyond the training itself, I’m especially happy that this provided an opportunity to foster collaboration and knowledge exchange between veterinarians from Malaysia and Indonesia. I believe that sharing experiences, cases and different clinical perspectives can help strengthen veterinary practice and cardiology in our region.

I sincerely hope the team found the training useful and took away something that they can apply in their daily practice and, ultimately, to benefit their patients.

A big thank you to the PET+VET team for the warm welcome, engaging discussions and wonderful hospitality. I’m truly honoured to have been invited and grateful for the opportunity to share, learn and connect with such an enthusiastic group of vets.

【跨国合作，共促兽医心脏科发展——马来西亚与印尼的临床交流纪实】

很荣幸受邀前往印度尼西亚雅加达的 PET+VET Animal Clinic，为他们的兽医团队进行为期三天两夜的院内培训，围绕团队所提出的多个心脏科专题，展开深入的交流与学习。

PET+VET 是印度尼西亚一家高度重视综合兽医医疗服务与临床专业发展的兽医诊所集团。我很享受与他们的团队共度这段学习时光 - 不仅分享知识，也有机会交流临床经验与不同的诊疗思路。

本次培训并不仅聚焦于心脏超声技术，而是更着重于如何从整体角度去分析和处理心脏病例 - 从详细的病史采集与临床评估开始，再结合心电图、心脏超声及多普勒血流评估，循序渐进地建立完整的临床判断。

培训期间，我们一同讨论并分析了好几个实际病例，涵盖从临床推理、检查结果解读，到如何将各项资料串联起来，以形成更具意义的临床决策。兽医们也进行了实际操作，将课堂中所讨论的知识直接应用于真实病例。

除了培训本身，我特别欣慰的是，这次交流进一步促进了马来西亚与印度尼西亚兽医之间的合作与知识共享。我相信，通过分享病例、临床经验以及多元的诊断思路，我们能够彼此学习，共同推动本区域兽医临床及心脏科的发展。

希望本次培训能为团队带来一些实用的知识与新的思考角度，并能在日常临床工作中有所应用，最终帮助到更多的动物患者。

衷心感谢 PET+VET 团队的热情接待、积极参与、深入交流以及周到的款待。

能够参与这次培训，对我来说是一份真正的荣幸；也非常感谢能有这个机会，与一群如此热忱的兽医同仁一起分享、学习与交流。

06/08/2026

This 3-year-old Pomeranian presented with a persistently low resting heart rate. He also has an undescended testicle requiring surgery, prostatic enlargement, and an elevated ALKP liver enzyme, so his unexpectedly low heart rate was an important concern before anesthesia.

So, we performed atropine response test.

What is atropine response test❓

📝 https://shinzovet.com.my/2026/02/14/atropine-response-test/

Why did we perform the test while he was sitting⁉️

Because he really did not want to be held in lateral recumbency. 🥲

Placing 4–5 ECG clips on such a small, 3kg restless patient was also challenging. Therefore, we used , which requires only 2 clips.

💡For a complete diagnostic ECG assessment, this setup is not ideal. However, in this particular patient, it provided a practical way to monitor his heart rate and assess how it responded to atropine.

Before atropine, his heart rate was 69 bpm.

Following atropine administration, his heart rate increased dramatically to approximately 250 bpm.

This strong chronotropic response supports the possibility that his resting bradycardia is primarily vagally mediated (extracardiac) rather than being caused solely by an inability of the heart’s pacemaker to increase its rate.

That is encouraging news for his upcoming surgery. It suggests that atropine may be effective in increasing his heart rate if clinically significant bradycardia occurs during anesthesia.

🚨However, this does not mean that anesthesia is completely risk-free. His underlying conditions and baseline bradycardia still warrant careful anesthetic planning, continuous monitoring, and readiness to manage cardiovascular changes during surgery.

Sometimes, good clinical decision-making means adapting our diagnostic approach to the patient in front of us—balancing ideal methodology with what is practical, safe, and clinically meaningful.

04/08/2026

A 2 year-old Maine C**n was referred for an elevated NT-proBNP of 229.81 (normal

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