Dr T.K. Lim, MBBS, MRCP, MD, FACC, FESC - Mount Elizabeth Hospital Orchard - Consultant Cardiologist

Dr T.K. Lim

MBBS, MRCP, MD, FACC, FESC

Mount Elizabeth Hospital Orchard

Consultant Cardiologist

Singapore, Singapore | Singapore

Main Specialties: Cardiovascular Disease

Additional Specialties: Cardiac MRI. Advance Echocardiography. Valvular Heart Disease. Coronary Artery Disease. Atrial Fibrillation.

Dr T.K. Lim, MBBS, MRCP, MD, FACC, FESC - Mount Elizabeth Hospital Orchard - Consultant Cardiologist

Dr T.K. Lim

MBBS, MRCP, MD, FACC, FESC

Introduction

Dr Lim Tiong Keng is a Consultant Cardiologist and Accredited Specialist in Advanced Echocardiography and Cardiac Magnetic Resonance Imaging (MRI) at the Parkway Hospitals Singapore. With over 20 years of clinical experience, his clinical practice includes management of coronary artery disease, hypertension, arrhythmia, valvular heart disease, dyslipidaemia and adult congenital heart disease. Currently, Dr Lim is a Visiting Consultant at the National Heart Centre Singapore. He was an Adjunct Associate Professor at the Duke NUS Graduate Medical School, a Clinical Senior Lecturer at the Yong Loo Lin School of Medicine, NUS and a Core Clinical Faculty Member of the Singhealth Cardiology Senior Residency Program.

He graduated MBBS from the prestigious United Medical & Dental Schools of Guy’s & St Thomas’ Hospitals (University of London, King’s College London) in 1998 and obtained his post graduate MRCP (UK) qualification in 2002. Subsequently he obtained further post graduate qualification with award of the Doctor of Medicine under University of London through his cardiac research work at the Northwest London NHS Trust under the mentorship of Professor Roxy Senior. Dr Lim was triple accredited in both transthoracic & transoesophageal echocardiography (TEE) awarded by the British Society of Echocardiography in 2007 & 2012 respectively and he furthers obtained accreditation in transthoracic echocardiography by the European Association of Echocardiography in 2009. He passed the Cardiovascular Magnetic Resonance Accreditation Examination set by the ESC Working Group on Cardiovascular Magnetic Resonance in 2012. Following completion of the Cardiovascular Magnetic Resonance training in the Royal Brompton Hospital, London (UK) and Glenfield Heart Centre, Leicester (UK), he achieved level 3 accreditation in cardiac MRI set by the Society of Cardiovascular Magnetic Resonance (USA) in 2013. Additionally, he has expertise in various cardiac imaging with particular emphasis on advanced echocardiography (stress echo, contrast echo, TAVI TEE, intra-operative TEE, interventional TEE & 3D TEE) and cardiac MRI (1.5T and 3T) with full range of studies undertaken including congenital heart disease, angiography, cardiomyopathy, stress cardiac MRI (Adenosine), viability assessment, quantification of ventricular function and valvular disease.

Primary Affiliation: Mount Elizabeth Hospital Orchard - Singapore, Singapore , Singapore

Specialties:

Additional Specialties:

Publications

31Publications

419Reads

60Profile Views

Age and ejection fraction modify the impact of atrial fibrillation on acute heart failure outcomes.

Eur J Heart Fail 2018 04 16;20(4):821-822. Epub 2017 Nov 16.

National Heart Research Institute Singapore, National Heart Centre Singapore, Singapore.

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http://dx.doi.org/10.1002/ejhf.1075DOI Listing
April 2018
45 Reads
6.526 Impact Factor

The APEX trial: Effects of allopurinol on exercise capacity, coronary and peripheral endothelial function, and natriuretic peptides in patients with cardiac syndrome X.

Cardiovasc Ther 2018 Feb 26;36(1). Epub 2017 Nov 26.

Division of Molecular and Clinical Medicine, Ninewells Hospital and Medical School, University of Dundee, Dundee, UK.

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http://dx.doi.org/10.1111/1755-5922.12311DOI Listing
February 2018
14 Reads
2.362 Impact Factor

Population-based reference values for 3D echocardiographic LV volumes and ejection fraction.

JACC Cardiovasc Imaging 2012 Dec;5(12):1191-7

Department of Cardiovascular Medicine, Northwick Park Hospital, Harrow, United Kingdom.

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http://dx.doi.org/10.1016/j.jcmg.2012.07.014DOI Listing
December 2012
29 Reads

Improving the primary prevention of cardiovascular events by using biomarkers to identify individuals with silent heart disease.

J Am Coll Cardiol 2012 Sep 22;60(11):960-8. Epub 2012 Aug 22.

Centre for Cardiovascular and Lung Biology, University of Dundee, United Kingdom.

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http://dx.doi.org/10.1016/j.jacc.2012.04.049DOI Listing
September 2012
6 Reads
16.503 Impact Factor

B-type natriuretic peptide is an independent predictor of endothelial function in man.

Clin Sci (Lond) 2012 Sep;123(5):307-12

Centre for Cardiovascular and Lung Biology, Ninewells Hospital and Medical School, University of Dundee, Dundee DD1 9SY, UK.

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http://dx.doi.org/10.1042/CS20110168DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3353736PMC
September 2012
21 Reads
5.598 Impact Factor

Impact of paravalvular leakage on outcome in patients after transcatheter aortic valve implantation.

JACC Cardiovasc Interv 2012 Aug;5(8):858-65

Medizinische Klinik und Poliklinik II, Universitätsklinikum Bonn, Rheinische Friedrich-Wilhelms-Universität, Bonn, Germany.

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http://dx.doi.org/10.1016/j.jcin.2012.04.011DOI Listing
August 2012
19 Reads
7.345 Impact Factor

Does subclinical atherosclerosis burden identify the increased risk of cardiovascular disease mortality among United Kingdom Indian Asians? A population study.

Am Heart J 2011 Sep 9;162(3):460-6. Epub 2011 Aug 9.

Department of Cardiovascular Medicine, Northwick Park Hospital, Harrow, UK.

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http://dx.doi.org/10.1016/j.ahj.2011.06.018DOI Listing
September 2011
4 Reads
4.463 Impact Factor

Impact of renin-angiotensin system blockade therapy on outcome in aortic stenosis.

J Am Coll Cardiol 2011 Aug;58(6):570-6

Centre for Cardiovascular and Lung Biology, Ninewells Hospital and Medical School, University of Dundee, Dundee, United Kingdom.

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http://dx.doi.org/10.1016/j.jacc.2011.01.063DOI Listing
August 2011
25 Reads
16.503 Impact Factor

The distinct relationships of carotid plaque disease and carotid intima-media thickness with left ventricular function.

J Am Soc Echocardiogr 2010 Dec;23(12):1303-9

Department of Cardiovascular Medicine, Northwick Park Hospital, Harrow, UK.

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http://linkinghub.elsevier.com/retrieve/pii/S089473171000734
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http://dx.doi.org/10.1016/j.echo.2010.08.021DOI Listing
December 2010
8 Reads
4.056 Impact Factor

New insights into the relationship of left ventricular geometry and left ventricular mass with cardiac function: A population study of hypertensive subjects.

Eur Heart J 2010 Mar 19;31(5):588-94. Epub 2009 Nov 19.

Department of Cardiovascular Medicine, Northwick Park Hospital, Harrow, UK.

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http://dx.doi.org/10.1093/eurheartj/ehp490DOI Listing
March 2010
8 Reads
15.203 Impact Factor

Normative reference values for the tissue Doppler imaging parameters of left ventricular function: a population-based study.

Eur J Echocardiogr 2010 Jan 12;11(1):51-6. Epub 2009 Nov 12.

Department of Cardiovascular Medicine, Northwick Park Hospital, Harrow HA1 3UJ, UK.

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http://dx.doi.org/10.1093/ejechocard/jep164DOI Listing
January 2010
8 Reads

Improved prediction of outcome by contrast echocardiography determined left ventricular remodelling parameters compared to unenhanced echocardiography in patients following acute myocardial infarction.

Eur J Echocardiogr 2009 Dec 4;10(8):933-40. Epub 2009 Aug 4.

Department of Cardiovascular Medicine, Northwick Park Hospital, Northwick Park Institute of Medical Research, Harrow, UK.

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https://academic.oup.com/ehjcimaging/article-lookup/doi/10.1
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http://dx.doi.org/10.1093/ejechocard/jep099DOI Listing
December 2009
8 Reads

Comparison between myocardial contrast echocardiography and (99m)technetium sestamibi single photon emission computed tomography determined myocardial viability in predicting hard cardiac events following acute myocardial infarction.

Am J Cardiol 2009 Nov;104(9):1184-8

Department of Cardiovascular Medicine, Northwick Park Institute of Medical Research, Northwick Park Hospital, Harrow, Middlesex, United Kingdom.

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http://dx.doi.org/10.1016/j.amjcard.2009.06.026DOI Listing
November 2009
8 Reads
3.276 Impact Factor

Therapeutic development in cardiac syndrome X: a need to target the underlying pathophysiology.

Cardiovasc Ther 2009 ;27(1):49-58

Division of Medicine and Therapeutics, University of Dundee, Dundee, UK.

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http://dx.doi.org/10.1111/j.1755-5922.2008.00070.xDOI Listing
March 2009
10 Reads
2.362 Impact Factor

Peak cardiac power output, measured noninvasively, is a powerful predictor of outcome in chronic heart failure.

Circ Heart Fail 2009 Jan;2(1):33-8

Division of Cardiology, Columbia University, New York, NY, USA.

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http://dx.doi.org/10.1161/CIRCHEARTFAILURE.108.798611DOI Listing
January 2009
37 Reads
5.891 Impact Factor

Effects of left bundle-branch block on cardiac structure, function, perfusion, and perfusion reserve: implications for myocardial contrast echocardiography versus radionuclide perfusion imaging for the detection of coronary artery disease.

Circulation 2008 Apr 31;117(14):1832-41. Epub 2008 Mar 31.

Department of Cardiology and Institute of Postgraduate Medical Education and Research, Northwick Park Hospital, Harrow, UK.

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https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.107.7
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http://dx.doi.org/10.1161/CIRCULATIONAHA.107.726711DOI Listing
April 2008
4 Reads
14.430 Impact Factor

Effects of left bundle-branch block on cardiac structure, function, perfusion, and perfusion reserve: implications for myocardial contrast echocardiography versus radionuclide perfusion imaging for the detection of coronary artery disease.

. doi: 10.1161/CIRCULATIONAHA.107.726711. Epub 2008 Mar 31.

Circulation.

Abstract

BACKGROUND:

We aimed to investigate the cardiac effects of left bundle-branch block (LBBB) using myocardial contrast echocardiography (MCE) to ascertain the value of MCE for detecting coronary artery disease (CAD) and to uncover the mechanism that affects the accuracy of single-photon emission computed tomography (SPECT) in these patients.

METHODS AND RESULTS:

Sixty-three symptomatic LBBB patients (group A), 10 left ventricular ejection fraction-matched control subjects without LBBB and no CAD (group B), and 10 normal control subjects (group C) underwent resting echocardiography. Rest and vasodilator MCE and SPECT were undertaken in LBBB patients. Septal (SW) and posterior wall (PW) thickness, thickening, quantitative myocardial blood flow (MBF), and MBF reserve were measured. SW/PW thickness and percentage thickening ratios were lower (P<0.01 and P<0.05, respectively) in group A compared with both groups B and C, but resting SW/PW MBF and MBF reserve ratios were similar in all 3 groups. MBF reserve but not MBF was reduced in groups A and B (2.2+/-0.7 versus 2.2+/-0.2; P=0.98) compared with group C (3.1+/-0.5; P<0.01). SW thickness was an independent predictor (P=0.006) of SPECT perfusion defects in LBBB patients without CAD. MCE (92%) had a sensitivity similar to SPECT (92%); however, the specificity of MCE (95%) was superior (P<0.0001) to SPECT (47%) for the detection of CAD.

CONCLUSIONS:

Despite asymmetrical reduction in SW thickness and function, MBF is preserved and MBF reserve is homogeneously reduced in LBBB patients with left ventricular systolic dysfunction. Because of partial volume effects, the accuracy of SPECT for detecting CAD was significantly compromised compared with MCE in this patient cohort.

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April 2008
1 Read

Normal value of carotid intima-media thickness--a surrogate marker of atherosclerosis: quantitative assessment by B-mode carotid ultrasound.

J Am Soc Echocardiogr 2008 Feb 30;21(2):112-6. Epub 2007 Aug 30.

Northwick Park Hospital and Institute of Post Graduate Medicine and Research, London, United Kingdom.

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http://dx.doi.org/10.1016/j.echo.2007.05.002DOI Listing
February 2008
7 Reads
4.056 Impact Factor

Independent value of echocardiography and N-terminal pro-natriuretic Peptide for the prediction of major outcomes in patients with suspected heart failure.

Am J Cardiol 2007 Sep 2;100(5):870-5. Epub 2007 Jul 2.

Department of Cardiovascular Medicine and Institute of Postgraduate Medical Education and Research, Northwick Park Hospital, Harrow, United Kingdom.

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http://linkinghub.elsevier.com/retrieve/pii/S000291490701090
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http://dx.doi.org/10.1016/j.amjcard.2007.04.027DOI Listing
September 2007
13 Reads
3.276 Impact Factor

Carotid ultrasound imaging: an effective technique for detecting early atherosclerosis-vascular screening for cardiovascular disease has come of age.

J Am Soc Echocardiogr 2007 Jan;20(1):1-3

Department of Cardiovascular Medicine, Northwick Park Hospital, Harrow, United Kingdom.

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http://linkinghub.elsevier.com/retrieve/pii/S089473170600667
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http://dx.doi.org/10.1016/j.echo.2006.06.016DOI Listing
January 2007
6 Reads
4.056 Impact Factor

Contrast echocardiography versus gated single photon emission computed tomography for the assessment of parameters of left ventricular remodeling after acute myocardial infarction.

J Am Soc Echocardiogr 2006 Mar;19(3):280-4

Department of Cardiovascular Medicine, Northwick Park Hospital, Harrow, United Kingdom.

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http://dx.doi.org/10.1016/j.echo.2005.10.010DOI Listing
March 2006
6 Reads
4.056 Impact Factor

Increased left atrial volume index is an independent predictor of raised serum natriuretic peptide in patients with suspected heart failure but normal left ventricular ejection fraction: Implication for diagnosis of diastolic heart failure.

Eur J Heart Fail 2006 Jan 22;8(1):38-45. Epub 2005 Aug 22.

Department of Cardiovascular Medicine, Northwick Park Hospital, Watford Road, Harrow, Middlesex, HA1 3UJ, UK.

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http://dx.doi.org/10.1016/j.ejheart.2005.05.008DOI Listing
January 2006
27 Reads
6.526 Impact Factor

Clinical benefits of contrast-enhanced echocardiography during rest and stress examinations.

Eur J Echocardiogr 2005 Dec;6 Suppl 2:S6-13

Department of Cardiovascular Medicine, Northwick Park Hospital, Harrow, Middlesex, England, United Kingdom.

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http://dx.doi.org/10.1016/s1525-2167(05)80723-1DOI Listing
December 2005
8 Reads

The use of hand-carried ultrasound in the hospital setting--a cost-effective analysis.

J Am Soc Echocardiogr 2005 Jun;18(6):620-5

Department of Cardiology, Northwick Park Hospital, London, United Kingdom.

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http://linkinghub.elsevier.com/retrieve/pii/S089473170400837
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http://dx.doi.org/10.1016/j.echo.2004.09.015DOI Listing
June 2005
8 Reads
4.056 Impact Factor

Top co-authors

Roxy Senior
Roxy Senior

Royal Brompton Hospital

20
Girish Dwivedi
Girish Dwivedi

Northwick Park Hospital

9
Chim C Lang
Chim C Lang

University of Dundee

7
Navtej S Chahal
Navtej S Chahal

Northwick Park Hospital

6
Allan D Struthers
Allan D Struthers

University of Dundee

6
Piyush Jain
Piyush Jain

Northwick Park Hospital

6
John C Chambers
John C Chambers

Imperial College London

6
Rajesh Janardhanan
Rajesh Janardhanan

Northwick Park Hospital

6
Jaspal S Kooner
Jaspal S Kooner

Ealing Hospital NHS Trust

6
Maheshwar Pauriah
Maheshwar Pauriah

Ninewells Hospital and Medical School

3