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Cardiology

Cardiology is the medical speciality dealing with the diagnosis and treatment of diseases and disorders of the heart. Our cardiovascular service is based across Central Middlesex, Ealing and Northwick Park and St Marks Hospitals.

Our service includes:

  • Inpatient and outpatient service
  • Cardiac catheter laboratory
  • Cardiac investigations (including echocardiogram and angiogram)
  • Cardiac prevention and rehabilitation
  • Cardiac arrhythmia service
  • Heart failure service
  • Cardiology research team.

A team of interventional, imaging, heart failure and device Consultants lead this service.


Central Middlesex, Northwick Park and St Mark's Hospitals
Northwick Park and Central Middlesex Hospitals run one-stop outpatient clinics where we aim to perform all basic investigations on the same day of the first consultation. We also operate a “walk-in” rapid access chest pain clinic, in which patients are seen within 14 days of GP referral. We work closely with the local GPs and a have team of specialist cardiac nurses both in-hospital and in the community.

Inpatient care 
Our coronary care, specialist cardiology unit in Jenner ward at Northwick Park Hospital offers dedicated cardiovascular inpatient care and are run by cardiovascular specialists 24 hours a day.

Our newly dedicated acute chest pain unit offers immediate access to investigations and treatment for patients admitted with suspected cardiac chest pain.

NSTEACS Centre
As one of the designated NSTEACS (Non ST-segment elevation acute coronary syndromes) centres in London we have state of the art cardiac catheter laboratories equipped with cutting edge technologies.

Heart failure services
Our consultant led heart failure service provides comprehensive care for patients with heart failure. Heart failure clinics are held for optimising medical therapy and assessment for new therapies such as devices (pacemakers and defibrillators).

Multi Disciplinary Team (MDT)
A weekly MDT meeting is held at Northwick Park with the cardiothoracic surgeons and Electro physiologists from the Royal Brompton and Harefield Hospitals. All our patients with complex conditions are discussed in the meeting and have access to the highly specialised services provided by the cardiac tertiary centres

Echocardiography service
Following a formal visit by the British Society of Echocardiography our echocardiography department has been granted ‘Centre of Excellence’ status in the UK for transthoracic, transoesophageal and stress echocardiography.

Research service
The Cardiac research department conducts trials and studies in the development of cardiac imaging, medical therapy, hyperlipidaemias and interventional cardiology. The department participate in numerous multi-national studies as part of our ongoing commitment for research and development. The department have become global leaders in some of these trials. 


Ealing Hospital

Referral forms for GPs -

Cardiac Catheterisation Laboratory (Cath Lab)
The department consists of a catheterisation lab and two recovery areas. There are two clinical rooms in the department dedicated to services such as cardiac rehab, heart function, dieticians and the pacing service.

Patients can be referred for procedures in the Cath Lab by the cardiac consultants. Inpatients must be reviewed by a cardiac consultant prior to referral for any procedure. Referrals for inpatients can be made via the hospital intranet.

Cheseman ward – 4 South
4 South is a 30 bedded inpatient unit for cardiac patients. The department caters for both male and female patients over the age of 17. We are currently piloting the use of 'ultrafiltration in heart failure'. This is an innovative treatment used to offload fluids for patients who are resistant to diuretics.

Heart function
Patients with suspected/confirmed diagnosis of heart failure are seen by the Clinical nurse specialist for education, titration and optimisation of disease modifying drugs  in the outpatient setting. We accept referrals from all care sectors.

Cardiac arrhythmia service
Patients with different cardiac arrhythmias are seen in this service e.g. atrial fibrillation (AF), atrial flutter, AVNRT and other atrial and ventricular arrhythmia.

Procedures can include Permanent pacemakers, CRT-D/P, ICD, Cardioversion and ablation.

Cardiac prevention and rehabilitation service

Changes to cardiac rehabilitation in Ealing

Cardiac rehabilitation services, which were based at Ealing Hospital, have now been re-commissioned to Imperial College Healthcare NHS Trust. A new service has recently started in the Community.

We accept patient who live in Ealing Borough or who are registered with an Ealing GP. If you receive treatment from another hospital, your cardiac rehab will be held at Ealing Hospital.

Being admitted to hospital with a heart condition either as an emergency or having a planned procedure can be an anxious and worrying time for both the patient and their relatives. You will have the opportunity to discuss your recovery, condition and risk factors for coronary heart disease with a Cardiac Rehabilitation Nurse Specialist.

Cardiac rehabilitation at Ealing Hospital aims to provide on-going support and education to people who have had or experienced the following:

  • Heart attack
  • Angioplasty
  • Coronary artery bypass surgery
  • Heart valve surgery
  • Angina
  • Internal cardiac defibrillators 

Cardiology research
The research team at Ealing Hospital consists of doctors, nurses and healthcare assistants. We are currently carrying out research as part of the LOLIPOP study, which is the London Life Sciences population study.

Cardiology investigations department
The cardiology outpatient investigation department is situated on Level 2 of the Orange Wing at Ealing Hospital and provides a variety of non-invasive investigations.

Patients can be referred directly for their GP’s for our range of open access services or from the doctor that they have seen as an outpatient  at the hospital. We also see inpatients on a daily basis whom are referred directly to us via their current physician.


Central Middlesex Hospital
The cardiology department is situated on the ground floor of Central Middlesex Hospital. Map and directions.

Contacts:

Reception (9am - 5pm)
Tel. 020 8963 7134 


Coronary Care Unit 
Tel. 020 8453 2683

Secretary 
Tel. 020 8963 7150

Ealing Hospital 
The cardiac ward is located on Level 4 south of the main hospital. Map and directions.

Contacts:

Cardiac Catheterisation Laboratory (Cath Lab)
Tel. 020 8242 5932

Cheseman ward – 4 South
Tel. 020 8967 5498 or 020 8967 5496

Heart Function
Tel. 020 8242 5940

Cardiac Arrhythmia Service
Tel. 020 8967 5521

Cardiac Prevention and Rehabilitation Service
Tel. 020 8242 5814
Bleep. 612

Cardiology Research
Tel. 020 8967 5413 

Cardiology Investigations Department
Tel. 020 8967 5290

Northwick Park and St Mark's Hospital
The cardiology department is situated on Level 9 of St Mark's Hospital on the Northwick Park Hospital site. The nearest car park is car park 4. Map and directions.

Contacts:

Reception (9am - 5pm)
Tel. 020 8869 2552 

Jenner Ward 
Tel. 020 8869 2969 or 020 8869 2167

Secretary to Dr Stephens 
Tel. 020 8869 2360

Secretary to Dr Bethell 
Tel. 020 8869 2360

Secretary to Dr Senior 
Tel. 020 8869 2351

Secretary to Dr Violaris 
Tel. 020 8869 2351

Service Manager 
Tel. 020 8869 3736  

Cardiology Investigations (enquiries/appointment changes)
Tel. 020 8869 2552

Central Middlesex, Northwick Park and St Mark's Hospitals

Consultants:

  • Dr Nigel Stephens, Director of Cardiovascular Medicine/Consultant

  • Dr Mark Dancy, BA BM BCh FRCP, Consultant in Cardiology 
    Special interests: General cardiology including hypertension, heart failure, valve disese, rhythm disturbance and pacemakers

  • Dr Richard Carroll, Consultant in Cardiology

  • Mr Roxy Senior, MD,DM,FRCP,FESC,FACC, Consultant Cardiologist 
    Special interests: Ischemic and valvular Heart Disease,Hypertension,Heart Failure, Echocardiography,Stress Echo,Transesophageal Echo

  • Dr Tony Violaris, Consultant in Cardiology

  • Mr Abdul-Majeed Salmasi, M.B. Ch.B., Ph.D., FRCP, FACC, FESC, FFPH, FHS, Consultant cardiologist/ General cardiologist and specialist in internal medicine

  • Dr Hugh Bethell, Consultant in Cardiology

  • Dr Ahmed Elghamaz, Consultant in Cardiology

  • Dr Jaymin Shah, Consultant in Cardiology

  • Dr Navtej Chahal, Consultant in Cardiology

 

Ealing Hospital

Consultants:

Dr Ranil de Silva,MB BS BSc (First class Hons), PhD, MRCP, FRCP, Consultant Cardiologist

Biography: Dr Ranil de Silva is consultant cardiologist with clinical expertise in coronary angioplasty, and the management of acute coronary syndromes and advance coronary artery disease.

Dr de Silva graduated from King’s College School of Medicine and Dentistry with honours in 1995 and then went on to complete his training in general medicine, general cardiology and interventional cardiology at Royal Brompton, Chelsea and Westminster, Hammersmith, and St. Mary’s hospitals.

He conducted his PhD research at the MRC Cyclotron Unit, Hammersmith Hospital and Research Institute for Brain and Blood Vessels in Akita, Japan. He has also completed a fellowship with the Cardiovascular Interventional Programme, National Heart Lung and Blood Institute, National Institutes of Health, USA.

Dr de Silva’s main research interests include: using magnetic resonance imaging to guide minimally invasive endovascular interventions, stem cell therapy for treatment of cardiovascular disease, biomarkers, cardiac protection during myocardial infarction, and immunotherapy for acute coronary syndromes.

Dr Stuart RosenMA, MD, FRCP, FESC, FACC, Consultant Cardiologist

Special interests:  Heart failure, hypertension, syncope

Biography: Dr Stuart Rosen was educated at Cambridge and London Universities, with higher training in adult cardiology at Charing Cross, Hammersmith and St Marys Hospitals, London. He is a fellow of the Royal College of Physicians (London), the European Society of Cardiology and the American College of Cardiology.

Dr Rosen has broad clinical expertise in general adult cardiology, with particular interests in heart failure, syncope and autonomic nervous system function and medico-legal aspects of cardiovascular disease. His current research interests include 1) the role of the autonomic nervous system in the pathogenesis of cardiac disease; and 2) cardio-oncology; assessment of patients at risk of cardiotoxicity or who have developed cardiac problems as a consequence of their anti-cancer treatment.

Dr Rosen is active in undergraduate and postgraduate teaching, examinations and supervision of doctoral theses, and has a publication record which includes over 60 papers in peer review journals as well as 2 books and several book chapters. He has acted as a reviewer for 18 major professional journals.

Dr Amarjit Sethi, BSC Hons, MBBS, MRCP, MBA, PhD, Consultant Cardiologist

Special interests: coronary artery disease and percutaneous coronary intervention. Dr Sethi has special expertise in imaging of coronary disease by CT coronary angiography. He also performs permanent pacemaker insertion and has additional specialisation in general medicine.

Biography: Dr Sethi was appointed as consultant cardiologist at Ealing Hospital and Imperial College NHS Trust, Hammersmith Hospital in 2003. He performs coronary angiography and coronary angioplasty by both femoral and radial routes, and insertion of permanent pacemakers at Ealing Hospital and at the Hammersmith Hospital. Dr Sethi has a special interest in CT coronary angiography allowing imaging of coronary artery disease non-invasively. He performs this at Ealing Hospital where he set up the service.

In 2013 Dr Sethi was appointed as member of the National Clinical Reference Group for complex invasive cardiology which advises NHS England ensuring service specifications and commissioning policies in cardiology are delivered to a high standard for good patient care nationally.

Dr Sethi’s current research interests are in acute coronary syndromes recently presented at the European Society of Cardiology. Recent publications include physiological assessment of coronary artery disease.  

Dr Amarjit Sethi, BSC Hons, MBBS, MRCP, MBA, PhD, Consultant Cardiologist

Special interests: coronary artery disease and percutaneous coronary intervention. Dr Sethi has special expertise in imaging of coronary disease by CT coronary angiography. He also performs permanent pacemaker insertion and has additional specialisation in general medicine.  

Biography: Dr Sethi was appointed as consultant cardiologist at Ealing Hospital and Imperial College NHS Trust, Hammersmith Hospital in 2003. He performs coronary angiography and coronary angioplasty by both femoral and radial routes, and insertion of permanent pacemakers at Ealing Hospital and at the Hammersmith Hospital. Dr Sethi has a special interest in CT coronary angiography allowing imaging of coronary artery disease non-invasively. He performs this at Ealing Hospital where he set up the service.

In 2013 Dr Sethi was appointed as member of the National Clinical Reference Group for complex invasive cardiology which advises NHS England ensuring service specifications and commissioning policies in cardiology are delivered to a high standard for good patient care nationally.

Dr Sethi’s current research interests are in acute coronary syndromes recently presented at the European Society of Cardiology. Recent publications include physiological assessment of coronary artery disease.  

Prof. J Kooner, MD FRCP, Consultant Cardiologist

Special interests:  Coronary angioplasty, coronary artery disease, hypertension, heart failure, coronary risk prevention, arrhythmias.

Biography: Professor Kooner is one of the leading cardiologists in the country. He has over 25 years experience in treatment of general cardiovascular disorders. He has special expertise in treatment of heart attack, stable coronary artery disease, coronary angioplasty and stenting. He has been responsible for the training of numerous UK cardiologists and continues to teach and train junior doctors. He is an active researcher and has published numerous papers in leading medical journals.

Prof. Kooner established the London Life Sciences Population study, known as LOLIPOP, which has recruited over 30,000 Indian Asian and European participants. His research has led to the discovery of novel genetic variants underlying coronary heart disease, type-2 diabetes, obesity, and other disorders highly prevalent among Indian Asians. His current work is aimed at developing arrays of the newly discovered Indian Asian specific variants to inform genetic mechanisms and pathways underlying the increased risk of cardiovascular disease and type II diabetes in Indian Asians.

Dr John Chambers, BA, MBBS, FRCP, PhD, Consultant Cardiologist

Biography coming soon.

A referral from your GP is needed for most cardiology services including outpatient clinic appointments, tests and rapid access chest pain clinic. 

In an emergency, and in the case of a suspected heart attack dial 999 for an ambulance or go to the accident and emergency department (A&E) in the usual way. You will be referred to the cardiology department if you have cardiac problems.