Cardiology (heart)

Our Cardiology department offers inpatient and outpatient treatment for patients with coronary heart disease, arrhythmias, heart failure and any other heart problems.

We also work with GPs to provide some services in the community. Our consultants work at St George's Hospital, the Royal Brompton Hospital and St Peter's Hospital in Chertsey where they carry out invasive cardiac procedures.

Services we offer

  • Inpatient care – we have a chest pain and coronary care unit
  • Chest pain unit and coronary care unit
  • Daily outpatient clinics
  • Rapid access chest pain clinic
  • Rapid access atrial fibrillation clinic
  • Specialist arrhythmia clinic
  • Heart failure service
  • Pacing and defibrillator clinic including biventricular pacemaker optimisation
  • Cardiac rehabilitation
  • DC cardioversion service
  • Assessment of patients with a family history of sudden cardiac death.
  • Angiograms (Epsom)

Investigations and tests

  • Electrocardiogram (ECG) and signal averaged ECG
  • Exercise testing (treadmill)
  • Echocardiography and contrast echocardiography
  • Transoesophageal echocardiography
  • Holter monitoring, Novacor, event recorders
  • Tilt testing and autonomic function (Epsom)
  • 24-hour blood pressure monitoring (Epsom)
  • Ajmaline and adenosine testing
  • Stress echocardiography.

We also run a community ECG programme with local GP practices to provide rapid ECG interpretation.

Invasive procedures

Invasive procedures, including the following, are carried out by Dr Richard Bogle and Dr Usha Prasad at St George's Hospital, Dr John Foran at the Royal Brompton Hospital and Dr Sola Odemuyiwa and Dr Yousef Daryani at St Peter's Hospital in Chertsey:

  • Coronary angiography (Epsom)
  • Percutaneous coronary angioplasty and stenting (PCI)
  • Intravascular ultrasound and pressure wire studies
  • Arrhythmia ablation
  • Pacemaker insertion including biventricular devices and cardiac defibrillators.

How to access services

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

In an emergency, please go to accident and emergency (A&E). You will be referred to the cardiology department if you have cardiac problems.

In the case of a suspected heart attack call an ambulance: an assessment will be done: if an acute heart attack is confirmed you will be taken to the local heart attack centre at St George's Hospital; otherwise you will be taken to A&E or the coronary care unit for further assessment and treatment.

Opening hours

Epsom and St Helier hospitals

Cardiology investigations/ECG
Monday - Thursday, 8.30am - 4.30pm
Friday 8.30am - 4pm

Contact details

Cardiology investigations unit (St Helier)

Tel: 020 8296 2575

Cardiology investigations unit (Epsom)

Tel: 01372 735 735 (extension 6054)

Cardiology admin (St Helier)

Tel: 020 8296 2653

Cardiology admin (Epsom)

Tel: 01372 735128

Rapid access chest pain clinic

Tel: 020 8296 3295 or 020 8296 2653

Rapid access arrhythmia clinic

020 8296 3175

Our cardiology team

Four consultant cardiologists, who also treat patients at other leading teaching hospitals, lead the medical team of junior doctors and cardiac physiologists, clinical nurse specialists, specialist rehabilitation nurses and support staff.

Key staff
  • Dr Richard Bogle, Consultant Cardiologist and clinical lead
  • Dr John Foran, Consultant Cardiologist
  • Dr Usha Prasad, Consultant Cardiologist
  • Dr Olusola Odemuyiwa, Consultant Cardiologist (Epsom)
  • Dr Yousef Daryani, Consultant Cardiologist (Epsom)
  • Dr Abhay Bajpai  Consultant Cardiologist (Epsom)
  • Ms Seow Pee, Technical Services Manager
  • Mrs Fiona Goulder, Senior Chief Physiologist (technical lead echocardiography)
  • Mrs Heather Reynolds, Senior Chief Physiologist (technical lead pacing - Epsom)

Rapid access arrhythmia clinic

The rapid access arrhythmia clinic is designed for those people who have atrial fibrillation which can lead to symptoms of palpitations.

Patients can be referred to the service by their GP or hospital consultants. If you need cardioversion, we offer a streamlined clinical care pathway to initiate warfarin in conjunction with the anti-coagulation clinic and provide detailed monitoring.

At the clinic, we offer:

  • A detailed assessment of symptoms and construction of a treatment plan
  • Assessment of the need for anti-coagulant therapy (eg warfarin)
  • Monitoring of medication effects and adjustment of doses
  • Preparation for electrical cardioversion
  • Support for the patient and their family.

The team, based at St Helier, consists of two British Heart Foundation (BHF) funded arrhythmia nurse specialists and a consultant cardiologist who has overall responsibility for the service.

Key staff

Mr Raj Mungar 

BHF Arrhythmia Nurse Specialist

Ms Stephanie Cruickshank 

BHF Arrhythmia Nurse Specialist

Opening hours

9am - 5pm, Monday to Friday
Clinic Wednesday and Thursday mornings

Contact details

Tel: 020 8296 2000
Bleep: 844

Cardiac rehabilitation

Cardiac rehabilitation is designed to help cardiac patients manage their condition, improve their health and recover their quality of life after a recent cardiac event, for example, after a heart attack, angioplasty and heart surgery or following the diagnosis of heart failure or angina.

We offer cardiac rehabilitation programmes at both Epsom and St Helier hospitals.

St Helier

A hospital-based, structured and supervised exercise programme, for people who have had a heart attack, angina or Percutaneous Coronary intervention (PCI) have had cardiac surgery, or have heart failure. The course runs once a week over eight weeks, and includes:

  • Individual assessment of risk factors
  • Education
  • Support for you and your family.
  • Relaxation and support
  • A chance to meet others going through the same experience.

The programme is run by our cardiac rehabilitation clinical nurse specialists, who have overall responsibility for the programme, a senior physiotherapist and cardiac fitness instructor. A pharmacist and dietician also contribute to the educational sessions.

Class times
  • Group 1: Tuesday 9.45am – 12noon
  • Group 2: Tuesday 11am – 1.15pm
  • Group 3: Thursday 9am – 10.30am
  • Group 4: Thursday 12.30pm – 2pm.

The education sessions are on Tuesdays at 11am and we encourage everyone to attend.

Key staff
  • Nicola Morris, Clinical Nurse Specialist
  • Jane Rogers, Clinical Nurse Specialist
  • Bernie Bradford, Clinical Nurse Specialist.
Opening hours

Monday – Friday, 8am - 4pm

Contact us

Tel. 020 8296 3577

Fax 0208 296 2172.

How to access this service

Your hospital team should refer you to cardiac rehabilitation following your treatment. If not, please contact your GP and ask for a referral to the service.

Epsom                                                                                                                                                             

A hospital-based, structured and supervised exercise programme for up to eight weeks, for people who have had a heart attack, angioplasty, coronary artery bypass graft, heart valve surgery including Transcatheter aortic valve implantation (TAVI), those with a ventricular assist device (VAD), heart failure, or following a heart transplant. The programme includes:

  • Initial assessment with individual education and advice around cardiac health, cardiac medications and risk factor management
  • A weekly exercise class
  • Review and advice around medications, blood pressure, and cholesterol
  • Education sessions covering risk factors for heart disease
  • Relaxation and emotional support
  • A chance to meet others going through a similar experience.
Class times
You will be offered a class based on your fitness level.
  • Group 1: Tuesday, 9am - 11.30am   
  • Group 2:Tuesday, 10.45am - 1pm
  • Group 3: Thursday, 9.30am – 11am
  • Group 4: Thursday, 11.15am – 12:45pm

The education session take place on Tuesdays at 10.45am and last approximately 45 minutes. We encourage partners to attend this part of the programme.

Key staff
  • Mary Evans, Clinical Nurse Specialist
  • Steve Pomroy, Exercise Instructor
Opening hours

Monday – Friday, 8am - 4pm

Contact details

Tel:  01372 735 376

Mob: 07827 319 419

Email: est-tr.cardiacrehab@nhs.net

How to access this service

Your hospital team should refer you for cardiac rehabilitation following your treatment. If not, please contact your GP and request a referral or contact the cardiac team on the contact details above.

Rapid access chest pain clinic

The rapid access chest pain clinic is for the diagnosis of new onset angina. Patients are usually referred by their GP; however referrals are also accepted from A&E and other consultants within the hospital. The aim is to facilitate expert opinion, early investigation and the risk stratification of chest pain.

The service operates a two week rule: 100 per cent of patients are seen within 14 days of referral where the referral fulfils the criteria (referral forms are faxed in rather than posted and that the patient can make an appointment offered within 14 days).

We run four clinics a week at St Helier Hospital and one clinic at Epsom Hospital. The St Helier clinics take place in the Springall unit on Monday, Wednesday and Thursday and MacKenzie on Friday. We have clinics in the Derby suite at Epsom on Tuesdays. 

Key staff

Rosalind Paine

Clinical nurse specialist

Bernice Bradford

Clinical nurse specialist

Souyma John 

Clinical nurse specialist

Location

Admin - ECG department, 1st floor C Block, St Helier

Derby suite (outpatient departments) ground floor, block A (Headley Wing), Epsom

Springall unit, ground floor, F block (Ferguson House), St Helier

Contact details

Tel: 020 8296 3295 or 020 8296 2653

 

Heart failure service

Our heart failure service is designed for those people who have impaired heart function which results in symptoms of breathless and fluid retention.

Patients can be referred to the service by their family doctor or consultant.We see patients who have been admitted to hospital and also outpatients, for:

  • A detailed assessment of symptoms and construction of a treatment plan
  • Monitoring of medication effects and adjustment of doses
  • Education
  • Support for the patient and family.

The team, based at St Helier Hospital, consists of a senior cardiac clinical nurse specialist and consultant cardiologist who has overall responsibility for the service, with support from pharmacists, dieticians and a clinical psychologist as required.

Key staff

Dr Usha Prasad

Consultant cardiologist

Sharon Smart

Clinical Nurse Specialist

Opening hours

9am - 5pm, Monday to Friday
Clinic Wednesday morning

Contact details

Tel: 020 8296 2000, bleep 844

Get connected

  • Like us on Facebook 
  • Follow us on Twitter
  • Follow us on Linkedin 
  • Reviews on NHS Choices
  • Watch our videos

 

  • Like us on facebook
  • Follow us on Twitter 
  • Follow us on LinkedIn
  • Review on NHS Choices
  • Watch our videos

NHS image placement

Healthy Workplace Achievement Award 2016 NHS Choices