Consultant Cardiologist & ElectrophysiologistExperience of more than 1,500 catheter ablation procedures.
Not for emergencies. This clinic is not an emergency service. Call 999 for severe or persistent chest pain, collapse, severe breathlessness or symptoms that feel life-threatening. If you are unsure and need urgent advice, call NHS 111.
Introduction
Referrals are welcome for patients with palpitations, blackouts, abnormal ECGs, suspected arrhythmias or an established rhythm problem where the diagnosis or treatment pathway remains unclear.
The focus is a clear specialist arrhythmia opinion and a practical plan: whether the next step is further investigation, medication, catheter ablation, reassurance or ongoing local care.
When to ask for a specialist arrhythmia opinion
- Recurrent unexplained palpitations despite a normal resting ECG.
- AF with ongoing symptoms despite rate control, or where rhythm-control options have not yet been discussed.
- Atrial flutter where catheter ablation may offer a definitive treatment.
- Recurrent SVT or a suspected accessory pathway.
- Ectopy with a high symptom burden or concern about a high burden of ectopic beats.
- Syncope or near-syncope where an arrhythmic cause is possible.
- Incidental pre-excitation on an ECG.
- An uncertain wearable, single-lead ECG or rhythm tracing.
Making the referral
Please include a concise clinical question, symptoms, ECGs or rhythm recordings, medication and relevant test results where available. For a difficult ECG or a concise arrhythmia question before referral, remote ECG and arrhythmia advice is available.
For an emergency or an acutely unwell patient, please use the appropriate urgent or emergency pathway.