Specialist electrophysiology assessment

Heart rhythm second opinions

Independent electrophysiology second opinions for heart rhythm diagnoses, treatment strategy and catheter ablation decisions, in Oxford or remotely where appropriate.

Specialist electrophysiology care

Dr Rohan WijesurendraConsultant Cardiologist & Electrophysiologist

1,500+ ablationsPersonally performed catheter ablation procedures

Oxford-based carePrivate care at Nuffield Health The Manor Hospital

For patients: an independent electrophysiology review of your options

A second opinion can help when a heart rhythm diagnosis, treatment plan or decision about a procedure remains uncertain. It is not a criticism of previous care: it is an opportunity to understand the available options clearly and decide what is right for you.

I offer specialist electrophysiology opinions for patients in Oxford, across the UK and internationally. Where clinically appropriate, an initial consultation may be by video; any investigation or treatment that needs to be carried out in person can be planned clearly.

I have experience of more than 1,500 catheter ablation procedures, including thermal energy and pulsed field ablation, as of August 2026.

An initial self-pay consultation is £250. It does not commit you to a procedure or require you to transfer your ongoing care.

When a second opinion may help

  • Your symptoms remain troublesome despite treatment.
  • You have AF, SVT, atrial flutter or another arrhythmia and would like to understand all available treatment options.
  • You have been offered medication and would like to understand whether catheter ablation is an alternative — for example, AF despite medication.
  • You have previously had an ablation and symptoms or the arrhythmia have returned.
  • You are already under a cardiologist and would value an electrophysiology opinion.
  • You would like an independent review before deciding whether to have a procedure.

After the consultation, you should understand

  • the rhythm diagnosis and the reason for your symptoms, as far as the available information allows;
  • whether the current treatment strategy is reasonable and whether other options exist;
  • whether catheter ablation is worth considering in your situation;
  • the likely benefits, limitations and risks of changing treatment; and
  • the practical next steps to take back to your existing cardiologist or GP.

The consultation may include reviewing ECGs and rhythm monitoring and explaining the role of medication, cardioversion, catheter ablation or observation. If treatment is recommended, you will have time to consider the options. For common decision points, see AF ablation, SVT medication or ablation, and AF returning after cardioversion.

After your consultation

I will usually send an electronic letter setting out my opinion and recommendations on the same day as the consultation. Follow-up questions can usually be addressed promptly by email or, where the question needs fuller discussion or a clinical reassessment, in a follow-up consultation.

What to bring or send

Useful information includes ECGs, monitor reports, echo, CT or MRI reports, clinic letters, medication lists and any previous procedure reports. If these are not available before the appointment, the clinic can advise on the best way to obtain or share them.

For clinicians: a focused EP opinion while you retain ongoing care

Referrers are welcome to request a specific electrophysiology opinion or ablation assessment while retaining the patient’s wider cardiology care. The referral can be focused on a diagnosis, ECG, treatment choice or procedural question; use the secure referral route, or request remote ECG and arrhythmia advice for a concise clinical question.