Introduction
Oxford Heart Clinic accepts specialist arrhythmia referrals and second-opinion requests from across the UK and internationally. For a rhythm-management or ablation decision, the most useful first step is often to review the existing clinical information and clarify the question being asked.
Patients seeking a second opinion
An independent electrophysiology opinion can help if symptoms remain limiting, a diagnosis is uncertain, or you want to understand whether medication, cardioversion, catheter ablation or another approach is most appropriate. You do not need to have decided on treatment before arranging a consultation.
Where clinically appropriate, an initial video consultation may be possible. This can help clarify the clinical question, review available records and plan the next step before travel. The clinic can also explain self-pay fees and insurance arrangements before an appointment.
Clinicians seeking a focused EP opinion
Referrers can request a focused opinion on diagnosis, rhythm management, ablation suitability or an ECG question. The aim is a clear recommendation that can be coordinated with the patient’s local GP, cardiologist or clinical team; wider cardiology care can remain with the referring clinician.
What can be done remotely
Records can be reviewed before or around a consultation, including:
- ECGs, rhythm strips and monitor reports
- Echocardiogram, CT or MRI reports
- Clinic letters and discharge summaries
- Medication lists
- Cardioversion and previous procedure reports
This information helps place symptoms, diagnosis and treatment options in context. Recommendations can be shared with the patient’s local doctor or referring clinician where appropriate.
What usually requires travel to Oxford
Physical examination, investigations that cannot be arranged locally and any catheter procedure require attendance in Oxford. The clinic will explain what needs to happen in person before travel is arranged.
When remote management is not appropriate
Remote review does not replace emergency assessment, an in-person examination where this is clinically needed, or local urgent care. For severe or rapidly worsening symptoms, please use the appropriate local urgent or emergency pathway.