Consultant Cardiologist & ElectrophysiologistExperience of more than 1,500 catheter ablation procedures.
Secure referral checklist
Send this with the referral
Clinical question
Diagnosis, treatment choice, ablation suitability, ECG interpretation or a second opinion.
Attach where available
ECG, monitor report, wearable tracing, echo report, bloods, medication list, cardioversion history and previous ablation or device reports.
State urgency
Routine, soon, or an urgent clinical concern. Do not use this service for emergencies.
Introduction
An electrophysiology opinion can be helpful when the diagnosis, rhythm-management strategy or role of catheter ablation is uncertain. Referrals are welcome from GPs, cardiologists and other specialists across the UK and internationally.
ReferPatient.to, provided by Carebit, is Oxford Heart Clinic’s secure referral provider for clinical information and supporting records.
When might an electrophysiology opinion be helpful?
- Recurrent symptomatic AF despite rate or rhythm medication.
- Newly diagnosed symptomatic AF where rhythm-control options need discussion.
- AF where the patient is asking whether ablation is an option.
- Recurrent SVT or atrial flutter.
- Symptomatic ectopy where treatment is being considered.
- Unexplained tachycardia or an ECG finding that needs clarification.
- Recurrent syncope where an arrhythmic cause is possible.
- Ventricular arrhythmia requiring specialist assessment.
- Recurrent arrhythmia after a previous ablation.
- Uncertainty about pacemaker or ICD indications.
- A difficult rhythm-management decision where a focused second opinion would help.
What to include
Please state the clinical question and include symptoms, the relevant ECGs or rhythm recordings, medication, and key investigation results where available. Holter reports, echo or MRI/CT reports, clinic correspondence and previous procedure reports are especially useful when they relate to the question being asked.
I am happy to provide a focused electrophysiology opinion or undertake an ablation assessment while the patient’s wider cardiology care remains with the referring clinician.
Example referral questions
- Is this patient’s AF suitable for ablation?
- Is this broad-complex tachycardia more likely to be VT or SVT with aberrancy?
- Does this patient with recurrent palpitations need longer monitoring, electrophysiology study or reassurance?
- Can this patient remain under my general cardiology care while you advise on the arrhythmia question?
- Does this ECG suggest pre-excitation, atrial flutter, ectopy or artefact?
Need a view before a formal referral?
For a difficult ECG or a concise arrhythmia question, use the Discuss a case / request an ECG opinion option above. This route can help clarify whether electrophysiology assessment would be useful.
For an emergency or acutely unwell patient, please use the appropriate urgent or emergency pathway rather than this service.