Consultant Cardiologist & ElectrophysiologistExperience of more than 1,500 catheter ablation procedures.
Introduction
When an ECG, rhythm strip or arrhythmia question needs a specialist view, a focused electrophysiology opinion can help clarify the next step. Remote advice is available for clinicians across the UK and internationally, either before or alongside a formal referral.
When remote advice may help
- A single-lead or wearable ECG that is difficult to interpret.
- An ambulatory monitor excerpt that needs an electrophysiology perspective.
- A perioperative ECG question where an arrhythmia-specific opinion would help.
- Is the rhythm atrial fibrillation or atrial flutter?
- Does an ECG suggest pre-excitation or an accessory pathway?
- Could the presentation represent SVT?
- Does an abnormal ECG need further investigation or electrophysiology assessment?
- Is symptomatic ectopy likely to need additional assessment?
- Is there a rhythm-management or ablation question that would benefit from specialist input?
How to request advice securely
ReferPatient.to, provided by Carebit, is Oxford Heart Clinic’s secure referral provider. Please use the secure Carebit referral service to send a concise clinical question and the relevant ECG or rhythm strip. Where relevant, include symptoms, medication, key test results and any previous rhythm history.
For identifiable patient information, please do not use ordinary email or this website. Please confirm that the patient has consented to their information being shared for this professional advice request.
Response time and scope
This is a pre-referral professional courtesy, with no charge. A response is usually provided within 1–2 working days. It is intended for a focused ECG or rhythm-management question; if a full assessment is likely to be helpful, the patient can then be referred through the same secure service with the supporting information.
Boundaries of the service
Remote advice is not a substitute for emergency assessment, in-person examination or the referrer’s clinical judgement. It is not an emergency or urgent-care service. For an emergency or an acutely unwell patient, please use the appropriate urgent or emergency pathway.