Whats New in Cardiology
Attended by Consultants, GPs, Practice Nurses and Industry Partners, this lunchtime meeting, instead of lectures, was a new open format comprising informal presentations by faculty members and industry partners giving ample opportunity to ‘meet the team’ and ask lots of questions.
1/ Chest pain pathway and the Virtual catheter lab: Cardiac CT and FFR-CT
Edward Leatham Consultant Cardiologist
Invasive Coronary angiography has been the ‘gold standard’ for diagnosis of coronary heart disease for the past 40 years. The position has recently changed with the advent of modern Cardiac CT techniques also capable of detecting disease many years before symptoms develop. “The virtual catheter lab” will be presented to illustrate this technology
Dr Mark Ingram Consultant Radiologist
Our group was amongst the first in the UK to embrace this latest technology that allows functional information about coronary stenosis severity to be calculated using retrospective CT data. We conducted a survey in 2015-16, the results of which are shown here. These indicate that Cardiac CT and CT FFR in combination are likely to become the investigation of choice for GPs and Cardiologists in the future.
3/ Coronary Intervention and Stents
Dr Peter Clarkson Consultant Cardiologist
For many years coronary narrowing involving major branches was deemed ‘surgical’ ie required open heart surgery to fix. These days new stenting strategies are being used to provide a keyhole or a minimally invasive alternative.
4/ TAVI (Trans aortic valve implant)
Dr Jo Shannon Consultant Cardiologist
Narrowing of the aortic valve has become an epidemic – and is now far the most common valve disease in over 70 year olds. Until 10 years ago replacing the aortic valve required open heart surgery, however since the advent of TAVI Cardiologists are increasingly offering less invasive alternatives such as TAVI.
5/ Echocardiography and Stress Echocardiography
Nicole Knapp Senior Chief Echo Technician
Cardiac Ultrasound or Echocardiography, having no ionizing radiation, is an attractive technique for evaluating heart muscle and valve function. It can also be used to diagnose narrowed coronary arteries using a stress technique. Nicole will demonstrate both.
6/ Cardiac MRI
Dr Nesan Shanmugam Consultant Cardiologist
MRI imaging of the heart provides a ‘gold standard’ for diagnosis of heart muscle disease (Cardiomyopathy) and increasingly for functional assessment of coronary artery stenosis.
7/ AF Ablation using Pulmonary Vein Isolation (PVI)
Dr Zia Zuberi Consultant Cardiologist
Atrial fibrillation is the commonest cardiac arrhythmia by a long chalk. Its ablation involves sophisticated mapping before burns are applied to prevent recurrence.
8/ Preventing Sudden Death: When to Screen
Dr Elijah Behr Consultant Cardiologist
The public are becoming more aware of the dangers of sudden death in young athletes and first degree relatives of sudden death victims: how does a GP go about screening or referring relevant cases?
9/ HASTE – presenting Help yourself DVD and How to take your own Blood pressure
Dr Graham Tyrrell Trustee of HASTE
The Heart and Stroke Trust endeavor (HASTE) recently merged with Haste Academy and under new Chairmanship has launched a new Cardiac CT fund raising campaign, but still promotes AF and Hypertension awareness, so launched a new DVD and dispenser for use in GP Surgeries and public spaces.
10/ SCVC Homecare
Jane Price Senior Nurse, SCVC
Many cardiac conditions such as Hypertension and AF become long term or chronic. SCVCs Homecare is our initiative to train and equip patients to use home equipment to measure and share their data long term.
Industry Partner presentations
11/ Bayer plc discussing Rivaroxaban, an orally active anticoagulant
12/ Medtronic discussing and showing implantable ECG loop recorders
13/ Boston Scientific discussing Subcutaneous Implantable Cardiac Defibrillators (SICD).
14/ Qardio discussing measuring and sharing your own ECG, Blood Pressure and weight at home
15/ Daiichi Sankyo UK Ltd discussing Edoxaban an orally active anticoagulant
16/ HeartFlow discussing CT-FFR a technique for quantifying a coronary stenosis using CT data.
We were extremely grateful to the following industry partners for financial support for this meeting
Daiichi Sankyo UK Ltd.