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Cardiology

Hillingdon Hospital: First floor (at the end of the Outpatients Department corridor)
Telephone number: 01895 279248

hearts The Cardiology Department deals with disorders of the heart and blood vessels. Our multidisciplinary team provides a full range of non-invasive diagnostic and therapeutic procedures for patients with all forms of cardiac disease, including ischaemic disease, valvular disease and heart attack and rehabilitation.

arrow See also: Team and Clinic times and Useful Websites

Cardiology tests:

Ambulator Blood Pressure (BP) Monitor
This is a blood pressure cuff (like an armband) attached to a small monitor, that records your blood pressure at regular intervals throughout a 24 hour period. You will need to return after 24 hours to have the monitor removed.

Cardioversion
This procedure is used to convert a certain abnormal heart rhythm to normal regular rhythm. The principle is based on the use of electrical energy of very short duration to abruptly stop the foreign pacemaker causing abnormal heart rhythm. This will allow the normal pacemaker to assume normal heart rhythm. Electrical current is delivered through the chest wall. Special jelly-pads are applied to the skin to allow the current through the skin. This is a remarkably safe procedure as the electrical force is so short, the electrical current does not damage the heart muscle.

arrow More patient information on Cardioverson (opens a new window)

Echocardiogram
This test enables the structures of the heart to be visualised and the size and movement of these structures to be assessed. A small amount of conduction gel is applied to the transducer (rested gently on the couch) and then a scan of the heart is taken, using high frequency sound waves (there are no known harmful side effects). The images are recorded on a video tape to enable them to be seen by your Doctor. This test takes about 20 minutes to complete and is totally painless.

Lifecard
A Lifecard, sometimes called a 24 hour tape, is a means of recording your ECG over a 24 hour period to see your heart rhythm whilst undertaking normal daily activities. You will be asked to undress to have electrodes applied to your chest (connected to a small monitor). This will normally be worn around the waist for the 24 hours of recording. You will be asked not to bathe or shower whilst wearing the monitor, and to maintain a diary to enable the Doctor to see what your heart is doing during any symptoms. You will need to return after 24 hours to have the monitor removed.

Stress Test

exercise machine An exercise test sometimes called an exercise ECG or stress test is an ECG recorded by a special computerised machine whilst you are exercising. It will provide your Docotr with certain important information about how your heart functions during physical activity.

The test is carried out on a treadmill (a small ramp with a wide moving belt on which you walk) that has rails to hold for balance. The speed and slope of the treadmill are altered during the test and your blood pressure monitored. The test will take approximately 30 mins.

It is advisable to wear comfortable shoes or trainers and shorts or loose fitting trousers with a loose T-shirt. For women a shirt rather than a dress is advised. Please do not have a heavy meal prior to the test and bring any medication with you. A shower is available for your use afterwards. Please bring your own toiletries.

It may be necessary to shave men's chests. Please telephone if this is a problem.

Trans-oesophageal echocardiography (T.O.E.)
An echo test, where a small probe is placed over your chest to obtain images of your heart, sometimes may not provide all the information we require. It is necessary then to proceed to perform a T.O.E. (or a Trans-Oesophageal Echo) where images are obtained through the oesophagus (gullet), which will give valuable additional information. In order to perform the procedure, a very small probe with a long and flexible tube, with a bright light at the end, is passed through your mouth into the oesophagus.

arrow More patient information on T.O.E. (opens a new window)

Team and clinic times:

Dr Richard Grocott-Mason
Dr Simon Dubrey
Dr Miles Dalby (visiting Harefield consultant)
Alison Rochelle - Cardiology Manager

Clinics are run on a Tuesday, Wednesday and Thursday afternoon, and a Friday morning. You will receive a confirmation letter with details of your appointment, where to go and who you will be seen by.

Useful websites:

British Heart Foundation 08450 70 80 70
The Cardiomyopathy Association 01923 249 977