Natali Chung stays on in the department as a locum in a new third consultant post within the ACHD team and we welcome back Dr Cathy Head from her maternity leave.
Services have continued to expand with greater numbers of patients seen in all clinics and the start up of transition clinics. In addition we now have a dedicated adolescent/young patients’ dayroom to improve the quality of our patients’ admissions. Services offered are:
Services have continued to expand with greater numbers of patients seen in all clinics and the start up of transition clinics. In addition we now have a dedicated adolescent/young patients’ dayroom to improve the quality of our patients’ admissions. Services offered are:
Heart failure
Our heart failure service continues to expand and we are delighted to welcome four further heart failure nurses (one hospital nurse, 2 southwalk PCT nurses funded by the GSTT charity, and one BHF funded inherited cardiac diseases nurse).
In the last financial year the heart failure team saw approximately 500 patients with possible heart failure and of these 288 were found to have LV systolic dysfunction and were entered into our national audit (making GSTT the fifth highest contributor in the country).
We are working towards a unified Community Heart Failure group across Kings health partners and Lambeth and Southwark PCTS with regular multidisciplinary PCTS and joint guidelines and protocols. In the community we have 5 specialist heart failure nurses / pharmacists funded by charities (three from the BHF and two from GSTT charity).
The Elderly Care heart Failure Clinic is led by Dr Mark Kinirons and Caroline Read and specialises in elderly patients with heart failure who have multiple comorbidities. It operates in the eldely care clinic / day centre at guys.
The Palliative Care Heart Failure Service is run by Dr Beynon with Fiona Hodson and Dr Carr-White for patients with end-stage heart failure requiring help with end of life management or palliative care.
In the last financial year the heart failure team saw approximately 500 patients with possible heart failure and of these 288 were found to have LV systolic dysfunction and were entered into our national audit (making GSTT the fifth highest contributor in the country).
We are working towards a unified Community Heart Failure group across Kings health partners and Lambeth and Southwark PCTS with regular multidisciplinary PCTS and joint guidelines and protocols. In the community we have 5 specialist heart failure nurses / pharmacists funded by charities (three from the BHF and two from GSTT charity).
The Elderly Care heart Failure Clinic is led by Dr Mark Kinirons and Caroline Read and specialises in elderly patients with heart failure who have multiple comorbidities. It operates in the eldely care clinic / day centre at guys.
The Palliative Care Heart Failure Service is run by Dr Beynon with Fiona Hodson and Dr Carr-White for patients with end-stage heart failure requiring help with end of life management or palliative care.
Inherited Cardiac Diseases
The demand on the inherited cardiac diseases has increased significantly and a designated clinic is now run once a week by Dr Carr-White ,Dr Perry Elliot from the Heart Hospital ,Dr Roberts, a consultant geneticist and Tootie Buetser one of the first string of BHF funded inherited cardiomyopathy nurses.
Stress echocardiography
The department has maintained activity with over 668 studies performed this year. An algorithm linking echocardiography, magnetic resonance and nuclear medicine in the investigation of chest pain has been developed.
A Clinical Fellow has been appointed to supervise non-invasive activity at Guy's Hospital where treadmill and bicycle stress echocardiograms will be begun in 2009 on sonographer-led lists.
A Clinical Fellow has been appointed to supervise non-invasive activity at Guy's Hospital where treadmill and bicycle stress echocardiograms will be begun in 2009 on sonographer-led lists.
Adult congenital heart disease
| • | Noninvasive and invasive investigation |
| • | Electrophysiology |
| • | Pulmonary hypertension |
| • | Catheter intervention |
| • | Cardiac surgery |
| • | Weekly cardiac obstetric clinic with Prof Nelson-Piercy and Dr Langford |
| • | Monthly cardiac genetics clinic with Dr Gill and Dr Simpson |
| • | Special needs dentistry (Mr Chris Dickinson) |
| • | Outreach clinics |
Dr Chris Langrish has taken over as head of Echocardiography and Dr Rakhee Hindocha continues in her Fellowship in Critical Care Echocardiography. They are writing up their experience of around 2000 clinical studies.
The certification process for screening echocardiography is now also used for cardiology trainees to ascertain a basic level of competence before performing scans independently out of hours. Three ICU consultants and two trainees have passed the "screening accreditation". Training days were held on two dates this year.
The certification process for screening echocardiography is now also used for cardiology trainees to ascertain a basic level of competence before performing scans independently out of hours. Three ICU consultants and two trainees have passed the "screening accreditation". Training days were held on two dates this year.
Critical Care Echocardiography