What we do
Cardiology (heart) provides comprehensive services at both St Luke's Hospital (SLH) and Bradford Royal Infirmary (BRI). There are six cardiologists (heart specialists) providing the full range of adult cardiac services.
The cardiology service deals with a range of adult heart disease (not children) such as chest pain (angina), hypertension (high blood pressure), palpitations and blackouts (irregular heartbeats), shortness of breath, chronic heart problems and infections of heart valves.
General cardiology outpatients clinics are held at St Luke's Hospital with clinic sessions available each day of the week. The department is able to deal with the full range of adult heart disease.
There are three rapid access clinics for specific disorders:
Â· The Rapid Access Chest Pain Clinic on level 0, BRI, which accepts referrals for new onset chest pain and sees patients within a maximum of 14 days.
Â· The Rapid Access Heart Failure Clinic at St Luke's outpatients department is where patients with breathlessness due to suspected heart failure can have an echocardiogram (heart scan), see a consultant cardiologist and a heart failure nurse specialist during one visit.
Â· There is also a Syncope Clinic where patients suffering from blackouts can see a specialist nurse and have the appropriate investigations. Test results are then reviewed by a consultant cardiologist and a management plan is formulated for each patient.
There is also a specialist service for patients with refractory angina (angina that is not able to be treated or helped with medical or surgical treatments) based at St Luke's Hospital and led by Dr Paul Sainsbury. This clinic includes access to a specialist nurse, dedicated clinical psychologist and specialist treatments that are not available in most other hospitals, like enhanced external counterpulsation and coronary sinus reducer stent (we are one of only three centres in the country offering this procedure).
GPs are able to directly access a number of investigations to enable them to better manage cardiac disease in the community without the need for hospital referral, where appropriate.
In addition to our hospital-based teams, we also have specialist nurses working in the community who bring care direct to the patient's home. These specialist heart failure and rehabilitation teams educate patients about their condition. This service further improves our care to patients after discharge, reducing the need for hospital-based follow-up appointments and reducing un-necessary readmissions.
Consultant-led outreach clinics continue to bring services closer to patients.
An ambulatory ECG and echocardiography takes place at Addingham GP Surgery while Bradford consultants also support a GP clinic at Westcliffe.
Plans to extend the Addingham model to other community locations are under development.
A&E and Cardiology
The A&E, acute medicine and cardiology departments at Bradford Royal Infirmary work closely together and have made significant improvements and investments to patient pathways in order to give a faster, more efficient service.
Point-of-care troponin testing takes place in A&E and on our Medical Admissions Unit (MAU). This test ensures early identification of high risk acute coronary syndrome (ACS) patients while identifying low risk patients for early discharge.
We continue to pilot and develop new diagnostic tests to ensure the early diagnosis of high-risk patients in our urgent care facilities such as A&E and the MAU.
Inpatient services are based on ward 22, level 1, of the BRI site, and include a £2.3million state-of-the art cardiac catheter laboratory and day-case suite which opened in October 2014.
Here we provide the full range of cardiological treatments, other than heart surgery which is carried out at Leeds Teaching Hospitals. We perform:
Â· Implantation of pacemakers
Â· Coronary angiography (radiological investigation of the coronary arteries)
Â· Coronary angioplasty (balloon dilatation and insertion of stents into the coronary arteries)
Â· Implantation of specialised devices such as implantable defibrillators.
The full range of cardiac diagnostic services are available at both the BRI and St Luke's and waiting times are generally short - with most investigations carried out within four weeks from being referred by your GP.
Dr Fiona Willcoxson Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Visiting paediatric cardiologist (LTH)
Dr Mike Blackburn Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Visiting paediatric cardiologist (LTH)