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Cardiology Consultant Professor Ross Hunter moderated a panel discussion hosted by Radcliffe Cardiology, supported by Medtronic, covering the topic of supporting AF ablation teams in their efforts to reduce AF ablation resource needs, wait lists, and operational inefficiencies, using existing resources and without additional stress.

The expert panel offered guidance on ways to implement workflow efficiencies and reduce the patient’s length of stay, drawing from their respective experiences.

To watch the webinar, please visit the Radcliffe Cardiology site here.

According to Dr Iqbal Malik, Consultant Cardiologist at OneWelbeck, the effects can be felt in the left shoulder.

Dr Malik explained: “Pain, heaviness or soreness in the left shoulder can often be attributed to exertion or injury but if it starts to radiate into the neck or down into the left arm, this could be an indication of an impending heart attack.

“The reason for this is the nerves from the heart and left arm both send signals to the same brain cells, so recognising pain in the arm, even if you can’t feel any chest pain yet, can be a crucial indication that a heart attack may be on the way.”

Read more from Dr Iqbal Malik here.

If you missed our GP Webinar last Thursday 4th June on ‘The Cardiac and Respiratory Effect of COVID-19 with consultants from our cardiology and respiratory centres you can catch it on our YouTube channel!

Watch the webinar over our YouTube page here.

Dr Malik performed a day-case TAVI (transcatheter aortic valve replacement) on patient Mr Gilchrist at the height of the COVID—19 crisis. You can read the story in The Telegraph and watch what happened in the links below:

Dr Malik says: “TAVI is a recognised treatment for symptomatic severe aortic stenosis (SSAS). Doing it as a day-case is very unusual, but at the time the fear was that keeping Mr Gilchrist in overnight would increase the risk of catching COVID-19 disease. As the operation went well, I sent him home. In fact, I have now done a series of such cases and have sent it for publication to a major medical journal, to show other doctors that it is safe to do.”

For more information about TAVI and SSAS please contact the cardiology team.

Dr Malik Moderated a Webinar on TAVI – in Today’s Future.

He joined some UK opinion leaders in discussing what COVID-19 has done to the treatment of Severe Symptomatic Aortic Stenosis (SSAS).

Click here to read more.

Dr Iqbal Malik spoke to The Daily Express about the warning signs of a heart attack

Written by Adam Chapman, The Daily Express

According to Dr Iqbal Malik, who spoke to The Daily Express “when heart symptoms first start, they can be mild – you might feel a bit of breathlessness on excertion, chest tightness, indigestion, or even just a reduction in exercise tolerance. They come on when you push yourself, and disappear at rest”.

Read more about the signs of a heart attack here.

As part of a recent webinar for the British Heart Rhythm Society, Professor Hunter discusses the impact COVID-19 has had on cardiac outpatient departments and how clinical decisions and patient assessments are now being made by phone.

Professor Hunter highlights how patients can be managed remotely using a variety of digital technologies. Together with Professor Leyva they discuss the benefits and challenges of this innovative approach and at what cost.

You can see the webinar by visiting here.

In this chapter, part of a valuable series of resources published by PCR online, Dr Malik and a group of cardiologistslook at protecting the home during the COVID-19 pandemic. They cover topics such what to when you return from home, and when and where to use a face mask.

Click here for more information.

In this chapter, part of a valuable series of resources published by PCR online, Dr Malik and a group of cardiologists look at protecting the hospital during the COVID-19 pandemic. They cover topics such as restructuring the hospital, expanding ITU’s and other ways to keep a hospital running during the pandemic.

Click here for more information.

Pacemaker surgery is one of the procedures we provide patients at OneWelbeck Heart Health.

While it is a device which can vastly improve the quality of life in the long-term, not many people know that pacemaker surgery is a relatively simple procedure with tremendous results for any patient’s quality of life.

Here is some information about how quickly someone can expect this type of surgery to be, as well as related information regarding pacemaker surgery and recovery.

How long does pacemaker surgery take?

On average, pacemaker surgery takes around one hour. With it being a small implant, a consultant cardiologist can place one under the skin to have it wired up and working quite quickly.

With it being a short operation, is the patient awake?

It will all depend on the patient’s circumstances, but in the majority of cases, pacemakers are installed while a patient is under local anaesthetic and awake.

How long does a patient need to recover after surgery?

Even though the surgery takes place in an important area, because it is not as invasive as you’d think, someone would expect to feel fine quite quickly.

A consultant will lay out how they want a patient to recover, so it is expected that strenuous activities are ruled out for at least four weeks after being fitted.

What does a pacemaker do, and why would someone need one?

A pacemaker is an implantable electrical device, which usually sits under the left collar bone (although it can sit under the right in certain circumstances)

It is inserted in patients who have underlying arrhythmias – usually an abnormally slow heart rate. This can be due to previous heart attacks, heart failure or cardiomyopathies.

Pacemakers will have a threshold of which they can override the heart’s intrinsic rhythm/rate.

They can also have a dual function and act as a defibrillator, in which it will deliver a shock to the heart in circumstances where the rhythm would be deemed life-threatening.

Is pacemaker surgery dangerous?

The surgery carries some risk but is not as dangerous as more intensive surgery.

What happens during pacemaker surgery?

One of the reasons pacemaker surgery is so quick is because it requires only a few simple actions.

Once a patient has an incision made below the collar bone, the device simply gets inserted and tested to ensure it is working (you’ll sometimes hear this called pacing). When the surgeon is happy that the device works, it is connected, and that is virtually everything done.

Will a patient experience any pain afterwards?

Discomfort and some bruising are common considering the area worked on, but this should pass by after a few days.

Should a patient expect any restrictions to lifestyle after the procedure?

No. A patient should feel the benefits after a few weeks.

One important thing to remember is that the patient will want to avoid raising their affected arm for at least a month. That means no lifting the arm adjacent to the pacemaker.

A patient will also want to keep arms mobile and following simple movements they’ll be advised will help the most.

Get in touch

Want to talk with someone about having a pacemaker fitted, or similar cardiology procedures to improve heart health?

If you have any questions about this procedure, the team at One Welbeck Heart Health will be happy to discuss options with you.

You can get in touch with us here.