London Medical Cardiology
Atrial fibrillation treatment
London Medical’s Cardiology Clinic provides the most up-to-date investigative cardiac procedures for patients with heart problems – and some of the UK’s most renowned cardiologists hold clinics here for all aspects of heart disease.
Expert cardiology care to treat atrial fibrillation
Atrial fibrillation (AF) is a common condition in which the rhythm of the heart is abnormal. In AF the pulse becomes irregular and the heart rate can be very fast, making you feel weak, dizzy and short of breath. If untreated, atrial fibrillation can increase the risk of having a stroke, so it’s important to identify it promptly and treat it effectively.
London Medical’s cardiac consultants are experts in the diagnosis and treatment of atrial fibrillation and other heart arrhythmias. If you are concerned about palpitations, your pulse feels irregular or you’ve had a TIA or mini-stroke, London Medical offers the latest cutting-edge cardiac investigations so that treatment can be targeted to correct your heart rhythm and safeguard your future health.
What is atrial fibrillation?
Atrial fibrillation is an abnormal heart rhythm in which the pulse is irregular and often rapid.
In a healthy heart, regular electrical messages make the chambers contract and pump blood to the lungs and around the body. In AF, these normal electrical impulses are disturbed, making the small chambers at the top of the heart (the atria) twitch in a disorganised and ineffective way.
The heart rate in atrial fibrillation often exceeds 100 beats per minute, making it difficult for the heart muscle to relax between contractions and work efficiently. Blood may collect in the large chambers of the heart, making clots form. These clots can break off and lodge in the small blood vessels of the brain causing strokes or transient ischaemic attacks (TIAs).
What are the symptoms of atrial fibrillation?
Atrial fibrillation can cause palpitations, where you’re aware of your heart beating rapidly or irregularly. You may also feel weak, dizzy, tired and breathless. However, sometimes AF can be silent, with people being totally unaware that their heart rate is abnormal until it’s picked up on a routine health check or following a stroke.
- It’s important to make an appointment with your GP or the specialist cardiology team at London Medical if you notice:
- A sudden change in your heartbeat, whether the change is consistent or comes and goes.
- Your pulse is regularly below 60 or above 100.
- You're experiencing dizziness or shortness of breath.
- Urgent assessment is essential if have chest pain or symptoms of a stroke like weakness, slurring or facial drooping.
Atrial Fibrillation testing at London Medical
London Medical’s state-of-the-art cardiology clinic offers the latest investigative procedures for patients with palpitations or irregular heartbeats. Some of the UK’s most renowned cardiologists provide expert assessment and treatment, supported by a team of dedicated cardiac nurses, ultrasound specialists, and physiology technicians. Tests could include:
- ECG recording
- BP monitoring
- Ambulatory ECG recorders to look for cardiac arrhythmias over 24-48 hours or longer
- Implantable loop recorder: If your symptoms are infrequent, a cardiac event recorder or cutting-edge implantable device can be inserted to identify abnormalities in the heart's activity over a prolonged period of time
- Treadmill exercise stress tests
- Echocardiography
- Blood screening tests to check for cholesterol levels and identify chronic conditions including diabetes or thyroid disease.
Treatment for Atrial Fibrillation at London Medical
- The treatment of atrial fibrillation at London Medical involves treating any underlying conditions, correcting the heart rhythm, supporting lifestyle changes and protecting against stroke.
- The cardiac physicians will consider the results of your investigations, your health and your lifestyle before tailoring a treatment plan to your individual needs. They will take time to explain any complications of treatment, address all your concerns and queries and provide support throughout. Treatment can include:
- Anti-arrhythmic medication: Specialist drugs can help control the heart’s rhythm and rate. Digoxin, beta-blockers and calcium channel blockers may correct the rhythm, but often they work to control the heart rate, so that the heart can function effectively.
- Cardioversion: A controlled electric shock can help restore the heart’s normal rhythm.
- Catheter ablation: An area within the heart can be responsible for triggering the abnormal heart rhythm. This can be precisely destroyed by London Medical’s highly skilled cardiologists in a minimally invasive procedure, Radiofrequency energy is applied to the faulty cells, preventing the disordered electrical signals. Following the procedure, a pacemaker may be required to maintain a healthy, regular rhythm.
- Management of chronic conditions: London Medical’s cardiac physicians are experts in identifying, treating and preventing cardiovascular disease. They will screen for chronic conditions including hypertension, thyroid disease, diabetes and hypercholesterolaemia so that any problems can be identified and treated.
- Lifestyle changes: Stopping smoking and cutting back on caffeine and alcohol can protect your heart and reduce the risk of abnormal rhythms. You can also prevent stroke and cardiovascular disease by maintaining a healthy BMI, exercising regularly and eating a balanced diet that’s low in saturated fat. London Medical offers expert support from many different specialties, all under one roof. Whether you need a personalised weight management programme, nutritional advice or support with giving up smoking, London Medical can help.
- Stroke prevention: Atrial fibrillation increases the risk of having a stroke in the future by four to five times. However, London Medical can help reduce the chance of problems and help protect against stroke. Anticoagulant medications can prevent clotting and thin the blood. London Medical offers traditional anticoagulants like warfarin but also prescribes the innovative new NOACs, which have been shown in clinical trials to prevent stroke in people with AF that is not caused by heart valve problems.
Our Consultants
Dr George Amin-Youssef
Consultant cardiologist who deals with adults and specialises in heart failure, including advanced heart failure, working in one of the largest heart failure units in the UK.
Professor Carlo Di Mario
Specialist in Interventional cardiology – the use of catheters and other devices to restore blood flow to the heart without major surgery.
Dr Claire Chalmers-Watson
Dr Chalmers-Watson is an experienced General Practitioner with over two decades of experience in primary care and a profound expertise in managing a broad spectrum of health conditions.
Professor Piers Daubeney
Professor Piers Daubeney is a consultant paediatrician at London Medical, specialising in paediatric cardiology.
Dr Shouvik Haldar
Consultant Cardiologist and Electrophysiologist at the Royal Brompton and Harefield Hospitals with a specialist interest in the management of patients with abnormal heart rhythms.
Dr Riyaz Kaba
Consultant cardiologist and electrophysiologist, specialising in arrhythmias, ablations, and pacemakers.
Professor Thomas F. Lüscher
Consultant in cardiology, interested in interventional cardiology, rhythmology, echocardiography, heart failure, acute cardiac care, and sports cardiology.
Dr Khaled Mallek
An esteemed consultant interventional and general cardiologist, specialising in complex coronary interventions and chronic total occlusions.
Dr Nikolaos Papageorgiou
Dr Nikolaos Papageorgiou is a consultant cardiologist at London Medical, specialising in heart failure and electrophysiology.
Professor Kausik Ray
Consultant preventative cardiologist, specialising in diabetes, lipids, glucose, hypertension and cardiometabolic traits.
Our Cardiology specialties
We offer care across a broad range of cardiology specialties. We have some of the top specialists in every aspect of cardiac care. Our entire team is dedicated to working together to consider the results of your investigations, your health and your lifestyle before tailoring a treatment plan to your individual needs.
Coronary artery disease (CAD) is a type of cardiovascular condition in which the vessels that supply blood to the heart become constricted by fatty deposits. The buildup of these fatty deposits is called atherosclerosis. CAD is commonly referred to as coronary heart disease, which is the most common form of heart disease
Symptoms
Conditions
Tests
Echocardiogram (inc. trans-thoracic and stress echo)
Cardiac MRI
Resting ECG
Treatments
Percutaneous coronary intervention
Heart failure is a long-term condition in which the heart is unable to pump blood throughout the body as it should. Your body depends on the heart to supply oxygen-rich and nutrient-rich blood to the body’s cells.
Symptoms
Breathlessness (when walking up hill/stairs/upon exercise)
Conditions
Heart failure
LV fibrosis
Tests
Echocardiogram (inc. trans-thoracic and stress echo)
Resting ECG
Treatments
Implantable cardioverter-defibrillator (ICD)
Cardiac Resyncronicization Therapy (CRT)
Your heart has four heart valves that control the flow of blood in one direction. If you have valvular heart disease, it means one or more of these valves are not working as they should. This can cause problems with your blood flow, putting extra strain on your heart to work harder.
Symptoms
Breathlessness (when walking up hill/stairs/upon exercise)
Conditions
Aortic/Heart valve disease/stenosis (inc. Mitral valve regurgitation)
Tests
Echocardiogram (inc. trans-thoracic and stress echo)
Resting ECG
Holter ECG
Exercise test
Treatments
TAVI
SAVR
Mitraclip
Valve replacement/reconstruction
Your heartbeat is controlled by electrical impulses. It’s normal for us to experience changes in our heartbeat at different times of the day depending on our activities. But if you have an arrhythmia, it means that the electrical activity that controls your heartbeat is affected.
Symptoms
Palpitations
Dizziness
Syncope
Conditions
Heart/AV Block
Tachycardia (inc. Ventricular Tachycardia (VT runs) and Superventricular tachycardia)
Bradycardia
Tests
Resting ECG
Holter ECG
Echocardiogram (inc. trans-thoracic and stress echo)
Treatments
Beta blockers
Cardioversion
Pacemaker
Anticoagulants
Cardiac ablation
ICD implantation
Blood pressure is the pressure of your blood pushing against your arteries. Your blood pressure naturally goes up and down throughout the day. Hypertension is the medical term for when your blood pressure numbers are consistently too high.
Symptoms
Unusual Hypertension
Renal artery stenosis
Endocrine hypertension
Ordinary hypertension
Tests
Echocardiogram (inc. trans-thoracic and stress echo)
24h Ambulatory Blood Pressure Monitoring
Treatments
Diet:
Low salt DASH diet
Drugs:
Calcium channel blockers
ACE-inhibitors
Beta blockers
Renal nerve ablation for severe resistant hypertension
Cholesterol is a fatty substance in our blood that is produced naturally in our liver. It is essential for your body’s normal functioning – it is used by our cells to make some hormones and vitamin D. Cholesterol can also be found in the foods we eat. Over time, if your blood cholesterol levels are too elevated, it can pose a serious risk to your health.
Symptoms
None
Conditions
Monogenic Familial hyperlipidaemia
Polygenic hyperlipidaemia
Dyslipidaemia (low HDL, high LDL, raised triglyceride)
Familial combined hyperlipidaemia
Rare lipid disorders
Tests
Advanced lipoproteins (NMR lipoproteins, oxidised LDL cholesterol, lipoprotein (a))
Coronary calcium score
Our Locations
London Medical is located in the Harley Street medical area. Together with top experts across a range of multi-disciplinary fields, we offer the finest facilities for your care, all under one roof.
Monday to Friday 8.30am to 8pm
Monday to Friday 8.30am to 8pm
Monday to Friday 8.30am to 8pm
Speak to a member of our team
Get in touch
If you have any questions or want to book an appointment, please speak to our team on +44 (0)800 0483 330.
Or, make an enquiry online using this form and one of our team will be in touch. Please note, all the information collected is required as part of our registration process. By using this form you agree with the storage and handling of your data by our team. You don't need a referral from your GP to make an appointment with us.
Contact us
Our team can also be contacted on +44 (0)800 0483 330.
Please note, all the information collected is required as part of our registration process. By using this form, you agree with the storage and handling of your data by our team.
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