Being told there is a problem with your heart is worrying. At the Chiltern Hills Heart Clinic we aim to provide a comprehensive service providing first and foremost an expert opinion from Dr Punit Ramrakha, reassurance where appropriate, and up-to-date treatment for your heart condition where necessary.

During your consultation, Dr Ramrakha will discuss your individual case with you and recommend the most appropriate treatment for your condition, the best hospital or specialist for you, and make the referral if appropriate. He will agree a treatment plan with you, taking your preferences into account. Not all these treatments are available locally in Buckinghamshire.

Management of coronary heart disease

• Follow-up of patients with angina and following heart attacks to optimise treatment
• Modern drug therapy and secondary prevention
• Coronary angioplasty
• Coronary artery bypass grafting
• Enhanced Extracorporeal Counter Pulsation (EECP)
• Access to experimental treatments such as stem cell and gene therapy

Management of valvular heart disease

• Follow-up of patients with valve disease with ECHO
• Cardiac catheterisation for quantification of valve lesions
• Cardiac surgery (valve repair or replacement) as necessary
• Percutaneous ('keyhole') treatments for valve disease

Management of Arrhythmias

• Advice and treatment for patients with a wide spectrum of cardiac rhythm problems
• Atrial arrhythmias (e.g. atrial fibrillation, atrial flutter, junctional tachycardia, accessory pathway tachycardias)
• Ventricular tachycardia
• Ablation therapy for tachycardias
• Pacemaker implantation for patients with dizzy spells and blackouts due to slow cardiac rhythm

Management of heart failure

• Follow-up of patients with heart failure
• Optimisation of drug therapy according to modern guidelines
• Cardiac resynchronisation therapy for suitable patients

Management of hypertension

• Optimisation of drug therapy in accordance to modern guidelines
• Ambulatory BP monitoring
• BP monitoring during exercise stress test to ensure optimal control
• Monitoring for end-organ damage
• Renal denervation

Closure of holes in the heart (ASD/PFO)

• Percutaneous ('keyhole') therapy for atrial septal defects and patent foramen ovale (PFO) for the prevention of stroke and treatment of migraine