Cardiology

York Hospital

Our team

Full time Consultant Cardiologists

Dr Maurice Pye Lead Clinician ( interests Intervention and Imaging)

Dr Rob Crook ( Interest in Intervention)

Dr Simon Megarry ( Interest in Heart Failure and Cardiac Rehab)

Dr Nigel Durham ( Interest in Intervention)

Dr Sanjay Gupta ( Interest in Imaging)

Part time Consultants

Dr Gordon Williams ( Interest in Echocardiography)

Dr Chris Gale ( Interest in Academic Cardiology and Heart Failure)

2 full time Cardiology SpRs ( increasing to 3 in August 2013)

2 x F1doctors

2 x CMT doctors

York Hospital Technical Department

1 Head of department Band 8B

7 x Band 7

2 Invasive (both with HRUK)

1 ECG services (BSE accreditated)

3 Echo (all BSE accredited + Post Grad/MSc)

1 Pulmonary Function

4 x Band 6 - all on Post Grad courses

4 x Student Cardiac

1 x Student Respiratory

4 x Band 3 - admin, cardiographer

Aproximate numbers of technical procedures:

6500 Echocardiograms
500 Stress echocardiograms
50 Trans oesophageal echocardiograms
1000 Exercise Stress ECG Tests
2500 loop recorder monitors, ambulatory ECG tapes, 24 hr BP, pulse oximeters, cardio memos
1500 Pulmonary function tests
3500 pacing follow up - brady, biV, ICD

Intervention/Pacing

In one dedicated cardiac catheter angiography suite ( GE Flat Plate) we performed/year:

350 Percutaneous Coronary Interventiosn /Pressure wires or IVUS
200 Bradycardic Pacemakers
1100 Diagnostic coronary angiograms, right and left heart catheters etc
Approximately 80% of procedures from radial artery approach.

We have run a very successful PCI service on site for 2 + years for all elective and Non STEMI patients. All STEMI patients are at present transferred to Leeds General Infirmary (LGI) for primary PCI (where the 3 cardiologists; Drs Pye, Crook and Durham, take part in the Regional Primary PCI rota).

We plan to develop the York intervention service further over the next 12 months with our integration with Scarborough Hospital as a joint Trust this will include:

Setting up a 2nd dedicated coronary angiography suite [ initially mobile lab whilst capital build is taking place].
An increase in PCI to > 500+ cases per year
Starting a coronary rotablation service.
Appointment of a Consultant with Interest in Devices to start Biventricular and ICD implants on site.

Imaging

The department runs a high quality Echocardiograpy imaging service with all modalities ( TTE, TOE, Strees ECHOand paediatric ECHO).This is run by Dr Sanjay Gupta, Dr Gordon Williams ( Past president of British Society of Echocardiography) and our Senior Chief Technician and head of Technical department Ms Jane Allen ( BSE Council member).

Jane Allen also runs a technician led Valve clinic 1-2 times a week.

The department runs a weekly imaging MDT meeting

The dept has invested in a new 64 slice CT scanner with a cardiac CT package - this is hoped to be running in 2013.

We have plans to develop cardiac MRI scanning over next 2-3 years (currently available in Hull and Leeds).

Cardiac Surgery

The department enjoys close relations with both Regional cardiothoracic centres (Castle Hill , Hull & Leeds General Infirmary, Leeds) we have a very close liaison with Cardiac Surgeons Mr Alex Cale and Mr Mobi Choudrey from Castle Hill who run joint cardiology/ CT clinics once a week in York and take part in our monthly joint MDT meeting.

Cardiology on call (York)

There is a 24/7 Consultant cardiology on call rota including daytime 9-5 (on call for acute inpatient referrals) and overnight Consultant cardiology [non resident]on call for CCU and whole hospital.

Teaching

The department is involved in teaching Hull/York Medical School (HYMS) students as well as regular teaching of all cardiology junior staff.