Training in valve disease

Regional (quaternary) valve clinic 2x weekly (for past 5 years)
Aortic valve MDT 1x weekly. Mitral valve MDT 2x monthly

Specialist valve activity

Regional (quaternary) valve clinic 2x weekly (for past 5 years) seeing 132 new and 165 follow-up patients each year.  Physiologist- and nurse-led components with a cardiology consultation available the same day if needed.

Aortic valve MDT 1x weekly  Mitral valve MDT 2x monthly

Patients seen
Moderate and severe native valve disease, and post intervention

Process
In total 3 MDT per week.  Links with all cardiac services. One-stop echo usually available.  Patient information leaflets and web-based information.  PROMS used. Inpatient consultations available from 3 consultants.
Perform 500 CMR each year.
BHVS conference attendance, local registrar training x2, weekly StR supervision in valve clinic, local CMT teaching x2, BSE TOE examiner, FEEL examiner.

CPD
Last year: BCS valve components – 6; BSE valve components – 3; TOE/TTE external teaching/examining- 7. Last 5 years: BHVS – 12; ESC valve components – 15; BCS valve components – 20; BSE valve components – 3; TOE/TTE external teaching/examining- 25.

Research
Cardiovascular magnetic resonance evaluation of symptomatic severe aortic stenosis: association of circumferential myocardial strain and mortality. J Cardiovasc Magn Reson. 2017 Feb 8;19(1):13.

Right ventricular function following surgical aortic valve replacement and transcatheter aortic valve implantation: A cardiovascular MR study. Int J Cardiol. 2016 Nov 15;223:639-644.

Assessment of aortic stiffness by cardiovascular magnetic resonance following the treatment of severe aortic stenosis by TAVI and surgical AVR. J Cardiovasc Magn Reson. 2016 Jun 10;18(1):37.

Surgical aortic valve replacement (SAVR) upon right ventricular function: a cardiac MRI study. Heart 101(Suppl 2):A12.2-A13 Apr 2015.

Left atrial remodelling following treatment of symptomatic severe aortic stenosis. Heart 101(Suppl 2):A12.1-A12 Apr 2015.

Consequence of Cerebral Embolism After Transcatheter Aortic Valve Implantation Compared With Contemporary Surgical Aortic Valve Replacement. Circulation: Cardiovascular Interventions 8(3):Mar 2015.

Cardiovascular Magnetic Resonance Evaluation of Change in Myocardial Strain following Transcatheter Aortic Valve Implantation (TAVI) and Surgical Aortic Valve Replacement (SAVR). Heart 100 Suppl 3:A68 Jun 2014.

Cardiac MRI assessment of pulse wave velocity and aortic distensibility following treatment of aortic stenosis. Heart 100 Suppl 3:A60-A61 Jun 2014.

Right ventricular function following Surgical Aortic Valve Replacement (SAVR). Journal of Cardiovascular Magnetic Resonance 17(S1):Article number P177 Dec 2015.

Valve Societies
BHVS member.  BSE member (accredited for TTE and TOE).  EaCVI member (Level 3 CMR accredited).  SCCT member (Level 2 CT accredited)

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