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
Moderate and severe native valve disease, and post intervention
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.
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.
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.
BHVS member. BSE member (accredited for TTE and TOE). EaCVI member (Level 3 CMR accredited). SCCT member (Level 2 CT accredited)