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Care

Dr Patel is a friendly cardiologist that strongly believes in putting the patient at the centre of his decision making. He enjoys working with patients to find solutions to their symptoms, considering all possible options (conservative, medical, interventional and surgical).
We are mindful of the anxiety that cardiac symptoms can bring and that people have busy lives. We aim to arrange your bespoke private care in a timely manner, at the most convenient locations, and at times that fit around your needs.
Cardiac care principally involves the following area:
Cardiac risk management and preventative treatments/advice
Personalised investigation of cardiac symptoms and concerns
Bespoke cardiac treatment of newly diagnosed conditions and existing heart problems.
Prevention
Prevention is definitely better than treatment, and if you have already had a heart problem then reducing your future risk is of paramount importance. Some of the key things to consider are:
Lifestyle optimisation: There are several lifestyle changes that can reduce future risk of developing or worsen existing cardiac disease. Dr Patel will be keen to discuss your specific needs.
Treating underlying conditions: It is well recognised that conditions such as high blood pressure, diabetes and an abnormal lipid profile increase the risk of heart problems so identification and targeted individualised management of these is very important. These can be managed with lifestyle modifications and if needed medications. Dr Patel will go through the options, institute a treatment plan in partnership with you, and plan monitoring of response to these interventions.
Symptoms
It is important that symptoms suggestive of cardiac problems are promptly and thoroughly assessed. Dr Patel begins with a consultation and comprehensive clinical examination which may then warrant the need for targeted investigations. Once a clear diagnosis has been made, the most effective treatments can be planned.
The following are some common symptoms that could be due a heart condition. This list is not an exhaustive list of symptoms or causes and your symptoms should be discussed in detail.
Chest discomfort/chest pain requires a thorough assessment to look for evidence of heart disease as a cause. Coronary artery disease can cause angina which is chest pain usually from a severe narrowing in the heart artery. This requires careful treatment. One of the severe consequences of coronary artery disease is a heart attack which occurs if a narrowing ruptures and a clot develops causing partial or complete blockage of the blood supply. A heart attack is a life-threatening medical emergency that requires emergency treatment in a hospital so if you have severe chest discomfort then you should call 999 immediately. There are other cardiac conditions that cause chest discomfort such as myocarditis, pericarditis, microvascular dysfunction, and coronary spasm.

 DR PATEL TALKS ABOUT HEART ATTACK AND INDIGESTION PAINS IN THIS NEWSPAPER FEATURE
Breathlessness and swelling of the anklesmay be related to fluid accumulation in the lungs and/or legs caused by heart failure a condition when the heart becomes less efficient at pumping blood. It is important to look for the reason for heart failure which can be a result of a previous heart attack, ischaemic heart disease, high blood pressure, diseases of the heart valves, cardiomyopathy and abnormal heart rhythms (arrhythmias). Sometimes breathlessness can be angina equivalent symptoms (this is when breathlessness occurs instead of chest discomfort in patients with severe coronary artery disease).
Palpitations are an awareness of ones heart beat and it is important to investigate the cause to exclude an arrhythmia (abnormal heart rhythm) or another underlying cardiac condition.
The most common arrhythmia is atrial fibrillation which can cause the heart to beat at a fast rate and with an erratic rhythm. It’s important to identify and treat atrial fibrillation, or a closely associated condition called atrial flutter, as they can increase the risk of developing other serious medical problems.
Blackouts or near faints can indicate a serious underlying heart problem including heart block (an abnormally slow rhythm), other arrhythmias or a narrowing of one of the heart valves known as aortic stenosis.
Important: If you think you or someone you know is having a heart attack or other emergency condition please call 999 immediately for assessment and urgent transfer to your local accident and emergency department. If you are unsure please contact the NHS 111 service.
Investigations
There are a number of sophisticated investigations that can be used to provide information about the heart's underlying rhythm, structure and function. The most appropriate tests for an individual will vary depending on a number of clinical factors including your symptoms, examination findings and any underlying conditions that you may have. Dr Patel will explain the merits of the suggested tests so that together a tailor-made set of investigations can be performed that are best suited to you.
There are a variety of simple non-invasive tests include:
The humble electrocardiogram (ECG) is a very useful tool that provides a snapshot of the heart's rhythm, as well useful information about the underlying structure and electrical function of the heart. It forms part of the basic cardiovascular review in clinic.
The heart rhythm can be monitored over a longer period of time with a cardiac monitor for one to seven days. This is useful as it enables an abnormal heart rhythm to be 'captured' if it is episodic and not picked up during a standard ECG. We can fit a monitor in clinic or we can one posted to your home. If you develop a symptoms such as palpitations during the period of monitoring then this can be sign posted by the clicking a button or writing in an event dairy.
However, if the patients symptoms are infrequent then Dr Patel can advise on other remote portable/wearable monitoring devices, or a very small implantable loop recorder can be inserted under the skin of the chest. This can monitor your heart rhythm over several months (often the device battery can last up to 18 months) and heart arrhythmia information can be uploaded and analysed remotely.
Sometimes near faints or fainting episodes can be investigated with a tilt table test which is a non-invasive test whereby a person's ECG and blood pressure is monitored whilst he/she is tilted at differing angles to help identify certain causes such as simple faints (vasovagal syncope).
A 24 hour blood pressure monitor to better understand blood pressure control during a normal day and night, rather than simply one off readings in a clinic, which may be made worse by 'white coat' hypertension.
An exercise tolerance test, or exercise ECG, is when a series of ECGs are taken at several standardised stages of increasing levels of exertion (normally on a treadmill). It is usually performed when it is important to gain an idea of your exercise tolerance and look for ECG changes which may be suggestive of angina or underlying heart rhythm problems.

An echocardiogram is a non-invasive test that uses ultrasound to assess the structure and function of the heart. It looks at the pumping efficiency of the heart and can give important information about the function of the heart valves. Furthermore, important information about the pressures in the heart chambers can be derived.
A stress echocardiogram is a non-invasive assessment of the blood supply to the heart and that may be used to investigate chest pain. ‘Stress’ is achieved in a controlled environment by gradually increasing the intensity of exercise (either on a treadmill or on a static bicycle). If patients are unable to exercise, then heart ‘stress’ can also be achieved by an intravenous infusion of a drug.
A CT coronary angiogram is an x-ray based test that looks at the coronary arteries in a non-invasive way. This test can give information about narrowings of the coronary arteries, assess bypass grafts and help understand other important factors in cardiac anatomy. For this reason it may be used to investigate chest pains. It is also a good way of looking for the amount of heart artery calcium which can be an indicator of coronary disease and future cardiac risk.
A coronary angiogram is an invasive procedure that allows an accurate assessment of the coronary arteries, and also coronary bypass grafts if you have had a bypass operation . This involves the insertion of a long, thin flexible tube called a catheter into a blood vessel (normally in the groin or wrist) and this is then guided by x-ray up to the heart and coronary arteries. A special type of dye is then injected into the catheter and x-rays are taken which allow the arteries to be clearly visualised. This can show up any arteries that may be narrowed or blocked allowing us to investigate angina (chest pain).
Intravascular ultrasound (IVUS) and Optical coherence tomography (OCT) accurately assess the structure of one or more of the heart arteries. These tests help identify any underlying disease that may be present. This can be done during a coronary angiogram to understand any disease seen on angiogram, but can also be used to accurately assess the health of an old stent or can be used to optimize the insertion of a new stent. As the name suggests, IVUS is an ultrasound based test that involves the passage of a thin probe into an artery which allows its internal structure to be visualised. OCT is a light detecting probe technique that gives a much better resolution and a clear picture of the internal structure of an artery. When intravascular imaging is required, the choice between these tests is dependent on a number factors including a variety of clinical factors and also the heart disease in question.
During coronary angiography, an assessment of the blood flow in one or more coronary arteries can be preformed using a pressure wire test. This involves passing a thin wire into the heart artery and measuring the pressure/flow in the artery during an infusion of a short-acting 'heart stress' drug. This is a very useful test in determining the functional significance of coronary artery disease and is often useful in assessing the need for coronary angioplasty (coronary stenting).
A cardiac MRI is a state of the art test that gives a detailed assessment of heart structure and function without the need for radiation. It can also give information about any underlying heart muscle abnormalities and any muscle injury/scarring. Furthermore, it can be used in the investigation of chest pain when the scan is also performed during an intravenous infusion of a short-lived drug that induces heart ‘stress’ in a controlled environment.
Myocardial perfusion imaging is nuclear medicine non-invasive assessment of the blood flow to the heart muscle that may be used in the assessment of chest pain. A radioisotope is injected to find areas of the heart muscle that do not have adequate blood supply at rest and this is compared with images taken during the infusion of an intravenous 'stress' agent.
Treatments
Dr Patel will always tailor your treatment plan to best suit your needs and will be discuss with you in detail during your consultation. Treatment options are broadly divided into the following:
Conservative/Lifestyle changes: the positive effects of lifestyle adaptations have on the wellbeing of the heart are well recognised, as they improve its capacity to cope with illness and reduce the risk of developing problems in the future.
Medications: there are a wide variety of medications used to treat heart conditions and to reduce the future risk of developing more serious heart problems.
Interventional treatments: there are minimally invasive techniques via the blood vessels in the groin or arm to access and treat specific areas of the heart. Principally, this includes coronary stenting and various other techniques to treat heart valve disease or a hole in the heart.
Surgical treatments: this includes open heart surgery, such as coronary artery bypass surgery or heart valve repair or replacement.
 Electophysiological study and ablation is an invasive procedure that is used to find the source of an abnormal electrical activity that may cause atrial fibrillation and other heart arrhythmias. A thin catheter is passed to the heart (usually from the groin) and electrical pathways in the heart are mapped using specialized equipment. Once the source of arrhythmia is detected, small areas of the heart muscle can be treated to break abnormal electrical circuits in the heart.
A is a non-invasive assessment of the blood supply to the heart and that may be used to investigate chest pain. ‘Stress’ is achieved in a controlled environment by gradually increasing the intensity of exercise (either on a treadmill or on a static bicycle). If patients are unable to exercise, then heart ‘stress’ can also be achieved by an intravenous infusion of a drug.
Cardiac pacemakers are required by people who have heart rhythm abnormalities causing the heart rate to be too slow. Cardiac pacemaker implantation is often done with sedation and a local anaesthetic. Often two wires are implanted into the chambers of the heart via a large vein in the chest. The wires are connected to a small metal box (which includes a battery and circuitry) and is implanted under the skin on the chest below the collar bone. It then can sense when the heart is in an abnormal rhythm. If this rhythm is too slow then it will transmit electrical impulses to regulate the beating of the heart.
More complex cardiac devices such as internal cardiac defibrillators and cardiac resynchronisation therapy are important treatments for specific conditions related to heart failure and arrhythmia.
Coronary artery disease can be treated with percutaneous coronary intervention (also known as PCI, angioplasty or coronary stenting). A narrowing of a heart artery (coronary artery disease) can reduce the flow of blood to the heart muscle causing angina (chest pain). If the there is sudden blockage of a heart artery then his causes a heart attack. PCI can be used to treat these coronary artery problems with thin tubes, wires, small balloons and stents to restore the blood flow to the affected area of the heart. If the disease involves a point where the artery divides into two or more branches, specific 'bifurcation' techniques can be used to insert more than one stent to treat the diseased area.
Coronary stenting can be guided and optimised by the use of a pressure wire study (an accurate assessment of coronary blood flow) and/or intravascular imaging to look at the arteries with thin ultrasound and light telescopes (eg IVUS or OCT).
During angioplasty other complex adjuvant techniques can be used, such as Rotational Atherectomy or intra-vascular lithotripsy, to help modify tough calcified material in the artery.

SEE AN ARTICLE FEATURING DR PATEL TREATING A PATIENT AFTER CARDIAC ARREST
There are four valves within the heart and several types of surgery can be performed to either replace or repair a diseased valve. Heart valve repair/replacement surgery can be performed using metallic or biological tissue. There are advantages to both techniques and treatment options will take into account a variety of clinical factors and will be tailored to the individual.
In addition to open heart surgery, there are also some minimally invasive techniques that can be used to treat heart valve problems. One such treatment is TAVI (transcatheter aortic valve implantation) where the aortic valve of the heart can be treated with a valve delivered to the heart via one of the large blood vessel in the body.
There are multiple options for the treatment of valvular heart disease and these will be discussed in detail with the cardiologist
Coronary Artery Bypass Graft Surgery (also known as a bypass operation) is open heart surgery performed for a severe pattern of coronary artery disease (narrowing of the heart arteries). This involves taking a healthy blood vessel from another part of the body (normally the chest, arm or leg) and attaching it to effectively ‘bypass’ the blockage in the heart arteries.
There are a number of clinical factors which help to determine which patients may be suitable for a heart bypass rather than less invasive approaches, such as stenting or treatment with tablets. The patient is always put at the heart of the decision making process and the treatment options and each of their merits will be discussed with you in depth during your consultation.
Prevention
Symptoms
Investigations
Treatments
Prevention is definitely better than treatment, and if you have already had a heart problem then reducing your future risk is of paramount importance. Some of the key things to consider are:
Lifestyle optimisation: There are several lifestyle changes that can reduce future risk of developing or worsen existing cardiac disease. Dr Patel will be keen to discuss your specific needs.
Treating underlying conditions: It is well recognised that conditions such as high blood pressure, diabetes and an abnormal lipid profile increase the risk of heart problems so identification and targeted individualised management of these is very important. These can be managed with lifestyle modifications and if needed medications. Dr Patel will go through the options, institute a treatment plan in partnership with you, and plan monitoring of response to these interventions.
It is important that symptoms suggestive of cardiac problems are promptly and thoroughly assessed. Dr Patel begins with a consultation and comprehensive clinical examination which may then warrant the need for targeted investigations. Once a clear diagnosis has been made, the most effective treatments can be planned.
The following are some common symptoms that could be due a heart condition. This list is not an exhaustive list of symptoms or causes and your symptoms should be discussed in detail.
Chest discomfort/chest pain requires a thorough assessment to look for evidence of heart disease as a cause. Coronary artery disease can cause angina which is chest pain usually from a severe narrowing in the heart artery. This requires careful treatment. One of the severe consequences of coronary artery disease is a heart attack which occurs if a narrowing ruptures and a clot develops causing partial or complete blockage of the blood supply. A heart attack is a life-threatening medical emergency that requires emergency treatment in a hospital so if you have severe chest discomfort then you should call 999 immediately. There are other cardiac conditions that cause chest discomfort such as myocarditis, pericarditis, microvascular dysfunction, and coronary spasm.

 DR PATEL TALKS ABOUT HEART ATTACK AND INDIGESTION PAINS IN THIS NEWSPAPER FEATURE
Breathlessness and swelling of the anklesmay be related to fluid accumulation in the lungs and/or legs caused by heart failure a condition when the heart becomes less efficient at pumping blood. It is important to look for the reason for heart failure which can be a result of a previous heart attack, ischaemic heart disease, high blood pressure, diseases of the heart valves, cardiomyopathy and abnormal heart rhythms (arrhythmias). Sometimes breathlessness can be angina equivalent symptoms (this is when breathlessness occurs instead of chest discomfort in patients with severe coronary artery disease).
Palpitations are an awareness of ones heart beat and it is important to investigate the cause to exclude an arrhythmia (abnormal heart rhythm) or another underlying cardiac condition.
The most common arrhythmia is atrial fibrillation which can cause the heart to beat at a fast rate and with an erratic rhythm. It’s important to identify and treat atrial fibrillation, or a closely associated condition called atrial flutter, as they can increase the risk of developing other serious medical problems.
Blackouts or near faints can indicate a serious underlying heart problem including heart block (an abnormally slow rhythm), other arrhythmias or a narrowing of one of the heart valves known as aortic stenosis.
Important: If you think you or someone you know is having a heart attack or other emergency condition please call 999 immediately for assessment and urgent transfer to your local accident and emergency department. If you are unsure please contact the NHS 111 service.
There are a number of sophisticated investigations that can be used to provide information about the heart's underlying rhythm, structure and function. The most appropriate tests for an individual will vary depending on a number of clinical factors including your symptoms, examination findings and any underlying conditions that you may have. Dr Patel will explain the merits of the suggested tests so that together a tailor-made set of investigations can be performed that are best suited to you.
There are a variety of simple non-invasive tests include:
The humble electrocardiogram (ECG) is a very useful tool that provides a snapshot of the heart's rhythm, as well useful information about the underlying structure and electrical function of the heart. It forms part of the basic cardiovascular review in clinic.
The heart rhythm can be monitored over a longer period of time with a cardiac monitor for one to seven days. This is useful as it enables an abnormal heart rhythm to be 'captured' if it is episodic and not picked up during a standard ECG. We can fit a monitor in clinic or we can one posted to your home. If you develop a symptoms such as palpitations during the period of monitoring then this can be sign posted by the clicking a button or writing in an event dairy.
However, if the patients symptoms are infrequent then Dr Patel can advise on other remote portable/wearable monitoring devices, or a very small implantable loop recorder can be inserted under the skin of the chest. This can monitor your heart rhythm over several months (often the device battery can last up to 18 months) and heart arrhythmia information can be uploaded and analysed remotely.
Sometimes near faints or fainting episodes can be investigated with a tilt table test which is a non-invasive test whereby a person's ECG and blood pressure is monitored whilst he/she is tilted at differing angles to help identify certain causes such as simple faints (vasovagal syncope).
A 24 hour blood pressure monitor to better understand blood pressure control during a normal day and night, rather than simply one off readings in a clinic, which may be made worse by 'white coat' hypertension.
An exercise tolerance test, or exercise ECG, is when a series of ECGs are taken at several standardised stages of increasing levels of exertion (normally on a treadmill). It is usually performed when it is important to gain an idea of your exercise tolerance and look for ECG changes which may be suggestive of angina or underlying heart rhythm problems.

An echocardiogram is a non-invasive test that uses ultrasound to assess the structure and function of the heart. It looks at the pumping efficiency of the heart and can give important information about the function of the heart valves. Furthermore, important information about the pressures in the heart chambers can be derived.
A stress echocardiogram is a non-invasive assessment of the blood supply to the heart and that may be used to investigate chest pain. ‘Stress’ is achieved in a controlled environment by gradually increasing the intensity of exercise (either on a treadmill or on a static bicycle). If patients are unable to exercise, then heart ‘stress’ can also be achieved by an intravenous infusion of a drug.
A CT coronary angiogram is an x-ray based test that looks at the coronary arteries in a non-invasive way. This test can give information about narrowings of the coronary arteries, assess bypass grafts and help understand other important factors in cardiac anatomy. For this reason it may be used to investigate chest pains. It is also a good way of looking for the amount of heart artery calcium which can be an indicator of coronary disease and future cardiac risk.
A coronary angiogram is an invasive procedure that allows an accurate assessment of the coronary arteries, and also coronary bypass grafts if you have had a bypass operation . This involves the insertion of a long, thin flexible tube called a catheter into a blood vessel (normally in the groin or wrist) and this is then guided by x-ray up to the heart and coronary arteries. A special type of dye is then injected into the catheter and x-rays are taken which allow the arteries to be clearly visualised. This can show up any arteries that may be narrowed or blocked allowing us to investigate angina (chest pain).
Intravascular ultrasound (IVUS) and Optical coherence tomography (OCT) accurately assess the structure of one or more of the heart arteries. These tests help identify any underlying disease that may be present. This can be done during a coronary angiogram to understand any disease seen on angiogram, but can also be used to accurately assess the health of an old stent or can be used to optimize the insertion of a new stent. As the name suggests, IVUS is an ultrasound based test that involves the passage of a thin probe into an artery which allows its internal structure to be visualised. OCT is a light detecting probe technique that gives a much better resolution and a clear picture of the internal structure of an artery. When intravascular imaging is required, the choice between these tests is dependent on a number factors including a variety of clinical factors and also the heart disease in question.
During coronary angiography, an assessment of the blood flow in one or more coronary arteries can be preformed using a pressure wire test. This involves passing a thin wire into the heart artery and measuring the pressure/flow in the artery during an infusion of a short-acting 'heart stress' drug. This is a very useful test in determining the functional significance of coronary artery disease and is often useful in assessing the need for coronary angioplasty (coronary stenting).
A cardiac MRI is a state of the art test that gives a detailed assessment of heart structure and function without the need for radiation. It can also give information about any underlying heart muscle abnormalities and any muscle injury/scarring. Furthermore, it can be used in the investigation of chest pain when the scan is also performed during an intravenous infusion of a short-lived drug that induces heart ‘stress’ in a controlled environment.
Myocardial perfusion imaging is nuclear medicine non-invasive assessment of the blood flow to the heart muscle that may be used in the assessment of chest pain. A radioisotope is injected to find areas of the heart muscle that do not have adequate blood supply at rest and this is compared with images taken during the infusion of an intravenous 'stress' agent.
Dr Patel will always tailor your treatment plan to best suit your needs and will be discuss with you in detail during your consultation. Treatment options are broadly divided into the following:
Conservative/Lifestyle changes: the positive effects of lifestyle adaptations have on the wellbeing of the heart are well recognised, as they improve its capacity to cope with illness and reduce the risk of developing problems in the future.
Medications: there are a wide variety of medications used to treat heart conditions and to reduce the future risk of developing more serious heart problems.
Interventional treatments: there are minimally invasive techniques via the blood vessels in the groin or arm to access and treat specific areas of the heart. Principally, this includes coronary stenting and various other techniques to treat heart valve disease or a hole in the heart.
Surgical treatments: this includes open heart surgery, such as coronary artery bypass surgery or heart valve repair or replacement.
 Electophysiological study and ablation is an invasive procedure that is used to find the source of an abnormal electrical activity that may cause atrial fibrillation and other heart arrhythmias. A thin catheter is passed to the heart (usually from the groin) and electrical pathways in the heart are mapped using specialized equipment. Once the source of arrhythmia is detected, small areas of the heart muscle can be treated to break abnormal electrical circuits in the heart.
A is a non-invasive assessment of the blood supply to the heart and that may be used to investigate chest pain. ‘Stress’ is achieved in a controlled environment by gradually increasing the intensity of exercise (either on a treadmill or on a static bicycle). If patients are unable to exercise, then heart ‘stress’ can also be achieved by an intravenous infusion of a drug.
Cardiac pacemakers are required by people who have heart rhythm abnormalities causing the heart rate to be too slow. Cardiac pacemaker implantation is often done with sedation and a local anaesthetic. Often two wires are implanted into the chambers of the heart via a large vein in the chest. The wires are connected to a small metal box (which includes a battery and circuitry) and is implanted under the skin on the chest below the collar bone. It then can sense when the heart is in an abnormal rhythm. If this rhythm is too slow then it will transmit electrical impulses to regulate the beating of the heart.
More complex cardiac devices such as internal cardiac defibrillators and cardiac resynchronisation therapy are important treatments for specific conditions related to heart failure and arrhythmia.
Coronary artery disease can be treated with percutaneous coronary intervention (also known as PCI, angioplasty or coronary stenting). A narrowing of a heart artery (coronary artery disease) can reduce the flow of blood to the heart muscle causing angina (chest pain). If the there is sudden blockage of a heart artery then his causes a heart attack. PCI can be used to treat these coronary artery problems with thin tubes, wires, small balloons and stents to restore the blood flow to the affected area of the heart. If the disease involves a point where the artery divides into two or more branches, specific 'bifurcation' techniques can be used to insert more than one stent to treat the diseased area.
Coronary stenting can be guided and optimised by the use of a pressure wire study (an accurate assessment of coronary blood flow) and/or intravascular imaging to look at the arteries with thin ultrasound and light telescopes (eg IVUS or OCT).
During angioplasty other complex adjuvant techniques can be used, such as Rotational Atherectomy or intra-vascular lithotripsy, to help modify tough calcified material in the artery.

SEE AN ARTICLE FEATURING DR PATEL TREATING A PATIENT AFTER CARDIAC ARREST
There are four valves within the heart and several types of surgery can be performed to either replace or repair a diseased valve. Heart valve repair/replacement surgery can be performed using metallic or biological tissue. There are advantages to both techniques and treatment options will take into account a variety of clinical factors and will be tailored to the individual.
In addition to open heart surgery, there are also some minimally invasive techniques that can be used to treat heart valve problems. One such treatment is TAVI (transcatheter aortic valve implantation) where the aortic valve of the heart can be treated with a valve delivered to the heart via one of the large blood vessel in the body.
There are multiple options for the treatment of valvular heart disease and these will be discussed in detail with the cardiologist
Coronary Artery Bypass Graft Surgery (also known as a bypass operation) is open heart surgery performed for a severe pattern of coronary artery disease (narrowing of the heart arteries). This involves taking a healthy blood vessel from another part of the body (normally the chest, arm or leg) and attaching it to effectively ‘bypass’ the blockage in the heart arteries.
There are a number of clinical factors which help to determine which patients may be suitable for a heart bypass rather than less invasive approaches, such as stenting or treatment with tablets. The patient is always put at the heart of the decision making process and the treatment options and each of their merits will be discussed with you in depth during your consultation.

Funding Your Care

If you have private health insurance

Dr Patel is a registered practitioner with all major medical insurance companies including: Bupa, AXA PPP, Vitality, Aviva, WPA, Cigna, Allianz, SimplyHealth, Health Online, Civil Service Insurance Society, Exeter Health and Saga
If your medical insurance company is not listed here, please contact us to find out more.

Please contact your insurance company to get pre-authorisation and we will take care of the rest.
For peace of mind, your consultation and procedure professional fees with Dr Patel will be in keeping with the standard fees agreed with your specific insurance company so there are no unexpected short falls to cover. Your insurance company will be billed directly, but if you have a policy excess then this would be payable.
We can help you organise pre-authorisation and help understand the insurance cover for your care.

If you need to self fund your care

This is easy to do. The initial consultation will cost £250 and as needed any subsequent follow-up consultations will be £180. We will send you an invoice with some easy ways to pay including over the phone and online. We ask for payment to be completed prior to the appointment please.

We can arrange any specific investigations for you at one of our clinics or hospitals. The cost will be payable to the clinic or hospital itself.
The content on this site is for information only and is not meant to substitute advice from Dr Patel, your doctor or other medical professionals.
Find out more about arranging your care by contacting Dr Patel's PA Shilpa Vernekar
0203 332 2028
sec@cardiologistuk.com
Top Doctors Consultant Cardiologist
Copyright Dr.NIket Patel © 2024 All Rights Reserved
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