Adult

Your Appointment in Outpatients

  • Adult Congenital Cardiology Outpatient Clinics

    There are many different outpatient clinics which you may have to attend within the Adult Congenital Service. All clinics are held in the Cardiology Outpatient Department on E Floor in Jubilee Wing at the Leeds General Infirmary.

    General Congenital Cardiology Clinics

    These clinics are held throughout the week, patients are seen by one of the five Consultants; Dr Kate English, Dr Hamish Walker, Dr Damien Cullington, Dr Vitor Ramos, and Dr James Oliver.
    When you arrive for your appointment (E Floor, Jubilee Wing) you will need to ‘check in’ electronically before proceeding to desk D at the far end of the out-patients department. You will almost always be asked to have an ECG performed, and then one of the clinic nurses will check your blood pressure and pulse, and also measure your height and weight.

    You will be seen either by one of the consultants or by one of the senior doctors specialising in congenital heart disease. The Clinical Nurse Specialist team will be present for your consultation, and can provide you with further support and advice once you have seen the doctor. You may need an echo (heart jelly scan). These will usually be performed at the same visit, and can take up to forty five minutes to perform.

    Other more complicated tests will usually be performed at another visit. We will advise you of a management plan and when you will need to be seen again before you leave the clinic.
    h3. Intervention Clinics

    If you require keyhole treatment, you will be referred to the intervention clinic, where the Consultant cardiologist will explain the risks and benefits of having the procedure. If you decide to go ahead, then you will be placed on the waiting list for treatment. At this appointment you may require an ECG, Echo and a blood test. You will also see the Nurse Specialist, who can explain about facilities and the care you will receive in hospital.

    Surgical Clinics

    If you require surgery, you will be referred to a surgeon and seen in clinic. You will be seen by either Mr Jaber, Miss Van Doorn or Ms Oggianu, Consultant Cardiac Surgeons. This is the time when your operation will be discussed and the opportunity for you to ask questions. The consultant will then place you on the waiting list for surgery as appropriate.

  • Pre-surgical Admission Clinic

    These clinics are held throughout the week, you will be seen by the Nurse Specialist usually 1-2 weeks before your planned operation date. You will have an ECG (heart tracing), Chest Xray, and some bloods taken in preparation for surgery. The discussion will be around admission, preparation for surgery and follow up care.

    Joint ACHD and Pulmonary Hypertension Clinic

    This clinic is held every other Friday and you will be seen by Dr Oliver, Consultant in Adult Congenital Cardiology and a Nurse Specialist. You will have an ECG and sometimes an Echo if required. In this clinic an assessment of your exercise tolerance (6 minute walk) will be carried out and a discussion with the Consultant and Nurse regarding any new symptoms and changes to medication.

    Joint ACHD and Pacing Clinic

    Patients with a pacemaker or defibrillator are seen by the Consultant Cardiologist and the Electrophysiologist (Doctor who specialises in heart rhythm) in the same clinic. You will also have your device checked at this appointment. This reduces the amount of clinic appointments you will need therefore reducing the amount of travelling to hospital.

    Joint Obstetric Clinic

    This clinic functions as a one-stop clinic so that patients who are planning a pregnancy or are pregnant can have consultations with all specialists, and reduces travelling long distances too often. The clinic includes a consultation with a Consultant Cardiologist, Consultant Obstetrician and Consultant Anaesthetist. This allows the team to plan care and decide where your baby will be delivered. An ECG, echo and fetal ultrasound will be carried out at this appointment as appropriate.