Your GP may refer you to the Arrhythmia Service if you have a known arrhythmia that has stopped responding to treatment, or troublesome palpitations or blackouts.
Your GP may refer you to the Arrhythmia Service if you have a known arrhythmia that has stopped responding to treatment, or troublesome palpitations or blackouts. You may also be referred if you have close relative who has died suddenly and unexpectedly below the age of 35. You may be referred for screening to look for an inherited heart condition. Where the patient is known to have heart disease (such as a previous heart attack), urgent referral should be considered.
Your GP should send you for some diagnostic tests prior to referring you to the hospital based Arrhythmia Service. Tests that they may do include:
It is important that your GP sends in ALL diagnostic test results that have been performed in primary care or other centres. This will ensure that your referral is managed appropriately and in a timely manner.
Your referral may be rejected if the diagnostics tests are not present.
If this is your first appointment then you may be seen by the Consultant Cardiologist or he may have requested for you to be seen by the Arrhythmia Nurses.
At your appointment you will have a full examination including a history of your symptoms and may be asked to have another ECG. Following the outpatient appointment you may be sent for more diagnostic tests which may include:
Electrophysiology Study – this maybe done here at the Royal Surrey or you may be referred St George’s Hospital in London
Your GP will be written to after you have had all of your diagnostic tests. This means, if you were referred for one test then your GP will get a results letter after this investigation has been done and reported. If you have been referred for more than one diagnostic test, then your GP will get a letter after all of your results have been reviewed. This will help your GP understand what is happening with your care and treatment.
If your results indicate that your symptoms are not related to your heart then the Consultant may write with your results and discharge you back to your GP for your GP to refer you to another more appropriate service. If this occurs then you will not be brought back to an outpatient clinic.
If your results are negative but the Consultant or Arrhythmia Nurse would like to have a discussion with you, then you may be offered a telephone appointment. This appointment allows you to stay at home or by your telephone rather than coming to the hospital site. It provides convenience for you and allows you to discuss any concerns that you still may have with a specialist member of the Cardiology Team.
The other option is that you will be brought back to an outpatient clinic to discuss the results and any further treatment or monitoring that is required.
There are a range of options depending on the heart problem that is diagnosed. The treatments range from:
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