Cardiology

Telephone: 01 6459450
Fax: 01 6459451
Email: cardiology@hermitageclinic.ie

Consultant Cardiologist Team

The Cardiology Services at the Hermitage Medical Clinic is proud to have a dedicated Consultant team which includes

  • Dr. Angela Brown
  • Dr. John Clarke
  • Dr. Peter Crean
  • Dr. Iftikhar Khan
  • Dr. Tora Leong
  • Dr. Jonathan Lyne
  • Dr. Vincent Maher
  • Dr. David Mulcahy
  • Dr. Brendan McAdam
  • Dr. David Moore
  • Dr. Richard Sheahan
  • Dr. Deirdre Ward

Cardiology Department

Our specialist department is staffed by a very experienced and enthusiastic team of cardiac technicians.

Each technician has a minimum of eight years experience working in busy, acute care, cardiac centres and believes in a patient focused, high quality and efficient service.

Our department is currently open from 9am to 5pm Monday to Friday (GP Direct Access)

We are happy to facilitate your patients with a routine appointment within a week and perform same day testing on urgent referrals.

Click here to download our GP referral card.

Cardiology Tests include:

  • Resting ECG
  • Exercise stress testing
  • Ambulatory 24 hour BP monitors
  • Ambulatory 24 hour and 48 hour holter monitors
  • Echocardiography
  • Echocardiography with bubble studies
  • Transoesophageal echocardiography—on a daycare basis
  • Pacemaker follow up
  • Defibrillator (ICD) follow—up.

Health Insurance Cover

  • VHI Plan B, C, D, E and their equivalent
    • Laya Healthcare
    • Aviva Health
  • Garda Medical Aid
  • Prison Officers Association
  • Defence Forces
  • ESB

*Please check your insurance policy as it may be subject to an excess


What we will provide:

  • Usually seen within 24 hours, always within 72 hours
  • Comprehensive initial assessment by Cardiology CNS
  • Troponin test performed if pain present within preceding 24 hours
  • Exercise Stress Test performed, if no exclusion criteria
  • Full assessment and decision by Consultant Cardiologist
  • Arrangements made for further investigations, if required
  • Risk factor education

Service Fee: €380

Service Criteria:

  • Non-acute chest pain
  • Patients with multiple risk factors
  • Patients with palpitations

Exclusions:

  • Severe chest pain or pain lasting more than 30 minutes at a time
  • Limitation in normal activities
  • Associated with diaphoresis, collapse / dizziness or significant shortness of breath


Consultant Cardiologist Led Service

Tel: (01) 6459699 to speak directly with Service Liaison Nurse
Email: chestpainservice@hermitageclinic.ie
Department Hours: Mon-Fri: 8.30am-4pm

  • ECG
  • Comprehensive history and physical examination
  • Exercise Stress Test
  • Full Consultation with Consultant Cardiologist
    Service Fee: €380
  • Service Criteria
    Chest pain which meets the exclusion criteria
    Multiple risk factors
    Palpitations
  • Exclusion criteria
    Severe chest pain or pain >30mins at a time
    Chest pain which limits normal activities
    Associated with diaphoresis, collapse/dizziness, or significant dyspnoea

Click here to download a Chest pain service referral form .


Cardiac Catheterisation Laboratory

The Cardiac Cath Lab is state-of-the-art operating room for performing a comprehensive list of diagnostic and interventional procedures which includes

  • Coronary angiogram
  • Percutaneous Coronary Intervention – including complex stenting of left main stems, chronic total occlusions and bifurcation stenting
  • FFR & IVUS – use of intracoronary pressure studies and intravascular ultrasound studies which guides (evidence based) the need for and extent of intervention
  • Device implanation (pacemakers and defibrillators) including heart failure devices
  • Electrophysiology Studies and RF ablation therapy for rhythm disturbances
  • Percutaneous Trans-catheter Septal Closures – Patient Foramen Ovale, Atrial Septal defects, Patient Ductus Arteriosis etc
  • D/C Cardioversion

Our multidisciplinary team consists of a Cardiologist, Radiographer, Cardiac Technician, Scrub Nurse and a Circulating Nurse, who are all certified and experienced in Advanced Cardiac Life Support (ACLS) training.

A 6-bedded Angio-Day Unit is attached to the Cath Lab where patients are observed before undergoing procedures and are closely monitored after procedures.

The latest in state-of-the-art cardiac imaging technology to refine diagnosis and assist in patient management, including cardiac CT, cardiac MRI and nuclear cardiology.

Advanced Non Invasive Cardiac Imaging

Cardiac CT
Coronary calcium score (This test is being presently updated at the HMC so please contact Radiology at 01 6459042 for an update).

Your cardiac score is measured during a cardiac CT scan which is a non-invasive way of getting information about the location and extent of calcified plaque in the coronary arteries which are the vessels that supply oxygen-carrying blood to the heart. Plaque is actually a build-up of fat and other substances, like calcium, which can, over time, narrow the arteries or even close off blood flow to the heart resulting in painful angina in the chest or a heart attack.

Because calcium is a sign of coronary heart disease, the amount of calcium found during a cardiac CT scan is a very useful indication of the risk of you suffering from the disease.

Cardiac CT takes little time and causes no pain. The exam does not require injection of contrast material so it avoids possible side effects. No radiation remains in your body after a CT examination and the x-rays used usually have no side effects.

The main reason your G.P. or consultant may refer you for a cardiac CT for calcium scoring is to screen for coronary heart disease at an early stage when there are no symptoms and to determine how severe it is. If you think you are at risk from coronary heart disease you should discuss this with your G.P. as soon as possible

CT coronary angiography (CTA)

  • Allows “non-invasive” coronary angiography in selected patients
  • Excellent images of cardiac structures down to less than a millimeter in size, in a 10 minute scan without the risk of an invasive procedure.

Cardiac MRI
The gold standard imaging technique for diagnosis of disease of the heart muscle, such as

  • Left ventricular hypertrophy, inheirited, valvular, or ischaemic cardiomyopathies.
  • Management of complex ischaemic heart disease
  • Evaluation of need for ICD

Nuclear Cardiology
Technique to assess myocardial blood flow (perfusion) during stress and rest, offering

  • Higher sensitivity and specificity than conventional stress test to detect coronary disease
  • Ability to assess patients who cannot exercise for non cardiac reasons
  • Opportunity to identify the site and extent of ischaemia to plan revascularisation.

If you have a patient who you feel would benefit from CT angiography or another of these techniques the Cardiology department can arrange for the appropriate investigation as part of a comprehensive cardiology assessment.


For all Cardiology appointments and further information please contact:

Cardiology Department
Tel: 01 6459450
Fax: 01 6459451
Email: cardiology@hermitageclinic.ie