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King’s Health Partners Cardiology
Collectively we are one of the largest providers of cardiovascular services in the UK
Introduction
Our services
in numbers:
Heart disease is still the single highest
cause of death in London, the UK and
globally, with approximately 3,000
deaths per year in south east London
alone. It is also the leading cause of
mortality in women and 25% of all
cardiovascular disease (CVD) cases are
premature and preventable.
46,243
non-surgical cardiology
procedures in the last year
The good news is that outcomes for
patients greatly improve if they are
brought to a specialist centre and given
access to dedicated cardiac teams. King’s
St Thomas’ heart team performing X-ray guided transcatheter procedure.
Health Partners is collectively one of
the largest providers of cardiovascular services in the UK, delivering extensive heart services for patients in south
east London and Kent. We host a British Heart Foundation Centre of Research Excellence, and deliver outstanding
training for clinicians and researchers.
Our Cardiovascular Clinical Academic Group (CAG) integrates the Cardiovascular Division of King’s College
London and the cardiology, cardiac surgery and vascular surgery teams at Guy’s and St Thomas’ and King’s
College Hospital NHS Foundation Trusts.
Our partners
G
uy’s and St Thomas’ provides
a wide range of planned and
emergency services to the local
population, and, as a specialist
centre, primarily to South East
London and Kent.
The centre is comprised of
three departments; cardiology,
cardiac surgery and vascular
surgery, providing treatment in the
outpatient, day-case, inpatient and
community setting.
The team has expertise in coronary
intervention, electrophysiology
and rhythm management devices,
structural and valvular heart disease,
cardiac imaging, non-invasive
services, heart failure and inherited
cardiac conditions.
E
velina London Children’s
Hospital’s heart service
(cardiology) deals with the diagnosis
and treatment of a full range of
children’s heart problems including,
those many conditions detected
in the womb/pre-birth, those that
develop after birth, and rhythm
disturbances.
The team in Evelina London carry
out between 480-520 surgeries
Learn more about Education
and Training opportunities
4,998 cardiac surgeries
in the last year
172 dedicated cardiac
beds
on patients with congenital heart
disease each year and see about
400-450 patients in their catheter
laboratory.
K
ing’s College Hospital’s
cardiology service provides
a full range of adult heart care,
including, invasive and non-invasive
diagnostic procedures, state-of-theart cardiac interventional treatments
and outpatient services that include
community outreach.
The team provide both planned
and emergency care for a large
regional population. This includes
the UK’s first 24/7 primary
angioplasty service for heart attack
patients, a life-saving alternative to
clot-busting drugs.
The cardiology department has
close links with King’s Heart Failure
Service, the Rapid Access Chest
Pain Clinic (RACPC) and Cardiac
Rehabilitation.
K
ing’s College London’s
Cardiovascular Division
pursues internationally leading
research programmes that address
the fundamental mechanisms
Read about our research
success stories
underlying normal and abnormal
cardiovascular function, and drives
translation of strong basic science
into advances in clinical practice.
The division is allied to the
British Heart Foundation Centre of
Research Excellence at King’s College
London which brings together a
unique range of internationally
renowned scientists and clinicians
to focus on basic and applied work
that leads to advances in the early
diagnosis, prevention and treatment
of heart diseases, and delivers
outstanding research training for
clinical and non-clinical scientists.
S
outh London and Maudsley,
with the Institute of Psychiatry,
Psychology and Neuroscience
(IoPPN), work with teams at both
hospitals to ensure patients are
treated for their mental health,
as well as their physical health,
as mental and physical health
conditions are often connected.
At King’s Health Partners we are
working to treat the whole person,
mind and body.
What procedures do we most
commonly perform?
48 consultants
8 catheter labs
7 operating theatres
1 hybrid theatre
(A surgical theatre also equipped with
advanced medical imaging devices)
Image of heart muscle cells from
King’s College London.
kingshealthpartners.org
@kingshealth
OVERVIEW OF OUR SERVICES
We offer the majority of procedures and treatments for cardiovascular disease with the
exception of cardiac transplantation and cardiac assist device services
Mind & Body
CARDIAC SURGERY- we are the
dominant provider of cardiac
surgery across South East
London and Kent, providing
comprehensive sub-specialist care
in heart valve service, coronary
revascularisation, aortic vascular
surgery and adult congenital
cardiac surgery.
Did you know
your heart
health and
mental health
are closely
connected? The
mind and body
are inseparable,
and mental and physical health
conditions are often connected.
INTERVENTIONAL CARDIOLOGY
including structural heart
disease- we are the leading
UK interventional cardiology
centre offering a wide range of
services including, a Heart Attack
Centre (first to provide 24/7
Primary Percutaneous Coronary
Intervention service), high volume
innovative TAVI (transcatheter
aortic valve implantation)
programme, national venovenous
extracorporeal membrane
oxygenation (VV-ECMO) centre for
South of England.
inherited cardiac conditions and
pulmonary hypertension.
ELECTROPHYSIOLOGY / CARDIAC
RHYTHM MANAGEMENT- we are
one of the leading UK arrhythmia
centres treating complex atrial
arrhythmia, complex ventricular
arrhythmia, adult congenital
arrhythmia and inherited
arrhythmia.
INHERITED CARDIAC CONDITIONS
(ICC)- we are one of top 5 ICC
Centres in the UK. With integrated
clinical service across our partners
we are the only UK centre to cover
every single aspect of ICC.
HEART FAILURE (including
mechanically assisted devices/heart
transplantation)- we are a leading
UK heart failure centre with fully
integrated heart failure services
promoting innovative work on
acute heart failure pathways. Our
interventional valve programme
deals with circulatory support,
cardiac resynchronization therapy
and implantable cardioverter
defibrillators, cardio oncology,
ADULT CONGENITAL HEART
DISEASE (ACHD)- we are one of
largest UK congenital heart disease
centres for adults and children.
Our clinical services cover the
complete pathway from foetus to
adult including, congenital imaging,
catheter intervention, and chronic
heart disease surgery and transition
services.
NON-INVASIVE CARDIOLOGY- our
large clinical and academic centre is
internationally renowned for noninvasive cardiology procedures. We
are world class in echocardiogram
procedures and have one of the
largest computed tomography (CT)
units in the UK. We also have one
of the largest magnetic resonance
imaging (MRI) units in Europe.
Our most common surgical procedures
Research has shown that people
with severe mental health problems
are two to three times more likely to
suffer from cardiovascular disease
due to medication and lifestyle
factors.
At King’s Health Partners we are
working to overcome these barriers
by treating the whole person.
> Read about Guy’s and
St Thomas’ research on the
effect of strong emotion on
the heart.
> Read the Institute of
Psychiatry, Psychology &
Neuroscience (IoPPN) at
King’s College London’s
research into why victims
of childhood bullying are at
higher risk of cardiovascular
disease in later life.
> How to maintain a
healthy heart.
An overview of the most commonly performed procedures across our partnership
Aortic Valve surgery (TAVI)
Transcatheter
650 procedures from 2007-2013
TAVI (transcatheter aortic valve implantation) is an alternative to open heart
surgery to replace the aortic valve in the heart. It is recommended for patients
who are too ‘high risk’ for usual surgical procedures, and it is only carried out at
specialist centres. Recovery times are quicker because TAVI uses keyhole surgery.
> UK first heart operation saves London’s strongest man
T
otal Aortic Valve Surgery
382 procedures per year
Aortic valve surgery is a type of open-heart surgery used to treat problems with
the heart’s aortic valve. The aortic valve controls the flow of blood out of the heart’s
left ventricle to the body’s main artery (the aorta). From here, the blood travels to
the rest of the body.
The aortic valve may need to be replaced for two reasons: narrowing of the valve
(aortic stenosis) – the aortic valve becomes narrowed and obstructs the blood
flowing through it, or leaking of the valve (aortic regurgitation) – where the aortic
valve leaks and blood flows back through into the left ventricle. If the aortic valve
is no longer working properly, surgery is usually needed to replace it.
P
ercutaneous coronary intervention (PCI or angioplasty with stent)
2,250 procedures per year
This is a non-surgical procedure that uses a catheter (a thin flexible tube) to place
a stent into a blood vessel in the heart. Stents are used to keep blood vessels open
if they have been narrowed by plaque build-up.
A PCI will improve blood flow to the heart, reducing heart-related chest pain
(angina), and giving patients a better quality of life.
The procedure is done by inserting the catheter into a blood vessel through the
groin or in the arm. The catheter is threaded through blood vessels until it reaches
the area where narrowing has occurred. When in place, the stent is expanded via
balloon inflation. The stent then remains in place while the balloon and catheter
are withdrawn.
P
acemaker installation
Nearly 800 procedures per year
People can develop an abnormal heartbeat,
also called an arrhythmia. The heart may
beat too slowly or too fast. A pacemaker
can regulate the heart beat and treat this
condition.
Inserting a pacemaker can be carried out
under local or general anaesthetic. It is usually
put in on the opposite side to your dominant
arm. For example, if you are right handed, it
will be put in on the left side. To insert the
pacemaker a doctor will put in one or two
wires into the heart through a vein. In some
cases, up to four wires may be put in. The
wires are put in under X-ray guidance. Once
in place a cardiac physiologist will test these wires to make sure they have good
contact with the heart muscle. After the wires are in position, the doctor will make
a small pocket under the skin to fit the battery (generator) and will then connect
the wires to this. Patients can get back to the normal activity after approximately
one month.
> Better treatments for arrhythmia