Expertise

Conditions treated & procedures performed

A full interventional practice, applied to a deliberately conservative standard. Each page below states not only what a treatment does, but what the evidence says it does not do.

Conditions

Long-term diagnosis and medical management.

Coronary Artery Disease

Assessment and treatment of coronary blockages — including when medical therapy is the better-evidenced option and when a stent is genuinely required.

Preventive Cardiology

Risk assessment, lipid management and lifestyle intervention to prevent a first or recurrent cardiac event — with particular attention to South Asian risk.

Heart Failure

Diagnosis and long-term management of heart failure with reduced and preserved ejection fraction, using guideline-directed medical therapy.

Hypertension

Diagnosis and long-term control of high blood pressure, including resistant hypertension, secondary causes and hypertensive emergencies.

Arrhythmia & Palpitations

Evaluation of palpitations, atrial fibrillation and rhythm disturbances, including stroke risk assessment and when a device is required.

Diabetes & Metabolic Care

Management of type 2 diabetes and pre-diabetes with cardiovascular risk as the organising priority, not glucose numbers alone.

Procedures & diagnostics

Interventional and imaging procedures, with the indications for each.

Primary Angioplasty

Emergency angioplasty during a heart attack, where restoring blood flow quickly is the single treatment most strongly proven to save lives.

Echocardiography

Transthoracic and transesophageal echocardiography to assess pumping function, valves, chamber sizes and congenital defects.

Holter & Ambulatory Monitoring

Continuous ECG and 24-hour blood pressure monitoring to capture rhythm disturbances and blood pressure patterns that clinic tests miss.

Complex & Left Main Angioplasty

Left main, bifurcation and chronic total occlusion angioplasty for coronary anatomy that standard techniques cannot address.

Radial Angioplasty

Angioplasty performed through the wrist rather than the groin, reducing bleeding complications and allowing faster mobilisation.

Pacemakers, ICD & CRT Devices

Implantation and long-term management of pacemakers, implantable defibrillators and cardiac resynchronisation therapy devices.

Device Closures (ASD, VSD, PDA)

Catheter-based closure of holes in the heart and related structural defects, avoiding open surgery in suitable patients.

Peripheral Interventions

Renal and carotid angioplasty, coil embolisation and other arterial and venous interventions outside the coronary arteries.

Not sure whether you need a procedure?

The decision framework used here — and the seven randomised trials behind it — is set out in full.

Read the No-Stent Protocol →