Dr. Miles Dalby was appointed to the staff of the Royal Brompton & Harefield NHS Trust in 2005. He trained at St Mary’s Hospital Medical School, undertaking a postgraduate MD research Fellowship at the Royal Brompton Hospital. He completed his clinical training at the Pitié Salpêtrière Hospital in Paris and Harefield Hospital.
Dr. Dalby manages all aspects of general cardiology including the investigation and management of chest pain, shortness of breath, high blood pressure, palpitations and dizzy spells. In addition he has expertise in a number of specialist clinical areas:
-Heart attacks: He leads the large Primary Angioplasty program for heart attack patients at Harefield Hospital and works with the London Cardiac Network in the provision of care for patients with acute coronary syndromes.
-Coronary stenting: He specialises in complex stent procedures and intracoronary imaging techniques. As well as the standard femoral artery route, he performs angioplasty procedures via the radial artery route which allows earlier mobilisation.
- Valvular heart disease: He leads the TAVI program at Harefield Hospital, replacing the aortic valve through a catheter, allowing aortic valve replacement for patients unsuitable for open heart surgery due to age or other conditions, who would otherwise remain untreated.
Dr. Dalby sits on the Pan London Heart Attack group engaged in both clinical service provision and research. He also speaks for the European Society of Cardiology ‘Stent for Life’ program promoting improved heart attack care across Europe.
Dr. Dalby’s research interests include the logistics of primary angioplasty for acute myocardial infarction and optimal strategies for the deployment of intracoronary stents.
Dr. Rob Smith was appointed to the staff of the Royal Brompton & Harefield NHS Trust in 2011. He trained at St Bartholomews Medical School, undertaking a postgraduate MD research Fellowship at Harefield Hospital.
Dr. Smith manages all aspects of general cardiology including the investigation and management of chest pain, shortness of breath, high blood pressure, palpitations and dizzy spells. In addition he has expertise in a number of specialist clinical areas:
-Coronary stenting: He leads the audit for the large Primary Angioplasty program for heart attack patients at Harefield Hospital. He specialises in complex stent procedures and intracoronary imaging techniques. As well as the standard femoral artery route, he performs angioplasty procedures via the radial artery route which allows earlier mobilisation.
-Valvular heart disease: He is the lead for the Mitral Valve programme at Harefield hospital. He currently leads the UK’s most experienced MitraClip implant team. MitraClip is a ‘keyhole’ or percutaneous procedure enabling repair of the leaking mitral valve particularly in patients unsuitable for open heart surgery or with heart failure.
- Permanent pacemaker: He has a specialist interest in the management of bradycardia (slow heart beat) and pacemaker implantation. .
-He has expertise in the management of hypertrophic obstructive cardiomyopathy (HOCM) and has established a specialist group dedicated to managing patients with this condition including alcohol septal ablation
Dr. Smith sits on the North West Thames regional revascularisation group and is involved in planning networks of cardiac care at a regional level.
Dr. Smiths research interests include myocardial ischaemic preconditioning and optimal strategies for the deployment of intracoronary stents using intracoronary optical coherence tomography..
Dr. Tom Wong graduated from the University of Aberdeen in 1993. He was appointed to the staff of the Royal Brompton & Harefield NHS Trust in 2006 and appointed as cardiac catheter laboratory director in 2010 and the Chair of Arrhythmia Services at both the Royal Brompton and Harefield sites in 2015.
Dr. Wong manages all aspects of general cardiology but has a specialist interest heart rhythm abnormalities and their management. He has expertise in a number of specialist clinical areas:
-Arrhythmia management: He manages all aspects of heart rhythm management. Dr wong manages both the rhythm abnormalities and blood clot risk associated with atrial fibrillation including left atrial appendage closure for appropriate patients.
-Catheter ablation: He specialises in catheter ablation techniques to treat heart rhythm abnormalities including a specialist interest in atrial fibrillation.
- Pacemaker and defibrillator implantation and management: He performs device implantation for the full range of pacemakers including dual chamber and cardiac resynchronisation devices as well as implantable defibrillators (ICD). He is a leading expert in leadless pacemakers. He also provides ongoing care and monitoring for patients receiving such devices.
Dr. Wong is recognised nationally and internationally as an expert in the field of electrophysiology and device therapy (pacemaker including leadless pacemaker and ICD). He chairs and give lectures in major national and international meetings on a regular bases.
Dr. Wong is a Reader in Cardiology at Imperial College London and has a strong research record focusing on the interventional (catheter based) treatment of complex heart rhythm abnormalities and Device therapy in patients with heart failure and complex anatomies.
Dr. Mahmoud Barbir Consultant Cardiologist Royal Brompton & Harefield NHS Foundation Trust Senior Lecturer Imperial College London
Dr. Mahmoud Barbir was appointed to the staff of the Royal Brompton & Harefield NHS Trust in 1997. He trained in medicine in Dublin subsequently undertaking postgraduate research in cardiovascular risk factor reduction at The Hammersmith Hospital He completed his clinical training at Harefield Hospital where he was subsequently appointed to the staff.
Dr. Barbir manages all aspects of general cardiology including the investigation and management of chest pain, shortness of breath, high blood pressure, palpitations and dizzy spells. In addition he has expertise in a number of specialist clinical areas:
Cardiovascular risk: He has a special interest and expertise in cardiovascular risk detection, diagnosis and management.
Lipoprotein Apheresis: In 2008 He established and leads the Lipoprotein Apheresis Treatment Centre at Harefield Hospital which is now the largest treatment centre in the UK. He is responsible for the selection and ongoing treatment of all patients attending the unit. .
Cardiac Rehabilitation He set up and directs a comprehensive Cardiac Rehabilitation Programme at Harefield Hospital which serves as a model for other trust hospitals. This programme predates but encompasses the standards laid down in the National Service Framework for coronary heart disease prevention and rehabilitation. .
Dr. Barbir is a member of the HEART UK Working Group on Lipoprotein Apheresis which achieved the following:
He has frequently delivered lectures in a number of overseas countries, the aim of which is to disseminate knowledge in his speciality and to enhance international relationships.
Dr. Barbir’s research interests include
Dr. Barbir is an established expert in research in the field of lipidology and raised cholesterol levels. He has published extensively in this area and has given many national and international presentations on the subject.
Amina Rashid is a registered clinical physiology specialist, skilled and experienced in performing our comprehensive non invasive cardiac diagnostic investigations. Educated in London, Amina has worked professionally as a Physiologist since 2003 at The Royal London Hospital NHS Trust, Chelsea and Westminster Hospital London, Cromwell Hospital London and BMI London Independent Hospital. She is an accredited member of the Society of Cardiological Science and Technology and the Registration Council for Clinical Physiologists. She has membership of the British Society of Echocardiography, British Cardiovascular Society and Heart rhythm UK. Working collaboratively with the team of Cardiologists at CVHC, Amina has a key role in innovatively developing, managing and optimising the delivery of our constantly evolving cardiac investigation service.
Amina holds technical expertise and specialised knowledge to perform the following collective investigations
-Echocardiograms and assisting the cardiologist during stress echocardiography, transthoraic oesophageal procedures and bubble contrast studies
-Exercise tolerance tests, Cardiopulmonary exercise testing, and supervising pharamcological stress and myoview stress tests.
-Single and dual chamber pacemaker checks.
-Fitting and analysing 24 holter, 24hr BP and event recorder monitors.
-12 lead ECGs.
-Conducting tilt tests.
-Autonomic function tests.
-Lung function tests (Spirometry).
Amina has a strong interest in the use of echocardiography to investigate structural heart abnormalities. In the pursuit of continuous learning in the field of echocardiography she regularly attends conferences, seminars, webinars and learns collaboratively from specialist colleagues, reading widely around the subject area, in particular specialist journals to keep abreast of new developments.