Cardiology

Dr Tapesh Pakrashi is a Consultant Cardiologist. He has an interest in all aspects of adult general cardiology, including heart failure, valvular heart disease, coronary artery disease, cardiac imaging, arrhythmias and hypertension.Dr Pakrashi read Medicine at Magdalen College, Oxford and trained in Newcastle, Leeds and Cambridge before undertaking his Specialist Registrar Training in Cardiology in London, which included the Pan Thames Heart Failure Rotation at the Royal Brompton Hospital, Harefield Hospital and the Whittington Hospital.

 Dr Pakrashi has been a Consultant Cardiologist and the Heart Failure Lead at Kingston Hospital since 2012 and was a visiting consultant cardiologist at St George’s Hospital between 2012 and 2015. He was Clinical Director for Cardiology and Clinical Haematology at Kingston Hospital NHS Foundation Trust from 2013 to 2018 and has been Undergraduate Sub-Dean since 2017. He developed the Heart Failure Service at Kingston Hospital NHS Foundation Trust and the Community Cardiology services in Kingston and in East Elmbridge.

Graduating with distinction from University College London (UCL) Medical School Mr Hunt completed his surgical training at the Hammersmith, St. Thomas’ & Guy’s and Harefield Hospitals. He was awarded a national travel scholarship and completed a minimal access thoracic surgery fellowship in Canada and the USA prior to joining St. George’s Hospital in 2009.

He is highly experienced, having been a consultant for 14 years. His expertise covers all aspects of adult cardiology, including the management of patients with chest pain, palpitations, breathlessness, dizziness and high blood pressure or cholesterol. Additionally he sees patients for investigation of cardiac murmurs, cause of stroke and for pre-operation assessment.

Arvind is very approachable and considerate with his patients. We like to offer a quick and efficient service to try to minimise anxiety. Clinic appointments are available at short notice and a number of tests can usually be performed quickly (often on the same day) with results being available very soon thereafter.

Patients, with or without private health insurance, are welcome to make an appointment. Dr Vasudeva is fee-assured with all the major insurance companies.

Dr Vasudeva is head of a team including secretary, cardiac physiologists and nurses, who make up Surrey Cardiology Ltd.

Clinical Lead for Specialist Angina Service, Royal Brompton and Harefield NHS Foundation Trust.

Clinical assessment and medical/interventional management of all aspects of coronary artery disease including: stable angina pectoris, refractory angina (including pain mangement, advanced technologies e.g. coronary sinus reducer, biologic therapies), ischaemic heart failure, Refractory hypertension (renal denervation), Valvular heart disease and General cardiology.

Areas of interest: chest pain; shortness of breath; angina pectoris; heart attack; interventional cardiology; acute coronary syndrome (ACS); refractory angina; refractory angina; stem cell therapy; valve disease; heart failure; palpitations.

I am an interventional consultant cardiologist at Western Sussex Hospitals NHS Foundation Trust and a honorary consultant at the Royal Sussex County Hospital. I am trained in all aspects of adult cardiology with a special interest in complex coronary intervention and intravascular imaging.

I was educated at Westminster School and subsequently qualified as a doctor from St George’s Hospital Medical School, London, in 2006. I entered specialist training in cardiology, where I rotated through a series of prestigious posts in London and on the South Coast.

I was successfully awarded a Doctorate of Medicine (MD Res) in recognition of my research at Norfolk and Norwich University Hospital. My clinically-based project involved investigating the molecular mechanisms contributing to patients having acute heart attacks. I subsequently completed subspecialty training in coronary intervention at the Royal Sussex County and St Thomas’ Hospitals.

After completing my training, I was offered an extremely prestigious, fully-funded interventional fellowship at McMaster University, Canada. During my fellowship, I was trained specifically in chronic total occlusions and percutaneous mitral valve intervention (mitraclip). I was also actively involved in numerous research projects from a centre world famous for cardiovascular trials. I am well published and have research interests specifically within intravascular imaging and ongoing collaboration with McMaster.

I treat patients with a variety of symptoms, including chest pain, hypertension, hyperlipidaemia palpitations, breathlessness and blackouts. I organise and perform numerous investigations including ECGs, ambulatory ECG monitoring, echocardiograms, cardiac CT, cardiac MRI as required.

As an interventional cardiologist, I have performed well over 1000 percutaneous coronary interventions. I undertake detailed intracoronary imaging (optical coherence tomography and intravascular ultrasound) and physiological assessments (pressure wire) to guide my decision making and have experience in complex percutaneous coronary interventions including chronic total occlusions, bifurcations and rotational atherectomy. In addition, I have expertise in optical coherence tomography (OCT) from my post-doctoral research which involved investigating the molecular mechanisms contributing to patients having acute heart attacks.

Areas of interest
Chest pain; valvular heart disease; coronary artery disease; coronary angiography; intravascular ultrasound; optical coherence tomography; pressure wire assessment; angioplasty; palpitations; syncope; hypertension; breathlessness; arrhythmia.

Dr Tom Snow was awarded a MBBCh with Honours from the University of Wales College of Medicine, Cardiff in 2005 having previously studied for a BSc (Hons) in Biological Sciences and a MPhil in Molecular and Cellular Biology (on a BBSRC Studentship) at the University of Birmingham. Early clinical training took place in South West London, completing his advanced Cardiology training in London at St Thomas’ Hospital and Kings College Hospital. He completed a period of clinical research focusing on transcatheter valve intervention and coronary artery disease at the Royal Brompton Hospital, London, where he was the first Transcatheter Valve Fellow involved in all aspects of patient assessment and treatment. Tom completed his subspecialty training in interventional cardiology on a prestigious fellowship at the Royal Bournemouth Hospital where he acquired expertise in the treatment of complex coronary artery disease. He is well versed in the use of rotational atherectomy, intravascular imaging and the invasive physiological assessment of coronary artery disease. Dr Snow was appointed as a Consultant Interventional Cardiologist at the Royal Devon & Exeter Hospital in February 2017.

Dr Snow has a specific interest in the treatment of chronic total occlusion (CTO) coronary stenting, complex coronary angioplasty procedures and valvular heart disease, having been involved in the implantation of 110 TAVIs (Transcatheter Aortic Valve Implantations) and more than 15 MitraClip procedures whilst a fellow at the Royal Brompton Hospital, London. He is very experienced in all aspects of general cardiology and sees patients with a variety of symptoms, including chest pain, breathlessness, palpitations and dizziness/collapses.

Dr Snow has actively participated in research at both undergraduate and postgraduate level, writing his thesis on voltage operated calcium channel modulation. He has published papers in highly respected peer reviewed journals, written review articles and book chapters on coronary artery disease and transcatheter valve intervention and presented at International conferences in Europe and North America.