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I recently had the incredible opportunity to attend the Heart Rhythm Society 2024 conference in Boston. It was a fantastic experience, showcasing the latest advancements in technology and the newest scientific breakthroughs in our field. One of the highlights for me was seeing the attention our techniques from London, particularly those from our centre at Barts and One Welbeck, received. It was gratifying to present our science and posters, and to be recognised for being at the cutting edge of cardiac electrophysiology. However, what stood out even more was the chance to learn from other centres and their unique approaches from around the world. The exchange of ideas and the diversity of methodologies were truly enriching. I want to extend my heartfelt thanks to the organisers at the Heart Rhythm Society for orchestrating such an impactful event. I can’t wait to bring back my learnings to better manage and treat my patients.

--- The Value of Second Opinions in Healthcare Recently, I had the privilege of providing several second opinions, an experience both flattering and challenging. As experienced healthcare providers, we understand the importance of delivering the best possible care and service to every patient. This is especially vital in busy settings like the NHS, where the demand can sometimes be overwhelming. Offering a second opinion allows me to take an inclusive approach to healthcare. It's an opportunity to reassess a patient’s situation with fresh eyes—an essential step, as even the most thorough care can occasionally miss something. Second opinions are tremendously valuable. They can bring new perspectives and options to a patient's treatment plan. It's important to remember that differing opinions between consultants do not necessarily mean one is incorrect. More often, they simply reflect different angles or priorities in approaching a patient’s care. If you ever find yourself uncertain about your treatment path or if something about your care doesn't feel quite right, I encourage you to seek a second opinion. Doing so can provide reassurance or offer new avenues to consider, ensuring that you are on the best path for your health. As a doctor, I am always here to provide my perspective or offer a second look at your care plan, helping ensure that you receive the care you truly deserve. ---

Being part of start-up companies means that I have incredible opportunities to visit experts around the world. I was delighted to be invited to several hospitals in the United States, where I was able to support cases for treating atrial fibrillation with the Star Apollo mapping system, which I developed as part of Rhythm AI. Not only is it great to see techniques and technology that we pioneered here in London having a worldwide impact, but I was able to learn huge amounts from the skill and workflows of Dr Nair and Dr Matthew McKillop, both of whom I spent time with. A particular highlight was seeing how the use of intracardiac echocardiography (a tiny ultrasound probe used by the vein) can help minimise x-ray exposure during even the most complex cases. These are the sorts of innovations that I can put into place right away in my practice, both in the NHS and in the private sector. Thanks to all my hosts for making me so welcome and teaching me so much!

Atrial fibrillation (AF) can be a disruptive and concerning condition, but fortunately, there are treatment options available like an AF ablation procedure. While it may sound complex, let's break down the basics to help you understand what it involves: The Procedure: Performed under local or general anesthesia, often as a day case procedure. Involves inserting thin tubes (catheters) into a leg vein and threading them to your heart. The doctor uses various techniques (burning, freezing, or electrical shocks) to target and disable tissue causing AF, usually near the pulmonary veins. If normal rhythm isn't restored, electrical cardioversion might be necessary. Success Rates: Vary depending on factors like AF type, duration, and overall health. For intermittent (paroxysmal) AF, long-term success can range from 70-85% in some individuals for a single procedure. Persistent AF may have lower success rates from one procedure (typically 50-60% but as low as 30% or less especially in certain cases). Repeat procedures may be needed in 30-50% of cases, but overall success rates can reach >80% for paroxysmal and >70% for persistent AF. Potential Risks: Minor and temporary complications like bruising, chest pain, or temporary AF episodes are most common. Nerve injuries affecting digestion or breathing can occur (1% chance), usually resolving within weeks. Serious complications like blood leaks or leg vein injury occur in around 2% of cases. The risk of death is less than 1 in 2,000, usually due to rare complications. Remember: This information is for general understanding only and shouldn't replace a consultation with your doctor. Discuss your individual case and risks with your doctor to make informed decisions about AF ablation.

Atrial fibrillation (AF) is a common heart rhythm disorder characterized by the heart's upper chambers beating irregularly and chaotically. While managing AF often involves medication and lifestyle changes, many people wonder about the role of alcohol consumption. Here's why limiting or avoiding alcohol is crucial for individuals with AF: Alcohol's Impact on AF: Triggers irregular heartbeats: Alcohol acts as a stimulant to the heart, disrupting its electrical signals and potentially triggering episodes of AF. This effect can be immediate, even after moderate consumption. Increases inflammation: Alcohol promotes inflammation throughout the body, including the heart. This inflammation can worsen AF symptoms and contribute to the progression of the condition. Interacts with medications: Many medications used to manage AF can interact negatively with alcohol, reducing their effectiveness or causing dangerous side effects. Potential Consequences of Ignoring the Warning: Increased AF episodes: Frequent alcohol consumption significantly raises the risk of experiencing more frequent and prolonged AF episodes, requiring additional medical intervention. Higher risk of complications: The combined effect of AF and alcohol can increase the risk of serious complications like stroke, heart failure, and even death. Reduced treatment effectiveness: Continued alcohol consumption can make treating AF more challenging and reduce the success rate of ablation procedures. Making Informed Choices: While the occasional small drink might not pose a significant immediate risk for everyone, regular or heavy alcohol consumption significantly increases the danger for individuals with AF. Talking to your doctor is crucial to determine a safe and responsible approach to alcohol consumption based on your individual situation and AF severity. Remember: Prioritizing your heart health is essential, and avoiding alcohol can significantly reduce AF-related risks. Discuss your concerns and alcohol consumption habits openly with your doctor for personalized guidance. Balancing your well-being with informed choices empowers you to manage your AF effectively and live a healthier life. Additional Tips: Consider alternative options for socializing and relaxation that don't involve alcohol. Focus on incorporating healthy lifestyle habits like regular exercise and a balanced diet to support your heart health. Share your AF diagnosis with friends and family to encourage understanding and support in avoiding social pressures to drink. By understanding the risks and making informed choices, you can take control of your AF and navigate your journey towards a healthier future.

Undergoing a heart ablation procedure is a big step towards managing your atrial fibrillation (AF). While the procedure itself is minimally invasive, it's natural to have questions and concerns about what comes next. Here's a breakdown of what to expect during your recovery: Common Side Effects: Minor bleeding or bruising: Don't be alarmed if you notice some bleeding or bruising at the catheter insertion site near your groin. Apply direct pressure for at least 30 minutes until bleeding stops. Remember, even tiny bruises are normal and will fade over time. Seek medical attention if the bleeding is excessive or doesn't stop with pressure. Tiny lump or bump: You might feel a small lump or bump under your skin. This is a harmless collection of blood (hematoma) that will gradually disappear over a few months. However, if it becomes painful or pulsates, consult your doctor. Chest discomfort: Mild chest discomfort after the procedure is normal. Over-the-counter pain relievers like paracetamol can usually manage this effectively. Sore throat: The procedure can irritate your throat due to the tubes used. This typically resolves within a week, but your doctor may prescribe medication like Lansoprazole or Omeprazole to reduce stomach acid and aid healing. Recurrences of AF: Don't panic if you experience short bursts of AF after the procedure. These "recurrences" are common as the ablated tissue heals and settles. They usually subside on their own and don't necessarily mean the procedure wasn't successful. It's crucial to keep taking your medication during this "blanking period" (around 6 weeks) as it helps suppress these extra beats. Feeling Tired and Sore: Feeling sore and tired for a few days after the procedure is perfectly normal. Your body needs time to recover. Gradually increase your activity level as you feel better, but wait at least two weeks before resuming full exercise to avoid any bleeding complications. Remember: This information is for general guidance only and shouldn't replace personalized advice from your doctor. Every individual heals differently, so listen to your body and don't hesitate to seek medical attention if you have any concerns. Open communication with your doctor is key. Ask questions, express any concerns, and follow their instructions carefully throughout your recovery journey.

Harley St Cardiology Appointments now available Exciting news for patients seeking expert cardiac care in central London! I'm thrilled to announce the launch of outpatient clinic appointments at OneWelbeck, now offering you convenient access to my specialized services closer to home. As a consultant cardiologist with extensive experience in atrial fibrillation and other arrhythmias, I'm dedicated to providing my patients with comprehensive, personalized care in a comfortable and efficient setting. What to Expect During Your Outpatient Clinic Appointment: In-depth consultation: We'll delve into your medical history, current symptoms, and any concerns you may have regarding your heart health. Expert diagnosis and guidance: Leveraging my expertise and advanced diagnostic tools, I'll work to accurately diagnose your arrhythmia and explore the underlying causes. Tailored treatment plan: Together, we'll develop a personalized treatment plan that aligns with your unique needs and preferences. This may involve medication, lifestyle adjustments, further investigations like ECGs or echocardiograms, or minimally invasive procedures like catheter ablation. Seamless next steps: Depending on your individual needs, follow-up appointments, diagnostic tests, or procedures can be conveniently scheduled at OneWelbeck, minimizing disruptions to your routine. Benefits of Choosing Outpatient Clinic Appointments at OneWelbeck: Central London convenience: Avoid lengthy journeys and enjoy easy access by public transport or major roads. Streamlined experience: Transition seamlessly from consultation to potential tests or procedures, all under one roof. Specialist care, closer to home: Access expertise in atrial fibrillation and other arrhythmias without traveling far. Personalised approach: Receive the same high-quality, patient-centered care you've come to expect from Dr. Finlay. Ready to Take Charge of Your Heart Health? Booking your outpatient clinic appointment is simple: Call us directly: Contact our friendly team on 020 71830514 to discuss your needs and book a convenient slot. Book online: Visit our secure online booking system to choose your preferred time and date. Let's embark on your heart health journey together! Schedule your appointment today and experience the difference of personalized arrhythmia care at OneWelbeck.