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Self - Funding I accept both insured and self funding patients. Many patients are choosing to self fund private health care from their savings. New Patient Consultations: £260 This fee applies to the initial consultation for new patients. Follow-Up Consultations: £205 This fee is for subsequent follow-up appointments. I understand the importance of managing healthcare costs, especially for self-funding patients. For information about fees for diagnostic tests, procedures, or any other inquiries, please contact my secretary. This ensures that you can obtain specific details related to your individual case and helps you to navigate the financial aspects of your healthcare. Contact

Arrhythmia What is an arrhythmia? Arrhythmias are abnormalities of the heart rhythm. These may cause symptoms such as palpitations, chest pain, blackouts (syncope), shortness of breath and dizzy spells. What is a palpitation? A palpitation is an unpleasant awareness of your heart rhythm. The causes of these symptoms vary from very benign conditions, right through to more serious heart conditions. How do I know if a heart palpitation is serious? It can be difficult to assess whether a palpitation is due to a serious underlying condition or not. However if you experience blackouts, shortness of breath or chest pain associated with your palpitation then you should seek urgent medical advice. Other palpitations may also need further investigation and you should start by seeking advice from your family doctor. What tests are done to investigate palpitations? Patients with palpitations often need a number of different test, these include ECGs, ECHO scans and holter monitors. Further tests may be needed, depending on the results of the basic tests. What is an ECG? A 12-lead ECG involves electrodes attached to the chest and limbs and records the electrical activity of the heart. What is a holter? A holter monitor is attached to the patient and they can then continue with their normal activities, a 3 lead ECG is recorded and can help diagnose abnormal heart rhythms. What is an echo? An echo scan is an ultrasound scan of the heart, it involves a technician who places a probe on the chest and records images of the heart structure and flow across the heart valves. It is a very useful first line test to assess the structure and function of the heart, including the pumping chambers and valves. Ectopics Ectopic beats are a common cause of palpitations. They often cause a sensation of a skipped beat or an extra beat. If they originate from the top chambers of the heart they are called atrial ectopics, or if they arise from the lower chambers of the heart they are called “ventricular ectopics.” Atrial Fibrillation (AF) AF is a common heart arrhythmia. It results in an irregular heart rhythm, which is often felt as a heart palpitation. It is associated with rapid heart rates, which need controlling with medication. It is also associated with clots forming in the heart which can be thrown off to the brain. If this happens then the patient can suffer a disabling stroke. To try and prevent this, patients with AF are commonly treated with blood thinners, called anticoagulants. How is AF diagnosed? AF can be diagnosed with a 12-lead ECG, especially if it is persistent. In some cases AF comes and goes and can only be diagnosed with other tests, such as holter monitors. There are a number of other treatments available for patients with AF and these include: pacemaker implant, ablation, cardioversion and LAAO devices.These are highly specialised treatments and for further information about these treatments, please discuss these with your cardiologist. Useful websites The following websites can provide useful further information about palpitations and their causes and treatments: British Heart Foundation Arrhythmia Alliance AFIB Matters ECG HOLTER ECHO Palpitation VIEW MORE CONDITIONS

Heart Failure What is heart failure? Heart failure is a condition in which the heart’s ability to pump blood and oxygen around the body is impaired. What are the symptoms of heart failure? The main symptoms include shortness of breath on exertion, swelling in the ankles, or abdomen and lower back because of fluid retention; as well as lethargy and weakness. What are the causes of heart failure? The most common cause of heart failure include heart attacks, high blood pressure and dilated cardiomyopathy (in which the main pumping chamber in the heart becomes enlarged and weakened). There are a large number of other causes of heart failure including valve disease, anaemia, thyroid disease, heart arrhythmias, cancer treatments such as chemotherapy, viral infection or excessive alcohol consumption. What tests will I need to diagnose heart failure? Your cardiologist will take a detailed history and examination and is then likely to move onto further tests, to confirm the diagnosis of heart failure. There a number of tests which can be done to diagnose heart failure. The basic tests include an ECG and echocardiogram (echo) . Further tests might be necessary to look into the causes in more detail and these might include: a cardiac MRI, an angiogram of the heart arteries and a holter monitor. These tests will be organised in selective patients after detailed discussion with your cardiologist. What treatments are available for patients with heart failure? While heart failure is a serious heart condition, your quality and quantity of life can be significantly improved by a number of possible treatments. This might include: Medication Regular medication such as beta-blockers, diuretics and blood pressure medication can be helpful. They need to be started cautiously and the doses gradually increased with careful monitoring of your blood pressure and blood tests (such as kidney function). These tablets are usually taken life-long but together they can have very significant impacts on reducing both the symptoms of heart failure and improving life-expectancy for patients with heart failure. Pacemakers and Implantable Cardioverter defibrillators In some patients pacemakers maybe helpful in reducing the symptoms of heart failure and reducing the risk of hospitalisation with symptoms of heart failure. Implantable cardioverter defibrillators (ICDs) are sophisticated types of pacemakers, which can treat dangerous slow or dangerous fast heart rhythms, in patients with heart failure. This can be done either because the patients has suffered from a dangerous heart rhythm already (secondary prevention) or because their cardiologist believes they are at risk of developing dangerous heart rhythms in the future (primary prevention). The ICD can be combined with a pacemaker in a device called CRTD and this device can help improve both quality and quantity of life as well. Further information about pacemakers and ICDs can be seen in the pacemaker section of this website. How can I help keep my heart healthy? There are a number of life-style changes you can make to keep your heart as healthy as possible, including: 1) stopping smoking 2) reducing or even stopping alcohol 3) taking regular exercise such as a brisk walk of at least 30-40 mins per day 4) eating a healthy diet 5) reducing your salt intake 6) keeping a healthy weight 7) watching your weight regularly (a sudden increase in your weight, might reflect an increase in fluid retention in your body) 8) restricting your fluid intake What about emotional wellbeing? Low mood, anxiety and depression are all common in patient living with heart failure. Exercise can often be helpful in improving these symptoms and a graded exercise programme should be done in consultation with your cardiologist. Some patients can also benefit from counselling and in some cases medication may be required. Please discuss these options with your family doctor. Useful websites The following websites can provide useful further information about heart failure including their causes and treatments: British Heart Foundation Pumping Marvellous Cardiomyopathy UK VIEW MORE CONDITIONS

Locations Wellington Hospital Circus Rd, St John's Wood, London NW8 9LE United Kingdom Clinic Hours : Monday 6 PM TO 8 PM The Wellington Hospital is the largest independent hospital in the UK and is part of the HCA hospital group. The hospital was founded by Dr Arthur Levin and was opened in April 1974. Source: Wikipedia Harley Street Clinic 35 Weymouth Street, Marylebone, London W1G 8BJ United Kingdom Clinic Hours : Arrange With Secretary The Harley Street Clinic is one of the nations leading private hospitals located in the centre of London. It is one of the few hospitals in the country to receive an "outstanding" CQC rating. Spire Bushey Hospital Heathbourne Road, Watford, Bushey, Hertfordshire WD23 1RD United Kingdom Clinic Hours : Monday 6 PM TO 8 PM Spire Healthcare is a leading independent hospital group located in the United Kingdom. The group works with experienced cardiologists in England Scotland and Wales. Source: Spire Healthcare The Royal Free Private Patient Unit 12th Floor, Royal Free Hospital, Pond St, Hampstead, London NW3 2QG United Kingdom Clinic Hours : Arrange With Secretary The Private Patient Unit is located on the 12th floor of the Royal Free hospital. The Royal Free is a teaching hospital and one of the leading hospitals in the country with world class expertise. Source: NHS The Saxon Clinic Chadwick Drive Eaglestone West , Milton Keynes MK6 5LR United Kingdom Clinic Hours : Wednesday 9AM to 4PM The Saxon Clinic is located in Milton Keynes adjacent to Milton Keynes University Hospital. It is the major provider for private healthcare for the city and the surrounding area. The Wellington Hospital Elstree Waterfront Beaufort house, The Waterfront Business Park, Elstree Rd, Elstree, Borehamwood WD6 3BS United Kingdom Clinic Hours : Tuesday 6PM to 8PM This hospital provides private healthcare in Elstree and the surrounding area and it is part of the Wellington hospital campus in St John's Wood. The hospital is part of the HCA hospital group Source: HCA Back to main page

Dr Raj Khiani BSc (Hons), MBBS, MRCP (UK), FRCP CONSULTANT CARDIOLOGIST 020 3598 9200 | drkhianisec@medserv.co.uk Changes to Private Clinics in Response to Covid-19 I am writing to inform you that even though usual Outpatients Clinics have been suspended, I am still accepting new patient referrals and seeing follow-up patients. I am conducting consultations as telephone and video-link appointments via our Virtual Clinics. These types of appointments have been agreed upon by most of the health insurance companies, in order to safeguard patients in these difficult times. The platform used for our virtual clinics is secure, encrypted and free to download. Face to Face Clinics I have restarted seeing some patients in face to face clinics. If you would prefer to be seen this way over a virtual appointment, then please mention this when booking your appointment. During the clinic, appropriate precautions are being taken to ensure your safety, including: temperature checks, wearing of face masks, social distancing and cleaning of consulting rooms between appointments. Use of New Technology I have introduced both the AliveCor Kardia Electrode and the Zio patch to allow remote monitoring in the era of lockdown and social distancing. Kardia 6L The Kardia 6L electrode is a novel technology which allows the patient to record their own ECG using a smartphone or tablet. A PDF of the ECG can then be emailed for consultant review. Zio Patch The Zio is delivered to the patient, who applies the adhesive patch directly to the chest wall. A holter can then record for between 1 to 14 days, after which the patch will then be sent in the post for analysis. Cardiac Diagnostics and Urgent Cardiac Procedures M ost of the private providers are now open for the care of private patients. This means that there is now rapid access for diagnostic investigations and cardiac procedures if required. Back to main page

Blood Pressure Blood pressure is a common term for hypertension (high blood pressure). How should you measure your blood pressure A blood pressure machine can be bought from most high street pharmacies. The cuff should be placed around your upper arm directly onto the skin. The cuff should be the correct size and you should ensure a smooth and comfortable fit. You should rest calmly in a seated position for a couple of minutes before recording your blood pressure, then make two readings a minute apart. You should then record the lowest of the two readings. Typically you would repeat this reading for 7 days recording your blood pressure in the morning and evenings. The average of this 7 day recording would typically be used as a measure of your average blood pressure. What is a normal blood pressure reading A normal blood pressure reading is classified as an average home BP monitoring result less than 135/85. A home average BP greater than 135/85 is classified as stage 1 hypertension and would usually result in lifestyle changes, a discussion a round starting medication to treat hypertension. A blood pressure average reading greater than 150/95 would be classified as stage 2 hypertension and should be treated with lifestyle intervention and drug treatment. In younger patients (those less than 40 years of age) a diagnosis of hypertension would also include further specialist tests to exclude secondary causes of hypertension. What lifestyle interventions can help lower blood pressure A healthy diet, keeping your body weight in the normal range and regular exercise can all help reduce blood pressure. Reducing your alcohol intake and avoiding excessive consumption of coffee or other caffeinated drinks may help. Reducing salt intake and not adding salt to your food at the table can help. Avoiding smoking is also important for patients who have hypertension as these are both risk factors for heart attacks and strokes. VIEW MORE CONDITIONS

PACEMAKER IMPLANTATION View More Conditions

Blackouts A significant number of people will experience a blackout in their lifetime. In most cases the blackout will not cause any serious harm and will never recur. In a small number of cases the blackout might be caused by a serious medical cause and patients may need specific treatment. What is a blackout A blackout is a transient loss of consciousness for a few seconds or minutes. There are a large number of causes of blackouts but when it is thought to have a cardiac cause it is called cardiac syncope. The causes of blackouts There are a large number of causes of blackout from a simple faint (neurally mediated vasovagal syncope) through to other more serious cardiac causes such as epilepsy, postural hypotension and psychogenic causes. Cardiac syncope is caused by a sudden lack of blood supply to the brain because of a low BP or a problem with the heart rhythm. Do falls represent blackouts There are a large number of causes of falls including mechanical causes, postural instability, low BP and a proportion of elderly people with unexplained falls may be caused by blackouts. When to seek medical attention Most patients with blackouts should see their GP to discuss the blackout. Many patients will have a benign cause of blackout such as a simple faint. However, a proportion of patients with high risk features will then need to be referred for specialist input for example by a neurologist or cardiologist. What tests would be required All patients with blackouts who see a specialist should have a 12 lead ECG recording, other tests which may be required include an echocardiogram, tilt-table test, holter monitor, some patients may require an Implantable loop recorder (ILR) as well as other specialist tests including a cardiac MRI. If the blackouts are thought to be neurological in origin then a MRI of the brain and an EEG may be required. Implantable loop recorder This is a device inserted under the skin in the chest wall on the left hand side. It is inserted under local anaesthetic as a day case procedure. The device is designed to monitor your heart rhythm continuously and is useful for patients who are having syncope to diagnose problems with their heart rhythm which might cause them to blackout. (Image courtesy of Medtronic PLC) VIEW MORE CONDITIONS

A SHOCKINGLY GOOD SOLUTION Dr. Raj Khiani | Consultant Cardiologist | Publications View Publication ZIO PATCH Dr. Raj Khiani | Consultant Cardiologist | Publications View Publication

RESEARCH ON COVID-19 RESPONSE TO COVID-19 MY MISSION ​ To provide high quality, holistic cardiac care to all my patients, impacting both their quality and longevity of life. Dr. Raj Khiani Consultant Cardiologist ​ ​ Phone: 020 3598 9200 ​ ​ Email: drkhianisec@medserv.co.uk ​ ​ Qualifications: BSc (Hons), MBBS, MRCP, FRCP ​ Cardiologist in London and Milton Keynes About Dr. khiani Dr. Raj Khiani is a leading consultant cardiologist working in London and Milton Keynes with over 25 years of experience Find out more > Conditions Dr. Raj Khiani treats multiple cardiac conditions including palpitations, breathlessness, blackouts and atrial fibrillation along with other cardiac conditions Find out more > Locations Dr. Raj Khiani works in multiple hospitals located in London and Milton Keynes including Harley Street Clinic, The Wellington Hospital, Bushey Spire and BMI The Saxon Clinic Find out more > Contact Me To book a consultation please contact Dr. Raj Khiani's Secretary on 020 3598 9200 or email drkhianisec@medserv.co.uk Find out more > Menu TESTIMONIALS Dr Sharon Ann Rocque, GP Dr Khiani is absolutely fantastic, very knowledgeable and gives very appropriate advice. His mannerisms puts one at ease immediately and feel listened too. Treatment of patients is excellent and always hear positive reviews from his patients. Prof. Aji Kavidasan, Chest Physician and Interventional Pulmonologist Dr Raj Khiani is a consultant cardiologist with special interest in advanced cardiac devices, who is committed to providing extremely patient-centred care. Dr Rasha Gadelrab, GP A very approachable and respected cardiologist with very good communications skills. DR. RAJ KHIANI'S RESEARCH PAPERS Clinical and Imaging Findings in Cryptogenic Stroke Patients With and Without Patent Foramen Ovale VIEW PAPER Dr. Raj Khiani and 2 others New Technology MEMBERSHIP OF SOCIETIES INSURANCE CONTACT | Dr. Raj Khiani CONTACT ME Dr. Raj Khiani Consultant Cardiologist ​ Phone: 020 3598 9200 Email: drkhianisec@medserv.co.uk ​ Send an email Share

GENERAL CARDIOLOGY View More Conditions

About Me Dr. Raj Khiani - Consultant Cardiologist in London and Milton Keynes I am an experienced General Cardiologist committed to providing holistic, patient focused care. I believe in making an accurate diagnosis and providing a clear explanation to my patients. I treat the whole patient and discuss the cardiac diagnosis along with its physical and emotional impact on the patients health. I work as a sub-specialist in cardiac devices, arrhythmia and heart failure. I led the arrhythmia service at the Royal Free Hospital between 2016 and 2019 and now concentrate on training medical students, junior doctors and cardiology registrars as well as consultant colleagues in advanced pacing techniques. My current research interests include risk stratification for sudden cardiac death in scleroderma cardiomyopathy, COVID-19 and advanced pacing including optimisation of cardiac resynchronisation therapy and His bundle pacing. I see patients with all common cardiac symptoms including: chest pain, palpitations, shortness of breath and blackouts. I am able to manage all common cardiac disorders including: atrial fibrillation, blood pressure, ischaemic heart disease, heart failure and valvular heart disease. I am registered with all major insurance companies and also see self-funding patients. Qualifications BSc (Hons) MBBS MRCP (UK) FRCP Imperial College, University of London - 1994 Royal Free Hospital School of Medicine, University College London - 1995 Royal College of Physicians, London - 1998 Royal College of Physicians, London - 2011 Experience UnderGraduate Training - Royal Free Hospital, London - 1995 Cardiology Registrar - Papworth Hospital, Cambridge - 2001 Research Fellow - South Manchester University Hospital - 2002 National Training Number - London Deanery, South Thames Rotation - 2004 Specialist Registrar/Senior Registrar in Cardiac devices - Guy’s and St Thomas’ Hospital - 2007 Specialist Registrar in Cardiology - Royal Sussex County, Brighton - 2004 Cardiology Specialist Registrar - St Georges Hospital, London - 2006 Consultant Cardiologist - Milton Keynes University Hospital and Honorary Consultant Cardiologist at John Radcliffe Hospital - Oxford - 2009 Consultant Cardiologist - Royal Free Hospital School Of Medicine, London - 2015 to Present Back to main page