Who I am - the clinician
I have been a Consultant in Liverpool since 2003. I specialise in the diagnosis and treatment of heart rhythm problems. As a specialist in this area my principal interest is in ablation, but I also perform pacemaker and ICD implants. I am a high volume operator performing over 150 ablations every year since my consultant appointment. Importantly, I have high success rates for ablation treatment with an extremely low complication rate. I have had professional recognition for my clinical expertise. I was elected to the British Heart Rhythm Society (BHRS) council in 2008 as a member with responsibility for ‘Interventional EP’ (ablation treatments). I am regularly asked to speak about heart rhythm problems at local and national meetings. I am a specialist clinical advisor for NICE and continue in key national roles on behalf of British Heart Rhythm Society.
Cardiology Consultation
Ablation
Personalised Care for your Heart Issues
I have over 20 years of experience as a consultant in diagnosing and treating heart rhythm problems to bring to your consultation.
As a cardiologist who is often chosen by other doctors and medical professionals to provide treatment for their heart rhythm issues, I have a reputation for finding effective solutions specifically tailored to each individual. This often involves ablation, but can also involve medication or pacemaker implantation.
As a keen sportsman I am sympathetic to the issues that heart rhythm problems cause in an active lifestyle. Over the years, with appropriate treatment, I have helped many people to return to their previous levels of activity.
I have access to a wide range of diagnostic tests, including patch ECG monitoring which is currently only available in the private healthcare sector.
Please get in touch to schedule an initial consultation.
Ablation uses heating (radiofrequency) or freezing (cryoablation) to deliberately interrupt faulty electrical signals within the heart that cause rhythm problems. This is a minimally invasive procedure performed using thin tubes inserted through the vein at the top of the right leg. Procedures are performed either under local anaesthetic with sedation, or under general anaesthetic. In most cases patients can choose which they prefer. Many ablations are performed as a day-case, although some involve an overnight stay in hospital (for instance AF ablation).
I have performed over 3500 ablation procedures as a consultant and I regularly audit my success and complication rates, which are amongst the best in the country.
Implantable Devices
Inherited Cardiac Conditions (ICC)
Pacemakers, ICD's, Implantable ECG monitors (LINQ)
For some patients an implantable device is indicated. This can be for safety reasons, for diagnostic purposes or sometimes as an alternative to medication for AF patients.
Pacemaker implantation is normally carried out under local anaesthetic as a day case procedure.
An ICD (implantable cardiac defibrillator) is a device that can detect life threatening rhythm disturbances and administer a shock to reset the heart if necessary (defibrillation).
A LINQ device is a small recorder that is placed under the skin to record the ECG. It has a battery life of 3 years. This is mostly used in patients with intermittent passing out (syncope), or to look for AF in patients with a previous unexplained stroke.
Cardiomyopathy, Long QT, Brugada syndrome, and Genetics
Inherited cardiac conditions (ICC) are a diverse group of cardiac conditions that can cause heart symptoms or in some cases sudden death in young people. They are relatively rare and can be complex to diagnose. Family screening is important to identify those who may be at risk.
The most frequently seen inherited conditions are cardiomyopathies, which are diseases of the heart muscle. Hypertrophic cardiomyopathy is the most common of these and can cause symptoms but is also an important cause of cardiac arrest in young people. Other forms of ICC involve the electrical activation of the heart e.g. long QT syndrome and Brugada syndrome. It is important to have specialist review if these rare conditions are suspected.
I am the lead clinician for the inherited cardiac conditions service for Cheshire and Merseyside, and have extensive experience in the management of all these conditions, including assessment of individuals for prophylactic ICD implantation.
Book an Appointment
For appointments at Spire Cheshire (Monday am and Thursday am) please call
01925 215087 or email spirecheshireoutpatientbookings@spirehealthcare.com
For appointments at
Liverpool Heart and Chest Hospital (Monday pm and Thursday pm) please contact Debbie Evans 0151 2543181 or email debbie.evans@lhch.nhs.uk
General non-medical enquiries can be addressed to enquiries@toddcardiology.com
Details of fees can be found here
I am registered with all major health insurers and bill within their fee guidelines.
At our practice, we understand that unforeseen circumstances can sometimes disrupt your schedule. However, we kindly request that you provide us with advance notice if you are unable to attend your scheduled appointment. In the event of non-attendance without prior notification, we reserve the right to to charge a fee of 85% of the full consultation fee. This policy is in place to ensure that we can continue to provide the best care possible to all our patients and manage our appointment availability efficiently. Your cooperation in adhering to this policy is greatly appreciated, and it allows us to maintain the high standard of care you expect from our cardiology practice. Thank you for your understanding.