Cardiac Physiology testing

Cardiovascular investigations for neruological/ vascular events 

Post  fall/ syncope/ collapse 

Echocardiography  IP 

All requests must contain relevant clinical details, location of patient and clinical question to  be answered. 

Name and contact details of the requestor and responsible consultant are essential. 

Emergency  Indications -  urgent Echo ( within 1 hour )  may be life saving  Cardilogy REG 4205

• Suspected Acute pericardial tamponade 
• Suspected Acute Acortic dissection woth  haemodynamic instability -  CT more for stable patients 
• Suspected acute massive pulmonary  embolism
• Suspected Cardiogenic shock

LOW diagnostic Yield -  Echo unlikely  to  affect  Clinical Management 

• Pericarditis 
• Mild cardiomegaly  on CXR 
• Routine pre-op patients ( non cardiac ) 
• Syncope in the absence of abnormal ECG , Arrhythmia or murmur 
• Palpitation without proven arrhythmia or  abnormal ECG 

Ambulatory ECG Monitors

This is for advice and information that  could direct  OP  follow up -  please  do not  directly refer all patients, Referral back  to  the GP remains the preferred route of referral -  for further advice plaese contact the Medical of Cardioogy Registrar.