Cardiology

Cardiology Department provides a range of diagnostic invasive, non-invasive & dedicated cardiology services for patients referred by their GP / Consultant.

The Cardiology Department provides a wide range of diagnostic invasive and non-invasive procedures and dedicated cardiology services for the assessment and treatment of cardiovascular disease.

The Cardiology Department at the Bon Secours Hospital Dublin provides a wide range of diagnostic invasive and non-invasive procedures while offering dedicated cardiology services for the assessment and treatment of cardiovascular disease.  The Department caters for inpatients, outpatients and referrals from GPs, Consultants and other hospitals for cardiology assessment, evaluation, treatment and management.

The Department includes a team of seven expert Cardiologists who have a variety of sub specialisation and interests to ensure the breath and depth of the services that the department provides. The department also includes a team of highly trained Clinical Cardiac Physiologists and ECG technicians to ensure rapid analysis, diagnosis and treatment of a variety of heart conditions.

The team works very closely with the Cardiac Cath Lab and St Brigid’s Cardiac Ward in the development of existing cardiac services and the expansion of new ones bringing the department to the forefront of cardiac care nationally.

Below is a list of the the non invasive cardiac diagnostic tests that are provided within the department. A GP or consultant referral is required to access the tests.  

24 Hour Ambulatory Blood Pressure Monitoring

Ambulatory Blood Pressure (BP) monitoring is a non-invasive method to obtain blood pressure recordings over a 24 hour period. It involves wearing a small cuff around the arm which is then attached to a small monitoring device worn on a belt. The cuff will automatically inflate at regular intervals throughout the 24 hour period. Throughout the day this will be every 20 minutes and after 10pm this will be hourly.

This consistent and regular interval monitoring allows ‘white coat hypertension’ to be eliminated when blood pressure can increase due to being in a medical environment and also for hypertension to be measured effectively. Results can determine if medication intervention is required to control blood pressure and also to evaluate the effectiveness of current medication.

You are advised to continue with your regular day so a true 24 hour review can be obtained. Once the monitor is returned by you to the hospital the following day, the measurements are downloaded and reviewed.

 

 Test duration:  24hrs plus 15 minutes set-up in Department
 Test preparation:  No prior preparation is necessary
 Cost:  €125
 Referral: By GP or Consultant
 Results:

Normally within 48 hours.

Returned directly to the referring doctor / consultant

Carotid Doppler Ultrasound

A carotid doppler ultrasound scan is used to evaluate blood flow through the carotid arteries in the neck. Narrowing of the carotid arteries could indicate a potential risk of a stroke occurring. It is generally caused by a build up of fat, cholesterol, and other substances that circulate around the blood stream. Early detection of narrowed carotid arteries enable doctors to begin treatments that will decrease the risk of a stroke occurring.

Your doctor may recommend that you undergo the scan if you have high blood pressure, diabetes, high cholesterol, family history of heart disease or stroke or have suffered a recent TIA or stroke

The examination is totally painless. The physiologist carries out with test with a small hand held device called a transducer.

Test duration:  30 minutes

Test preparation:

No prior preparation is necessary
Cost: €200
Insurance: Vhi, LAYA, ESB, GMA, POMAS and partially covered by Irish Life Health.
Referral:   By GP or Consultant
Results: Normally within 48 hours. Results are returned directly to the referring doctor /  consultant.

                   

Echocardiography (Echo)

An echocardiogram ( ECHO) is a painless ultrasound scan of the heart designed to examine the chambers, valves and major blood vessels. It is used to screen for hypertension, clots, infections, valve leakages and to check the heart chamber function. Sound waves are passed through the chest wall and ‘bounce’ back from the structures, providing two dimensional images using ultrasound.

You will be provided with a gown to wear as all clothing from the waist up must be removed. The test is conducted lying down on a bed. A gel is then applied to the chest allowing the physiologist to take pictures from various areas of your chest. You may be asked to momentarily hold your breath as this improves the quality of the pictures.

 

 Test duration:  30 Minutes
 Test preparation:  No prior preparation is necessary
 Cost:  €267
 Insurance Cover:  All insurance companies excl.  LAYA and partial cover with Irish Life Health (Reporting fee)
 Referral:  By GP or Consultant
 Results:  Normally within 48 hours. Results are returned directly to referring doctor / consultant.

 

Electrocardiogram (ECG)

An Electrocardiogram (ECG) is a quick and painless way to assess the rate, rhythm and electrical activity of the heart. This allows the physician to check for cardiac arrhythmias, palpitations and also the effectiveness of medication.

It is a simple procedure involving lying down on a bed for approx.  5 minutes with 10 electrodes attached to your chest. The ECG is reviewed by one of the cardiology team.

 

 Test duration:  5 minutes
 Test preparation: Please refrain from using moisturiser or cream on your skin on the day of the test and continue to take all medications as normal unless otherwise directed by your doctor
 Cost: €40
 Referral: By GP or Consultant 
 Results: Normally within 48 hours. Results are returned directly to referring doctor / consultant.

 

Event Monitor

An event monitor is a non-invasive method of recording your heart-rhythm over longer periods of 1-4 weeks.  This test is used to screen for abnormal heart rhythms and may be ordered by your doctor if you have experienced palpitations, dizziness or episodes of fainting or weakness, which may occur occasionally & may not be experienced on a daily basis.

The test involves carrying a small, hand-held monitor with you, about the size of a mobile phone.  If you experience symptoms, a recording of your heartbeat is made by placing the monitor on your chest and pressing a record button. 

When the monitor is returned, the results are analysed by our team of physiologists.  Your doctor can learn if you are having irregular heartbeats, what kind they are, how long they last, what may cause them and if they require treatment.

 

Test duration: 1 – 4 weeks plus 15 minutes set-up in department
Test preparation: Please refrain from using moisturiser or cream on your skin and continue to take all medications as normal unless otherwise directed by your doctor  
Cost: €40 
Referral: By GP or Consultant 
Results:

Normally within 48 hours. Results are returned directly to referring doctor / consultant.

 

 

Exercise Stress ECG

An exercise stress test is designed to provide information about coronary artery disease, cardiac arrhythmias, possible heart related chest pain, dizziness and shortness of breath.

The test investigates how well the heart functions when it is under pressure through exercise. During the course of exercise, the heart muscles require more oxygen and hence the heart has to pump more blood. The test can show if there is a reduction in blood supply in the arteries that supply the heart itself during exercise. It also helps doctors to better understand the mode and level of exercise appropriate for the patient.

If you are coming for the test, you are advised to bring loose clothing or clothing that is suitable for exercise as it will involve walking on a treadmill. Electrodes are attached to the chest and are connected to an ECG machine and are used to monitor the heart rhythm / wave form and ensure your safety. Blood pressure is also monitored at regular intervals throughout the test.

 

Test duration: 30 minutes with approx. 15 minutes on the treadmill
Test preparation: Please bring loose clothing or clothing that is suitable for exercise.
Please refrain from using moisturiser or cream on your skin on the day of the test and continue to take all medications as normal unless otherwise directed by your doctor
 Cost: €220
 Referral: By GP or Consultant
 Results: Normally within 24 hours. Results are returned directly to referring doctor / consultant

 

Holter Monitor ( 1 - 5 days)

A holter monitor is a non-invasive method of recording your heart-rhythm over a period of 1-5 days.  It involves wearing a small monitor which is attached to 3 electrodes on your chest. This test is used to screen for abnormal heart rhythms and may be ordered by your doctor if you have experienced palpitations, dizziness or episodes of fainting or weakness.

When the monitor is returned, the results are analysed by our team of physiologists.  Your doctor can learn if you are having irregular heartbeats, what kind they are, how long they last, what may cause them and if they require treatment.

 

Test duration: 1 – 5 days plus 15 minutes set-up in department
Test preparation:  Please refrain from using moisturiser or cream on your skin on the day of the test and continue to  take all medications as normal unless otherwise directed by your doctor
Cost: 1 day - €170          2 day - €210          3 day - €250          5 day -  €295   
Referral:  By GP or Consultant
Results  Normally within 48 hours. Results are returned directly to referring doctor / consultant.

 

Loop recorder / pacemaker / ICD Check

This is a non-invasive method of checking the operation of your implanted device.  Whilst sitting, a small sensor will be placed over your chest and the check will be carried out using specialised programming-equipment.   Any recorded abnormal heart-rhythms can be analysed, the battery can be checked and your device can be programmed specifically to suit your requirements. 

 

 Test duration: 30 minutes 
 Test preparation: Please bring your Heart Rhythm Ireland ID card to your appointment, if you have been issued one
 Cost:  €40
 Referral: By GP or Consultant
 Results: Normally within 48 hours. Results are returned directly to referring doctor / consultant

 

Stress ECHO (Exercise & Dobutamine)

A stress echo is a derivation of an echocardiogram. The test is used to assess the heart’s function and structures and how well your heart muscles are working to pump blood to your body. It is also used to assess exercise tolerance in patients with known or suspected coronary artery disease, understand better the limits for safe exercise for patients who are entering a cardiac rehabilitation programme or those who are recovering from a cardiac event. It is also used to check a patient’s cardiac status before undergoing surgery.

There are two possible methods of obtaining the ultrasound images in a stress echo .The heart rate required in this test needs to be elevated which can be done either through exercise on a treadmill or through the administration of drugs such as dobutamine. With both methods, you will be monitored with ECG and blood pressure recordings with pre-test and post-test echocardiogram measurements.

 

Test duration: 1 Hour
Test preparation: Please refrain from using moisturiser or cream on your skin on the day of the test and continue to take all medications as normal unless otherwise directed by your doctor
 Cost: €220
 Referral:

Stress Test -  GP or Consultant

Dobutamine Stress Test - Consultant Cardiologist only

 Results: Normally within 48 hours. Results are returned directly to referring doctor / consultant.

 

Tilt Table Testing

A tilt table test is performed when patients are experiencing syncope (passing out/fainting,) dizziness or unexplained loss of consciousness.

For the test you will be required to lie down, face up on the tilt table bed. ECG electrodes and blood pressure monitoring equipment will be attached by one of our team of cardiac physiologists. The bed is then gently tilted in a heads up position and monitored closely. Any changes in blood pressure and heart rate are monitored which may be the cause of the fainting / dizziness episodes. The bed is returned to the horizontal position and monitored closely until your heart rate and blood pressure return to their initial values.

 

Test duration: 90 minutes
Test preparation: Please refrain from using moisturiser or cream on your skin on the day of the test and continue to take all medications as normal unless otherwise directed by your doctor.
Before attend for the test, you are advised to have a light breakfast or light lunch. Please avoid caffeine on the day of the test.
Cost: €366
Insurance cover: All insurance companies excl. GMA / POMAS
Referral: By GP or Consultant
Results: Normally within 48 hours. Results are returned directly to referring doctor / consultant.

 

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Angela Brown
Consultant Cardiologist
Interventional Cardiovascular Suite, Cardiology Cardiology
Bon Secours Hospital Dublin

Dr Angela Brown

Consultant Cardiologist

Areas of Interest

General Cardiology, Valvular Heart Disease, Ischaemic Heart Disease, Cardiac Imaging

Qualifications

BSc., M.B., B.Chir., M.R.C.P., M.D. (Cambridge), F.R.C.P.I.

Appointments

Monday pm

Contact Details

  • Dr Angela Brown
  • Bon Secours Consultants Clinic Dublin 9

Secretary

Session Times

Monday pm

Brendan Doyle
Consultant Cardiologist
Cardiology, Interventional Cardiovascular Suite Cardiology
Bon Secours Hospital Dublin
Phone: 01 697 8589 Fax: 01 684 8930

Dr Brendan Doyle

Consultant Cardiologist

Biography

Dr Doyle joined the Consultant staff in the Bon Secours in 2016.  He previously served as a Consultant Cardiologist and a Professor of Medicine at the Mayo Clinic in the United States (2004-2010). His special interest is in the treatment of coronary artery disease, complex coronary stenting and percutaneous treatment of chronic total coronary occlusion.

Areas of Interest

Interventional Cardiology,General Cardiology,Cronic Total Occlusion, PCI, Rotablation, Complex PCI (Percutaneous Coronary Intervention)

Qualifications

M.D. M.R.C.P.I.

Contact Details

  • Dr Brendan Doyle
  • Bon Secours Hospital Dublin, Glasnevin, Dublin 9

Secretary

Thomas Gumbrielle
Consultant Cardiologist
Cardiology, Interventional Cardiovascular Suite Cardiology
Bon Secours Hospital Dublin

Dr. Thomas Gumbrielle

Consultant Cardiologist

Areas of Interest

Interventional cardiology with particular interest in coronary angioplasty and stenting, cardiac pacing, defibrillator implants.

Qualifications

LRCP & SI, MB BCh NUI, MD NUI

Appointments

Beaumont Hospital Beaumont Road Dublin 9

Contact Details

  • Dr. Thomas Gumbrielle
  • Bon Secours Consultants Clinic, Glasnevin, Dublin 9

Secretary

Session Times

Bon Secours Consultants Clinic - Monday 1pm – 3pm, Beaumont Private Clinic – Wednesday 2pm – 5pm

Paul Keelan
Consultant Cardiologist
Cardiology, Interventional Cardiovascular Suite Cardiology
Bon Secours Hospital Dublin

Dr Paul Keelan

Consultant Cardiologist

Biography

Dr Keelan graduated from UCD in 1993. He completed his Cardiology training in the Mater & St Vincent’s Hospitals in Dublin and also in the Mayo Clinic USA where he undertook Fellowship in Interventional Cardiology and also research that culminated in the award of MD degree from UCD.  He was appointed to Our Lady of Lourdes Hospital Drogheda and the Mater Misericordiae University Hospital in 2004 and has been in practice there since.  He also practices in the Mater Private Hospital.  His specialties include Coronary Angiography & Stenting, Cardiac Pacing and Cardiovascular Pharmacology.

Dr Keelan provides

> Angioplasty & Coronary Stenting

> Blood Pressure Monitoring

> Cardiac Catheterisation

> Cardioversion

> Dobutamine Stress Echocardiogram (DSE)

> ECG

> Echocardiogram

> Event Monitor/Loop Recorder

> Holter Monitor

> Implantable Cardioverter Defibrillator

> Pacemaker

> Tilt Table Test

> Treadmill Stress Test

> Urgent Cardiac Care

Areas of Interest

Interventional Cardiology, General Cardiology, Cardiac Rhythmn Devices

Qualifications

MD, FRCPI

Contact Details

  • Dr Paul Keelan
  • Bon Secours Clinic, Glasnevin, Dublin 9 / Mater Private Drogheda Clinic, Crosslanes, Drogheda,

Secretary

Brendan Mc Adam
Consultant Cardiologist
Cardiology, Interventional Cardiovascular Suite Cardiology
Bon Secours Hospital Dublin

Prof Brendan Mc Adam

Consultant Cardiologist

Biography

Prof McAdam graduated from Trinity College Dublin in 1987. He is Director of Imaging and Heart Failure at Beaumont Hospital, Consultant Cardiologist and Associate Professor of Medicine RCSI School of Medicine.

Areas of Interest

  • Cardiac CT and Cardiac MRI
  • 2 & 3D Echo and TOE
  • Cardiac Angiography and Hemodynamics
  • Heart failure
  • Valvular Heart Disease
  • Hyperlipidemia
  • Hypertension

Qualifications

M.D., F.R.C.P.I, F.A.H.A.

Appointments

Beaumont Hospital Beaumont Road Dublin 9

Contact Details

  • Prof Brendan Mc Adam
  • Beaumont Consultants Clinic, Beaumont Hospital, Dublin 9

Secretary

Richard Sheahan
Consultant Cardiologist
Cardiology
Bon Secours Hospital Dublin
Phone: 01 645 9537 Fax: 01 6459345

Prof Richard Sheahan

Consultant Cardiologist

Areas of Interest

Supraventricular Tachycardia, Sudden Cardiac Death, Implantable Cardioverter Defibrillator (ICD), Biventricular ICD Placement, Syncope Evaluation, Atrial Fibrillation

Qualifications

F.R.C.P.I., F.E.S.C., F.H.R.S

Appointments

Beaumont Hospital, Beaumont Road, Dublin 9

Contact Details

  • Prof Richard Sheahan

Secretary

Appointments for outpatient cardiology tests are arranged by GP or Consultant Referral only.

If you have a referral from your GP, please contact our GP Liaison and Outpatient Department directly on 01 8082300 who will arrange an appointment for a time and date that best suits you.

If your GP or Consultant has sent in a referral on your behalf, our team will contact you directly to arrange and confirm your appointment. GPs can send referrals via healthlink or by secure email to dublincardiologybookings@bonsecours.ie

 

Consultant Appointments

Consultant appointments are arranged directly with the individual consultant. All cardiologists will require a GP referral before seeing a new patient.

Ambulatory Event Monitoring €50 per week (for a max of 4 weeks)
Ambulatory Blood Pressure Monitoring    €125
Echocardiography ( ECHO) €267*
Electrocardiogram ( ECG) €40
 Exercise Stress ECG      €220
 Holter Monitor 1 day - €170          2 day - €210          3 day - €250          5 day -  €295   
 Device Check - up / Follow-up €40                                                                                
 TILT Test €366*

*Insurance Coverage

ECHO: Covered by all insurance companies excl. Laya and Irish Life (reporting fee only)

TILT Test: Covered by all insurance companies excl. GMA / POMAS

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