Heart valve services

Tertiary referrals

Tertiary referrals must be made on the Electronic Vetters Service (e-VS).

Please address your referral letter to one of our consultants.

• Dr Jane Hancock
• Dr Julia Grapsa
• Dr Karine Grigoryan
• Professor Ronak Rajani

Our consultants will triage your referral.

Referrals sent from other hospitals must include a completed inter-provider minimum data set. Please send one within 48 hours of the referral.

Referral criteria

We accept referrals for:

• anyone with significant cardiac symptoms, or
• a significant heart murmur

We do not accept referrals for:

• people with a soft ejection systolic murmur and a well-heard second heart sound

Tertiary referrals

All referrals should be made by completing the infective endocarditis referrals form. Please email the form to gst-tr.endocarditismdt@nhs.net. The endocarditis team will review your referral.

If your referral is urgent, please call the on-call cardiology registrar via switchboard 020 7188 7188.

We welcome prompt referral of all cases of complicated confirmed or suspected infective endocarditis, especially in the following circumstances:

• endocarditis with heart failure
• endocarditis with severe valve incompetence
• endocarditis with structural destruction (abscess, perforation or fistula formation)
• prosthetic valve endocarditis
• endocarditis with embolic or neurological complications
• endocarditis in patients with an implantable cardiac device
• staphylococcus aureus endocarditis
• endocarditis not responding to medical therapy or caused by resistant organisms, such as fungi
• blood culture negative endocarditis

Tertiary referrals

Tertiary referrals must be made on the Electronic Vetters Service (e-VS).

Please address your referral letters to:

• aortic stenosis requiring intervention, aorticstenosispathwayreferrals@gstt.nhs.uk
• mitral or tricuspid valve disease requiring intervention, gst-tr.mitraltricuspidreferrals@nhs.net

Our consultants will triage your referral.

Referrals sent from other hospitals must include a completed inter-provider minimum data set. Please send one within 48 hours of the referral. If this is not available, please email structuralheartdiseasenurses@gstt.nhs.uk.

Referral criteria

We accept referrals for people who have symptomatic or prognostic heart valve disease that needs intervention, or assessment for intervention.