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Dr Ramesh de SilvaDr Ramesh de Silva

Consultant Cardiologist

Contact Details:
Switchboard 01480 830541
Fax 01480 831315

Mrs Michele Potter
Tel 01480 364 140

Cardiology, Interventional Cardiology

Specialist Clinical Interests
Interventional Cardiology (including angioplasty and stenting; intra-vascular ultrasound; optical coherence tomography), General Cardiology (including chest pain; shortness of breath; angina; heart attacks; heart failure; palpitations; dizziness and collapse; high blood pressure; valvular heart disease; cardiomyopathy; risk factor management)

Research Interests
Intra-vascular imaging using optical coherence tomography and intra-vascular ultrasound
The vulnerable plaque
Non-invasive imaging of coronary arteries with coronary CT angiography
Acute coronary syndromes

Professional Profile
Dr Ramesh de Silva graduated in 1995 from the University of Leeds. Following training in general medicine and cardiology in Yorkshire, he commenced a period of research in cardiac imaging and heart failure and was awarded a Doctorate of Medicine. His speciality training in Cardiology was at Papworth hospital, Cambridge, the Essex Cardiothoracic Centre and Glenfield Hospital, Leicester.

Further training in coronary intervention and coronary CT angiography was obtained at the Lenox Hill Hospital in New York, USA. He was appointed as a Consultant Cardiologist with a speciality interest in Interventional Cardiology at Bedford and Papworth Hospitals in 2010. He has contributed to the development of a successful service delivering angioplasty and stenting at Bedford Hospital, and performs emergency angioplasty on patients presenting with heart attacks at Papworth hospital in Cambridge.

He is also involved in interventional cardiology research at Papworth Hospital, and has published a number of articles in peer reviewed journals and presented abstracts at various national and international cardiology conferences. Percutaneous coronary interventional procedures performed by Dr de Silva include coronary angioplasty with stenting, assessment of narrowings in the coronary arteries with intra-coronary imaging and the use of pressure wires.

Education and Training
• MB ChB University of Leeds, Leeds. 1995
• MRCP Royal College of Physicians, London. 1998
• MD University of Hull, Hull. 2008
• FRCP Royal College of Physicians, London. 2014

Current membership(s) of professional, national and regional bodies and university posts
• Fellow, Royal College of Physicians
• Member, British Cardiovascular Intervention Society
• Member, British Medical Association
• Full Registration, General Medical Council No: 4194011

Recent and Important Publications
Bourantas CV, Loh HP, Sherwi N, Tweddel AC, de Silva R, Lukaschuk EI, Nicholson A, Rigby AS, Thackray SD, Ettles DF, Nikitin NP, Clark AL, Cleland JG. Atherosclerotic disease of the abdominal aorta and its branches: prognostic implications in patients with heart failure. Heart Fail Rev 2012;17(2):229-39.

de Silva R, Mussap CJ, Hecht HS, van Mieghem NM, Matarazzo TJ, Roubin GS, Panagopoulos G. Stent Sizing by Coronary Computed Tomographic Angiography: Comparison with Conventional Coronary Angiography in an Experienced Setting. Cath Cardiovasc Intervent 2011;78(5):755-63.

Bourantas CV, Nikitin NP, Loh HP, Lukaschuk EI, Sherwi N, de Silva R, Tweddel AC, Alamgir MF, Wong K, Gupta S, Clark AL, Cleland JG. Prevalence of scarred and dysfunctional myocardium in patients with heart failure of ischaemic origin: a cardiovascular magnetic resonance study. J Cardiovasc Magn Reson 2011;13:53.

de Silva R, Loh H, Nikitin NP, Rigby AS, Witte KKA, Goode K, Bhandari S, Nicholson A, Clark AL, Cleland JGF. Epidemiology, Associated Factors and Prognostic Outcomes of Renal Artery Stenosis in Chronic Heart Failure Assessed by Magnetic Resonance Angiography. Am J Cardiol 2007;100:273-9.

de Silva R, Nikitin NP, Witte KKA, Rigby AS, Nicholson A, Bhandari S, Clark AL, Cleland JGF. Effects of Applying a Standardised Management Algorithm for Renal Dysfunction in Patients with Chronic Stable Heart Failure. Eur J Heart Fail 2007;9:491-501.

Khan NK, Goode KM, Cleland JG, Rigby AS, Freemantle N, Eastaugh J, Clark AL, de Silva R, Calvert MJ, Swedberg K, Komajda M, Mareev V, Follath F; for the EuroHeart Failure Survey Investigators. Prevalence of ECG abnormalities in an international survey of patients with suspected or confirmed heart failure at death or discharge. Eur J Heart Fail 2007;9:491-501.

de Silva R, Rigby AS, Witte KKA, Nikitin NP, Tin L, Goode K, Bhandari S, Clark AL, Cleland JGF. Anemia, renal dysfunction, and their interaction in patients with chronic heart failure. Am J Cardiol 2006:98;391-8.

de Silva R, Nikitin NP, Witte KK, Rigby AS, Goode K, Bhandari S, Clark AL, Cleland JG. Incidence of renal dysfunction over 6 months in patients with chronic heart failure due to left ventricular systolic dysfunction: contributing factors and relationship to prognosis. Eur Heart J 2006;27:569-81.

Nikitin NP, Loh HP, de Silva R, Witte KKA, Lukaschuk EI, Parker A, Farnsworth A, Alamgir F, Clark AL, Cleland JGF. Left ventricular morphology, global and longitudinal function in normal elderly individuals: a cardiac magnetic resonance study. Int J Cardiol 2006:108;76-83.

Nikitin NP, Loh H, de Silva R, Ghosh J, Khaleva O, Goode K, Rigby AS, Alamgir F, Clark AL, Cleland JGF. Prognostic value of systolic mitral annular velocity measured with Doppler tissue imaging in patients with chronic heart failure due to left ventricular systolic dysfunction. Heart. 2005;92:775-9.

de Silva R, Bhandari S, Nicholson A, Nikitin NP, Clark AL, Cleland JGF. Atherosclerotic renovascular disease in chronic heart failure-should we intervene? Eur Heart J. 2005 Aug;26(16):1596-605.

Witte KKA, Nikitin NP, de Silva R, Cleland JGF, Clark AL. Exercise capacity and cardiac function assessed by tissue Doppler imaging in chronic heart failure. Heart 2004;90:1144-50.

Nikitin NP, de Silva R, Cleland JGF. The utility of a comprehensive cardiac magnetic resonance examination for the evaluation of patients with heart failure. Heart 2004;90:1166.

Witte KKA, de Silva R, Chattopadhyay S, Ghosh J, Cleland JGF, Clark AL. Are haematenic deficiencies the cause of anaemia in chronic heart failure? Am Heart J 2004;147:924-30.

Nikitin NP, Witte KKA, Thackray SDR, de Silva R, Clark AL, Cleland JGF. Longitudinal ventricular function: Normal values of atrioventricular annular and myocardial velocities measures with color tissue Doppler imaging. J Am Soc Echocardiogr 2003;16:906-21.


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