Dr Maurice Pye - Consultant Cardiologist and Medico legal Expert 


My Cardiology Practice

 

I predominantly work in York Teaching Hospital – this is a large District Hospital of over 500 beds.

We have invasive cardiology catheter lab facilities on site and perform percutaneous coronary intervention PCI (angioplasty) on site.

I also work in the Yorkshire Heart Centre in Leeds General Infirmary (Hon Consultant Cardiologist) were I am on call for Primary PCI. I work at 3 private hospitals in the region.

I am the senior cardiologist in York, and run a very busy Clinical Cardiology Dept. I see patients daily on the Coronary Care and Intensive Care Units with a large number of referrals of patients with acute cardiological problems. I deal with cardiological emergencies on a regular basis. I perform coronary intervention (PCI) on both elective, urgent and emergency patients (Primary PCI  rota in Leeds)

I have a very busy outpatient workload (both private and NHS) with up to 4 clinics per week –I see patients with a very wide range of clinical cardiological problems on  a daily basis including angina, hypertension, cardiac dysrhythmias, dyslipidaemia, valvular heart disease, syncope, adult congenital heart disease, heart disease in pregnancy etc.

I have been Chairman of the hospital Resuscitation Committee for past 12 years

I have special interests in and am clinical cardiology lead for patients with highly specialised problems such as Adult Congenital Heart Disease (working a hub and spoke model with Regional ACHD centre in Leeds), Syncope, Pulmonary Hypertension and Heart Disease in Pregnancy.

 

Cardiology Invasive /Interventional Experience

 

I have been fully trained in cardiac catheterisation and interventional cardiology. I have performed in excess of 5,000 coronary arteriograms (both femoral, radial and brachial artery approach) and right/left heart catheterisation for valvular, adult congenital heart disease and RV biopsy. I perform interventional cardiology in Leeds General Infirmary (since 1994) including elective, ACS and primary PCI (average 125 procedures /year total in excess of 2000. I am a member of BCIS (British Cardiovascular Intervention Society) - and have been on the Faculty for past 2 annual conferences of British Cardiovascular Interventional Society and set up Regional Society meeting in York recently.

 

Electrophysiology/Pacing

 

I am fully trained in the insertion of permanent pacemaker systems (single and dual chamber) having inserted over 500 systems. I am involved in the regular follow up, including programming, of dual chamber and rate responsive systems. I am trained in the indications and techniques of tilt table testing for diagnosis and evaluation of vasodepressor syncope.

I have received training in the performance and analysis of various invasive electrophysiological techniques and I am competent to perform basic electrophysiological studies eg. programmed ventricular stimulation and diagnostic electrophysiology. I also have an interest in internal implantable cardioverter defibrillator (ICD) devices. I have had exposure to the techniques of radiofrequency and low energy DC catheter ablation and arrhythmia surgery.

 

Other Cardiology Skills

 

I have extensive research and clinical experience in transthoracic and transoesophageal echocardiography/Doppler.

I have other interests in the diagnosis and management of hypertension and hyperlipidaemia.

I was on the NICE committee for Stable Angina Guidelines 2009-2011.

 

 

Medico Legal Practice

 

I have been involved in preparing medicolegal reports for > 10 years. Given my clinical cardiological practice I am well qualified and able to give an informed opinion on a wide range of cardiological issues. The majority of my reports are for solicitors receiving instruction from a plaintiff – although it is clearly understood my formal reports are for the benefit of the Court irrespective of instructing solicitor status. Most instructions request a report regarding breach of duty or causation. I have attended medico legal courses most recently in 2010.

I will prepare on average 20 -30 reports per year.

I have occasionally been required to make court appearances (including The Court of Appeal).

 

 

Teaching

 

I have had a very active role in clinical teaching throughout career.

 

I am currently Royal College of Physicians Clinical Tutor for York teaching Hospital

I am honorary Senior lecturer in Hull & York Medical School and associate Professor of cardiology at St Georges medical School, Grenada

 

Currently I am involved in teaching clinical medical students from University of Leeds, St George’s University, Grenada and Hull and York Medical School.

I am also involved in regular teaching of candidates for the Royal College of Physicians examination.

I am very interested in ‘Teaching the Trainers’, I have attended a number of training days for teachers at the University of Leeds.

I am interested in using new technology in training/teaching particularly with regard to cardiology ie interactive computer programmes for dysrhythmias, computer generated heart sounds/murmurs, models for teaching invasive skills. However I strongly feel traditional clinical skills are the cornerstones of medical training.

 

Membership Of Learned/Professional Bodies

 

Fellow of Royal College of Physicians, London

Member of British Cardiac Society

Member of British Cardiovascular Intervention Society

 

I have been an expert member of the NICE clinical guideline committee on Stable Angina 2010/2011

Chairman of Resuscitation Committee York Hospital

Chairman of Yorkshire Consultant Cardiology Regional Working Group

Clinical Lead in Cardiology Research York Hospital

 

Research

 

I have published widely in major national, European, American and international peer review journals (see publications in CV). My major research areas include ischaemic heart disease (heart attacks and angina), cardiac imaging with cardiac ultrasound/ Echocardiography/Doppler, drug therapy in cardiac disease, cardiac dysrhythmias (heart rhythm disturbances and palpitations)Ischaemic Heart Disease (chest pain, angina, heart attacks)



 I diagnose and manage the following conditions

Angina

Chest pains? Cause?

Heart attacks and recovery

Coronary angioplasty (balloon and stents)

Palpitations

Heart rhythm disturbances

Heart Murmurs

High blood pressure

High cholesterol

Blackouts/ dizziness

Heart pacemakers

Medicolegal work as an Expert witness for the Courts

Professional Interests

·        Ischaemic Heart Disease (heart attacks, heart attack recovery, angina, chest pains ? heart)

·        PCI/Coronary Angioplasty or Intervention (opening up narrowed or blocked arteries with balloon angioplasty and stents)

·        Cardiac Dysrhythmias ( palpitations, awareness of heart beat or heart rhythm changes) eg atrial fibrillation, tachycardias

·        Cardiac Pacemakers

·        Syncope (Blackouts, dizziness, dizzy spells, fainting)

·        Hypertension (high blood pressure) 

·        Lipidology (raised cholesterol) and all heart attack risk reduction

·        Cardiac Ultrasound /Colour Doppler Echocardiography  (Ultrasound Imaging of the heart)

 

·        Medico Legal Work as an Expert Witness in Cardiology

 Contact Details

Tel Secretary       01904 715191

Appointments      01904 715111

Fax                      01904715192

Website: www.mauricepye.co.uk

Email: Maurice.Pye@York.NHS.UKangioplasty and

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