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Cardiologist/Electrophysiologist - Westmead and Westmead Private Hospitals

DR LLOYD DAVIS —

I’ve been serving the Sydney and Westmead community as a Cardiologist since 2000. I value the relationships I form with each patient and the wonderful team of doctors, nurses and technicians that support me. I want to work with you to improve our / your health care outcomes. 

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ABOUT DR DAVIS

I am an interventional cardiologist and electrophysiologist.  I work at Westmead and Westmead Private Hospitals mainly curing arrhythmias - such as SVT, AF and VT with radio frequency ablation, inserting pacemakers and helping people with angina and heart attacks often by inserting coronary stents - coronary angioplasty

 

I did my undergraduate training at the University of Sydney, after which I completed a PhD in mapping cardiac arrhythmias and then worked at Washington University Medical Centre analysing Connexins - the proteins that connect heart cells together and that allow electricity to passage through the cells telling the heart to contract.  Since then I have been an interventional cardiologist and electrophysiologist at Westmead, Blacktown and Mount Druitt Hospitals and have helped teach the medical students at these sites from the University of Sydney and the University of Western Sydney.  My current research interests are in atrial fibrillation,  and exploring the role of coronary CT.

See below to find out about some of the services I provide. 

Taking blood pressue

Cardiology Consultation

I’m dedicated to providing an expert opinion based on the latest scientific literature to help patients have the best outcome and options of care.  

To help reduce risk of infection and the need to travel, I am happy to do this on line if possible.  You will need a referral from your GP.  Please send this in.  I will also need to know the details of all of the medications you are taking and the results of any tests that you might have had with your local doctor.  Please ask your doctor to forward these by Healthlink, or fax or mail.  

In-rooms initial consultations cost Au$250 some of which is refunded by Medicare.  Remote consultations are bulk billed if you are an Australian Citizen.  They can be done over the phone but I would like to be able to do this via Skype or FaceTime if available

Gym Workout

Cardiac Stress Test

  • In my rooms we use a walking - treadmill test during which we monitor your heart function using an ECG and serial blood pressure measurements.  In some cases an ultrasound of your heart is also performed before and after exercise.  

  • The test is extremely safe.  It is a good way of stratifying your risk for heart attack and assessing response to treatment.   

  • You will need a pair of comfortable walking shoes. Shaving your chest beforehand is appreciated but not essential. Ladies should wear a top and a loose shirt/blouse.

Blood pressure reader

Hypertension Evaluation

I try to work with your local doctor to make sure that your blood pressure is optimally controlled.

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Pacing

  • Pacemakers are small devices usually implanted under the shoulder that listen to the heart beat and remind it to beat if it forgets.  They are usually implanted to prevent blackouts though some types are also used to help patients with heart failure or who are at risk for life threatening arrhythmias

  • At Westmead and Westmead Private Hospitals patients usually stay for the  day and night of the procedure  

  • The pacemaker is usually monitored over the internet and with a yearly in rooms visit.​

  • After the procedure you should leave the dressing in place for one week and then peal it off in the shower.  Swimming and bathing but not showering should be avoided for one month.  Driving should generally be avoided until your first pacemaker check at one month.  Please ask your doctor or myself about when you specifically can drive as the time off driving differs depending on the device and the underlying heart condition

  • All procedures have risks. You should discuss the risks and benefits of the procedure with your doctor.  In general the major risks for pacemaker implantation are of lead dislodgement requiring a repeat procedure to reposition or reinsert the lead in up to 5% of cases.  You can decrease the risk by avoiding lifting the arm on the side of the implant above shoulder height for 3 weeks.  The risk of major problems such as death, stroke, cardiac perforation, pneumothorax or a hole in the lung requiring drainage to help the hole heal up or other major problem is about 0.5%.  Most patients do well.  If in doubt you should always seek a second opinion to discuss the pros and cons of having a device before having it inserted

  • See the patient information brochure to read more or talk about it with your doctor

Explorer

Arrhythmia Evaluation, Management and Ablation

Arrhythmias often present as the feeling of an unusual heart beat - palpitations.  These can be very unpleasant. This is an area of cardiology that I sub-specialise in.   Most arrhythmias/palpitations are able to be controlled with changes in lifestyle and medications or cured with a simple catheter procedure called radiofrequency ablation.  Talk to your doctor and contact me to schedule an appointment if you would like to find out more.

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AF ablation

  • Atrial fibrillation is an electrical storm in the entrance chambers of the heart.  The abnormal beating is associated with palpitations, shortness of breath and strokes.  The major problem is that the electrical storm impairs blood flow through the entrance chambers in the heart increasing the risk for stroke.  Many patients are helped by taking a blood thinning drug.  You should talk to your doctor to determine your personal risk for stroke and need for blood thinning drugs

  • Treatment of atrial fibrillation may be with drugs to control the heart beat, catheter based ablation or cardiothoracic surgery to cure the arrhythmia and in some patients use of a pacemaker

  • A proportion of patients can be cured but the chance of long term cure depends on what else is wrong with your heart and how long you have had AF. You can help pay avoiding alcohol, getting treated for sleep apnoea if you have it and reducing your weight so that your BMI is around 25

  • Radio frequency ablation can cure up to 90% of patients with atrial fibrillation in those whose arrhythmia is paroxysmal.  The procedure usually involves a pre-op work up with a CT scan and echocardiogram, and then a procedure in hospital under a general anaesthetic.  Usually patients are admitted the evening prior to the procedure and discharged the day after the procedure.  It takes several hours to perform.  Often patients need a second procedure a few months later to be cured. 

  • You are best to have the procedure either on Warfarin or Dabigatran/Pradaxa.  Other blood thinners that have no reversal agent either need to be stopped 2 days prior to the procedure or preferably changed to Warfarin or Pradaxa.

  • All procedures have risks and benefits.  You should discuss these with your doctor and seek a second opinion before deciding on any option

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Angioplasty and Stenting

  • This is a simple procedure in hospital that is done via a catheter inserted into an artery in your wrist or groin.  It is an excellent way to help treat angina and to help reduce the risk of a small warning heart attack becoming worse.  The vast majority of patients do very well.

  • Patients still need to treat their coronary risk factors to prevent further blockages from developing

  • The risk of major problems with coronary stenting is very low about 0.4-1%.  

  • After coronary angioplasty and stenting you will need to be on drugs to prevent the stent from clotting - these are mandatory to take.  

  • The procedure takes about an hour to hour and a half to perform.  You are usually given medications to make you sleepy and relaxed during the procedure.  You will need to be on blood thinners - usually aspirin and Brilinta/Plavix/Prasugrel to prevent the stent from clotting off while it gets covered by the body's cells.  Patients are monitored for a night following the procedure.  Most patients are in hospital for a day and a night.

  • Driving should be avoided for 48 hours post procedure and heavy lifting for one week.

  •  Please let me know if you are allergic to medications particularly IV contrast or have kidney disease

  • All procedures have risks as well as benefits.  You should discuss these with your doctor and seek a second opinion prior to having any interventional procedure

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CONTACT ME

Doctor with Files

Suite7, Westmead Private Hospital, Cnr Mons and Darcy Rds, Westmead, NSW 2145

Phone: 02 98069600 (Best to ring between 0900-1600 hrs)

Fax: 02-98069611

Please fax your referral to 02-9806-9611 so that we can prioritise your appointment

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OPENING HOURS

Mon: - Fri: 9am-5pm

Consultations:

Wednesday: 0800-1700

Thursday:  1400-1730

Friday: 1400-1700

Sat: closed

Sun: Closed

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If you have a very urgent appointment it is best to ask your GP to ring or fax Dr Davis so that your appointment can be streamlined.

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If you have prolonged ongoing chest pain please ring an ambulance - 000.  It is best that you are assessed in hospital

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Initial consultations cost $250 which is partially covered by Medicare.  We prefer EFTPOS, VISA , Mastercard or AMEX.

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All Private In-hospital procedures are no-gap billed so that any out-of -pocket expenses are only those that you have agreed with your health fund.  

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Dr Davis cares for public patients at Westmead Hospital where there are no out-of -pocket expenses for Medicare patients

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NEWS & RESOURCES

Patient handouts - Background Reading

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Atrial Flutter

January 2018

Atrial flutter


Dr Lloyd Davis, Suite 7 Westmead Private Hospital, 14B Mons Rd.  Westmead 2145.  T:  02 98069600, F: 0298069611






Atrial flutter is an electrical abnormality that causes your heart to race.  There are several different options for treatment that should be discussed with your doctor.  Cure is one option that has a low risk in most patients

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Atrial fibrillation

February 2018

Atrial fibrillation is a common arrhythmia that causes an increased risk of stroke, heart failure and palpitations.

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