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spotlight on chest pain

Heart Health: spotlight on chest pain




Dr Ian Webb is an Interventional

Cardiologist at King’s College

Hospital, and Clinical Lead for

Cardiology at Princess Royal

University Hospital in Farnborough,

Kent. He graduated from Oxford

University Medical School, with an

additional intercalated 1st Class

Honours degree in Physiology

and Pharmacology. He undertook

Cardiology training at King’s College

Hospital, and Guy’s and St Thomas’,

with additional sub-specialty

Fellowship training in coronary and

structural heart intervention at The

Wellington Hospital, in New Zealand.

Dr Webb is a former BHF Research

Fellow and undertook his PhD in

molecular cardiology at King’s

College, University of London.

Dr Webb specialises in complex

coronary intervention and cardiac

pacing, and consults on a wide range

of other heart conditions including

hypertension, heart failure, valvular

heart disease, cardiovascular risk

assessment and palpitations.

Treatment options

Coronary disease and the symptoms

of angina are managed in one of

three ways – (1) medication only, (2)

percutaneous coronary stents, and/or (3)

cardiac bypass surgery. Since coronary

disease is a lifelong condition, treatment

pathways often overlap over time, but

the initial step will depend on the overall

health of the patient, the extent of their

symptoms and the exact pattern of heart


Medication undoubtedly forms the

cornerstone of therapy, irrespective of

revascularisation options, and sets out to

alleviate symptoms (e.g. Beta-blockers

and nitrates) and modify disease

progression (statins and ACE inhibitors).

Equally important are lifestyle measures,

which include regular exercise, a healthy

diet, smoking cessation and alcohol in


Revascularisation can be achieved

either by minimally invasive

Percutaneous Coronary Intervention

(PCI), or from Coronary Artery Bypass

Grafting (CABG). There are pros

and cons to each procedure, but as

a general rule, the more extensive

and complex the coronary disease

(especially in diabetics and those with

renal failure), the more likely the patient

will benefit from CABG, assuming they

are fit for the procedure.

At Sevenoaks Medical Centre, we

are able to provide comprehensive

cardiovascular risk assessment for

individuals, early assessment for those

experiencing worrying symptoms of

chest discomfort, and ongoing follow-

up for existing cardiac patients. Where

further tests and interventions are

required, we provide state-of-the-art

diagnostic services and a full range of

treatment procedures at London Bridge


For more information, please contact the

GP Liaison Department


T: 020 7234 2009