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Consultant Cardiologist specialising in Heart Failure & Complex Device Therapy

“I deliver patient centred care and my team offers a personal, friendly service at some of Manchester and Cheshire’s best hospitals. You can contact us directly with any question or worry, and we’ll respond quickly. As your consultant, I’ll work closely with your nurses and your GP to ensure you’ll always receive high quality care.”

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“Dr Kahn and the Cardiology Team at Spire Manchester Hospital literally saved my life – I can’t thank them enough!”

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I treat adults, NHS, insured and self-pay patients

Symptoms I can help with

Breathlessness

Breathless after light exercise or when resting can be a symptom of heart disease. If you’re experiencing these symptoms you may need tests to diagnose the cause.

Breathlessness

Feeling short of breath is a common cardiac symptom. Sometimes patients may feel more breathless than usual when doing everyday tasks. Patients may be more breathless when exercising or even when resting.

Breathlessness or extreme fatigue and tiredness can suggest a variety of conditions such as heart failure, angina, ischaemic heart disease or arrhythmias such as atrial fibrillation.

If you’ve noticed you have become more breathless than usual, seek medical advice.

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Chest pain / Jaw pain

Chest pain or chest heaviness can be a symptom of angina or ischaemic heart disease. This sensation can radiate towards your jaw and down your arms.

Chest pain (Ischaemic heart disease)

Angina or ischaemic heart disease often presents with chest pain or chest heaviness. This sensation can radiate towards your jaw and down your arms.

Angina often presents with chest pain or chest heaviness. This sensation can radiate towards your jaw and down your arms. You may also experience breathlessness. The symptoms normally occur when you exert yourself, and they may be relieved quickly by resting. If you think your angina symptoms are deteriorating then you should seek medical advice immediately.

What causes angina?

Angina is normally caused by coronary heart disease. This occurs when the blood vessels (arteries) that supply your heart with oxygen become narrowed over time. The blood (and therefore oxygen supply) to your heart muscle is then reduced causing angina symptoms. A heart attack occurs when one or more arteries become too narrow or blocked off. This is a medical emergency.

How is angina diagnosed?

Your cardiologist will take a full history and examine you. They would normally perform an ECG before deciding on other tests such as an echo, stress echo exercise test or even an angiogram.

How do you treat angina?

Initially, your cardiologist would prescribe medication to try and settle the angina symptoms and reduce your risk of a heart attack. You’d also be encouraged to follow a healthy lifestyle. Further tests and Investigations might suggest that other procedures such as coronary angioplasty (stent insertion) may be necessary.

If you’re concerned about your chest pain you should seek medical advice.

Book an appointment

Palpitations /Irregular Heart Beat

Palpitations are irregular heartbeats. It might feel like your heart is racing or pounding, or that it’s fluttering or missing a beat.

Palpitations

Palpitations are irregular heartbeats. It might feel like your heart is racing or pounding, or that it’s fluttering or missing a beat.

What are palpitations?

Palpitations are irregular heartbeats. You may feel your heart is racing or pounding, or feel like it’s fluttering or missing a beat. These sensations may last for a few seconds or minutes. Palpitations might be worrying, but they are fairly common and can be caused by aspects of everyday life such as caffeine, strenuous exercise or stress. These palpitations are easily resolved by recognising and avoiding your triggers.

However, palpitations can be caused by medication that you’re taking, or by health problems such as heart failure, heart rhythm problems or other heart conditions.

If your palpitations do not pass quickly, are getting worse, or if you are concerned about your palpitations, you should seek medical advice.

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Dizzyness / blackouts

Dizziness and blackouts can be symptoms of heart disease. Your cardiologist may be able to diagnose the cause and offer treatment for these symptoms.

Dizzyness / blackouts

Dizziness can be a very distressing feeling and usually means you need to get medical help or advice.

Dizziness can have a number of causes, including problems with your heart. Heart failure, postural hypotension or arrhythmias (such as atrial fibrillation) can all cause dizziness.

Blackouts always need to be investigated. Your cardiologist may carry out 24-hour monitoring of your heart’s rhythm (24-hour tape) or use a REVEAL LINQ recorder to monitor your heart over a longer period of time. An echocardiogram may also be carried out to check for structural abnormalities of the heart (such as cardiomyopathy) that could cause blackouts or collapse.

If you’re experiencing dizziness or blackouts you should seek medical advice.

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Ankle Swelling

Although seemingly harmless, ankle swelling should never be ignored. It can be a symptom of heart failure and usually requires investigation.

Ankle Swelling

Although seemingly harmless, ankle swelling should never be ignored. It can be a symptom of heart failure and usually requires investigation. Swollen ankles and legs are the result of a build-up of fluid. Some patients find that this is better in the morning but then gets worse as the day goes on.

Swollen ankles can be caused by some blood pressure medication, but they can also be a sign of heart failure. If you’re concerned about your swollen ankles, get medical advice.

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Effort Related Symptoms

Symptoms that become worse with exertion such as chest pain, jaw or arm pain or breathlessness, can be a sign of angina or coronary artery disease.

Effort Related Symptoms

Symptoms that become worse with exertion such as chest pain, jaw or arm pain or breathlessness, can be a sign of angina or coronary artery disease. These symptoms could be caused by other conditions that are not as serious, but it’s still important to get them checked out.

If you feel like effort-related symptoms are occurring frequently, or if they get worse or feel severe, it’s important to seek medical advice.

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Conditions I can help with and treatments I offer

Heart failure / advanced heart failure

The term ‘heart failure’ can sound scary, but it doesn’t mean that the heart is about to stop working. Heart failure means that the heart is not functioning properly.

Heart failure / advanced heart failure

The term ‘heart failure’ can sound scary, but it doesn’t mean that the heart is about to stop working. Heart failure means that the heart is not functioning properly.

What is heart failure?

Heart failure doesn’t mean that the heart has stopped or that it is about to stop working. Heart failure means that the heart isn’t functioning properly. This might be due to coronary artery disease (Ischaemic Heart disease), valvular heart disease, electrical disturbances, inherited conditions or other causes. Heart failure symptoms include:

  • Breathlessness – after activity or when at rest
  • Tiredness – you may feel tired a lot of the time and find physical activity exhausting
  • Ankle swelling
  • Chest pain
  • Palpitations – irregular heartbeat, flutterings or poundings
  • Collapse

If you’re concerned about your symptoms or think that you might have heart failure, you should seek medical advice.

We’ll be happy to answer any questions and discuss your options with you.

Book an appointment

Ischaemic Heart disease / angina

Angina or ischaemic heart disease often presents with chest pain or chest heaviness. This sensation can radiate towards your jaw and down your arms.

Ischaemic heart disease / angina

Angina or ischaemic heart disease often presents with chest pain or chest heaviness. This sensation can radiate towards your jaw and down your arms.

Angina often presents with chest pain or chest heaviness. This sensation can radiate towards your jaw and down your arms. You may also experience breathlessness. The symptoms normally occur when you exert yourself, and they may be relieved quickly by resting. If you think your angina symptoms are deteriorating then you should seek medical advice immediately.

What causes angina?

Angina is normally caused by coronary heart disease. This occurs when the blood vessels (arteries) that supply your heart with oxygen become narrowed over time. The blood (and therefore oxygen supply) to your heart muscle is then reduced causing angina symptoms. A heart attack occurs when one or more arteries become too narrow or blocked off. This is a medical emergency.

How is angina diagnosed?

Your cardiologist will take a full history and examine you. They would normally perform an ECG before deciding on other tests such as an echo, stress echo exercise test or even an angiogram.

How do you treat angina?

Initially, your cardiologist would prescribe medication to try and settle the angina symptoms and reduce your risk of a heart attack. You’d also be encouraged to follow a healthy lifestyle. Further tests and Investigations might suggest that other procedures such as coronary angioplasty (stent insertion) may be necessary.

If you’re concerned about your chest pain you should seek medical advice.

Book an appointment

Cardiomyopathies

Cardiomyopathy is a disease or abnormality of the heart muscle. It’s usually an inherited condition and so family members are often screened.

Cardiomyopathies

Cardiomyopathy is a disease or abnormality of the heart muscle. It’s usually an inherited condition and so family members are often screened.

Cardiomyopathy is a disease or abnormality of the heart muscle. It affects its size, shape and structure. It’s usually an inherited condition and so family members are often screened. Common types of cardiomyopathy include hypertrophic cardiomyopathy, dilated cardiomyopathy, peripartum cardiomyopathy or takotsubo cardiomyopathy. Cardiomyopathy can present with a variety of signs and symptoms:

  • Breathlessness – after activity or when at rest
  • Tiredness – you may feel tired a lot of the time and find physical activity exhausting
  • Ankle swelling
  • Chest pain
  • Palpitations – irregular heartbeat, flutterings or poundings
  • Collapse
  • Often patients have no symptoms and a cardiomyopathy is picked up at routine health checks.

How is a Cardiomyopathy diagnosed?

Your cardiologist will take a full history and conduct a thorough examination. They’ll perform an ECG and will often order other tests such as an echo and a 24 hour ECG. Other tests might include a cardiac MRI scan.

Treatments for cardiomyopathy

Treatments include various medications, cardioversion, specialised (complex) pacemakers or defibrillators. If you’re concerned about the health of your heart you should seek medical advice.

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Abnormal heart rhythms (arrhythmia) / atrial fibrillation

The heart has its own electrical supply, like its own pacemaker. Sometimes electrical disturbances can result in abnormal rhythms.

Abnormal heart rhythms (arrhythmia) / atrial fibrillation

The heart has its own electrical supply, like its own pacemaker. Sometimes electrical disturbances can result in abnormal rhythms. The heart has its own electrical supply, like its own pacemaker. Sometimes electrical disturbances can result in arrhythmia (abnormal heart rhythms). This can cause symptoms such as palpitations, breathlessness, dizziness or collapse. Common types of arrhythmias include:

  • Atrial fibrillation – This is an irregular heart rhythm which can be fast or slow and can put certain people at increased risk of stroke. Patients may need blood-thinning medication. Other treatments include ablation procedures, cardioversion, and pacemaker therapy.
  • Tachycardias – This occurs when the heart is going too fast. Common types include supraventricular tachycardia (SVT).
  • Bradycardias – This occurs when the heart is beating too slowly.
  • Heart Block – This occurs when there is an electrical conduction problem in the heart. This is often treated with a pacemaker.

How is an arrhythmia diagnosed?

Your cardiologist will take a full history and conduct a thorough examination. They will perform an ECG and will often order other tests such as a 24 hour ECG to monitor your heart rhythm over a longer period of time.

If you’re concerned that you’re experiencing abnormal heart rhythms, you should seek medical advice. Book an appointment

Book an appointment

Family history of heart disease

It’s true that having a family history of a heart condition can increase your risk of developing it yourself. However, you can reduce your risk.

Family history of heart disease

It’s true that having a family history of a heart condition can increase your risk of developing it yourself. However, you can reduce your risk.

Should I be worried?

Many of my patients are concerned about how a family history of heart conditions or disease might affect them.

It’s true that having a family history of a heart condition can increase your risk of developing it yourself. However, you can reduce your risk of developing some heart diseases by adopting a healthy lifestyle. Eating a healthy diet, exercising and managing conditions like high blood pressure or high cholesterol can all help.

Monitoring your heart can also help as problems can be identified early.

If you’re concerned about your family history, a cardiologist can assess your risk, monitor your heart, and provide advice and treatment to help keep you well.

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Valvular Heart Disease

The heart has 4 sets of valves that can become thickened and stenosed or even leaky over time.

Valvular Heart Disease

The heart has 4 sets of valves (mitral valve, aortic valve, tricuspid valve and pulmonary valve) that can become thickened and stenosed or even leaky over time. This can affect the ability of the heart to pump blood around the body, causing symptoms such as breathlessness, ankle swelling or chest pain.

How is Valvular Heart Disease diagnosed?

Your cardiologist will take a full history and conduct a thorough examination. They will perform an ECG and will often order other tests such as an echo. If you are experiencing symptoms of heart disease or are concerned about the health of your heart, you should seek medical advice.

Book an appointment

Other areas that might interest you

Treatments

See treatments I offer including pacemakers, ICDs (implantable cardiac defibrillators) and biventricular pacemakers.

Where I practise

Find clinic times and information about the hospitals where I practise.

Case studies

Read about our patients’ experiences of diagnosis, treatment and recovery.