Royal North Shore Hospital provides the following Cardiology clinics:
Rapid Access Chest Pain Clinic (referrals received from ED only, not for GP referral)
General Clinic (conducted by technicians under the supervision of JMOs, BPTs, ATs and a Cardiologist On Call)
Heart Failure Service (MACARF Program)
Cardiac Rehabilitation (NSCEC)
Pacemaker Clinic and AICD Clinic
Tilt Table Clinic
24 Hour Blood Pressure Monitoring (AMBP)
A valid GP or Specialist referral is required for all services provided – please visit your GP for an assessment if you feel a referral may be required. If you are a GP or Specialist wishing to make a referral, please use the below contacts.
If you are a GP or Specialist and feel your patient may require an urgent referral, please phone the RNSH switchboard on 02 9926 7111 and ask for the on call or ask the patient to present to our Emergency Department. Conditions requiring urgent referral include:
Acute chest pain
Acute coronary syndrome
Acute heart failure
Shock from AICD
Suspected pulmonary embolism or aortic dissection
Syncope/presyncope (depending on history and circumstances)
Worsening chronic heart failure
Please phone the office on 94631706 for review and triage.
Mandatory referral information
All Cardiology referrals must include a consultant being referred to. If unsure, please address to Prof Gregory Nelson and Associates.
All referrals must include patients details, provisional diagnosis and reason for referral, finding/treatment to date, how this affects the patient, significant medical history, list of medications and relevant social information. Please indicate preferred language if an interpreter is required.
Please attach results of any investigations to the referral and ensure the patient brings hard copies to their appointment. This will help avoid unnecessary duplication of tests, additional appointments and delay.
Referrals with insufficient information will be returned to the GP until further information is provided to the clinic.
Indications for Referral
For referrer use only and is not intended for patients to self-diagnose. Any patients who feel they may require a referral must be assessed and referred by their GP if appropriate.
|Cardiac Arrhythmias||New atrial fibrillation/flutter without red flags||Cardiologist*|
Note: atrial fibrillation can be referred by ED doctors to the Rapid Access Clinic (not available for GP referral)
|||Chronic atrial fibrillation/flutter – consider referral if difficulties in rate control or anticoagulation or recurrent paroxysmal AF||Cardiologist*|
Note: uncomplicated syncope can be referred by ED doctors to the Rapid Access Clinic (not available for GP referral)
|Cardiac Pain||Chronic chest pain||Cardiologist*|
|Pacemaker||Requiring routine checks of pacemaker||Pacemaker Clinic|
|Cardiac Disorders||Chronic cardiac failure||Heart Failure Service (see page 4)|
Hypertension. Refer if:
•HPT difficult to control
•Changing pattern of HPT
•Decline in renal function on ACEIs
•Renal artery stenosis
|Hypertension Clinic (Renal Department)|
|Tests and Procedures||ECGs||No||General Clinic|
|||Echocardiography (does not provide a rapid service)||No||Cardiologist*|
|||Exercise tests (does not provide a rapid service)||No||General Clinic|
|||Cardiac catheterisation (coronary angiography)||Yes||Cardiologist*|
|||Electrophysiological studies and pacing||Yes||Cardiologist*|
|||Holter monitoring – for recurrent presyncope, unexplained syncope or palpitations||No||General Clinic|
|||Ambulatory blood pressure monitoring||No||AMBP Clinic|
|||Autonomic function, tilt table testing||No||Tilt Table Clinic|
|||Stress testing (does not provide a rapid service)||No||Stress Testing Clinic|
|||Stress echo||Yes||Echocardiography Clinic|
|||Heart failure echo||Yes||Echocardiography Clinic|
*Most RNSH Cardiologists have consulting rooms in either the Northern Specialist centre or in the North Shore Cardiac Centre, located in North Shore Private Hospital. Patients should be referred there directly and can be bulk billed if requested. Refer to page 6 for contact details.
The RNSH Cardiology Clinic is unable to provide a service for the following:
Aged <16 years
Heart Failure Service and Cardiac Rehabilitation Program
All sites in Northern Sydney Local Health District provide these programs – please refer to the patient's local hospital. Both programs are available for GP and Cardiologist referral.
Heart Failure Service
The Heart Failure Service is a free home-based education service that promotes healthy lifestyles and improves quality of life in patients with diagnosed heart failure. Home visits are provided by a heart failure nurse following discharge from hospital. The heart failure nurse will communicate with the GP and cardiologist regarding assessment or changes in the management plan. They will also remain in contact with the patient by phone.
Who to refer: Anyone with exacerbation of heart failure within the past 30 days (does not have to been recently admitted or discharged from hospital).
Exclusions: This program is not appropriate for nursing home or palliative care patients.
Hornsby Hospital: Ph: (02) 9477 9850, Fax: (02) 9477 9013
Mona Vale Community Centre: Ph: (02) 9998 6181, Fax: (02) 9999 6532
RNSH: Ph: (02) 9463 1702, Fax: (02) 9463 1028
Ryde Hospital: Ph: (02) 9858 7596, Fax: (02) 9858 7707. Ryde Hospital also offers an outpatient heart failure exercise program.
The Cardiac Rehabilitation Program is a multidisciplinary program including assessment, education and exercise. A variety of options are available for patients to choose from in regards to number of exercise sessions and frequency of education sessions.
Who to refer: Anyone with a diagnosed heart condition or is at high risk for heart disease.
Exclusions: This program is not appropriate for people with severe dementia or terminal illness.
Out of Area Referral
The RNSH Cardiology clinic provides services to patients living within the Northern Sydney Local Health District. Exceptions to this are outlined below.
|Resident of Northern Sydney Local Health District Catchment ||Yes - referral accepted at RNSH |
|Referral from other specialist, for specialist opinion||Yes - referral accepted at RNSH |
|Resident of other Local Health District that DOES NOT provide the clinical service e.g. rural, outer metro||Yes, but service or problem needs to be documented on referral |
|Continuing care of existing condition we already manage||Yes, provided existing or related condition documented on referral |
|Demonstrated complexity requiring services of Royal North Shore Hospital||Yes but must be explicitly documented on referral|
|Compassionate circumstances (e.g. family proximity, staff)||Yes but must be explicitly documented on referral|
|Resident of other Local Health District that offers the service||Refer to your Local Health District|
Check if the home address is within Northern Sydney Local Health District here: https://www.health.nsw.gov.au/lhd/Pages/lhd-maps.aspx
RNSH consultant referral options
The following Cardiologists work at RNSH. They also have private clinics which usually have a significantly shorter waiting period. Patients seen in these clinics may be bulk-billed for services provided at the discretion of the cardiologist or at the request of the referring doctor or patient. Patients can be referred directly or from the RNSH clinics to the private rooms listed below. The General Clinic or the RNSH switch will refer to the Cardiologist of the Day.
|Dr Edward Barin||Chatswood Ph: (02) 9411 3930||General Cardiography|
|Prof Ravinay Bhindi||North Shore Cardiac Centre (St Leonards)**||Interventional Cardiology|
|Dr Peter Caspari||Chatswood Ph: (02) 9411 2649||General Cardiography|
|Dr Kim May Karin Chia||Northern Specialist Centre (St Leonards)*||EPS/Pacing|
|Dr Christopher Choong||North Shore Cardiac Centre (St Leonards)**||Echocardiography|
|Prof Gemma Figtree||North Shore Cardiac Centre (St Leonards)**||Interventional Cardiology|
|Dr Peter Hansen||Northern Specialist Centre (St Leonards)*||Interventional Cardiology|
|Dr Kevin Hellestrand||Hornsby Cardiac Diagnostic Unit (Hornsby) Ph: (02) 9482 1155||EPS/Pacing|
|Dr Logan Kanagaratnam||Northern Cardiology (Frenchs Forest) Ph: (02) 8011 0678,|
Ryde Ph: (02) 9858 7944
|Dr Rebecca Kozor||Chatswood Ph: (02) 9411 2649||Echocardiography|
|Dr Fred Nasser||Roselands Ph: (02) 9740 5911||Echocardiography|
|Prof Gregory Nelson||North Shore Cardiac Centre (St Leonards)**||General and Interventional Cardiology|
|Prof Helge Rasmussen||Northern Specialist Centre (St Leonards)*||Interventional Cardiology|
|Dr Geoffrey Tofler||Northern Specialist Centre (St Leonards)*||Heart Failure and Echocardiography|
|Dr Michael Ward||Northern Specialist Centre (St Leonards)*,|
Northern Cardiology (Frenchs Forest) Ph: (02) 8011 0678
|Dr Harvey Washington||Sydney Adventist Hospital (Wahroonga) Ph: (02) 9194 5000||General Cardiography|
|Dr David Whalley||Northern Specialist Centre (St Leonards)*||EPS/Pacing|
*Northern Specialist Centre is located at Suite 9 Level 4, North Shore Private Hospital (St Leonards). Phone: (02) 9463 1966
**North Shore Cardiac Centre is located at Suite 11 Level 3, North Shore Private Hospital (St Leonards). Phone: (02) 9460 8700.