‘Dr Lyne is undoubtedly the best in his field. I recently sought a second opinion for a previous;y diagnosed condition of atrial fibrillation. Dr Lyne provided me with a choice of treatment options, taking the time to explain the pros and cons of each treatment and I subsequently opted for and successfully underwent cardiac ablation which has resolved this longstanding problem. The care and attention shown to both myself and my family was without doubt the best I have received from any doctor.’ (RateMDs – January 2017)
‘I give Dr. Lyne a 5/5 rating for the following reasons: 1. Responsiveness: He met with me within two days of my consultants referral. In addition, he performed two surgical procedures on me within the following 24 hours that greatly informed my decision making process. 2. Competence: He enabled a decision to be made on my condition quickly and put me in direct contact with the appropriate expert within 12 hours. 3. Caring: Although I only paid him one consultation fee – and it was excellent value – he met with me informally on at least four other occasions including coming in to see me in ICU following surgery. At all times he was giving and helpful and reassuring. 4. Administration: His personal secretary is outstanding. She chased and harried the VHI on my behalf and did all the tedious paperwork for me.’ (RateMDs – July 2014)
Heart rhythm disorders can cause a number of different symptoms. Eliminating these symptoms and in some specific cases reducing the risk or preventing stroke and sudden death are priorities. Firstly, obtaining a diagnosis from either ambulatory monitoring (Holter/Loop or Event recorders) or analysing data from monitoring or recordings that have already documented an arrhythmia is essential. Secondly identifying and treating any underlying cardiac or other condition is essential in achieving a successful in treating any related heart rhythm disorder. For example atrial fibrillation, resulting in an irregular palpitation, may be caused by a number of conditions including (but not limited to) high blood pressure, valve disease and thyroid disorders. Patients may also have other established vascular conditions such as carotid artery disease or peripheral vascular disease (PVD)
For each type of heart rhythm problem a number of different treatment options are often available for patients to consider. My aim is to explain these different options and help patients make an informed choice as to which one they would prefer. A number of common heart rhythm conditions increase the risk of stroke and therefore anticoagulation or procedures to reduce this risk (left atrial appendage occlusion/excision) are considered. Following this drug treatments to specifically address and prevent the arrhythmia may be discussed. Further to this, interventional procedures such as diagnostic studies (Electrophysiology study [EPS]) or procedures to treat an arrhythmia (Ablation) may be discussed.
For specific heart rhythm disorders cardiac device implantation may be used to optimise heart function improving symptoms and increasing life expectancy and reducing the risk of sudden death (ICD/Cardiac resynchronisation therapy). Such devices are implanted during a surgical procedure or operation under either sedation or a general anaesthetic. These devices require ongoing management and review, this can be done from interrogating the device in the pacing clinic or while the patient is at home, called remote monitoring. Remote monitoring allows a physician to be notified if the device has detected a particular event or has measured a parameter outside a specified range, usually related to device function. This method of monitoring devices has become a recognised standard of care with most types of devices.