Dr Brian A Gould: Cardiology , General (internal) medicine
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Dr Brian A Gould

Cardiology, General (internal) medicine

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Overview

Specialises in

  • Reporting of echocardiography

About me

I qualified from St Mary's Hospital University of London in 1973 and chose to begin my training at Queen Elizabeth II Hospital in Welwyn Garden City in order to develop wide experience. My interest in cardiology developed whilst working in the cardiothoracic department at the Brook Hospital in 1977.

In 1979 I started work as a research registrar at Northwick Park Hospital where I undertook clinical research into the viability and accuracy of recording patients' blood pressure at home. Up to this time it was very rare for patients to measure their blood pressure themselves. There were no mass produced portable monitors. These all followed in the years after I completed my research. This led me to write my MD thesis as well as publishing in excess of 35 research papers in leading medical journals including the British Medical Journal, The Lancet and Circulation. I also had the privilege to present my research at many prestigious international meetings around the world.

I was appointed as:-

Senior Registrar to the Plymouth/Bristol rotation in 1984. Moving out of London gave me a valuable insight into the art as well as the science of Medicine in a more rural community. Medical Clinics in cottage hospitals in Tavistock and Kingsbridge were like practising medicine in an earlier era. The patients and staff were absolutely delightful whilst the cut and thrust of work at Derriford rapidly brought me back to reality after a mornings sojourn in the country clinics.

I moved to the Bristol Royal Infirmary in 1988 where I continued to develop my cardiac skills and started to learn about a very new and exciting procedure i.e. Angioplasty, which had just started in the mid 1980's.

Consultant Cardiologist to Queen Mary's Hospital in 1989. At that time there was no cardiology department. I built up an extensive cardiac department from scratch relying on generating income from non NHS sources as well as the Heartbeat appeal which I conceived and ran in the early 1990's.This allowed the department to be equipped with the state of the art monitoring and diagnostic equipment. In keeping with many other consultant cardiologists at that time I developed my angioplasty skills at the Brook and St Thomas' hospitals.

As a consultant in a district general hospital I had a wide experience of all aspects of cardiac care from heart attacks - angina, heart failure, heart valve problems, palpitations and hypertension.

I continue to have an active interest in coronary angiography,

I work only in the private sector as I left the NHS 3 years ago.

I undertook diagnostic coronary angiography at Queen Elizabeth Hospital, Woolwich,and previously undertook more complex cases as well as angioplasty/stenting at St Thomas' Hospital.

I was elected a Fellow of the Royal College of Physicians in April 1993.

My main Interests are:-
The treatment of coronary artery disease, including the treatment of angina and heart attack which may require coronary angiography .
Heart failure - where the work of the heart is inefficient due to problems with the heart muscle - myocardium
Hypertension - a subject on I have published widely
The diagnosis and investigation of valvular heart disease
The diagnosis and treatment of palpitations

Society and associations memberships:-
British Cardiac Society
British Cardiac Interventional Society
British Hypertension Society
British Society for Heart Failure
British Medical Association

Areas of interest

General cardiology clinics seeing patients with angina (coronary disease), heart failure, palpitations e.g. atrial fibrillation, valvular heart disease, hypertension, raised cholesterol;

Investigations echocardiography exercise stress ECG's, ECG taping blood pressure monitoring;

Interventions include cardioversion, coronary angiography & implanting cardiac loop recorders;

Prior to leaving the NHS in March 2013
- Cardiac lead for heart failure and extensive research in hypertension.
- In patient cardiac care including HDU care with access to ITU care if required. Conditions treated as in patient include decompensated heart failure uncontrolled arrythmias, hypertension, heart attacks
which are not treated by immediate angioplasty. Patients may transfer from the NHS once stabilised, usually at 24- 48 hours

Medical secretaries

About me
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Consultant's practices
Information for healthcare professionals

Information for healthcare professionals (Bupa patients only, last 12 months)

Procedures completed

  • X3510

    IV sedation administered by operator - (1-5)

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