HNY Policy and Pathway Repository - York

• This is a physiologist led service at York Teaching Hospital Foundation Trust.
• On receipt of a completed referral letter via the RSS with ECG attached, the patient will be contacted by letter for a scan within 6 weeks.
• The report will be returned to the referring GP within 1 week of the investigation with advice about cardiology follow up.
• Only patients deemed to be significantly symptomatic or having severe abnormalities will be directly referred to the consultant cardiologist

Exclude the following

• People already under cardiology follow up in Secondary Care.
• People with symptoms of heart failure with a murmur or with AF, should be referred through the heart failure pathway

None provided

Referral Criteria

• New murmurs in people over 16yrs
• Murmurs identified in pregnancy please state the duration of pregnancy in the referral
• People with a family history in a first relative of congenital heart disease and with a murmur
• People with a family history in a first degree relative of cardiomyopathy please state which type in the referral letter (Hypertrophic Obstructive Cardiomyopathy HOCM <40 years every 4 years, Dilated Cardiomyopathy DCM <50 years every 4 years)
• People with AF in whom there is a strong suspicion of structural heart disease (a murmur) should be given warfarin for anticoagulation. Direct Oral Anticoagulants (DOACs) should not be used for this condition; they are not licensed for this indication.
• Younger people (<60) with AF in whom a structural problem will raise thromboembolic risk to a level where anticoagulation is required
   

Information to include in the referral letter (there is no specific referral form for this pathway)

• Please attach a recent ECG
• Please ensure that you have clearly identified the reason for the referral in the letter
• Send through the RSS for booking into York Hospital Foundation Trust eReferrals The service is listed under Specialty Diagnostic Physiological Measurement; Echocardiography Service

Patient Information Leaflet / PDAs

http://patient.info/health/echocardiogram