Surgical Risk Reduction
Presurgical Optimisation
A regional specialist service
Our Presurgical Cardiac Evaluation Assessment offers a streamlined and expert-led service to evaluate and optimise patients’ health, focusing on cardiovascular health, prior to undergoing surgical procedures. Whether your surgery is minor or major, inpatient or outpatient, we ensure you are medically fit from a cardiac standpoint. Our goal is to minimise risk of complications, enhance surgical outcomes, with rapid restoration of good health.
Cost
- Appointment with Professor Jawad Khan £275
(not including cost of tests)
Why is Presurgical Optimisation Important?
Surgery places stress on the body, especially the heart. For patients with known or hidden cardiac conditions, this can increase the risk of complications such as heart attack, arrhythmias, or unstable blood pressure during or after surgery.
Presurgical cardiac optimisation helps:
Identify underlying cardiac risk factors before they become problems
Reduce the risk of perioperative complications
Ensure you are on the right medications and that any cardiac conditions are well controlled
Give surgeons and anaesthetists confidence that you are safe to proceed
Improve recovery outcomes and reduce the chances of cancellation or delays
A thorough cardiac review before surgery could be the key to a smoother, safer procedure and faster recovery.
Who is this service for?
In the NHS, this service is reserved for those patients deemed to be at the highest risk of complications during surgery.
However we believe that this service should be available to anyone who needs it.
- Any patient concerned about their risk of surgery
Patients undergoing moderate to high-risk surgery
Patients with limited exercise tolerance or symptoms such as chest pain, palpitations, or shortness of breath
- Patients with a history of heart disease, hypertension, diabetes, or stroke
Patients with abnormal ECGs or raised cardiac risk factors on preoperative screening
What is involved ?
Detailed Clinical Assessment: Comprehensive history and physical examination focused on cardiovascular risk factors
12-Lead ECG: Performed on-site to assess for arrhythmias, ischemic changes, or conduction abnormalities
Echocardiogram (if indicated): Referral or coordination for transthoracic echo to assess cardiac function and valvular health
- Spirometry: To provide a detailed measure of your lung health. Performed on-site using TrueFlow Technology, and interpreted by a Doctor.
Blood Tests: Including BNP, full blood count, renal profile, and lipid panel as needed
Risk Stratification: Using established guidelines (e.g., Revised Cardiac Risk Index) and tailored recommendations for surgical planning
Medical Optimisation: Adjustment of medications such as beta-blockers, anticoagulants, or antihypertensives where appropriate
Communication with Surgical Team: Clear written reports shared with your surgical and anaesthetic teams to facilitate coordinated care
Fast Turnaround: Short Notice appointments and reports available for time-sensitive cases
Why Choose Us?
Professor Jawad Khan
Consultant Interventional Cardiologist
Professor Khan, Consultant Cardiologist, a regional expert in perioperative and cardiovascular medicine
- Professor Khan has led the regional perioperative optimisation service for xxx years, for patients at the greatest risk of surgery from all over the Midlands.
No long NHS waiting lists – fast, accessible private service
Close coordination with cardiologists and imaging centres if specialist input is required
Clear, patient-friendly advice to help you feel confident and prepared for surgery
Get seen by Professor Khan
If you are worried, or have concerns. At OneMedicine, Professor Khans wealth of experience in cardiovascular health ensures you receive the best possible care in a compassionate and professional environment. Whether you need advanced diagnostic testing or ongoing management of a heart condition, we’re here to guide you every step of the way.
