Dr Ali Khavandi is a Consultant Interventional Cardiologist. He sub-specialises in complex angioplasty and advanced rhythm device implantation. Unusually for a ‘procedural Cardiologist’ Ali is equally passionate about the role of diet, lifestyle and exercise in cardiovascular conditions and prevention. This has led to appearances on BBC Horizons and writing on the subject of diet and health for the Observer.
- General Cardiology
- Interventional Cardiology (Angioplasty)
- Complex rhythm devices (Pacemakers and defibrillators)
Royal United Hospital Bath
In his role as editor of the UK and European Cardiology assessment textbooks, Ali remains fully up-to-date on the latest general cardiology evidence and guidelines. As such he provides a modern and efficient approach to the assessment of a broad range of cardiovascular symptoms and conditions including:
- Chest pain and arterial disease
- Palpitations, arrhythmias and atrial fibrillation
- Loss of consciousness (syncope) or near blackouts (presyncope)
- Structural conditions (murmurs, heart muscle and valvular problems)
- Risk factor such as weight management, high blood pressure, cholesterol and family history
- Non-invasive screening for cardiovascular conditions using modern techniques
Specialised Cardiology (Coronary Intervention & Rhythm Devices)
As a result of dual subspecialty expertise across intervention (“plumbing” – coronary disease and angioplasty) and rhythm (“electrics” – rhythm disturbances and pacemakers), Ali is able to provide a universal opinion across a spectrum of cardiac conditions and treatments which are often linked. He was one of the founders of the UK surgical skills programme for Cardiologists and by working closely with plastic surgeons has a special interest in minimising pacemaker scars.
As is common with modern operators in the UK, he is a radial (wrist artery) angioplasty operator and has expertise in all contemporary tools and intravascular imaging techniques. However, above and beyond this he has a focus on minimising discomfort, anxiety and using the latest minimally invasive techniques for patients who require procedural treatments or surgery.
Ali is leading on some very exciting research in collaboration with the NHS and Bath University on dietary and lifestyle intervention.
Specifically, there are two projects that are looking at the opportunity to reverse coronary artery disease and atrial fibrillation in selected patients through a programme of “super rehab”. Using the latest CT imaging techniques that track inflammation in the wall of the artery, the team are very excited about how this might change expectations and potentially show regression of markers of atheroma (“furring of arteries”), without a commitment to longer term medications (e.g. Statins) or procedural treatments.
We are already seeing success in our patients with type 2 diabetes and atrial fibrillation reversal but if the hypothesis is proven for coronary artery disease, it will be a “game changer” for the care of patients.
These same advanced screening imaging techniques and lifestyle reversal programmes are now available to patients at UME.
Services and clinic pathway
Ali has done a lot of work nationally on clinical pathway redesign. At the heart of this is to break down historical medical precedent of ways of working and inefficiencies. Instead of designing care around the doctor or hospital, we have designed a clinic that works on the principle of making things as easy, connected and efficient for the patient.
Ali has Persian parents but was born and brought up in Bath. He went to school at King Edward’s where he received 4 As at A-level, played rugby in the winter, tennis in the summer and left with the prize for all round performance. He spent the majority of his childhood summers at the tennis club.
He went to University in Manchester, which culminated in the Professorial house job. Following this he trained in London and Bristol with the majority of cardiac training at the Bristol Heart Institute. His first consultant appointment was at the prestigious Royal Harefield and Brompton NHS Foundation Trust in London but the strong links to Bath brought him back in 2013.
He is married to Heidi, who is a nurse and has a 6 year old daughter and 2 year old boy.