Private Preoperative Cardiac Assessment in London
Dr. Nelson Amaral
Private Preoperative Cardiac Assessment in London
Dr. Nelson Amaral

Preoperative Heart Assessment
Don’t let your operation be one of the 33% cancelled on the day!
A significant number of these last-minute cancellations are due to patients not being medically fit for surgery, often because of undiagnosed heart problems like high blood pressure.
Our expert preoperative cardiac assessment in London is designed to prevent this, ensuring you are fully evaluated and optimised so your operation can proceed safely and without delay.
Why is a Preoperative Cardiac Assessment Necessary?
Surgery places significant stress on your body, especially your heart. For patients with existing heart conditions or risk factors such as high blood pressure, diabetes, or high cholesterol, this stress can increase the risk of a heart problem during or after the operation.
The primary goal of a preoperative heart assessment is to identify and reduce these risks, ensuring you are medically optimised and fit for surgery!
During your specialist assessment at our London clinic, we will:
- Conduct a thorough review of your medical history, current medications, and the specifics of your planned surgery.
- Evaluate your individual cardiac risk factors and overall heart health.
- Determine if any changes to your medication are needed before your operation to improve safety.
- Establish if further diagnostic tests, such as an ECG or Echocardiogram, are required to get a complete picture of your heart’s condition.
This comprehensive evaluation provides a clear, personalised plan to get you through your surgery safely, giving both you and your surgical team crucial peace of mind!

Your Preoperative Assessment: A Step-by-Step Guide!
Your preoperative heart assessment at our London clinic is a detailed, step-by-step process designed to give a complete picture of your cardiac health before your operation.
Step 1: In-Depth Consultation and Risk Evaluation We begin with a detailed discussion about your medical history, any pre-existing heart conditions, current medications, and the nature of your upcoming surgery. This allows us to understand your personal health profile and calculate your specific preoperative cardiac risk.
Step 2: Specialist Physical Examination A thorough physical examination will be conducted by Dr. Amaral to assess your overall cardiovascular health and identify any clinical signs that require further investigation.
Step 3: Key Diagnostic Heart Tests Based on your consultation and examination, we perform essential diagnostic tests on-site. This typically includes:
Electrocardiogram (ECG): To check your heart’s rhythm and electrical activity
Echocardiogram (Heart Ultrasound): To see how your heart muscle and valves are functioning.
Further Testing (if required): Depending on your specific situation, advanced tests like a Stress Echocardiogram may be recommended for a more detailed analysis.
The Outcome: A Clear Plan for Your Surgery
Following the assessment, you will receive a comprehensive summary of your results. The outcome is a clear, actionable plan that ensures your cardiac health is fully optimised before your operation.
This detailed approach provides the crucial assurance that you are fit for surgery, significantly reducing the risk of last-minute cancellations and cardiovascular complications.
You will be leaving your consultation, knowing:



