Pregnancy and heart disease centre

The service

The aim of the high-risk service is to provide a gold standard care to enable women with pre-existing cardiac conditions, or a cardiac condition which arise during pregnancy, to achieve a successful pregnancy and birth.

This is a specialist multi-disciplinary clinic led by consultant cardiologists and obstetricians. 

The service provides pre-pregnancy advice and pregnancy care for patients with congenital heart disease, acquired heart disease and inherited cardiac conditions. 

The service is provided jointly with the high-risk maternity team from Chelsea & Westminster Hospital

Our Services:

Pre- conception Counselling Clinic   
Monday afternoon 2-5pm      
Royal Brompton Hospital

High Risk Cardiac Obstetric Clinic 
Tuesday morning 9am-12.40pm  
Chelsea & Westminster Hospital

Clinical lead and clinical team

Royal Brompton Hospital

Professor Michael Gatzoulis
Dr Isma Rafiq
Dr Claudia Montanaro

Dr David Alexander

Clinical Nurse Specialist
Beta Senko
Hajar Habibi


Chelsea and Westminster Hospital

Dr Sam Kaddoura

Miss Roshni Patel
Professor Mark Johnson

Dr Mark Cox


Chelsea and Westminster Hospital 

Antenatal Outpatient Clinic
First Floor
Chelsea and Westminster
369 Fulham Rd,
London SW10 9NH

Royal Brompton Hospital

Outpatient East
Fulham Road
Phone: 020 7349 7748
Fax: 020 7351 8513

What happens on the day of the clinic

Each patient is reviewed by a multi-disciplinary team consisting of an obstetrician, cardiologist and Clinical Nurse Specialist. In addition once a month the consultant anaesthetist attends clinic to facilitate delivery planning.

On the day of clinic patients may also have other tests including an ECG, echo or a fetal ultrasound.

Who should be referred?  

Any woman affected with heart disease or has a strong family history of a cardiac condition referred by a cardiology or a maternity service.

When should someone be referred?

We recommend referring any woman with heart disease considering pregnancy to attend our preconception counselling clinic and when a patient or local midwifery/cardiology team know of pregnancy as early as possible.

Referral process to the Royal Brompton Hospital

Email referral letters to the clinic administrator at Royal Brompton Hospital, Philippa Kape 
Phone: 02073497748 

Referral process to Chelsea and Westminster Hospital

You can choose to have your baby with Chelsea and Westminster Hospital through your local midwife/ hospital and your local GP.

Call the helpline on: 020 3315 6000

Use Chelsea and Westminster's self-referral online service: