What is refractory angina?

Patients can continue to experience or have recurrence of angina despite having had treatment with medication, stents, and coronary artery bypass surgery. This is called refractory angina.

Learn more about our complex coronary disease and refractory angina service.

The angina service 

Royal Brompton & Harefield NHS Foundation Trust has a specialist multidisciplinary team of healthcare professionals, headed by Dr Ranil De Silva, who are dedicated to the investigation and treatment of patients with complex coronary disease and refractory angina.

Ranil De Silva
Consultant cardiologist and interventionalist

Carlo Di Mario 
Professor in interventional cardiology

Tony De Souza
Consultant cardiovascular surgeon

Glyn Towerton 
Consultant in pain medicine

Anne-Marie Doyle
Clinical psychologist

Christine Wright
Clinical nurse specialist


Richard Underwood
Professor in nuclear medicine 

Roxy Senior 
Professor in echocardiography

Mike Rubens
Consultant radiologist (CT)

Dudley Pennell 
Professor of cardiac magnetic resonance

Useful information

British Heart Foundation - information about angina 
NICE - management of stable angina (PDF)