28 February 2019
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Some of the principal treatments carried out by Dr Senthil Kirubakaran at Spire include:
Catheter ablation for cardiac arrhythmias:
My practice includes all aspects of adult general cardiology with specific interest and expertise in the assessment of management of patients with abnormal heart rhythms (arrhythmias).
I was appointed as a consultant at the Queen Alexandra hospital in Portsmouth in 2014, where I am the Lead for the complex arrhythmia service, having introduced and developed catheter ablation for atrial and ventricular arrhythmias. I also hold an Honorary Contract with the Royal Sussex County hospital in Brighton, where I assist with complex ablation procedures for ventricular arrhythmias.
I perform interventional procedures for most arrhythmias; Supraventricular Tachycardias (SVT), Atrial Tachycardia and Fibrillation and Ventricular arrhythmias.
I have performed more than 500 ablations for cardiac arrhythmias, and more than 700 pacemaker / device. I perform interventional procedures for the following arrhythmias; Supraventricular Tachycardias (SVT), Atrial Tachycardia and Fibrillation and Ventricular arrhythmias. I also implant simple and complex devices including biventricular pacemakers and implantable cardioverter defibrillators.
I am the Lead for the complex arrhythmia service, having introduced and developed catheter ablation for atrial and ventricular arrhythmias with the Trust. I am committed to medical education, and currently I am the lead for arrhythmia teaching within the Wessex region, having introduced a specific arrhythmia teaching program to the region in 2016.
I graduated with an Honours degree from the University of Manchester. I was awarded a British Heart Foundation Research Grant for research in the field of cardiac electrophysiology and atrial fibrillation and was awarded a Doctor of Medicine (MD). I trained in leading cardiac centres in London and undertook specific training in Milan, Italy to develop expertise in complex arrhythmia management. I am accredited in cardiac electrophysiology from the International Board of Heart Rhythm Examination (IBHRE-CEPS) and have been made a fellow of the Royal College of Physicians (FRCP) and Heart Rhythm Society (FHRS).
Palpitations; Cardiac Arrhythmias; Catheter ablation for cardiac arrhythmias (Supraventricular tachycardias, Atrial and Ventricular Arrhythmias); Pacemakers; Complex devices (implantation of implantable cardioverters defibrillators and biventricular pacemakers)
MB ChB(Hons) / University of Manchester / 1998
MRCP / London / 2001
Member of the Royal College of Physicians
MD (Res) / University of Manchester / 2011
Doctor of Medicine (Research)
CEPS / International Board of Heart Rhythm Examiners (IBHRE) / 2013
Certified Electrophysiology Specialist
FHRS / Heart Rhythm Society / 2018
Fellowship Heart Rhythm Society
FRCP / Royal College of Physicians / 2018
Fellowship of the Royal College of Physicians
Lead for the complex arrhythmia service at Portsmouth NHS Trust
Portsmouth NHS Trust
Royal Sussex County Hospital, Brighton (Honorary Contract)Back to top
2017 Silberbauer JS, Gomes J, O’Nunain S, Kirubakaran S, Hildick-Smith D, McCready J; Coronary Vein Exit and Carbon Dioxide Insufflation to Facilitate Subxiphoid Epicardial Access for Ventricular Mapping and Ablation. JACC Clinic EP. Feb 2017, DOI 10.1016/jacep 2016.11.002
2017 Kirubakaran S, Bisceglia C, Silberbauer J, Oloriz T, Santagostino G, Yamase M, Maccabelli G, Trevisi N, Della Bella P. Characterization of the arrhythmogenic substrate in patients with arrhythmogenic right ventricular cardiomyopathy undergoing ventricular tachycardia ablation. Europace 2017 Jun 1;19(6):1049-1062.
2015 Kirubakaran S, Chowdhury RA, Hall MC, Patel PM, Garratt CJ, Peters NS. Fractionation of electrograms is caused by colocalized conduction block and connexin disorganization in the absence of fibrosis as AF becomes persistent in the goat model. Heart Rhythm. 2015 Feb;12(2):397-408.
2014 Oloritz T, Silberbauer J, Maccabelli, Mizuno H, Barrato F, Kirubakaran S, Vergara P, Bisgeli C, Baldi G, Della Bella P. Catheter ablation of ventricular arrhythmias in non-ischaemic cardiomyopathy: anteroseptal versus inferolateral scar subtypes. Circ Arrhythm Electrophysiol. 2014 Jun 7(3):414-23.
2013 Kirubakaran S: ‘Catheter ablation of Atrial fibrillation in heart failure’ – Heart Failure Clinics of North America 2013.
2013 Kirubakaran S, O’ Neill. Catheter ablation for persistent atrial fibrillation in a patient with previous repair of total anomalous pulmonary venous connection – Circ Arrhythmia and Electrophysiology 2013;6(4):e54-55.
2013 Zhong Chen, Tushar Kotecha, Siobhan Crichton, Anoop Shetty, Manav Sohal, Aruna Arujuna, Senthil Kirubakaran, Julian Bostock, Michael Cooklin, Mark O’Neill, Matthew Wright, Jas S Gill, C Aldo Rinaldi CA, Lower incidence of inappropriate shock therapy in patients with combined cardiac resynchronisation therapy (CRT-D) compared with patients with non-CRT defibrillators (ICDs). Int J. Clin Pract,2013;67(8):733-739.
2013 Sebag F, Chaachoiu N, Linton N, Amraou S, Harrison J, Williams S, Rinaldi A, Gill J, Cooklin M, Kirubakaran S, O’ Neill M, Wright M, Lellouche N. Persistent AF presenting in sinus rhythm: Pulmonary vein isolation versus pulmonary vein isolation plus electrogram guided ablation – Arch Cardiov Disease 2013, 106(10), 501-10.
2012 Haidari G, Gray K, Kirubakaran S "The importance of an ECG: Back to Basics." BMJ Case Rep 2012;vol 2012.
2012 S Kirubakaran, CA Rinaldi. Pacemaker lead extraction complicated by a 'free floating' infected mass in the right atrium with embolization to the lung. EHJ Cardiovasc Imaging Nov 27, 2012.
2012 S Kirubakaran, Z. Zuberi, J. Gill Acute myocardial infarction due to a coronary embolus during left atrial ablation for persistent atrial fibrillation –Europace 2012, Jul 9.
2012 Zia Zuberi, Paresh Mehta, Senthil Kirubakaran, C. Aldo Rinaldi :Sprint Fidelis defibrillator leads- should we keep the faith? – Int J Cardio 2012, Jun 26.
2012 Arujuna A, Willimas S, Whittaker J, Shetty A, Roy D; Bostock J, Kirubakaran S, O’Neill M, Gill J, Cooklin Mi, Patel N, Blauth C, Bucknall C, Hamid S, Rinaldi CA. Trends Indications and Outcomes of Cardiac Implantable Device System Extraction: A Single UK Centre Experience over the Last Decade. Int J Prac 2011. 2012 Feb; 66(2) 218-25.
2011 S Kirubakaran, AK Shetty, CA Rinaldi Inadvertent identification of the left pericardiophrenic vein following laser lead extraction to guide left ventricular lead placement – Europace. 2011 Nov 25
2011 S Kirubakaran, CA RInaldi. Phrenic Nerve stimulation with the Quadripolar left ventricular lead not overcome by ‘electronic repositioning’ – Europace. 2011 Nov 16
2011 S Kirubakaran MWH Behan AM Mozid T Sabharwal CA Rinaldi Percutaneous balloon venoplasty of pacemaker associated SVC obstruction to facilitate upgrade to a biventricular pacing system – Europace. 2011 Dec;13(12):1798-800. Epub 2011 Aug 15
2011 Kirubakaran S, Ladwiniec A, Arujuna A, Ginks M,McPhail M, Bostock J,Gerry Carr- White, Rinaldi CA: Male sex, COPD and permanent atrial fibrillation predict a poor clinical response in patients undergoing cardiac resynchronization therapy – Int J Clin Pract. 2011 Mar;65(3):281-8.
2011 Duckett SG, Ginks MR, Shetty A, Kirubakaran S, Bostock J, Kaptenakis S, Gill J, Carr- White GS, Razavi R, Rinaldi CA. Adverse response to Cardiac Resynchronisation Therapy in patients with septal scar on cardiac MRI preventing a septal right ventricular lead position. J Interv Card Electrophysiol. 2011 Nov 30.
2010 Kirubakaran S, Gill JS, Rinaldi CA: Successful catheter ablation of focal ventricular fibrillation in a patient with non-ischaemic dilated cardiomyopathy –Pacing Clin Electrophysiol. 2010 Apr 8.
2010 Hall MS, Kirubakaran S, Chowdhury R, Abidin N, Peters NS, Garratt CJ :Effects of angiotensin receptor blockade on atrial electrical remodeling and the "second factor" in a goat burst-paced model of atrial fibrillation – J Renin Angiotensin Aldosterone Syst. 2010 Dec;11(4):222-33.
2010 Rinaldi CA, Kirubakaran S, Bucknall CA, Bostock J, Gill JS. ‘Biventricular Pacing in patients with hypertrophic cardiomyopathy’ – Indian Pacing Electrophysiol. J. 2010;11(1):5- 14
2010 A Arujuna, S Kirubakaran, N Arujuna & C A Rinaldi : Atrial fibrillation – a primary care journey – Clinical Focus Primary Care – for practitioners with a special interest. Volume 4, Issue 1, Pages 1 - 44 (2010)Back to top
I am a keen racquets sports player, church organist and have a private pilots licence.Back to top
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28 February 2019
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