Hypertrophic Cardiomyopathy Clinic

The Hypertrophic Cardiomyopathy (HCM) Clinic at The Alfred is the largest and most experienced multidisciplinary group in Melbourne. Our goal is to provide collaborative, cutting-edge bulk-billed care for patients diagnosed with HCM as well as those with undifferentiated left ventricular hypertrophy (LVH) awaiting a specific diagnosis. We also screen family members of affected patients with HCM.

Clinical service overview

We offer a multidisciplinary approach that includes specialised cardiologists, electrophysiologists, cardiac surgeons, geneticists, nurses and pharmacists. Our expert heart team manages all aspects of HCM care including

Lifestyle modification (driving and licensing advice, sport and exercise guidance)
Advanced cardiac imaging (cardiac MRI and echocardiography)
Genetic testing (bulk-billed with genetic counselling)
Pharmacotherapy (including the novel cardiac-specific myosin inhibitor mavacamten
Arrhythmia management and ablation procedures
Sudden cardiac death risk stratification and prevention with implantable cardiac defibrillators (ICD) including subcutaneous ICDs (S-ICD)
Septal reduction procedures (percutaneous alcohol septal ablation and surgical septal myectomy)
Cardiac transplantation
Clinical trials through research collaborations with Monash University and the Baker Heart and Diabetes Institute

Our comprehensive management strategies include the novel cardiac-specific myosin inhibitor mavacamten. Mavacamten titration requires intensive monitoring of left ventricular ejection fraction with echocardiography which we provide in-house using a targeted mavacamten protocol and dedicated scanning lists. During the titration phase we provide frequent clinical monitoring with our cardiologists as well as telephone reviews with our heart failure nurse practitioners and cardiac pharmacists.

Hypertrophic cardiomyopathy is a complex diagnosis which may be mimicked by a number of rare conditions. A secondary purpose of our clinic is to investigate complex patients with undifferentiated left ventricular hypertrophy (LVH) and to on-refer them to our in-house expert colleagues who manage other conditions such as cardiac amyloidosis, cardiac sarcoidosis, hypertensive heart disease, athlete’s heart and Fabry’s disease.

Our goal at Alfred Cardiology is to facilitate the best standard of care for patients with HCM. We aim to collaborate with referring practitioners in a shared-care model and encourage referrals and consultations.

Refer your patient

Fax or email referral to us

We accept referrals from GPs or other cardiology services (public or private).

Referral enquiries

(03) 9076 2025

Referral fax

(03) 9076 6938

Referral email

h.centre@alfred.org.au

Clinic times

Day	Campus	Time
Monday	The Alfred	Morning
Tuesday	The Alfred	Morning and Afternoon

Clinic consultants

Dr Andris Ellims: Cardiology
Dr Elizabeth Paratz: Cardiology
A/Prof Hitesh Patel: Cardiology (Pacing and Heart Failure)
Prof Silvana Marasco: Cardiothoracic Surgery & Transplantation

MBS-billed service

On the doctor’s behalf, Alfred Health can bulk bill the cost of the consultation for some services through Medicare. This means there is no out of pocket expense to the patient.

MBS-billed services require a current referral. Provide your patient with a 12 month referral to see the specialist of your choice at the requested clinic.

Referrals must be addressed to a named specialist or the Head of service, listed at the top of this page. Clinic consultants are listed on every clinic page.

Note that from time to time, your patient may be seen by another specialist in the clinic, in order to expedite their treatment.