Dr.

Muhammad Muzaffar Mahmood

M.B.B.S, MRCP (UK) MRCP (Cardiology),
CCT Cardiology (Interventional Cardiology) &
General Internal Medicine

Consultant interventional cardiologist,

Lincoln county hospital,
Lincoln. UK
PERSONAL DETAILS

Name Muhammad Muzaffar Mahmood

Address 37, Sidelingtails
Yarm. United Kingdom.
TS15 9HT
Contact No. 00447709442922
Contact No. (Pak) 00923059307645
E-mail muzafar.mahmood@gmail.com

REGISTRATION

General Medical Council Full Registration No.6032621

PMDC 37467-P

QUALIFICATION

Certificate of completion of
training (CCT) Cardiology & 1st March 2017 JRCPTB
GIM. Sub-specialization in
Interventional cardiology

Specialty Certificate Diabetes & July 2011 Royal College of

Endocrinology Physicians (RCP) London

M.R.C.P (UK) December 2006 RCP London

M.B.B.S July 2001 Quaid-e-Azam Medical

(1995-2000) college. Bahawalpur,
Pakistan.
Registration/certification exams
British society of Echocardiography Transthoracic Echocardiography
accreditation Passed written/video exam on 27th April 2012

Currently working towards level 2 certification in cardiac CT, aiming to complete

the certification process in June 2018.

CLINICAL EXPERIENCE
Current appointment;
Consultant Cardiologist May 2017-to date
Lincoln county hospital, Lincoln, UK.
I am currently working as a consultant interventional cardiologist, looking after the
general cardiology patients in both in-patient and out-patient settings. I perform
percutaneous coronary intervention (PCI), on average 3 sessions a week, both in
elective and acute settings. I cover on call for primary PCI for STEMI patients. A
typical week has twice-weekly general cardiology clinic, 3 sessions in the cardiac
catheterization laboratory, 3 ward rounds and rest of sessions to allow the other
administrative duties.

Previous appointments;
Consultant Cardiologist Mar 2017-May 2017
Tameside general hospital, Ashton-Under-Lyne, Manchester & Dumfries
and Galloway NHS trust, Dumfries.
I worked as a locum consultant cardiologist. I looked after patients admitted from an
unselected general medical take with various cardiology conditions, in particular acute
coronary syndrome, heart failure and cardiac arrhythmias. I had regular twice-weekly
general cardiology outpatient clinic and also supervision of echocardiograms, rapid
access chest pain clinic and exercise tolerance tests. I participated in the department’s
educational and administrative activities.
Specialty Trainee 3- 7 (NTN) Aug 2011-Feb 2017
Northern deanery, UK
As a specialty trainee (national training number) in cardiology and general internal
medicine, I worked in various hospitals in north of England. The initial training
delivered in local district general hospitals (University hospital of north tees and
Sunderland royal hospital) provided extensive experience in general internal medicine
and general cardiology, with special emphasis on learning clinical cardiology (both
acute and outpatient), coronary angiogram, transthoracic echocardiogram as well as
various procedural skills. This was followed by 3 years of training in regional tertiary
centres (The James Cook University Hospital and The Freeman Hospital- an
internationally recognised centre of excellence providing cardiac transplant facilities)
focused primarily on cardiology. I achieved the level 3 (independent performance)
competencies in coronary angiogram and transthoracic echocardiogram as well as
excelling in clinical cardiology and learning various procedural skills. I sub-specialised
in interventional cardiology while working here, spending 2 and a half years focused
on mastering percutaneous coronary intervention and its adjunctive treatments, as
detailed below (in the procedural competencies). The training provided opportunities
to learn clinical cardiology in coronary care and intensive care settings as well as
exposure to cardiac transplant services, left ventricular assist devices and cardio-
oncology (at Freeman Hospital, regional cancer centre). The main focus of training and
experience however, was percutaneous interventional management of coronary artery
disease. I performed thousands of coronary angiograms and percutaneous coronary
interventions (PCI), both via radial and femoral route. A consistently high level of
performance was demonstrated with successful achievement of certificate of
completion of specialist training.

Specialty trainee 3 (LAT) Feb 2011-Aug 2011

Frenchay hospital, Bristol, Severn deanery UK
Cardiology and general internal medicine

Trust registrar Nov 2010-Feb 2011

Weston general hospital, Weston-Super-Mare
General cardiology and general internal Medicine

Specialty trainee 3-5 (NTN) Aug 2007-Jul 2010

Severn deanery, UK
Endocrinology/Diabetes and general internal Medicine
I underwent training in diabetes and endocrinology at Severn deanery for 3 years with
subsequent completion of specialty certificate in diabetes and endocrinology, by royal
college of physicians, UK. I learnt management of diabetes (including type 1 and type
2 as well as insulin pump) and various endocrine conditions with particular emphasis
on thyroid, parathyroid, adrenal and pituitary disorders. I have kept myself abreast of
new advances in the management of diabetes and I am keen to continue to work for
better management of patients with diabetes.

Medical registrar Aug 2005-Aug 2007

Prince Charles hospital, Merthyr Tydfil
General Medicine-Rotational

Senior House officer/House officer Feb 2003-Aug 2005

Tameside general Hospital, Ashton-U-Lyne, Lancashire
General Medicine -Rotational

Clinical and procedural skills

 Clinical skills. With initial formal general medical and diabetes/endocrinology
training and more recently extensive training in general and interventional
cardiology, I have a uniquely strong clinical base. I have managed patients with
general medical and cardiology conditions in both acute (including running the
CCU/ITU, managing patients with cardiogenic shock and advanced heart failure
etc) and non-acute/outpatient settings. During my last 2 years of placement at
Freeman Hospital, Newcastle (a tertiary center with largest regional oncology
service) I have also managed cardio-oncology patients.
  Percutaneous coronary intervention. I am proficient in percutaneous
coronary intervention (PCI), having performed a high number of procedures
independently in various clinical settings (both stable angina and acute coronary
syndrome). This includes complex coronary intervention in high risk situations
of vein graft interventions, unprotected left main stem disease, bifurcation
coronary stenosis and heavily calcified lesions. I am competent in using
intravascular ultrasound (IVUS), OCT and rotational atherectomy (Rotablation)
and also had experience of using ELCA Laser in various coronary interventions.

 Other procedures. I am competent in insertion and management of central

venous lines, temporary pacing wires (TPW), pleural and pericardial drains and
intra-aortic balloon pump (IABP).

Recent project
 I have recently studied the use of rotational atherectomy in patients with ST-
elevation myocardial infarction (STEMI). Mahmood MM, Qureshi A, de
Belder M, Wright RA et al. This was a retrospective observational study of use
of rotational atherectomy in a single-centre over last 10 years, in patients
presenting with STEMI, an off-label indication for the use of rotational
atherectomy. Presented at a moderated poster session at BCS annual
conference 2017.
PUBLICATIONS
Published:
 Severe aortic stenosis and coronary artery disease; management in the
TAVI era. A review. M Mahmood. DF Muir. EBAC continuing cardiology
education. March 2017.

 Pacing induced recurrent ventricular fibrillation following cardiac

surgery. Mahmood MM, Thompson A, Carter JM, Akowuah E. Eur J
Cardiothorac Surg. 2017 Jan 12. Pii: ezw366. Doi: 10.1093/ejcts/ezw366.

 IVUS and OCT guided PPCI for spontaneous coronary artery dissection
with bioresorbable vascular scaffolds. Mahmood MM. Austin DA.
Cardiovasc Revasc Med. 2016 Sep 18. Pii: S1553-8389(16)30247-0. Doi:
10.1016/j.carrev.2016.09.005.

 Spontaneous coronary artery dissection in a patient on methylphenidate

for attention deficit hyperactivity disorder. Mahmood MM. Wright RA. Int
J Cardiol. 2016 Nov 1;222:830-1. Doi: 10.1016/j.ijcard.2016.07.295.

 Chest pain in a patient with left bundle branch block. Jackson M, Mahmood
MM. JAMA Intern Med. 2016 Aug 1;176(8):1211-2. Doi:
10.1001/jamainternmed.2016.3225. PMID: 27399322.

 “Thrombus aspiration during primary percutaneous coronary

intervention for acute myocardial infarction; A review of clinical evidence
and guidelines”. Mahmood MM, Watt J, Ahmed J. World Journal of
Cardiology. Dec 2015. World J Cardiol. 2015 Dec 26;7(12):889-94. Doi:
10.4330/wjc.v7.i12.889. Review. PMID: 26730294
 Unusual echocardiographic appearance of left ventricular thrombi in a
patient with dilated cardiomyopathy. Mahmood MM, Mahmood S. BMJ
Case Rep. 2014 Oct 17;2014. Pii: bcr2014204416. Doi: 10.1136/bcr-2014-
204416. PMID: 25326557

 The 7-year teesside experience of primary prevention ICD indications

following primary PCI (PPCI) and the potential impact of a change in
NICE guidance. Phan TT, Khan S, Mahmood MM, Mani S, Wadehra V, de
Belder M, Thornley A, James S, Linker NJ, Turley AJ. Open Heart. 2015 Apr
24;2(1):e000153. Doi: 10.1136/openhrt-2014-000153. eCollection
2015. PMID: 25932332

 A left atrial mass in a patient with atrial fibrillation and previous renal
cancer. Mahmood MM, Wynn NN, Sanderson S, Junejo S. BMJ Case Rep.
2013 Jul 31;2013. Pii: bcr2013009883. Doi: 10.1136/bcr-2013-009883. PMID:
23904420.

 Hypokalaemia: common but not always benign. Severe, persistent

hypokalaemia secondary to ectopic ACTH from a carcinoid tumour.
Mahmood MM, John K. BMJ Case Rep. 2012 Nov 14;2012. Pii: bcr-2012-
007193. Doi: 10.1136/bcr-2012-007193. PMID: 23152181

 Haematological emergencies on the acute medical take. Myers Senior K,

Mahmood MM, Alfitori G. Acute Med. 2007;6(3):103-7. PMID: 21611583

 Educational modules & clinical reviews

 Transradial PCI, impact on operator radiation and patient’s risk of AKI.

Mahmood MM. BCS editorial. 22nd August 2017

 CRT in the management of heart failure. A clinical review and educational

module for British Journal of Cardiology. Dr M Mahmood, Dr T Phan, Dr A
Turley. Published September 2014. http://bjcardio.co.uk/2014/09/heart-failure-
module-4-other-management-including-device-therapy-2/

 Revascularization for unprotected left main coronary artery disease- an

update from recent trials. Mahmood MM. BCS editorial.
https://www.bcs.com/pages/news_full.asp?NewsID=19792549.

 The ECG in patients with chest pain: diagnostic picture tests. Mahmood
MM, Swanson N (Update). http://learning.bmj.com/learning/module-
intro/.html?moduleId=6053275.

PRESENTATIONS (national and international)

 Use of ELCA Laser for under expanded stent. Mahmood MM, Aye T,
Ahmed JM. Oral presentation at EuroPCR 2017 at Paris.
 Use of rotational atherectomy in patients with ST-elevation myocardial
infarction (STEMI). Mahmood MM, Qureshi A, de Belder M, Wright RA et
al. Presented at a moderated poster session at British cardiac society conference
2017 at Manchester UK.
 IVUS and OCT guided PPCI for spontaneous coronary artery dissection
with bioresorbable vascular scaffolds. Mahmood MM, Austin D. Oral
presentation at EuroPCR 2016 at Paris.
 Temporary trans-venous cardiac pacing in a UK DGH;Indications and
outcome. Dr M Mahmood, Dr V Sagi, Dr G Alfitori. Poster presentation at
 European Federation of Internal medicine congress 2009. Abstract published
in European Journal of Internal medicine.
 Should automated Estimated GFR/Creatinine clearance be used in all
patients before starting medications Dr S Kadir, Dr M Mahmood, Dr I U Din.
Oral Presentation at 7th Congress of the European Federation of Internal
Medicine at Rome, Italy in May 2008. Abstract published in European Journal
of internal medicine.
 Use of Glitazones at a District General Hospital Dr S Rajeev, Dr M
Mahmood, Dr P Baglioni. Poster Presentation and abstract publication at British
Endocrine Society meeting in March 2008.
 Hyperkalaemia; Aetiology and Treatment in a District General Hospital;
Dr S Rajeev, Dr M Mahmood, Dr J Geen,Dr P Baglioni. Poster Presentation and
abstract publication at British Endocrine Society meeting at Birmingham in
March 2007.
 Relative polycythemia and thrombo-embolism; recognition and
management. Dr M Mahmood, Dr G Alfitori, Dr K Myers. Poster presentation
at 2009 European federation of Internal medicine congress at Istanbul. Abstract
published in European Journal of Internal medicine.
 Recurrence of hyperthyroidism 12 years after radio-iodine induced
hypothyroidism; A case report. Dr M Mahmood, Dr T Ulahannan. Poster
presnettion and abstract publication at British endocrinology society (BES)
annual conference 2009.
 Transient secondary hypoadrenalism after a single intra-articular steroid
injection; A case report. Dr M Mahmood, Dr G Alfitori, Dr S Malik. Poster
presentation and abstract publication at British Endocrine society annual
meeting 2009 at Harrogate.
 A DGH Diabetes clinic; past and present; progress and challenges. Poster
presentation at Diabetes UK annual meeting 2009 and abstract publish in
Diabetic medicine 24 (Supplement 1) 85.
 Hypokalaemia in a District general hospital. Dr H Chandraskehar, Dr V Sagi,
Dr G Alfitori, Dr M Mahmood. Poster presentation at 2009 European federation
of Internal Medicine meeting 2009 at Istanbul. Abstract published in European
Journal of Internal Medicine 20s(2009) S176.
CLINICAL AUDITS/STUDIES

I have completed a number of clinical audits to help improve the local services and
patient care, some of which are following;
 Management of heart failure at James Cook University Hospital. Comparison
of practice against ESC/NICE and local heart failure guidelines.
 Use of risk scores in patients with acute coronary syndrome at Sunderland
royal hospital. Comparison of practice against ESC guidelines.
 Use of implantable loop recorders for investigations in patients with
syncope. A study performed to assess local practice in utilizing investigations
in patients with syncope, highlighting overuse of external cardiac monitors and
underuse of ILR, in line with ESC guidelines.
 Audit on which Audit cycle was completed. Use of Glitazones at Prince
Charles Hospital; a comparison against NICE Guidelines on the use of
glitazones. Original Audit was poster presented at British Endocrine society
2007 annual meeting. Re-Audit was later performed to confirm the
improvements in practice by implementing the recommendations.

COURSES

Course Provider Date

BCS Annual conference BCS June 2017
CTO 14 Glenfield hospital, October 2017
Leicester
Heart Live Millbrook medical Nov 2017
Updates in medicine RCP London November 2016
BCS Annual conference BCS June 2016
EuroPCR EuroPCR May 2016
BCIS Advanced BCIS January 2016
cardiovascular
intervention
Updates In Medicine RCP London November 2015
BCIS advanced trainees BCIS November 2015
course
Acute medicine RCP London March 2015
conference
BCS annual conference BCS June 2014
BCIS Basic trainees BCIS October 2014
course
Practical IVUS and Wythenshaw cardiology June 2015
OCT
Foundation Midlands Echo 15th July 2011-
Echocardiography 17th July 2011
ACLS Resuscitation council UK 10th February 2011
Teaching in clinical Bristol University 21st March 2011
scenarios
Temporary transvenous iMedica 05th March 2011
cardiac pacing
Evidence based practice; United Bristol NHS Trust 26th February 2008
Appraising the evidence
European computer British computer society 23th July 2007
driving license
Acute Medicine Hammersmith hospital 16th April 2005
London
2nd Hammersmith Imperial college 14th December 2007
multidisciplinary healthcare NHS Trust
Endocrine symposium
Endocrinology clinical Society of endocrinology 08th October 2008
update
Practical NIV Wolverhampton medical 17th September 2003
Institute
GMC Induction course GMC November 2002
for overseas doctors

TEACHING & CASE PRESENTATIONS

 Contributing as British cardiac society sub editor 2016/2017.
 Updated BMJ module on ECG in chest pain; diagnostic picture test. June
2016
 I worked as Associate Tutor for Royal College of Physicians London at
Tameside general hospital, Ashton-under-lyne. We also established a PACES
teaching program.
 I delivered small group tutorials to Bristol University students under
guidance of Professor P Bingley in 2007/2008. Feedback identified my score
at 3.9/5.0 against an average of 3.7/5.0.
 I was the organizing registrar for PACES Exam (2009/ Diet 3) held in
Weston general hospital. My contribution was greatly appreciated by RCP
London.
 I attended a Bristol University module “Teaching in clinical scenarios” at
Frenchay hospital Bristol in March 2011.
 I attended Diabetes Education program in 2007 arranged by local Diabetes
education group, aimed at patients and non-medical staff teaching and
education.
 Regular teaching of junior medical/ non-medical staff in different
placements. And regular case and grand-round presentations.
Referees
Dr Kelvin Lee
Consultant Interventional cardiologist
Lincoln County Hospital,
Lincoln
E mail; Kelvin.lee@ulh.nhs.uk
Tel 01522 512512 (secretary via switchboard)

Dr Mohaned Egred
Consultant Interventional cardiologist
Freeman Hospital
Newcastle
E mail; mohaned.egred@nuth.nhs.uk
Tel 0191 223 1455

Dr Douglas Muir
Consultant Interventional cardiologist
The James Cook University Hospital,
Middlesbrough
E mail; douglas.muir@stees.nhs.uk
Tel 01642 854422

Dr Robert A Wright
Consultant Interventional cardiologist
The James Cook University Hospital,
Middlesbrough
E mail; Robert.wright@stees.nhs.uk
Tel 01642 850850 (secretary via switchboard)