Dr Brian A Gould – About Me
I qualified from St Mary's Hospital University of London in 1973 and chose to begin my training at Queen Elizabeth II Hospital in Welwyn Garden City in order to develop wide experience. My interest in cardiology developed whilst working in the cardiothoracic department at the Brook Hospital in 1977.
In 1979 I started work as a research registrar at Northwick Park Hospital where I undertook clinical research into the viability and accuracy of recording patients' blood pressure at home. Up to this time it was very rare for patients to measure their blood pressure themselves. There were no mass produced portable monitors. These all followed in the years after I completed my research. This led me to write my MD thesis as well as publishing in excess of 35 research papers in leading medical journals including the British Medical Journal, The Lancet and Circulation. I also had the privilege to present my research at many prestigious international meetings around the world.
I was appointed as:-
Senior Registrar to the Plymouth/Bristol rotation in 1984. Moving out of London gave me a valuable insight into the art as well as the science of Medicine in a more rural community. Medical Clinics in cottage hospitals in Tavistock and Kingsbridge were like practising medicine in an earlier era. The patients and staff were absolutely delightful whilst the cut and thrust of work at Derriford rapidly brought me back to reality after a mornings sojourn in the country clinics.
I moved to the Bristol Royal Infirmary in 1988 where I continued to develop my cardiac skills and started to learn about a very new and exciting procedure i.e. Angioplasty, which had just started in the mid 1980's.
Consultant Cardiologist to Queen Mary’s Hospital in 1989. At that time there was no cardiology department. I built up an extensive cardiac department from scratch relying on generating income from non NHS sources as well as the Heartbeat Appeal which I conceived and ran in the early 1990’s.This allowed the department to be equipped with the state of the art monitoring and diagnostic equipment. In keeping with many other consultant cardiologists at that time I developed my angioplasty skills at the Brook and St Thomas’ hospitals.
As a consultant in a district general hospital I gained a wide experience of all aspects of cardiac care from heart attacks - angina, heart failure, heart valve problems, palpitations and hypertension, coronary angiography, coronary angioplasty and stenting.
I left the NHS following the re-organisation of the local hospitals and now work in Private Practice although I have also undertaken ad hoc NHS sessions of coronary angiography.
I was elected a Fellow of the Royal College of Physicians in April 1993.
My main Interests are:-
- The treatment of coronary artery disease, including the treatment of angina and heart attack which may require coronary angiography and coronary angioplasty
- Heart failure - where the work of the heart is inefficient due to problems with the heart muscle - myocardium
- Hypertension - a subject on I have published widely
- The diagnosis and investigation of valvular heart disease
- The diagnosis and treatment of palpitations
Society and associations memberships:-
- British Cardiac Society
- British Cardiac Interventional Society
- British Hypertension Society
- British Society for Heart Failure
- British Medical Association