Trained in Cardiology in Newcastle, London and Southampton equipping me for the rigors of running a diagnostic noninvasive department, carrying out pacemaker insertions, supporting the coronary care unit and expanding the service single handed at Epsom for 18 years. At the same time carried out training and clinical duties first at St George's hospital and then at St Thomas hospital and St.Peter's hospital Practice mainly based round the noninvasive management of patients with new-onset palpitations, angina, hypertension and the treatment and prevention of the symptoms of patients with heart failure and preserved ejection fraction as well as those with reduced ejection fraction.