Pramesh Kovoor is a cardiologist based in Westmead, NSW, working from Cnr Hawkesbury Road And Darcy Road. He looks after people with heart and blood flow problems, from ongoing conditions to urgent problems that need quick action.
Heart rhythm issues are a big part of his day-to-day work. This can include atrial fibrillation, PSVT, AVNRT, ventricular tachycardia, and ventricular fibrillation. At times, people come in feeling shaky, light-headed, short of breath, or like their heart is racing or skipping beats. Other times it is found after an ECG or a scan done for something else.
When a rhythm problem keeps coming back, Dr Kovoor can discuss treatment options that may include cardiac ablation. He also helps manage conditions where the heart rate or rhythm needs careful control, and he supports people through follow-up after procedures.
He also treats a range of issues related to blocked or narrowed heart arteries. That includes coronary heart disease, acute coronary syndrome, and heart attacks. People might be referred after symptoms like chest pain, pressure, or discomfort, especially if tests show the heart is under stress.
For coronary artery disease, treatment may involve procedures such as percutaneous coronary intervention (PCI), and in some cases discussion around heart bypass surgery (CABG). Depending on what is going on, he may also look at related problems like coronary artery spasm and rare events such as spontaneous coronary artery dissection (SCAD).
Blood pressure problems can be just as important. He works with people dealing with high blood pressure, low blood pressure, and issues like orthostatic hypotension (where blood pressure drops when standing). In many cases, the aim is to find a plan that keeps symptoms under control while keeping the heart and circulation stable.
Dr Kovoor’s work can also include cardiomyopathy and congenital coronary artery malformation. And because the heart and brain link up through blood vessels, he may be involved when patients have had a stroke or need heart-focused care as part of overall risk management. The details of care are always worked out for each person, based on their results and how they are feeling.