For Referrers: Specialist Support

Dr Primero Ng is an interventional cardiologist with a subspecialty interest in chronic total occlusion (CTO) PCI, complex and high-risk coronary intervention, and imaging- and physiology-guided coronary care. He also provides general cardiology and cardiac CT review, and accepts referrals for atrial fibrillation. This service offers crucial support for GPs and cardiologists managing patients with persistent symptoms, complex anatomy, or limited treatment options, with coordinated patient care.

Seamless Referral Process

How to Refer

  • Call 1800 574 819 or (08) 9468 5578
  • Fax referral to (08) 9468 5516
  • Healthlink: ecardios
  • Email referral to admin@ecardiology.net.au

What to Include (if available)

  • Referral letter
  • Relevant correspondence
  • Recent blood test results
  • Cardiac imaging reports

Note: Referrals are still accepted even if investigations are pending.

Locations

Private consulting rooms:

Mount Medical Centre

Suite 41, 146 Mounts Bay Road, Perth WA 6000

Mandurah

57 Murdoch Drive, Greenfields WA 6210

Private appointment: Bethesda Mount Hospital, Hollywood Private Hospital and St John of God Murdoch Hospital.
Public appointment: Interventional Cardiologist, Royal Perth Hospital; Co-Lead, Complex Coronary Therapeutics Program, Royal Perth Hospital.

When to Refer: Key Indications

Referrals are appropriate for patients experiencing a range of complex cardiac conditions. Second opinions are always welcomed to support appropriate diagnostic and treatment pathways.

Persistent Symptoms

Angina or functional limitation despite optimal medical therapy.

Chronic Total Occlusions

With symptoms or demonstrable ischaemia, requiring advanced intervention.

Complex Coronary Disease

Including multi-vessel or heavily calcified coronary conditions.

Recurrent Stent Issues

Cases of in-stent restenosis or in-stent chronic total occlusion.

Post-Bypass Angina

Angina following coronary artery bypass graft surgery, especially with complex native vessel disease.

High Surgical Risk

Patients deemed high surgical risk or those who have been turned down for surgery.

Diagnostic Uncertainty

Where specialist assessment may help clarify symptoms and next steps.

Second Opinions

Review of prior angiograms and reports when other options have been exhausted.

Dr Ng's Subspecialty Expertise

Dr Ng's practice covers a broad spectrum of complex interventional cardiology, focused on patient-centred outcomes.

Cardiac CT Referral and Review

Direct GP referral is available for CT coronary angiography with specialist review and management advice.

Integrated CT and Angiographic Assessment

CT coronary angiography complements invasive angiography to help improve procedural efficiency.

Imaging and Physiology Guided Intervention

Utilising coronary physiology and intravascular imaging for precise procedural guidance.

Calcified Coronary Disease

Specialised management of heavily calcified lesions.

Complex & Chronic Total Occlusion PCI

Advanced percutaneous coronary intervention for difficult cases.

Heart Team Approach

Complex cases are discussed within a multidisciplinary Heart Team to ensure balanced, evidence-based treatment decisions.

What Referrers Can Expect

Dr Ng is committed to clear communication and a collaborative approach, ensuring seamless care for your patients.

Timely Triage

Efficient assessment of all incoming referrals.

Clear Documentation

Comprehensive records of assessment and decision-making.

Transparent Discussion

Open dialogue about risks, benefits, and alternative options.

Prompt Correspondence

Timely feedback following consultations and procedures.

Shared-Care Approach

Ongoing patient management returned to the referring doctor.

"The goal is the right treatment for the right patient, whether that involves timely intervention, optimisation of medical therapy, or reassurance."

For GPs: what helps us help your patient

  • Refer for: chronic total occlusion, in-stent restenosis or stent under-expansion, heavily calcified disease, left main or multivessel disease, angina despite optimal therapy, or patients declined for CABG.
  • Second opinions: send the angiogram disc or a PACS link and prior reports with the referral.
  • Include: the question to answer, symptom burden, current anti-anginal and antithrombotic therapy (with DAPT start date), anticoagulant and dose, eGFR, Hb, HbA1c, lipids, ECG, echo/LVEF, CTCA/stress/angiogram reports, prior CABG note, contrast allergy and interpreter needs.
  • Antiplatelets: every letter will state the antiplatelet plan and stop dates; please do not stop antiplatelet therapy early without discussion.
  • Secure messaging (Healthlink) is preferred over unencrypted email for clinical information.

eCardiology bookings

Book a consultation

Appointments are booked through eCardiology. A GP or specialist referral is needed for Medicare rebates.

(08) 9468 5578 Freecall 1800 574 819 · Fax (08) 9468 5516