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Dr Refai Showkathali

22+ Years Experience
MBBS, MRCP(UK), FRCP(Lon),CCT in Cardio(UK), FACC(USA), Fellowship in TAVI (Lon),FESC(Eur) | Cardiology
English | Hindi | Tamil | Malayalam
Overall Rating 4.39
Apollo Hospitals, Greams Road, Chennai
# Apollo Hospitals 21, Greams Lane, Off Greams Road Chennai 600 006 Ph:044-28290200/3333, , Chennai, TN, 600006
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Overview

Dr. Refai Showkathali is a distinguished Cardiologist with an impressive 24 years of experience in the field of cardiology. Currently practicing at Apollo Hospitals in Chennai, Tamil Nadu, Dr. Refai comes with a wealth of knowledge garnered through specialized training and fellowships from the United Kingdom. His expertise encompasses a broad range of advanced interventional procedures, including CHIP-PCI (for cardiogenic shock and mechanical circulatory support devices such as Impella, ECMO), Left main PCI, and a variety of complex coronary and structural interventions. Dr. Refai employs cutting-edge techniques such as Zero (Ultra low) contrast PCI, Bifurcation PCI, Calcium modification such as Rotablation, Orbital atherectomy, LASER and IVL therapy, Post bypass stenting, CTO, Drug coated Balloons, skillfully performed via radial access for patient comfort and safety.


With profound specialization in coronary imaging and physiology, including OCT, IVUS, and FFR, he is well-equipped to manage intricate cardiac cases. His competencies extend to TAVI, Mitraclip, TMVR, TRIC valve the implantation of devices like permanent pacemakers including leadless pacemaker, AICDs, CRT, conduction system pacing. Additionally, he has expertise in atrial and ventricular septal device closure, PFO, and Left Atrial Appendage closure. He holds the distinction of performing the first RDN (renal denervation) procedure with Simplicity Catheter in Tamilnadu.


Dr. Refai is also a staple of academic advancement, holding a professorship at the Apollo Hospitals Educational and Research Foundation and contributing significantly as an examiner for the MRCP PACES exam conducted by the Royal College of Physicians in London. His impactful research dimmed alongside multiple fellowships and serving on the editorial boards of various international cardiology journals. Recognized for his contributions, he was awarded the Academic Research Poster Award in 2011. Fluent in several languages, including English, Hindi, Tamil, Telugu, Malayalam, and Urdu, Dr. Refai Showkathali stands out as a compassionate and skillful cardiologist dedicated to enhancing cardiac health and improving patient outcomes.

Experience

•    Currently Working as Senior Consultant Interventional Cardiology at Apollo Hospitals Greams road Chennai.
•    SEPT 2013 - JUNE 2014: Interventional Cardiologist, The Essex Cardiothoracic Centre, Essex, UK.
•    OCT 2012 - SEPT 2013: Post CCT Senior TAVI/Structural Interventional Fellow, King’s College Hospital, London.
•    AUG 2007 - OCT 2012: Specialist Training (ST) rotation – Cardiology (Intervention) East of England Deanery.

Memberships

MEMBERSHIPS:

  • The Fellowship of The American College of Cardiology (FACC)
  • The Fellowship of The Royal College of Physicians (London)- FRCP
  • The Fellowship of European Society of Cardiology (FESC)
  • British Cardiovascular society (BCS)
  • British Cardiovascular Intervention Society (BCIS)
  • European Association of Percutaneous cardiovascular intervention (EAPCI)
  • American Heart Association (AHA)

Awards

  • 2012 Winner of Academic Poster of the year award- East of England Deanery
  • 2011 “Runner-up” research proposal of the year award- East of England Deanery
  • Successfully performed “World’s first “Renal denervation” procedure in ectopic kidneys (Left kidney in Right side) with Medtronic Simplicity Spyral RDN catheter on 30 April 2024.
  • Successfully performed TRIC Valve implantation for severe Tricuspid regurgitation for a 70 year old patient in Feb 2024, who already had 2 prosthetic heart valves.
  • Performed First “Renal denervation” procedure with Simplicity Spyral denervation Catheter in Tamilnadu and the oldest patient to undergo this procedure in India (73 yrs) in Sept 2023.
  • First time in India to perform “Micra” leadless pacemaker and “Orbital atherctomy” guided PCI for the same patient.
  • Performed India’s first Transradial (via wrist) rotablation with the new rotapro device for Left main stem PCI on 25th April 2022 in a 74 yr old male patient.
  • First to perform successful transradial rotablation PCI in a nanogenarian (93 yr old) in South India in 2018.
  • First to perform Intravascular Lithotripsy (IVL) in Left main artery with IABP support and complex DK crush technique angioplasty in India for a Live case demonstration.
  • First to perform Bi-radial Chronic total Occlusion (CTO) PCI technique of 100% blocked artery retrogradely in India.
    He also regularly presents his complex cardiac cases in international conferences and some of which have been selected as best cases in SCAI and EURO PCR.
     

Research and Publication

RESEARCH:

  1. Very early discharge of low-risk STEMI patients after successful primary percutaneous coronary intervention (PPCI)- VEDLOR STEMI study.
    CTRI Reg No- CTRI/2021/03/031913
  2. Correlation of Optical Coherence Tomography (OCT) with Intra-Vascular Ultrasound (IVUS) for left main coronary artery assessment in Indian population- a pilot study- 
    CTRI Reg No- CTRI/2021/03/031968
  3. Acute Haemodynamic changes after balloon aortic valvuloplasty (BAV) and transcatheter aortic valve implantation (TAVI). (King’s College Hospital, London)
  4. Co-investigator in the following TAVI related studies: (King’s College Hospital)
    > Sapien-3 (Edwards) study
    > PORTICO valve
  5. Co-investigator in the following coronary studies: 
    > ABSORB 3 study (bio-absorbable stent study)
    > DANCE study (primary PCI in NSTEMI)
    > PRESTIGE (stent thrombosis study)
    > LEADERS free study (Biolimus stent versus BMS with DAPT for 1 month)
    > ERIC STEMI trial
  6. Catheter location trial: A randomised controlled trial looking at Carto, Navx and    conventional X-ray for catheter location in ablation, St. Bartholomew’s Hospital, London.
    This is a prospective randomised trial comparing the utility of non fluoroscopic mapping         systems (Carto and Ensite NavX) with that of conventional mapping in patients referred for catheter ablation of a wide variety of arrhythmias. I was involved in collecting follow up data and analysing the data with colleagues at Barts. Published in EHJ.
  7. Clinical outcome of catheter ablation for atrial flutter in patients with severe pulmonary arterial hypertension. Hammersmith Hospital, London. Published in International Journal of Cardiology.
     

PUBLICATIONS :

  1. Cardiac Amyloidosis in South India: a teritary care centre experience
    Ashiti Jain, Abraham Oomman, I Sathyamoorthy, Prabhu Pandurangan, Robert Mao, Asha Mahilmaran, Refai Showkathali, Sri Lasya
    Heart Fail J India 2023;1:145-53
  2. Coronary thrombo-embolic events after COVID-19 vaccination- a single centre study
    Refai Showkathali, Radhapriya Yalamanchi,Lavanya Narra, Nandhini Vinayagamoorthy, Sengottuvelu Gunasekaran, Rajeshwari Nayak, Y Vijayachandra Reddy, Asha Mahilmaran, KN Srinivasan, Abraham Oomman, Dhamodharan Kaliyamoorthy
    Indian Heart J. 2021 (available online)- DOI: 10.1016/j.ihj.2022.01.002
  3. Thrombolysis in Acute Pulmonary Embolism: Are we overdoing it?
    Refai Showkathali, Radhapriya Yalamanchi, Balasubramanian Ramakrishnan, Abraham Oommann, Aruna Sivaprkash, Pramod Kumar. 
    Heart Views. 2021:22:115-20
  4. Cardiac Intensive care unit admissions during COVID-19 Pandemic- Single centre Experience
    Radhapriya Yalamanchi, Bipin Chandra Dasari, Lavanya Narra, Abraham Oomman, Proamod Kumar, Rajeshwari Nayak, Refai Showkathali.
    Indian J Crit Care Med. 2020;24(11): 1103-05
  5. Thrombolysis in high-risk patients with left-sided obstructive Prosthetic Valve Thrombosis
    Refai Showkathali, Radhapriya Yalamanchi, Abraham Oomman, Abhinaya K
    Kardiologia Polska. 2020;78 (11): 1166-68
  6. Acute Coronary Syndrome admissions and Outcome during COVID-19 pandemic- Report from a Large tertiary centre in India.
    Refai Showkathali, Radhapriya Yalamanchi, M P Sankeerthana, Selva Nandha Kumaran, Suvetha Shree, Rajeshwari Nayak, Abraham Oomman, Asha Mahilmaran.
    Indian Heart J. 2020 (available online) DOI: 10.1016/j.ihj.2020.09.005
  7. Early discharge of patients (within 24 h) after percutaneous coronary intervention is feasible and safe in Indian setup.
    Refai Showkathali, Radhapriya Yalamanchi, Abraham Oomman
    Indian Heart J. 2020; 72(2):126-7
  8. Incidental findings during TAVI work-up: More than just an inconvenience.
    Refai Showkathali, Arup Sen, Rafal Dwarakowski, Beth Brickham, Olaf Wendler, Philip MacCarthy. King’s College Hospital, London.
    Eurointervention 2015;11:465-9
  9. Multi-disciplinary clinic: Next step in “Heart team” approach for TAVI.
    Refai Showkathali, Raj Chelliah, Beth Brickham, Rafal Dworakowski, Emma Alcock, Ranjit Deshpande, Olaf Wendler, Philip MacCarthy, Jonathan Byrne.
    Int J Cardiol. 2014;174(2):453-5
  10. Should primary percutaneous coronary intervention be the routine reperfusion strategy in octogenarians presenting with ST elevation myocardial infarction?
    Refai Showkathali, Edney Boston-Griffiths, Michael Parker, John R Davies, Gerald J Clesham, Jeremy W Sayer, Paul A Kelly, Rajesh K Aggarwal. The Essex CTC, UK
    J Cardiovasc Med. 2014; 15(1):53-9
  11. Typical Takotsubo Cardiomyopathy in ST elevation myocardial infarction patients admitted for primary percutaneous coronary intervention.- Original article
    Refai Showkathali, Hetalkumar Patel, Anil Ramoutar, Alamgir M Kabir, Jeremy W Sayer, Gerald J Clesham, Rajesh K Aggarwal, Paul A Kelly.
    Eur J Intern Med. 2013 Oct 3. doi:pii: S0953-6205(13)00942-4. 10.1016/j.ejim.2013.09.004.
  12. Comparison of Bivalirudin with Heparin versus Abciximab with Heparin for primary percutaneous coronary intervention in "real-world" practice. 
    Refai Showkathali, John R Davies, Michael Parker, Wasing Taggu, Kare H Tang, Gerald J Clesham, Reto A Gamma, Jeremy W Sayer, Rajesh K Aggarwal, Paul A Kelly. 
    Cardiovasc Revasc Med. 2013 14(5):289-93
  13. The advantages of a consultant led primary percutaneous coronary intervention service on patient outcome.
    Refai Showkathali, John R Davies, Jeremy W Sayer, Paul A Kelly, Rajesh K Aggarwal, Gerald J Clesham. The Essex Cardiothoracic centre, UK
    QJM- An international journal of Med. 2013;106 (11): 989-94.
  14. Contemporary Left main PCI: State-of-the-art Review
    Refai Showkathali, Radhapriya Yalamanchi
    Interv Cardiol 2023;18:e20. DOI: https://doi.org/10.15420/icr.2023.02
  15. Takotsubo Cardiomyopathy: a short review.
    Shahbaz Roshanzamir, Refai Showkathali.
    Curr Cardiol Rev. 2013;9 (3): 191-6
  16. Rosuvastatin calcium in acute coronary syndromes.
    Rajesh Aggarwal, Refai Showkathali.
    Expert Opin Pharmacother. 2013 Jun;14(9):1215-27
  17. Antiplatelet and Antithrombin Strategies in Acute Coronary Syndrome: State-Of-The-Art Review.
    Refai Showkathali, Arun Natarajan. 
    Curr Cardiol Rev. 2012;8: 239-49
  18. Isolated giant Right Coronary aneurysm associated with Immunoglobulin-4 related disease (IgG4-RD)
    Refai Showkathali Radhapriya Yalamanchi, Aishwarya Mahesh Kumar, Vijayshankar CS
    Canadian Journal of Cardiology 2024;40: 447-9.
  19. Contemporary approach to ST elevation myocardial infarction in very young.
    R. P. Yalamanchi, Refai Showkathali, AM Kumar, Palani Kannan
    Bulgarian Cardiology 2023;29(3):48-51. DOI: 10.3897/bgcardio.29.e107056
  20. Dilated Cardiomyopathy, multiple left ventricular thrombi, and embolic stroke after mild COVID-19.
    Radhapriya Yalamanchi, Madhan Kumar Murugan, Krishnaswamy Chandrasekharan, Refai Showkathali
    Tex Heart Inst J. 2022;49(e):207488. DOI- 10.14503/THIJ-20-7488
  21. Unanticipated complication of Transcatheter Correction of superior Sinus Venosus Atrial Septal Defect.
    Radhapriya Yalamanchi, Muthukumaran C Sivaprakasam, Raja Vijendra Reddy Janke, Krishnaswamy Chandrasekharan, Vijay Shankar Sadhasivam, Refai Showkathali.
    Journal of Cardiology Cases. 2022;25(2):99-102.
  22. Radial Access in CHIP: a case series
    Refai Showkathali, Yalamanchi R.
    Interv. Cardiol. 2021;13(1): 257-259
  23. The use of embolic deflector device in TAVI.
    Refai Showkathali, Dworakowski R, Byrne J, MacCarthy P.
    IHJ Cardiovascular case reports.
    https://doi.org/10.1016/j.ihjccr.2016.11.001
  24. Valve in valve implantation to prevent acute prosthetic valve migration during TAVI
    Showkathali R, Dworakowski R, MacCarthy P. 
    Indian Heart J. 2015;67(6): 598-9
  25. Catastrophic Ruptured Takotsubo Cardiomyopathy
    Refai Showkathali, Rafal Dworakowski, Phil MacCarthy. King’s College Hospital, London
    J Cardiovasc Med. 2015;16(9):644-5
  26. Rotablation in A Patient with Cardiogenic Shock And Acute ST Elevation Myocardial Infarction
    Refai Showkathali, Jeremy W Sayer. 
    Int J Angiol 2013; 22(03): 203-206
  27. Transradial Rotablation in a Patient with Dextrocardia and Acute ST-Elevation Myocardial Infarction.
    Refai Showkathali, John Davies. 
    Interventional Medicine & Applied Science. 2012 4(4): 221-223
  28. Left ventricular outflow tract obstruction in Tako-tsubo cardiomyopathy.
    Refai Showkathali, Rohan Jagathesan. 
    Postgrad Med J. 2012 May;88:359-360
  29. Chest Pain with ST segment elevation in a patient with prosthetic aortic valve infective endocarditis.
    Vishal Luther, Refai Showkathali, Reto Gamma.
    Journal of Medical Case reports. 2011 Aug 24;5(1):408
  30. Severe coronary artery spasm and subsequent coronary subclavian steal syndrome.
    Jun Y Cheong, Refai Showkathali, William Partridge, Chauhan A, Sayer J.
    Princess Alexandra Hospital, Harlow
    J Cardiovasc Med. 2011; 12(10):768-71

Special Interests

  • TAVI/ TMVR/ TRIC valve/ ASD/PFO/LAA
  • COMPLEX CORONARY ANGIOPLASTY (LASER, ROTA, IVL, Orbital, LMS, CTO, BIFURCATION)
  • PACEMAKER, CSP, AICD, Leadless Pacemaker (MICRA), CRT
  • RDN for hypertension
  • Specialises in Advanced Interventional Cardiology (advanced coronaryand advanced structural) and has immense experience in managing all forms of heart disorders (coronary artery disease including heart attack, valvular heart disease, heart failure including cardiomyopathies and rhythm disorder). He performs all forms of Percutaneous Coronary Intervention (PCI)- coronary angioplasty with stents– including primary PCI for ST elevation MI (acute heart attack- unblocking the closed artery), chronic total occlusion (CTO) angioplasty with latest techniques, rotablation (drilling technique) , bifurcation stenting, Left main stem (LMS) stenting (main branch), \Drug eluting balloon (DEB), Intravascular ultrasound (IVUS), Optical coherence tomography (OCT), pressure wire studies (FFR- fractional flow reserve, proximal and distal protection devices, vein graft stenting both via radial and femoral approach. Presently the default strategy is radial access including complex interventions.
     

List of Treatments

  • Rheumatic Heart Disease Treatment
  • Preoperative Treatment

List of Conditions Treated

  • Barth Syndrome
  • Preventive Care Of Heart Lung Diseases
  • Andersen Tawil Syndrome
  • Screening For Coronary Artery Disease
  • Screening For Valvulae Heart Disease
  • Cardiovascular Disease Prevention
  • Dilated cardiomyopathy
  • Irregular Heartbeat
  • Orthostatic Hypotension
  • Patent foramen ovale
  • Acute Aortic Dissection
  • Acute Pericarditis
  • Plication Of The Inferior Vena Cava
  • Read More
  • Palpitations
  • Heart Transplantation
  • Restrictive Cardiomyopathy
  • Primary Angiitis
  • Primary Pulmonary Hypertension
  • Ambulatory Blood Pressure Monitoring
  • Pain In Left Part Of Chest
  • Blocked Blood Vessels
  • Blood Pressure Changes
  • Double Outlet Right Ventricle
  • Double Inlet Left Ventricle
  • Congenital Birth Defects In The Heart Correct
  • Chest Pain During Exercise
  • Cardiac Rehabilitation
  • Cardiovascular Emergencies
  • Cardiac Tamponade
  • Cardiac Arrhythmias

Client Reviews

Frequently Asked Questions

Why do patients choose Dr. Refai Showkathali?

Patients seek Dr. Refai Showkathali's expertise for procedures including Implantable Cardioverter-Defibrillators (ICDs), cardiac catheterization, and Atrial Septal Defect/Ventricular Septal Defect (ASD/VSD) device closure. He is a leading cardiologist specializing in these advanced cardiac interventions.

What do patients say about Dr. Refai Showkathali?

Dr. Refai Showkathali's experience is reflected in 23 recommendations and 18 patient testimonials. These detailed patient reviews provide valuable insights into his practice.

What are Dr. Refai Showkathali's medical qualifications?

Dr. Refai Showkathali holds an MBBS, MRCP (UK), and CCT in Cardiology.

What is Dr. Refai Showkathali's medical specialty?

Dr. Refai Showkathali specializes in Cardiology and Interventional Cardiology.

How many years of experience does Dr. Refai Showkathali have?

Dr. Refai Showkathali possesses 25 years of experience in cardiology. His extensive career spans various medical facilities.

Who is Dr. Refai Showkathali?

Dr. Refai Showkathali is a highly qualified cardiologist with extensive training in the UK and India. His experience encompasses leading tertiary cardiac centers in London, including St. Bartholomew's Hospital, Imperial College Hospital, St George's Hospital, The Essex Cardiothoracic Surgeon Centre, and King's College Hospital. Following 14 years of specialist training in advanced interventional cardiology in the UK, he returned to India and currently practices at Apollo Main Hospital, Greams Road, Chennai. He holds prestigious fellowships from the Royal College of Physicians, London (FRCP), American College of Cardiology (FACC), and European Society of Cardiology (FESC). He serves as an Examiner for the MRCP PACES exam and holds a Professorship at the Apollo Hospital Educational and Research Foundation. His expertise includes Angioplasty, Transradial Rotablation, CTO Angioplasty, LMCA, Bifurcation angioplasty, OCT, Transcatheter valvular interventions, Pacemaker and ICD implantations, CRT implantation, ASD closures, and TAVI. Dr. Showkathali has published over 50 peer-reviewed articles in international journals and is a frequent invited faculty member at national and international cardiology conferences.

What does a Heart Specialist do?

Cardiologists, or heart specialists, diagnose and treat cardiovascular diseases. Their expertise includes assessing heart health and interpreting diagnostic tools such as electrocardiograms.

When should I consult a cardiologist?

Consult a cardiologist if your doctor recommends it due to symptoms such as shortness of breath, dizziness, chest pain, irregular heartbeat, or high blood pressure. Heart health is crucial; timely cardiology consultation is vital for effective diagnosis and treatment.

What to expect during my first appointment with a cardiologist?

Your initial consultation with a cardiologist will involve a comprehensive review of your medical history and risk factors for cardiovascular disease. Essential assessments such as blood pressure, heart rate, and electrocardiogram will be conducted. A thorough cardiovascular examination will also be performed.

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