Professor James Spratt

Professor James Spratt | Private Consultant Cardiologist & Interventional Cardiologist London

Professor James Spratt is a leading private consultant cardiologist and interventional cardiologist in London, specialising in the diagnosis and treatment of coronary artery disease, angina, chest pain, heart attack recovery and complex coronary artery blockages. He consults privately at London Heart Group and is also a Consultant Cardiologist at St George's University Hospitals NHS Foundation Trust.

Internationally recognised for his expertise in complex coronary intervention, Professor Spratt has spent more than two decades helping patients with both routine and highly complex heart conditions. He combines exceptional technical expertise with a compassionate, patient-focused approach, ensuring every patient receives a personalised treatment plan tailored to their individual needs and goals.

Whether you are seeking reassurance following new symptoms, a second opinion, or advanced treatment for coronary artery disease, Professor Spratt offers access to some of the most advanced diagnostic techniques and coronary interventions available in modern cardiology.

Professor Spratt specialises in…

Education, Training and Experience

Professor Spratt graduated from the University of St Andrews and the University of Manchester before completing specialist cardiology training in the United Kingdom and an advanced fellowship in interventional cardiology at the University Hospital of Geneva.

He holds the qualifications MB ChB, MRCP, MD, FRCP, FESC and FACC, reflecting his extensive training and international recognition within cardiovascular medicine.

Over the course of his career, Professor Spratt has become one of Europe's leading experts in complex coronary intervention. He is regularly invited to lecture, teach and perform live case demonstrations for cardiologists across Europe, North America and internationally, sharing advanced techniques that improve outcomes for patients with complex coronary artery disease.

Throughout his career, he has helped develop and introduce innovative cardiac services including:

  • Coronary CT angiography

  • Advanced coronary imaging

  • Radial artery (wrist) access coronary procedures

  • Chronic Total Occlusion (CTO) intervention

  • Coronary calcium modification techniques

  • Treatment of advanced coronary artery disease

Driving Innovation in Interventional Cardiology

Alongside his clinical practice, Professor Spratt is the Founder of Optima Education, an internationally recognised medical education platform dedicated to advancing cardiovascular care through education, innovation and collaboration.

Through Optima Education, he works with leading cardiologists from around the world to develop and share the latest techniques in complex coronary intervention, coronary imaging and advanced cardiovascular technologies. The platform provides expert-led education, live case demonstrations and practical training, helping clinicians adopt new evidence-based treatments and technologies that improve patient care.

His commitment to education reflects his belief that continual learning and innovation are essential to delivering the highest standards of cardiovascular care. By remaining actively involved in training specialists worldwide, Professor Spratt ensures his patients benefit from the latest advances in interventional cardiology.

Areas of Expertise

Professor Spratt specialises in diagnosing and treating a wide range of coronary and structural heart conditions, including:

His specialist procedures include:

  • Complex coronary angioplasty (PCI)

  • Chronic Total Occlusion (CTO) intervention

  • Coronary physiology assessment

  • Intravascular ultrasound (IVUS)

  • Optical coherence tomography (OCT)

  • Coronary CT angiography

  • Calcium modification techniques for heavily calcified arteries

  • Radial (wrist) access coronary procedures

  • Left ventricular support during high-risk coronary intervention

  • Alcohol septal ablation for hypertrophic obstructive cardiomyopathy

Why Choose Professor Spratt?

Professor Spratt is recognised as one of Europe's leading specialists in Chronic Total Occlusion (CTO) intervention, having performed thousands of coronary procedures and trained cardiologists in more than 100 hospitals worldwide.

Patients choose Professor Spratt for his combination of internationally recognised expertise, pioneering procedural experience and personalised approach to care. Whether you require investigation for chest pain, treatment for angina, a second opinion following previous cardiac investigations, or advanced coronary intervention, he offers access to the latest evidence-based treatments and technologies in modern interventional cardiology.

His philosophy is simple: every patient deserves clear communication, expert clinical judgement and a treatment plan tailored to their individual circumstances, helping them make informed decisions with confidence.

 Book an appointment with Professor Spratt

HCA London Bridge & Virtual Clinics

Wednesdays 9-5pm

News