Doctor Teresa Castiello is a passionate clinician with multi-faceted experience gained over nearly 25 years of work between Italy, the United Kingdom, and developing countries. As a clinician, her goal is prevention, early diagnosis, and excellent management of cardiovascular disease — promoting a holistic approach where the person comes before the disease, with careful attention to the psychological and social environment.

Her areas of expertise are heart failure (inherited and acquired cardiomyopathies) and Cardiac Magnetic Resonance imaging, built on a strong general medicine background including general cardiology, cardiac rehabilitation and exercise prescription. Dr Castiello works within a multidisciplinary team, providing an excellent standard of care throughout the entire patient journey.

Training & career

She undertook a Medical Degree cum laude in 2001 at La Sapienza University of Rome, Italy, followed by a specialisation in Cardiology at Università Campus Bio-Medico, Rome, in 2009. After a long humanitarian mission in Africa, she earned a consultant post at San Raffaele in Rome before relocating to London. She is now an NHS Consultant Cardiologist and Director of M.I.A.L. Healthcare, having led the heart failure and cardiomyopathy services at Croydon University Hospital for over 8 years. Her imaging subspecialty, Cardiac MRI, is internationally certified with CMR Level 3 accreditation by the ESC and SCMR.

Professional roles

  • Executive Board Member of the European Nucleus of Cardiomyopathy of the European Society of Cardiology (ESC), Communication Coordinator
  • Representative of the Genomic Council of the ESC
  • Inflammatory Cardiomyopathy Committee Member of the Heart Failure Association (HFA) of the ESC
  • Former member of the Patient Care and Digital Health Committee and the Advanced Heart Failure and Palliative Care Task Force of the HFA
  • Heart Failure Educational Lead for Cardiology Trainees, Royal Society of Medicine
  • Immediate past President of the Royal Society of Medicine (Cardiology Section) — the first female cardiologist to hold the role
  • Fellow of the Royal College of Physicians and Fellow of the Heart Failure Association

Dr Castiello is the founder and CEO of M.I.A.L. (Medici Italiani a Londra), a healthcare social business venture and the first Italian-speaking hospital-based service in London. She is also a Medical Science Communicator and Health Advocate, dedicated to patient and peer education through television, radio and other media, and a passionate advocate for women in medicine.

Can be consulted for

  • Heart failure
  • Inherited or acquired cardiomyopathy (hypertrophic, dilated, arrhythmogenic cardiomyopathy, amyloidosis, sarcoidosis)
  • Cardiac MRI
  • Long COVID
  • Second opinion / interpretation of diagnostic tests in a clinical context
  • Cardiac rehabilitation post-cardiac surgery, exercise prescription and nutrition advice
  • Hypertension
  • Cardiovascular prevention and health checks
  • Family screening
  • Myocarditis and pericarditis
  • Syncope and arrhythmia
  • Sports screening
  • General cardiology, including valvular and ischaemic heart disease

Diagnostic tests

  • Cardio-HART™ (AI-enabled ECG)
  • ECG, Echocardiogram, ECG Holter, BP Holter
  • Exercise stress test
  • Cardiac MRI