The Practice:

     Our methodology is straightforward: find (diagnose) the cardiac problem (if there is one), define its severity and then determine with you what treatment options are  best for YOU.  We will do our best to explain what the problem is, how it affects your heart and your overall health and the rationale of the treatment options.  The heart is a couple of pumps, 4 valves, a few pipes and an electrical timing system.  Most non-medically trained people can understand their cardiac problems reasonably well, which makes them more engaged in their treatment and prevention efforts. It does require time and good communication skills to translate medical jargon and physiology into real-world language and concepts.  Our personalized, low volume practice helps provide  the time needed.


Like all physicians, we emphasize prevention.  Many of our patients already have cardiac disease and their prevention strategies are targeted at slowing or reversing disease progression.  We will work closely with your primary physician to help you minimize risk factors for development or progression of cardiovascular disease, such as: hypertension, diabetes, hypercholesterolemia, smoking, sedentary life style, psychological stressors, etc. 


As a non-invasive cardiology practice we work frequently with invasive and interventional cardiologists, cardiovascular surgeons and cardiac electrophysiologists.  These physicians do life-saving procedures that also have some inherent risks; we will recommend to you and your primary physician appropriate specialists who perform these procedures that we believe are best suited to treat you and your cardiac problem.  As in all areas of medicine, assessment of the risk to benefit ratio of a diagnostic or therapeutic procedure, coupled with the patient's personal concerns, overall health status and philosophical viewpoint are important factors in making decisions.


Areas of interest in our practice include:


Coronary artery disease -- primary and secondary prevention, diagnosis, long term medical managment.

Congestive heart failure -- determine cause, optimize treatment, improve cardiac function if possible.

Valvular heart disease --diagnosis, medical management, timing of valve surgery if needed, long term followup.

Arrhythmias -- determine the type of arrhythmia, treat any underlying causes, control or eliminate the arrhythmia. 

Stroke prevention --particularly those due to atrial fibrillation.