About Us
At Weill Cornell Medicine, our physicians provide expert cardiac care with an individualized, comprehensive and multidisciplinary approach. We treat the full range of heart disease, from congestive heart failure to congenital heart disease.
NewYork-Presbyterian is the only hospital in the nation with statistically better mortality rates in all six of the Centers for Medicare and Medicaid Services (CMS) 30-day mortality measures: heart failure, pneumonia, COPD, heart attack, stroke, and coronary artery bypass graft. Ranked as one of the top three cardiac programs in the country — partnering with NewYork-Presbyterian, the #10 best hospital in the nation and #1 in New York, according to U.S. News and World Report — we use the latest scientific breakthroughs to provide comprehensive care for one of the most prevalent diseases nationwide. According to the federal government, more than 1 in 3 adults, or 81.1 million people, live with one or more types of cardiovascular disease.
Our providers treat cardiac disorders and conditions through several specialized programs that address arrhythmias, peripheral arterial disease, congestive heart failure, heart attack, pulmonary hypertension, adult congenital heart diseases, coronary artery disease, valvular heart disease and Marfan syndrome and related disorders.
Each cardiology doctor and heart transplant doctor takes a personalized approach to care, taking time to learn about patients’ needs and encouraging them to ask questions during their visit. Providers also work with a team of caring nurse practitioners, registered nurses, clinical technicians and patient coordinators. At the end of the day, our physicians work to make each visit as comfortable as possible.
To learn more about our cardiac experts, familiarize yourself with some of the conditions and illnesses we treat, or find a cardiologist at our institution in New York visit the links below:
Our Services
Adult Congenital Heart Disease
Adult Congenital Heart Disease Expertise at Weill Cornell Medicine
Congenital heart disease is the most common form of birth defect. Thanks to modern-day advances in medical and surgical care, most children born with serious congenital heart defects survive long into adulthood.
In the US, there are now more adults with congenital heart disease than children. This is evidence of phenomenal medical successes, but also means that many adults with congenital heart disease require lifelong care to live a long and healthy life.
Personalized Care for Life
The Weill Cornell Center for Adult Congenital Heart Disease provides individualized care for adult patients with congenital heart disease. Our specialized care maximizes the cardiac health and social well-being of our patients.
We offer patients:
● Consultative services, including outpatient and inpatient
● The most advanced imaging technology for diagnosis (3D-echocardiography, intracardiac echo, cardiac MRI, and cardiac CT)
● Cutting-edge minimally invasive surgical options
● Comprehensive cardiac and medical management
● Therapeutic interventional cardiac catheterization and electrophysiology therapeutics
● Partnership with surgical specialists with expertise in congenital heart disease and perioperative management
● High-risk obstetrics and gynecology consultative services
● Transition clinic for young adults with congenital heart disease (in partnership with Cornell Pediatrics Cardiology)
Conditions and Treatments
We treat all conditions and disease related to Adult Congenital Heart Disease, including:
● Anomalous pulmonary venous connections
● Anomalous coronary artery disease
● Aortic valve disease
● Atrial septal defect (ASD)
● Coarctation of the aorta
● Complex congenital heart disease
● Coronary anomalies
● Dextrocardia
● Ebstein’s anomaly
● Patent ductus arteriosus (PDA)
● Patent foramen ovale (PFO)
● Pulmonary hypertension associated with congenital heart disease (Eisenmenger syndrome)
● Pulmonary regurgitation
● Pulmonary stenosis
● Single ventricle
● Tetralogy of Fallot
● Transposition of the great arteries (TGA)
● Tricuspid atresia
● Truncus arteriosus
● Ventricular septal defect (VSD)
Treatments available at Weill Cornell Medicine
Our cardiac interventional team offers expertise in performing minimally invasive and hybrid interventions in congenital heart disease including:
Minimally invasive procedures: We offer percutaneous (a procedure performed with a needle, not “open” surgery requiring an incision) closure of:
● Atrial septal defects
● Patent ductus arteriosus
● Patent foramen ovale
● Vascular and coronary fistulas
● Ventricular septal defects
Valvular therapies: We offer balloon valvuloplasty and transcatheter valve replacement.
Angioplasty and stenting:
● Aortic coarctation
● Pulmonary arteries
● Pulmonary veins
Complex procedures: For more complex congenital heart disease, we offer baffle stenting and collateral closure.
Arrhythmia Service (Electrophysiology)
Arrhythmia is an irregular or improper beating of the heart. Our team specializes in diagnosing and treating this condition using the most advanced equipment and techniques. With early detection and diagnosis, arrhythmias can be successfully treated. The goal of treatment is to relieve uncomfortable symptoms and prevent severe complications.
Since the Cardiac Electrophysiology Laboratory at Weill Cornell Medical Center first opened its doors in 1987, it has grown into one of the busiest and most experienced laboratories in the country. Our electrophysiologists have been recognized nationally as leaders in the field through engagement in important research.
Electrophysiology Expertise at Weill Cornell Medicine
Electrophysiology (EP) studies are used to diagnose arrhythmias. During this procedure, catheters (wires) are placed in the heart with X-ray guidance. The heart rhythm is then carefully studied and, if necessary, treated with ablation. Learn more about EP procedure.
Your cardiologist will discuss the diagnosis procedure and all treatments available with you to determine the best option for you.
If you are at risk for arrhythmias (for example, if you have advanced heart disease or coronary artery disease), you may benefit from implantation of electronic devices (implantable cardioverter-defibrillator, cardiac resynchronization devices and pacemakers) into the body to improve the function of the heart and protect against sudden cardiac problems (including death).
The Arrhythmia Service provides:
- Diagnostic cardiac electrophysiology studies
- Catheter ablation of arrhythmias (including atrial fibrillation, ventricular tachycardia, premature ventricular contractions and supraventricular tachycardia)
- Pacemaker implantation
- Implantable cardioverter-defibrillator implantation (ICD)
- Cardiac resynchronization therapy (bi-ventricular pacing)
- Pacemaker and ICD lead removal
- Insertable loop recorder (ILR) implantation
- Electrical cardioversion
- Tilt table testing
- Left atrial appendage occlusion and ligation (for stroke prevention in atrial fibrillation patients)
- Pacemaker and ICD follow-up clinic
- Office consultation for evaluation and management of arrhythmias
- Access to research protocols for innovative treatment of heart rhythm disorders
Information for New Patients
To help you and your physician prepare for your visit, please provide the following before scheduling your appointment:
- Copies of cardiac-related medical records such as EKGs, Holter or event monitor reports, echocardiograms, stress test, catheterization reports, any MRI or CT scan reports and imaging discs, and any previously performed electrophysiologic procedures. You may also sign this Medical Records Release Form.pdf,and our office will request the records directly.
- Completed New Patient Questionnaire.pdf
CT & MRI
Advances in imaging technology are leading to incredible developments in the diagnosis of cardiac artery disease without anesthesia and in a non-invasive way. Here at Weill Cornell Medicine, our physicians use state-of-the-art CT and MRI technology.
Cardiac CT
Cardiac CT technology directly images coronary arteries and identifies arterial blockages that would otherwise only be diagnosed using invasive testing. In addition, cardiac CT imaging is being used to assess patients' future risk of developing cardiovascular disease.
Cardiac CT scans use x-rays and a computer to create high quality images of the heart, its vessels, and other structures in the chest. This safe, painless test is useful for examining the anatomy of the coronary arteries, cardiac chambers, and blood vessels in the chest. The images produced by the CT scan can be used to detect blockages in the coronary arteries, blood clots in the heart's chambers, aortic aneurysms, and cardiac tumors.
Cardiac CT scans can also be used to examine the heart and its vessels for calcium deposits, called calcium scoring. Because calcium deposits occur at sites of atherosclerosis, their presence and their size are indicative of the risk of cardiovascular disease: the more extensive the deposit, the greater the risk.
Cardiac magnetic resonance imaging (MRI)
Cardiac magnetic resonance imaging (MRI) is a diagnostic procedure that uses a combination of a large magnet, radio frequencies, and a computer to produce detailed still and moving images of the heart. This non-invasive, safe method scans the body to produce information on the anatomy of the heart and its vessels, as well as moving images of the heart as it is beating. This enables the physician to detect abnormalities in the heart's chambers, irregularities in the flow of blood through the heart, and abnormalities of the cardiovascular system, including cardiac tumors, disease of cardiac valves, cardiac hypertrophy (enlarged heart), and others.
At Weill Cornell Medicine, we offer state-of-the-art cardiac MRI imaging that can reveal areas of heart tissue that have been damaged by myocardial infarction (heart attack) and regions that are not receiving an adequate blood supply.
Request an Appointment
To schedule an appointment please call : 646-962-3000
Please have your referring physician complete the appropriate order form:
Cardiac Catheterization
Cardiac catheterization is a minimally invasive procedure used to detect the presence of heart disease. A catheter is inserted into the groin or wrist and advanced to the heart. Dye is injected to identify any blockages in the heart. (This procedure is called an “angiogram.”) If a blockage is detected, it can be opened through a procedure called “angioplasty” or “stent implantation.”
Cardiac Catheterization Expertise at Weill Cornell Medicine
The Cardiac Catheterization Laboratory of New York Presbyterian Hospital-Weill Cornell Medical Center is at the cutting edge of interventional cardiology.
Our highly trained interventional cardiologists specialize in catheter-based methods to treat coronary artery disease, peripheral vascular disease, valvular heart disease, and structural heart disease. These highly efficient techniques prevent the need for open-heart surgery, consequently reducing the risks associated with more invasive procedures.
Read our Guide to Cardiac Catheterization, Angioplasty, and Stent Implantation.
Interventional Cardiology Services
Our team of renowned interventional cardiologists offers treatments and procedures for:
● Obstructive coronary artery disease: balloon angioplasty, stent placement, rotational atherectomy, directional atherectomy, mechanical thrombectomy, and embolic protection
● Intravascular Ultrasound and FFR
● Stenotic valve disease: transcatheter aortic valve replacement (TAVR), balloon valvuloplasty
● Mitral valve disease: minimally invasive mitral valve repair and mitral valve replacement
● Hypertrophic cardiomyopathy: alcohol septal ablation
● Peripheral artery disease, including obstructive carotid artery disease: balloon angioplasty, stent placement, and atherectomy
● Atrial septal defect and patent foramen ovale: non-surgical closure
Information for Referring Physicians
To schedule Catheterization Lab Procedures:
Phone: (212) 746-4644
Fax: (212) 746-8295
If you are a referring physician and wish to schedule your patient for a Cardiac Catheterization Admission, please complete the CATH Lab Intake Form and fax to (212) 746-8295.
You may also contact our Intake office directly by calling (212) 746-4644 and speak to one of our intake staff for more information or assistance.
Request an Appointment
To make an appointment to see one of our physicians with expertise in cardiac catheterization, you may:
- Contact our physician offices directly by calling: (646) 962-5500
- If you already are an established patient: You can request an appointment online, using Weill Cornell Connect. We will make every effort to contact you within 24 hours.
Our staff is here to help coordinate your care. They will provide you with information on our physicians, their areas of expertise and help arrange for your visit and other testing when appropriate.
Cardiac Imaging and Testing
For any heart condition, an expert diagnosis is crucial for determining the best treatment plan.
Our highly trained cardiologists use specialized equipment to take images of our patient’s hearts. These images are then analyzed to better understand—and treat—the condition.
As one of the nation’s largest clinical and research institutions, NewYork-Presbyterian Hospital/Weill Cornell Medical Center has access to the most advanced diagnostic equipment, often years before other hospitals.
Cardiac Imaging at Weill Cornell Medicine
Our cardiac imaging testing is:
● Non-invasive
● Offered for adult patients
● Conducted in state-of-the-art, accredited facilities designed for patient comfort
● Performed by highly skilled technicians, nurses, and our distinguished cardiologists
● Designed to deliver the highest possible accuracy
Become a Patient
Often, imaging studies and cardiac testing will require a referral from your physician and, in some cases, pre-authorization from your insurance company. Our patient coordinators are skilled in this process and will assist you every step of the way.
Become a Patient
To schedule an appointment, please call the pertinent number:
● Echocardiography: (646) 962-4733
● Vascular Imaging: (646) 962-4733
● Nuclear Cardiology: (646) 962-3139
● CT and MRI: (646) 962-3000
● Electrocardiography: (212) 746-4670
Echocardiography
Our state-of-the-art echocardiography laboratory, accredited under strict IAC standards, is located in beautiful, patient-friendly facilities. We offer the newest technology for a full spectrum of imaging, Doppler, transesophageal, exercise, and dobutamine stress echocardiograms and contrast echocardiograms, with new programs in peripheral arterial imaging and three-dimensional echocardiography.
Echo guidance for mitral valvuloplasty and selected electrophysiological procedures, including use of intracardiac ultrasound, is provided as needed. Online, two-way videocables connect the cardiothoracic operating rooms and the echocardiography review room.
The laboratory has particular expertise in a number of areas including:
•The Marfan syndrome
•Valvular heart disease
•Cardiac disease in pregnancy
•Cardiac disease in stroke
•Cardiac disease in diabetes
•Adult congenital heart disease
All studies undergo meticulous assessment of the size and function of the heart and aorta, following standards established by our world-class research and contributions to international guidelines. Our detailed reports provide referring physicians and their patients with a comprehensive assessment of cardiac chamber size and remodeling; valvular and adult congenital heart disease; and systolic and diastolic function.
Our echocardiography laboratory is one of the busiest in the nation performing over 20,000 studies a year, which include over 1,000 transesophageal echocardiograms and over 500 stress echocardiograms. Our faculty members are leading experts in the field and have been involved in numerous clinical research studies. They also teach a structured curriculum for our cardiology fellows, including a series of didactic lectures and intensive "hands-on" training in the performance and interpretation of echocardiograms.
What is the purpose or benefit of an echocardiogram?
An echocardiogram is a safe, non-invasive diagnostic test that uses high-frequency sound waves (not detectable by the human ear) to produce images of the heart and its vessels. An echocardiogram, a type of ultrasound test, allows doctors to take pictures of your heart and see its chambers as they move and pump blood.
This test is used to assess both the structure and the function of your heart. It can be used to detect many types of heart disease and can also track the effectiveness of various medications and treatments.
Types of echocardiograms:
Transthoracic echocardiogram (TTE)
This is the most common type. Views of the heart are obtained by moving the transducer to different locations on your chest or abdominal wall.
3-Dimensional echocardiograms
This state-of-the-art test employs ultrasound in combination with sophisticated electronics to provide a 3-dimensional view of the heart. This enhanced image is useful in assessing the size of cardiac chambers and the movement of walls within the heart
2-Dimensional echocardiograms
By providing information on the size, shape and movement of the heart, this type of echocardiogram can identify problems with the heart’s valves and the pumping ability of its chambers. For example, persons with congestive heart failure have thickened ventricular walls and/or weakened heart contractions
Stress echocardiogram
During this test, an echocardiogram is done both before and after your heart is stressed either by having you exercise or by injecting a medicine that makes your heart beat harder and faster. A stress echocardiogram is usually done to find out if you might have decreased blood flow to your heart (coronary artery disease, or CAD).
Doppler echocardiogram
This test is used to look at how blood flows through the heart chambers, heart valves, and blood vessels. The movement of the blood reflects sound waves to a transducer. The ultrasound computer then measures the direction and speed of the blood flowing through your heart and blood vessels. Doppler measurements may be displayed in black and white or in color.
Transesophageal echocardiogram (TEE)
For this test, the probe is passed down the esophagus instead of being moved over the outside of the chest wall. TEE shows clearer pictures of your heart, because the probe is located closer to the heart and because the lungs and bones of the chest wall do not block the sound waves produced by the probe. A sedative and an anesthetic applied to the throat are used to make you comfortable during this test.
Dobutamine stress echocardiograms
This type of echocardiogram is designed for patients for whom an exercise stress test is not an option. In this test, a resting echocardiogram is performed. Then, dobutamine--a drug that causes the heart rate to increase — is introduced into the circulation, followed by a second echocardiogram. The results of these two tests are then compared to determine whether any areas of the heart are not pumping normally.
Tissue Doppler Echocardiogram
This echocardiogram is used to define the contraction pattern of the heart, with special attention to the timing of contraction in different heart walls. This technology is useful in identifying patients who would benefit from cardiac resynchronization therapy (biventricular pacing).
Request an Appointment
To schedule an appointment please call: 646-962-4733
Please have your referring physician complete the Cardiac Echocardiography Lab Order Form.pdf
Electrocardiography
Weill Cornell's state-of-the-art Coleman Center for Electrocardiography is located in our newly renovated and easy to find facilities. We perform and provide professional interpretation of a range of inpatient and outpatient electrocardiographic procedures, including routine 12-lead electrocardiograms (ECGs), ambulatory and event monitor recordings, exercise ECGs, signal-averaged ECGs, and transtelephonic pacemaker monitoring.
Our Electrocardiography laboratory is one of the busiest in the nation performing over 110,000 ECG interpretations a year, including over 100,000 12-lead ECGs, over 1,000 exercise stress tests, more than 1,000 ambulatory monitors and over 4,000 transtelephonic pacemaker evaluations.
Our team is led by academic cardiologists with over 30 years of clinical and research experience in electrocardiography and includes Cardiology fellows-in-training and highly-experienced technicians. We provide a uniquely high-level of clinical service to New York Presbyterian Hospital-Weill Cornell and the surrounding community as well as a rich training environment for our Cardiology fellows.
What is this for?
Considered the first diagnostic tools for evaluation of anatomic changes and arrhythmias, these noninvasive tests use an electrocardiogram (ECG) to assess the electrical activity produced by the heart. In addition to the resting 12-lead ECG, the electrical activity of the heart can be examined over 24 hours, by using portable ambulatory recorders. Event recorders can be used over even longer time periods to detect infrequent rhythm irregularities. The ECG can also be examined during exercise testing..
Types of electrocardiographic procedures:
An electrocardiogram (ECG) is a diagnostic test that is used to detect abnormalities in the heart's rhythm, as well as to provide important information about damage to the electrical system of the heart, heart attacks, structural abnormalities in the heart's walls, and more. Weill Cornell provides the full range of advanced electrocardiography services, including:
- Resting ECG. This test monitors the heart's activity at rest. It provides information about the heart rhythm, acute and prior heart attacks, and abnormalities of the structure and electrical system of the heart.
- Stress Test (Exercise ECG). This test monitors the heart's activity under conditions of physical exercise. It is used for the evaluation of exercise capacity, for the detection of coronary disease and the assessment of its severity, for prediction of cardiovascular risk, and for monitoring the response to treatment.
- Signal-averaged ECG. This procedure is performed in the same manner as a resting ECG, except that the heart's electrical activity is recorded over a longer period of time, usually 15 to 20 minutes. A computer processes the information so that slight abnormalities that would not be seen in a standard ECG might be detected. Signal-averaged ECG assesses a patient's risk of developing an arrhythmia.
- Holter (Ambulatory) Monitoring. The Holter monitor is a portable electrocardiograph machine that allows readings to be made over a 24-hour period, while the individual is performing the usual activities of daily living at home or at work. This test is useful for detection of intermittent rhythm abnormalities of the heart, to quantify certain abnormalities and to relate patient symptoms to possible rhythm abnormalities.
- Event/loop Recording. Portable event/loop recorders can monitor heart activity for weeks to months, while the device is worn by the individual at home. A permanent record is kept only when the patient activates the recorder during periods when symptoms are felt. This test supplements the 24-hour Holter monitor and is particularly useful for detection of less frequent symptoms.
Request an Appointment
To schedule an appointment please call : 212-746-4670
Having a Stress Test done a NewYork-Presbyterian Hospital/Weill Cornell Medical Center? Download the patient guide.
General Cardiology
Our team of expert general cardiologists at the Maurice R. and Corinne P. Greenberg Division of Cardiology provides outstanding care for the entire spectrum of patients, from those who are at immediate risk to those with multiple, complex, chronic conditions.
We are comprised of nationally-recognized leaders and experts in diagnosing, treating, managing, and preventing heart disease and associated conditions.
Our team works together with our colleagues both within cardiology and throughout Weill Cornell Medicine to provide the most comprehensive, effective, and multidisciplinary care for our patients.
We treat many forms of heart disease, including:
● Angina (chest pain)
● Arrhythmias (abnormal heart rhythms)
● Cardiomyopathies
● Coronary artery disease
● Heart attacks
● Heart failure
● High blood pressure
● High cholesterol
● Valvular heart disease
Personalized Care for Heart Disease
We assess every patient as an individual. Our team—along with the entire Division of Cardiology—is committed to preventing cardiovascular problems and treating advanced conditions thoroughly and compassionately.
Working together with our colleagues in the Interventional and Electrophysiology labs, we can seamlessly coordinate care when procedures are needed—ensuring you receive the most effective and advanced therapies available.
Heart Failure Service
Heart Failure Expertise at Weill Cornell Medicine
Heart Failure, also known as congestive heart failure, occurs when the heart can't pump enough blood to meet the body’s demands. Affecting more than 5 million Americans, heart failure is often a long-term (chronic) condition but may also develop suddenly.
Heart failure is a serious condition that requires expert care. The specialists at the Weill Cornell Medicine Perkin Center for Heart Failure provide patients with comprehensive, effective treatments.
Heart Failure Risks
The most common risk factors for heart failure are:
- Diabetes
- Hypertension
- Coronary artery disease
- Valvular disease
Other less common causes of “systolic heart failure” include cardiac noncompaction, some forms of cancer treatment, systemic illnesses which may affect the heart including connective tissue and inflammatory diseases (sarcoid, lupus, rheumatoid arthritis, scleroderma spectrum of disease), or fatty infiltration of the heart (ARVD).
In younger patients, heart failure is often caused by myocarditis—an inflammatory response commonly brought about by a viral illness.
In elderly patients, heart failure with preserved ejection fraction (HFpEF) is increasingly recognized as the most common form of heart failure.
Heart Failure Symptoms
With heart failure, the heart becomes unable to respond normally to increased demand from activity. The heart is not able to maintain healthy blood pressure and volume levels. This often causes parts of the heart to become enlarged or for the heart to retain fluid.
Patients with heart failure may experience:
- Shortness of breath
- Swelling
- Difficulty exercising
- General fatigue
- Arrhythmia (irregular heartbeat)
- Difficulty performing normal activities, such as dressing or bathing, without assistance
- Sleep-disordered breathing patterns
Types of Heart Failure We Treat
Heart failure is complex and can lead to many different types of heart problems. Other cardiac disorders may have similar symptoms as heart failure, including hypertrophic cardiomyopathy. Therefore, it is important for patients to visit an experienced cardiologist who specializes in heart failure.
At Weill Cornell Medicine, we treat:
- Left-sided heart failure including heart failure with reduced ejection fraction (HRrEF), often called “systolic failure” and heart failure with preserved ejection fraction (HFpEF), often called “diastolic failure” or “diastolic dysfunction”
- Right-sided heart failure
- Congestive heart failure
How We Treat Heart Failure
At the Weill Cornell Medicine Perkin Center for Heart Failure, our team of world-class cardiologists uses the most advanced diagnostic tools, imaging technology, and therapies to treat and manage heart failure. We work hard to diagnose and treat heart failure as early as possible, as well as provide long-term care that gives our patients the best possible outcomes.
Our team offers a wide variety of treatments, based on each patient’s specific needs. We may treat heart failure with:
- Medications
- Minimally invasive (catheter-based) and other cardiac surgery techniques
- Mechanical circulatory support devices
- Heart transplant
Our team of cardiologists, nurse practitioners, dieticians, physical therapists, and social workers work collaboratively to provide comprehensive care and maximize our patient’s quality of life.
Request an Appointment
To make an appointment to see one of our physicians with expertise in Heart Failure, you may:
- Contact our physician offices directly by calling 646-962-5555.
- Established patients can request an appointment online, using Weill Cornell Connect located to the left/right on this page. We will make every effort to call you within 24 hours.
Our staff is here to help coordinate your care. To facilitate a comprehensive review of your history, you and/or your referring physician will be asked to fax all relevant medical records to 212-746-6665 prior to scheduling an appointment with one of our physicians.
Heart Failure with Preserved Ejection Fraction (HFpEF) Program
The Heart Failure with Preserved Ejection Fraction (HFpEF) Program at New York Presbyterian/Weill Cornell Medical Center is the first and only subspecialty program in New York dedicated to this unique subtype of heart failure. Patients with HFpEF, also known as diastolic heart failure, develop heart failure symptoms like fatigue and shortness of breath despite normal (or preserved) heart pump function. There is often uncertainty and significant challenges with both diagnosing and treating this complex condition. The HFpEF Program aims to assist with both diagnosis and treatment in order to ultimately improve outcomes for this vulnerable population.
The HFpEF Program is led by Dr. Parag Goyal, an advanced heart failure specialist and geriatric cardiologist. Our team also includes a nurse practitioner, Birgit Siceloff, and a dedicated social worker, Melissa Hefferan, who have extensive experience with caring for heart failure patients.
Dr. Goyal and the HFpEF program are focused on providing comprehensive care with individualized treatments based on each patient’s unique cardiovascular and medical profile. The HFpEF program offers access to state-of-the-art therapies, the opportunity to participate in clinical trials, and integrated care with a particular focus on closely coordinating with other specialties as needed. Patients also receive education on best strategies for self-care and are encouraged to actively participate in shared decision-making along with their family members and caregivers.
What is Heart Failure with Preserved Ejection Fraction (HFpEF)?
Unlike other types of heart failure where the heart pump is damaged, HFpEF is a heart condition in which the heart pump is fairly normal (preserved). However, stiffening of the heart muscle and abnormalities in the blood vessels can still cause heart failure symptoms, including shortness of breath, fatigue, swelling, and limitations in exercise.
Why do we offer a program specializing in HFpEF?
To Ensure an Accurate Diagnosis
Diagnosing HFpEF can be challenging. It cannot be determined by a single blood test. Our program provides a comprehensive evaluation where we assess cardiovascular function, identify other chronic medical conditions, and evaluate for age-related concerns such as frailty and cognitive impairment.
To Develop an Optimal Care Plan
We individualize therapy based on each patient’s unique cardiovascular and medical profile. We hope to provide a treatment plan that can help relieve symptoms, improve quality of life, and preserve independence.
To Offer Access to Newest Therapies
There are many new strategies under development to treat HFpEF. We offer some of the newest state-of-the-art therapies in our program. There is also opportunity to participate in clinical trials for those who are interested.
To Provide Education
We help patients to understand how HFpEF affects them, and provide them with the knowledge and tools to best manage this condition with the help of our team.
To Help Patients Take Control
We want our patients to take an active role in decision-making about their care. We believe that in order to make the best medical decisions, it is important that we understand each patient’s value system and collaborate with them to help them reach their health goals.
Hypertrophic Cardiomyopathy (HCM) Expertise
Hypertrophic cardiomyopathy (HCM) is the most common genetic cardiovascular disease, affecting 1 out of 200 people. HCM affects all age groups, from newborns to the elderly.
HCM is characterized by abnormal thickening of the heart muscle, which most typically occurs unevenly in the left ventricle (the main pumping chamber). This thickening makes it harder for the heart to pump blood properly. Thickening of the outflow region of the left ventricle can cause narrowing (obstruction), which may also lead dysfunction of the mitral valve and cause blood to leak backward during the heart’s contraction.
HCM can cause:
● Shortness of breath with activity
● Chest discomfort
● Dizziness
● Heart rhythm abnormalities, including atrial fibrillation or ventricular tachycardia
● Heart valve infection (endocarditis)
Care at Weill Cornell Medicine HCM Program
HCM should be evaluated and treated by an experienced cardiologist. At the Weill Cornell Medicine HCM Program, our physicians specialize in diagnosing and treating this condition—as well as helping our patients live the active, full life they want.
Our cardiologists understand that every person with HCM is affected differently. That is why we take the time to assess you individually and tailor a treatment plan for your specific needs.
The cardiologists at the HCM Center have developed novel techniques for diagnosing and treating HCM, including the use of 3D printing to plan interventions and robotic surgery to perform minimally invasive complex heart operations.
Your treatment plan will be developed by our expert cardiologists, as well as with the help of specialists in genetics, cardiac imaging, electrophysiology, cardiac catheterization, and heart surgery. We can provide advice regarding work activity, pregnancy, participation in sports, and risks to your family members.
We have several ongoing research projects in which we welcome participation if you meet the necessary criteria.
Areas of Expertise at the HCM Center
Echocardiography: Echo (ultrasound of the heart) is the cornerstone of diagnostic imaging for HCM. The echo program at Weill Cornell Medicine is internationally recognized for research in inheritable cardiac conditions.
We utilize stress echocardiography on most patients because with HCM obstruction, abnormalities are present only during activity. 3D echo and contrast echocardiography can be used to guide interventional treatments.
Advanced imaging: The nationally renowned cardiac imaging program at Weill Cornell Medicine performs cardiac MRI and CT scans using the latest scanners and sequences.
MRI scans can be used to diagnose HCM and can also be useful in determining the risk of dangerous arrhythmias and need for AICD. Gated cardiac CT 3D printing is used to guide interventions such as surgical myectomy and alcohol septal ablation and to assess for coronary artery disease in patients with chest pain.
Genetics: Rapid improvements in technology and efficiency now make genetic testing for HCM readily available. This can be used to confirm the underlying genetic mutation that caused HCM. This means that it is simple for you and your family members to receive screening.
Genetic testing and counseling services are available at the Weill Cornell Medicine HCM program in conjunction with the Medical Genetics program.
Medical treatment: Our cardiologists have extensive experience in the use of medical therapies for HCM. These medications form the cornerstone of medical management when there is significant left ventricular outflow tract obstruction.
We tailor a medication plan to address your specific symptoms and help you live the life you want.
Cardiac catheterization: The interventional cardiology program at Weill Cornell Medicine is nationally recognized for structural and complex interventions.
Catheterization can be used to determine the pressure levels in the heart, assessing for coronary blockages, and is used to guide non-invasive intervention such as alcohol ablation. This procedure, where a small amount of alcohol is injected into one of the coronary arteries, can be a noninvasive alternative to myectomy surgery for patients with obstruction.
Electrophysiology: HCM carries a risk of dangerous heart rhythms, which can cause collapse and even sudden death. For those at risk, a defibrillator may be recommended depending on their risk level. Our electrophysiology team can implant a defibrillator under the skin (subcutaneously) in addition to the more traditional transvenous route.
Surgical myectomy: We perform many septal myectomy procedures. This procedure—performed through several keyhole incisions—removes a piece of thickened heart muscle that causes obstruction. Most patients can expect to be discharged four to five days after surgery and be back to their regular activities after two to three weeks.
Gynecologic and pregnancy counseling: A heart condition must be evaluated when considering contraception and pregnancy. Our cardiologists have extensive experience with these issues and can take advantage of the robust Maternal-Fetal Medicine Program at Weill Cornell Medicine. Most women with HCM can safely become pregnant and successfully deliver a baby with minimal risk.
Heart failure assessment: Our HCM team includes experts in heart failure, pulmonary hypertension, mechanical support devices, and cardiac transplantation.
A small number of HCM patients require advanced therapies, such as mechanical support, which can be performed at Weill Cornell Medical Center, and cardiac transplantation, which we can facilitate at our sister hospital, NYP/Columbia, if needed.
Request an Appointment
To schedule an appointment, please call (646) 962-2243.
Marfan Syndrome and Aortopathy
Marfan syndrome is a genetic disorder that causes problems in the body’s connective tissue. This disease can affect many different parts of the body and can cause aortic enlargement (aneurysm), a serious condition that requires regular monitoring.
With early diagnosis—along with expert treatment and management—patients with Marfan syndrome are living longer and more fully than ever before.
Specialized, Long-term Care at Weill Cornell Medicine
The Maurice R. and Corinne P. Greenberg Division of Cardiology is a major center for patients and families with Marfan syndrome and related disorders. Because we have treated so many patients of different ages, we have learned how best to treat and manage the condition to achieve the highest possible quality of life.
Families, especially those with a non-Marfan familial aortic aneurysm, may undergo additional testing to characterize underlying genetic abnormalities.
Our faculty includes internationally recognized experts in the field, including Drs. Richard B. Devereux and Mary J. Roman, who have evaluated and treated hundreds of patients with Marfan syndrome, familial aortic aneurysm, mitral valve prolapse, and related conditions.
Comprehensive Care
Our team of experts diagnose and manage aortic aneurysms. Our cardiologists collaborate with highly skilled cardiothoracic surgeons and other specialists to offer comprehensive care—all at a single institution.
We build upon this history of success by conducting clinical research that has made significant advancements in our understanding of these conditions.
Request an Appointment
To make an appointment to see one of our physicians with expertise in Adult Congenital Heart Disease, you may:
● Contact our physician offices directly by calling: (646) 962-4733
● If you already are an established patient: You can request an appointment online, using Weill Cornell Connect. We will make every effort to contact you within 24 hours.
Our staff is here to help coordinate your care. They will provide you with information on our physicians, their areas of expertise and help arrange for your visit and other testing when appropriate.
Nuclear Cardiology
The nuclear cardiology laboratory performs a variety of non-invasive cardiovascular imaging studies: myocardial perfusion imaging (nuclear stress tests) for the detection and management of coronary artery disease, viability studies to assess for the extent of myocardial infarction and radionuclide cineangiograms (RNCA/MUGA studies) to evaluate heart function. Stress modalities routinely performed include: exercise treadmill testing, vasodilator pharmacologic stress and dobutamine stress testing. Our gamma cameras can acquire a complete study in half the time compared to conventional imaging protocols and we can utilize a reduced amount of tracer. Our state-of-the-art facility is accredited by the Intersocietal Accreditation Commission (IAC/Nuclear). Our laboratory provides the highest diagnostic accuracy, while optimizing patient satisfaction, comfort and care.
The nuclear cardiology laboratory performs a variety of non-invasive cardiovascular imaging studies:
- Myocardial perfusion imaging (nuclear stress tests) for the detection and management of coronary artery disease
- Viability studies to assess for the extent of myocardial infarction
- Radionuclide cineangiograms (RNCA/MUGA studies) to evaluate heart function
Stress modalities routinely performed include:
- Exercise treadmill testing
- Vasodilator pharmacologic stress
- Dobutamine stress testing.
Our gamma cameras can acquire a complete study in half the time compared to conventional imaging protocols and we can utilize a reduced amount of tracer. Our state-of-the-art facility is accredited by the Intersocietal Accreditation Commission (IAC/Nuclear). Our laboratory provides the highest diagnostic accuracy, while optimizing patient satisfaction, comfort and care.
At our state-of-the-art facilities, we perform approximately 3,000 nuclear cardiac imaging studies annually. We also teach a structured curriculum for our cardiology fellows, including a series of didactic lectures and intensive "hands-on" training in the performance and interpretation of nuclear cardiology studies.
What is the purpose or benefit of nuclear imaging testing?
Nuclear imaging evaluates how organs function, unlike other imaging methods that assess how organs appear. Small amounts of a radioactive solution(s) are introduced into the body. A special camera detects the solution in different parts of the body and a computer generates a series of images of the areas of interest.
Nuclear cardiac imaging can help determine if there is adequate blood flow to the heart muscle during stress versus rest. It can also evaluate heart function and the presence of prior heart attacks.
These cardiac images help to identify coronary heart disease, the severity of prior heart attacks, and the risk of future heart attacks. These highly accurate evaluations of cardiac function and amount of heart muscle at risk enable cardiologists to better prescribe medications and select further testing like a coronary angiogram, the need for angioplasty and bypass surgery, or devices to optimize treatment outcomes.
Types of nuclear cardiology imaging:
Cardiac SPECT (single photon emission computed tomography) scans—also called myocardial perfusion imaging—are non-invasive tests that are used to assess the heart’s structure and function.
SPECT scans use small amounts of radioactive substances that are injected into a vein and special cameras to produce images of the heart. These images allow cardiologists to assess blood flow inside the heart and detect areas of abnormal heart muscle. Information obtained from SPECT scans can be used to:
- identify blockages in the coronary arteries
- determine whether someone has had a heart attack
- try to predict those at high risk for a heart attack
- assess a patient’s condition after bypass surgery or angioplasty
PET (Positron Emission Tomography) is a type of nuclear imaging that can evaluate heart function. Performed in New York-Presbyterian's Division of Nuclear Medicine, PET scans can be used to look for coronary artery disease by examining how blood flows through the heart; it can evaluate damage to heart tissue after a heart attack. Your physician can use this information to determine the best course of treatment for you.
MUGA (Multiple Gated Acquisition) Scan—also called radionuclide angiography (RNA)—is a test that is used to evaluate heart function by measuring how much blood is pumped out of the ventricles of the heart with each heartbeat (ejection fraction). A small amount of a safe radioactive tracer solution is introduced into a vein. This substance attaches to red blood cells, which are visualized by a special camera and computer as they travel through the heart, and the ejection fraction is calculated based on the computer-generated images.
Request an Appointment
To schedule an appointment please call : 646-962-3139
Please have your referring physician complete the Nuclear Cardiology Lab Order Form.pdf
Peripheral and Endovascular Service
Peripheral arterial disease affects almost 10 million patients, yet it remains one of the most underdiagnosed and undertreated conditions. In some patients clogged arteries are not limited just to the heart. Cholesterol plaques can affect the arteries of the neck (carotid arteries), kidneys (renal arteries), aorta, and arteries of the legs and arms. Peripheral arteral disease can result in leg or arm discomfort while exercising, leg ulcers and other serious complications.
Our team of specialists includes experts in both diagnostic imaging and endovascular procedures who are specially trained to detect abnormalities in the vascular/circulation system and who focus specifically on detection and treatment of peripheral arterial disease. These vascular specialists are board certified in vascular or endovascular medicine, cardiovascular disease, and interventional cardiology and are fellowship trained with additional specialization in vascular procedures.
Noninvasive Vascular Imaging
To accurately diagnose abnormalities in the vascular system, our specialists rely on noninvasive tests that use cuffs similar to those used to measure arm blood pressure and ultrasound technology (see Vascular Imaging section). These tests can be conveniently performed at the same location and during a regular office visit and include:
- Ankle-brachial index (ABI)
- Treadmill exercise test
- Pulse volume recording (PVR)
- Arterial and venous (Doppler) ultrasound
Other diagnostic tests and techniques include
- CT angiography (CTA)
- Magnetic resonance angiography (MRA)
A Multidisciplinary Approach To Peripheral Artery Disease
The Endovascular Cardiology Service offers a comprehensive, multispecialty, cutting-edge approach to the evaluation and care of patients with peripheral arterial disease, with an emphasis on a minimally invasive endovascular approach.
We will work closely with the patient and referring physician to coordinate personalized treatment plan for every patient. Our goal is to create an individualized approach to diagnose and treat peripheral arterial disease, improve our patients’ lifestyle and prevent any vascular complications. In addition, we focus on prevention of future vascular problems by providing guidance regarding smoking cessation and life style modifications. All of our vascular specialists are board certified in cardiology and will be able to diagnose and treat associated cardiac conditions if necessary. We use multidisciplinary approach to treating peripheral arterial disease:
Medical therapy: Medical therapy is an integral part of treatment for all patients with peripheral arterial disease. Medications are used to target leg or arm discomfort that occurs with exertion and due to clogged arteries. Medications are also used to treat diabetes, hypertension and high cholesterol.
Exercise therapy: Exercise therapy can help patients increase the distance and speed with which they can walk without pain.
Smoking cessation: Guidance on smoking cessation and detrimental effects of smoking
Lifestyle changes: These changes are important for prevention of future vascular complications.
Minimally invasive endovascular approach: This approach is used by our experienced interventional cardiologists that specialize in performing percutaneous procedures through a small puncture in the groin or arm, resulting in a short recovery period from the procedure, as opposed to traditional surgical techniques. Clogged arteries can be treated with balloon angioplasty, placement of stents, or atherectomy (plaque excision from the artery).
Areas Of Endovascular Expertise:
Angioplasty and stenting for peripheral arterial disease: The operators use a small balloon-tipped catheter that is threaded through the clogged artery to expand it. A stent may be inserted to relieve the blockage and to keep the artery open. Bare metal stents or novel drug-eluting stents are used to treat clogged arteries.
Chronic total occlusions: Our experienced operators can relieve blockages in the arteries that are completely blocked, particularly blockages that have been present for months and sometimes for years.
Limb ischemia: Treatment of patients with leg or arm discomfort at rest, presence of ulcers or gangrenes.
Atherectomy (plaque excision): A catheter is being used to remove the plaque from the artery. Our specialists use cutting-edge technology, including rotational, excisional, orbital, and laser atherectomy.
Renovascular disease: Clogged renal arteries can lead to hypertension, that is difficult to treat with medications, kidney failure or heart failure. These clogged kidney arteries can be treated with angioplasty and stenting.
Intravascular Ultrasound and Fractional Flow Reserve (FFR): An ultrasound catheter can be threaded through the clogged artery to determine the severity and location of a given blockage. A Fractional Flow Reserve wire is threaded through a blockage and used to measure whether the blockage is detrimental and requires further treatment.
Inferior Vena Cava filter placement and retrieval: Small filter devices are placed in a large vein (vena cava) to prevent clots from traveling to the lungs. These devices can be used for both prevention and treatment of patients with clots formed in deep veins.
Carotid disease and carotid stenting: Carotid artery angiography and stenting (with filter devices in the arteries of the neck that catch plaque particles) can be performed for patients with severe blockages of carotid arteries, particularly in those experiencing strokes or ministrokes.
Active Studies Recruiting Patients:
Novel device evaluation in endovascular treatment of peripheral artery disease.
Clinical evaluation of various antithrombotic and antiplatelet adjunct pharmacological agents in endovascular interventional procedures.
Clinical investigation of novel, catheter-based approaches for the treatment of refractory hypertension (renal denervation).
Clinical evaluation of patients with carotid artery disease
Novel inferior vena cava filter device evaluation.
Preventative Cardiology
Cardiovascular disease is the leading cause of death for both men and women in the United States and throughout the world.
Fortunately, when risks are identified early, they can be treated quickly. This makes it easier and more effective to manage, treat, and prevent complications—as well as promote greater cardiac health. At Weill Cornell’s Preventive Cardiology practice, our mission is to prevent cardiovascular disease in high-risk individuals.
Our expert preventative cardiologists take the time to understand each patient’s unique history and needs and then create a targeted treatment plan to reduce the likelihood of heart attack, stroke, bypass surgery, or angioplasty.
How We Prevent Heart Disease
We prevent cardiovascular disease in high-risk patients by first understanding their cardiac health and individual needs. Each patient receives:
● In-depth cardiovascular evaluation, including a full medical history and examination of lifestyle habits
● Individualized lipid analysis
● Biomarker screening
● Advanced cardiac imaging
Personalized treatment plan: Using the cardiovascular assessment, laboratory studies, and advanced cardiac imaging, your cardiologist determines your risk for heart disease and provides a treatment plan to slow the progression of current heart problems and prevent future problems.
Your health plan may include:
● Diet and exercise suggestions
● Medication changes (for example, statin therapy or newer cholesterol-lowering therapies, called PCSK9 inhibitors)
● Suggestions for stress reduction
Should You Visit a Preventative Cardiologist?
Individuals with any of the following may be at increased risk for heart disease or rapid progression of heart disease. If you have any of these characteristics, you will benefit from an evaluation by our Preventive Cardiology team.
● Hypertension (high blood pressure)
● Hyperlipidemia/dyslipidemia (high total cholesterol, high LDL cholesterol, elevated triglycerides, low HDL cholesterol)
● Diabetes or prediabetes
● Overweight status or high BMI
● Current or prior history of smoking
● Family history of heart attack, stroke, or sudden death, especially at an early age (less than 45 years old in a male relative or less than 55 years old in a female relative)
● Inflammatory disorders or rheumatologic disease (lupus, rheumatoid arthritis, inflammatory bowel disease)
● History of premature menopause from natural or medical causes
● History of complicated pregnancy (gestational diabetes, high blood pressure, preeclampsia, or a low birth weight for baby)
● Certain chemotherapies and radiation therapies for cancer treatment
● Personal history of heart disease, stroke, or peripheral vascular disease at an early age (less than 65 years)
Services Offered
● Consultative evaluation
● Advanced multimodality diagnostic testing
● Comprehensive cardiac and medical management
● Referrals to partner specialties to manage conditions that may increase cardiac risk
● Partnership with therapeutic interventional cardiologists, electrophysiologists, and surgical specialties (if invasive therapy is needed)
Request an Appointment Offered
We encourage you to consider a preventive cardiovascular evaluation if you have any of the above characteristics or are concerned about your overall cardiovascular health.
To schedule an appointment, please call (646) 962-5558.
Pulmonary Hypertension
Pulmonary hypertension (often referred to as “PH”) is a type of high blood pressure in the lung vessels. This condition affects the arteries in the lungs and right side of the heart, making it harder for your heart to pump oxygen-rich blood.
The most common symptoms of pulmonary hypertension include:
- Shortness of breath
- Difficulty exercising
- Chest pain
- Near or complete fainting
- Right-sided heart failure symptoms, including swelling in ankles and legs (edema) and fluid in the abdomen (ascites)
There are several different types of PH. Some are more serious and can become life threatening. For all pulmonary hypertension patients, early diagnosis and treatment by expert cardiologists can significantly help improve symptoms and quality of life, as well as reduce the risk of future cardiovascular problems.
The cardiologists at Weill Cornell Medicine Pulmonary Hypertension Service at the Perkin Center for Heart failure specialize in diagnosing PH, as well as creating effective treatment plans tailored to each patient’s specific needs.
Expert Diagnosis and Treatment at Weill Cornell Medicine
Diagnosis: Patients with suspected pulmonary hypertension will receive a variety of tests to correctly diagnose the condition. Our cardiologists use the most advanced imaging and diagnostic technology available.
Our team specializes in cardiac catheterization—the definitive gold standard for diagnosing this complex disease.
Treatments: At the Pulmonary Hypertension Service, we create multidisciplinary treatment plans that help each patient achieve their unique needs. Treatment options include:
- Medications, including diuretics, anticoagulation medication, calcium antagonists, blood vessel dilators, and other medications
- Exercise recommendations
- Diuretics
- Oxygen when necessary
- Surgery, including minimally invasive surgery
Our team also treats any related conditions—such as sleep apnea, interstitial lung disease, and lupus—and collaborates with other specialists at Weill Cornell Medicine as necessary.
Team approach: The early diagnosis, treatment, and long-term care of patients with pulmonary hypertension require a team approach with physicians, nurse practitioners, dieticians, physical therapists and social workers. This collaborative approach maximizes our patients’ long-term wellbeing.
Services Offered
The Perkin Center for Heart Failure, Mechanical Circulatory Support, and Pulmonary Vascular Disease at Weill Cornell Cardiology offers:
- Cardiopulmonary exercise testing to identify and follow patients with pulmonary hypertension and heart failure
- Inpatient transfer and outpatient management of patients with pulmonary hypertension
- This includes intensive nutritional/dietary counseling, as well as telephone follow-up by a nurse practitioner who specializes in pulmonary hypertension
- Specialty cardiac catheterization to diagnose and gauge response to treatment (done by our catheterization colleagues)
- Opportunities for participation in multicenter clinical trials as well as ongoing original research
- End-of-life management and palliative care for patients with unresponsive symptoms and limited life expectancy
Request an Appointment at the Perkin Center for Heart Failure
To make an appointment to see one of our physicians with expertise in pulmonary hypertension, you may:
- Contact our physician offices directly by calling: 646-962-5555.
- Established patients can request an appointment online, using Weill Cornell Connect. We will make every effort to call you within 24 hours.
Our staff is here to help coordinate your care. To facilitate a comprehensive review of your history, you and/or your referring physician will be asked to fax all relevant medical records to 212-746-6665 prior to scheduling an appointment with one of our physicians.
Valvular Heart Disease
Heart valve (valvular) disease occurs when any of the heart’s four valves do not work correctly—making it harder for the heart to pump blood throughout the body.
According to the American Heart Association, about 5 million Americans are diagnosed with heart valve disease each year. With early diagnosis and specialized treatment, valvular heart disease patients can experience fewer and less severe complications.
Valvular Heart Disease Expertise at Weill Cornell Medicine Acquavella Heart Valve Center
At the Maurice R. and Corinne P. Greenberg Division of Cardiology, an experienced team of experts diagnoses and treats patients with valvular heart disease. Patients are generally first seen at the William Acquavella Heart Valve Center.
Diagnosis: Weill Cornell Medicine cardiologists use advanced imaging modalities, including new technology in 3D Echocardiography, MRI, and CT Angiography, to evaluate patients with valvular heart disease.
Collaborative care: We treat patients with all forms of valve disease. Our general cardiologists collaborate with interventional cardiologists, arrhythmia specialists, radiologists, and cardiac surgeons to provide the best care and achieve optimal results for our patients.
Achievements in research: In addition to the clinical care of patients with valvular heart disease, our physicians have made significant contributions to the understanding of these conditions. They have designed, conducted, and led multicenter studies thathave examined the effects and prognosis of aortic and mitral disease in large populations of patients.
Physicians at Weill Cornell are well-known for their expertise in mitral valve prolapse and aortic stenosis and have published authoritative articles and book chapters on these subjects.
To learn more about our valve center, please visit the William Acquavella Heart Valve Center.
Request an Appointment
To make an appointment to see one of our physicians with expertise in valvular heart disease, you may:
- Contact our physician offices directly by calling: 212-746-4789
- Established patients can request an appointment online, using Weill Cornell Connect. We will make every effort to call you within 24 hours.
Our staff is here to help coordinate your care. They will provide you with information on our physicians, their areas of expertise and help arrange for your visit and other testing when appropriate.
Vascular Imaging
Our state-of-the-art vascular laboratory offers the full spectrum of non-invasive diagnostic modalities for the detection of vascular disease. We perform physiologic testing for peripheral arterial disease (PAD) including measurement of the ankle-brachial index (ABI) with segmental pressures/pulse volume recordings and exercise treadmill testing. In addition, we perform arterial duplex ultrasonography of the carotid arteries, lower and upper extremity arteries, the aorta and renal arteries, as well as venous ultrasonography of the upper and lower extremities. Our lab is accredited by the Intersocietal Accreditation Commission for Vascular Testing, which means that the lab meets the highest standards of quality patient care and monitoring.
One of our fastest growing services, our lab performs over 1,800 vascular studies annually.
Women’s Heart Program
Heart disease is the leading cause of death for women in the United States. Certain risk factors put women at unique risk for heart disease, even at younger ages. Fortunately, women’s long-term cardiovascular health can be significantly improved when these conditions and risks are identified and treated early.
The cardiologists at the Weill Cornell Medicine Women’s Heart Program are experts in caring for women’s unique cardiovascular health needs. Our mission is to identify women who are at an increased risk for heart disease, prevent disease development and progression, as well as improve their overall health and social wellbeing.
How We Treat Women with Heart Disease
All cardiologists at our Center are experts in evaluating the symptoms and risks associated with heart disease in women. All patients at our Center receive an in-depth cardiovascular evaluation completed by one of our highly trained women’s cardiologists. This assessment may include:
● Detailed medical history
● Family history and review of lifestyle habits
● Pregnancy/reproductive history
● Lipid analysis
● Biomarker screening
● Advanced cardiac imaging
Personalized treatment plan: This evaluation, along with a thorough physical exam, enables our cardiologists to identify your risk factors and develop an individualized plan to reduce the likelihood of heart attack, stroke, bypass surgery, or angioplasty.
Multidisciplinary care: Our Center develops a comprehensive plan to treat and manage any current conditions, as well as prevent future problems. Your health plan may include:
● Diet and exercise suggestions
● Medication changes
● Stress reduction suggestions
We work closely with other specialists, including rheumatologists, obstetricians, oncologists, and others, to develop an optimal treatment plan for you.
Cardiac Risks for Women
Specific risk factors can play a significant role in the development of heart disease in women—and symptoms may be very different for women than men.
Women with any of the following characteristics may be at increased risk for heart disease or rapid progression of heart disease. If you have any of these risk factors, you will benefit from an evaluation by our Women’s Cardiology Team.
● Inflammatory disorders or rheumatologic disease (lupus, rheumatoid arthritis, inflammatory bowel disease)
● History of complicated pregnancy (gestational diabetes, high blood pressure, preeclampsia, or low birth weight of the baby)
● Certain chemotherapies and radiation therapies for cancer treatment (including breast cancer, ovarian cancer, or lymphoma treatment)
● History of premature menopause from natural or medical causes (for example, oophorectomy at a young age for the treatment of certain cancers) especially below the age of 40 years
● Diabetes or prediabetes
● Current or prior history of smoking
● Hypertension (high blood pressure)
● Hyperlipidemia/dyslipidemia (high total cholesterol, high LDL cholesterol, elevated triglycerides, low HDL cholesterol)
● Overweight status
● Family history of heart attack, stroke, or sudden death, especially at an early age (less than 45 years old in a male relative or less than 55 years old in a female relative)
● Personal history of heart disease, stroke, or peripheral vascular disease at an early age (less than 65 years)
Services Offered
● Consultative evaluation
● Advanced multimodality diagnostic testing
● Comprehensive cardiac and medical management
● Referrals to partner specialties to manage conditions that may increase cardiac risk
● Partnership with therapeutic interventional cardiologists, electrophysiologists, and surgical specialties should invasive therapy be needed
Request an Appointment
We encourage you to consider a preventive women’s cardiovascular evaluation if you have any of the above characteristics or are concerned about your overall cardiovascular health.
To schedule an appointment, please call (646) 962-PULS (7857).
Please fill out our New Patient Questionnaire linked below.
Our Nurse Practitioners
● Tiffany Choi, NP (Preventive Cardiology and Women’s Cardiology)
● Lynn Rouen, RN (Preventive Cardiology and Women’s Cardiology)
Our Locations
New York, NY 10065
New York, NY 10021
New York, NY 10021
New York, NY 10022
New York, NY 10038
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