When you have a heart condition, you want compassionate care from doctors you can trust. Our dedicated cardiologists have years of experience and specialized training in heart rhythm disorders; heart disease, including treating heart attacks; and minimally invasive surgical techniques. When it's time to take your heart care to the next level, the board-certified cardiologists at Virginia Mason Franciscan Health are here for you.
When it comes to diagnosing and treating complex heart conditions, you can rest assured the cardiologists at the Center for Cardiovascular Health are among the most experienced in the region. Our team will evaluate your condition, discuss the most appropriate treatment option for your unique needs, and support you in making the best health decisions for you and your family.
Our heart specialists diagnose and treat complex cardiovascular conditions every day, and you benefit from their knowledge and experience. Your multidisciplinary care team may include cardiologists, cardiac surgeons, nurse practitioners, nutritionists, dietitians, pharmacists, exercise therapists and other specialists.
The symptoms you experience may depend on the type of heart problem you have. Sometimes, the first symptom of heart disease is a heart attack. The signs of a heart attack can differ for men and women but may include:
If you have a family history of heart disease or unexplained symptoms, don’t hesitate to make an appointment with one of our providers.
You may experience angina when your heart doesn’t receive as much blood and oxygen as it should, often due to plaque buildup in your coronary arteries. Treatment options your cardiologist may recommend include:
Aortic stenosis occurs when the heart’s aortic valve narrows and inhibits blood flow to the body. Usually due to aging, severe aortic stenosis can become life-threatening in as few as two years. Treatment options may include transcatheter aortic valve replacement; surgical “open-heart” aortic valve replacement; balloon valvuloplasty, a catheter-based procedure to open the valve temporarily; or medical management.
Arrhythmias have many different potential causes, from stress to coronary artery disease. Atrial fibrillation (AFib) happens when the upper chambers of your heart quiver instead of fully contracting and relaxing to pump blood efficiently. Some people can live with untreated arrhythmias for many years. If we determine that your arrhythmia puts you at risk for more serious complications, we’ll work with you to create a treatment plan to help restore your heart’s normal heart rhythm and treat underlying conditions that may be causing the condition. Treatment for arrhythmias can include:
Coronary artery disease occurs when cholesterol deposits called plaque build up on the walls of the arteries that supply blood to the heart. As these walls get thicker with deposits, the inside of the arteries becomes narrower.
Over time, less and less blood can flow through the arteries. Sometimes, they become completely blocked. This process, called atherosclerosis, can lead to heart attack, stroke, arrhythmia or heart failure.
Treating coronary artery disease can involve lifestyle changes, medications or medical procedures. The type of treatment depends on how far the disease has progressed.
Lifestyle changes include:
Medications can include:
Procedures to restore blood flow to the heart include balloon angioplasty, coronary atherectomy, and coronary artery bypass grafting.
Noninvasive procedures for coronary artery disease
Noninvasive procedures aimed at opening blocked or partially blocked arteries are done in the cardiac catheterization labs at Virginia Mason Franciscan Health. Interventional cardiologists choose which procedure to use based on the size, location and characteristics of the blockage.
Balloon angioplasty involves using a thin catheter gently maneuvered to the blocked artery. The balloon is inflated within the blockage to restore blood flow. Percutaneous coronary intervention (PCI) is usually performed after the balloon is removed. PCI involves inserting a mesh coil called a stent into the artery to keep it open. A drug-eluding stent—one coated with a slowly releasing drug—may be used to help prevent future blockages in the artery.
Coronary atherectomy involves shaving or cutting the blockage within the artery. As with balloon angioplasty, a thin catheter is maneuvered into the blocked artery. In addition to a balloon used to hold open the artery, a tiny drill is also inserted to shave off parts of the blockage. The shavings are sucked into the catheter and removed when the procedure is complete.
Coronary artery bypass surgery
A minimally invasive procedure to reduce or remove a blockage may not be possible or appropriate if:
If one or more of these conditions are present, coronary artery bypass surgery has long been the solution for restoring blood flow to the heart muscle. In fact, coronary artery bypass surgery is the most common heart surgery performed in the U.S.
Bypass surgery involves using an artery or vein from the chest or leg to create a detour around the clogged artery. The new artery is grafted into place to restore blood flow to the heart.
Heart valve disease refers to problems such as “leaking” (valvular insufficiency) or narrowed (valvular stenosis) heart valves. When the mitral valve doesn’t function properly, we offer a range of treatments for mitral valve diseases. If the problem is aortic stenosis, you may be a candidate for transcatheter aortic valve replacement or implantation (TAVR/TAVI), a minimally invasive procedure that replaces a diseased valve with a mechanical or biological tissue valve.
While no medicines cure heart valve disease, they can treat many of its symptoms and reduce the risk of complications. Medication may be the best choice if your condition is mild or you’re not a candidate for surgery.
Your provider may recommend surgery to either repair the existing valves or replace them entirely. Repairing heart valves can involve patching holes with added tissue; reshaping the valves; fusing separated flaps; or widening the valves using a balloon on the end of a thin tube, called a catheter (balloon valvuloplasty).
In cases when your valve can’t be repaired, your surgeon will replace it with a new biological or mechanical heart valve. Your doctor will discuss these options with you so together, you make the best decision for you. A biological valve may need to be replaced in 10 to 15 years. A mechanical valve may never need to be replaced but can also require you to take blood thinning medication for the rest of your life, and it may be more prone to infection.
A heart attack occurs when your heart doesn’t get enough blood and oxygen due to a blockage or narrowing of the coronary arteries. This is usually caused by a buildup of plaque.
If you or your loved one experiences a heart attack, knowing what to expect can help you stay calm and focused. Here’s what will happen if you come to a Virginia Mason Franciscan Health Emergency Services department with heart attack symptoms:
After a heart attack, your cardiologist will recommend the best course of action to ensure your recovery and continued health. If you have any lingering heart issues, such as heart disease or valve disease, they can suggest treatment for your specific needs. Medications may include blood thinners to help prevent blood clots, diuretics to help your body get rid of excess fluid, and other drugs to lower your blood pressure and relieve the stress on your heart.
Your provider may recommend coronary bypass surgery, where a cardiac surgeon uses a healthy vein or an artery from a donor site in your body to create a new pathway for blood to move around a blockage.
Heart disease is a term used to categorize a range of abnormal heart conditions, including arrhythmias, heart valve diseases, infections and more. Some people don’t experience signs or symptoms of heart disease—that’s why it’s often called “the silent killer.” You may not be diagnosed until you have more severe symptoms, like those of a heart attack or irregular heartbeat. You may also experience symptoms such as:
At Virginia Mason Franciscan Health, we take heart disease very seriously and will help you manage your health with individualized care. Together, we can help you recover through medication, lifestyle changes and, in some cases, surgery. Treatment options may include:
- Angioplasty and stenting – Sometimes called a percutaneous coronary intervention, this is a minimally invasive surgery that can widen the blocked area in your artery. A thin tube (catheter) is threaded into a blood vessel and guided into the blockage. A balloon on the end of the catheter is inflated to push the plaque against the walls of the artery. Then, a small tube called a stent is implanted to keep the passage open and help you regain a healthy blood flow.
- Coronary artery bypass grafting (CABG) – A blood vessel is taken from a donor site in your body to create a new pathway so your blood can flow around the blocked or narrowed artery. CABG is performed as open-heart surgery, so it may be reserved for people with more serious heart disease, such as those who have multiple blockages.
- Lifestyle changes – You can make a big difference in your heart health through managing your lifestyle and making smart choices, such as eating healthy, exercising, managing stress and quitting smoking.
Heart failure is a condition that affects your heart’s ability to pump blood effectively, keeping it from delivering enough blood to meet your body’s needs.
Caring for heart failure requires an individualized approach. Our cardiologists will work closely with you to monitor your symptoms and overall health, including diet, weight, fluid retention, medications, physical activity, and home and family support to ensure the best care possible. Your provider will also help you identify worsening symptoms so you know when to act.
Your cardiologist may recommend visiting our heart failure clinic and participating in cardiac and pulmonary rehabilitation, a structured cardiac rehabilitation program. People who are treated in heart failure clinics often have more energy for the things they love to do, increase their feeling of control over their disease, are healthier and experience fewer hospitalizations.
An accelerated heart rhythm that begins in your heart’s lower chambers (ventricles), ventricular tachycardia is caused by a malfunction in your heart’s electrical system. Our interdisciplinary team of heart specialists offers several treatments for VT, from medications to help control your irregular heartbeats to procedures in more severe cases. Specialized treatments may include:
When you’re ready to get treatment for your heart condition, the heart specialists at the Center for Cardiovascular Health are here to help.