Cardiology

Cleveland Clinic Indian River Hospital provides a team of cardiologists, nurses, technologists and other support staff. World-class clinical expertise is combined with extraordinary technology to provide award-winning care to patients in need. Cardiology services include:

  • Diagnostic procedures
  • Electrocardiogram
  • Echocardiogram
  • Stress test
  • CT angiography
  • Diagnostic coronary cardiac catheterization

The Welsh Heart CenterCardiovascular

The Welsh Heart Center at Cleveland Clinic Indian River Hospital provides exceptional, comprehensive care in Vero Beach. It has evolved into a leader in advanced cardiac care—with more than 18,000 cardiac surgeries, heart catheterizations and stent procedures performed. The Society for Thoracic Surgeons recognizes the hospital as a 3 out of 3-star rated program.

The Welsh Heart Center continues to advance the level of care with electrophysiology (EP) and interventional cardiology with transcatheter aortic valve replacement (TAVR) and Mitroclip™ procedures now being performed percutaneously.

Meet Our Physicians


Cardiac Facilities

Two cardiac catheterization labs provide a full array of diagnostic and interventional cardiology procedures including angioplasty, coronary stenting and atherectomies. A spacious eight-bed recovery area, staffed by specially trained registered nurses, is adjacent to the cardiac cath labs.

Surgery

  • Coronary artery bypass graft (CABG), Redo-CABG/Heart Valve Surgery
  • Pump and off-pump coronary revascularization
  • Heart valve replacement and repair
  • Minimally invasive valve surgery
  • TAVR to also include Valve in Valve TAVR Procedures
  • Left Atrial Appendage Closure
  • MitraClip™
  • Maze Procedure for AFib
  • HOCM Septal Myectomy

Implants

  • Pacemaker (dual chamber and single chamber)
  • Implantable cardioverter defibrillator
  • Bi-ventricular implantable cardioverter defibrillator
  • Pacemaker battery change

Interventional Cardiology

  • Angioplasty for acute heart attacks and stable patients
  • Coronary artery stents
  • Atherectomy
  • Peripheral angiography and intervention

Diagnostic Procedures

  • Electrocardiogram
  • Echocardiogram
  • Stress test
  • CT angiography (64-slice CT)
  • Diagnostic coronary cardiac catheterization

To download a copy of our Postoperative Guide for Cardiovascular & Thoracic Surgery, click here.


Cardiovascular Critical Care Unit

The Cardiovascular Critical Care Unit is part of the hospital’s Critical Care Unit.  The Hospital is proud to be recognized as a Beacon Center for Critical Care Excellence.  Only 56 of the nation’s 10,000 Critical Care Units have been honored with this prestigious award from the American Association of Critical Care Nurses. Critical Care nurses and physicians and a team of pharmacists, dietitians, respiratory therapists, social workers and others collaborate to provide the best care for each individual patient with daily ‘multidisciplinary’ rounds.


Cardiac/Pulmonary Rehabilitation

Patients in the rehabilitation programs at the Hospital are taught to achieve an optimal level of independence and physical capabilities, which in turn improves their quality of life.

This program which is certified by the AACVPR – The American Association of Cardiovascular and Pulmonary Rehabilitation strives to offer all eligible patients the most current modalities of improving and maintaining cardiac health.

All activities are monitored by a member of the rehabilitation team who provides progress reports to the patient’s primary physician.

Referrals

Participants must be referred by their personal local physician to enroll in either the Cardiac or Pulmonary Rehabilitation program.

The EKG-monitored physical conditioning program for heart patients usually begins a few weeks following hospital discharge from heart surgery.

Because the Hospital’s Cardiac and Pulmonary Rehabilitation department is part of the hospital, it provides a lower cost program in a safe environment where hospital resources are readily available. Many health insurance plans will reimburse patients for services. Medicare generally covers 80 percent of the cost.


Electrophysiology (EP)

Patients who experience some type of abnormal heart rhythm may be referred for an Electrophysiology study. This test records the electrical activity and electrical pathways of the heart and is used to determine the cause and best treatment for the condition. During the study, your physician will safely reproduce your particular heart rhythm disturbance so the most appropriate treatment can be determined. Treatment might include medication or a procedure/device to normalize your heart rhythm. An EP study may also be used to monitor the success of treatment using certain implantable devices.

Atrial Fibrillation (AF) is the most common cardiac arrhythmia and is a risk factor for and cause of stroke. During AF, the atria contracts so rapidly and irregularly that the heart can’t beat effectively and blood is not pumped completely out of the atria. Blood that pools in the atria may clot, and if it moves to an artery in the brain, stroke can occur. People with AF may experience heart palpitations, tightness in the chest, shortness of breath, dizziness, lightheadedness, fatigue, fainting and anxiousness. But it is possible for people with AF to have no symptoms or intermittent symptoms.


Heart Failure Management Clinic

While there is not yet a cure for heart failure—when the heart has difficulty pumping enough blood to meet the body’s needs—managing the symptoms of this common problem is possible.

Cleveland Clinic Indian River has achieved the Gold Plus with Target: Heart Failure Honor Roll recognition in the Get With The Guidelines-Heart Failure® program. This achievement brings national recognition to our institution for improving patient care and outcomes for patients.

The Heart Failure Management Clinic oversees patient education concerning disease process, medications and diet. Patients receive a personalized plan of care that includes education, coping skills, help with lifestyle issues such as smoking cessation, assistance in medication compliance—such as filling pillboxes and ensuring medication refills—and dietary consultations, as needed. Since weight gain is a key indicator of fluid retention, much attention is given to keeping a record of weight and contacting the clinic if there is a weight gain of two or more pounds overnight or five pounds over a week’s time.

Physician referral is requested. Clinic hours are 9 a.m. to 5 p.m., Monday through Friday. The nurse practitioner is available during clinic hours. After 5 p.m., please call your cardiologist’s office for serious clinical issues that require urgent attention. For a brochure or more information, call the Heart Failure Management Clinic at (772) 563-4415.


Heart Valve Clinic

TAVR Transcatheter Aortic Valve Replacement (TAVR) allows the physicians to replace an aortic valve without opening the chest. TAVR is FDA approved for those with symptomatic, severe aortic stenosis that is currently approved for all operative risk patient from low to high risk. Aortic stenosis is when the aortic valve narrows, restricting blood flow to the entire body. Because aortic valve stenosis weakens the heart muscle, in the advanced stages, it can lead to heart failure. Aortic valve replacement is the only treatment for this condition.

Symptoms may include:

  • Shortness of breath
  • Fatigue
  • Chest pain
  • Feeling faint
  • Heart palpitations/murmur Severe aortic stenosis is:
    • AVA<1.0 cm2
    • Mean AV gradient >40 mmHg
    • Peak AVA velocity >4m/sec

For more information call the Valve Clinic at 772-770-6857.

MitraClip™
If you were told you have a leaky mitral valve or mitral regurgitation and you have the following symptoms: Shortness of breath, fatigue or anything that recently impairs your normal activities you might be considered for this alternative treatment.

Transcatheter edge-to-edge repair with the MitraClip™device (Abbott Vascular, Santa Clara, California) is indicated for symptomatic patients with severe mitral regurgitation (leaking valve) who are at prohibitive risk for surgical repair due to an intrinsic problem with the mitral valve or in patient with heart failure and mitral regurgitation that is severe despite optimal medical therapy.

PFO Closure
Patent foramen ovale (PFO) is a congenital abnormality that connect the right and left upper chambers of the heart and that when associated with stroke of unknown reason, multiple study have shown a clear benefit of closing the PFO.

Echocardiography

Heart visualization by ultrasound is the cornerstone of cardiology. Excellence in cardiac ultrasound imaging is an utmost priority at our institution. The GE Vivid E95, available at our hospital, is a premium cardiovascular ultrasound system designed to provide exceptional image quality and state-of-the-art quantification capabilities for the most complex patients. Due to superior contrast and spatial resolution, it offers unparalleled visualization of the heart, even for patients with body types or conditions that made them difficult to scan. The system provides ease of imaging and workflow flexibility. The cSound platform takes advantage of advanced software -based image reconstruction and new AI (Artificial Intelligence) technology, and becomes an essential tool for the Structural Heart Disease Program (which include TAVR and MitraClip™).