Cardiology; Cardiovascular Disease
As a general cardiologist, I care for patients diagnosed with a spectrum of cardiovascular diseases, including acute and chronic manifestations of coronary artery disease, congestive heart failure, cardiomyopathies, valvular disorders, arrhythmias and aortic and pericardial diseases. I have expertise in the role of echocardiography and nuclear cardiac imaging for the evaluation of cardiac disorders, including transesophageal echocardiography (TEE), nuclear stress testing (myocardial perfusion imaging), viability imaging and multiple-gated acquisition scan (MUGA) studies for evaluation of cardiac function. I supervise and interpret these studies at both the Buffalo General Medical Center (BGMC) and Gates Vascular Institute (GVI) and in the outpatient setting. I also perform electrical cardioversions to manage arrhythmias and interpret electrocardiograms (EKGs) for BGMC, and I provide consultative services there as well. I care for inpatients in the critical care and cardiac monitoring units (telemetry) at BGMC and the GVI, and I continue to provide care for patients after they are discharged from the hospital. I care for individuals on an outpatient basis by managing those with chronic cardiac conditions and by providing preventative cardiology services for patients with hypertension and hyperlipidemia. I also evaluate patients with chest pain or shortness of breath.
My research focus is on clinical cardiac imaging. I supervise resident projects involving the role of myocardial perfusion imaging and coronary computed tomography angiography (CTA) in patients with mildly elevated markers of cardiac injury (troponin). I also am the sponsor for a project aimed at improving congestive heart failure outcomes at BGMC, an effort that will improve cardiac care for patients in Western New York.
As program director for the fellowship in cardiovascular disease, I organize the fellowship didactic curriculum and case discussions. I mentor the fellows and coordinate their training to achieve their specific career goals, including preparation for subspeciality training in interventional cardiology, electrophysiology, heart failure or advanced cardiac imaging.
I also enjoy teaching medical students and residents. I teach in the second-year medical student cardiovascular curriculum and coordinate and lead small-group case discussions for third- and fourth-year medical students. I also provide lectures and board review to internal medicine residents.