Cardiology; Cardiovascular Disease; Internal Medicine; Molecular Basis of Disease
I am a board-certified cardiologist trained in multimodality cardiovascular imaging. I have completed the most advanced training possible in echocardiography and nuclear cardiology, and I am also certified to perform and interpret cardiac computed tomography (CT) and adult and congenital cardiac magnetic resonance imaging (MRI). I supervise and interpret these studies at the Buffalo General Medical Center (BGMC) and the Gates Vascular Institute (GVI). As a clinical cardiologist, I care for patients in the BGMC coronary care unit and the cardiac step-down unit. I provide consultative services at BGMC as well.
I also leverage my background in epidemiology and public health to advise appropriate utilization of imaging at BGMC and the GVI for patients with known or suspected ischemic heart disease. I use my training to educate providers about the best way to determine the likelihood of ischemic heart disease in their patients and how they can improve the application of these tests to diagnose patients, determine their prognoses and institute appropriate therapies.
As a clinical investigator, my research is geared toward imaging arrhythmogenesis in patients with heart failure. The goal of my research is to use imaging-based approaches to guide cardiac device therapies in heart failure patients. This includes implantation of defibrillators and biventricular pacemakers. I use nuclear cardiology-based imaging approaches to assess dyssynchronous cardiac contraction and sympathetic denervation in patients with heart failure to guide whether a particular device should be implanted or not. Once a decision is made to implant a device, these imaging approaches can also guide how the device should be implanted. My research helps identify the patients who will benefit from devices as treatment modalities, since these devices are invasive and expensive. My research also helps identify patients who will not benefit, which protects patients from a needlessly invasive and costly procedure.
As a faculty member in the Division of Cardiovascular Medicine, I teach my team of fellows, residents and students during and after rounds when I am on consult and inpatient services. I also supervise the fellows’ clinic at BGMC.