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The Cardiology Team
| First, let's start with the cardiac catheterization laboratory.
Before the patient becomes a candidate for heart surgery, they usually first undergo
cardiac catheterization, where dye is injected into the heart to determine if
there are blockages in the coronary arteries.

Cardiac catheterization is done by "interventional cardiologists" and not
by surgeons. It can be confusing because many patients think of cardiac
catheterization as surgery. To this day, my mother will often ask me if I
do a certain cardiac catheterization procedure such as angioplasty or stent
placement. These procedures are all done by the cardiologists. |
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To the right and below, you will see some of the terrific
nurses that work in the cardiac catheterization laboratory.
It takes a large team of nurses and technicians to
make the cardiac catheterization laboratory run smoothly.
One nurse will directly assist the cardiologist at the
patient's bedside, while one or two others will hand catheters and
instruments back and forth as needed. In addition, another nurse
will run the computer equipment that records and photographs all aspects
of the catheterization procedure.
It's quite a process!
And, quite a team!!!!

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At Lehigh Valley Hospital there are several different
cardiology groups: Lehigh Valley Heart Specialists (LVHS), The
Heart Care Group (HCG), Lehigh Valley Cardiology Associates (LVCA)
and Dr. Cassel and Associates.
I don't have pictures of all of the cardiologists,
since I believe there are 50 or 60 at Lehigh Valley Hospital; however, I hope to have
more of their pictures soon.
Here are some of my cardiology
colleagues:
 Dr. Raymond Durkin
President of the Heart Care Group
Interventional Cardiologist
The Heart
Care Group
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Dr. Michael Rossi
Chief, Division of Cardiology
Clinical Director, The Regional Heart Center
Director, Lehigh Valley Heart Specialists
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Dr. Robert Oriel
Interventional Cardiologist
The Heart
Care Group |

Dr. J. Patrick Kleaveland
Director, Cardiac Catheterization Lab
Interventional Cardiologist
Lehigh Valley Heart Specialists
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Dr. Stephen Olex
Interventional Cardiologist
The Heart
Care Group
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Dr. Bryan Kluck
Interventional Cardiologist
The Heart Care Group |
Members of The Heart Care Group

Dr. Raymond Durkin, Dr. Gerald Pytlewski, Dr. Martin
Matsumura, Dr. Norman Marcus, Dr. Joseph Neri

Dr. William Combs, Dr. Bryan Kluck, Dr. Robert Oriel, Dr. Stephen Olex,
Dr. Christopher Sarnoski

Dr. William Smolinski, Dr. James Sandberg, Dr. Jason Fragen,
Dr. Prasant Pandey, Dr. Melvin Schwartz

Dr. Donald Belmont, Dr. Hugh Gallagher, Dr. Paul Gulotta,
Dr. William Markson, Dr. Shezad Malik

Dr. James Pantano, Dr. Sean George, Dr. Jamie Paranicus,
Dr. James Hummel, Dr. Ronald Stein |
| Members of Lehigh Valley Heart Specialists
Dr. David Cox, Dr. J. Patrick Kleaveland, Dr. Michael
Rossi, Dr. James Burke, Dr. Ronald Freudenberger
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Dr. David Goldner, Dr. Andrew Sumner, Dr. Nainesh Patel,
Dr. Bruce Feldman, Dr. Matthew Schumaeker, Dr. Joan Homan
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Dr. Vadim Levin, Dr.
Sultan Siddique, Dr. Larry Jacobs, Dr. Bruce Silverberg, Dr. Steve Zelenkofske, Dr. Robert Malacoff
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The clinical practice of cardiology is made up of
several sub-specialities, including: Clinical Cardiology, Nuclear
Medicine, CT Angiography, MRI, PET, Echography, Interventional
Cardiology, and Electrophysiology.
It can be quite confusing as there is a lot of
overlap. For example, most clinical cardiologists perform nuclear
medicine stress testing and read echocardiograms. Most
interventional cardiologists (the folks who perform angioplasty and
stents) also usually have a clinical practice of patients who they
follow in the office, and so on.
Interventional electrophysiologists diagnose and treat electrical problems
with the heart, most commonly treating arrhythmias, as well as insertion
of implantable defibrillators and pacemakers.
The interventional electrophysiologists
include Dr. Stephen Zelenkofske, Dr. Vadim Levin, Dr. Sultan Siddique,
Dr. Robert Malacoff, and Dr. Praveer Jain.
At Lehigh Valley Hospital we also have a "clinical" electrophysiologist, Dr.
Norman Marcus. Dr. Marcus performs diagnostic electrical testing,
but does not perform the interventional procedures.

Dr. James Sandberg and Dr. William
Markson, both clinical cardiologists, have also has been trained to insert pacemakers, though they
are not electrophysiologists per se. Is this starting to get
confusing to you? (me too).
Along these same lines, my fellow cardiac surgical
partners (Dr. Gary Szydlowski, Dr. Ted Phillips, Dr. Wu, Dr. Szwerc,
and Dr. Mehta) and myself are all trained to place pacemakers.
Indeed, there is a lot of overlap between all the different cardiology and
cardiac surgery procedures.
So, after the cardiac catheterization, let's say the
decision has been made that the patient needs to have open heart
surgery. This is when my surgical partners and I fit in....
Click to move along and meet
my surgical partners
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Last Modified
Monday, November 12, 2007
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