Cardiovascular medicine at UC Davis includes research and clinical activities on both the Davis campus and at UC Davis Medical Center in Sacramento.
Clinical services in the hospital include the coronary intensive care unit/in-patient service, cardiac catheterization and electrophysiology laboratories, heart station, echocardiography laboratories, stress test laboratories, cardiovascular rehabilitation and atherosclerosis regression programs.
Ambulatory clinics cover general cardiology, congestive heart failure, electrophysiology and pacemaker evaluation, interventional cardiology, risk reduction, women's cardiovascular health, and adult congenital heart disease/primary pulmonary hypertension.
In conjunction with the UC Davis emergency medicine team, cardiovascular medicine oversees the chest pain emergency room service and the short stay in-patient service for rapid assessment and treatment of patients with chest pain and other cardiovascular diseases.
The cardiac electrophysiology service offers comprehensive diagnostic and treatment services for patients with cardiac arrhythmias. The complete range of services includes active clinical and research programs, drug therapy programs, radiofrequency ablations, Arctic Front Cryo Catheter System ablations, Stereotaxis magnetic navigation system, internal and external cardioversions, pacemaker and AICD implantation, laser lead extractions and tilt table studies.
The service has two dedicated electrophysiology laboratories supported by three full-time cardiac electrophysiologists, one pediatric electrophysiologist, one physician assistant, five nurses and four technical assistants. Patients and their families receive educational information throughout their care — from hospitalization to outpatient follow-up.
This program helps rehabilitate patients who are recovering from myocardial infarction, coronary artery bypass surgery, angioplasty or cardiac transplantation. Limited numbers of patients with heart failure also are accepted. The program includes patient education, exercise training, smoking cessation assistance, weight reduction and dietary counseling.
Cardiac Risk Reduction Clinic
This clinic is for those with heart disease risk factors, including family history, smoking, total cholesterol above 200 mg/ml, blood pressure higher than 140/90 mm Hg, body weight more than 20 percent over recommended weight for height and age, history of diabetes and/or sedentary lifestyles.
Cardiology Valve Clinic
The Cardiology Valve Clinic provides evaluations for those with aortic valve stenosis who want to be considered for a minimally invasive valve replacement procedure called transcatheter aortic valve replacement, or TAVR. In order to be considered for TAVR, patients must be ineligible for traditional open-heart surgical valve replacement. For information or to request a referral, call 916-734-6500.
Chest Pain Emergency Room Program
This program provides optimal initial management of patients with symptoms of acute, life-threatening cardiac disease, who receive rapid diagnosis and treatment. Patients are stratified according to risk, and immediate diagnostic studies such as early exercise testing and echocardiography are conducted as needed.
Coronary Heart Disease Reversal Program
This unique program promotes regression of coronary atherosclerosis in patients who have coronary artery disease and who cannot undergo angioplasty or bypass surgery. Using a multidisciplinary approach to care, patients are managed jointly by a team of cardiologists, nurses, dieticians, psychologists and exercise physiologists for a two-year period.
The interventional cardiology at UC Davis is one of the most distinguished in California, providing access to cutting-edge innovations, clinical trials, teaching programs and patient care. The program is staffed by eight adult interventional cardiologists. The UC Davis Medical Center has four state-of-the-art cardiac catheterization laboratories, each fully equipped with the most advanced digital imaging system, including intravascular ultrasound, virtual histology, optical coherence tomography and intracardiac echocardiography. Over 2,500 diagnostic procedures and 600 percutaneous coronary interventions are performed annually.
The program offers a wide array of coronary interventional techniques, including balloon angioplasty and stent implantation for stable and acute coronary syndromes, vein and arterial graft interventions, embolic protection, rotational atherectomy, excimer coronary laser angioplasty, intra-aortic balloon counterpulsation, percutaneous left ventricular assist devices and coronary flow-pressure measurement. The program is renowned for expertise in complex chronic total occlusion revascularization using innovative techniques.
Various structural heart disease procedures such as closure of patent foramen ovale, atrial and ventricular septal defects, percutaneous repair of the mitral valve (MitraClip®) and paravalvular leaks, atrial septostomy, mitral and aortic balloon valvuloplasty and alcohol septal ablation are routinely performed.
The UC Davis Vascular Center provides state-of-the-art vascular care and promotes collaboration among the different specialties involved in that process. It is dedicated to providing comprehensive and interdisciplinary care to patients with atherosclerosis, the process in which fatty materials, cholesterol and other substances, collectively known as plaque, accumulate in the lining of an artery. Among the specialties in the center are vascular surgery, cardiology, interventional radiology and nephrology.
Women's Cardiovascular Medicine Program
The Women's Cardiovascular Medicine Program was developed in response to the lack of awareness and recognition by women and health care providers that heart disease is the leading killer of women. The program has four major focus areas: patient care, education, research and advocacy. The program's goals are to respond to women's particular cardiovascular health-care concerns, increase sensitization of both physicians and patients to the risk of heart disease in women and to decrease cardiovascular disease mortality in women.
- Multispecialty approach to atherosclerosis prevention, particularly for patients with hyperlipidemia and hypertension
- Cardiac services program integrating adult and pediatric cardiology with cardiothoracic surgery
- Special heart-failure clinic and evaluation for heart transplant and ventricular assist devices