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Cardiovascular Imaging

Section of Cardiovascular Imaging Physicians

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Thomas Marwick, MD

Thomas Marwick, MD
Section Head

*Joint appointment with Radiology

Cardiovascular Imaging cardiologists have clinical expertise in the diagnosis and treatment of patients with heart disease affecting the structure or function of the heart. Those specialists are referred to as "imaging physicians" because they determine the most appropriate way to image or study the structure and function of the heart, in order to diagnose many types of heart disease. Obtaining and interpreting images of the heart is critical to the successful management of any cardiac disorder.

Cleveland Clinic's Cardiovascular Imaging Section utilizes the newest technology to image the heart. This technique allows physicians to more accurately determine appropriate candidates for device therapies which inherently leads to better outcomes of following the procedure. Read this study that looked at myocardial strain (a measurement of heart function utilizing sophisticated echo technology) to determine outcomes of biventricular pacemaker implantation in patients with heart failure.

Cardiovascular imaging physicians are also experts in the treatment and long-term management of many types of heart conditions including:

Cleveland Clinic's Section of Cardiac Imaging is one of the largest and most experienced in the country. Our staff reads and interprets nearly 50,000 images every year.

Cardiovascular imaging specialists have pioneered the use of stress echocardiography in evaluating heart valve disease, hypertrophic cardiomyopathy, aortic aneurysm, patent foramen ovale, and diastolic dysfunction in amyloidosis and constrictive pericarditis.

Imaging specialists in the Section of Cardiovascular Imaging utilize the following diagnostic studies to diagnose heart disease, plan optimal care for patients, and help ensure treatment is complete. They also use these diagnostic studies to minimize complications during many types of catheter-based procedures and heart surgery.

  • Echocardiography, including Doppler and 3-D is used to assess the overall function of the heart, determine the presence of many types of heart disease, follow the progress of valve disease and evaluate the effectiveness of medical or surgical treatment.
  • Stress echocardiography uses exercise or medication to make the heart work harder than when at rest. This helps us obtain more detailed pictures of the heart and how well or poorly it is functioning. Although stress echo is widely used to evaluate coronary artery disease, members of the section have pioneered its use in evaluating heart valve disease, such as aortic stenosis and insufficiency (regurgitation), bicuspid aortic valve disease, mitral valve prolapse, mitral valve stenosis and insufficiency, tricuspid and pulmonic valve disease, rheumatic heart disease, hypertrophic cardiomyopathy (HCM), and diastolic dysfunction in amyloidosis and constrictive pericarditis.
  • Transesophageal echocardiography (TEE) is used during surgery of the coronary arteries, valves or aorta. TEE is also done to evaluate whether a patient who has atrial fibrillation is at high risk for stroke. The procedure can show the presence of any blood clots in the heart (which have the potential to travel into the bloodstream and cause a stroke).
  • Intracardiac echo is valuable during electrophysiology and other catheter-based procedures to assist the cardiologist in visualizing the heart's structures and minimizing complications.
  • Nuclear imaging studies are used to diagnose various heart conditions. Specialists use Multigated Acquisition Scan (MUGA), positron emission tomography (PET), and nuclear exercise stress testing to find out more about the structure and function of the heart.
  • Cardiac MRI is considered the best method to evaluate heart structure, size, and function. This test uses a specialized cardiac capable MRI scanner to evaluate the heart. For people who cannot have an MRI scan (due to metal clips, pacemakers, etc.), a radionuclide study or cardiac CT scan are also options.
  • Coronary computed tomography angiography (CT Angiography) is being studied as a noninvasive method for detecting blockages in the coronary arteries. Both 40-detector and 64-detector scanners are being evaluated to determine their ability to rule out significant narrowing of the major coronary arteries and non-invasively detect “soft plaque,” or fatty matter that may lead to future problems if lifestyle changes or medical treatment are not initiated.

Take a look at the following related information on our website:

Patient Care

Specialized Centers
Information about conditions, care, and outcomes
Research
Information for Health Care Professionals
Tomsich Family Department of Cardiovascular Medicine

Back to Departments and Centers

Reviewed: 07/2010.



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This information is provided by Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition.

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