Many patients with atrial fibrillation are at risk for stroke and need anticoagulation therapy. However some patients have a high risk of bleeding with long term use of this type of therapy. This is especially true if the patient is frail or has a history of bleeding, such as bleeding in the stomach or intestines and/or brain (cerebral hemorrhage). New medications and procedures are available to help manage the risks of both stroke and bleeding in these patients with atrial fibrillation.

The staff of Cleveland Clinic’s Stroke Prevention Center is highly experienced and able to help patients with these needs.

Our Doctors

Our Doctors

Our multidisciplinary team includes specialists in cardiology, vascular medicine, gastroenterology and neurovascular medicine. We work together to assess your risk of stroke and bleeding and develop a treatment plan that best meets your individual needs.

Co-Directors: Oussama Wazni, MD and Walid Saliba, MD

Staff Members

Miller Family Heart, Vascular & Thoracic Institute

Cardiovascular Medicine – Center for Atrial Fibrillation (Electrophysiology)

Your initial consultation will be with an electrophysiologist

Multidisciplinary Team

Other specialists from our multidisciplinary team may also take part in your care.

Miller Family Heart, Vascular & Thoracic Institute

Cardiovascular Medicine – Imaging Section
Richard Grimm, DO
Wael Jaber, MD
Leonardo Rodriguez, MD

Cardiovascular Medicine – Invasive and Interventional Cardiology
Samir Kapadia, MD - Section Head, Invasive/Interventional Cardiology

Cardiovascular Medicine – Vascular Medicine Thrombosis Center
Marecelo Gomes, MD - Medical Director, Thrombosis Center

Neurological Institute

Cerebrovascular Center
Muhammad Shazam Hussain, MD – Head, Cleveland Clinic Stroke Program

Cleveland Clinic patients also have access to the full range of medical specialists who may be required to care for patients with blood clotting disorders, such as Hepatologists, Hematologists and others.



The Atrial Fibrillation Stroke Prevention Center is located at Desk J2-2, on the second floor of the Sydell and Arnold Miller Family Heart, Vascular & Thoracic Institute.

To make an appointment, please call toll-free 800.659.7822 Cardiology Appointments or Request an Appointment online.

Appointment Information

Before your appointment

If your appointment is scheduled at least one week in advance, you will be asked to send in your records, including medical history, test results and films (such as echocardiogram, chest X-ray, MRI or CT). All information should be sent in the same package (clearly marked with your name and address) via Airborne Express, Federal Express, or certified U.S. mail (make sure you have a tracking number) to the physician you will be seeing. The address is:

Physician Name
Stroke Prevention Center
Center for Atrial Fibrillation
Cleveland Clinic
9500 Euclid Avenue – Desk J2-2
Cleveland, OH 44195

If your scheduled appointment is within a week, please bring your records to your appointment.

What to expect during your appointment

You will meet with a nurse who will collect your information and begin the documentation process.

Based on your medical history, you will have specialized blood work and imaging tests (electrocardiogram, comprehensive transthoracic echo, transesophageal echo, cardiac MR and multidetector CT scanning, EGD).

You will meet with a cardiologist from the clinic who will review your records and medical history, perform a physical examination, review your test results, and provide you with an assessment and plan.

If you need to meet with one of the other multidisciplinary specialists, they will be consulted in one - two days.

How long will you need to stay at Cleveland Clinic?

To complete all testing, you will need to stay in the Cleveland area for one to two days.

More Information

If you need more information, contact us, chat online with a nurse or call the Miller Family Heart, Vascular & Thoracic Institute Resource & Information Nurse at 216.445.9288 or toll-free at 866.289.6911. We would be happy to help you.