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Department Cardiovascular Medicine
Primary Location Cleveland Clinic Main Campus
Type of Doctor Adults Only
Languages English, Spanish
Surgeon No
Cleveland Clinic Main Campus
Primary Location

Cleveland Clinic Main Campus

Specialties & Treatments

Treatment & Services

  • Cardiac Catheterization
  • Cardiac Transplant
  • Cardiovascular Medicine Department
  • Endomyocardial Biopsy
  • Heart Failure Management
  • Heart Failure Section
  • Mechanical Assist Devices
  • Pre-Transplant Evaluation
  • Ventricular Assist Device
View all 9 Treatment & Services +

Specialty in Diseases & Conditions

  • Amyloidosis
  • Cardiomyopathy
  • Cardiomyopathy Secondary to Chemotherapy
  • Diastolic Dysfunction
  • Dilated Cardiomyopathy
  • Ejection Fraction - Abnormal
  • Enlarged Heart
  • Familial Cardiomyopathy
  • Heart Failure
  • Heart Failure in Women
  • Right Heart Failure
View all 11 Specialties +


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About Paulino Alvarez, MD

Paulino Alvarez, MD, FACC, is a heart failure specialist in the Heart Failure & Cardiac Transplantation Section of the Tomsich Family Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart, Vascular & Thoracic Institute. He sees patients at Main Campus.

Specialty Interests: Heart failure, acute heart failure, heart transplantation, left ventricular assist devices (LVADs), cardiogenic shock

Experience: The Heart Failure & Cardiac Transplantation Section is part of Cleveland Clinic’s George M. and Linda H. Kaufman Center for Heart Failure Treatment and Recovery, one of the premier facilities in the United States for the care of people with heart failure. Center physicians aggressively pursue non-transplant options to benefit these patients and also continue to investigate and improve surgical treatments, such as left ventricular assist devices (LVADs), left ventricular reconstruction surgery and heart transplant. Cleveland Clinic's cardiac transplant program is one of the largest in the United States.

Dr. Alvarez’ clinical experience includes caring for patients with advanced heart failure, those with all types of LVADs and pre- and post-transplant patients. He is board certified in cardiovascular medicine and advanced heart failure and transplant and is a fellow of the American College of Cardiology.
Success Rates: Success rates for specific procedures at Cleveland Clinic are available at http://my.clevelandclinic.org/heart/about-heart-vascular-institute/treatment-outcomes.aspx.

Education: Dr. Alvarez received his medical degree from Universidad Rene Favaloro, Buenos Aires, Argentina. He completed an internal medicine residency at Instituto Universitario CEMIC and cardiology residency at Hospital de Clínicas José de San Martin, University of Buenos Aires, all in Buenos Aires. In the United States, he served a second internal medicine residency and a fellowship in cardiovascular disease at Houston Methodist Hospital, Houston, Texas. He completed his subspecialty training as a fellow in heart failure and transplant at Cleveland Clinic.

Dr. Alvarez was named to the Cleveland Clinic medical staff in 2020.

Research, Publications and Speaking: Dr. Alvarez has served as an investigator on research studies related to new treatments for cardiomyopathy and heart failure, and he is a frequent presenter on research in heart failure and cardiac transplant at national and international medical meetings. He has coauthored more than 70 scientific papers published in peer-reviewed medical journals and three book chapters.

About Dr. Alvarez: “My main motivation as a heart failure cardiologist is to work together with our patients to understand their needs and provide personalized care for them.”

Leisure Activities: In his leisure time, Dr. Alvarez enjoys running, playing soccer and spending time with his wife and daughter.

Education & Professional Highlights

Education & Professional Highlights


Education & Fellowships

Fellowship - Cleveland Clinic
Advanced Heart Failure and Transplant Cardiology
Cleveland, OH

Fellowship - Methodist Hospital
Houston, TX

Residency - Methodist Hospital
Internal Medicine
Houston, TX

Residency - Hospital de Clinicas
Buenos Aires, Argentina

Residency - Methodist Hospital
Internal Medicine
Houston, TX

Residency - Fundacion Favaloro
Buenos Aires,

Residency - Insitituto Universitario CEMIC
Internal Medicine
Buenos Aires, Argentina

Medical Education - Favaloro University Medical School
Buenos Aires,

Undergraduate - San Juan El precursor
San Isidro, Argentina


  • Internal Medicine - Cardiovascular Disease
  • Internal Medicine - Advanced Heart Failure and Transplant Cardiology
  • Echocardiography

Specialty Interests

Heart failure, acute heart failure, heart transplantation, left ventricular assist devices (LVADs), cardiogenic shock

Research & Publications

Research & Publications

See publications for Paulino Alvarez, MD.

(Disclaimer: This search is powered by PubMed, a service of the U.S. National Library of Medicine. PubMed is a third-party website with no affiliation with Cleveland Clinic.)

Industry Relationships

Industry Relationships

Cleveland Clinic physicians and scientists may collaborate with the pharmaceutical or medical device industries to help develop medical breakthroughs or provide medical expertise or education. Cleveland Clinic strives to make scientific advances that will benefit patient care and support outside relationships that promise public benefit. In order for the discoveries of Cleveland Clinic physicians' and scientists' laboratories and investigations to benefit the public, these discoveries must be commercialized in partnership with industry. As experts in their fields, Cleveland Clinic physicians and scientists are often sought after by industry to consult, provide expertise and education.

To assure professional and commercial integrity in such matters, Cleveland Clinic maintains a program that reviews these collaborations and, when appropriate, puts measures in place to minimize bias that may result from ties to industry. Cleveland Clinic publicly discloses the names of companies when (i) its physicians/scientists receive $5,000 or more per year (or, in rare cases, equity or stock options) for speaking and consulting, (ii) its physicians/scientists serve as a fiduciary, (iii) its physicians/scientists receive or have the right to receive royalties or (iv) its physicians/ scientists hold any equity interest for the physician's/scientist's role as inventor, discoverer, developer, founder or consultant.* In publicly disclosing this information, Cleveland Clinic tries to provide information as accurately as possible about its physicians' and scientists' connections with industry.

As of 4/16/2024, Dr. Alvarez has reported the financial relationships with the companies listed below. In general, patients should feel free to contact their doctor about any of the relationships and how the relationships are overseen by Cleveland Clinic. To learn more about Cleveland Clinic's policies on collaborations with industry and innovation management, go to our Integrity in Innovation page.

Public Health Service-Reportable Financial Conflicts of Interest. Cleveland Clinic scientists and physicians engage in basic, translational and clinical research activities, working to solve health problems, enhance patient care and improve quality of life for patients. Interactions with industry are essential to bringing the researchers' discoveries to the public, but can present the potential for conflicts of interest related to their research activities. Click here to view a listing of instances where Cleveland Clinic has identified a Public Health Service (PHS)-Reportable Financial Conflict of Interest and has put measures in place to ensure that, to the extent possible, the design, conduct and reporting of the research is free from bias.

* Cleveland Clinic physicians and scientists subscribe to the guidance presented in the PhRMA Code on Interactions with Healthcare Professionals and the AdvaMed Code of Ethics on Interactions with Health Care Professionals. As such, gifts of substantial value are generally prohibited.

Patient Satisfaction Reviews

262 Patient Satisfaction Reviews

The Patient Satisfaction Rating is an average of all responses to the care provider related questions shown below from our nationally-recognized Press Ganey Patient Satisfaction Survey. Patients that are treated in outpatient or hospital environments may receive different surveys, and the volume of responses will vary by question.

Responses are measured on a scale of 1 to 5 with 5 being the best score.

The comments are submitted by patients and reflect their views and opinions. The comments are not endorsed by and do not necessarily reflect the views of Cleveland Clinic.

Overall Star Ratings
4.9 out of 5
Explains 4.9
Listens 4.4
Courtesy, Respect & Concern 4.9
Patient Rating of Doctor 4.9

68 Patient Comments

Reviewed on Jun 27, 2024

In all my 49 years I have never had such a good experience with a healthcare provider. Thank you so much

Reviewed on Jun 20, 2024

Dr. Alvarez is brilliant, compassionate, and methodicaleverything you would ever want in a physician.

Reviewed on Jun 20, 2024

Dr. Alvarez was kind and compassionate. He treated me like I was his only patient for the day!!

Reviewed on Jun 10, 2024

Dr. Alvarez shows great concern for my well-being, and I really appreciate how he listens carefully and explains things in a way that make sense.

Reviewed on May 24, 2024

It's hard to believe that doctors who are so busy are so personable, concerned and take the time to be so thorough.

Reviewed on May 16, 2024

I would like to have contact with Dr. Alvarez at least every six weeks for follow up.

Reviewed on May 10, 2024

Dr. Carter Develin. Always very, pleasant and took time to talk.

Reviewed on May 3, 2024

Absolutely amazing working with Dr. Alvarez! His knowledge, care, compassionate, no rushed feelings, his kindness. We are so blessed to find him as our doctor. Has a plan in place, so excited to move forward and finally have answers.

Reviewed on May 1, 2024

Dr Alvarez has always taken the best care of me. He goes above and beyond what you would expect from a doctor. I highly recommend him to anyone who needs a heart failure doctor. He's the best in my opinion.

Reviewed on Apr 30, 2024

Dr Alvarez is wonderful!

Reviewed on Apr 26, 2024

I can't say enough good about Dr. Alvarez...his care is outstanding!!

Reviewed on Apr 19, 2024

Outstanding doctor and staff.

Reviewed on Apr 19, 2024

Dr. Alvarez is the best medical professional I've ever had in my 76 years of life. He always shows sincere care and concern. He's # 1 in my book.

Reviewed on Apr 19, 2024

The in depth questions and more in depth answers far exceeds any medical care I ever had outside the C.C. You guys have a very high level of intelligent and caring Doctors that put C.C. The best in the business .

Reviewed on Apr 18, 2024

Dr. Alverez is amazing. I am blessed to have him as my physician

Reviewed on Apr 16, 2024

Dr. Alvarez is the smartest kindest professional physician

Reviewed on Apr 15, 2024

Dr. Alvarez is amazing. The level of care has been above and beyond. He makes you feel as if you are his only patient when he is with you and genuinely listens to medical history, current symptoms and ailments. He calls in consultations when he feels they are needed and follows up. My only regret is not calling Cleveland Clinic sooner. It is worth every minute of the 3-1/2 hour drive to get there.

Reviewed on Apr 4, 2024

Dr Alvarez is one the kindest, capable, and thorough Drs. I have come across at the clinic, I would recommend him to everyone.

Reviewed on Apr 2, 2024

Awesome physician!

Reviewed on Mar 25, 2024

Dr. Alvarez is AMAZING. My only regret is I didn't call Cleveland Clinic sooner. I cannot say enough wonderful things about Dr. Alvarez.

Reviewed on Mar 15, 2024

Dr. Alvarez and his NP Lyndsay are both amazing. The guidance of this team is why my quality of life almost 3 years post transplant is better than I could ever imagine.

Reviewed on Mar 14, 2024

I highly respect Dr P. Alvarez and trust his professionalism and abilities to treat me and others.

Reviewed on Mar 13, 2024

Dr Alvarez was very attentive snd helpful

Reviewed on Mar 13, 2024

Dr Alvarez is very caring.

Reviewed on Mar 6, 2024

Dr. Alvarez is exceptionally concerned with patient welfare . Listens intently to all concerns . Good person and very good doctor!

Reviewed on Feb 13, 2024

Dr. Alvarez is absolutely THE BEST. I've never had a more caring physician. He shows that he cares about my health.

Reviewed on Feb 12, 2024

It was a very good experience. I live about 8 hours away in Kingsport TN and the Dr and staff was able to get me in for an MRI within 2 days. I really appreciate that!!

Reviewed on Feb 6, 2024

Dr. Alvarez treated me with very ppersonal attention that made me feel like he was interested in all my questions and comments. He really took his time with me and listened to me. It increased my trust in his abilities and intelligence.

Reviewed on Feb 5, 2024

Dr Alvarez call and check me everyday I was there!!

Reviewed on Jan 22, 2024

Very good experience good doctor

Reviewed on Jan 12, 2024

Dr. Alvarez and his team are very patient centered. I'm just so pleased to be under his care in the care of his staff.

Reviewed on Jan 12, 2024

Thank you, Dr. Alvarez!

Reviewed on Jan 12, 2024

I have an immense appreciation for Dr. Alveraz and his staff.

Reviewed on Jan 9, 2024

All staff was professional and polite. Dr Alvarez went above and beyond to diagnose my condition

Reviewed on Jan 9, 2024

Very happy with Dr Alvarez

Reviewed on Jan 2, 2024

Best care anywhere.Dr. Alvarez is the best...very best!!!

Reviewed on Nov 30, 2023

Dr. Alvarez is the best.

Reviewed on Nov 30, 2023

Dr Alvarez, is very attentive to what I ask and reply in a way I can understand. God bless him,he saves my life.

Reviewed on Nov 24, 2023

Dr. Alvarez is amazing. He's the most compassionate doctor I have had in a long time. He truly cares about helping me, and I feel safe and comfortable knowing I have a cardiologist like him watching my back.

Reviewed on Nov 24, 2023

I would recommend Dr. Alvarez to anyone I meet.

Reviewed on Nov 21, 2023

Great experience , ans. All questions .explained everything about my heart and I left feeling great relief .great Dr .just moved from Utah .

Reviewed on Nov 21, 2023

Doctor Alvarez does an excellent job with my care and the explanations of that care. He always explains progress and how to continue that progress.

Reviewed on Nov 16, 2023

He is a very good Doctor and I just love him he is a very Concern doc

Reviewed on Nov 13, 2023

I have the most respect for Dr. Alvarez...the best of care!!

Reviewed on Nov 13, 2023

72 yrs old. I cannot recall another dr. In over 30 yrs that actually made me feel like he really wanted to see me better. I didnt always make good choices but I felt no judgment from dr alvarez

Reviewed on Oct 30, 2023


Reviewed on Oct 30, 2023

Dr Alvarez is a very caring physican

Reviewed on Oct 24, 2023

Dr. Alvarez is the best ever. We need more of him. Answers every question and never rushes you.

Reviewed on Oct 20, 2023

Coming from out of state, the directions/instructions on MyChart were very precise as to where I needed to go for my visit. Staff were very polite and helpful. Parking was a bit hectic, but that is to be expected at such a large clinic. Dr. Alvarez was very kind and thorough, and explained things to me in a way that I was able to understand.

Reviewed on Oct 19, 2023

Dr Alvarez was quite frankly, the best Dr in terms of care and communication I've ever had. He spent the time, answered questions, was thorough, positive, and never once appeared impatient, aggravated, or in a hurry. Highly recommend.

Reviewed on Oct 19, 2023

I wish the nurse would allow me to rest as I walked in the exam room of taking my blood pressure. My other doctor's appointments the nurse allows me to rest and relax for 10 minutes before taking my blood pressure, but this time in cardiology she didn't do this, because my blood pressure isn't as high, I just walked in the exam room. The Dr. Alvarez was great, very knowledgeable and concerned about my health and blood pressure, which he retook it with a more accurate result knowing I take my meds as directed, he understood and was very compassionate and thorough with his exam. I highly recommend Dr. Alvarez to others.

Reviewed on Oct 19, 2023

Dr Alvarez is very kind and caring

Reviewed on Oct 13, 2023

Dr. Alvarez is the BEST!!!!

Reviewed on Oct 4, 2023

The care I have received from Dr. Alvarez and the team is excellent. I'm very pleased with the care I have received.

Reviewed on Oct 4, 2023

I highly recommend Dr. Alvarez and the Cleveland Clinic.

Reviewed on Sep 26, 2023

Very outstanding doctor.

Reviewed on Sep 25, 2023

I LOVE my doctor and his staff

Reviewed on Sep 25, 2023

Overall visit was excellent. Extremely satisfied with the care provided by Dr. Alvarez. He is very accessible and responds in a very timely manner to patient's concerns.

Reviewed on Sep 18, 2023

Dr Paulino Alvarez took the time to listen, discuss and explain forthcoming actions and steps needed.

Reviewed on Sep 15, 2023

Dr ?lvarez was very friendly and professional.He was informative and thorough in pointing out treatment alternatives..

Reviewed on Sep 15, 2023

Really liked Dr Slvarez

Reviewed on Sep 15, 2023

Doctor was excellent

Reviewed on Sep 11, 2023

Dr Alvarez is a super doctor. Always listens to concerns. Willing to discuss issues etc. Highly recommend. He is professional as well as personable, caring, and is easily able to talk with.

Reviewed on Aug 1, 2023

Dr Alvarez is the Best hands down. So thankful for him being my Dr.

Reviewed on Jul 27, 2023

I have always received prompt communication on My Chart with Dr Alvarez" office and Dr Alvarez is great about reaching out to check on me and calls with important information.

Reviewed on Jul 21, 2023

Dr. Alvarez went the extra mile on a 30 minute virtual call. He even shared his screen, showing us a recent test that I had done and detailed out where the potential issue is. He answered all of my questions.

Reviewed on Jul 20, 2023

Dr. Alvarez greeted me as I was coming in. He assured he would be back. He kept me informed of what was being done during my biopsy.

Reviewed on Jul 7, 2023

My interactions with Dr. Alvarez have always been excellent. He is a fine credit to your clinic.

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