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

  • Abnormal Ejection Fraction
  • Amyloidosis
  • Cardiomyopathy
  • Cardiomyopathy Secondary to Chemotherapy
  • Diastolic Dysfunction
  • Dilated Cardiomyopathy
  • 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

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 USA

Fellowship - Methodist Hospital
Houston, TX USA

Residency - Methodist Hospital
Internal Medicine
Houston, TX USA

Residency - Hospital de Clinicas
Buenos Aires, Argentina

Residency - Methodist Hospital
Internal Medicine
Houston, TX USA

Residency - Fundacion Favaloro
Buenos Aires, Argentina

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
  • 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 1/3/2023, Dr. Alvarez has reported no financial relationship with industry that is applicable to this listing. 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

37 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
5 out of 5
Explains 4.9
Listens 5
Courtesy, Respect & Concern 5
Patient Rating of Doctor 5

34 Patient Comments

Reviewed on Feb 27, 2023

Dr. Alvarez listens and responds to all questions and concerns. He engages in discussion and never dismisses issues raised.

Reviewed on Feb 27, 2023

I was impressed with the thoroughness that Dr Alvarez went over my case . He spend a lot of time explaining my situation and as a result I was completely satisfied.

Reviewed on Feb 17, 2023

Ken has been blessed with very good care from Dr. Alvarez. The doctor listens and is quick to respond to the many issues that arise in caring for Ken.

Reviewed on Feb 14, 2023

The care and attention from Dr Alvaro's is awesome and comforting. It will be great to keep in touch next year for follow up.

Reviewed on Feb 6, 2023

I can't say enough good about Dr. Alvarez. He is so caring, listens so well to what you have to say. One of the few doctors I've had in a long time that takes the time to call me to see how I'm doing or make recommendations.

Reviewed on Jan 30, 2023

Dr. Alvarez and his team are the best thing about Cleveland Clinic. The way they treat their patients, and follow up is world class.

Reviewed on Jan 30, 2023

Dr Alvarez is through and professional. I have extreme trust in him.

Reviewed on Jan 20, 2023

Dr. Alvarez tries every Orion to fix things and is so appreciated

Reviewed on Jan 12, 2023

I feel Dr. Alvarez takes his time, listens, and treats my "whole person"

Reviewed on Jan 10, 2023

I am so pleased I chose Cleveland Clinic and Dr Alvarez and staff are excellent.

Reviewed on Jan 3, 2023


Reviewed on Nov 14, 2022

Great experience always with Dr alvarez

Reviewed on Nov 10, 2022

I believe Dr. Alvarez is a very good doctor and he always promptly responds to my questions or concerns thru MyChart or a phone call.

Reviewed on Nov 3, 2022

Great Dr.

Reviewed on Oct 31, 2022

Dr. Alvarez took the time to answer my questions in a very thorough, responsive way.

Reviewed on Oct 19, 2022

Dr. Alvarez is always concerned and professional

Reviewed on Oct 5, 2022

Dr. Alvarez was very thorough in his explanations and logic for my situation. I left with an enhanced understanding of my health.

Reviewed on Sep 29, 2022

Dr. Alvarez is knowledgeable, caring, and takes the time to explain matters.

Reviewed on Aug 19, 2022

Dr. Alvarez saved my fathers life. So thankful for his care and compassion he has for his patients. He has a great support staff, too.

Reviewed on Aug 19, 2022

Dr. Alvarez has a wonderful support staff.

Reviewed on Aug 3, 2022

Dr. Alvarez is excellent!Very caring and spends the time to explain and go over things.

Reviewed on Jul 27, 2022

*Dr. Alvarez was fantastic. He explained everything thoroughly & took time to answer any questions. Put me at ease. All CCF drs. I had contact with were informative & very patient.

Reviewed on Jul 22, 2022

Dr. Alvarez's staff and care by his team is excellent. No issues. Other areas are inconsistent and mechanical.

Reviewed on Jul 18, 2022

Dr. Alvarez is phenomenal. I had a Zoom call so my husband and children could see and hear about my condition. He answered every single question. He was compassionate, a great listener, and thorough. I trust him. He even called later that day to insure I understood how to take my medicine. I am in good hands with Dr. Alvarez.

Reviewed on Jul 14, 2022

Listening is Dr. Alvarez s number one asset. He gives his attention to the smallest detail, puts the puzzle pieces together and develops the plan. And, the plan is working!

Reviewed on Jul 12, 2022

Emailed Dr. Alvarez on a late Thursday evening, received a response Friday morning for an appointment on Tuesday.That was great.

Reviewed on Jul 12, 2022

Of every Physician as concerned, caring and smart as Dr. Alvarez the world would be a better place.

Reviewed on May 20, 2022

Dr. Alvarez is wonderful very caring !

Reviewed on May 16, 2022

Dr. Alvarez truly cares for my over all health care. He reaches out and follows up insuring that I receive the care that I need.

Reviewed on May 9, 2022

Always good experience with Dr Alvarez.

Reviewed on May 5, 2022

Dr Alvarez is very caring takes his time to explain things very detailed oriented extremely thorough When you leave the visit you have concise written instructions

Reviewed on Mar 28, 2022

Dr. Alvarez and his staff are always very good to me. Thank you

Reviewed on Mar 28, 2022

Dr. Alvarez Treats me like I'm his only patient. Listens to me and my concerns. Dr. Alvarez will call me to reassure me on what is going on with me. He is a very caring Dr. And reassures me of what is the plan of action.

Reviewed on Mar 18, 2022

I always enjoy my visit with Paulino Alvarez. He is a very good doctor and I have much respect for him.

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