alert icon Coronavirus

Think you may have COVID-19?
Find out where you can get tested

Need a vaccine or booster?
Now scheduling for ages 6 months and up

Coming to a Cleveland Clinic location?
Visitation and mask requirements

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

  • 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 +


Is Cleveland Clinic Part of Your Insurance?

Review a list of accepted insurance plans for our Northeast Ohio locations or learn more about purchasing a contracted managed care plan.

View All Plans

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 2/15/2022, 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

111 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 5
Courtesy, Respect & Concern 5
Patient Rating of Doctor 5

30 Patient Comments

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.

Reviewed on Feb 16, 2022

The staff was wonderful in working with Novartis to get my medicine approved. Dr. Alvarez is very dedicated and thorough with my care.

Reviewed on Feb 14, 2022

Dr. Alvarez is the most caring doctor I've ever had He is wonderful !

Reviewed on Feb 1, 2022

Dr. Alvarez is an above excellent physician who cares greatly about his patients and reacts to the patient's needs in a fast and caring manner. I greatly appreciate Dr. Alvarez.

Reviewed on Feb 1, 2022

I thank God for my doctors at Cleveland Clinic and the care they have provided to me.

Reviewed on Jan 31, 2022

Dr Alvarez not only takes excellent care of my heart failure but consistently goes above and beyond with excellent communication, with myself and other doctors on my behalf. He shows empathy and always listens to me. I can't say enough about him!

Reviewed on Jan 25, 2022

Dr. Alvarez and his staff always treat patients with the upmost courtesy and attention.

Reviewed on Dec 9, 2021

Dr Alvarez is a rock star. He is so good at explaining what is going on and shows an outstanding level of knowledge and compassion. I know I am nervous about my heart condition and he assured me that is normal and not to let it stress me more. Really helpful for me to keep that in mind.

Reviewed on Nov 22, 2021

Dr. Alvarez is very kind and respectful. He has genuine concern and took the time to not only explain to me but also to my daughter to

Reviewed on Nov 11, 2021

Dr. Alvarez has always shown concern and empathy while delivering excellent care .

Reviewed on Nov 9, 2021

Dr. Alvarez is by far the nicest and easiest Dr. I have ever worked with in my 50 years on earth. Great man.

Reviewed on Nov 5, 2021

Dr. Alvarez has been a wonderful doctor to work with in getting my heart problems under control. I would recommend him to any one because of our experience with him.

Reviewed on Oct 28, 2021

I was seen by a new physician to me as my regular physician was on a conference call. The new physician was amazing, he listened to me, gave me helpful information, and ask me several times if I had concerns or questions, he reviewed my test with me and explained the results.

Reviewed on Oct 26, 2021

I always look forward to seeing Dr. Alvarez. He is excellent at explaining my condition and the actions we need to take to improve. He is especially good at understanding my questions and concerns and addressing them in an encouraging and supportive way. I would HIGHLY recommend.

Reviewed on Oct 25, 2021

That's what I like about Dr. Alvarez. He seems to be very caring, always takes time to answer your questions and listen to what you have to say.

Reviewed on Oct 8, 2021

Dr doesn't leave anything 1/2way sees something and makes sure he checks everything out. Very throughly! Spends the time with you. Very respectful!

Reviewed on Sep 9, 2021

Dr. Alvarez goes above and beyond what needs to be done so it is done right!!! He is so responsive, prepared and professional.

Reviewed on Sep 9, 2021

Please develop more doctors like Dr. Alvarez!!! He is thorough and a pleasure with whom to interact and make decisions!

Reviewed on Sep 7, 2021

Dr. Alvarez has earned my total respect Dr Alvarez and Dr. Balgarva are the reason I am alive. The Cleveland Clinic these 2 Physicians the great and well trained staff as well as other support staff(techs, receptionist red coats) make my multiple visits to CCF positive.

Reviewed on Aug 11, 2021

Dr. Alvarez is a fantastic care provider.

Reviewed on Aug 11, 2021

Everyone in the office made scheduling so easy...considering I live 10 hours away and wanted to make it for a specific day. Also, I was terribly impressed that Dr Alvarez called me personally at home, just to confirm the symptoms I was having. Not many physicians have his attentive, kind and thorough manner!

Reviewed on Aug 11, 2021

The most excellent physician I have known in my long career as a nurse, and in my history with physicians.

Reviewed on Aug 3, 2021

I was very impressed with the Dr.and all of his staff

Reviewed on Jun 16, 2021

doctor took the time to hear my concerns and addressed them. Very thoughtful and explained my medical issues to the point where it was easy for me to understand

Back to Top