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Visit the DOM Annual Report 2012 for a Feature Story (PDF page 7)

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CardiologyBruce B. Lerman, MDChief, Maurice R. andCorinne P. GreenbergDivision of CardiologyHilda Altschul MasterProfessor of MedicineProfessor of MedicineWeill Cornell MedicalCollegeAttending PhysicianNewYork-PresbyterianHospitalThe Maurice R. and Corrine P. Greenberg Division of Cardiology is a leader in cardiovascular research,education and clinical care. The Division’s mission is to remain at <strong>the</strong> <strong>for</strong>efront of scientific and technologicaldevelopments that are revolutionizing cardiology and to translate <strong>the</strong>se findings to <strong>the</strong> clinical bedside.We have assembled internationally renowned programs that investigate <strong>the</strong> basic mechanisms ofcardiovascular disease, including <strong>the</strong> genetics of heart disease, <strong>the</strong> cellular signals and transcriptionfactors responsible <strong>for</strong> cardiac development, <strong>the</strong> trans<strong>for</strong>mation and homing of stem cells <strong>for</strong> myocardialregeneration and <strong>the</strong> delineation of <strong>the</strong> molecular bases <strong>for</strong> cardiac arrhythmias. Strategies are continuallyimplemented to enhance physical space, expand comprehensive clinical programs and continue ourhistory of cutting-edge research.Clinically, our priorities are to develop and deliver cutting-edge <strong>the</strong>rapies <strong>for</strong> heart disease and toadvance clinical investigation. Expert faculty provide mentoring, training and supervision to medicalstudents, internal medicine residents and fellows in cardiology, preparing <strong>the</strong>m as tomorrow’s leaders.The faculty also provide a host of weekly conferences <strong>for</strong> internal and external colleagues. Our highlysought after fellowship programs now total four. In addition to fellowships <strong>for</strong> cardiovascular disease,clinical cardiac electrophysiology, and interventional cardiology, we have launched advanced heart failureand transplantation cardiology. Dr. Evelyn Horn will serve as director of this new training program.From basic science, investigating <strong>the</strong> mechanisms of arrhythmias and large population-based studiesof new diagnostic and <strong>the</strong>rapeutic approaches, to a vast array of cardiovascular conditions and diseases,<strong>the</strong> focus is on improving patient care. This involves a majority of our faculty and almost all of cardiologyfellows-in-training, as well as postdoctoral trainees and graduate and medical students, thus creatinga rich intellectual milieu in which trainees develop into experienced investigators.Clinical services achieve superior outcomes in all areas, from cutting-edge interventional and imaginglaboratories, to outpatient consultative and ongoing care. Patient care covers all types of heart and vasculardiseases, including, but not limited to, arrhythmias, coronary and peripheral arterial disease, valve disease,<strong>the</strong> Marfan syndrome and inherited heart diseases, as well as heart failure and transplantation cardiology.To allow immediate treatment of patients presenting in <strong>the</strong> early stages of a heart attack, <strong>the</strong>re exists24-hour, in-hospital coverage of <strong>the</strong> Cardiac Intensive Care Unit, Telemetry and Step-Down Unit and <strong>the</strong>interventional laboratory.The Electrophysiology Laboratory (Drs. Bruce Lerman, Steven Markowitz, Jim Cheung, Christopher Liuand James Ip) continues expansion of its program in ca<strong>the</strong>ter ablation <strong>for</strong> complex arrhythmias (includingatrial fibrillation, atrial tachycardias, and ventricular tachycardias). There was significant growth in clinicalactivities related to complex rhythm device procedures, such as device lead extraction. In conjunction with<strong>the</strong> Cardiac Ca<strong>the</strong>terization Laboratory, <strong>the</strong> Electrophysiology Laboratory has introduced percutaneousclosure of <strong>the</strong> left atrial appendage to prevent strokes in atrial fibrillation. Active research projects includeoutcomes of ca<strong>the</strong>ter ablation <strong>for</strong> atrial fibrillation; characterization of complex atrial tachycardias;idiopathic ventricular tachycardia; risk stratification <strong>for</strong> sudden death; <strong>the</strong> relationship of heart failure andarrhythmias; and long-term outcomes after pacemaker and defibrillator implantation.Dr. S. Chiu Wong continues his outstanding research, including a multicenter trial begun in <strong>2012</strong> <strong>for</strong> whichhe serves as principal investigator. The trials involve two centers in <strong>the</strong> United States and three in Germanyand investigate arterial access site closure following invasive procedures. Dr. Wong is also working onresearch projects <strong>for</strong> renal artery denervation <strong>for</strong> <strong>the</strong> treatment of resistant hypertension, as well as mitralvalve repair <strong>for</strong> treatment of mitral regurgitation in high risk patients.Additionally, under <strong>the</strong> direction of Dr. Wong, <strong>the</strong> Ca<strong>the</strong>terization Laboratory team (with <strong>the</strong> Departmentof Cardiothoracic Surgery) successfully treated over 100 patients with critical aortic stenosis (patients whowere considered high risk or “not treatable” by our qualifying surgical colleagues). Additionally, <strong>the</strong>partnership between <strong>the</strong> Division of Cardiology and <strong>the</strong> Department of Cardiothoracic Surgery resultedin <strong>the</strong> creation of a new Valve Center dedicated to high-impact clinical research and optimization in <strong>the</strong>delivery of patient care.Dr. Lerman, Division Chief, continues to serve on <strong>the</strong> editorial boards of Circulation, Heart Rhythm,The Journal of Cardiac Electrophysiology and The Journal of Innovations in Cardiac Rhythm Management.Dr. Steven Markowitz serves on <strong>the</strong> Electrophysiology Committee, American College of Cardiology,and on <strong>the</strong> editorial boards of HeartRhythm and Journal of Interventional Cardiac Electrophysiology.We welcomed several highly skilled new recruits in <strong>2012</strong> who cover a wide swath of expertise incardiology. Dr. Rebecca A. Acunce, who completed her residency training at NYP/WC and a fellowship atNew York University, joins our faculty as a consultative cardiologist. Dr. James M. Horowitz, a graduate ofDr. Lerman (third from left) with new recruits: Harsimran Singh, Henry Tran, Rebecca Ascunce, Luke Kim, Rajesh Swaminathan (l to r)<strong>the</strong> University of Pennsylvania recently joined our team after his stellar service as Chief Residentwith <strong>the</strong> Department of Medicine’s residency training program in internal medicine. A new NYPsponsoredaward has been established in his name, which may be given to any chief resident from anydepartment who demonstrates <strong>the</strong> shared values of “acollaborative patient-centered approach to patient careon <strong>the</strong> Weill Cornell campus.” Dr. Harsimran Singh,directs our adult congenital heart disease programand is also an interventional cardiologist. He holds anundergraduate degree from Princeton University andan MD from Yale. Dr. Rajesh V. Swaminathan receivedhis MD from Duke University and completed residencytraining at Massachusetts General Hospital, Boston.Clinical services achieve superior outcomes inall areas, from cutting-edge interventional andimaging laboratories, to outpatient consultativeand ongoing care.With a research focus on mechanisms of vascular injury and remodeling, he is working in both <strong>the</strong>outpatient clinic and in <strong>the</strong> cardiac ca<strong>the</strong>terization laboratory. Dr. Henry A. Tran, bringing expertisein cardiovascular diseases and echocardiography, received his MD from Georgetown University andcompleted residency training at New York University. The division also gained new recruits from SoundShore Cardiology Associates, located in New Rochelle and Mamaroneck, thus expanding our patientcare reach to <strong>the</strong> Westchester area. These new recruits are Drs. Richard Charney, Leonard J. Di Re,Paul Gerardi, and David Messinger.3031

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