The full scope of adult cardiology — what we treat, and what we refer.
Lakeshore is a general cardiology practice with subspecialty focus on coronary artery disease, atrial fibrillation, heart failure, and preventive cardiology. We’re honest about what we don’t treat — patients with structural heart disease, congenital cardiac conditions, or pediatric cardiology are referred to subspecialty colleagues.
By condition category
Below is the complete scope of conditions we manage longitudinally at Lakeshore. Each condition has a dedicated treatment-pathway page if you want to read more about how we approach it.
Coronary + ischemic disease
- Coronary artery disease (stable)Risk-factor reduction, medication optimization, intervention coordination
- Stable anginaDiagnostic workup, anti-anginal therapy, follow-up planning
- Post-MI care + cardiac rehabStructured longitudinal follow-up after a heart attack
- Microvascular anginaDiagnostic + treatment for non-obstructive coronary cases
- Coronary artery spasm (Prinzmetal)Diagnostic workup + medical management
Arrhythmia + electrical
- Atrial fibrillationRate vs rhythm control, anticoagulation, ablation referral
- Atrial flutterDiagnostic + treatment planning, ablation coordination
- Premature beats (PVC, PAC)Workup + reassurance for benign cases; intervention for symptomatic
- Bradyarrhythmia + heart blockPacemaker referral + ongoing follow-up coordination
- Supraventricular tachycardiaDiagnostic + medical management, EP referral when indicated
Heart failure + cardiomyopathy
- Heart failure (preserved EF)Diagnostic workup + GDMT optimization for HFpEF
- Heart failure (reduced EF)GDMT, device referral, longitudinal follow-up for HFrEF
- Hypertrophic cardiomyopathyDiagnostic + family-screening referral; subspecialty co-management
- Dilated cardiomyopathyDiagnostic workup, etiology investigation, GDMT
Valvular disease
- Mild-to-moderate aortic stenosisSurveillance imaging + medication management; surgical referral when severe
- Mitral regurgitationSurveillance + medical management; surgical/MitraClip referral when severe
- Aortic regurgitationSurveillance + medical management; surgical referral when severe
- Tricuspid valve diseaseSurveillance + medical management; subspecialty co-management
Preventive cardiology
- Cardiovascular risk assessmentComprehensive workup including Apo-B, Lp(a), CAC scoring
- Family-history-driven preventionFirst-degree relative MI, premature CAD, sudden cardiac death
- Hypertension (difficult-to-control)Multi-drug regimens, secondary causes, renal-cardiac work
- Lipid disorders + Lp(a)Comprehensive lipid optimization, including PCSK9 inhibitors
- Athlete cardiac evaluationPre-participation, syncope, sports-related arrhythmia
Women’s cardiology
- Sex-specific risk assessmentPre-eclampsia history, pregnancy-related cardiomyopathy
- Spontaneous coronary artery dissection (SCAD)Diagnostic + ongoing follow-up after SCAD
- Cardiomyopathy of pregnancyPostpartum cardiomyopathy management + future-pregnancy counseling
- Menopause + cardiovascular riskRisk-stratification across the menopause transition
What we can do on-site
Most cardiac diagnostics are performed in our Cleveland office; results are reviewed by Dr. Voss the same day. Advanced imaging (MRI, CT, PET) coordinated through University Hospitals or Cleveland Clinic.
Echocardiography (TTE)
Standard, with and without contrast. Stress echo also performed on-site.
EKG + ambulatory monitoring
12-lead, 24-48hr Holter, 14-day patch monitors, event recorders.
Stress testing
Treadmill stress, stress echo, pharmacologic stress for non-ambulatory patients.
Phlebotomy + cardiac labs
On-site draws for lipid panel, troponin, BNP, Apo-B, Lp(a), CMP, A1c.
Pulmonary function testing
Spirometry on-site for cardiopulmonary differential. Coordinated PFT for complex cases.
Body composition + fitness assessment
VO2 max + lactate threshold testing for athlete evaluations.