The cardiology chapter we live in.
Lakeshore is an adult cardiology practice. We see ischemic disease, arrhythmias, valvular and congestive failure, hypertensive disease, and the procedural management thereof. If we're not the right fit for your case, we'll send you to a colleague who is and we'll write the introduction.
Coronary artery disease
Plaque buildup in the arteries that feed the heart muscle.
Often presents as chest discomfort with exertion, shortness of breath, or fatigue. We diagnose with stress imaging or angiography and manage with medical therapy, PCI, or — when appropriate — surgical referral.
Atrial fibrillation
An irregular, often rapid heart rhythm that starts in the atria.
Symptoms range from palpitations and fatigue to none at all. Treatment depends on the cause: rate control, rhythm control with medication, electrical cardioversion, or cryoablation in our outpatient EP suite.
Heart failure
When the heart can't pump or fill effectively for the body's needs.
Includes both reduced ejection fraction (HFrEF) and preserved ejection fraction (HFpEF). We follow the guideline-directed medical therapy your case calls for and coordinate with cardiac rehab.
Hypertensive heart disease
Damage from chronic high blood pressure to heart muscle and arteries.
Treatment is rarely just one pill — it's the right combination, titrated. We co-manage with primary care and use ambulatory blood pressure monitoring when home readings disagree with office readings.
Aortic valve disease
The valve between the heart's main pumping chamber and the aorta.
Includes stenosis (narrowed) and regurgitation (leaking). Severity is graded by echo. Treatment ranges from watchful follow-up to TAVR — minimally invasive valve replacement done at Cleveland Clinic.
Tachyarrhythmias
Abnormally fast heart rhythms — SVT, AFib, atrial flutter, VT.
Diagnosis usually means catching the rhythm in the act with an extended monitor. Treatment depends on the type — vagal maneuvers, medications, ablation, or in select cases an implantable device.
A short list of when to call.
Some symptoms aren't urgent — but they shouldn't sit. If any of the following has been around for more than a few weeks, it's a fair reason to schedule with us.
- New chest discomfort with exertion that goes away with rest.
- New shortness of breath when you didn't used to have it.
- Palpitations that wake you up, or that go on for more than a few minutes.
- Lightheadedness or near-fainting on standing.
- An echocardiogram or stress test your primary care wants discussed.
- A family history of premature coronary disease and uncertainty about your own risk.
If you're having chest pain right now, call 911. The ER, then us. We'll see you for follow-up the moment you're discharged.
Not sure if you should be seen? Ask us first.
A 15-minute phone visit with our nurse navigator helps you decide. There's no charge.
