Honest about what we do — and what we refer.
Lakeshore is an outpatient cardiology practice. We perform a defined set of in-office diagnostics + minor procedures; for catheterization, electrophysiology, and surgery, we coordinate with our hospital partners. The list below is the complete scope.
What we perform on-site
Most cardiac diagnostics happen in our Cleveland office. Same-day results reviewed by Dr. Voss with the patient before they leave.
Transthoracic echo (TTE)
Standard 2D + Doppler echocardiography with measured ejection fraction, valvular assessment, chamber sizing.
Stress echo
Treadmill or pharmacologic stress with pre/post imaging. For ischemia evaluation + functional capacity.
Exercise treadmill stress
Bruce protocol stress testing with continuous EKG monitoring. Standard for symptom-driven workup.
12-lead EKG
Same-visit 12-lead with immediate Dr. Voss interpretation. Comparison to baseline EKG when available.
Holter monitor (24-48hr)
Continuous EKG monitoring for arrhythmia evaluation. Same-week reading + report.
14-day patch monitor
Long-term monitoring for harder-to-catch arrhythmias. Patient-initiated event marking.
Cardiac biomarker labs
Troponin, BNP, NT-proBNP, comprehensive lipid panel including Apo-B + Lp(a).
Spirometry
PFT for cardiopulmonary differential in dyspnea workup.
From first consult to longitudinal care
The structure of most outpatient cardiology relationships at Lakeshore.
Initial consult · 60 min
Comprehensive history (including detailed family + social), physical exam, EKG, baseline echo if not recently done. Care plan documented in real-time.
Workup · 1-3 weeks
Lab work, imaging, ambulatory monitoring as indicated. Most testing on-site; advanced imaging coordinated through hospital partners.
Treatment plan + follow-up
Plan-of-care visit · 30 minutes. Medication initiation/optimization, lifestyle interventions, written plan for the year ahead.
Longitudinal follow-up
Most patients seen 2-4 times per year for surveillance. Same-week appointments available for any acute concerns. Hospital follow-up integrated.
What we refer to hospital partners
For invasive procedures, electrophysiology, and surgical interventions, Dr. Voss continues to follow her patients into and through the hospital — not handing them off. Below is the typical referral pathway.
Catheterization + intervention
- Diagnostic cath + PCICoordinated through University Hospitals interventional cardiology
- TAVR (aortic valve replacement)Coordinated through Cleveland Clinic Heart, Vascular & Thoracic Institute
- MitraClipCoordinated through Cleveland Clinic structural heart program
- Atherectomy + complex PCICoordinated through University Hospitals
Electrophysiology
- Catheter ablation (AFib, atrial flutter)Coordinated through Cleveland Clinic Section of Cardiac Electrophysiology
- Pacemaker implantationCoordinated through University Hospitals + Cleveland Clinic
- ICD implantationCoordinated through Cleveland Clinic
- Watchman LAA closureCoordinated through Cleveland Clinic structural heart
Cardiac surgery
- CABG (coronary bypass)Coordinated through University Hospitals or Cleveland Clinic CT surgery
- Aortic valve replacement (open)When TAVR is not appropriate
- Mitral valve repair / replacementCoordinated through Cleveland Clinic mitral surgery program
- Aortic aneurysm repairCoordinated through specialty aortic surgery teams