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Cardiovascular

We’re here to take care of your heart with kindness and the most advanced treatments available. Did you know nearly half of all Americans have some form of heart disease? That’s why we’re ready to help you stay healthy with prevention tips or give you a fresh start through life-changing treatments like heart transplants.

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How does Tufts Medicine treat heart conditions?

Nearly half of all adults in the U.S. — about 121.5 million people — have some form of cardiovascular disease, like high blood pressure, heart failure or coronary artery disease. But the good news is that heart disease is often preventable and treatable. That’s where we come in!  

At Tufts Medicine, we combine the latest treatments, like drug-coated stents for atherosclerosis and innovative procedures for hypertrophic cardiomyopathy (HCM), with personalized care. We believe everyone deserves a plan that’s just right for them.  

And you don’t have to go far for top-notch heart care. Each of our hospitals has a cath lab (catheterization laboratory) to diagnose and treat heart conditions close to home. No matter where you are on life’s journey, we’re here to go above and beyond for your heart health.

Nurse Practitioner, Natalie Bonvie-Hill, listening to patient's heart with a stethoscope during a cardiovascular appointment at Tufts Medical Center.
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Conditions

Our experienced heart team offers advanced care for all kinds of heart conditions, including:  

Adult congenital heart disease
Angina
Aortic aneurysm
Aortic stenosis
Arrhythmia
Atherosclerosis
Athlete’s heart
Atrial fibrillation
Cardiac amyloidosis
Cardiac sarcoidosis
Cardiac toxicity
Cardiomyopathy
Carotid artery disease
Carotid artery occlusive disease
Congenital heart defects
Congestive heart failure
Coronary artery disease
Electrolyte imbalance
Heart attack
Heart disease
Heart failure
Hypertension
Hypertrophic cardiomyopathy (HCM)
Left ventricular heart failure
Low blood pressure
Mitral valve regurgitation
Myocarditis
Obstructive sleep apnea
Pericarditis
Peripheral artery disease
Raynaud's disease
Renal artery stenosis
Rheumatic heart disease
Right ventricular heart failure
Stroke
Thyroid disease
Valvular heart disease
Vasculitis
Vein care
Ventricular fibrillation
Ventricular tachycardia

Family history + heart disease

Having a family history of a heart disease doesn’t mean you’re destined to live with the same conditions as your loved ones. It's important to meet with your doctor on a regular basis so they can monitor your heart health and share ways to reduce your risk for a heart condition.

People are at an increased risk for heart disease when:

  • A direct male relative (father or brother) was diagnosed with heart disease or had a heart attack by age 55
  • A direct female relative (mother or sister) was diagnosed with heart disease or had a heart attack by age 65

Specialized care for heart conditions

Adults with congenital heart disease

Congenital heart disease (CHD) happens when the heart develops abnormally before you're born. It can mean the heart’s chambers, valves, blood vessels or electrical pathways have an irregular structure. CHD is a genetic disease, meaning it’s passed down in families. In fact, the presence of CHD in parents is the highest risk factor. That’s why it’s so important to be in tune with your family’s health history.

Aortic disease + aneurysm

Aortic diseases are a group of conditions that affect your aorta. It's also one of the most common forms of cardiovascular disease. Because the aorta is your body’s largest artery, it’s vulnerable to conditions like aortic aneurysms, which can impact the size, shape and function of the aorta.

The 2 most common types of aortic aneurysms are:

  • Abdominal aortic aneurysms (AAA), which develop in the abdomen
  • Thoracic aortic aneurysms, which develop in the chest
Arrhythmia

Electrical signals in the heart tell your heart when to pump blood or contract, which is what creates your heartbeat. Sometimes, those signals get crossed, making your heart beat irregularly.

This is called arrhythmia, and the condition occurs when the heart isn’t beating properly — either too fast, too slow or irregularly. While it's not always a serious or chronic condition, it can have a major effect on your heart and overall health.

Cardiac sarcoidosis

Sometimes, the body overproduces white blood cells. When this happens, these extra white blood cells form into clumps (called granulomas) and inflame the organs and tissues they usually protect, like the heart. This is called sarcoidosis, and when it affects the heart, it's called cardiac sarcoidosis.

Cardiac sarcoidosis is a rare immune system disease where granulomas cause inflammation and can weaken the body’s electrical system that controls your heartbeat.

Hypertrophic cardiomyopathy

Hypertrophic cardiomyopathy (HCM) is a genetic condition where the heart muscle becomes too thick. This can make it challenging for the heart to pump blood to the rest of the body. When the thickened muscle partially or completely blocks blood flow from the heart, it’s known as obstructive HCM. If the thickened muscle doesn’t obstruct blood flow, the condition is called nonobstructive HCM.

Valvular + structural heart conditions

Valvular and structural heart diseases develop when at least 1 of the 4 heart valves don’t circulate blood as well as they should, leading to conditions like stenosis, prolapse and regurgitation. Valvular heart disease can be something you're born with (congenital) or developed over time (acquired).

Vascular disease

Vascular diseases like peripheral artery disease (PAD) and carotid artery disease can take a toll on how blood vessels circulate blood, nutrients and oxygen throughout the body. When something as complex and delicate as your vascular system isn't working as it should, it can have a major effect on your health and quality of life.

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Testing

A healthier heart starts with a clear understanding of your unique needs. That’s why we begin with a thorough evaluation, using advanced diagnostic tools to detect, confirm, and monitor heart conditions. Here's how we assess your heart health:  

Cardiovascular imaging

We use cutting-edge imaging technology to get a closer look at your heart and blood vessels:

  • Ambulatory heart monitoring: Minimally invasive devices, like Holter monitors, track your heart’s activity over 24-48 hours.  
  • Cardiac CT scans: Combines X-rays and computers to create 3D images of your heart.
  • Electrocardiogram (EKG): Measures your heart’s electrical activity and detects abnormal rhythms.
  • Echocardiogram: Think of it as an ultrasound for your heart.
  • Stress echocardiogram: Monitors how your heart works during exercise.
  • Nuclear cardiology: Small doses of radioactive material give us detailed insights into your heart’s function.  

Electrophysiology

Understanding your heart’s electrical system helps us treat arrhythmias (irregular heartbeats). With an electrophysiology test, we can diagnose arrhythmias and treat them with the latest techniques, like:  

  • Radiofrequency ablation: Using heat to correct abnormal rhythms.
  • Cryoablation: Freezing problem areas to restore normal heartbeats.  

Cardiac catheterization laboratory (cath lab)

Our cath labs are equipped with specialized tools to evaluate and treat serious heart and blood vessel conditions. Here are some key procedures:  

Wherever you are on your heart health journey, we’re here to provide the best care and the latest techniques to support your heart.

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Treatments

After diagnosing your cardiovascular condition, we’ll create a treatment plan tailored just for you. Whether it’s through lifestyle changes, medication, or advanced procedures, we’re here to help you on your journey to better heart health.

Minimally invasive + non-surgical treatments

Whenever possible, we focus on non-surgical options to restore and maintain your heart’s rhythm and health. Depending on your needs, your care plan may include:

No matter the path, our team is committed to providing care that’s as unique as you are, helping you achieve the best possible heart health.

Cardiac rehabilitation

With cardiac rehabilitation, our team of experts provide skills and guidance to help get your heart health back on track. That means performing stretches and exercises you'd experience with physical therapy. We also lend a helping hand on making lifestyle changes — stopping tobacco use, eating a healthy diet and managing stress — your new normal.

Interventional cardiology

Interventional cardiology is a medical specialty that treats heart and blood vessel conditions using catheters. Compared to open heart surgery, interventional cardiology requires smaller surgical incisions and less recovery time.

These treatment approaches can restore proper blood flow, repair holes in the heart, implant lifesaving medical devices and reduce a person’s risk of stroke or heart attack.

Implantable medical devices

Implantable medical devices can help restore key heart functions like beating regularly and pumping blood when the heart can’t perform them on their own.

A person who has faced a heart attack, cardiogenic shock or advanced heart failure may require mechanical circulatory support to pump blood throughout their body when the weakened heart can’t. A ventricular assist device (VAD) is a type of long-term or short-term treatment to help your vital organs get the right amount of blood.

Preventive cardiology

Between routine heart screenings and maintaining healthy habits over time, practicing preventive cardiology methods will help keep your heart healthy and strong. The real secret to wellness is maintaining healthy habits over time. How you eat and move today can protect you from heart disease in the future.

Cardiac surgery + heart transplant

Our colleagues in cardiac surgery are among the brightest minds in medicine. You can put your trust in their hands to perform a variety of minimally invasive and more surgical procedures, including:

A heart transplant is a type of cardiac surgery that involves replacing a failed heart with a healthy one. You may be eligible for a heart transplant if:

  1. You have a heart condition that severely limits your heart's ability to pump blood.
  2. Your body can handle the stress of a major surgery and post-transplant treatments.
  3. You can trust in the treatment plan your transplant team created for you.

Cardio-oncology

Cardio-oncology is the medical specialty focused on treating cancer without placing too much stress on the heart. Side effects of cancer treatments like chemotherapy and radiation therapy, can also increase your risk of heart disease. When drugs or other substances harm your heart, it's known as cardiac toxicity.

We offer the treatments, resources and support needed for a heart-healthy life — whether you’ve received a recent cancer diagnosis, are currently receiving cancer care or have moved into a remission phase of life.

Vascular medicine and surgery

Vascular diseases like peripheral artery disease and carotid artery disease can take a toll on how blood vessels circulate blood, nutrients and oxygen throughout the body. Whether you need emergency or preventive care, our vascular specialists and vascular surgeons use the latest techniques to restore healthy blood flow.

Women’s heart care

Heart diseases in women can differ in symptoms and risk factors from men – like how heart attack symptoms and risks are different in women than men. That’s why the gender you were assigned at birth plays a role in detecting disease. Because no two hearts are the same, you can trust that your treatment path will be guided by compassion and the latest in cardiovascular medicine.

Dr. Navin Kapur describes the innovative methods Tufts Medical Center used to save Terry Sullivan's life.
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FAQs

What are common heart attack symptoms?

Common heart attack symptoms include:

  • Significant chest pain
  • Significant difficulty breathing
  • Rapid or irregular heartbeat 

It's very important to know that heart attack symptoms present differently in women and assigned females at birth (AFABs). Some of the most common heart attack symptoms for women include:

  • A sudden cold sweat
  • Back, neck and jaw pain
  • Chest pain, pressure and discomfort
  • Lightheadedness or dizziness
  • Nausea
  • Shortness of breath
  • Stomach pain

If you're unsure of your symptoms, please call your doctor's office or a triage nurse from your health plan. If you're experiencing severe symptoms, call 911 immediately.

How can I lower my risk of a heart attack?

Certain risk factors like age and family can increase your risk of a heart attack. But there are many heart-healthy choices you can make to lower your risk, including:

  • Don't use tobacco in any form
  • Eat a heart-healthy diet 
  • Increase your physical activity to at least 2.5 hours of aerobic activity per week
  • Limit alcohol consumption to up to 1 drink per day for women and assigned females at birth (AFABs), and up to 2 drinks per day for men and assigned males at birth (AMABs)
  • Maintain a healthy blood pressure of ideally less than 130/80, but at least less than 140/90
  • Maintain a healthy body weight, with an ideal BMI less than 25 but at least less than 30 depending on what you've identified with your doctor
  • Manage your cholesterol levels, with an ideal HgA1c of less than 7% but may vary depending on goals you've identified with your doctor
  • Manage your stress and avoid stressful situations whenever possible
  • Monitor blood sugar if you have diabetes 
Cynthia Enright, NP using a stethoscope to check a patient's heart during an EP (Electrophysiology) lab appointment at Tufts Medical Center.
Our locations

From regular office visits to inpatient stays, find the healthcare you need and deserve close to home.

Cardiologist Eric Ewald, MD talks to patient in Lowell General Hospital's Heart and Vascular inpatient unit (D4Med).
Our doctors + care team

Meet the doctors and care team devoted to supporting you every step of the way along your path to better health.

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