Treatment Options

Coronary Angioplasty and Stenting

What is Coronary Angioplasty?

It is a procedure that widens narrowed part(s) of your coronary artery (usually caused by athersclerosis.) Using x-ray pictures for guidance, a special tube (called a catheter,) with a deflated balloon attached to its tip, is passed via your groin into the coronary artery and positioned within the narrowed part. The balloon is then inflated to widen the artery to help blood flow better. Once the artery is opened the balloon is deflated and removed.

What is Stenting?

During the angioplasty procedure a stent (a metal mesh or coil tube) can be inserted into the newly opened artery. It presses against the artery wall keeping it open. Some stents are coated with medication to help stop the artery narrowing again. These are called ‘drug eluting stents’. If you have a stent you will be given some medication which thins your blood and prevents blood clotting on the stent.

When is angioplasty done?

Angioplasty is usually arranged in advance but occasionally is done in an emergency after a heart attack to try to improve blood flow throught the coronary artery.

How will angioplasty help me?

It may help more blood flow through your coronary arteries. You may be able to live a more active life with less medication.

How can I help angioplasty work well?

Make changes to your lifestyle to reduce the chance of more heart problems developing. Discuss these with your doctor or nurse.

Coronary Artery Bypass Graft Surgery (CABG referred to as ‘cabbage’)

What is CABG?

CABG is an operation to bypass any narrowed or blocked segments of your coronary arteries. A piece of a vein is usually taken from your leg (occasionally your chest wall or arm may be used instead.) This is used to redirect the blood flow so that the area of the coronary artery which is narrowed or blocked is bypassed and there is a new channel for blood to flow to the heart muscle. This is called a graft.

Why do I need a CABG?

CABG surgery will help your angina symptoms and enable you to have a more active and better quality of life, with less or no angina and less medication. Lifestyle changes will also help prevent your angina returning.

Will the operation cure me?

CABG treats symptoms of heart disease, but does not cure it. For 8 out of 10 patients, it is successful in giving immediate and lasting relief from their angina but there is still a chance that the artery may become narrow again. By making improvements to your lifestyle you can give the operation the best chance of being successful.

What should I do to prepare myself and my family for this surgery?

  • Things to do: If you smoke, STOP. Smoking will slow your recovery and may block the new graft. It will take you up to 3 months to recover so sort out any legal or business issues which would need to be attended to within this time. If you work, tell your employer you will return to work within 6-12 weeks, and arrange to take this time off sick.
  • Where will I go? Should you need to go to another hospital for your operation, your local hospital normally pays for your traveling costs. Your doctor will tell you who to contact to make this arrangement. If you have your operation away from your home town, there may be hospital accommodation which your relatives could use. Contact the hospital social work department to discuss any social or practical issues.
  • What should I take? When you go to hospital take loose fitting sleepwear and clothes. Women should take a supportive, cotton bra, one size bigger than their usual size. Do not stop taking any of your usual medication unless your doctor tells you to. Bring all your medication to hospital with you. Don’t take valuables unless you really need them. You will have to remove all jewellery when you go for the surgery anyway it’s best to leave them at home.

When will I have the CABG?

Your doctor will advise you when your CABG surgery will take place and what it will involve. The waiting time you are given may not be exact and even when you are given a date, you may find the appointment is cancelled. This can even happen once you have been admitted. Appointments are not cancelled unless absolutely necessary and it is usually because an emergency case has had to take priority.

What is Cardioversion?

Cardioversion is used to correct abnormal heart rhythms (arrhythmias) such as atrial fibrillation (AF) while you are under general anesthetic. An electric shock is sent through your heart. You will not feel it. It temporarily stops all electrical activity in your heart so your heart rhythm can return to normal. Cardioversion restores a normal heart rhythm in nearly all (up to 95%) of patients and is performed in hospital.

What to expect…

  • On the day of Cardioversion : do not eat for 4-6 hours beforehand. You will be given medication to help thin your blood and a general anesthetic so you are asleep throughout the procedure.
  • Afterwards: you may have sore chest muscles for a few days and may need to take regular painkillers to help this. You may have slight burn marks which should heal normally.
  • When you go home : even if Cardioversion works for you, the arrhythmia may happen again. You will probably be prescribed drugs to help prevent this.

What is pacemaker?

A pacemaker helps your heart beat regularly. It is a small electrical device, sealed in a metal case and placed under your skin. It senses whether your heart is beating normally and if not it produces an electrical impulse, which is sent directly to the heart via lead/s making it beat. The pacemaker can:

  • Control your heart’s pumping action at a set rate.
  • Help co-ordinate your heart’s pumping action.
  • Increase your heart rate in response to physical activity demands.

It activates when your heart is beating too slowly, i.e. slower than the rate that your pacemaker is set at. This rate can be changed to meet your needs. The pacemaker can also be programmed to not activate at times when your natural heart rate would normally slow down, e.g. when sleeping.

Catheter Ablation Therapy

What is catheter ablation therapy?

This can be used to correct fast arrhythmias. Under x-ray guidance one or more fine tubes (electrode catheters) are fed into a vein and/or artery usually from the groin area. When the area of the heart which is causing the problem is found, the ablation catheter is placed near it. The catheter tip emits radio frequency energy which destroys the affected areas which causes scarring, which prevents any further electric signals being emitted. It takes up to 3 hours and is normally not painful although you will need to stay in hospital for a short time afterwards. Depending on how many electrical pathways needed to be destroyed, you may also need to have a pacemaker fitted.

Implantable Cardiovertor Defibrillator (ICD)

This electrical device is used to correct fast, life threatening arrhythmias to normal when other treatments have not worked. It is implanted into the chest below the left collarbone. It can monitor record and correct arrhythmias by giving your heart a shock when and if they happen. If the ICD does shock your heart you are likely to feel this and it may be painful.

Maze Procedure

Certain patients with atrial fibrillation and/or enlarged atria, may be recommended to have the Maze procedure which can treat the atrial fibrillation and restore the atria to a more normal size. During the Maze procedure, a series of precise incisions are made in the right and left atria to interrupt the conduction of abnormal impulses. This allows sinus impulses to travel to the atrio-ventricular node (AV node) as they normally should following Maze procedure. If successful, the Maze procedure can provide:

  • Long-term freedom from atrial fibrillation
  • Decreased symptoms
  • Greatly reduced risk of embolic events (such as blood clots or stroke)
  • Decreased atrial (top chamber of the heart) size in those with enlarged atria prior to surgery.

For more information about this procedure click this link: http://www.clevelandclinic.org/heartcenter/pub/atrial_fibrillation/maze.htm or http://www.sts.org/doc/4511 Click here to read the Society of Thoracic Surgeons Information about Maze Procedure.

About Dr. Emrani

Dr. Afshine Emrani is a cardiologist and internist who serves the residents of Tarzana, California, in addition to the greater Los Angeles area. At Los Angeles Heart Specialists, the doctor and his staff offer a variety of cardiology services including preventative care for heart disease, stress testing, treadmill testing, and treatment of many different kinds of health conditions including high blood pressure, high cholesterol, diabetes, thyroid disorders, and peripheral arterial disease. Dr. Emrani specializes in identifying biomarkers and other naturally occurring identifiers that help him treat heart disease in both men and women. He offers a wide variety of services to his patients including weight management plans, the control and maintenance of cholesterol levels, and nutritional plans geared towards a more heart-healthy lifestyle. An on-site lab makes testing quick and cost-effective.

Dr. Emrani attended the University of California, Los Angeles where he obtained his Bachelor of Science degree where he was inducted into the Biological Honors Society. He also attended the University of California, San Diego where he completed his medical degree. During that time, he participated in two sub-internships, one in Cardiology and the other in Intensive Care. He also worked at the Cedar Sinai Medical Center and completed an additional sub-internship infectious disease. An internship was also completed during the years he worked with the Veteran's Affairs Administration. While working at the Kaiser Permanente campus of the University of Southern California, Dr. Emrani earned a fellowship in the field of Cardiology.

With over 16 years experience, Dr. Emrani is a leader in his field. His knowledge of cutting-edge technology and the use of state-of-the-art diagnostic equipment allows him the privilege of offering his patients the best cardiac care possible. He continues his education on a regular basis by attending classes and seminars that allow him to stay abreast of the latest advancements in the field of cardiology and infectious diseases. His certification in both basic and advanced cardiac life support makes him one of the most prominent cardiologists in Southern California.

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Los Angeles Heart Specialists

Dr. Afshine Emrani is a cardiologist and internist who serves the residents of Tarzana, California, in addition to the greater Los Angeles area. At Los Angeles Heart Specialists, the doctor and his staff offer a variety of cardiology services including preventative care for heart disease, stress testing, treadmill testing, and treatment of many different kinds of health conditions including high blood pressure, high cholesterol, diabetes, thyroid disorders, and peripheral arterial disease. Dr. Emrani specializes in identifying biomarkers and other naturally occurring identifiers that help him treat heart disease in both men and women. He offers a wide variety of services to his patients including weight management plans, the control and maintenance of cholesterol levels, and nutritional plans geared towards a more heart-healthy lifestyle. An on-site lab makes testing quick and cost-effective.

Dr. Emrani attended the University of California, Los Angeles where he obtained his Bachelor of Science degree where he was inducted into the Biological Honors Society. He also attended the University of California, San Diego where he completed his medical degree. During that time, he participated in two sub-internships, one in Cardiology and the other in Intensive Care. He also worked at the Cedar Sinai Medical Center and completed an additional sub-internship infectious disease. An internship was also completed during the years he worked with the Veteran's Affairs Administration. While working at the Kaiser Permanente campus of the University of Southern California, Dr. Emrani earned a fellowship in the field of Cardiology.

With over 16 years experience, Dr. Emrani is a leader in his field. His knowledge of cutting-edge technology and the use of state-of-the-art diagnostic equipment allows him the privilege of offering his patients the best cardiac care possible. He continues his education on a regular basis by attending classes and seminars that allow him to stay abreast of the latest advancements in the field of cardiology and infectious diseases. His certification in both basic and advanced cardiac life support makes him one of the most prominent cardiologists in Southern California.


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About LA Heart Specialists

At Los Angeles Heart Specialists with our integrative heart doctors, you will learn more about your health in one visit than you ever thought possible. Our comprehensive health evaluation enables you to make health and lifestyle decisions that will support your long-term wellness.

Through preventive care and early diagnosis, we can help you address any undetected health issues—and give you the peace of mind that can only come with a thorough picture of your health. Your introductory visit will require the most in-depth health exam, to establish your complete health status and individual profile. Subsequent visits with us will include only those tests appropriate to your personal medical history—to ensure your optimal long-term health and well-being.

We take pride in offering “concierge medicine” without the extra costs. Most urgent calls can be triaged and patients seen in a very timely manner. Whenever possible, we avoid invasive procedures as well as hospitalization. In fact, for the large volume of patients seen in our practice, we rarely admit to the hospital. This is the result of hard work and aggressive preventive measures that are oriented to keeping our patients healthy and independently functional.

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Our Integrative Approach


• Customized Treatments Just for You

• Pharmaceutical and Nutraceutical Therapies

• Comprehensive Lab Testing 

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Superior Care


• Comprehensive Health Evaluation

• Electronic Medical Records

• "Concierge Medicine" Without the Extra Costs

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Healthy Patients


• 99% Patient Satisfaction Rate

• Industry-leading Customer Service

• Rated Top %5 Physicians in America

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Visiting Hours


Walk-in consultations are available at the following times:

MON, TUE and THU: 8:30 AM - 5:00 PM
WED and FRI: 8:30 AM - 4:00 PM

All other times by appointment only.

 

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The L.A.H.S. Executive Physical

If you are a CEO, CFO, or a very busy executive, then it is challenging for you to get your annual physical. At your convenience, LA Heart Specialists can provide you the full range of services on a cash basis - on Saturday or Sunday of your choice. The services include - the executive physical, comprehensive laboratory testing, lipid and nutritional analysis, pulmonary function testing, allergy testing, bone densitometry and a comprehensive cardiovascular stress test.

Your time is valuable. But so is your health. That’s why The L.A.H.S Executive Physical offers an efficiently organized and comprehensive set of examinations in just one day. Your health status will be thoroughly evaluated to determine a preventive health care program tailored to your individual needs.

This package is $2600 (less than a dental implant.)

Call now to schedule your Executive Physical. 818-996-4100.

Services include:

  • A thorough, extended physical examination with an internal medicine specialist whose focus is on disease prevention and/or women’s health
  • Comprehensive laboratory testing, including blood counts, chemistry panels to assess organ function, urinalysis, and cholesterol screening
  • Cardiovascular assessment, including electrocardiogram (ECG) and one or more of the following based on your doctors recommendations: cardiac stress echocardiogram, resting echocardiography, or advanced cardiovascular blood tests with carotid intima-medial thickness scanning, and Doppler flow peripheral vascular index testing
  • Pulmonary function testing
  • A comprehensive written report of the evaluation sent to your home (and your physician, upon request) Women’s health concerns
  • Osteoporosis testing (women over 40 years of age)
  • Prostate examination/Prostate Specific Antigen (PSA/free PSA) Screening
  • Referral for screening colonoscopy, mamography etc will be made as necessary.
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The L.A.H.S. Check-Up

Busy executives, who face ever-increasing demands on their time, often find it difficult to take care of their health as conscientiously as they know they should. While it is well known that early detection of medical problems leads to better health outcomes, practicing good, preventive medicine can be a challenge when it means having to schedule multiple diagnostic exams and consultations.

University Executive Physical Program was designed to offer executives comprehensive examinations with a full battery of diagnostic tests scheduled in a single, coordinated visit. Our patients enjoy a level of service and convenience not available in most other programs because we own the equipment used for most diagnostic tests — there’s no need to waste time waiting in other medical offices for these services.

The University Executive Physical Program offers:

▪ Comprehensive examinations customized to the executive’s need
▪ Personal one-on-one attention from the physician
▪ Diagnostic tests performed right in the executive suite
▪ Convenient Westside location with easy access
▪ State-of-the-art technology
▪ Centralized billing

Live a healthy life: With our preventive medical checkups, we can help detect illness early on and treat it accordingly.

We offer the following preventive medical checkups:

▪ Routine health checkup
▪ Cancer prevention
▪ Cardiovascular
▪ Thyroid, arteries and heart
▪ Examination of metabolism and digestion
▪ Physical examination

Your health insurance policy may cover the cost of preventive medical checkups. Consult your insurance provider for further details.

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Major Insurance Plans Accepted

We accept most major insurance plans | If you have any questions, please call our office | We are out of network for United Health Care  

AAA
AARP
Aetna
Anthem Blue Cross Blue Shield
Anthem Blue Cross of California
Blue Cross
Blue Cross Blue Shield
Blue Shield
Blue Shield of California
Cigna
Health Net
Humana
Medicare
MetLife
UnitedHealthcare
Our Team

We are here to help

  • Nolynne  Rodriguez
    Nolynne Rodriguez
    Certified Physician Coder
  • Susan  Khalily
    Susan Khalily
    Chief Laboratory Technician
  • Sean  Jabari
    Sean Jabari
    X-Ray Technologist, Bone Densitometry
  • Rita Amaro Wisotsky
    Rita Wisotsky
    RDCS, RVT
  • Tatyana  Slyusaranskaya
    Tatyana Slyusaranskaya
    PA-C
  • Jeffrey  Eskew
    Jeffrey Eskew
    Laboratory Technical Supervisor
  • Claudia  Brown
    Claudia Brown
    Onsite Office Manager
Location
Los Angeles Heart Specialists
18370 Burbank Blvd., Suite 401
Tarzana, CA 91356
Phone: 818-306-3560
Fax: 818-996-0842
Office Hours

Get in touch

818-306-3560