Heart - Cardiology & Cardiovascular Surgery

Treatment Options

"Our cardiac catheterization laboratories are open every hour of every day," says Samin K. Sharma, MD, Director of Clinical and Interventional Cardiology, and President of Mount Sinai Heart Network. "We treat more than 14,000 cases every year” throughout Mount Sinai Heart. “We are one of the most experienced centers in the country and have one of the lowest complication rates in the New York tri-state area."

At each Mount Sinai Heart location, our goal is to establish a well-coordinated plan that includes a close partnership between you and your health care team. We consider a series of factors as we develop your treatment plan, including lifestyle changes, medications, and in more advanced cases, surgery and rehabilitation.

Factors that determine your course of treatment for heart disease include age, overall health, disease progression, risk factors, and patient preferences.

Taking advantage of the research happening every day at Mount Sinai Heart, our team can enroll patients in research trials for new and groundbreaking treatments not yet available elsewhere.

"Mount Sinai gives individual patients an unsurpassed array of options for both diagnosis and treatment of coronary disease," says Bruce Darrow, MD, PhD, Assistant Professor of Cardiology.

Medical Therapy

We often prescribe medication for our coronary artery disease patients. The most common medications include:

  • Aspirin
  • Cholesterol medications such as statins
  • Betablockers
  • Nitroglycerin
  • Angiotensin converting enzyme inhibitors
  • Calcium channel blockers
  • Emerging therapies

Minimally Invasive Procedures

Our interventional cardiologists are highly skilled in the full spectrum of cardiac catheterization procedures, including but not limited to:

  • Alcohol septal ablation (septal ablation)
  • Ambulatory percutaneous coronary intervention
  • Angioplasty and cutting balloon angioplasty
  • Atrial septal defects closure
  • Balloon valvuloplasty: Aortic and mitral
  • Chronic total occlusion interventions  
  • Carotid stenting
  • Intravascular ultrasound
  • Left main coronary artery stenting
  • Septal ablation (alcohol septal ablation)
  • Thrombectomy
  • Peripheral vascular interventions
  • Rotational atherectomy
  • Stenting  (Intracoronary and drug-eluting)
  • Transcatheter aortic valve implantation
  • Ventricular septal defect repair

Open Heart Surgery

In addition to minimally invasive procedures for treating coronary artery disease, at Mount Sinai Heart, we typically perform two types of open heart surgical procedures; heart bypass surgery and off-pump bypass surgery:

Heart Bypass Surgery

Heart bypass surgery, also called coronary artery bypass graft surgery, involves replacing diseased arteries with healthy ones. We use the daVinci Surgical System, a robotic device, to perform this procedure in a minimally invasive manner.  This approach results in a shorter hospital stay and a quicker recovery.

"We have tremendous experience here in performing coronary bypass surgery, not only in healthier patients, but also in those with other serious medical conditions, including kidney and liver disease," says Farzan Filsoufi, MD, Professor of Cardiothoracic Surgery.

Off-Pump Bypass Surgery

Off-pump bypass, or "beating heart" surgery, does not involve the use of a heart-lung machine. This procedure reduces the need for blood transfusions, decreases risk of bleeding, stroke, and kidney failure, and lessens chance of nerve damage. In addition, hospital stays are shorter than with heart bypass surgery, and patients can make a quicker return to day-to-day activities.

"For the right patients, off-pump graft surgery is a better option than conventional surgery," says Ramachandra Reddy, MD, Assistant Professor of Cardiothoracic Surgery. For this type of surgery, the heart-lung machine is not used. Using stabilizing techniques, the surgeon grafts the bypass onto the heart while it continues to beat.