CORONARY DISEASES
Mortality after acute myocardial infarction varies widely in U.S. hospitals. Cedars-Sinai combines deep expertise in coronary intervention with an individualized approach to prevention that has delivered health outcomes that consistently outperform the rest of the nation.
A skilled approach improves long-term outcomes
When it comes to cardiac surgery, it matters where you seek treatment. Our cardiovascular surgery program is a leader in advancing surgical techniques that improve the lives of patients with severe coronary artery disease—with a focus on long-term outcomes for younger patients.
Multiarterial coronary revascularization is ideal for severe coronary artery disease patients who are younger than 65 and have otherwise healthy hearts because it’s the longest-lasting treatment currently available. The multiarterial procedure involves an arterial bypass of multiple arteries, not just one.
That method is also vastly underutilized in the U.S.—currently received by less than 10% of eligible patients. Part of the reason that many medical centers have been slow to adopt the multiarterial coronary revascularization method is it puts an intense technical demand on the surgeon and requires additional expertise from the rest of the surgery team—especially to perform it as safely as conventional bypass operations. Cedars-Sinai also offers robotic coronary bypass surgery for patients seeking minimally invasive surgical revascularization.
>30% of Smidt Heart Institute patients receive multiarterial revascularization—twice the national average.
EMBRACING CARDIOMETABOLICS
In addition to its focus on lipids, weight loss, nutrition, genetics and cardiac rehabilitation, the Preventive Cardiology Clinic involves active collaboration among cardiologists, nephrologists and endocrinologists.
Together, these disciplines offer holistic attention to therapies, interventions and wellness plans that improve heart health simultaneously with adiposity, glucose tolerance, kidney health and numerous cardiac, endocrine and metabolic measures. This collaboration can also improve medication coordination and management through cohesive, synergistic treatment plans that account for all aspects of a patient’s cardiovascular health.
Coupled with the supportive behavior-based plans issued by our early-intervention specialists, integrated and big-picture preventive heart care that can be delivered is the newest frontier for the Cedars-Sinai network.
RELEVANT RECENT PUBLICATIONS
The role of the preventive cardiologist in addressing climate change, American Journal of Preventative Cardiology; PMID: 36090522
Deep learning coronary artery calcium scores from SPECT/CT attenuation maps improves prediction of major adverse cardiac events, Journal of Nuclear Medicine; PMID: 36207138
The optimal strategy for multivessel coronary revascularization, European Heart Journal; PMID: 34788415
Hypertension and coronary risk factors are pervasive, especially in certain populations. Disparity reduction can be achieved via proactive engagement in the form of tailored messaging, additional screening locations and targeted education campaigns according to ethnicity, language, sex and gender identity. These efforts enable early-intervention specialists to treat people before they need acute care. This in turn increases awareness, facilitates more diverse participation in research and alerts the community to the importance of more aggressive action to reduce the risk of coronary disease.
