Why Do I Have So Many Cardiologists?

“Why Do I Have So Many Cardiologists?”

You’re at your appointment to see your cardiologists. He schedules you for a follow-up with an Electrophysiologist. Perhaps he’s asked you to see an Interventional Cardiologist for a procedure. You are asking yourself what all of this means and why you need so many physicians.

Your heart, despite being just the size of a fist, is a specialized organ. New advancements and technologies have resulted in what is known as subspecialties of cardiology. These days, it isn’t just your cardiologist; it is a team of cardiologists. Each of these cardiologists focus on a different aspect of your heart, to ensure it all works cohesively together.

Non-Invasive Cardiology

A non-invasive cardiologist such as Dr. Jonathan Constantin may often be your first point of contact when it comes to cardiology. Non-invasive cardiologists are general in their work, and focus on detection and overall treatment of heart disease. Most treatments prescribed by a non-invasive cardiologist will be lifestyle changes or medications.

Interventional Cardiology

If you require a procedure, you will likely be sent to an Interventional Cardiologist such as Dr. Alan Schimmel.  This subspecialty focuses on the treatment and management of heart conditions using a catheter-based approach. These procedures are minimally-invasive, requiring only a tiny incision in the wrist or groin. You may be asked to see an Interventional Cardiologist to perform procedures such as an angiography, diagnostic heart caths, and stenting.


Electrophysiologists, such as Dr. Satish Goel, focus on heart rhythm (arrhythmia) disorders that can affect the body’s ability to effectively pump blood. The most common conditions treated by Electrophysiologists include atrial fibrillation, heart palpitations and syncope (fainting).

Endovascular Specialist  

Endovascular medicine is a relatively new field, focusing on the treatment of diseased blood vessels. Contrary to traditional surgical techniques, endovascular therapies are minimally-invasive and can be performed in an outpatient setting. Endovascular Specialists such as Dr. Shahnaz Punjani are passionate about amputation prevention. Patients typically asked to see Endovascular Specialists include those afflicted with coronary artery disease, peripheral arterial disease, carotid arterial disease and circulatory issues.


At First Coast Cardiovascular Institute, our teams of subspecialties integrate to ensure the patients care is cohesive and expedited. We coordinate the patient’s care so they can focus on their health.


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