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Clinical Cardiology Congress 2018

Sessions/Tracks

ConferenceSeries.Ltd 23th International Conference and Exhibition on World Cardiology Conference during March 19-20, 2018 Dubai, UAE. The attending delegates include Editorial Board Members of related OMICS Group Journals. This is a fabulous open door for the representatives from Universities and Institutes to communicate with the world class Scientists.

Clinical Cardiology Congress 2018 Conference will be an investigation of  new research Innovation in the field of Cardiology and spread the most recent advancements in heart disease prevention and rehabilitation. Discussion on new technology advancement in the field of Cardiovascular Disease, current practices in cardiovascular therapy, Cardiac progenitor cells, Hypertension for the primary care clinician, Stent procedure, Balloon valvuloplasty, Coronary thrombectomy, Noninvasive cardiac imaging, Heart failure, Congestive heart failure, Sports Cardiology and more. Clinical cardiac electrophysiology is a branch of the medical specialty of cardiology and is concerned with the study and treatment of rhythm disorders of the heart. Cardiologists with expertise in this area are usually referred to as electrophysiologists. Electrophysiologists are trained in the mechanism, function, and performance of the electrical activities of the heart. Cardiology technologists assist physicians by using various procedures and equipment to monitor, diagnose and treat heart and blood vessel disorders. Detecting heart disease and other cardiac conditions, involves a team of healthcare professionals, of which the Cardiology technologist is a key player.

Theme:  Gathering the Newborn Advances in  Cardiology

Track 1: Clinical Cardiology.

Cardiology is a branch of medicine deals with disorders of the heart as well as parts of the circulatory system. The Section of Clinical Cardiology access to specialized inpatient and outpatient heart care and treatment of heart problems such as angina, artery problems, valvular heart disease, and heart failure. The one who specialize in this field of medicine are called cardiologists, primary mission is to deliver high quality, cardiovascular care to all of our patients. Pediatric cardiologist is pediatricians who have received extensive training in diagnosing and treating children's cardiac problems. Doctors who specialized specializes in surgical procedures of the heart, lungs are called cardiac surgeons, who can be called cardiac surgeons. Clinical Cardiology is an American journal about Cardiology founded in 1978. It provides a forum for the coordination of clinical research in diagnostics, cardiovascular medicine and cardiovascular surgery.

Track 2: Interventional Cardiology

Interventional cardiology is a branch of cardiology with one to two years of additional education and training in diagnosing and treating cardiovascular disease as well as congenital (present at birth) and structural heart conditions through catheter-based procedures such as angioplasty and stenting that deals specifically with the catheter based treatment of structural heart diseases. The event that began the revolution in cardiology was the performance of coronary interventions by Andreas Gruentzig in 1977. It is a non-surgical option which uses a catheter – a small, flexible tube – to repair damaged or weakened vessels, narrowed arteries, or other affected parts of the heart structure. The interventional cardiology or radiology procedures are generally less invasive than traditional surgery. In most cases, these procedures require only one small incision for insertion of the catheter. Most of the patients do not require general anesthesia and some operation can take as few as 30 minutes to perform and avoidance of the scars and pain, and long post-operative recovery. Interventional Cardiology procedure involves small incision in the arm or groin and threads a catheter into a blood vessel. The catheter is then guided through the blood vessel to the heart and also a collapsed stent is placed over the balloon at the tip of the catheter. When the balloon inflates, the stent pops open and reinforces the artery walls. The balloon and catheter are then withdrawn and the stent remains permanently. Coronary intervention has not fully matured. Stents with three components (metal, polymer, and drug) have been highly successful. The dream has in part been realized by the development of completely bioresorbable stents. The procedures of today may seem crude in the distant future there are dreams that remain to be realized. Others have not yet been dreamed.

Track 3: Pediatric Cardiology

 A pediatric cardiologist is a pediatrician who has received extensive training in diagnosing and treating children's cardiac problems. Evaluation and treatment may begin with the fetus since heart problems can now be detected before birth and also responsible for the diagnosis of congenital heart defects, performing diagnostic procedures such as echocardiograms, cardiac catheterizations, and for the ongoing management of the sequel of heart disease in infants, children and adolescents. The division is actively involved in research aimed at preventing both congenital and acquired heart disease in children and also Pediatric heart surgeons treat complex congenital heart defects in newborns, children, as well as adults. Congenital heart deficiency is very unique from the types of heart diseases that are common among adults. Repairing hearts in small bodies todays an added challenge.

Track 4: Cardiac Imaging

The cardiac imaging also known as Cardiovascular magnetic resonance imaging (CMR), is a imaging medical technology for the non-nosy assessment of the activity and structure of the cardiovascular system with division of Cardiovascular Imaging clarifies the  cross sectional imaging studies of the heart and vascular system using Computed Tomography (CT or "CAT" scans) and Magnetic Resonance Imaging (MRI). Both CT and MRI are non-invasive imaging modalities, which uses a powerful magnetic field, radio waves and a computer to produce detailed pictures of the structures within the heart. It is used to detect or monitor cardiac disease and to evaluate the heart's anatomy and function in patients with congenital heart disease. MUSC operates the most up-to-date, cutting edge imaging equipment to ensure optimal diagnostic quality in patient care while also minimizing patient exposure to ionizing radiation.

Track 5: Cardiovascular Disease

Cardiovascular disease (CVD) is a class of diseases that involve the heart or blood vessels. Cardiovascular disease includes coronary artery diseases (CAD) such as angina and myocardial infarction (commonly known as a heart attack). It's usually associated with a build-up of fatty deposits inside the arteries – known as atherosclerosis – and an increased risk of blood clots. It can also be associated with damage to arteries in organs such as the brain, heart, kidneys and eyes. Cardiovascular disease is a term that refers to more than one disease of the circulatory system including the heart and blood vessels, whether the blood vessels are affecting the lungs, the brain, kidneys or other parts of the body. Cardiovascular diseases are the leading cause of death in adult Canadian men and women. Cardiovascular diseases are the leading cause of death. In 2008, 30% of all global death is attributed to cardiovascular diseases. It is also estimated that by 2030, over 23 million people will die from cardiovascular diseases each year.

Track 6:Heart Failure

Heart failure (HF) sometimes known as congestive heart failure is a common condition that develops after the heart muscle doesn't pump blood as well as it should. Certain conditions, such as narrowed arteries in your heart (coronary artery disease) or high blood pressure, gradually leave your heart too weak or stiff to fill and pump efficiently or weakened by diseases of the heart including heart attacks and other medical conditions. Heart failure occurs when the main pumping chambers of your heart (the ventricles) may become stiff and not fill properly between beats especially during increased activity or under stress. In addition, the heart muscle may become damaged or weakened and couldn’t relax properly to accommodate the flow of blood back from the lungs to the heart. These flaws in heart function can cause fluid to back up in your lungs and in other parts of your body such as your ankles. The congestion in your lungs and lack of oxygen may make you feel tired and short of breath. Sometimes the fluid in your lungs can accumulate to the point where it can cause a life-threatening condition called acute pulmonary edema, requiring emergency treatment.

Track 7: Diabetic Cardiovascular Disease

The term diabetic cardiovascular disease (DCD) refers to heart disease that develops in people who have diabetes which increases your risk of heart attack and clot-related stroke (cardiovascular events). Peripheral artery disease  — a case in which your arteries narrow, reducing blood discharge to your arms and legs — also increases your risk of cardiovascular accident. Diabetes is a disease in which the body's blood glucose (sugar) level is too high and affects your body's ability to produce or use insulin. Normally, your body turns the food you eat into energy. Insulin is released to aid transport this energy to the cells. Insulin acts as a “key.” There is a clear-cut relationship betwixt diabetes and cardiovascular disease. Coronary heart disease is recognized to be the caused because of a waxy substance called plaque builds up inside the coronary arteries which causes death for 80% of people with diabetes. Cardiovascular disease is the leading cause of mortality for people with diabetes and Atherosclerosis is also the most common cause of cardiovascular disease. DCD can also be caused by the Interaction of Coronary Heart Disease, High Blood Pressure, and Diabetes. CHD reduces the flow of oxygen-rich blood to your heart muscle. High blood pressure and diabetes may cause harmful changes in the structure and function of the heart and such as an unhealthy diet, lack of exercise, overweight and smoking. Nonetheless, as the extent of diabetes regularly increases, so does the number of new cases of heart disease and cardiovascular complications.

Track 8: Cardiac Regeneration

Cardiac regeneration is reparative stem cells have the capability to restore function to damaged tissue by renewing cell growth in cardiac cells destroyed by heart disease or a rapidly evolving and controversial field of research. The identification some 12 years ago of progenitor cells that reside within the heart spurred enthusiasm for cell-based regenerative therapies and approximately 15.5 million Americans have one or more types of cardiovascular disease, such as heart attack, angina or heart failure. Here’s is heart regeneration strategy which requires the injection of exogenous cells into the affected area of the heart. These transplanted cells could generate and repopulate the injured area with myocardium. Complementary regenerative strategies to cell transplantation are simultaneously being pursued by the field.

Track 9: Women and Cardiac Arrhythmia

Cardiac dysrhythmia which is another name of cardiac arrhythmia, is a group of situations in which the heartbeat is uneven, too fast, or too slow, most cases are harmless, mainly there are of four types of arrhythmia: extra beats, supraventricular tachycardias, ventricular arrhythmias, and bradyarrhythmias. but some arrhythmias are extremely dangerous and require treatment and management, most of them have felt their heart beat very fast, felt a "wiggling" in their chest or thought that their heart was "leaping a beat." These can be symptoms of arrhythmia, or irregular heartbeat. Women who have paroxysmal atrial fibrillation, a type of atrial fibrillation that is intermittent (or comes and goes), may have a faster heart rate response than men, and tend to have longer episodes. Sudden cardiac death is a sudden, unexpected death caused by loss of heart function. Heart rate which is too fast above 100 beats per minute in adults is known as tachycardia and if it is below 60 beats per minute – is known as bradycardia and it may be caused by many different factors, including: Coronary artery disease, electrolyte imbalances in your blood (such as sodium or potassium). Changes in your heart muscle. Men Baseline Heart Rate on average is slower compared to women and this kind of differences is seen in girls, on an average, as young as five years old. There is also a shorter sinus node refractory time – this means that it takes a shorter time for the SA node to recover and become ready to fire an impulse again and also women with diabetes have higher CVD mortality rates than men with diabetes.

Track 10:Critical Cardiac Care

Critical cardiac care (CIC) which is also known as coronary care unit (CCU)  is a hospital ward specialized in the care of patients with heart attacks, unstable angina, cardiac dysrhythmia and (in practice) various other cardiac conditions that require continuous monitoring and treatment or first aid treatment till the doctor comes. There are also units available in the hospitals to take care of the emergency situation. The Cardiac intensive care unit (CICU) is a specialized ICU dealing with cardiac patients and is usually staffed by cardiologists. It offers critical care staff especially trained in acute coronary syndromes and has additional technology such as intra-aortic balloon pumps, etc.

 Track 11: Cardiac Surgery

Cardiovascular surgery which is also known as  surgery thoracic surgery is operated on the heart or great vessels by cardiac surgeons and it  is the field of medicine involved in surgical treatment of organs inside the thorax. There are five types of cardiac surgery 1) Open heart surgery 2) Modern beating-heart surgery 3) Heart transplant 4) Coronary artery bypass grafting 5) Minimally invasive surgery and  surgeries are done to treat complexity of ischemic heart disease, correct congenital heart disease, or treat valvular heart disease from various causes including endocarditis, rheumatic heart disease and atherosclerosis and  advancement of cardiac surgery and cardiopulmonary bypass techniques has greatly reduced the mortality rates of these procedures. The surgery requires postoperative care to avoid complications. laceration care is needed to avoid infection and minimize scarring. Swelling and loss of appetite are common, As mentioned Coronary artery bypass grafting (CABG) is the most common type of heart surgery. CABG improves blood flow to the heart.

Track 12: Cardio-oncology

Cancer and cardiovascular disease are the leading causes of mortality in many parts of the world and Cardio-oncology is the intersection of heart conditions in patients who have been treated for cancer. There are several reasons for both diseases occurring in the same patient. Coronary artery disease (CAD) and Cancer share risk factors such as age, use of tobacco and obesity. Other reasons may be the consequences of radio- and chemo-therapy in long-term survivors of malignancy. These treatments have a direct impact on the heart, which require, in some cases, surgical correction. Malignancy can also occur during long-term follow-up after coronary artery bypass graft (CABG). The increase in diagnostic facilities makes the detection of heart disease and treatable cancer also more likely.

Track 13: Atherosclerosis

Atherosclerosis is a common form of heart disease of the arteries characterized by the deposition of plaques of fatty material on their inner walls eventually restricts blood flow and plaque is made up of fat, cholesterol, calcium, and other substances found in the blood later plaque hardens and narrows your arteries which limits the flow of oxygen-rich blood to your organs and other parts of your body and this constricted circulation leads to less oxygen for the heart muscle, resulting in chest pain (angina), usually following exercise or excitement. It can also lead to serious problems, including heart attack, stroke, and stresses the heart muscle to the point of failure, which is what happens during a heart attack which may even lead to death. The disease can influence any artery in the body along with arteries in the heart, brain, arms, legs, pelvis, and kidneys which results in different diseases may develop based on which arteries are affected.

Track 14:Obesity and Heart

People with a body mass index (BMI) of 30 or higher are considered obese. The term obesity is used to describe the health condition of anyone significantly above his or her ideal healthy weight. Obesity increases the risk for heart disease and stroke. But it harms more than just the heart and blood vessel system. It's also a major cause of gallstones, osteoarthritis and respiratory problems. Obesity is intimately intertwined with multiple health conditions that underlie cardiovascular disease including high blood pressure, diabetes, and abnormal blood cholesterol. In addition, weight gain is a frequent consequence of heart-damaging lifestyle choices such as lack of exercise and a fat-laden diet. Obesity also can lead to heart failure. This is a serious condition in which your heart can't pump enough blood to meet your body's needs.

Track 15:Cardiac Medications

Cardiology conferences includes the Cardiac Drugs which are used in any way to treat conditions of the heart or the circulatory or vascular system. Many classes of cardiovascular agents are available to treat the various cardiovascular conditions. They are a complicated group of drugs with many being used for multiple heart conditions. Prescription drugs and medicines for diseases relating to the structure and function of the heart and blood vessels. In this sub topic we have Sodium, potassium, calcium channel blockers, ACE-inhibitors and Cardiac biomarkers. There are 6 associations and societies and the main association for Cardiac Therapeutic Agents in USA. 50 universities are working on Cardiac Therapeutic Agents. There are 120 Companies in USA that are making Cardiac Therapeutic Agents in Cardiology. Around 6 new drugs were introduced in 2015 and 2 drugs were introduced in 2016. There are many types of cardiovascular drugs in the market that include Corlanor (ivabradine), Kanuma (sebelipase alfa), Byvalson (nebivolol and valsartan), Yosprala (aspirin and omeprazole).

Track 16 : Sports Cardiology

Sports Cardiology achieves heart screenings that detect potentially serious cardiovascular issues in young athletes. Sudden cardiac arrest (SCA) is the major reason of death in exercising young athletes, and is most commonly set off by problems as structural heart disorders or electrical circuitry issues which are not commonly found during routine physical examinations. Most of the conditions that cause sudden cardiac death in young athletes are evaluated by an electrocardiogram (ECG or EKG), a non-invasive test which calculates the electrical activity of the heart. Athletes with authorized cardiovascular disease or those at risk have particular goals and objectives in mind. They want to continue to play their sport and be very safe. The main aim of the Sports Cardiology Center is to work with any athlete forth the spectrum - professional athletes, recreational exercisers, to weekend warriors to help them reach these goals.

Track 17:Current Research in Cardiology

Advances in medicine means that if CHD is detected at an early stage it can be treated successfully to extend the survival rate. Successful treatment is more likely if the disease is detected at its earliest stages. Our current research focuses on the early detection of CHD in order to halt or reverse the progress of the disease. The ongoing research includes pioneering the use of heart scanning in the early diagnosis of heart disease in diabetics, Development of Nuclear Cardiology techniques for the detection of heart disease, Drug development and evaluation of treatments used in heart disease, Identification of novel biological markers to predict the presence of heart disease, Analysis of ethnic and socio-economic differences in heart disease risk.

 

About Conference

ConferenceSeries Ltd welcomes you to attend the 23rd World Cardiology Conference during March 19-20, 2018 Dubai. This is an excellent opportunity for the delegates from Universities and Institutes to interact with the world class Scientists. The main theme of the conference is “Gathering the Newborn Advances in  Cardiology”. 

Cardiology Congress 2018 Conference will be an investigation of  new research Innovation in the field of Cardiology and spread the most recent advancements in heart disease prevention and rehabilitation. Discussion on new technology advancement in the field of Cardiovascular Disease, current practices in cardiovascular therapy, Cardiac progenitor cells, Hypertension for the primary care clinician, Stent procedure, Balloon valvuloplasty, Coronary thrombectomy, Noninvasive cardiac imaging, Heart failure, Congestive heart failure, Sports Cardiology and more. Detecting heart disease and other cardiac conditions, involves a team of healthcare professionals, of which the Cardiology technologist is a key player. ConferenceSeries Ltd Organizes 1000+ Global Events Every Year across USA, Europe & Asia with support from 1000 more scientific societies and Publishes 700+ Open access journals which contains over 100000 eminent personalities, reputed scientists as editorial board and organizing committee members. The conference series website will provide you list and details about the conference organize worldwide. The global cardiology market is expected to grow at a strong CAGR during the forecast period of 2014 to 2019 and is estimated to be worth $2,100 million by 2019. The market is mainly driven by the increasing research funding for cardiology from governments and private investors, growing demand for personalized medicine in the U.S. and Europe, and the increasing need for toxicology testing.

Market Analysis

Cardiology is a branch of medicine dealing with disorders of the heart as well as parts of the circulatory system. The field includes medical diagnosis and treatment of congenital heart defects, coronary artery disease, heart failure, valvular heart disease and electrophysiology. Physicians who specialize in this field of medicine are called cardiologists, a specialty of internal medicine. Pediatric cardiologists are pediatricians who specialize in cardiology. Physicians who specialize in cardiac surgery are called cardiothoracic surgeons or cardiac surgeons, a specialty of general surgery.  The reports give us the latest and forecasted revenues of all these market segments; and also provide us the exhaustive analyses of current trends, market, growth strategies, and opportunities that are adopted by the key market players.

 

Cardiology conferences aims to provide expert insight into recent advances in key areas of cardiology, and a balanced perspective on how these may influence guidelines and patient management. The conference will cover an array of topics including subspecialties such as Imaging (i.e. CT, MRI, and echocardiography) intervention, acute coronary syndromes, valvular heart disease, arrhythmias and pacing, as well as prevention, and heart failure. The vision behind this world congress is to serve as a unique global platform for cardiologists, cardiac surgeons and researchers from world-renowned institutions to share and exchange new clinical studies and advancements in dealing with cardiac diseases.

 

Cardiology events have a wide scope globally in guiding cardiology students, cardiologists, scientists, research scholars, medical practitioners, leading medical industries to champion professional and social relationship with sister organizations and actively concur within the analysis and safe utilization of the medicine with honor and ethics. These major scientific events comes up totally analyzed to proffer the best prospect for the academicians in terms of collaborations to undertake the International workshops to present their research, and trade professionals in terms of exhibiting their products & services and B2B networking. The scientific conferences include oral and poster presentations, seminars, and workshops from the professionals working within the field of medicine.

 

Practicing cardiologists, Cardiologists in training, Cardiac Surgeons, Interventional cardiologists and other healthcare professionals like Advanced Practice Nurses, Physicians interested in the latest advances and techniques in the field of Cardiology. Clinical organizations, Various societies, Medical schools etc. Another segment of target audience is Academicians; it includes University Faculties/Professors, Research Scholars, and Scientists who can be a part of this conference.

The 23rd  World Cardiology Conference will exhibit the products and services from commercial and non-commercial organizations like Cardiology related lab equipment manufacturers, Cardiac surgery laboratories, Clinical trial organizations, Business delegates.

Total Cardiologists:

 

Dubai        -           200

 

USA          -          23623

 

Asia             -         27600

 

Worldwide   -           < 3 lacks

             

     Fig: Cardiologists in number

Global Market of Interventional Cardiology Shared by Country:-

The global market for interventional cardiology technologies reached an estimated $12.2 billion in 2014. According to a new study by Smithers Apex – The Future of Coronary Artery Disease Medical Devices to 2021 – it will grow to $22.5 billion (€20.9 billion) by 2021, with a year-on-year increase of 9.1%.Demand for coronary artery disease medical devices will grow through 2021 as clinically viable and cost-effective solutions are developed. The report covers three major segments of cardiology surgery, devices and drugs market which includes surgeries, devices and drugs. Cardiovascular diseases are the number one cause of death globally. Some of the major CVDs include coronary heart diseases, , stroke, hypertensive heart diseases, inflammatory heart diseases, rheumatoid heart diseases and others. Coronary heart diseases are the leading cause of death followed by strokes. The prevalence and incidence rate of heart diseases are on a rise; especially in major emerging countries such as India, China and Japan. The market of cardiology surgery, devices and drugs are also on a rise.

                                     

 

Interventional Cardiology Market:

 

Medical Device Coatings Market is Expected to reach US$ 10.93B In 2020:

The market for medical device coatings is driven by increasing healthcare awareness in developing countries coupled with rising demand for better medical & healthcare facilities. Medical device coatings are used to counter microbial growth, wear and tear and prevention of infection through medical devices. Medical device coatings are applied on various cardiovascular devices such as balloon catheters, angioplasty catheters, coronary stents, guide wires, occlusion devices and other percutaneous coronary intervention devices. Cardiovascular is estimated to be the fastest growing end-user for medical device coatings in the near future.According to the report, global demand for medical device coatings market was valued at around USD 8.1 billion in 2015 and is expected to generate revenue of USD 11.8 billion by end of 2021, growing at a CAGR of around 7.8% between 2016 and 2021. 
 

Global medical Device coating revenue(2015-2021) USD Billion :   

 

    Fig: X axis:- Years

            Y axis:- Revenue (USD Billion)

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Conference Date 19-20 March ,2018

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Journal of Clinical & Experimental Cardiology Journal of Cardiovascular Diseases & Diagnosis Journal of Cardiovascular Pharmacology

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Keytopics

  • Echocardiography
  • Acute Pulmonary Edema
  • Angioplasty
  • Artificial Heart Valve Surgery
  • Atherosclerosis
  • Atherosclerosis
  • Atrial Fibrillation
  • Atrial Myxoma
  • Balloon Valvuloplasty
  • Betwixt Diabetes
  • Biomimetic Heart Valve Replacement
  • Bioresorbable Stents
  • Bypass Surgery
  • Cardiac Catheterizations
  • Cardiac Drugs
  • Cardiac Dysrhythmia
  • Cardiac Fibroma
  • Cardiac Imaging
  • Cardiac MRI
  • Cardiac Regeneration
  • Cardiac Resynchronization Therapy (CRT)
  • Cardiac Stem Cells
  • Cardiac Surgery
  • Cardio-oncology
  • Cardiology
  • Cardiopulmonary Resuscitation
  • Cardiovascular Accident
  • Cardiovascular Assessment
  • Cardiovascular Care
  • Cardiovascular Disease
  • Cardiovascular Magnetic Resonance Imaging
  • Cardiovascular Medicine
  • Cardiovascular Surgery
  • Cardiovascular Therapy
  • Cerebrovascular Disease (Stroke)
  • Circulatory System
  • Clinical Cardiology
  • Computed Tomography(CT)
  • Congenital Heart Deficiency
  • Congenital Heart Disease
  • Congestive Heart Failure
  • Coronary Angiography
  • Coronary Artery Bypass
  • Coronary Artery Diseases (CAD)
  • Coronary Intervention
  • Critical Cardiac Care
  • Diabetes And Blood Pressure
  • Diabetic Cardiomyopathy
  • Diabetic Cardiovascular Disease (DCD
  • Echocardiograms
  • Electrocardiography (ECG)
  • Heart Attack
  • Heart Block
  • Heart Care
  • Heart Failure
  • Heart Structure
  • Heart Transplant
  • Heart Transplantation
  • Heartbeat
  • High Cholesterol
  • Hypertension
  • Interventional Cardiology
  • Ischemic Heart Disease
  • Left-sided Heart Failure
  • Noninvasive Cardiac Imaging
  • Nuclear Cardiology Techniques
  • Open Heart Surgery
  • Oxygen Therapy
  • Pacemakers/ICDs Pacers, Pumps
  • Pediatric Angina
  • Pediatric Heart Catheterization
  • Pediatric Heart Physiology
  • Peripheral Vascular Disease
  • Renal Artery Stenosis
  • Sleep Apnea
  • Sports Cardiology
  • Sudden Cardiac Arrest
  • Surgery Thoracic
  • Ventricular Fibrillation