Service
Cardiovascular Care in Chronic Disease
Why a separate service
Cardiovascular risk doesn't live in isolation.
The textbook cardiovascular risk calculators were built around age, blood pressure, cholesterol, smoking, and diabetes. They don't account for inflammatory rheumatic disease, prior chest radiation or anthracycline exposure, immunosuppression after transplant, immunotherapy for cancer, chronic kidney disease, HIV, or any of the other chronic conditions that meaningfully accelerate atherosclerosis, alter arrhythmia risk, or constrain which cardiovascular treatments are safe.
Cardiovascular Care in Chronic Disease is the service for patients whose cardiac care has to be calibrated against an active second or third diagnosis — where the right answer for a healthy 60-year-old is the wrong answer for them.
Metabolic, inflammatory, oncologic, autoimmune.
Common scenarios where the cardiovascular plan has to be designed around the underlying condition:
- Metabolic. Diabetes, obesity, insulin resistance, fatty liver disease — drivers of accelerated atherosclerosis and arrhythmia substrate that need integrated metabolic + cardiovascular management.
- Inflammatory. Rheumatoid arthritis, lupus, psoriatic disease, IBD — systemic inflammation independently raises cardiovascular risk; the cardiology workup and prevention strategy adjust accordingly.
- Oncologic. Cardiotoxicity surveillance during and after cancer therapy (anthracyclines, HER2 agents, immune checkpoint inhibitors, radiation to the chest), and survivorship-stage cardiovascular care.
- Autoimmune / transplant / chronic infection. Long-term immunosuppression, post-transplant care, HIV-associated cardiovascular risk — settings where standard guideline regimens may need modification.
- Chronic kidney disease. Drug selection, anticoagulation strategy, and risk stratification all shift with reduced kidney function.
Coordinated with your other physicians, not in parallel.
When chronic disease shapes the cardiac picture, the cardiologist can't operate in a silo. Dr. Kedan communicates directly with your rheumatologist, oncologist, nephrologist, endocrinologist, transplant team, or infectious-disease physician so the medication regimen, surveillance imaging cadence, and risk-reduction strategy are all calibrated as one plan. The point isn't to add another cardiologist's opinion to the pile — it's to integrate cardiovascular care into what's already happening for you.
Common Questions
Frequently Asked Questions
I already see a specialist for [rheumatology / oncology / nephrology]. Why add a cardiologist?
Do you handle cardio-oncology specifically?
I take immunosuppressants — does that change my cardiology plan?
I have stage 3 CKD. Will my cardiac medications need adjustment?
Will this replace my visits to my other specialists?
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