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Cardiolucent

Treatment

Chronic Cardiovascular Disease Management

Therapies

Living with chronic cardiovascular disease is not about a single intervention — it is about decades of coordinated, attentive management. Coronary artery disease, hypertension, hyperlipidemia, atrial fibrillation, valvular disease, cardiomyopathies, and the aftermath of heart attack or cardiac surgery all share the same long-term truth: outcomes track with how carefully the regimen is built, monitored, and adjusted as physiology changes. Dr. Kedan provides this longitudinal care at Cardiolucent — integrating medications, imaging, lifestyle, and specialist coordination into one continuous program rather than a series of disconnected appointments. This overview frames the practice's approach to chronic CVD; condition-specific deep dives (heart failure regimens, anticoagulation, lipid management, blood pressure therapy) are covered in their own treatments pages.

What This Treatment Approach Includes

  • Comprehensive baseline assessment: medications, imaging, labs, functional status
  • Ongoing medication optimization across the full cardiovascular regimen
  • POCUS at every office visit for ventricular function and volume assessment
  • Formal echocardiography, stress testing, and advanced imaging at appropriate intervals
  • Coordination with interventional cardiology, electrophysiology, and cardiac surgery at Cedars-Sinai
  • Integrated lifestyle and exercise prescription as part of the medical plan
  • Direct access for new symptoms, medication side effects, or urgent concerns

How It Works

Chronic cardiovascular disease management works by treating the underlying disease processes — atherosclerosis, electrical instability, valvular dysfunction, ventricular remodeling — with the right combination of therapies, then adjusting that combination as the patient and the evidence base evolve. Continuity is the active ingredient: a physician who knows your baseline imaging, lab trends, and prior responses can detect drift early and intervene before a hospitalization. Cumulative small adjustments outperform episodic reactive care.

Who This Is For

  • Coronary artery disease (post-MI, post-PCI, post-CABG, or chronic stable)
  • Hypertension and hyperlipidemia requiring ongoing therapy
  • Atrial fibrillation and other chronic arrhythmias
  • Valvular heart disease under surveillance or post-intervention
  • Cardiomyopathies of any etiology
  • Patients with overlapping cardiometabolic conditions (diabetes, sleep apnea, obesity)
  • Anyone seeking a continuity cardiologist who knows the full picture year over year

Monitoring and Follow-Up

Visit cadence is calibrated to disease activity — stable patients are often seen every three to six months, while active titration phases or post-hospitalization windows are seen more frequently. Same-day labs allow medication adjustments in real time, and POCUS at routine visits catches structural or volume changes that would otherwise wait for the next formal echo. The concierge model exists precisely so that a new symptom does not wait for the next available slot weeks out.

How Cardiolucent Manages This

The practice is built around continuity. Dr. Kedan personally manages every patient — reviewing the full regimen at every visit, adjusting incrementally, and coordinating directly with colleagues at Cedars-Sinai when procedures or hospitalization are needed. Extended visits make space for shared decision-making about complex trade-offs; direct phone access bridges the gaps between visits. The model is designed for patients whose cardiovascular disease needs to be watched, not just treated.

Common Questions

Frequently Asked Questions

What does ongoing cardiovascular disease management look like in a concierge practice?
It looks like genuine continuity. Dr. Kedan oversees your medications, imaging cadence, lab trends, and lifestyle plan as one integrated program rather than a series of disconnected appointments. Visits typically run an hour or longer, point-of-care ultrasound is part of nearly every encounter, and you have direct access to Dr. Kedan between visits when something changes. The model is designed for patients whose conditions need to be watched, not just treated.
How often will I be seen?
Visit frequency is tailored to your condition and stability. Stable patients with well-controlled disease are often seen every three to six months, while patients in an active titration phase, after a hospitalization, or with newly diagnosed disease may be seen monthly or more often. Because the practice carries a smaller roster, scheduling is flexible — additional visits happen quickly when they are needed.
What kinds of conditions are typically managed long-term?
The chronic cardiovascular conditions most commonly co-managed include coronary artery disease, hypertension, hyperlipidemia, atrial fibrillation, valvular disease, cardiomyopathies, and the aftermath of heart attack, stent placement, or cardiac surgery. Many patients also have overlapping metabolic conditions such as diabetes or sleep apnea, which Dr. Kedan factors into the overall cardiovascular plan.
Will my medications change over time?
Almost certainly. Cardiovascular medications are not a fixed prescription — they are adjusted based on blood pressure trends, heart rate, kidney function, lipid response, symptom changes, and updates in the guideline evidence. Dr. Kedan reviews your full regimen at every visit and titrates incrementally rather than making sweeping changes, so you always know why a dose moved.
What if I develop new symptoms between visits?
You contact Dr. Kedan directly. The concierge model exists precisely so that new chest discomfort, palpitations, breathlessness, or medication side effects get a same-day response from your own cardiologist rather than a triage nurse you have never met. Many concerns are sorted out by phone; some prompt an in-office POCUS the same day; a small number warrant coordinated care at Cedars-Sinai.
How is my heart imaged on an ongoing basis?
Point-of-care ultrasound is performed during routine visits, giving Dr. Kedan an immediate look at ventricular function, valves, and volume status without sending you elsewhere. Formal echocardiograms, stress testing, or advanced imaging are ordered at clinically appropriate intervals depending on your underlying condition. The cadence is set by your physiology, not by a calendar.
Can I stop my medications if I feel completely well?
Generally no — feeling well on cardiovascular therapy usually means the therapy is working, not that it is unnecessary. Stopping medications like statins, beta-blockers, or anticoagulants without supervision can unmask the underlying disease abruptly. That said, Dr. Kedan continually reassesses every prescription; if a medication is no longer indicated based on your current status, it is deprescribed deliberately.
How are specialists coordinated when I need procedures?
Dr. Kedan manages the relationships personally. When interventional cardiology, electrophysiology, or cardiac surgery is needed, he coordinates directly with colleagues at Cedars-Sinai, briefs them on your full history, and stays involved through pre-op, the procedure itself, and recovery. You are not left to navigate referrals on your own.
What happens if there is an emergency after hours?
Patients have 24/7 access for urgent concerns and symptom changes. For life-threatening events you should always call 911, but for the wide gray zone between "this can wait until Monday" and "this is an emergency," Dr. Kedan is reachable directly. That decision-making support is one of the most valued features of the practice.
Does insurance cover ongoing cardiovascular care here?
Cardiolucent does not participate with Medicare or commercial insurance and bills patients directly. For each visit we provide an itemized superbill that you can submit to your insurance carrier for out-of-network reimbursement; the level of reimbursement depends entirely on your plan. To understand how the structure fits your situation, call (310) 304-5555 or use the contact form.

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Medical Disclaimer

The information on this site is for general educational purposes only and is not medical advice, diagnosis, or treatment. Reading this site does not create a doctor–patient relationship. Always consult a qualified healthcare professional for personal guidance. If this is an emergency, call 911. Mentions of medications, devices, or procedures are informational and not endorsements. Full medical disclaimer.

†Some listed indications involve investigational/off-label use. Learn more.