Cardiovascular Medicine

Led by Dr. Roth, Dr. Javier, Dr. Perez

Comprehensive Cardiac Care at Naples Cardiac & Endovascular Center

At the Naples Cardiac & Endovascular Center (NCEC), we are dedicated to providing top-tier cardiac care for patients in Naples, FL. Our team of fellowship-trained, board-certified cardiac specialists offers a guideline-directed, individualized approach to the evaluation and management of your cardiac conditions.

Treatment Options

  • Diagnostic Testing

    - Electrocardiograms (EKGs)

    - Echocardiograms (ultrasound of the heart)

    - Stress tests (exercise or pharmacologic)

    - Holter and event monitoring (ambulatory EKG monitoring)

    - Cardiac catheterization and angiography

    - CT coronary angiography

    - Cardiac MRI

  • Preventive Care

    - Risk factor assessment (e.g., cholesterol, blood pressure, family history)

    - Lifestyle modification counseling (e.g., diet, exercise, smoking cessation)

    - Management of hypertension and hyperlipidemia

    - Diabetes management

    - Screening for peripheral artery disease

  • Medical Management

    - Prescribing and managing medications (e.g., antihypertensives, statins, anticoagulants, antiplatelets)

    - Management of chronic heart conditions (e.g., heart failure, arrhythmias, coronary artery disease)

    - Monitoring and adjusting treatment plans based on patient response

  • Interventional Procedures

    - Angioplasty and stenting

    - Percutaneous coronary interventions (PCI)

    - Balloon valvuloplasty

    - Catheter-based ablations for arrhythmias

    - Closure of patent foramen ovale (PFO) or atrial septal defect (ASD)

  • Advanced Heart Failure Management

    - Evaluation for and management of advanced heart failure therapies

    - Administration of intravenous medications for heart failure

    - Monitoring and management of cardiac resynchronization therapy (CRT)

  • Rehabilitation and Long-term Care

    - Cardiac rehabilitation programs

    - Long-term monitoring of heart disease patients

    - Education on self-management and lifestyle modifications

    - Coordination of care with primary care and other specialists

  • Emergency Care

    - Acute management of myocardial infarction (heart attack)

    - Treatment of acute heart failure

    - Management of life-threatening arrhythmias (e.g., ventricular tachycardia, atrial fibrillation)

    - Rapid intervention for acute coronary syndromes

  • Specialized Clinics and Programs

    - Hypertension clinics

    - Lipid management programs

    - Atrial fibrillation clinics

    - Heart failure clinics

    - Genetic counseling and testing for hereditary heart conditions

Conditions We Treat

Our comprehensive cardiac care services cover a wide range of heart conditions, ensuring that each patient receives personalized attention and treatment plans tailored to their specific needs:

  • Angina is a symptom of coronary artery disease. It feels like squeezing, pressure, heaviness, tightness, or pain in the chest.

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  • Also called heart rhythm disorders, arrhythmias occur when the pattern of your heart rhythm is disrupted. Heart rhythm abnormalities can be slow or fast.

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  • This common arrhythmia is characterized by an irregular rhythm that is potentially very fast and increases your risk of a stroke.

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  • This is a very common complaint and refers to the subjective sensation that your heart is beating. This can manifest as a “skipped beat” or “extra beat” sensation.

  • Congestive heart failure (CHF) occurs when your heart is unable to meet the demands of your body.

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  • Acute coronary syndromes occur when there is a severe, sudden reduction of blood flow to the heart.

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  • This common arrhythmia can be typical or atypical and is characterized by variable rhythm regularity that is potentially very fast and increases your risk of a stroke.

  • Pericarditis occurs when your heart’s outer surface lining becomes inflamed.

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  • Cardiomyopathy is a disease of the heart muscle that reduces the heart’s ability to pump oxygen-rich blood to the body. This can lead to heart failure.

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  • Coronary Artery Disease, also known as Coronary Heart Disease, is a condition in which the heart arteries are unable to provide enough blood supply to your heart muscle.

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  • Heart valve disease occurs when one or more of your heart valves do not open adequately or do not close properly.

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  • This is a lethal condition during which your heart’s pumping activity stops completely due to absent electrical activity or an extremely inefficient electrical activity.

Office-Based Testing

Accurate diagnosis is the first step to effective treatment. Our state-of-the-art facility offers a range of office-based tests to evaluate your heart health:

  • Electrocardiogram (EKG): Measures electrical activity of the heart

  • Stress Testing: Assesses how your heart works during physical stress

  • Holter & Event Monitoring: Continuous monitoring of heart activity

  • Heart Catheterization: Visualizes the heart's blood vessels

  • Echocardiogram (Echo): Uses ultrasound to produce images of your heart

Advanced Facility-Based Testing

For more in-depth evaluations, we offer advanced diagnostic tests at our facility:

  • Transesophageal Echocardiogram (TEE): Detailed ultrasound images of the heart via the esophagus.

  • Cardiac CT: Advanced imaging to view heart anatomy.

  • Cardiac MRI: Detailed images of the heart using magnetic fields.

  • Cardiac PET Scan: Evaluates blood flow and function of the heart.

Your Heart Health Matters to Us

At NCEC, we are committed to taking care of your heart. Whether you need routine heart health checkups or advanced treatments, our specialists are here to guide you every step of the way.

Take control of your heart health. Schedule an appointment with our expert cardiologists and start your personalized cardiac care plan today.