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arrow_back Conditions & Treatments

Arrhythmia (Heart Rhythm Disorders)

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menu Arrhythmia (Heart Rhythm Disorders)
  • Overview
    • Types of Arrhythmias
    • Tests
    • Treatments
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Restoring irregular heartbeats to a healthy rhythm

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Getting the care you need starts with seeing one of our heart or vascular specialists.

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An arrhythmia is an abnormal or irregular heartbeat caused by a disturbance in the electrical impulses that coordinate your heart rate. This can cause your heart to beat too fast, too slow or irregularly. When the heart doesn’t beat properly, it can’t effectively pump blood to your body.

Some arrhythmias may be harmless, but others can be life-threatening or a sign of a further heart problem. They also can increase your risk of stroke and heart failure if not treated. This is why it’s important to have your heart evaluated by an electrophysiologist, a heart rhythm specialist who diagnoses and treats arrhythmias.

The physicians in our Cardiac Electrophysiology Program are highly trained advanced subspecialists who manage even the most complex arrhythmias.

What are the symptoms of arrhythmia?

Some people with an arrhythmia don’t feel any symptoms. Others describe their symptoms as feeling like their heart is racing, slowing down or skipping a beat.

Additional symptoms may include:

  • Chest pain
  • Dizziness or lightheadedness
  • Fainting
  • Fatigue
  • Shortness of breath
  • Sweating

What causes arrhythmia?

Arrhythmias can be caused by many things, including:

  • Certain medications, including over-the-counter cold and allergy drugs
  • Diabetes
  • Coronary artery disease
  • Drinking too much caffeine or alcohol
  • Drug abuse
  • Family history of arrhythmias
  • High blood pressure
  • Prior heart attack
  • Smoking
  • Stress

Electrophysiology Program

We are leaders in developing and using the latest procedures and technologies to treat heart rhythm disorders, and our cardiac electrophysiology laboratory is one of the most sophisticated in North America.

Learn More

Types of Arrhythmias

A normal heart beats 60 to 100 times a minute. Arrhythmias are most often classified by the speed of heart rate they cause.

  • Tachycardia: The most common type of arrhythmia, tachycardia causes the heart to beat faster than 100 beats a minute.
  • Bradycardia: This refers to a slow heartbeat, less than 60 beats a minute.

Arrhythmias also are classified by where they begin in the heart: the atria (the upper chambers of the heart) or the ventricles (the lower chambers). These can include:

  • Atrial fibrillation (AFib), in which the heart’s two upper chambers do not beat in sync with the two lower chambers.
  • Atrial flutter, which is similar to AFib, but which is characterized by a less chaotic heartbeat.
  • Catecholaminergic polymorphic ventricular tachycardia (CPVT), a rare inherited condition that causes abnormal heart rhythms during physical activity or in response to stress.
  • Long QT syndrome, a heart rhythm disorder that increases your risk of rapid, chaotic heartbeats.
    Sick sinus syndrome, in which the sinus node, your heart’s pacemaker, doesn’t properly send electrical impulses.
  • Supraventricular tachycardia, which is a broad term that includes many forms of arrhythmia in the atria.
  • Ventricular fibrillation, which occurs when rapid electrical impulses cause the ventricles to beat ineffectively and no longer pump blood properly.
  • Ventricular tachycardia, a rapid, regular heart rate that originates in the ventricles.
  • Wolff-Parkinson-White (WPW) syndrome, a congenital heart defect in which there is an extra electrical pathway between the atria and ventricles.

Tests

Cardiac Catheterization

Cardiac catheterization is a minimally invasive way to diagnose and treat a variety of heart and vascular conditions by guiding thin, flexible tubes called catheters through blood vessels to problem areas.

Chest X-ray

Chest X-rays use a small dose of radiation to create pictures of the structures inside the chest, including the lungs, heart and chest wall.

Echocardiogram

An echocardiogram uses high-frequency sound waves to create images of your heart.

Electrocardiogram (ECG)

An electrocardiogram, also known as an ECG, measures the heart’s electrical activity.

Electrophysiology Testing

Electrophysiology testing is used to evaluate the cause and location of an abnormal heartbeat (known an an arrhythmia).

Event Monitors

An event monitor is a small device that records the heart’s electrical activity. It’s similar to an electrocardiogram, but where an electrocardiogram takes place over a few minutes, an event monitor measures heart rhythms over a much longer time.

Holter Monitors

A Holter monitor is a small device that records the heart’s electrical activity. It’s similar to an electrocardiogram, but whereas an electrocardiogram records over a few minutes, a Holter monitor records over the course of a day or two.

Loop Recorder

A loop recorder is a device that’s implanted underneath the skin of your chest to record your heart rhythm for up to three years.

Stress Tests

Stress tests are used to assess how your heart works during physical activity. There are several types of stress tests, including treadmill or bike stress tests, nuclear stress tests, stress echocardiograms and chemically induced stress tests.

Tilt Table Test

Tilt table testing allows your doctor to determine the cause of explained fainting while monitoring changes in your blood pressure and heart rate while tilted at different angles.

Treatments

Treatment will depend on the type and severity of your arrhythmia. In some cases, medication and lifestyle changes may be enough to manage the condition. More advanced treatment options may include electrical devices, minimally invasive procedures or surgery.

Cardiac Ablation

Cardiac ablation uses heat or cold to destroy heart tissue causing abnormal heart rhythms known as arrhythmias.

Catheter Ablation for Atrial Fibrillation

Catheter ablation is a minimally invasive procedure that uses heat or cold to destroy heart tissue causing atrial fibrillation, a type of abnormal heart rhythm.

Leadless Pacemakers

A leadless pacemaker is a small capsule placed in the heart’s right ventricle that delivers an electric pulse to regulate the heartbeat.

Pacemaker

A pacemaker is a device that helps control various types of heart rhythm disorders.

Physicians

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(301) 856-2620
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(202) 416-2000
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3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
(410) 366-5600
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Dr. Rachel Marcus, MD
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410-554-2330
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(202) 416-2000
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12070 Old Line Center Suite 202 Waldorf, MD 20602
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110 Irving Street Northwest Room 4B39 Washington, DC 20010
(202) 877-7259
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301-570-7404
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(301) 782-2220
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(202) 877-7685
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410-554-6727
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110 Irving Street Northwest Suite 4B42 Washington, DC 20010
(202) 877-7259
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(209)
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Cardiology
(605)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Jared Michael Widell, MD
Cardiology | Cardiac Imaging
5601 Loch Raven Boulevard Building 2 Baltimore, MD 21239
(202) 877-6264 or (202) 444-8833
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Electrophysiology
(286)
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(301) 877-5677
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Dr. Federico Miguel Asch, MD
Cardiac Imaging
110 Irving Street Northwest Room 4B-42 Washington, DC 20010
(202) 877-4616
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Dr. Jeffrey Jay Brown, MD
Cardiology
(453)
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
(410) 574-1330
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Dr. Raktim Kumar Ghosh, MD
Cardiology
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
410-574-1330
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Dr. Michael Fiocco, MD
Valvular Disease Cardiology | Structural Heart Disease Cardiology | Cardiac Surgery
(153)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
(410) 554-6550
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Dr. Stephanie Schwalm Jacobs, MD
Cardiology
(403)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Arthur C. St. Andre, MD
Dr. Arthur C. St. Andre, MD
Cardiac Critical Care
110 Irving Street Northwest Suite 4B42 Washington, DC 20010
(202) 877-7259
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Dr. Carolina Isabel Valdiviezo Schlomp, MD
Dr. Carolina Isabel Valdiviezo Schlomp, MD
Cardiology
(200)
3800 Reservoir Road Northwest Washington, DC 20007
(202) 444-5111
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Dr. Walter L. Atiga, MD
Dr. Walter L. Atiga, MD
Electrophysiology
8640 Sudley Road Suite 302 Manassas, VA 20110
(703) 208-7257
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Dr. Sumbal Ashraf Janjua, MD
Dr. Sumbal Ashraf Janjua, MD
Cardiology
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-7777
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Dr. Louis K. Essandoh, MD
Dr. Louis K. Essandoh, MD
Cardiology
(481)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Jonathan A. Altschuler, MD
Dr. Jonathan A. Altschuler, MD
Cardiology
(438)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Sung W. Lee, MD
Dr. Sung W. Lee, MD
Electrophysiology
7501 Surratts Road Suite 304 Clinton, MD 20735
301-877-5677
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Dr. Sriram Padmanabhan, MD
Dr. Sriram Padmanabhan, MD
Cardiology
(435)
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
(410) 574-1330
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Dr. Kabir Yousuf, MD
Dr. Kabir Yousuf, MD
Cardiology
24035 Three Notch Road Hollywood, MD 20636
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Dr. Amish V. Shah, MD
Dr. Amish V. Shah, MD
Cardiology
(362)
24035 Three Notch Road Hollywood, MD 20636
(301) 373-7900
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Dr. Alexander I. Papolos, MD
Dr. Alexander I. Papolos, MD
Cardiac Critical Care
(202) 877-7259
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Dr. Anjili Srivastava, DO
Dr. Anjili Srivastava, DO
Cardiology
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
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Dr. Ronak K. Patel, MD
Dr. Ronak K. Patel, MD
Cardiology
5601 Loch Raven Boulevard Russell Morgan Bldg Baltimore, MD 21239
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Dr. Rahul Anand, MD
Dr. Rahul Anand, MD
Cardiology
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
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Dr. Anil K. Shah, MD
Dr. Anil K. Shah, MD
Cardiology
(341)
24035 Three Notch Road Hollywood, MD 20636
(301) 373-7900
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Dr. Reed M. Shnider, MD
Dr. Reed M. Shnider, MD
Cardiology
(548)
18101 Prince Philip Drive Suite 4100 Olney, MD 20832
(301) 570-7404
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Dr. Susan O'Donoghue, MD
Dr. Susan O'Donoghue, MD
Electrophysiology
(251)
110 Irving Street Northwest Room 5A-12 Washington, DC 20010
(202) 877-7685
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Dr. Alena Lira, MD
Dr. Alena Lira, MD
Cardiac Critical Care
110 Irving Street Northwest Suite 4B42 Washington, DC 20010
(202) 877-7259
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Dr. Jennifer Rebecca Brown, MD
Dr. Jennifer Rebecca Brown, MD
Heart Failure and Transplantation Cardiology | Cardiology
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Miriam L. Cohen, MD
Dr. Miriam L. Cohen, MD
Cardiology
(365)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
410-366-5600
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Dr. David A. Goldscher, MD
Dr. David A. Goldscher, MD
Cardiology
(399)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
(410) 366-5600
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Dr. Seife Yohannes, MD
Dr. Seife Yohannes, MD
Cardiac Critical Care
110 Irving Street Northwest Suite 4B42 Washington, DC 20010
(202) 877-7259
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Dr. Anil Pandit, MD
Dr. Anil Pandit, MD
Cardiology
12 Medstar Boulevard Bel Air, MD 21015
410-574-1330
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Dr. Michael Benjamin Lee, MD
Dr. Michael Benjamin Lee, MD
Cardiology
(416)
18101 Prince Philip Drive Floor 4 Olney, MD 20832
(202) 416-2000
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Dr. Conor Francis Lundergan, MD
Dr. Conor Francis Lundergan, MD
Cardiology
(550)
13950 Brandywine Road Suite 100 Brandywine, MD 20613
(301) 782-2220
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Dr. Satish N. Jumani, MD
Dr. Satish N. Jumani, MD
Cardiology
(344)
12070 Old Line Center Suite 202 Waldorf, MD 20602
(301) 705-7870
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Dr. Mansoor Mozayan, MD
Dr. Mansoor Mozayan, MD
Cardiology
(293)
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
(410) 574-1330
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Dr. Kevin Grant Handy, MD
Dr. Kevin Grant Handy, MD
Cardiac Critical Care
110 Irving Street Northwest Suite 4B42 Washington, DC 20010
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Dr. Roquell E. Wyche, MD
Dr. Roquell E. Wyche, MD
Cardiology
110 Irving Street Northwest Room BB43 Washington, DC 20010
(202) 499-6999
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Dr. William Guy Weigold, III, MD
Dr. William Guy Weigold, III, MD
Cardiology
(74)
110 Irving Street Northwest Suite NW Washington, DC 20010
202-877-7777
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Dr. Edward V. Platia, MD
Dr. Edward V. Platia, MD
Electrophysiology
(163)
110 Irving Street Northwest 5th Floor Washington, DC 20010
(202) 877-7685
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Dr. Alexandra Kristina Pratt, MD
Dr. Alexandra Kristina Pratt, MD
Critical Care Medicine
110 Irving Street Northwest Room 4B-42 Washington, DC 20010
(202) 877-7259
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Dr. Barbara Louise Bean, MD
Dr. Barbara Louise Bean, MD
Cardiology
(450)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Stuart D. Gould, MD
Dr. Stuart D. Gould, MD
Cardiology
(474)
18101 Prince Philip Drive Suite 4100 Olney, MD 20832
301-570-7404
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Dr. Stuart Floyd Seides, MD
Dr. Stuart Floyd Seides, MD
Cardiology
106 Irving Street Northwest Suite 4800N Washington, DC 20010
202-416-2000
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Dr. Estelle Darlyse Jean, MD
Dr. Estelle Darlyse Jean, MD
Cardiology
(448)
18101 Prince Philip Drive Suite 4100 Olney, MD 20832
(301) 570-7404
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Dr. Brian George Lee, MD
Dr. Brian George Lee, MD
Cardiac Critical Care
110 Irving Street Northwest Suite 4B42 Washington, DC 20010
(202) 877-7259
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Dr. David A. Strouse, MD
Dr. David A. Strouse, MD
Electrophysiology
(375)
3020 Hamaker Court Suite 502 Fairfax, VA 22031
(703) 208-7257
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Dr. Benjamin B. Kenigsberg, MD
Dr. Benjamin B. Kenigsberg, MD
Cardiac Critical Care
110 Irving Street Northwest Room 4B-1 Washington, DC 20010
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Dr. Micheas Zemedkun, MD
Dr. Micheas Zemedkun, MD
Cardiology
(180)
1133 21st Street Northwest Building 2 – 7th Floor Washington, DC 20036
202-877-5800
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Dr. Reginald LaMar Robinson, MD
Dr. Reginald LaMar Robinson, MD
Cardiology
(421)
106 Irving Street Northwest North Tower Suite 4800 Washington, DC 20010
(202) 877-5800
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Dr. Margaret B. Fischer, MD
Dr. Margaret B. Fischer, MD
Electrophysiology | Adult Congenital Cardiac Disease
(303)
3020 Hamaker Court Suite 502 Fairfax, VA 22031
(703) 208-7257
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Dr. Kelley W. Sullivan, MD
Dr. Kelley W. Sullivan, MD
Cardiology
(478)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Kenneth M. Lee, MD
Dr. Kenneth M. Lee, MD
Cardiology
(488)
1133 21st Street Northwest 700 Washington, DC 20036
(202) 416-2000
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Dr. Christy Leigh Kaiser, MD
Dr. Christy Leigh Kaiser, MD
Cardiology
(195)
3800 Reservoir Road Northwest Washington, DC 20007
(202) 444-5111
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Dr. Abdelrahman Abdallah A Aly, MD
Dr. Abdelrahman Abdallah A Aly, MD
Cardiology
13950 Brandywine Road Brandywine, MD 20613
(301) 782-2220
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Dr. Seth J. Worley, MD
Dr. Seth J. Worley, MD
Electrophysiology
110 Irving Street Northwest Suite NW Washington, DC 20010
202-877-7685
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Dr. Ana Barac, MD
Dr. Ana Barac, MD
Cardio-Oncology
(201)
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-7777
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Dr. Cyrus A. Hadadi, MD
Dr. Cyrus A. Hadadi, MD
Electrophysiology
505 Bryn Street Cambridge, MD 21613
(202) 877-7685
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Dr. John J. Kennedy, MD
Dr. John J. Kennedy, MD
Cardiology
(577)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Patrick T. Bering, MD
Dr. Patrick T. Bering, MD
Cardiology | Cardiac Imaging
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-7777
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Dr. Andrew Y. Chen, MD
Dr. Andrew Y. Chen, MD
Cardiology | Cardiac Imaging
110 Irving Street Northwest Room 1105 Washington, DC 20010
(202) 877-7777
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Dr. Bernard Wagman, MD
Dr. Bernard Wagman, MD
Cardiology
(393)
106 Irving Street Northwest Suite 4800N Washington, DC 20010
(202) 877-5800
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Dr. David J. Schamp, MD
Dr. David J. Schamp, MD
Electrophysiology
(151)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
410-554-6727
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Dr. Leah Tova Bergman, DO
Dr. Leah Tova Bergman, DO
Cardiology
(48)
9105 Franklin Square Drive Suite 209 Baltimore, MD 21237
(410) 574-1330
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Dr. John Clayton Patterson, MD
Dr. John Clayton Patterson, MD
Cardiology
(169)
10403 Hospital Drive Suite 102 Clinton, MD 20735
(301) 292-7270
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Dr. William Clarence Maxted, Jr., MD
Dr. William Clarence Maxted, Jr., MD
Cardiology
(427)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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