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Hypertrophic Cardiomyopathy

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A genetic condition that causes heart muscle tissue to become abnormally thick

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Hypertrophic cardiomyopathy (HCM) affects about one in 500 people. If the heart muscle tissue thickens too much, it can obstruct the flow of blood out of the heart or prevent the heart from pumping enough blood to the rest of the body. In severe cases, it can lead to heart failure or sudden cardiac death. HCM also can cause an arrhythmia, or irregular heartbeat.

If you or a family member is diagnosed with hypertrophic cardiomyopathy, you may want to consider genetic testing to determine whether you’re at risk for the condition or at risk of passing it on to your children. You may also want to make an appointment with the specialists at the Hypertrophic Cardiomyopathy Clinic, located at MedStar Heart & Vascular Institute at MedStar Union Memorial Hospital. This clinic offers comprehensive, coordinated care for HCM patients across multiple specialties.

What are the symptoms of HCM?

Many people who have hypertrophic cardiomyopathy may not realize it because they often have no symptoms. Your doctor may discover a heart murmur during a routine medical exam or suspect HCM after an abnormal electrocardiogram (ECG). But often, the first symptom is a sudden collapse or cardiac arrest.

Other symptoms of HCM may include:

  • Chest pain
  • Fatigue
  • Feeling dizzy, light-headed or faint
  • Heart palpitations, described as a fluttering or pounding in your chest
  • Shortness of breath

Tests

Diagnosing hypertrophic cardiomyopathy can be challenging, as heart muscle thickening also can be caused by high blood pressure or extreme athletic conditioning. Your doctor will perform a complete physical exam and listen for abnormal sounds in the heart. They also will analyze thickened heart muscle and problems with blood flow or heart valves

Angiogram (Angiography)

An angiogram is a special X-ray taken as a special dye is injected through a thin, flexible tube called a catheter to detect blockages or aneurysms in blood vessels.

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.

Computerized Tomography (CT) Scan

The cardiac computed tomography scan, or cardiac CT, uses X-rays to create three-dimensional images of your heart and blood vessels.

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.

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.

Magnetic Resonance Imaging (MRI)

Magnetic resonance imaging, better known as cardiac MRI, is a combination of radio waves, magnets and computer technology to create images of your heart and blood vessels.

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.

Treatments

If your HCM symptoms are not adequately controlled with medications, open heart surgery or a minimally invasive procedure called alcohol septal ablation may be recommended to reduce obstruction to blood flow. If you are deemed to be at high risk for life-threatening arrhythmias, your doctor may recommend implanting a defibrillator.

Alcohol Septal Ablation

Alcohol septal ablation, also known as septal alcohol ablation, is a minimally invasive procedure our doctors use to treat hypertrophic cardiomyopathy. The procedure shrinks abnormal tissue and improves blood flow throughout the body.

Implantable Cardioverter Defibrillator (ICD)

An implantable cardioverter defibrillator (ICD) is a device implanted below your collarbone that monitors your heart’s rhythm. When it detects an abnormal rhythm, it delivers an electrical impulse or shock to the heart to correct it.

Septal Myectomy

Septal myectomy is a surgical procedure to remove overgrown heart muscle and improve blood flow through the heart.

Physicians

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116 Doctors & Specialists
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Cardiology
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410-554-2330
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(410) 574-1330
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Cardiology
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(301) 782-2220
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Cardiology
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410-574-1330
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Dr. Louis K. Essandoh, MD
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Cardiology
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2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Cardiology
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(202) 877-2181
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Dr. Jennifer Rebecca Brown, MD
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2002 Medical Parkway Suite 500 Annapolis, MD 21401
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Cardiology
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106 Irving Street Northwest North Tower Suite 4800 Washington, DC 20010
(202) 877-5800
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2002 Medical Parkway Suite 500 Annapolis, MD 21401
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Cardiology
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3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
410-366-5600
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Valvular Disease Cardiology | Cardiology | Structural Heart Disease Cardiology | Cardiac Imaging
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110 Irving Street Northwest Suite NW Washington, DC 20010
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Cardiology
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2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Interventional Cardiology
7501 Surratts Road Suite 304 Clinton, MD 20735
301-877-5677
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Dr. Stuart Floyd Seides, MD
Cardiology
106 Irving Street Northwest Suite 4800N Washington, DC 20010
202-416-2000
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Cardiology
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9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
(410) 574-1330
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Dr. Srinivas Addala, MD
Interventional Cardiology
9135 Piscataway Road Suite 210 Clinton, MD 20735
(301) 868-1380
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3800 Reservoir Road Northwest Washington, DC 20007
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Dr. Robert Anthony Gallino, MD
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18101 Prince Philip Drive Suite 4100 Olney, MD 20832
(301) 570-7404
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Interventional Cardiology
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1133 21st Street Northwest 700 Washington, DC 20036
(202) 416-2000
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9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
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Dr. Kenneth M. Lee, MD
Cardiology
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1133 21st Street Northwest 700 Washington, DC 20036
(202) 416-2000
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12070 Old Line Center Suite 202 Waldorf, MD 20602
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Cardiology
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3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
410-366-5600
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106 Irving Street Northwest Suite 4800 Washington, DC 20010
(202) 416-2000
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110 Irving Street Northwest First Floor Clinic Washington, DC 20010
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Cardiology
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1133 21st Street Northwest Building 2 – 7th Floor Washington, DC 20036
202-877-5800
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Dr. John Chung-Yee Wang, MD
Valvular Disease Cardiology | Structural Heart Disease Cardiology | Interventional Cardiology
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
410-554-6550
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Dr. Scott M. Katzen, MD
Interventional Cardiology
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2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. William O'Neil Suddath, MD
Dr. William O'Neil Suddath, MD
Interventional Cardiology
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301-877-5677
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Cardiology
24035 Three Notch Road Hollywood, MD 20636
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201 East University Parkway LL08 Baltimore, MD 21218
410-554-6550
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3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
410-574-1330
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Cardiac Imaging
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(202) 877-4616
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Cardiology
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2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Cardiology
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24035 Three Notch Road Hollywood, MD 20636
(301) 373-7900
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Dr. Marc A. Mugmon, MD
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Cardiology
(452)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
(410) 366-5600
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Dr. Richard L. Morrissey, MD
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Cardiology
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3800 Reservoir Road Northwest Washington, DC 20007
(202) 444-5111
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Dr. Allen J. Taylor, MD
Dr. Allen J. Taylor, MD
Cardiology
(135)
3800 Reservoir Road Northwest Building 5 Washington, DC 20007
(202) 444-5111
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Dr. George Ruiz, MD
Heart Failure and Transplantation Cardiology | Adult Congenital Cardiac Disease
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3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
(410) 554-6550
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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. Terrance Andrew Collins, MD
Dr. Terrance Andrew Collins, MD
Cardiology
(486)
13950 Brandywine Road Suite 100 Brandywine, MD 20613
(301) 782-2220
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Interventional Cardiology
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110 Irving Street Northwest Suite 4B-1 Washington, DC 20010
(202) 877-5975
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Dr. Raymond K. Young, II, MD
Cardiology
(165)
5601 Loch Raven Boulevard Russell Morgan Bldg Baltimore, MD 21239
443-444-4700
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Dr. Lawrence D. Jacobs, MD
Cardiology
(585)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Orest B. Bartoszyk, MD
Cardiology
(451)
13950 Brandywine Road Suite 100 Brandywine, MD 20613
(301) 782-2220
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Dr. Estelle Darlyse Jean, MD
Dr. Estelle Darlyse Jean, MD
Cardiology
(467)
18101 Prince Philip Drive Suite 4100 Olney, MD 20832
(301) 570-7404
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Dr. Harjit K. Chahal, MD
Dr. Harjit K. Chahal, MD
Cardiology
(259)
1133 21st Street Northwest Suite 7000 Washington, DC 20036
(202) 416-2000
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Dr. David A. Goldscher, MD
Cardiology
(400)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
(410) 366-5600
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Dr. Jonathan A. Altschuler, MD
Dr. Jonathan A. Altschuler, MD
Cardiology
(464)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Itshac Itsik Ben-Dor, MD
Dr. Itshac Itsik Ben-Dor, MD
Valvular Disease Cardiology | Structural Heart Disease Cardiology | Interventional Cardiology
110 Irving Street Northwest Suite 4B-1 Washington, DC 20010
(202) 877-5975
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Dr. Meena V. Shah, MD
Dr. Meena V. Shah, MD
Cardiology
(454)
130 Hospital Road Suite 300 Prince Frederick, MD 20678
(410) 535-4333
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Dr. Michael Benjamin Lee, MD
Dr. Michael Benjamin Lee, MD
Cardiology
(421)
18101 Prince Philip Drive Floor 4 Olney, MD 20832
(202) 416-2000
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Dr. John Frank Marra, MD
Dr. John Frank Marra, MD
Cardiology
(349)
5601 Loch Raven Boulevard Russell Morgan Bldg Baltimore, MD 21239
(443) 444-4700
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Dr. Jose D. Vargas, MD
Dr. Jose D. Vargas, MD
Cardiology
(231)
3800 Reservoir Road Northwest Building 5 Washington, DC 20007
(202) 444-5111
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Dr. Reed M. Shnider, MD
Dr. Reed M. Shnider, MD
Cardiology
(576)
18101 Prince Philip Drive Suite 4100 Olney, MD 20832
(301) 570-7404
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Dr. Adinath A. Patil, MD
Dr. Adinath A. Patil, MD
Cardiology
(261)
24035 Three Notch Road Hollywood, MD 20636
(301) 373-7900
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Dr. Stephanie Schwalm Jacobs, MD
Dr. Stephanie Schwalm Jacobs, MD
Cardiology
(426)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Preetham N. Kumar, MD
Dr. Preetham N. Kumar, MD
Cardiology | Cardiac Imaging
(86)
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-7777
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Dr. Sriram Padmanabhan, MD
Dr. Sriram Padmanabhan, MD
Cardiology
(447)
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
(410) 574-1330
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Dr. Jared Michael Widell, MD
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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Dr. Gaby Weissman, MD
Dr. Gaby Weissman, MD
Valvular Disease Cardiology | Structural Heart Disease Cardiology | Cardiac Imaging
(86)
110 Irving Street Northwest Department of Cardiology Suite 6015 Washington, DC 20010
(202) 877-7777
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Dr. Ebony Rebecca Alston, MD
Dr. Ebony Rebecca Alston, MD
Cardiology
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
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Dr. Maria Esperanza Rodrigo, MD
Dr. Maria Esperanza Rodrigo, MD
Heart Failure and Transplantation Cardiology
(134)
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-4698
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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. Stuart D. Gould, MD
Dr. Stuart D. Gould, MD
Cardiology
(487)
18101 Prince Philip Drive Suite 4100 Olney, MD 20832
301-570-7404
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Dr. Ankit B. Shah, MD, MPH
Dr. Ankit B. Shah, MD, MPH
Cardiology
(130)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
(410) 366-5600
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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. Weining David Xu, MD
Dr. Weining David Xu, MD
Heart Failure and Transplantation Cardiology
5601 Loch Raven Boulevard O'NEIL BUILDING Baltimore, MD 21239
(410) 554-6550
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Dr. Nicholas Paivanas, MD
Dr. Nicholas Paivanas, MD
Cardiology
(312)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
410-573-6480
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Dr. Margaret B. Fischer, MD
Dr. Margaret B. Fischer, MD
Electrophysiology | Adult Congenital Cardiac Disease
(320)
3020 Hamaker Court Suite 502 Fairfax, VA 22031
(703) 208-7257
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Dr. Basirmohmad F. Kolia, MD
Dr. Basirmohmad F. Kolia, MD
Cardiology
(334)
12070 Old Line Center Suite 202 Waldorf, MD 20602
(301) 856-2620
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Dr. Hitesh Chawla, MD
Dr. Hitesh Chawla, MD
Cardiology
5601 Loch Raven Boulevard Russell Morgan Bldg Baltimore, MD 21239
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Dr. Venkatesh K. Raman, MD
Dr. Venkatesh K. Raman, MD
Interventional Cardiology
(269)
3800 Reservoir Road Northwest 5th Floor Washington, DC 20007
(202) 444-5111
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Dr. Satish N. Jumani, MD
Dr. Satish N. Jumani, MD
Cardiology
(355)
12070 Old Line Center Suite 202 Waldorf, MD 20602
(301) 705-7870
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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. Mansoor Mozayan, MD
Dr. Mansoor Mozayan, MD
Cardiology
(302)
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
(410) 574-1330
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Dr. Deidra L. Varner, MD
Dr. Deidra L. Varner, MD
Cardiology
11701 Livingston Road Suite 203 Fort Washington, MD 20744
(301) 292-7270
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Dr. Nauman Siddiqi, MD
Dr. Nauman Siddiqi, MD
Valvular Disease Cardiology | Structural Heart Disease Cardiology | Interventional Cardiology
201 East University Parkway Baltimore, MD 21218
410-554-6550
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Dr. Shahid Saeed, MD
Dr. Shahid Saeed, MD
Interventional Cardiology
6830 Hospital Drive Suite 200 Baltimore, MD 21237
(410) 686-1448
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Dr. Phillip Hong Lam, MD
Dr. Phillip Hong Lam, MD
Heart Failure and Transplantation Cardiology
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-4698
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Dr. Anil K. Shah, MD
Dr. Anil K. Shah, MD
Cardiology
(355)
24035 Three Notch Road Hollywood, MD 20636
(301) 373-7900
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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. Farooq H. Sheikh, MD
Dr. Farooq H. Sheikh, MD
Heart Failure and Transplantation Cardiology
(249)
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-4698
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Dr. Dawn Warner Kershner, DO
Dr. Dawn Warner Kershner, DO
Cardiology
(481)
1420 Key Highway Baltimore, MD 21230
(410) 366-5600
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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. Eric Solomon Ginsberg, MD
Dr. Eric Solomon Ginsberg, MD
Interventional Cardiology
(308)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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Dr. Ron Waksman, MD
Dr. Ron Waksman, MD
Valvular Disease Cardiology | Structural Heart Disease Cardiology | Interventional Cardiology
110 Irving Street Northwest Suite 4B-1 Washington, DC 20010
(202) 877-2812
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Dr. Oluseyi Omole Princewill, MD, MPH
Dr. Oluseyi Omole Princewill, MD, MPH
Cardiology
(332)
18101 Prince Philip Drive Suite 4100 Olney, MD 20832
(301) 570-7404
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Dr. Michael Fiocco, MD
Dr. Michael Fiocco, MD
Valvular Disease Cardiology | Structural Heart Disease Cardiology | Cardiac Surgery
(157)
3333 North Calvert Street Johnston Professional Building Baltimore, MD 21218
(410) 554-6550
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Dr. Hayder Hashim, MD
Dr. Hayder Hashim, MD
Interventional Cardiology
110 Irving Street Northwest Suite 4B-1 Washington, DC 20010
202-877-5975
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Dr. Ana Barac, MD
Dr. Ana Barac, MD
Cardio-Oncology
(202)
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-7777
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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. Monvadi B. Srichai-Parsia, MD
Dr. Monvadi B. Srichai-Parsia, MD
Cardiology
(214)
3800 Reservoir Road Northwest Pasquerilla Healthcare Center, 5th Floor Washington, DC 20007
(202) 444-5111
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Dr. Bryan LeBude, MD
Dr. Bryan LeBude, MD
Cardiology
(211)
10403 Hospital Drive Suite 102 Clinton, MD 20735
301-292-7270
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Dr. Jeffrey Bruce Trabb, MD
Dr. Jeffrey Bruce Trabb, MD
Cardiology
(527)
23507 Hollywood Road Suite 2 Leonardtown, MD 20650
(301) 782-2220
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Dr. Rahul Malik, MD
Dr. Rahul Malik, MD
Cardiology
(236)
13950 Brandywine Road Brandywine, MD 20613
(301) 782-2220
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Dr. Benjamin Irving Lee, MD
Dr. Benjamin Irving Lee, MD
Cardiology
(398)
1133 21st Street Northwest Suite 700 Washington, DC 20036
(202) 416-2000
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Dr. Bhavin Mahesh Patel, DO
Dr. Bhavin Mahesh Patel, DO
Cardiology
9105 Franklin Square Drive WHITE SQUARE PROF BLDG Rosedale, MD 21237
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Dr. Toby Rogers, MD
Dr. Toby Rogers, MD
Valvular Disease Cardiology | Structural Heart Disease Cardiology | Interventional Cardiology
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-5975
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Dr. Conor Francis Lundergan, MD
Dr. Conor Francis Lundergan, MD
Cardiology
(567)
13950 Brandywine Road Suite 100 Brandywine, MD 20613
(301) 782-2220
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Dr. Carolina Isabel Valdiviezo Schlomp, MD
Dr. Carolina Isabel Valdiviezo Schlomp, MD
Cardiology
(202)
3800 Reservoir Road Northwest Washington, DC 20007
(202) 444-5111
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Dr. Mark R. Hofmeyer, MD
Dr. Mark R. Hofmeyer, MD
Heart Failure and Transplantation Cardiology
(201)
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-4698
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Dr. Jonathan E. Patrick, MD
Dr. Jonathan E. Patrick, MD
Cardiology
(153)
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-4698
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Dr. Ajay Kadakkal, MD
Dr. Ajay Kadakkal, MD
Heart Failure and Transplantation Cardiology
110 Irving Street Northwest Suite NW Washington, DC 20010
(202) 877-4698
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Dr. Richard Ira Weinstein, MD
Dr. Richard Ira Weinstein, MD
Cardiology
18101 Prince Philip Drive Suite 4100 Olney, MD 20832
301-570-7404
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Dr. Bernard Wagman, MD
Dr. Bernard Wagman, MD
Cardiology
(403)
106 Irving Street Northwest Suite 4800N Washington, DC 20010
(202) 877-5800
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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. 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
(443)
2002 Medical Parkway Suite 500 Annapolis, MD 21401
(410) 573-6480
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