Cardiologists are doctors who specialize in the heart. They diagnose and treat heart defects, heart disease, and problems with blood flow and blood vessels.
The cardiac specialists of Hawaii Pacific Health offer expertise in heart and vascular services for all stages of life, from birth through adulthood. Our team of doctors and support staff provide comprehensive and well-coordinated care for each patient, every time.
Programs & Services available at:
Kapiolani is recognized as Hawaii's leader in treating children with a wide range of congenital and acquired heart diseases, from birth through adolescence. Kapiolani provides comprehensive diagnostic and treatment services, from fetal echocardiography to MRI to cardiac surgery.
Kapiolani Heart Services: 1-808-949-WELL (9355)
Heart disease is a leading health issue today, with one in three adults in the United States suffering from some form of cardiovascular disease.
In fact, heart disease is the number one cause of death for men and women in Hawaii. Pali Momi is here to help.
With Central and West Oahu’s only interventional cardiac catheterization unit, Pali Momi is uniquely capable of quickly treating heart attack patients. Its experienced staff of physicians, nurses and cardiovascular radiology technologists are leaders in their field – offering patients the latest in diagnostics and treatment as well as a preventive health focus.
The heart center offers treatment for all forms of heart disease, including:
- Coronary Artery Disease (CAD)
- Cardiac Arrhythmia
- Heart Failure
- Inherited Heart Disease
- Valvular Heart Disease
- Lower Extremity Peripheral Arterial Disease
Meet the Physicians at the Pali Momi Heart Center
- Michael W. Chan, M.D., FACC
- Jeffrey H. Chung, M.D.
- Muhammad Ghumman, M.D. FACC
- Brandon K. Itagaki, M.D.
- John A. Kao, M.D., FACC
- Abhijeet Koli, M.D.
Pali Momi’s fully integrated interventional cardiac catheterization suite is equipped with the latest technology providing advanced imaging capability to assist physicians in making a diagnosis. Other diagnostic services include:
- CardioMEMS Heart Failure System Implant - new technology to help monitor your heart after heart failure.
- Coronary Angiogram – a minimally invasive procedure that allows access to coronary circulation and the chambers of the heart. Your doctor uses a catheter to perform this procedure for both diagnostic and inter-ventional treatment purposes.
- Echocardiogram (ECHO), including Transesophageal Echocardiogram (TEE) – also known as a cardiac ECHO or simply an ECHO, is a sonogram (picture) of the heart. The doctor takes a picture of your heart to assess cardiac valve function and cardiac output.
- Exercise Stress Testing – various tests used to measure how the heart responds to exertion in a controlled clinical environment. These tests typically involve walking on a treadmill at increasing levels of difficulty while your vital signs are monitored. Types of stress tests performed are:
- Treadmill Stress Test
- Pharmacologic Stress Test
- Echo Stress Test
- Electrocardiogram (EKG) – a diagnostic test that measures the rate and regularity of your heartbeats. The EKG also tells the doctor the size and position of the chambers of your heart and if there is any damage present.
- Cardiac CT scan – a diagnostic test using a CT scanner. This test creates a picture of your cardiac system or part of your system that helps your doctor know if there are health related problems that require treatment.
- Peripheral Arterial Diagnostic Imaging
- Ankle brachial index screening
- Arterial duplex ultrasound
- Endovascular Intervention of Lower Extremity Arteries:
- Transesophageal echocardiogram (TEE)
- Coronary angioplasty (PCI)
- Pacemaker insertion
- Automatic internal cardioverter Defibrillator (AICD) insertion
- Exercise stress testing (treadmill, pharmacologic and ECHO)
Treatment of Heart Problems
Pali Momi Medical Center has the only interventional cardiac catheterization unit in Central and West O‘ahu, providing lifesaving treatment in emergencies. Our team is highly trained and experienced to assist with routine as well as the most complex procedures. Treatments we provide include:
- Coronary Angioplasty (PCI) – procedure used to treat narrowed coronary arteries of the heart, due to coronary heart disease.
- Pacemaker Insertion – a pacemaker is a medical device that sends electrical impulses to your heart to help regulate your heartbeat. The pacemaker is inserted through a minimally invasive procedure and remains inside of you to ensure your heartbeat is steady.
- AICD (Automatic Internal Cardioverter Defibrillator) Insertion – similar to the pacemaker, the AICD is a medical device that helps your heart and is inserted using a minimally invasive procedure. However, instead of consistent steady regulation of your heartbeat, the AICD only sends electrical impulses when it detects a cardiac arrhythmia, or an irregularity in your heart beat.
- Cardioversion – this procedure allows your doctor to change an abnormally fast heart rate or a cardiac arrhythmia to a normal heart rate. This can be done through either electrical stimulation or prescription medication administered at the hospital.
All surgical procedures are performed using minimally invasive techniques, where we eliminate the need for a large incision during surgery. This advanced technique offers patients less discomfort and a faster recovery.
Pali Momi Heart Center: 1-808-485-4553
Straub Heart Center
Straub offers a full range of services in adult cardiology. It also offers pediatric cardiology and pediatric arrhythmia through its affiliate hospital, Kapiolani.
Straub’s team of physicians and professionals provide non-invasive and minimally-invasive diagnostic evaluation using procedures such as angiograms, echocardiograms, Holter monitoring, exercise tolerance testing, thallium stress-testing and electrophysiology testing.
Straub's cardiovascular team has also led Hawaii in the introduction of minimally invasive surgical procedures, which can dramatically lower trauma and discomfort to the patient and shorten recovery time.
- Balloon Angioplasty: A special catheter with a small balloon device at its tip may be inflated within a coronary artery to “dilate”, or enlarge, a severe narrowing
- Balloon Valvuloplasty: A catheter with a balloon at its tip may be inflated within a narrowed heart valve
- Coronary Stents: One or more special metal coils are placed within an artery and inflated with a balloon catheter. This requires a special blood thinning regimen to prevent clot formation
- Electrophysiology Studies: Studies done to diagnose and assist in the treatment of abnormal heart beats
- Pacemakers: A pacemaker is an electronic device used to help regulate the heart rhythm and create an electrical impulse to stimulate the heart to beat
- Transesophageal Echocardiogram: An ultrasound of the heart combined with endoscopy-like procedure, allowing pictures of the heart to be taken from the esophagus. (Endoscopy is the process of inserting a tube down the throat)
- Cardiac or Coronary Angiography: Angiography (X-ray movies) requires injection of a dye containing iodine (a contrast agent) through the catheter to outline the inside structure of heart and blood vessels
- Coronary Atherectomy: A special catheter is used to shave off and remove the blockage from a coronary artery
- Bronchoscopy: The process of inserting a tube with a camera attached into the lung to examine the lungs
- Minimally-invasive beating-heart surgery: Straub's cardiovascular team pioneered this procedure in Hawaii. Unlike traditional open heart surgery, a small incision is made in the patient's chest rather than the long central incision. In addition, the patient is not put on a heart-lung machine. A heart-lung machine gives oxygen to the blood and pumps the blood through the body while the heart is stopped during surgery. Not having to be connected to the heart lung machine further reduces the trauma to the patient. The surgery is performed while the heart is beating. Recovery from the surgery is much quicker and the reduced trauma makes heart surgery an option for patients who would otherwise not be candidates for the surgery.
- Coronary Artery Bypass Graft (CABG): An artificial tube or a healthy blood vessel from another part of the body is surgically attached to make a new pathway around the blocked part of your artery.
- Heart Valve Repair & Replacement
- Implantable Cardioverter Defibrillator (ICD): An internal device to treat tachyarrythmias (irregular heart beats)
- Pacemakers: A pacemaker is an electronic device used to help regulate the heart rhythm and create an electrical impulse to stimulate the heart to beat.
Straub Heart Center: 1-808-522-4222
Straub Electrophysiology Department: 1-808-522-2547
The Cardiology Department at Wilcox offers a full range of adult, non-invasive cardiovascular services, such as stress testing, echocardiography, and pacemaker monitoring.
Wilcox patients can also benefit from having their diagnostic and interventional (stent) cardiac catheterization performed at Straub through the Wilcox-Straub Concierge Program. At each phase of care, doctors on either island can view medical and testing information to ensure a comprehensive approach to cardiac care.
Additionally, Wilcox has the only Cardiac Rehab Lab on Kauai. Here, patients are able to receive specially designated treatment plans that focus on their own unique conditions and limitations. The Cardiac Rehab Lab utilizes exercise treadmills, bikes, cross-trainers and free weights.
There's no need to have a physician referral for an appointment. However, it is recommended that you also have a primary care physician for non-cardiac illnesses. The office is on the 3rd floor of the main clinic. Office hours are Monday through Friday, 9 a.m. to 5 p.m.
Wilcox Heart Services: 1-808-245-1548
Wilcox Cardiac Rehab Lab: 1-800- 245-1090