The Center for Heart Rhythm Disorders with Baptist Health Heart & Vascular Care offers streamlined, expert evaluation and management of arrhythmias. This resource is designed to support efficient referrals and clear communication with referring clinicians.
Key Highlights:
- Full spectrum of arrhythmia diagnosis and treatment, from atrial fibrillation to ventricular tachycardia
- Advanced catheter-based ablation, device therapies and minimally invasive approaches
- Dedicated scheduling, triage and continuity of care
When to Refer: Diagnostic Clues
| Condition |
Referral Criteria/Symptoms |
Recommended Actions |
| Atrial fibrillation |
- Symptomatic -AV block, AF pauses -Intolerant of needed medical therapy (beta-blockers, calcium blockers) or sinus bradycardia at baseline -Poor candidate for anticoagulation |
Ablation? Direct current cardioversion? Left atrial appendage closure? |
|
Supraventricular tachycardia |
-WPW -Atrial flutter -AVNRT -Palpitations |
Ablation? |
| Ventricular tachycardia/Ventricular fibrillation |
-Cardiac arrest -ICD shocks -Frequent PVCs (>10% on Holter) |
Ablation + ICD? |
|
Cardiomyopathy |
-EF ? 35% (on GDMT) (post-MI >40 days) -QRS >120 ms -Any EF requiring significant ventricular pacing |
ICD? BiV-pacemaker or ICD? |
|
Recurrent syncope |
-Palpitations -Abnormal Holter or event monitor - Conduction disease at baseline (RBBB, LBBB) |
EP study? Implantable loop recorder? |
|
Cryptogenic Stroke |
-Concern for occult paroxysmal atrial fibrillation | Implantable loop recorder? |
Referral Logistics
- Include: current medication list, relevant cardiac history/procedures, recent ECGs or rhythm monitoring, and referral question
- Appointments and triage: 786-204-4204 or email DG-MCVIEPReferrals@BaptistHealth.net
- Address: 8950 North Kendall Dr., Suite 600W, Miami
Meet the Team
- Electrophysiologists: Mario Pascual, M.D.; Juan Viles-Gonzalez, M.D.; Bryan Wilner, M.D.
- Advanced Practice Providers: Nicole Orizondo, PA-C and Nancy Udah, APRN
- Nurse Navigators: Miurel Ingram, R.N.; Nasi Kazemian, R.N.; Shenny Perez, R.N.
- Device Technicians: Experts in device interrogation, programming and long-term management
For support or to schedule, referring providers may email DG-MCVIEPReferrals@BaptistHealth.net
or call 786-204-4204.
