Dr. Sean Virani Bio
Dr. Sean A. Virani, MD MSc MPH FRCPC FCCS Head | Division of Cardiology | Providence Health Care Physician Program Director | The HEART Centre | St. Paul’s Hospital Associate Professor | Department of Medicine | University of British Columbia Senior Medical Advisor | Cardiac Services BC President | Canadian Heart Failure Society Medical Director | HeartLife Foundation Dr. Sean Virani is founding Director of the Heart Failure and Cardiology-Oncology Programs at Vancouver General Hospital, Regional Director of Heart Failure Services for Vancouver Coastal Health/Providence Health Care, Heart Failure Physician Lead for Cardiac Services BC and Clinical Assistant Professor of Medicine at the University of British Columbia. He completed his internal medicine and cardiology training at UBC before embarking on a sub-specialization in heart failure and cardiac transplantation at Stanford University. He also has a Master’s degree in Public Health from Columbia University with a focus on healthcare management. His professional interests include public policy related to health care delivery with specific reference to access, capacity and quality in the Canadian context. He serves on the executive of the Canadian Heart Failure Society, the Canadian Heart Failure Guidelines Committee and chairs the Ministry of Health/Doctors of BC Practice Support Program for Heart Failure. Lay summary of program/project: Heart Failure is a leading cause of hospitalization, health care utilization and mortality among Canadians. Paramount to improving outcomes for this at-risk patient population is ensuring that guideline based treatments with established efficacy are integrated into practice consistently. Dr. Virani’s research focusses on strategies to ensure optimal penetration of evidence based treatments for heart failure through healthcare systems evaluation and redesign. It is anticipated that one-half of heart failure related hospitalizations can be averted through both enhanced care processes and application of best practices. In the long run, we believe that this will translate to improved longevity and quality of life for patients suffering from this debilitating chronic disease state. Medical summary of program/project: Dr. Virani’s research program is centred on improving the quality of heart failure health services delivery through (1) identifying care gaps, (2) application of evidence based therapies and (3) developing strategies to support systems redesign. His research activities are firmly grounded in the clinical realm and predicated on understanding the intricacies of care delivery and the nature of the patient’s journey through the healthcare system. In this context, his current research program seeks to (1) identify and describe the key patient features and system related barriers to uptake of evidence based therapies such as cardiac resynchronization therapy in hospitalized heart failure patients, (2) implement and leverage existing tele-health strategies to manage high-risk subsets of heart failure patients and (3) develop local registries to monitor and evaluate the use of emerging therapies to ensure high quality and cost-effective health services delivery.
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A local cardiologist can also work with your other healthcare providers, from your local registered dietitian to your local Pilates instructor.Atrial fibrillation is an irregular heartbeat, also called an arrhythmia, that can increase your risk of heart failure, stroke, blood clots and other heart conditions. A normal heart contracts and relaxes to a regular beat, but if you have atrial fibrillation, the atria (upper chambers) beat out of sync with the ventricles (lower chambers).
During a coronary angioplasty, a thin, flexible tube called a catheter is inserted into an artery, typically in the groin or wrist, and guided to the blocked or narrowed coronary artery. The catheter is equipped with a deflated balloon at its tip. Once the catheter reaches the target area, the balloon is inflated, which compresses the plaque against the artery walls and widens the artery, restoring blood flow.
In many cases, the angioplasty procedure is followed by the placement of a stent. A stent is a small, mesh-like metal tube that is inserted into the artery of the heart after the balloon is inflated. The stent helps to keep the artery open and prevents it from re-narrowing. There are two main types of stents: bare-metal stents and drug-eluting stents. Drug-eluting stents are coated with medications that help reduce the risk of the artery re-narrowing.
Coronary angioplasty is typically performed under local anesthesia, and the patient is awake during the procedure. It is considered a minimally invasive procedure and has become a common treatment option for coronary artery disease. It can relieve symptoms such as chest pain (angina) and improve blood flow to the heart, thereby reducing the risk of heart attacks and other complications associated with CAD. The Canadain Medical Association
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