Heart visualization
SIERRAHEART&VASCULARINSTITUTE

The New Era of Cardiac Care

ABOUT OUR PRACTICE

Tomorrow
is Here

The treatment of cardiac disorders has entered a new era. Techniques are more refined. Incisions are smaller. Procedures that would take hours now take minutes. Recovery that would take months now takes a couple of weeks or even days.

But despite all of our advancements, one thing remains the same: a successful outcome depends on a close relationship between patient and physician.

And the most powerful procedure we have? Prevention. Identifying risk before it becomes disease. Catching the warning signs before they become emergencies. Because the best cardiac intervention is the one you never need.

Whether you are managing an existing condition or working to protect the heart you have — we are here, as your partner, every step of the way.

Anatomical human heart diagram

CARDIOLOGY EXPLAINED

A deeper understanding
of your heart

The heart is one of the most remarkable structures in the human body — beating over 100,000 times a day, every day, without pause. Yet for all its endurance, it is also a system of extraordinary complexity.

At its core, the heart is four distinct systems working in perfect harmony — the pump, the rhythm, the vessels, and the valves. When all four are functioning as they should, most of us never give our hearts a second thought. But when one system falters, the effects can ripple through the rest.

Understanding which system is affected is the first step toward the right treatment.

CONDITIONS WE TREAT

CORONARY
ARTERY DISEASE

THE VESSELS

CORONARY ARTERY DISEASE

HEART
FAILURE

THE PUMP

HEART FAILURE

ARRHYTHMIA
CONDITIONS

THE RHYTHM

ARRHYTHMIA CONDITIONS

STRUCTURAL
HEART

THE VALVES

STRUCTURAL HEART

17+

Years of Experience

4.7

Patient Rating

4

Hospital Affiliations

20+

Research Publications

Dr. Kumar Sanam, MD FACC FSCAI RPVI

MEDICAL DIRECTOR

Dr. Kumar Sanam

MD, FACC, FSCAI, RPVI

“Your heart is more than a muscle. It deserves a physician who treats the whole person behind it.”

Dr. Kumar Sanam is a board-certified interventional and structural cardiologist based in Fresno, California, with over 17 years of experience in cardiovascular disease. He specializes in complex coronary intervention, structural heart therapy, and vascular medicine.

He completed his Interventional Cardiology Fellowship at the Medical College of Georgia / Augusta University, following cardiovascular disease fellowship and residency training at the University of Alabama at Birmingham.

Cardiac procedure room

PAVING THE WAY

Modern cardiac care.

Surgical and nonsurgical treatment of the heart have come a long way. Techniques have become so small and minimally invasive that hospitalization is often no longer necessary. This means less pain, faster recovery, and a return to the quality of life you demand.

PATIENT TESTIMONIALS

Voices of our patients

Dr. Sanam is a true 10-star doctor. After 4 years under his expert and personalized care, I feel significantly better and am twice as healthy and energetic as before.

Verified Patient  ·  Fresno, CA · Healthgrades

LATEST NEWS

From Our Blog

TAVR: Replacing a Heart Valve Without Open-Heart Surgery
Procedures
March 15, 2026

TAVR: Replacing a Heart Valve Without Open-Heart Surgery

Transcatheter aortic valve replacement has transformed outcomes for patients with severe aortic stenosis. Dr. Sanam walks through who is a candidate, what the procedure involves, and what recovery looks like.

READ ARTICLE
Heart Failure: Early Warning Signs You Should Not Ignore
Education
March 10, 2026

Heart Failure: Early Warning Signs You Should Not Ignore

Shortness of breath, unexplained fatigue, and swollen ankles are among the most common — and most overlooked — signs of heart failure. Recognizing them early can make a significant difference in outcomes.

READ ARTICLE
Beyond LDL: Why ApoB and Lp(a) Matter More Than You Think
Prevention
March 5, 2026

Beyond LDL: Why ApoB and Lp(a) Matter More Than You Think

Standard cholesterol panels miss a significant portion of cardiovascular risk. Advanced lipid testing — ApoB, Lp(a), and LDL particle number — reveals hidden danger and guides more precise treatment decisions.

READ ARTICLE
Impella-Supported High-Risk PCI: Protecting the Heart During Complex Procedures
Procedures
February 28, 2026

Impella-Supported High-Risk PCI: Protecting the Heart During Complex Procedures

For patients with severely reduced heart function who require coronary intervention, Impella mechanical support allows Dr. Sanam's team to safely complete procedures that were once considered too dangerous.

READ ARTICLE
What to Expect During Your First Cardiology Visit
Patient Guide
February 20, 2026

What to Expect During Your First Cardiology Visit

Preparing for your first cardiology appointment can reduce anxiety and help you get more from the visit. Here is a step-by-step guide to what will happen and what questions to ask.

READ ARTICLE

FIND US

Our Location

Sierra Heart & Vascular Institute

275 West Herndon Ave

Clovis, CA 93612

Monday – Friday: 8:00 AM – 5:00 PM

TAKE THE FIRST STEP

Your heart health
starts here

Schedule a consultation with our team of expert cardiologists. We are committed to providing you with the highest quality cardiac care using the latest minimally invasive techniques.