Sierra Heart & Vascular Institute
SCHEDULE APPOINTMENT
Sierra Heart & Vascular Institute procedure laboratory

ADVANCED CARDIAC & VASCULAR CARE

Our Services

Sierra Heart & Vascular Institute offers a full spectrum of cardiovascular services — from clinical evaluation and preventive cardiology through complex structural heart procedures and vascular intervention. Dr. Sanam brings subspecialty-level expertise across all seven service lines, coordinated under one roof in Fresno, California.

Clinical Cardiology

Clinical Cardiology

Comprehensive Cardiac Evaluation

The foundation of your cardiovascular care — comprehensive evaluation, diagnostic testing, and ongoing management of all cardiac conditions. Includes ECG, echocardiogram, stress testing, Holter monitoring, coronary calcium scoring, and pre-operative cardiac clearance.

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Interventional Cardiology

Interventional Cardiology

Advanced Catheter-Based Procedures

Advanced catheter-based coronary intervention across the full spectrum of complexity — from routine angiography and PCI to CTO intervention, rotational atherectomy, intracoronary lithotripsy, and Impella-supported high-risk PCI in cardiogenic shock. All procedures performed transradially (wrist access) when possible.

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Structural Heart Program

Structural Heart Program

Minimally Invasive Valve & Structural Therapies

Minimally invasive transcatheter therapies for complex valvular and structural heart disease. TAVR, MitraClip / TEER mitral valve repair, PFO & ASD closure, left atrial appendage occlusion (LAAO), and transcatheter tricuspid interventions — guided by our multidisciplinary heart team.

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Advanced Heart Failure

Advanced Heart Failure

Guideline-Directed Management

Comprehensive, guideline-directed management of all stages and phenotypes of heart failure. GDMT optimization for HFrEF and HFpEF, cardiogenic shock stabilization with Impella, CardioMEMS remote pressure monitoring, and advanced cardiomyopathy evaluation — with a goal of keeping patients out of the hospital and living fully.

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Peripheral Vascular

Peripheral Vascular

Endovascular & Limb Salvage

Comprehensive endovascular care for peripheral arterial and venous disease, with emphasis on limb salvage and restoration of circulation. PAD, chronic limb-threatening ischemia, peripheral angioplasty and stenting, carotid disease, venous disease, and DVT management.

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Rhythm Management

Rhythm Management

Arrhythmia Diagnosis & Treatment

Comprehensive evaluation and management of all major cardiac arrhythmias — from atrial fibrillation to ventricular rhythm disorders. Rate and rhythm strategy for AFib, anticoagulation management, cardioversion, pacemaker & ICD coordination, and catheter ablation referral.

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Preventive Cardiology

Preventive Cardiology

Stop Heart Disease Before It Starts

Advanced cardiovascular risk assessment using ApoB, Lp(a), LDL-P, coronary artery calcium scoring, and inflammatory biomarkers to identify hidden risk. PCSK9 inhibitors, GLP-1 agonists, SGLT-2 inhibitors, and hypertension management — guided by ACC/AHA guidelines. Because the best intervention is the one you never need.

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LET'S TALK ABOUT YOUR HEART

SCHEDULE APPOINTMENT

Dr. Sanam is currently accepting new patients. Urgent and same-day referrals accommodated promptly.

SCHEDULE APPOINTMENTCALL (559) 218-0076