Sierra Heart & Vascular Institute
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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

State-of-the-art catheter-based coronary procedures — from routine PCI to the highest complexity revascularization cases, including cardiogenic shock management. Coronary angiography, CTO intervention, rotational atherectomy, and Impella-supported high-risk PCI.

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Structural Heart Program

Structural Heart Program

Minimally Invasive Valve 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

Guideline-directed management of all stages and phenotypes of heart failure — reducing hospitalizations and improving quality of life. GDMT optimization for HFrEF and HFpEF, cardiogenic shock & Impella support, CardioMEMS remote monitoring, and advanced cardiomyopathy care.

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Peripheral Vascular

Peripheral Vascular

Endovascular & Limb Salvage

Comprehensive endovascular care for peripheral arterial and venous disease, with special emphasis on limb salvage and non-healing wound treatment. PAD, angioplasty and stenting, chronic limb-threatening ischemia, carotid artery disease, venous disease & 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

A proactive, data-driven approach using advanced lipid profiling — ApoB, Lp(a), LDL particle number — coronary artery calcium scoring, and inflammatory biomarker testing to identify hidden cardiovascular risk. PCSK9 inhibitors, GLP-1 agonists, SGLT-2 inhibitors, and personalized lifestyle medicine.

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LET'S TALK ABOUT YOUR HEART

Schedule a Consultation

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

BOOK A CONSULTATIONCALL (559) 218-0076