heart disease

Who Needs a Cardiac Electrophysiologist?

A clinical cardiac electrophysiologist, or cardiac EP, specializes in treating rhythm problems of the heart. A cardiac EP is a cardiologist who completes 3 years of extra training beyond that required for board certification in cardiology to specialize in problems of the heart and blood vessels.

NCMA Bedi photo

Dr. Ashwani Bedi is board certified in cardiac electrophysiology, cardiovascular disease and internal medicine. He brings specialty expertise in all aspects of cardiac electrophysiology including SVT and VT ablations, atrial fibrillation ablations, pacing (including BiV pacing) and defibrillation as well as intracardiac echocardiography. Dr. Bedi was the recipient of the Health Care Hero Award and received multiple WOW designations at Deaconess Hospital in Evansville, Indiana. He has a professional interest in cardiac ablations, prevention and awareness of sudden cardiac death in communities and has been actively involved in cardiac screening for college athletes.

Common reasons to see an electrophysiologist

A cardiac EP can diagnose and treat conditions such as Atrial fibrillation (an irregular, fast heart rhythm in the upper chambers of the heart), Bradycardia (a heartbeat that is too slow), Tachycardia (a heartbeat that is too fast), Ventricular tachycardia ( a particularly dangerous type of very fast heartbeat), Supraventricular tachycardia (characterized by a sudden, very fast heartbeat), Ventricular fibrillation (dangerous fluttering of the heart muscle that doesn’t let it pump blood and can be fatal), sudden cardiac arrest (the heart suddenly stops beating), Long QT syndrome  (a disorder of the heart that can cause sudden arrhythmias) Wolff-Parkinson-White (WPW) syndrome (a condition that causes episodes of a fast heartbeat  caused by an extra electrical pathway in the heart), other arrhythmias (Arrhythmias can be caused by pregnancy, medicine interactions, or metabolic problems)

What is Arrhythmia

In a normal, healthy heart, the upper chambers (the atria) and lower chambers (the ventricles) work together, alternately contracting and relaxing to pump blood. Sometimes the rhythm changes, resulting in an irregular heartbeat — it may becomes too fast (more than 100 beats per minute) or too slow (fewer than 60 beats per minute). Sometimes arrhythmia is caused by an injury from a heart attack. It can also happen in patients who are recovering from heart surgery, have coronary artery disease or valve disorders.

Arrhythmia can also be caused by an imbalance of sodium or potassium, or be the result of  stress. An electrophysiologist can order special tests to confirm arrhythmia and to determine its cause. Once identified, arrhythmia can be treated in a number of way including;

  • lifestyle changes
  • medications
  • invasive therapies if necessary

If medications and lifestyle changes don’t correct the problem, an electrophysiologist may consider catheter ablation. With this procedure a thin tube is inserted into a blood vessel in the groin. A wire is put through this catheter and sent up to the heart. A small part of the heart that is causing arrhythmia is destroyed with radiofrequency energy, restoring normal heart function.

Electrophysiologists work to understand what is causing the disease and and using their vast knowledge and available resources, they work to develop new strategies for treating the condition. They help people with irregular heartbeats manage their condition, and work as a team with other physicians and healthcare providers so patients receive the best care possible.

For more information about the full range of services offered by Northern California Medical Associates, visit the NCMA Health website. To make an appointment with Dr. Bedi, call (707) 573-6199

FountainGrove Cardiology
3536 Mendocino Ave. Suite 200
Santa Rosa, CA 95403
(707) 573-6166 Main Number
(707) 573-6199 Scheduling
Fax: (707) 573-6165

New Research Highlights the Connection Between Brain and Heart Health, Encouraging People to Get Fit

Northern California Medical Associate’s Cardiovascular Services discusses the latest research on heart health and offers some pointers for patients interested in improving both heart and brain function.

fitness is a factor for people of all ages and this research pointing out that heart health may also impact cognitive, or brain function helps to drive home the importance of taking an active approach to managing heart health, for patients and physicians alike. The Journal of the American Heart Association just released research indicating that a healthy heart may have major benefits for preventing the decline in brain function often associated with aging. Findings indicate that people who work to maintain optimal cardiovascular health have better brain processing speed and less cognitive decline over time. The study followed 1,033 participants with an average age of 72, for about six years.

To facilitate the study researchers adopted the American Heart Association’s “Life’s Simple Seven®” definition of cardiovascular health. These guidelines include tips for maintaining optimal heart health and include recommendations for tobacco avoidance, ideal levels of weight, physical activity, healthy diet, blood pressure, cholesterol and glucose.

“We have long understood that regular physical activity combined with avoiding alcohol and tobacco, and maintaining a healthy diet helps to reduce risk of strokes and heart attacks,” says NCMA Cardiologist Dr. Allan Garfield. “Studies like this help to underscore the importance of taking an active approach to heart health. If adopting a regime as recommended by the AHA helps to improve heart heath as well as brain health over the long haul, that’s a win-win for our patients.”

Heart Health is a Serious Concern

According to the AHA cardiovascular disease is the leading cause of death globally. More than 17.3 million deaths are attributed to the disease annually, and more than 800,000 people in the U.S. died from heart disease, stroke and other cardiovascular diseases in 2013 alone (the most recent data available).

Lack of physical activity is a major risk factor for cardiovascular disease, a trend that is wide spread among the population. According to the statistics, a full half of all Americans fail to get enough exercise, much less the recommended 150 minutes/week of vigorous to moderate physical activity. “This number might look challenging at first, but when you break it down to a daily routine, we’re talking just over 20 minutes per day – a number most everyone is capable of achieving,” Dr. Garfield pointed out. The AMA also recommends incorporating weekly strengthening activities, at least twice a week.

Increasing Activity Levels has Many Benefits

Adopting a more active lifestyle can have a very positive impact on a person’s health, regardless of age or if they suffer from chronic illness. Even people with high blood pressure, high cholesterol and diabetes who pursue a more active lifestyle are much less likely to die prematurely than their inactive counterparts. Studies have proven that as people become more active, health benefits go well beyond just heart health. Physical fitness is known to reduces the risk of many diseases associated with aging including;

  • bone loss high blood pressure
  • stroke
  • breast cancer
  • diabetes
  • arthritis
  • cancer
  • depression
  • anxiety

Ultimately, fitness is a factor for people of all ages and this research pointing out that heart health may also impact cognitive, or brain function helps to drive home the importance of taking an active approach to managing heart health, for patients and physicians alike.

About NCMA Cardiology Services

From cardiac catheterization to open-heart surgery, from electrophysiology to rehabilitation and prevention, the NCMA’s Cardiovascular Services team is dedicated to delivering the highest quality care and the best patient results. The professional staff not only maintains its commitment to patients’ health and well-being but maintains a tradition of excellence and expertise in the practice of the most current, innovative treatments in cardiovascular medicine. For more information, visit the NCMA website and to make an appointment call 707-573-6166.


More info:

The above post is reprinted from materials provided by American Heart Association. Note: Materials may be edited for content and length. https://www.sciencedaily.com/releases/2016/03/160316194211.htm

Northern California Medical Associates (NCMA) Welcomes Jaime Molden, M.D. Cardiac Electrophysiologist to the NCMA Cardiovascular Services Team

Northern California Medical Associates’ (NCMA) Cardiovascular Services is delighted to welcome Dr. Jaime Molden to the elite Fountaingrove Cardiology team. Dr. Molden previously served as Medical Director of Electrophysiology at Dixie Regional Medical Center in St. George.


Jaime Molden, M.D. Dr. Molden earned his medical degree from the University of Chicago’s Pritzker School of Medicine, where he was recognized with the Dylan Award in Medical Ethics. Returning to California, and following internship and residency in internal medicine at Harbor-UCLA Medical Center in Torrance, Dr. Molden joined Kaiser Permanente Southern California in Los Angeles as an internist. In 2009 he completed a fellowship in cardiovascular disease at Harbor-UCLA Medical Center during which time he also served as a clinical instructor. Dr. Molden went on to complete the Clinical Cardiac Electrophysiology Program at Los Angeles’s Cedars-Sinai Medical Center in 2010.

Dr. Molden currently holds board certifications in clinical cardiac electrophysiology, cardiovascular disease, nuclear cardiology and internal medicine, as well as, advanced cardiac life support and has authored numerous clinical publications.

Cardiology and More

Dr. Molden is trained to diagnose and treat a variety of heart and cardiovascular conditions including congenital heart defects, congestive heart failure, heart disease, coronary artery disease, heart attacks, arrhythmias, high cholesterol, high blood pressure and many other heart-related conditions. As an electrophysiologist, Dr. Molden is able to also provide advanced diagnosis, treatment and management of electrical- based diseases and disorders of the heart. His education and experience in electrophysiology allows him to perform specialized surgical procedures such as ablation and drug therapy to manage complex arrhythmias.

By joining Northern California Medical Associates’ (NCMA) Cardiovascular Services team Dr. Molden becomes an important part of a highly recognized team of dedicated professionals, all working together to deliver the highest quality care with the best patient results.  Providing treatment and services for everything from cardiac catheterization to open-heart surgery, from electrophysiology to rehabilitation and prevention, this highly  qualified staff not only maintains its commitment to patient health and well-being, they also follow a tradition of excellence and expertise to deliver the most current, innovative treatment in cardiovascular medicine.

Making an appointment

Dr. Molden is pleased to be accepting new patients at NCMA’s Fountaingrove Cardiology office in Santa Rosa. For more information about NCMA visit our site at ncmahealth.com, and to arrange for an appointment call (707) 573-6199.


Northern California Medical Associates is Northern California’s premier provider of medical and surgical care north of the Golden Gate and has been serving individuals and families since 1975. Every highly skilled professional comprising the NCMA team shares a strong commitment to preventive programs and health screening designed to promote and maintain everyday health. NCMA has successfully built a legacy of excellence that is recognized nationwide.

Northern California Medical Associates receives IAC Accreditation in Nuclear Cardiology

IACTwo Northern California Medical Associates (NCMA) locations, Santa Rosa and Ukiah, received accreditation from The Intersocietal Accreditation Committee in the practice of Nuclear Cardiology. This three-year accreditation is awarded to those facilities that provide the highest standards in patient care.

NCMA Nuclear Medicine has passed the rigorous application and needed for accreditation as well as compiling with national standards. Accreditation ensures patients that the facility has been carefully critiqued and all aspects of operations in the field of Nuclear Cardiology are up to medical standards.

With cardiovascular disease the No. 1 cause of death in the United States, early detection of life threatening heart disorders and other diseases is possible with the use of nuclear cardiology in hospitals, outpatient centers and physician’s offices. NCMA has met the requirements for nuclear cardiology testing as well as the standards demanded for other contributing factors including the skill of technologists preforming examinations, the equipment used and the background and knowledge of practicing physicians.

The Intersocietal Accreditation Committee is a widely respected organization within the medical community with support from national medical societies that include industry leaders of physicians, technologists and medical physicists. The IAC continues its twenty-year accreditation divisions by developing standards and methods for the overall evaluation of the quality of care delivered. The IAC also provides peer review processes for multiple imaging modalities within the medical community.

NCMA has led the way in exceptional patient care since 1975.  It holds the only establish cardiac rehabilitation, lipid treatment, congestive heart failure and adult fitness program north of the Golden Gate. With highly respected primary care physicians and specialists in Sonoma, Lake and Mendocino Counties NCMA is the premier provider of cardiovascular surgery state-wide and is committed to the improvement and health of its community and patients and will continue to establish and hold the highest standards for patient care.