You have a choice in heart care

At Ballad Health CVA Heart Institute, we're bringing leading-edge cardiovascular treatments, nationally recognized care and innovative technology to our communities.

Choose safe, quality care

Whether you have new symptoms, want a second opinion or need support for an ongoing heart condition, our team can help you take the next step.

Call our team at 833-8-BALLAD Monday through Friday, 8 a.m. to 5 p.m., or use our online cardiology referral request form by clicking the link below. Our team will help connect you with the care that fits your needs.

A trusted choice for local heart and vascular care

Heart care can feel overwhelming, especially when you're dealing with symptoms or a new diagnosis. At Ballad Health CVA Heart Institute, our goal is to connect our patients with an extensive network of cardiologists, cardiovascular specialists and surgeons, alongside the latest technologies and services.

Our cardiology teams provide care from testing and diagnosis to treatment, surgery and long-term condition management. We work with you to understand your symptoms, explain your options and build a care plan that fits your health.

Your care team can help with:

  • Heart and vascular symptoms
  • Testing, heart screening and diagnosis
  • Ongoing heart condition management
  • Preventive heart care
  • Treatment planning
  • Referrals for advanced care, if needed
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Mark Chang, MD MBA-SVP
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Israel Garcia, MD
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David Chris Metzger, MD
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Thomas Helton, DO

Nationally recognized cardiology care

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Healthgrades America’s 50 Best Vascular Surgery Medallion
America's 50 Best Hospitals

Holston Valley Medical Center

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American College of Cardiology Platinum Performance Award badge icon
Platinum Performance Achievement

Holston Valley Medical Center and Bristol Regional Medical Center

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Healthgrades #1 in State for Vascular Surgery
#1 in State for Vascular Surgery

Holston Valley Medical Center

Advanced treatment close to home

We're continually bringing advanced technologies and minimally invasive treatments to the Appalachian Highlands for common cardiology issues.

  • Heart valve disease: We offer EVOQUE™ Transcatheter Tricuspid Valve Replacement (TTVR) as a minimally invasive alternative to open-heart surgery.
  • Heart rhythm disorders: Holston Valley Medical Center was the first hospital in the region to offer Aurora™ Extravascular Implantable Cardioverter Defibrillators (EV-ICD) to protect against life-threatening heart rhythms.
  • Atrial fibrillation: Holston Valley Medical Center provides an advanced ablation technique using the innovative FARAPULSE™ Pulsed Field Ablation System, which delivers targeted electrical energy to treat abnormal heart rhythms while helping protect surrounding tissue.
  • Strong diagnosis: By using HeartFlow® AI-enhanced analysis of coronary CT scans, our teams can better identify significant blockages, guide treatment decisions and, for some patients, reduce the need for invasive testing.

Your choice for complete heart care

Whether you're looking for routine heart care, advanced treatment or testing to better understand symptoms, Ballad Health gives you the options to help you choose the next step that's right for you.

General cardiac care

Our cardiology clinics near you care for a wide range of heart conditions and symptoms. We help with prevention, diagnosis, treatment and ongoing care to support heart health.

Cardiovascular surgery

Our experienced surgeons offer advanced cardiovascular procedures and personalized care. We will help you understand your options and choose the treatment right for you.

Screening & testing

Heart screening can help detect problems early and give your care team a clearer picture of your health. Ballad Health offers a range of diagnostic services to help guide your next steps.

A coordinated team for your heart health

You have a choice in where you receive your heart care. Choose Ballad Health CVA Heart Institute.
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Safety

We use advanced technology, minimally invasive procedures and evidence-based treatment to support safe, personalized heart care.

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Quality

Our facilities are backed by nationally recognized cardiovascular expertise and comprehensive heart and vascular services.

Expertise

We work together as a coordinated, collaborative care team to provide treatment recommendations that are best for you.

Explore heart health resources and research

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David Chris Metzger, MD performing heart surgery

Cardiology research at Ballad Health

Ballad Health participates in cardiology research to help advance heart and vascular treatment options for patients in our region.

Some patients may be offered the opportunity to participate in a clinical trial if they meet the study requirements. Your cardiology team can talk to you about whether any current research opportunities may be appropriate for your condition, treatment needs or goals.

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Graphic of a stent in an artery

Ballad Health CVA Heart Institute Learning Center

The more you understand about your heart health, the easier it can be to choose your next step.

The Ballad Health CVA Heart Institute Learning Center offers educational videos, resources and heart-related FAQs to help you learn more about conditions, treatments and ways to care for your heart.

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Family portrait of Sara, her husband, and her brother

Meet Sara, cardiac calcium screening patient

Read Sara’s Story

Frequently asked questions about cardiology

You may want to see a cardiologist or heart care provider if you have heart-related symptoms, have been diagnosed with a heart condition or want a second opinion about your heart care. Your primary care provider can also help you decide if seeing a cardiologist is the right next step in your care.

Each of our CVA offices features a team of committed specialists with decades of combined experience in cardiovascular disease. Our clinics use the latest state-of-the-art technology to diagnose and treat a variety of heart conditions, and we also work alongside local hospitals to provide expert treatments and services.

Ballad Health has been consistently recognized as a leader in cardiovascular treatment and research. Our teams have earned countless accolades for our exceptional programs and services, such as carotid artery stenting and cardiothoracic surgery.

Some patients might need a referral to see a cardiology doctor or advanced practice provider, depending on their insurance plan. Others may be able to schedule directly. Check with your insurance provider to understand what your plan requires. 

To schedule an appointment, you can either call our team directly at 833-8-BALLAD Monday through Friday, 8 a.m. to 5 p.m. or request an appointment through our online form. A member of our team will help connect you with cardiology care that fits your needs.

Your cardiologist or advanced practice provider will talk with you about your symptoms, health history, medications and any past test results. They may also recommend testing, such as lab work, an echocardiogram, stress test or other imaging, if more information is needed.

Cardiologists focus on the heart and cardiovascular system. They specialize in how the heart works and the diseases that can affect it. A cardiologist diagnoses and treats heart disease with medications and procedures, such as catheterization or angiography.

Cardiothoracic surgeons perform operations on the heart muscle, heart valves, arteries to the heart and major blood vessels in the chest and lungs.

All operations can carry some risk. Other medical conditions, such as diabetes, lung disease or kidney disease, can increase the risk of complications for some patients.

Your care team will take precautions to help prevent complications and reduce your risk. You should always speak with your physician about your operation and its risks before your procedure.

Your follow-up care will depend on the level of your surgery and whether you had any complications. After your procedure, you will have at least one appointment with your surgeon. Information about your surgery and follow-up visit will be sent to your referring provider.

Over the next several weeks, you will have scheduled appointments with your cardiologist to monitor your recovery, medications and other needs. Your heart health is a lifelong commitment, and your cardiologist will schedule regular follow-up visits as well.

Cardiac rehabilitation is a medically supervised program designed to help patients who have had heart surgery begin an exercise program. During the program, you are monitored with the goal of slowly and gradually building toward a level of exercise that helps support a healthy lifestyle. Classes are led by specially trained cardiac rehabilitation nurses and a cardiologist.

Depending on your doctor's recommendations, the program usually lasts 12 weeks. Patients generally attend a one-hour session three times per week. In addition to exercise, the program includes educational resources to help with stress management, eating habits and lifestyle changes.

Request a cardiology provider today

You can use our online form to request a call to schedule an appointment with a referring provider to help you take the next steps that match your symptoms.