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Heart & Vascular

Unity Health’s Heart and Vascular program provides the best heart care to patients at every stage of their journey. Our experienced team of cardiologists and cardiac diagnostic technicians specialize in a variety of diseases, fields and services related to heart health.

Heart & Vascular at St. Joseph's Health Centre

At St. Joseph’s Health Centre, our experienced team of cardiologists and cardiac diagnostic technicians provide people living in West Toronto with excellent heart care for a wide variety of cardiac issues.

Our cardiologists are able to assess, diagnose and treat cardiac-related issues including atrial fibrillation, congestive heart failure and hypertension. Patients requiring care can be referred by their family doctor. Once a referral is received, an appointment will be booked in the next available clinic time.

Ground and 1st Floors (area F) Gilgan Family Wing
Monday, Thursday and Friday, 9 am to noon
Tuesday and Wednesday, 12:30 to 3:30 pm
Ambulatory Care Centre: Monday to Friday, 8 am to 4 pm
Booking/registration: 7 am to 4:30 pm

The Cardiology and Respiratory Medicine Department provides heart and respiratory care to the communities of West Toronto. We use state-of-the-art diagnostic equipment and tests for cardiac disease.

Our cardiologists diagnose and manage a wide range of cardiovascular diseases including:

  • Coronary artery disease
  • Heart rhythm problems (arrhythmias)
  • Heart valve problems
  • Heart failure

At St. Joseph’s we provide comprehensive access to diagnostic cardiac testing including electrocardiogram (ECG), echocardiography, holter monitoring, Stress Tests (GXT) and nuclear cardiology stress tests. Within Unity health we have access to St Michael’s Hospital’s cardiac and vascular surgery to ensure complete cardiac care is provided for our patients.

1 East Wing
Fax: 416-530-6702
An appointment is required for all tests with the exception of an ECG (walk-in from Monday to Friday, 7:30 am to 3:30 pm)


The Heart Failure Clinic specializes in taking care of patients with a heart failure diagnosis. The team provides education for patients and their families so that they can better understand and manage their condition. We also optimize your medical therapy to improve your heart failure symptoms, improve heart function, and to decrease the need for hospitalization.

The interprofessional team assesses and recommends treatment for patients diagnosed with heart failure. The team is composed of the following health professionals:

  • Cardiologist
  • Registered nurse
  • Registered dietitian
  • Physiotherapist
  • Social worker

During your initial visit you will meet the registered nurse, physiotherapist and cardiologist.  The registered dietitian and social worker are available to you with a referral from the HF team.  Please note your first appointment may last up to three hours during which time some diagnostic tests will be performed, such as blood tests and electrocardiogram (ECG).  An echocardiogram (ECHO) may be performed as well, but you will be notified in advance if this applies to you.

To learn more about your heart failure diagnosis and self-management activities, please visit


  • 1G South (Monday, Wednesday, Thursday)
  • 3 East (every other Tuesday)


  • For general inquires/scheduling: 416-530-6043
  • Fax referrals to: 416-530-6050
  • To reach the HF clinic directly: 416-530-6000 ext. 4498

This clinic is for:

  • Patients with permanent pacemakers
  • Patients who may need a pacemaker

Patients with pacemakers come to the clinic on a regular schedule. During the clinic visit, patients are seen by device technologists, or a cardiologist who specializes in electrophysiology. They will make sure the pacemaker is working properly.

The Pacemaker Clinic is an outpatient clinic that provides education and follow-up for patients with implanted pacemakers to ensure safe and proper function. Pacemaker appointments are typically scheduled every six months. At each scheduled visit, your pacemaker will be checked by a device certified technologist and reviewed by a cardiologist. Pacemaker implantation and pack changes can be arranged through the clinic and are performed at St. Joseph’s in the main operating room.

East Wing, Room 1E-132
Fax: 416-530-6702
Monday to Friday, 8 am to 4 pm
An appointment is required for all tests with the exception of an ECG (walk in from Monday to Friday, 7:30 am to 3:30 pm)


  • Referrals for implant can be faxed to 416-530-6702 with attention to Pacemaker Clinic. Transfer of pacemaker follow-up requests can be faxed to the above number with attention to the pacemaker clinic.

Clinics & Services

Heart & Vascular at St. Michael's Hospital

The Heart and Vascular Program at St. Michael’s is a leader in a range of clinical and academic services in the investigation, prevention and treatment of heart disease and vascular conditions. As the first hospital in Canada to perform a tricuspid valve repair, St. Michael’s offers innovative options for the treatment of valvular disease such as mitral clip repairs.

Brain & Heart

  • Minimally Invasive Cardiac Surgery Clinic
  • Neurovascular Clinic
  • Sports Cardiology Clinic
  • Stroke of Unknown Cause Clinic
  • Structural Heart Clinic

The Robert McRae Heart Health Unit

Vascular Surgery Clinic

Cardiac Surgery Clinic

Genetic Counselling

Coming soon

Preparing for your Cardiac Catherization Procedure

Coming soon

Clinics & Services

The Arrhythmia Clinic serves patients with different types of heart rhythm problems to provide treatment options for their arrhythmia.

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The Cardiac and Vascular Surgery Inpatient Unit provides care to patients following heart or vascular surgery or complex intervention. Our team on the unit is composed of a number of highly skilled interprofessional team members who work collaboratively to provide quality patient care.

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The Cardiac Intensive Care Unit (CICU) team treats patients with acute coronary syndromes. The CICU also acts as a referral site for advanced interventional cardiology procedures.

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The Cardiometabolic Prevention Clinic at St. Michael’s Hospital sees two groups of patients – those living with, and at risk for heart and vascular disease. It provides complimentary preventive care in coordination with primary care physicians and specialists. This unique clinic at the University of Toronto, spearheaded by Dr. Beth Abramson, aims to share best practices in academic preventive cardiology. Her team of cardiac prevention specialists have expertise in modern “precision” medicine to help diagnose and treat cardiovascular risk. 

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The Cardiology Inpatient Unit provides care to patients admitted to the hospital for acute heart conditions such as heart failure, arrhythmias and heart attack, among many others. Our team on the unit is composed of a number of highly skilled interprofessional team members who work collaboratively to provide quality patient care.

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We have broad access to diagnostic cardiac and vascular testing including electrocardiogram, echocardiography, holter monitoring, nuclear cardiology, cardiac MRI and cardiac CT, along with cardiac catheterization and coronary angiography. We work closely with other subspecialty cardiac groups, as well as cardiac surgery and vascular surgery.

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Along with our subspecialty cardiology consult services like heart failure, electrophysiology and structural heart/valve clinic, we provide a wide range of general cardiology consult services at St. Michael’s. This includes hypertension and hypertensive heart disease, simple arrhythmias such as atrial fibrillation and other rhythm disorders, heart failure/cardiomyopathy and the general assessment of undifferentiated patients with cardiac symptoms (such as chest pain, shortness of breath and palpitations).

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The Heart Failure Clinic specializes in taking care of patients with heart failure. Heart failure is a condition in which the heart is not able to pump enough blood to other parts of the body as well as it should.

People with heart failure may:

  • Have shortness of breath
  • Have swelling of the abdomen (stomach area) legs or ankles
  • Have a new cough
  • Feel tired
  • Feel dizzy

Research has shown that lifestyle changes and medicines can help people with heart failure. By coming to the Heart Failure Clinic, you will be able to meet with heart failure specialists who can help you manage your condition.

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The Pediatric Cardiology Clinic provides consultation, investigations, management, and follow up for a wide range of cardiac concerns (e.g. murmur, family history or other risk factors for pediatric heart disease, palpitations, syncope, arrhythmia, exertional chest pain, etc.). Investigations such as ECG, echocardiogram, holter monitoring may take place with or after initial assessment.

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The Structural Heart Program at St. Michael’s specializes in providing care to patients presented with conditions that affect the structures of the heart, such as valves, walls, muscles, or blood vessels. 

Doing what is best for the patient is at the heart of St. Michael’s philosophy. At the Structural Heart Program, our experts work together to minimize risk, maximize safety while improving both quality and quantity of life by offering minimally-invasive heart procedures. This allows for faster recovery and shorter hospital stays.

We offer both innovative and routine non-invasive procedures which include, but are not limited to:

  • Transcatheter Aortic Valve Replacement (TAVR/TAVI)
  • Transcatheter Mitral Valve Replacement (TMVR)
  • Transcatheter Tricuspid Valve Replacement (TTVR)
  • Mitral and Tricuspid Clip
  • Atrial Septal Defect (ASD) Closure
  • Patent Foramen Ovale (PFO) Closure
  • Left Atrial Appendage (LAA) Closure 
  • Balloon Valvuloplasty
  • Paravalvular Leak Repair
Read more

Heart & Vascular at Providence Healthcare

Clinics & Services

Services include assessment and treatment of cardiac conditions by a cardiologist.

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As of April 1, 2021, St. Michael’s Foundation amalgamated with Providence Healthcare Foundation and all receipts will be issued by St. Michael’s Foundation.

We are pleased to let you know that your donation will go directly to the organization and priority that you have designated.

Last updated September 19, 2023