Roger Bies, MD, FACC, FSCCT, FSCAI
Roger Bies, MD is an interventional cardiologist and Cardiac CTA Program Director in Phoenix, Arizona. Dr. Bies has been active in Cardiovascular Program positions in both academic medicine and private practice, with over 40 publications in the clinical and basic sciences. Dr. Bies was an Assistant Professor of the Division of Cardiology at the University of Colorado School of Medicine. He moved to private practice in 1998 and has since served as Chairman of the Cardiovascular Department and Director of the Cardiac Catheterization Laboratory at Chandler Regional Medical Center, where CTA has become an integrated component of patient care. Dr. Roger Bies is a Diplomat of the Certification Board of Cardiovascular CT (CBCCT) and a Fellow of the Society of Cardiovascular Computed Tomography (SCCT). He is certified by the Society as a Level 3 instructor. Dr. Bies also serves as the Society for Cardiovascular Angiography and Interventions (SCAI) representative for the Certification Board for Cardiovascular Computed Tomography.
I am a strong advocate for early detection and aggressive risk management for patients with undiagnosed coronary artery disease. Acute MI and sudden death are still and unfortunate first presentation for patients with previously unknown CAD.Traditional risk factor assessment and indications for aggressive lipid management often underestimate the extent of disease. Asymptomatic CAD patients, and patients with undiagnosed CAD and atypical CP who have had a normal stress stress represent the largest group of missed opportunities in the treatment of heart disease. The finding of a positive coronary calcium score demonstrates the presence of inflammatory atherosclerosis, and safely and quickly finds those patients who deserve aggressive treatment and surveilence for the future risk of adverse cardiac events. In appropriate low to intermediate symptomatic patients, cardiac CT angiography may be the best test to safely and accurately exclude or identify significant CAD. CTA is particularly useful in the ER to evaluate patients who have unknown source of CP and negative EKG and biomarkers. We provide 24/7 Calcium scoring and CTA in our ED and safely discharge 75% of our chest pain patients within 6 hours when CAD is excluded as a cause of their symptoms. Patient who have significant CAD are quickly identified for treatment avoiding inappropriate discharges. As an interventional cardiologist, CT imaging of the heart has become an important and invaluable part of my clinical practice in Cardiology.