Last Updated on November 27, 2025 by Bilal Hasdemir

At Liv Hospital, we know how important it is to understand the roles of cardiologists and cardiac surgeons. Cardiologists are doctors who deal with heart diseases. They don’t usually do surgery.
They use non-surgical treatments like medicines and tests. They also manage long-term heart conditions. Our cardiologists put in devices like pacemakers and provide cardiology services.
Heart disease is a big worry, even though fewer people are dying from heart attacks cardiovascular disease. Our cardiologists help patients with treatments and cardiac rehab. They give full care.
Key Takeaways
- Cardiologists diagnose and manage heart diseases without performing traditional open-heart surgery.
- They focus on non-surgical treatments, including medications and diagnostic tests.
- Cardiologists implant devices like pacemakers and provide interventional cardiology services.
- They work with patients on treatments, including medication and cardiac rehabilitation.
- Cardiologists and cardiac surgeons collaborate to provide complete cardiovascular care.
The Role of Cardiologists in Heart Health

Cardiologists play a key role in heart health. They are doctors who focus on heart and circulatory system problems. They diagnose and treat heart conditions.
Educational Background and Training
Cardiologists get a lot of education and training. They study for four years in college, then four years in medical school. They also do years of residency in internal medicine and cardiology.
This training helps them handle complex heart issues. After finishing their education, many cardiologists do more training in areas like interventional cardiology or echocardiography.
Specializations Within Cardiology
Cardiology has many special areas. Interventional cardiologists do procedures like angioplasty. They open blocked arteries.
Other cardiologists focus on echocardiography or nuclear cardiology. They use ultrasound or radioactive tracers to check the heart.
These special areas let cardiologists give focused care. They use the latest methods to help their patients.
Do Cardiologists Do Surgery? Understanding the Distinction

To know if cardiologists do surgery, we need to understand what surgery means in medicine. Surgery is when a doctor manually or with tools treats a body part. This can be through cuts or injections to fix or check a problem.
The Technical Definition of Surgery
It’s important to know what surgery is to understand cardiologists’ roles. Surgery means fixing or removing damaged tissues or organs with cuts or tools. Cardiologists focus on heart health, but they’re not the same as cardiac surgeons who do operations.
What Procedures Cardiologists Actually Perform
Cardiologists do many important tasks to help the heart, but they’re not doing surgery. They do things like:
- Cardiac catheterization: This is when a thin tube is put into a blood vessel to check and treat heart issues.
- Angioplasty and stent placement: These are small procedures to open blocked heart arteries and improve blood flow.
- Pacemaker and defibrillator implantation: They put in devices to control heart beats.
These actions are not surgery because they don’t need big cuts or repair like surgery does. Instead, they are minimally invasive or interventional procedures.
| Procedure | Description | Classification |
|---|---|---|
| Cardiac Catheterization | Insertion of a catheter to diagnose and treat heart conditions | Minimally Invasive |
| Angioplasty and Stent Placement | Opening blocked coronary arteries | Minimally Invasive |
| Pacemaker/Defibrillator Implantation | Implanting devices to control heart rhythms | Minimally Invasive |
It’s key for patients to know the difference between these procedures and surgery. Cardiologists don’t do surgery, but they play a big part in heart health. They help decide when surgery might be needed.
Diagnostic Procedures Performed by Cardiologists
Cardiologists use many tools to check heart health and find problems early. These tests are key to spotting heart issues and picking the right treatment.
Non-Invasive Diagnostic Tests
Non-invasive tests are a big part of cardiology. They let doctors check the heart without surgery. Some common tests are:
- Electrocardiograms (ECG or EKG): These tests show how the heart’s electrical activity works. They help find heart rhythm problems.
- Echocardiograms: Ultrasound tech makes images of the heart. Doctors use these to see how well the heart works.
- Stress Tests: These tests see how the heart acts when stressed. Stress can come from exercise or medicine. They check blood flow and heart function.
These tests are key for finding many heart problems. They help doctors create treatment plans that fit each patient’s needs.
The American Heart Association says early detection and treatment are key. This shows how important these tests are in cardiology.
“The use of non-invasive diagnostic tests has revolutionized the field of cardiology, enabling healthcare providers to diagnose and manage heart conditions more effectively than ever before.”
Cardiologists use these tests and their knowledge to give patients the care they need. This helps those with heart disease get the best treatment.
Common Non-Surgical Treatments Provided by Cardiologists
Cardiologists are key in keeping our hearts healthy with non-surgical treatments. These methods help prevent, diagnose, and manage heart issues without surgery. We’ll look at the main non-surgical treatments cardiologists offer, focusing on medicines and lifestyle changes.
Medication Management
Cardiologists often give medicines for high blood pressure, high cholesterol, and heart failure. These drugs help control symptoms, slow disease growth, and boost life quality.
Lifestyle Modifications and Preventive Care
Changing our lifestyle is key to heart health. Cardiologists suggest eating well, being active, quitting smoking, and drinking less alcohol. These steps can stop or slow heart disease.
| Condition | Medication/Lifestyle Modification | Benefit |
|---|---|---|
| High Blood Pressure | Antihypertensive medications, Regular Exercise | Reduces blood pressure, Decreases risk of heart disease |
| High Cholesterol | Statins, Dietary changes (low saturated fats) | Lowers LDL cholesterol, Reduces plaque buildup |
| Heart Failure | ACE inhibitors, Beta-blockers, Low-sodium diet | Improves heart function, Reduces symptoms |
Cardiologists use medicines and lifestyle changes together for full care. These non-surgical treatments are vital for heart health and better life quality for patients.
Minimally Invasive Procedures Cardiologists Perform
Cardiologists don’t usually do surgery, but they do many important procedures. These help diagnose and treat heart issues. They make treatment safer and faster for patients.
Cardiac Catheterization
Cardiologists use cardiac catheterization a lot. They put a thin tube into an artery in the leg or arm. This tube goes to the heart.
Cardiac catheterization helps find and fix heart problems. It uses contrast material and X-rays to see the heart’s arteries.
Angioplasty and Stent Placement
They also do angioplasty and stent placement. Angioplasty uses a balloon to open blocked arteries. A stent is often put in to keep the artery open.
This helps blood flow to the heart. It also relieves symptoms of heart disease.
Pacemaker and Defibrillator Implantation
Cardiologists also put in pacemakers and defibrillators. These devices help the heart beat right. A pacemaker sends electrical signals to control the heartbeat. A defibrillator shocks the heart to fix dangerous rhythms.
They use special techniques to put these devices in. This shows how skilled cardiologists are.
Even though cardiologists don’t do surgery, they’re key in heart care. They use many procedures that are safer and quicker than surgery.
Interventional Cardiology: Between Medicine and Surgery
Interventional cardiologists use their medical knowledge and technical skills to perform procedures once done by surgeons. This field is growing fast and has changed how we treat heart diseases.
These doctors get special training to do minimally invasive procedures. These procedures help diagnose and treat heart problems without open-heart surgery.
What Makes a Cardiologist “Interventional”
An interventional cardiologist is a doctor with extra training in treatments for heart disease. They are experts in doing angioplasty and stenting, which help the heart get blood flow back.
To be an interventional cardiologist, one needs more training than a regular cardiologist. This extra training is all about learning the skills for these minimally invasive heart treatments.
Common Interventional Procedures
Interventional cardiologists do many important procedures for heart disease. Some common ones are:
- Angioplasty and stenting
- Atherectomy
- Cardiac catheterization
These procedures are minimally invasive. They need only small cuts. This means less harm to the patient and faster recovery times than surgery.
| Procedure | Description | Benefits |
|---|---|---|
| Angioplasty and Stenting | Opening blocked arteries using a balloon and stent | Restores blood flow, reduces symptoms |
| Atherectomy | Removing plaque from arteries | Improves circulation, reduces risk of heart attack |
| Cardiac Catheterization | Inserting a catheter to diagnose and treat heart conditions | Provides detailed images of heart structure and function |
Interventional cardiologists play a big role in treating heart disease. They do both diagnostic and treatment procedures. Their work helps patients get effective treatments that are less invasive than surgery.
Cardiac Surgeons vs. Cardiologists: Key Differences
Cardiac surgeons and cardiologists work together to care for patients. But, they have different educational backgrounds and clinical practices. Knowing their roles helps patients choose the right treatment.
Training and Certification Differences
Both cardiac surgeons and cardiologists need a lot of education and training. Cardiac surgeons get a lot of surgical training. They do a general surgery residency and then a cardiothoracic surgery fellowship. This can take 6 to 8 years or more.
Cardiologists, on the other hand, do a residency in internal medicine and then a cardiology fellowship. This usually takes 3 years.
Certification also varies. Cardiac surgeons are certified by the American Board of Thoracic Surgery. Cardiologists are certified by the American Board of Internal Medicine (ABIM) in Cardiovascular Disease. These certifications show they meet high standards.
Scope of Practice
The main difference is in what they can do. Cardiac surgeons can perform surgeries on the heart and great vessels. This includes coronary artery bypass grafting and heart transplantation.
Cardiologists, on the other hand, focus on diagnosing and treating heart conditions. They do tests like echocardiograms and cardiac catheterizations. They also manage heart conditions with medications and lifestyle changes.
When to See Each Specialist
It’s important to know when to see a cardiac surgeon or a cardiologist. Patients usually start with a cardiologist for heart conditions. If surgery is needed, the cardiologist works with a cardiac surgeon.
Patients needing complex surgeries, like heart transplants, see a cardiac surgeon. Those with conditions managed by medication or lifestyle changes see a cardiologist.
In summary, cardiac surgeons and cardiologists are both key in heart care. Their differences in training, certification, and what they can do make them important in different ways.
Major Surgical Procedures Performed by Cardiac Surgeons
Cardiac surgeons are key in treating serious heart issues through major surgeries. These surgeries can save lives and greatly improve patients’ quality of life. We’ll look at two main surgeries: Coronary Artery Bypass Grafting (CABG) and Heart Valve Repair and Replacement.
Coronary Artery Bypass Grafting (CABG)
CABG helps blood flow to the heart by bypassing blocked arteries. A healthy blood vessel is grafted onto the heart. This detour helps around the blockage. It’s often needed for severe coronary artery disease.
Heart Valve Repair and Replacement
When heart valves are diseased or damaged, repair or replacement is done. The choice depends on the disease type and severity. Repairing a valve is preferred when possible, as it keeps the patient’s own tissue. This avoids the need for lifelong anticoagulation therapy with mechanical valves.
| Procedure | Purpose | Common Indications |
|---|---|---|
| CABG | Bypass blocked coronary arteries | Severe coronary artery disease, angina not relieved by medication or angioplasty |
| Heart Valve Repair/Replacement | Correct diseased or damaged heart valves | Valve stenosis, valve regurgitation, endocarditis |
CABG and heart valve repair/replacement are vital surgeries for complex heart conditions. They show the critical role of cardiac surgeons in managing heart disease.
Common Misconceptions About Cardiologists and Surgery
Many people mix up the jobs of cardiologists and cardiac surgeons. This mix-up can cause confusion about the treatments they offer.
Myth vs. Reality in Cardiac Care
One big myth is that cardiologists do surgery. While they are doctors who deal with heart issues, cardiac surgeons do the surgery. Cardiologists manage heart conditions with medicine and some procedures.
Cardiologists do tests like echocardiograms and stress tests. They also do procedures like angioplasty and stenting. But these are not surgeries. The difference between medical care and surgery can be unclear to many.
Why the Confusion Exists
There are a few reasons for the confusion. Both cardiologists and cardiac surgeons work together in heart care. They often refer patients to each other when needed. This teamwork can make their roles seem similar.
Also, new medical tech has let cardiologists do more procedures. Now, they can do things like TAVR, which used to be surgery. But these are not traditional surgeries.
Knowing the difference between cardiologists and cardiac surgeons helps patients. It lets them understand the full care they get. This knowledge is key to better heart health.
The Collaborative Relationship Between Cardiologists and Cardiac Surgeons
Cardiologists and cardiac surgeons work together to tackle tough heart problems. This teamwork is key for giving patients with heart disease the best care.
The Heart Team Approach
The heart team approach brings together many healthcare experts. This team includes cardiologists, cardiac surgeons, and others. They work together to create care plans that fit each patient’s needs.
Interventional cardiologists are important in this team. They use small procedures to find and fix heart issues. Their work helps the surgical plans made by cardiac surgeons.
Case Studies of Collaboration
Many examples show how well cardiologists and cardiac surgeons work together. For example, in complex heart disease, they might plan a treatment that includes both angioplasty and CABG.
Managing heart failure is another area where they team up. They work together to use advanced treatments, like heart transplants or ventricular assist devices.
This teamwork not only helps patients but also makes care more efficient. By working together, they avoid unnecessary tests and procedures. This makes patient care smoother and more satisfying.
Conclusion: Understanding Your Cardiac Care Team
Knowing the roles of cardiologists and cardiac surgeons is key to good heart health. We’ve looked at what cardiologists do, from tests to treatments. We’ve also shown how they differ from cardiac surgeons.
Patients can make better choices by understanding each specialist’s skills. Cardiologists focus on heart care with medicine and lifestyle changes. On the other hand, cardiac surgeons handle big surgeries like bypass grafting and valve repair.
Cardiologists and cardiac surgeons work together for the best care. This team approach leads to better health outcomes for patients. It shows how important it is to have a united heart team.
Do cardiologists perform surgery?
No, cardiologists don’t do surgery. They focus on diagnosing and treating heart diseases without surgery.
What procedures do cardiologists perform?
Cardiologists do tests like electrocardiograms and echocardiograms. They also do procedures like cardiac catheterization, angioplasty, and stent placement.
Can cardiologists do angioplasty?
Yes, interventional cardiologists can do angioplasty. It’s a procedure to open up blocked arteries.
What’s the difference between a cardiologist and a cardiac surgeon?
Cardiologists treat heart diseases without surgery. Cardiac surgeons do surgery like CABG and heart valve repair.
Are cardiologists surgeons?
No, cardiologists are not surgeons. They are doctors who treat heart diseases without surgery.
Do interventional cardiologists perform surgery?
No, interventional cardiologists do not perform surgery. They do minimally invasive procedures.
Can a cardiologist implant a pacemaker?
Yes, cardiologists can implant pacemakers and defibrillators. This is part of their treatment for heart conditions.
What’s the role of cardiologists in heart health?
Cardiologists diagnose and manage heart diseases. They provide non-surgical treatments and work with cardiac surgeons for complete care.
Are all cardiologists interventional?
No, not all cardiologists are interventional. Some specialize in areas like echocardiography or nuclear cardiology.
Do cardiologists prescribe medication?
Yes, cardiologists prescribe medications. They manage conditions like high blood pressure and high cholesterol.
Can cardiologists perform stress tests?
Yes, cardiologists use stress tests to check heart function.
What’s the heart team approach?
The heart team approach is when cardiologists, cardiac surgeons, and other professionals work together. They provide complete care for complex heart conditions.
References
American Heart Association. Cardiac procedures and surgeries. https://www.heart.org/en/health-topics/heart-attack/treatment-of-a-heart-attack/cardiac-procedures-and-surgeries
Loyola Medicine. Cardiothoracic surgery treatments. https://www.loyolamedicine.org/services/cardiothoracic-surgery/cardiothoracic-surgery-treatments
HealthyWA. Common medical procedures for heart conditions. https://www.healthywa.wa.gov.au/Articles/A_E/Common-medical-procedures-for-heart-conditions
Stanford Health Care. Types of heart surgery. https://stanfordhealthcare.org/medical-treatments/h/heart-surgery/types.html