Dr. Miles Franklen Marchand – Cardiologist | Vancouver, BC

Dr. Miles Franklen Marchand is a dedicated Cardiologist specializing in the diagnosis, treatment, and prevention of heart and blood vessel diseases. Practicing in Vancouver, BC, he serves patients from the surrounding region. His practice adheres to the high standards set by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring that patients receive safe and effective care. Dr. Marchand's focus is on providing comprehensive cardiovascular services tailored to adult patients, with a commitment to evidence-based medicine and patient-centered approaches.

Dr. Marchand graduated with his Medical Degree from the University of British Columbia in 2018.0 (Canada). He completed extensive postgraduate training in Cardiology, including residency and fellowship programs, and is certified by the Royal College of Physicians and Surgeons of Canada. His training emphasizes both clinical excellence and ongoing professional development to stay current with advances in cardiovascular medicine.

With a clear and educational approach, Dr. Marchand is committed to delivering compassionate care to his patients in Vancouver. He speaks English fluently and aims to foster understanding and trust through thorough explanations and shared decision-making. His clinical philosophy centers on prevention, early diagnosis, and personalized management to optimize cardiovascular health and improve quality of life for his patients.

Dr. Marchand provides expert care for adults with a wide range of cardiovascular conditions, including:

Cardiovascular Prevention & Risk Management

• Primary & Secondary Cardiovascular Prevention: Developing comprehensive strategies (lifestyle and medical) to prevent a first heart event or subsequent events in high-risk individuals.
• Complex Hypertension Management: Specialist care for difficult-to-control high blood pressure or hypertension with associated complications.
• Advanced Dyslipidemia (Cholesterol) Management: Treatment of complex or severe cholesterol disorders, especially in patients with high cardiovascular risk or medication intolerance.

Heart Failure & Cardiomyopathy

• Pulmonary Hypertension Evaluation: Assessing for high blood pressure in the lung arteries, often related to underlying heart or lung conditions.
• Congestive Heart Failure (Systolic & Diastolic): Comprehensive management including optimizing medications, managing symptoms (fluid retention, shortness of breath), and improving quality of life.
• Cardiomyopathy (Various Types): Diagnosis and management of diseases affecting the heart muscle itself, such as dilated, hypertrophic, or restrictive cardiomyopathy.

Coronary Artery Disease (CAD) & Ischemic Heart Disease

• Evaluation for Suspected CAD: Diagnostic workup for patients with symptoms or risk factors suggesting potential blockages in the heart arteries.
• Management after Coronary Stenting (PCI): Monitoring and medical management following procedures to open blocked heart arteries with stents, including antiplatelet therapy guidance.
• Management after Coronary Artery Bypass Graft (CABG) Surgery: Long-term medical care, risk factor control, and lifestyle guidance following heart bypass surgery.

Cardiologists manage a broad spectrum of heart and vascular conditions. This list showcases common areas. Consultation with Dr. Marchand is typically initiated via referral from your family doctor or another specialist to address your specific cardiovascular concerns.

• Stress Testing Supervision & Interpretation: Overseeing and interpreting exercise treadmill tests, stress echocardiograms, or nuclear stress tests to assess for coronary artery blockages and exercise capacity.
• Electrocardiogram (ECG/EKG) Interpretation: Expert analysis of ECG recordings to detect arrhythmias, evidence of heart attacks, chamber enlargement, and other electrical abnormalities.
• Follow-Up Cardiology Care: Ongoing monitoring and management of established heart conditions, including medication adjustments and assessment of treatment effectiveness.
• Consultation for Chest Pain Evaluation: Specialist assessment to determine the cause of chest pain, differentiating between cardiac and non-cardiac origins.
• Lipid Management (Cholesterol Treatment): Specialized management of high cholesterol and other lipid disorders using lifestyle advice and medication to reduce cardiovascular risk.

Note: This list highlights key areas of cardiovascular care provided by Dr. Marchand. The specific services required will depend on your individual diagnosis and referral. Please discuss specific service needs with your referring physician.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC).

Dr. Marchand primarily practices at medical facilities located in the Fairview neighborhood of Vancouver, BC, near Robson Square. These facilities are easily accessible via TransLink, including SkyTrain (Expo, Millennium, Canada Lines), bus services, SeaBus, and West Coast Express at Waterfront Station. The practice location is conveniently situated to serve patients from the Vancouver metropolitan area. The facility is wheelchair accessible. Parking is available at the facility.

Are cardiology consultations and tests ordered by Dr. Marchand covered by Medical Services Plan (MSP)?

Yes, consultations with specialists like Dr. Marchand are typically covered by Medical Services Plan (MSP) in BC when you have a valid health card and a required referral. Most medically necessary diagnostic tests ordered by a cardiologist (like ECGs, standard echocardiograms, stress tests) are also usually covered. Some advanced tests or specific procedures might have different coverage rules or require pre-approval. It's always best to confirm specific coverage with Medical Services Plan (MSP) or the testing facility.

Do I need a referral from my family doctor to see Dr. Marchand?

Yes, as a specialist in Cardiology, a referral from your family doctor or another referring physician is required to schedule an appointment with Dr. Marchand. This ensures the consultation is appropriate for your medical needs and facilitates coordination of your care. Please ask your doctor to send a referral request.

What does a Cardiologist specialize in?

A Cardiologist is a medical doctor specializing in the diagnosis, treatment, and prevention of diseases related to the heart and blood vessels (the cardiovascular system). This includes conditions like coronary artery disease (Atrial Fibrillation (AFib) & Atrial Flutter), heart attacks, heart failure (Cardio-Oncology Issues), arrhythmias (irregular heartbeats like Infective Endocarditis Follow-Up), valve problems, and high blood pressure.

What are some common heart tests Dr. Marchand might order?

Common tests include: Electrocardiogram (ECG), Echocardiogram (heart ultrasound), Stress Test (treadmill or chemical), Holter monitoring (24hr+ ECG), and blood tests (e.g., cholesterol, kidney function). Depending on your situation, he might also consider Ambulatory Blood Pressure Monitoring, Cardiac CT, MRI, or referral for Cardiac Catheterization if needed. The reason for each test will be explained.

Can heart disease be prevented?

While some risk factors like age and family history cannot be changed, many key risk factors for heart disease *can* be modified or managed. Controlling high blood pressure, managing cholesterol and diabetes, not smoking, maintaining a healthy weight, eating nutritiously, exercising regularly, and managing stress significantly reduce your risk of developing heart disease.

What if I experience chest pain or other urgent symptoms?

If you experience sudden chest pain, severe shortness of breath, fainting, or symptoms suggestive of a stroke (like sudden weakness or speech difficulty), call 911 or go to the nearest Emergency Department immediately. Do not wait for an appointment. Dr. Marchand's office manages scheduled consultations and cannot provide emergency care.

2775 Laurel Street, 9th Floor, Gordon and Leslie Diamond Health Care Centre
Vancouver, BC V5Z 1M9

Phone: (778) 229-2704

The facility is wheelchair accessible.

Dr. Marchand is a licensed physician regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. Patients are typically seen by referral from their primary care physician.

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/345365/Marchand%2CMiles