About
With expertise in Cardiology, Dr. Nikolaos Tzemos provides comprehensive consultations and follow-up care for heart-related conditions. Practicing in London, ON, he serves patients from the surrounding region. His practice adheres strictly to the standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring high-quality, ethical medical care. Dr. Tzemos specializes in providing comprehensive care in Cardiology, focusing on adult patients with a wide range of cardiovascular issues.
Dr. Tzemos graduated with a Medical Degree from the University of Milan in 1994, Italy. He has been practicing as a specialist in Cardiology for over 7 years, since 2017, after completing extensive postgraduate medical training in the field. His certifications include comprehensive training in cardiovascular diagnostics and management, emphasizing evidence-based practices.
His clinical philosophy is centered on providing professional and patient-focused care. Committed to serving the London community, Dr. Tzemos speaks English, French, Greek, and Italian, facilitating clear communication and personalized treatment plans for a diverse patient population.
Dr. Tzemos provides expert care for adults with a wide range of cardiovascular conditions, including:
Cardiovascular Prevention & Risk Management
- 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.
- Cardiovascular Risk Assessment: Detailed evaluation of individual risk factors to estimate the likelihood of future heart attack or stroke.
Heart Rhythm Disorders (Arrhythmias)
- Evaluation of Palpitations: Investigating sensations of skipped beats, fluttering, racing, or pounding heartbeats to determine the underlying cause and significance.
- Syncope (Fainting) - Cardiac Causes: Cardiovascular assessment to identify or rule out heart-related causes of fainting or loss of consciousness.
- Ventricular Arrhythmias (e.g., VT, PVCs): Assessment and management of potentially serious irregular heartbeats originating from the lower heart chambers.
Coronary Artery Disease (CAD) & Ischemic Heart Disease
- Management after Coronary Artery Bypass Graft (CABG) Surgery: Long-term medical care, risk factor control, and lifestyle guidance following heart bypass surgery.
- Stable Angina Pectoris: Managing chest discomfort or pressure caused by narrowed heart arteries, typically occurring during exertion or stress.
- Post-Heart Attack (Myocardial Infarction) Care: Comprehensive follow-up care focused on recovery, secondary prevention, risk factor management, and medication optimization after a heart attack.
Cardiologists manage a broad spectrum of heart and vascular conditions. This list showcases common areas. Consultation with Dr. Tzemos 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.
- Management of Cardiovascular Medications: Expert prescribing, titration, and monitoring of medications used to treat various heart conditions and risk factors.
- Follow-Up Cardiology Care: Ongoing monitoring and management of established heart conditions, including medication adjustments and assessment of treatment effectiveness.
- Anticoagulation Management (e.g., for AFib, Clots): Managing blood-thinning medications to prevent stroke or blood clots, including monitoring and dose adjustments.
- 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. Tzemos. 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 Ontario (CPSO).
Dr. Tzemos primarily practices at the Baycrest Centre for Geriatric Care, located in Downtown London within the North London East neighborhood. The practice is conveniently situated near Fanshawe College (Main Campus) and Cherryhill Village Mall. Patients can access the facility via the London Transit Commission (LTC). The facility is wheelchair accessible. Parking is available at the facility.
- Are cardiology consultations and tests ordered by Dr. Tzemos covered by Ontario Health Insurance Plan (OHIP)?
- Yes, consultations with specialists like Dr. Tzemos are typically covered by Ontario Health Insurance Plan (OHIP) in ON 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 Ontario Health Insurance Plan (OHIP) or the testing facility.
- Do I need a referral from my family doctor to see Dr. Tzemos?
- Yes, as a specialist in Cardiology, a referral from your family doctor or another referring physician is required to schedule an appointment with Dr. Tzemos. 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.
- Can my spouse or family member come with me?
- Yes, you are welcome to bring someone with you for support or to help listen and ask questions during your appointment with Dr. Tzemos. Having another person present can often be very helpful, especially during complex discussions.
- What is an Interventional Cardiologist?
- An Interventional Cardiologist is a Cardiologist with additional specialized training in performing catheter-based procedures like angioplasty and stenting to treat blocked coronary arteries. While Dr. Tzemos provides expert medical management, he may refer patients to an interventional colleague if these procedures are indicated. As an Interventional Cardiologist, Dr. Tzemos performs procedures like angioplasty and stenting in addition to providing cardiology consultations.
- Will Dr. Tzemos communicate with my family doctor?
- Yes, effective communication is key. Dr. Tzemos will send a detailed consultation report with findings and recommendations back to your referring physician to ensure seamless coordination of your overall medical care.
- What is Holter monitoring?
- A Holter monitor is a small, portable device that records your heart's electrical activity (ECG) continuously, typically for 24 to 48 hours, while you go about your normal daily activities. It's used to detect heart rhythm abnormalities (arrhythmias) that may not occur during a standard brief ECG in the office.
Baycrest Centre for Geriatric Care
339 Windermere Rd, Baycrest Hospital
London, ON N6A 5A5
Phone: (519) 663-3038 | Fax: (519) 663-3002
The facility is wheelchair accessible.
Dr. Tzemos is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.
Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Tzemos-Nikolaos/0224947-83573