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Dr. Francesca Nesta Delling, MD, MD MPH

(Francesca Nesta Delling, MD, MPH)

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Specializes in: Cardiology (Heart Disease)

Professional interests include: mitral valve prolapse, coronary artery disease, heart valve disease, and more.

535 Mission Bay Boulevard South UCSF Cardiovascular Care and Prevention Center at Mission Bay
San Francisco, CA 94158

(415) 353-2873

Dr. Francesca Nesta Delling, MD, MD MPH is a cardiologist in San Francisco, CA specializing in cardiology (heart disease). Dr. Francesca Nesta Delling, MD, MD MPH is affiliated with Regents of the University of California, UCSF Health, UCSF Medical Group, UCSF and Cardiovascular Care and Prevention Center at Mission Bay.

Office Locations

Address:

535 Mission Bay Boulevard South UCSF Cardiovascular Care and Prevention Center at Mission Bay
San Francisco, CA 94158

Some issues Dr. Francesca Nesta Delling, MD, MD MPH can help you with:

Coronary Artery Disease

Coronary artery disease (CAD) is the most common type of heart disease. It happens when the blood vessels carrying blood to the heart, called coronary arteries, narrow and harden. This occurs when cholesterol, a type of fat found in the blood, builds up to form plaque, which sticks to the inner walls of the arteries. As plaque accumulates, less blood can flow through the arteries, which may lead to the following:

Angina, which is chest pain that occurs when the heart does not receive enough blood flow.
Heart attack, which happens if the arteries leading to the heart are completely blocked.
Arrhythmia, or irregular heartbeat, which can develop if the heart does not have enough blood supply.
Heart failure, which may occur if a heart attack damages the heart and it becomes too weak to pump enough blood to the rest of the body.

Certain factors may increase risk for the disease, like smoking, lack of exercise, being overweight, high cholesterol, high blood pressure, and diabetes. CAD tends to develop over decades, so it can go undetected until it has become quite severe. A diagnosis may be established using such tests as:

Electrocardiogram (ECG), which records the heart's electrical activity over a period of time. ECGs can detect whether there is enough blood flow to the heart or if a heart attack has occurred.
Echocardiogram (echo), which creates images of the heart using sound waves. Echos can show whether the heart is able to pump blood normally.
Stress tests, where an ECG or echo is combined with exercise, like riding a stationary bike or walking on a treadmill. This test is done to find out if the heart can function properly while performing a strenuous activity.

Treatments for the disease include medications such as vasodilators, like nitroglycerin, which dilates (widens) the coronary arteries. CAD may also be treated by a procedure called angioplasty with stent placement, where a balloon is inflated inside a diseased artery to flatten the plaque deposits against the artery walls, creating more room for blood to flow.

In some severe cases of the disease, multiple arteries may be blocked, and an open heart surgery called coronary artery bypass surgery may be necessary. This operation transplants a vessel from another part of the body to form a graft that goes past the narrowed arteries, thus enabling blood to flow around those arteries.

In The News

“This can lead to a higher frequency of heart attacks, angina, heart failure, and subsequent hospitalizations," says Dr. Francesca Nesta Delling, of the Beth Israel Deaconess Medical Center...”—"How The Flu Affects The Heart", CBS San Francisco, January 2013

cardiac procedures	618
doctor visit	209
hospital care	86
inpatient care	86
minimally invasive procedures	13
stress testing	92
ultrasound (sonogram)	575

**Gender**
Male	436
Female	466

**Ethnicity**
Non-Hispanic White	801
Black	47
Hispanic	19
Asian	0
Other	21
Native American	0

**Age**
From 65 to 74	264
From 75 to 84	299
85 and over	246
Less than 65	93

Hypertension	75
High Cholesterol	70
Stroke	11
Ischemic Heart Disease	64
Depression	33
Chronic Kidney Disease	45
Asthma	13
Osteoperosis	12
Atrial Fibrilation	35
Heart Failure	56
Chronic Obstructive Pulmonary Disease	23
Diabetes	38
Dementia	21
Cancer	16

cardiac procedures	525
doctor visit	65
hospital care	74
inpatient care	74
minimally invasive procedures	20
stress testing	77
ultrasound (sonogram)	491

**Gender**
Male	347
Female	355

**Ethnicity**
Non-Hispanic White	621
Black	44
Hispanic	14
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	207
From 75 to 84	250
85 and over	172
Less than 65	73

Hypertension	75
High Cholesterol	69
Stroke	12
Ischemic Heart Disease	65
Depression	32
Chronic Kidney Disease	46
Asthma	12
Osteoperosis	12
Atrial Fibrilation	36
Heart Failure	55
Chronic Obstructive Pulmonary Disease	22
Diabetes	36
Dementia	17
Cancer	20

cardiac procedures	503
hospital care	120
inpatient care	120
minimally invasive procedures	23
stress testing	54
ultrasound (sonogram)	487

**Gender**
Male	676
Female	678

**Ethnicity**
Non-Hispanic White	1136
Black	98
Hispanic	34
Asian	26
Other	60
Native American	0

**Age**
From 65 to 74	464
From 75 to 84	412
85 and over	322
Less than 65	156

Hypertension	75
High Cholesterol	72
Stroke	14
Ischemic Heart Disease	65
Depression	36
Chronic Kidney Disease	53
Asthma	23
Osteoperosis	12
Atrial Fibrilation	37
Heart Failure	57
Chronic Obstructive Pulmonary Disease	26
Diabetes	40
Dementia	19
Cancer	19

cardiac procedures	388
hospital care	71
inpatient care	71
minimally invasive procedures	14
stress testing	39
ultrasound (sonogram)	389

**Gender**
Male	277
Female	286

**Ethnicity**
Non-Hispanic White	463
Black	55
Hispanic	0
Asian	0
Other	20
Native American	0

**Age**
From 65 to 74	198
From 75 to 84	154
85 and over	137
Less than 65	74

Hypertension	75
High Cholesterol	73
Stroke	14
Ischemic Heart Disease	67
Depression	36
Chronic Kidney Disease	61
Asthma	30
Osteoperosis	12
Atrial Fibrilation	36
Heart Failure	60
Chronic Obstructive Pulmonary Disease	25
Diabetes	43
Dementia	23
Cancer	17

cardiac procedures	448
doctor visit	18
hospital care	131
inpatient care	131
stress testing	48
ultrasound (sonogram)	416

**Gender**
Male	267
Female	274

**Ethnicity**
Non-Hispanic White	317
Black	51
Hispanic	47
Asian	96
Other	0
Native American	0

**Age**
From 65 to 74	204
From 75 to 84	171
85 and over	64
Less than 65	102

Hypertension	75
High Cholesterol	53
Stroke	9
Ischemic Heart Disease	58
Depression	26
Chronic Kidney Disease	52
Asthma	14
Osteoperosis	13
Atrial Fibrilation	30
Heart Failure	45
Chronic Obstructive Pulmonary Disease	19
Diabetes	40
Dementia	17
Cancer	17

cardiac procedures	439
doctor visit	76
hospital care	131
inpatient care	131
minimally invasive procedures	19
stress testing	52
ultrasound (sonogram)	403

**Gender**
Male	276
Female	248

**Ethnicity**
Non-Hispanic White	273
Black	51
Hispanic	68
Asian	105
Other	27
Native American	0

**Age**
From 65 to 74	220
From 75 to 84	143
85 and over	67
Less than 65	94

Hypertension	75
High Cholesterol	61
Stroke	12
Ischemic Heart Disease	61
Depression	29
Chronic Kidney Disease	57
Asthma	10
Osteoperosis	13
Atrial Fibrilation	31
Heart Failure	48
Chronic Obstructive Pulmonary Disease	21
Diabetes	41
Dementia	16
Cancer	16

cardiac procedures	349
doctor visit	49
hospital care	62
inpatient care	62
minimally invasive procedures	13
stress testing	36
ultrasound (sonogram)	327

**Gender**
Male	217
Female	215

**Ethnicity**
Non-Hispanic White	253
Black	37
Hispanic	44
Asian	76
Other	0
Native American	0

**Age**
From 65 to 74	186
From 75 to 84	126
85 and over	44
Less than 65	76

Hypertension	75
High Cholesterol	62
Stroke	12
Ischemic Heart Disease	60
Depression	34
Chronic Kidney Disease	52
Asthma	13
Osteoperosis	12
Atrial Fibrilation	31
Heart Failure	47
Chronic Obstructive Pulmonary Disease	21
Diabetes	39
Dementia	16
Cancer	17

cardiac procedures	342
doctor visit	37
hospital care	119
inpatient care	119
minimally invasive procedures	17
stress testing	58
ultrasound (sonogram)	316

**Gender**
Male	225
Female	212

**Ethnicity**
Non-Hispanic White	259
Black	37
Hispanic	39
Asian	73
Other	29
Native American	0

**Age**
From 65 to 74	201
From 75 to 84	126
85 and over	50
Less than 65	60

Hypertension	75
High Cholesterol	66
Stroke	10
Ischemic Heart Disease	63
Depression	29
Chronic Kidney Disease	55
Asthma	12
Osteoperosis	17
Atrial Fibrilation	34
Heart Failure	52
Chronic Obstructive Pulmonary Disease	21
Diabetes	45
Dementia	12
Cancer	19

cardiac procedures	887
doctor visit	120
hospital care	34
inpatient care	34
minimally invasive procedures	54
stress testing	119
ultrasound (sonogram)	827

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Francesca Nesta Delling, MD, MD MPH for Medicare patients.

The highest averages for the top procedures that Dr. Francesca Nesta Delling, MD, MD MPH treated as a cardiologist in San Francisco, CA were cardiac procedures, ultrasound (sonogram), hospital care and inpatient care.

cardiac procedures	501
doctor visit	84
hospital care	92
inpatient care	92
minimally invasive procedures	22
stress testing	64
ultrasound (sonogram)	471

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Francesca Nesta Delling, MD, MD MPH.

**Gender**
Male	272
Female	273

**Ethnicity**
Black / African American	42
Asian / Pacific Islander	37
Non-Hispanic White	412
Native American / Alaskan Native	0
Hispanic	26
Other	15

**Age**
75 to 84	168
85 and over	110
Less than 65	72
65 to 74	194

Average of Total of Conditions of Medicare patients treated by Dr. Francesca Nesta Delling, MD, MD MPH From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Francesca Nesta Delling, MD, MD MPH treated were hypertension, high cholesterol, ischemic heart disease and chronic kidney disease.

Hypertension	60
High Cholesterol	52
Stroke	9
Ischemic Heart Disease	50
Depression	25
Chronic Kidney Disease	42
Asthma	12
Osteoporosis	10
Heart Failure	42
Chronic Obstructive Pulmonary Disease	17
Diabetes	32
Atrial Fibrillation	27
Cancer	14
Dementia	14

Education & Training

She completed residency at Boston Medical Center. She is certified by the Cardiovascular Disease, American Board of Internal Medicine and has a state license in Massachusetts.

Residency: Boston Medical Center (2007)

Board Certification: Cardiovascular Disease, American Board of Internal Medicine

Licensed In: Massachusetts

Affiliations & Hospitals

Dr. Francesca Nesta Delling, MD, MD MPH is associated with these hospitals and organizations:

Regents of the University of California

UCSF Health

UCSF Medical Group

UCSF

Cardiovascular Care and Prevention Center at Mission Bay

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General Payments

These charts describe general payments received by Dr. Francesca Nesta Delling, MD, MD MPH. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Abbott Laboratories	$1,805 Mitra Clip system $1,504	MitraClip $301
Zogenix Inc.	$1,250 Fintepla $1,250

**Types of Payments**
Consulting Fee	$1,250
Travel and Lodging	$1,153
Food and Beverage	$652

Biography

Dr. Francesca Delling is an advanced heart failure and transplant cardiology specialist in San Francisco, CA. Dr. Delling's areas of expertise include the following: mitral valve prolapse, cardiomyopathy, and coronary artery disease. She completed her residency training at Boston Medical Center. She is affiliated with UCSF Medical Group and Regents of the University of California.