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Dr. John Pacella, MD

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Specializes in: Interventional Cardiology and Adult Cardiology

University of Pittsburgh School of Medicine (1998)

Professional interests include: pain, anxiety, coronary artery disease, and more.

200 LOTHROP STREET
Pittsburgh, PA 15213

(412) 647-6000

Dr. John Pacella, MD is an interventional cardiologist in Pittsburgh, PA specializing in interventional cardiology and adult cardiology. He graduated from University of Pittsburgh School of Medicine in 1998 and has 26 years of experience. Dr. John Pacella, MD is affiliated with University of Pittsburgh Physicians.

Office Locations

Address:

200 LOTHROP STREET
Pittsburgh, PA 15213

Address:

1300 Oxford Drive
Bethel Park, PA 15102

Some issues Dr. John Pacella, MD can help you with:

Anxiety

Anxiety is a generic name given to a variety of conditions characterized by unusual amounts of fear and worry, especially unrealistic fears and tension. People who suffer from anxiety often are aware that their fears are irrational, but that knowledge does not make the feeling of being scared and anxious go away. To qualify as anxiety, symptoms must last for 6 months or more and interfere with the way a person lives their daily life. Some cases may be mild, where, for example, a person simply avoids certain situations. Other cases can be severe enough to be disabling.

Some of the specific conditions covered under the general label of anxiety include:

Generalized anxiety disorder
Obsessive-compulsive disorder
Phobias
Post-traumatic stress disorder
Social phobia
Panic disorder

Collectively, anxiety disorders are the most common mental health issues diagnosed in the United States -- even more common than depression. Women are more likely than men to be diagnosed with anxiety, and it is extremely common for a person with anxiety to have another illness at the same time, such as depression, a physical illness, or substance abuse.

Treatment for anxiety usually involves medication and psychotherapy together. Medications used may include antidepressants (which also work for anxiety), anti-anxiety medications, or beta blockers (which can be used to control the physical symptoms of anxiety). Psychotherapy can be useful to teach patients new ways of thinking and reacting so that they can manage their feelings of worry and fear. Support groups can also be very effective for anxiety, and they can be a form of treatment themselves for social phobias. Stress management, relaxation techniques, and meditation all help reduce feelings of anxiety or of being out of control. Finally, having a strong support network of family and friends is an excellent way to help manage the difficulties of life with anxiety.

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.

Heart Problems

The heart is one of the most important organs in the body. This smooth muscle expands and contracts rhythmically an entire lifetime, pumping blood to the lungs and then to every other cell in the body. When heart problems occur, it becomes difficult for the body to get the nutrients and oxygen it needs via the blood. So while there are a variety of illnesses and disorders that affect the heart, most of them cause weakness, exhaustion and shortness of breath. The most common heart conditions include heart disease, angina, arrhythmia, and valve disorders.

Heart disease is the leading cause of death in the United States for both men and women. This includes coronary artery disease, heart attacks, congestive heart failure, and congenital heart disease. Some conditions, such as genetics, cannot be controlled. But there are many other things one can do to lower their risk for heart disease. Controlling high blood pressure and cholesterol levels, reducing or stopping smoking, exercising more and losing weight if needed, and eating a diet low in sodium can all protect the heart.

Angina is a squeezing type of chest pain that happens when the muscles around the heart don't get enough oxygen. It can be regular or infrequent. Usually, angina is caused by coronary heart disease. However, not all chest pain is angina. Chest pain can also be caused by a lung infection or panic attack, for example, so it is important to have any sudden pain checked.

Arrhythmia is the word for when the heart beats too fast, too slow, or irregularly with skipped beats. It can feel frightening, and depending on the type it can be dangerous, but in most cases arrhythmia is not serious and can be treated. It is very common, especially in older adults.

Heart valve problems can happen in any one of the the heart's four valves that keep blood flowing where it needs to go. Babies can be born with problems in their heart valves, or valves can be damaged by infections. The valves can stiffen and become less mobile, or they can stop closing properly and 'leak' when the heart beats. Valve problems can usually be repaired surgically.

cardiac procedures	120
catheterization	21
diagnostic procedures	21
doctor visit	99
hospital care	99
inpatient care	99
minimally invasive procedures	21
nuclear scan	24
stress testing	50
ultrasound (sonogram)	50
vascular procedures	21

**Gender**
Male	220
Female	201

**Ethnicity**
Non-Hispanic White	387
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	133
From 75 to 84	102
85 and over	96
Less than 65	90

Hypertension	75
High Cholesterol	68
Stroke	13
Ischemic Heart Disease	67
Depression	30
Chronic Kidney Disease	43
Asthma	11
Osteoperosis	8
Atrial Fibrilation	32
Heart Failure	47
Chronic Obstructive Pulmonary Disease	28
Diabetes	40
Dementia	13
Cancer	14

**Gender**
Male	496
Female	468

**Ethnicity**
Non-Hispanic White	860
Black	81
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	323
From 75 to 84	230
85 and over	161
Less than 65	250

Hypertension	75
High Cholesterol	65
Stroke	11
Ischemic Heart Disease	70
Depression	37
Chronic Kidney Disease	48
Asthma	13
Osteoperosis	11
Atrial Fibrilation	29
Heart Failure	45
Chronic Obstructive Pulmonary Disease	33
Diabetes	42
Dementia	16
Cancer	13

ambulatory monitoring	13
cardiac procedures	185
catheterization	9
diagnostic procedures	9
doctor visit	141
hospital care	108
inpatient care	108
minimally invasive procedures	9
nuclear scan	25
stress testing	63
ultrasound (sonogram)	100
vascular procedures	9

**Gender**
Male	1788
Female	1626

**Ethnicity**
Non-Hispanic White	2998
Black	308
Hispanic	32
Asian	0
Other	54
Native American	0

**Age**
From 65 to 74	1178
From 75 to 84	752
85 and over	484
Less than 65	1000

Hypertension	75
High Cholesterol	67
Stroke	15
Ischemic Heart Disease	68
Depression	40
Chronic Kidney Disease	54
Asthma	21
Osteoperosis	11
Atrial Fibrilation	31
Heart Failure	49
Chronic Obstructive Pulmonary Disease	33
Diabetes	45
Dementia	16
Cancer	12

cardiac procedures	146
doctor visit	183
hospital care	92
inpatient care	92
nuclear scan	29
stress testing	53
ultrasound (sonogram)	96

**Gender**
Male	688
Female	619

**Ethnicity**
Non-Hispanic White	1157
Black	115
Hispanic	0
Asian	0
Other	19
Native American	0

**Age**
From 65 to 74	485
From 75 to 84	277
85 and over	208
Less than 65	337

Hypertension	75
High Cholesterol	65
Stroke	15
Ischemic Heart Disease	69
Depression	38
Chronic Kidney Disease	55
Asthma	35
Osteoperosis	11
Atrial Fibrilation	30
Heart Failure	46
Chronic Obstructive Pulmonary Disease	34
Diabetes	43
Dementia	24
Cancer	14

cardiac procedures	178
catheterization	13
diagnostic procedures	13
doctor visit	175
hospital care	89
inpatient care	89
minimally invasive procedures	13
nuclear scan	30
stress testing	66
ultrasound (sonogram)	100
vascular procedures	13

**Gender**
Male	857
Female	787

**Ethnicity**
Non-Hispanic White	1463
Black	124
Hispanic	14
Asian	0
Other	31
Native American	0

**Age**
From 65 to 74	641
From 75 to 84	350
85 and over	226
Less than 65	427

Hypertension	75
High Cholesterol	62
Stroke	14
Ischemic Heart Disease	68
Depression	38
Chronic Kidney Disease	55
Asthma	13
Osteoperosis	11
Atrial Fibrilation	29
Heart Failure	45
Chronic Obstructive Pulmonary Disease	34
Diabetes	42
Dementia	21
Cancer	14

cardiac procedures	120
doctor visit	158
hospital care	117
inpatient care	117
nuclear scan	24
stress testing	50
ultrasound (sonogram)	73

**Gender**
Male	760
Female	666

**Ethnicity**
Non-Hispanic White	1287
Black	109
Hispanic	0
Asian	0
Other	17
Native American	0

**Age**
From 65 to 74	567
From 75 to 84	325
85 and over	195
Less than 65	339

Hypertension	75
High Cholesterol	69
Stroke	14
Ischemic Heart Disease	70
Depression	38
Chronic Kidney Disease	58
Asthma	11
Osteoperosis	12
Atrial Fibrilation	28
Heart Failure	47
Chronic Obstructive Pulmonary Disease	30
Diabetes	42
Dementia	21
Cancer	14

cardiac procedures	94
doctor visit	153
hospital care	141
inpatient care	141
nuclear scan	19
stress testing	40
ultrasound (sonogram)	57

**Gender**
Male	766
Female	694

**Ethnicity**
Non-Hispanic White	1302
Black	115
Hispanic	0
Asian	0
Other	25
Native American	0

**Age**
From 65 to 74	606
From 75 to 84	325
85 and over	193
Less than 65	336

Hypertension	75
High Cholesterol	70
Stroke	14
Ischemic Heart Disease	68
Depression	37
Chronic Kidney Disease	58
Asthma	11
Osteoperosis	11
Atrial Fibrilation	30
Heart Failure	46
Chronic Obstructive Pulmonary Disease	31
Diabetes	42
Dementia	21
Cancer	14

cardiac procedures	57
doctor visit	103
hospital care	177
inpatient care	177
ultrasound (sonogram)	63

**Gender**
Male	777
Female	652

**Ethnicity**
Non-Hispanic White	1241
Black	147
Hispanic	0
Asian	0
Other	24
Native American	0

**Age**
From 65 to 74	662
From 75 to 84	323
85 and over	146
Less than 65	298

Hypertension	75
High Cholesterol	69
Stroke	13
Ischemic Heart Disease	71
Depression	40
Chronic Kidney Disease	59
Asthma	12
Osteoperosis	10
Atrial Fibrilation	29
Heart Failure	45
Chronic Obstructive Pulmonary Disease	31
Diabetes	44
Dementia	22
Cancer	13

cardiac procedures	328
doctor visit	203
hospital care	236
inpatient care	236
ultrasound (sonogram)	334

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. John Pacella, MD for Medicare patients.

The highest averages for the top procedures that Dr. John Pacella, MD treated as an interventional cardiologist in Pittsburgh, PA were cardiac procedures, hospital care, inpatient care and ultrasound (sonogram).

ambulatory monitoring	12
cardiac procedures	161
catheterization	14
diagnostic procedures	14
doctor visit	152
hospital care	134
inpatient care	134
minimally invasive procedures	14
nuclear scan	26
stress testing	57
ultrasound (sonogram)	107
vascular procedures	14

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. John Pacella, MD.

**Gender**
Male	635
Female	571

**Ethnicity**
Black / African American	99
Asian / Pacific Islander	0
Non-Hispanic White	1069
Native American / Alaskan Native	0
Hispanic	4
Other	17

**Age**
75 to 84	268
85 and over	170
Less than 65	307
65 to 74	459

Average of Total of Conditions of Medicare patients treated by Dr. John Pacella, MD From 2013 - 2021

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

Hypertension	60
High Cholesterol	53
Stroke	10
Ischemic Heart Disease	55
Depression	29
Chronic Kidney Disease	43
Asthma	12
Osteoporosis	8
Heart Failure	37
Chronic Obstructive Pulmonary Disease	25
Diabetes	34
Atrial Fibrillation	23
Cancer	10
Dementia	15

Education & Training

Dr. John Pacella, MD graduated from University of Pittsburgh School of Medicine in 1998. He has a state license in Pennsylvania.

Medical School: University of Pittsburgh School of Medicine (1998)

Licensed In: Pennsylvania

Affiliations & Hospitals

Dr. John Pacella, MD is associated with these hospitals and organizations:

University of Pittsburgh Physicians

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General Payments

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

**Payments by Company**
Janssen Pharmaceuticals, Inc	$640 XARELTO $640
BIOTRONIK INC.	$518 Bradycardia products $419	BioMonitor 2 $40	Astron $19	$40
AstraZeneca Pharmaceuticals LP	$429 BRILINTA $398	FARXIGA $31
Amgen Inc.	$405 Repatha $275	Corlanor $117	$12
Abbott Laboratories	$255 Vascular $103	Supera peripheral stent system $61	Xience Alpine cornary stent system $36	Emboshield NAV6 system $32	MitraClip $24
Other	$1,592 PRALUENT $244	ENTRESTO $199	ELIQUIS $177	Watchman Device $125	EKOSONIC $114	Other $734

**Types of Payments**
Food and Beverage	$3,682
Education	$157

Research Payments

Dr. John Pacella, MD has received 1 research payments totaling $14,129.

Biography

Dr. John Pacella is a specialist in adult cardiology and interventional cardiology. Dr. Pacella attended medical school at the University of Pittsburgh School of Medicine. He is professionally affiliated with the University of Pittsburgh Physicians.