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Dr. Tzy-Shiuan Tzyshiuan Kuo, MD

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(Dr. Bruce Tzyshiuan Kuo, M.D.)

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Specializes in: Interventional Cardiology and Adult Cardiology

University of the East, Ramon Magsaysay Memorial Medical Center

Professional interests include: endovenous ablation, heart valve disease, syncope (fainting), and more.

3011 West Loop 1604 North Suite 102
San Antonio, TX 78251

(210) 681-6176

Dr. Tzy-Shiuan Tzyshiuan Kuo, MD is an interventional cardiologist in San Antonio, TX specializing in interventional cardiology and adult cardiology. He graduated from University of the East, Ramon Magsaysay Memorial Medical Center. Dr. Tzy-Shiuan Tzyshiuan Kuo, MD is affiliated with Baptist Medical Network, CHRISTUS Health, Baptist Health System, Baptist Hospital, St. Luke's Hospital and BHS PHYSICIANS NETWORK INC.

Office Locations

Address:

3011 West Loop 1604 North Suite 102
San Antonio, TX 78251

Address:

12340 Bandera Road Suite 104
Helotes, TX 78023

Some issues Dr. Tzy-Shiuan Tzyshiuan Kuo, MD 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.

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.

Implantable Cardioverter-Defibrillator (ICD) Insertion

An implantable cardioverter defibrillator (ICD) is a cardiac device that can not only treat irregular heartbeats but also restart the heart if needed. A standard pacemaker monitors the beating of the heart, and can treat an irregular rhythm with regular, low-energy electrical impulses that cause the heart to contract on time. An ICD performs this function, but also monitors for cardiac arrest, when the heart suddenly stops beating. If this happens, the ICD can deliver a single, high-energy dose of electricity to shock the heart and get it beating again. After delivering a defibrillating shock, the ICD makes sure the heart continues to work correctly.

Placement of an ICD is similar to the placement of a standard pacemaker. An incision is made near the shoulder, and two insulated wires or leads are threaded through a vein and placed in the heart. The battery pack, a small metal device, is inserted beneath the skin of the chest just under the collarbone. Once everything is in place, the wires are connected to the battery, and the ICD is functional.

Patients may have swelling and discomfort after surgery as their incisions heal.The heart needs several weeks to adjust to the ICD, so it is best for them to avoid strenuous activity at first. Strong magnetic fields may affect the function of the ICD, so doctors tell patients to avoid certain activities, such as having an MRI or even keeping their cell phones too close to their ICD. Within a few weeks patients' hearts should be beating more safely and effectively.

cardiac procedures	18
doctor visit	43
ultrasound (sonogram)	24

**Gender**
Male	36
Female	39

**Ethnicity**
Non-Hispanic White	59
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	25
From 75 to 84	25
85 and over	11
Less than 65	14

Hypertension	75
High Cholesterol	75
Stroke	0
Ischemic Heart Disease	65
Depression	23
Chronic Kidney Disease	32
Asthma	0
Osteoperosis	0
Atrial Fibrilation	15
Heart Failure	25
Chronic Obstructive Pulmonary Disease	25
Diabetes	33
Dementia	19
Cancer	15

angioplasty	48
cardiac procedures	337
catheterization	139
diagnostic procedures	55
doctor visit	366
emergency care	12
hospital care	201
inpatient care	201
lab tests	87
minimally invasive procedures	135
nuclear scan	52
stent placement (stenting)	24
stress testing	50
ultrasound (sonogram)	146
vascular procedures	49

**Gender**
Male	155
Female	173

**Ethnicity**
Non-Hispanic White	265
Black	52
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	127
From 75 to 84	99
85 and over	44
Less than 65	58

Hypertension	75
High Cholesterol	70
Stroke	9
Ischemic Heart Disease	67
Depression	32
Chronic Kidney Disease	38
Asthma	7
Osteoperosis	8
Atrial Fibrilation	26
Heart Failure	37
Chronic Obstructive Pulmonary Disease	33
Diabetes	42
Dementia	18
Cancer	11

angioplasty	22
cardiac procedures	193
catheterization	59
diagnostic procedures	27
doctor visit	257
hospital care	194
inpatient care	194
lab tests	67
minimally invasive procedures	55
nuclear scan	36
stent placement (stenting)	11
stress testing	45
ultrasound (sonogram)	87
vascular procedures	21

**Gender**
Male	276
Female	282

**Ethnicity**
Non-Hispanic White	408
Black	70
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	202
From 75 to 84	202
85 and over	60
Less than 65	94

Hypertension	75
High Cholesterol	75
Stroke	13
Ischemic Heart Disease	69
Depression	28
Chronic Kidney Disease	44
Asthma	23
Osteoperosis	8
Atrial Fibrilation	24
Heart Failure	39
Chronic Obstructive Pulmonary Disease	33
Diabetes	49
Dementia	16
Cancer	11

angioplasty	68
cardiac procedures	926
catheterization	151
diagnostic procedures	50
doctor visit	473
hospital care	949
inpatient care	949
minimally invasive procedures	162
nuclear scan	191
stent placement (stenting)	34
stress testing	315
ultrasound (sonogram)	497
vascular procedures	83

**Gender**
Male	255
Female	333

**Ethnicity**
Non-Hispanic White	303
Black	52
Hispanic	220
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	195
From 75 to 84	179
85 and over	103
Less than 65	111

Hypertension	75
High Cholesterol	75
Stroke	17
Ischemic Heart Disease	68
Depression	31
Chronic Kidney Disease	64
Asthma	31
Osteoperosis	9
Atrial Fibrilation	21
Heart Failure	48
Chronic Obstructive Pulmonary Disease	29
Diabetes	57
Dementia	27
Cancer	12

ambulatory monitoring	23
angioplasty	76
cardiac procedures	1178
catheterization	168
diagnostic procedures	55
doctor visit	775
hospital care	1308
inpatient care	1308
minimally invasive procedures	184
nuclear scan	242
stent placement (stenting)	38
stress testing	411
ultrasound (sonogram)	597
vascular procedures	73

**Gender**
Male	356
Female	458

**Ethnicity**
Non-Hispanic White	415
Black	79
Hispanic	300
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	269
From 75 to 84	289
85 and over	127
Less than 65	129

Hypertension	75
High Cholesterol	75
Stroke	16
Ischemic Heart Disease	66
Depression	32
Chronic Kidney Disease	67
Asthma	14
Osteoperosis	9
Atrial Fibrilation	24
Heart Failure	50
Chronic Obstructive Pulmonary Disease	31
Diabetes	58
Dementia	29
Cancer	10

ambulatory monitoring	26
angioplasty	116
cardiac procedures	1281
catheterization	239
diagnostic procedures	66
doctor visit	876
hospital care	1575
implant surgery	15
inpatient care	1575
minimally invasive procedures	251
nuclear scan	294
nursing home care	69
stent placement (stenting)	58
stress testing	456
ultrasound (sonogram)	586
vascular procedures	122

**Gender**
Male	430
Female	502

**Ethnicity**
Non-Hispanic White	441
Black	94
Hispanic	376
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	308
From 75 to 84	319
85 and over	154
Less than 65	151

Hypertension	75
High Cholesterol	75
Stroke	16
Ischemic Heart Disease	68
Depression	36
Chronic Kidney Disease	67
Asthma	11
Osteoperosis	10
Atrial Fibrilation	23
Heart Failure	53
Chronic Obstructive Pulmonary Disease	28
Diabetes	58
Dementia	28
Cancer	12

ablation	20
ambulatory monitoring	50
angioplasty	74
cardiac procedures	1401
catheterization	178
diagnostic procedures	68
doctor visit	1041
hospital care	2026
implant surgery	13
inpatient care	2026
minimally invasive procedures	222
nuclear scan	327
stent placement (stenting)	37
stress testing	525
ultrasound (sonogram)	745
vascular procedures	187

**Gender**
Male	472
Female	588

**Ethnicity**
Non-Hispanic White	550
Black	105
Hispanic	381
Asian	13
Other	11
Native American	0

**Age**
From 65 to 74	334
From 75 to 84	370
85 and over	207
Less than 65	149

Hypertension	75
High Cholesterol	75
Stroke	15
Ischemic Heart Disease	70
Depression	36
Chronic Kidney Disease	67
Asthma	13
Osteoperosis	11
Atrial Fibrilation	27
Heart Failure	56
Chronic Obstructive Pulmonary Disease	27
Diabetes	60
Dementia	30
Cancer	13

ablation	32
angioplasty	94
cardiac procedures	862
catheterization	218
diagnostic procedures	78
doctor visit	1241
hospital care	1982
inpatient care	1982
minimally invasive procedures	248
nuclear scan	123
stent placement (stenting)	47
stress testing	187
ultrasound (sonogram)	552
vascular procedures	186

**Gender**
Male	454
Female	513

**Ethnicity**
Non-Hispanic White	519
Black	84
Hispanic	336
Asian	14
Other	0
Native American	0

**Age**
From 65 to 74	319
From 75 to 84	321
85 and over	197
Less than 65	130

Hypertension	75
High Cholesterol	75
Stroke	13
Ischemic Heart Disease	72
Depression	33
Chronic Kidney Disease	69
Asthma	10
Osteoperosis	11
Atrial Fibrilation	27
Heart Failure	57
Chronic Obstructive Pulmonary Disease	24
Diabetes	57
Dementia	31
Cancer	11

ambulatory monitoring	17
angioplasty	136
cardiac procedures	1384
catheterization	311
diagnostic procedures	108
doctor visit	1973
hospital care	1800
inpatient care	1800
minimally invasive procedures	307
nuclear scan	193
stent placement (stenting)	68
stress testing	303
ultrasound (sonogram)	830
vascular procedures	182

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Tzy-Shiuan Tzyshiuan Kuo, MD for Medicare patients.

The highest averages for the top procedures that Dr. Tzy-Shiuan Tzyshiuan Kuo, MD treated as an interventional cardiologist in San Antonio, TX were inpatient care, hospital care, cardiac procedures and ultrasound (sonogram).

ablation	26
ambulatory monitoring	29
angioplasty	79
cardiac procedures	846
catheterization	183
diagnostic procedures	63
doctor visit	784
emergency care	12
hospital care	1254
implant surgery	14
inpatient care	1254
lab tests	77
minimally invasive procedures	199
nuclear scan	182
nursing home care	69
stent placement (stenting)	39
stress testing	286
ultrasound (sonogram)	454
vascular procedures	116

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Tzy-Shiuan Tzyshiuan Kuo, MD.

**Gender**
Female	288
Male	243

**Ethnicity**
Black / African American	53
Asian / Pacific Islander	2
Non-Hispanic White	296
Native American / Alaskan Native	0
Hispanic	161
Other	1

**Age**
85 and over	90
75 to 84	180
Less than 65	83
65 to 74	177

Average of Total of Conditions of Medicare patients treated by Dr. Tzy-Shiuan Tzyshiuan Kuo, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Tzy-Shiuan Tzyshiuan Kuo, MD treated were high cholesterol, hypertension, ischemic heart disease and chronic kidney disease.

Hypertension	60
High Cholesterol	59
Stroke	9
Ischemic Heart Disease	54
Depression	25
Chronic Kidney Disease	44
Asthma	10
Osteoporosis	6
Heart Failure	36
Chronic Obstructive Pulmonary Disease	23
Diabetes	41
Atrial Fibrillation	18
Dementia	19
Cancer	9

Education & Training

Dr. Tzy-Shiuan Tzyshiuan Kuo, MD graduated from University of the East, Ramon Magsaysay Memorial Medical Center. He has a state license in Texas.

Medical School: University of the East, Ramon Magsaysay Memorial Medical Center

Licensed In: Texas

Affiliations & Hospitals

Dr. Tzy-Shiuan Tzyshiuan Kuo, MD is associated with these hospitals and organizations:

Baptist Medical Network

CHRISTUS Health

Baptist Health System

Baptist Hospital

St. Luke's Hospital

BHS PHYSICIANS NETWORK INC

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Tzy-Shiuan Tzyshiuan Kuo, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Boston Scientific Corporation	$5,158 AngioJet Ultra 5000A $1,587	VersaCross Access Solution $871	Angiojet $849	SQ-RX PULSE GENERATOR $814	GENERAL VASCULAR ACCESS $748	Other $289
Medtronic Vascular, Inc.	$3,494 CVI $2,509	IN.PACT Admiral $733	ClosureFast $96	CareLink $45	STENTS $31	Other $80
Abbott Laboratories	$2,760 OPTIS $1,545	CardioMEMS HF System $381	Cardiovascular- Research only $233	DRAGONFLY OPSTAR $149	PressureWire $133	Other $320
Penumbra, Inc.	$2,717 Indigo System $2,379	POD $148	Penumbra System $123	Ruby Coil $36	Indigo $32
Cardiovascular Systems Inc.	$1,938 Atherectomy Device $1,899	Diamondback Peripheral $39
Other	$12,438 EKOSONIC $1,913	Impella $1,652	CVX-300CVX-300P $1,314	IVUS Systems $994	CT THROMBECTOMY SYSTEM KIT $791	Other $5,775

**Types of Payments**
Travel and Lodging	$15,653
Food and Beverage	$12,616
Education	$237

Biography

Dr. Bruce Kuo's specialties are adult cardiology and interventional cardiology. He practices in San Antonio, TX and Helotes, TX. Areas of expertise for Dr. Kuo include heart failure, heart valve disease, and implantable cardioverter-defibrillator (ICD) insertion. He is a graduate of the University of the East, Ramon Magsaysay Memorial Medical Center. Dr. Kuo is conversant in Mandarin. Dr. Kuo is affiliated with Baptist Medical Network, St. Luke's Hospital, and CHRISTUS Health. He has an open panel in San Antonio, TX according to Doctor.com.

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Dr. Tzy-Shiuan Tzyshiuan Kuo, MD

Office Locations

Some issues Dr. Tzy-Shiuan Tzyshiuan Kuo, MD can help you with:

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Tzy-Shiuan Tzyshiuan Kuo, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Tzy-Shiuan Tzyshiuan Kuo, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Tzy-Shiuan Tzyshiuan Kuo, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Tzy-Shiuan Tzyshiuan Kuo, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Tzy-Shiuan Tzyshiuan Kuo, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Tzy-Shiuan Tzyshiuan Kuo, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Tzy-Shiuan Tzyshiuan Kuo, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Tzy-Shiuan Tzyshiuan Kuo, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Tzy-Shiuan Tzyshiuan Kuo, MD From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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