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Dr. Vincent Elazegui Gacad, FACC, MD

Accepting New Patients

(Dr. Vincent Gacad, M.D.)

(16 Ratings)

Specializes in: Adult Cardiology

Wayne State University School of Medicine (2015)

Professional interests include: high cholesterol (hyperlipidemia), hypertension (high blood pressure), stent placement (stenting), and more.

709 N. Justice Street Suite A
Hendersonville, NC 28791

(828) 697-7377

Dr. Vincent Elazegui Gacad, FACC, MD is a cardiologist in Hendersonville, NC specializing in adult cardiology. He graduated from Wayne State University School of Medicine in 2015 and has 10 years of experience. Dr. Vincent Elazegui Gacad, FACC, MD is affiliated with UNC Health, HENDERSON COUNTY HOSPITAL CORPORATION and UNC Health Pardee.

Office Locations

UNC Health Pardee

709 N. Justice Street Suite A
Hendersonville, NC 28791

(828) 697-7377

(828) 697-7380

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Some issues Dr. Vincent Elazegui Gacad, FACC, MD can help you with:

Cardiac Catheterization

Cardiac catheterization is a procedure done to check on the health of the heart. A tiny, flexible tube called a catheter is inserted into a blood vessel through a very small opening, usually in the groin, and threaded through the blood vessel up to the heart. Once the catheter is in place, it can diagnose problems in the heart and perform certain corrective procedures.

A coronary catheter can be used to:

Take blood samples
Inject dye for an angiogram
Check for valve defects
Measure oxygen and pressure levels within the heart chambers
Take a biopsy
Perform a percutaneous coronary intervention, or procedure to clear blocked arteries
Widen narrowed valve openings

Because all of this can be accomplished without the need for open surgery, cardiac catheterization has become a popular option.

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

“Dr. Vincent Gacad has joined Pardee Cardiology Associates.”—"Impact Health hires executive director", Mountain Xpress, October 2022

Noteworthy Medicare Patient Procedures Performed by Dr. Vincent Elazegui Gacad, FACC, MD in 2023

Click on any procedure below to see further details on volume and pricing among Medicare patients.

Top 5%

By Affordability:

angiogram

cardioversion

color Doppler echocardiography

coronary angiogram

diagnostic cardiac catheterization

Doppler echocardiography

echocardiogram

elective cardioversion

elective external cardioversion

electrocardiogram

external cardioversion

left heart catheterization

myocardial perfusion SPECT

nuclear scan

nuclear stress test

spectral Doppler echocardiography

SPECT scan

stress EKG

transthoracic echocardiography

In 2023, Dr. Vincent Elazegui Gacad, FACC, MD had a list price for angiogram (angiography), cardioversion, color Doppler echocardiography, coronary angiogram, diagnostic cardiac catheterization, Doppler echocardiography, echocardiogram (echo), elective cardioversion, elective external cardioversion, electrocardiogram (EKG), external cardioversion, left heart catheterization, myocardial perfusion SPECT, nuclear scan, nuclear stress test (myocardial perfusion imaging), spectral Doppler echocardiography, SPECT scan, stress EKG, and transthoracic echocardiography (TTE) that was lower than the list prices billed to Medicare by 95% of providers in related specialties within North Carolina. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 10%

By Affordability:

cardiac stress testing

In 2023, Dr. Vincent Elazegui Gacad, FACC, MD had a list price for cardiac (heart) stress testing, emergency PCI (non-surgical intervention for heart attack), emergency room (ER) care, stress echo, and stress testing that was lower than the list prices billed to Medicare by 90% of providers in related specialties within North Carolina. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Top 25%

By Volume:

cardiac catheterization

emergency care

By Affordability:

hospital care

inpatient care

inpatient hospital care

In 2013, among providers in related specialties within North Carolina, Dr. Vincent Elazegui Gacad, FACC, MD performed more cardiac catheterization, and emergency care procedures for Medicare patients than 75% of them and he also had a list price for hospital care, inpatient care, and inpatient hospital care (for patient admitted to hospital) that was lower than the list prices billed to Medicare by 75% of them. Actual amounts paid by patients can vary widely depending on a number of factors, including insurance coverage. A lower list price, however, might mean lower fees when paying without insurance.

Medicare Procedure and Patient Information

2022 Medicare Procedure Volume

The top procedures that Dr. Vincent Elazegui Gacad, FACC, MD treated as a cardiologist in Hendersonville, NC during 2022 were cardiac procedures, ultrasound (sonogram), stress testing and hospital care.

Volume of procedures performed by Dr. Vincent Elazegui Gacad, FACC, MD for Medicare patients.

cardiac procedures	102
catheterization	14
diagnostic procedures	14
doctor visit	72
hospital care	22
inpatient care	22
minimally invasive procedures	14
nuclear scan	13
stress testing	37
ultrasound (sonogram)	51
vascular procedures	14

2022 Medicare Patient Data

Information about Medicare patients treated by Dr. Vincent Elazegui Gacad, FACC, MD.

**Gender**
Male	199
Female	220

**Ethnicity**
Non-Hispanic White	395
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	147
From 75 to 84	163
85 and over	81
Less than 65	28

Conditions of Medicare patients treated by Dr. Vincent Elazegui Gacad, FACC, MD in 2022

The most common conditions of Medicare patients that Dr. Vincent Elazegui Gacad, FACC, MD treated during 2022 were high cholesterol, hypertension, ischemic heart disease and atrial fibrilation.

Hypertension	75
High Cholesterol	75
Stroke	14
Ischemic Heart Disease	42
Depression	29
Chronic Kidney Disease	30
Asthma	9
Osteoperosis	16
Atrial Fibrilation	36
Heart Failure	30
Chronic Obstructive Pulmonary Disease	20
Diabetes	25
Dementia	17
Cancer	19

Medicare Procedure and Patient Information

2023 Medicare Procedure Volume

The top procedures that Dr. Vincent Elazegui Gacad, FACC, MD treated as a cardiologist in Hendersonville, NC during 2023 were cardiac procedures, ultrasound (sonogram), inpatient care and hospital care.

Volume of procedures performed by Dr. Vincent Elazegui Gacad, FACC, MD for Medicare patients.

angioplasty	60
cardiac procedures	459
cardioversion	13
catheterization	158
diagnostic procedures	57
doctor visit	489
emergency care	24
hospital care	185
inpatient care	185
minimally invasive procedures	158
nuclear scan	47
stent placement (stenting)	30
stress testing	89
ultrasound (sonogram)	210
vascular procedures	73

2023 Medicare Patient Data

Information about Medicare patients treated by Dr. Vincent Elazegui Gacad, FACC, MD.

**Gender**
Male	981
Female	1012

**Ethnicity**
Non-Hispanic White	1877
Black	33
Hispanic	0
Asian	0
Other	50
Native American	0

**Age**
From 65 to 74	705
From 75 to 84	779
85 and over	402
Less than 65	107

Conditions of Medicare patients treated by Dr. Vincent Elazegui Gacad, FACC, MD in 2023

The most common conditions of Medicare patients that Dr. Vincent Elazegui Gacad, FACC, MD treated during 2023 were high cholesterol, hypertension, ischemic heart disease and atrial fibrilation.

Hypertension	75
High Cholesterol	75
Stroke	15
Ischemic Heart Disease	43
Depression	28
Chronic Kidney Disease	28
Asthma	11
Osteoperosis	15
Atrial Fibrilation	36
Heart Failure	29
Chronic Obstructive Pulmonary Disease	23
Diabetes	29
Dementia	16
Cancer	17

Medicare Procedure and Patient Information

Average Medicare Procedure Volume From 2022 - 2023

Volume of procedures performed by Dr. Vincent Elazegui Gacad, FACC, MD for Medicare patients.

The highest averages for the top procedures that Dr. Vincent Elazegui Gacad, FACC, MD treated as a cardiologist in Hendersonville, NC were cardiac procedures, ultrasound (sonogram), inpatient care and hospital care.

angioplasty	60
cardiac procedures	280
cardioversion	13
catheterization	86
diagnostic procedures	35
doctor visit	280
emergency care	24
hospital care	103
inpatient care	103
minimally invasive procedures	86
nuclear scan	30
stent placement (stenting)	30
stress testing	63
ultrasound (sonogram)	130
vascular procedures	43

Average Medicare Patient Data From 2022 - 2023

Information about Medicare patients treated by Dr. Vincent Elazegui Gacad, FACC, MD.

**Gender**
Female	616
Male	590

**Ethnicity**
Black / African American	16
Asian / Pacific Islander	0
Non-Hispanic White	1136
Hispanic	0
Native American / Alaskan Native	0
Other	25

**Age**
85 and over	241
75 to 84	471
Less than 65	67
65 to 74	426

Average of Total of Conditions of Medicare patients treated by Dr. Vincent Elazegui Gacad, FACC, MD From 2022 - 2023

The highest averages of the most common conditions of Medicare patients that Dr. Vincent Elazegui Gacad, FACC, MD treated were high cholesterol, hypertension, ischemic heart disease and atrial fibrilation.

Hypertension	75
High Cholesterol	75
Stroke	14
Ischemic Heart Disease	42
Depression	28
Chronic Kidney Disease	29
Asthma	10
Osteoporosis	15
Heart Failure	29
Chronic Obstructive Pulmonary Disease	21
Diabetes	27
Atrial Fibrillation	36
Cancer	18
Dementia	16

Education & Training

Dr. Vincent Elazegui Gacad, FACC, MD graduated from Wayne State University School of Medicine in 2015. He is certified by the Cardiology, Board Certified and has a state license in North Carolina.

Medical School: Wayne State University School of Medicine (2015)

Board Certification: Cardiology, Board Certified

Licensed In: North Carolina

Affiliations & Hospitals

Dr. Vincent Elazegui Gacad, FACC, MD is associated with these hospitals and organizations:

UNC Health

HENDERSON COUNTY HOSPITAL CORPORATION

UNC Health Pardee

Ratings & Reviews

Dr. Vincent Elazegui Gacad, FACC, MD has an exceptional overall rating with an average of 4.88 out of 5 stars based on 16 ratings. We collect ratings and reviews of Dr. Vincent Elazegui Gacad, FACC, MD from all over the web to help you find the right in Hendersonville, NC.

4.88

Overall Rating

(16 Ratings)

Leave a Review

General Payments

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

**Payments by Company**
Abbott Laboratories	$4,444 Ultreon $1,884	OPTIS $1,707	CardioMEMS HF System $241	Ensite Cardiac Mapping System $215	Hi-Torque Balance guide wires $163	Other $235
ABIOMED	$988 Impella $988
Medtronic, Inc.	$280 Resolute $280
United Therapeutics Corporation	$133 REMODULIN $120	TYVASO $14
Boehringer Ingelheim Pharmaceuticals, Inc.	$125 JARDIANCE $125
Other	$554 XARELTO $125	LifeVest $119	Definity $117	Lexiscan $40	FLOWTRIEVER CATHETER, S $30	Other $124

**Types of Payments**
Travel and Lodging	$3,461
Food and Beverage	$2,570
Education	$494

Biography

Dr. Vincent Gacad is a specialist in adult cardiology. His areas of expertise include stent placement (stenting), heart failure, and hypertension (high blood pressure). He is rated highly by his patients. Dr. Gacad attended medical school at Wayne State University School of Medicine. He is professionally affiliated with UNC Health. According to UNC Health, new patients are welcome to contact Dr. Gacad's office in Hendersonville, NC.