A second opinion, from a Cedars-Sinai-affiliated cardiologist.

Why patients seek a second opinion

Cardiology decisions are rarely simple, and they are rarely made with too much time. A recommendation for a stent, an ablation, a valve procedure, or a new long-term medication is significant, and it deserves the kind of careful, unhurried review that a busy first visit does not always allow. A second opinion is not about second-guessing prior care — it is about making sure the diagnosis, the evidence behind it, and the range of reasonable options are fully understood before a decision is made.

What a second opinion with Dr. Yashar involves

Dr. Payam R. Yashar, M.D., F.A.C.C., is a board-certified cardiologist and electrophysiologist on the medical staff of the Department of Cardiology at the Smidt Heart Institute, Cedars-Sinai Medical Center, with more than two decades of cardiovascular practice. A second-opinion consultation includes a thorough review of prior records, imaging, and test results; a complete conversation about your history, symptoms, and goals; and a clear, direct explanation of the diagnosis and the reasonable paths forward — including, when appropriate, confirmation that the original recommendation is the right one.

Common reasons for a second opinion

Patients most often seek a second opinion before an invasive procedure such as a stent, ablation, or valve intervention; when a diagnosis is uncertain or borderline; when imaging or test results are difficult to interpret or conflicting; when a major new medication is being recommended for long-term use; or simply when a prior visit did not allow enough time to ask questions and feel confident in the plan.

Continuity if further care is needed

Because Dr. Yashar is affiliated with Cedars-Sinai Medical Center, a second opinion here can also provide continuity if further testing, a procedure, or hospital-based care becomes appropriate — all coordinated by the same physician who reviewed your case from the start. Learn more about his clinical background and areas of focus, or about the concierge model that allows for this level of time and attention.

Frequently asked questions

When should I get a cardiology second opinion?
A second opinion is often worthwhile before an invasive procedure such as a stent, ablation, or valve intervention; when a diagnosis is uncertain or based on borderline findings; when a major long-term medication is being recommended; or simply when you want more time and explanation than a prior visit allowed.

Will a second opinion delay my treatment?
Not for true emergencies, which should always be treated first. For non-emergent decisions, most second opinions can be arranged within days, and taking that time rarely changes urgent outcomes while it can meaningfully change confidence in the plan.

Do I need to bring my records?
Prior records, imaging, and test results are very helpful and allow the second opinion to build directly on what has already been done rather than repeating it. Bringing what you have — reports, discs, or portal access — is recommended, though a full history can still be taken if records are incomplete.

Is a second opinion an insult to my current doctor?
No. Seeking a second opinion for a significant cardiac decision is a routine, expected part of good medical care, and most physicians welcome a well-informed, well-documented second opinion as a normal part of the process.

Does Dr. Yashar work with Cedars-Sinai for further care if needed?
Yes. Dr. Yashar is on the medical staff of the Department of Cardiology at the Smidt Heart Institute, Cedars-Sinai Medical Center, which allows for continuity if further testing, procedures, or hospital-based care become appropriate.

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