Faculty Biography

M. Silvana Horenstein, M.D.

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Education:

M.D., National University of Cuyo, Mendoza, Argentina

Residency, Pediatrics, Beth Israel Medical Center, Albert EinsteinSchool of Medicine, New York

Fellowship, Pediatric Cardiology: Children's Hospital of Michigan, Wayne State University, Detroit, Michigan

Fellowship, Electrophysiology: Duke University Medical Center, North Carolina

Certifications:

Diplomate, American Board of Pediatrics, 1999

Honors and Awards:

1. ACC/Bristol-Myers Squibb Affiliate Travel Award. American College of Cardiology 51st Annual Scientific Session, 2002
2. Cardiology Education Travel Grant for Young Investigator ( American Academy of Pediatrics) “Pacemaker Syndrome in the Young: Do Young Children Need Dual-Chamber Pacing Initially?”, 2001
3. “How to Become a Cardiovascular Investigator” Education Grant for Cardiovascular Fellows (American College of Cardiology), 2001

Clinical and Research Interests:

1. Arrhythmias and Chest Pain:
   -Diagnosis of arrhythmias: thorough electrocardiography evaluation, Holter monitoring, exercise testing, event monitors, echocardiographic and non-invasive hemodynamic evaluation of arrhythmias, transesophageal electrophysiology testing
2. Pacemaker evaluation: 
   - Non-invasive evaluation of patients with pacemakers targeting optimal pacing parameters according to the individual’s physiologic and hemodynamic needs
3. Fetal echocardiography:
   - Diagnosis of fetal cardiac abnormalities, assessment of fetal hemodynamic status via Doppler studies
4. Syncope:
   -Tilt table test with non-invasive assessment of beat to beat heart rate variability and blood pressure changes
5. Fetal rhythm disturbances :
   - Diagnosis and treatment of fetal arrhythmias
   

Publications (selected):

• Efficacy of signal-averaged electrocardiography in the young orthotopic heart transplant patient to detect allograft rejection. Horenstein MS, Idriss SF, Hamilton RM, Kanter RJ, Webster PA Jr, Karpawich PP. Pediatr Cardiol. 2006 Sep-Oct;27(5):589-93.PMID: 16897316 [PubMed - indexed for MEDLINE]Related articles
• Transthoracic echocardiography for precardioversion screening during atrial flutter/fibrillation in young patients. Horenstein MS, Karpawich PP, Epstein ML, Singh TP. Clin Cardiol. 2004 Jul;27(7):413-6.PMID: 15298044 [PubMed - indexed for MEDLINE]Related articles
• Pacemaker syndrome in the young: do children need dual chamber as the initial pacing mode? Horenstein MS, Karpawich PP. Pacing Clin Electrophysiol. 2004 May;27(5):600-5.PMID: 15125715 [PubMed - indexed for MEDLINE]Related articles
• Chronic performance of steroid-eluting epicardial leads in a growing pediatric population: a 10-year comparison. Horenstein MS, Hakimi M, Walters H 3rd, Karpawich PP. Pacing Clin Electrophysiol. 2003 Jul;26(7 Pt 1):1467-71.PMID: 12914623 [PubMed - indexed for MEDLINE]Related articles
• Single versus dual chamber pacing in the young: noninvasive comparative evaluation of cardiac function. Horenstein MS, Karpawich PP, Tantengco MV. Pacing Clin Electrophysiol. 2003 May;26(5):1208-11.PMID: 12765448 [PubMed - indexed for MEDLINE]Related articles
• Reversible symptomatic dilated cardiomyopathy in older children and young adolescents due to primary non-sinus supraventricular tachyarrhythmias. Horenstein MS, Saarel E, Dick M, Karpawich PP. Pediatr Cardiol. 2003 May-Jun;24(3):274-9. Epub 2003 Jan 28.PMID: 12545317 [PubMed - indexed for MEDLINE]Related articles
• Loffler's endocarditis presenting in 2 children as fever with eosinophilia. Horenstein MS, Humes R, Epstein ML, Draper D. Pediatrics. 2002 Nov;110(5):1014-8.PMID: 12415045 [PubMed - indexed for MEDLINE]Related articlesFree article
• Carvedilol reverses elevated pulmonary vascular resistance in a child with dilated cardiomyopathy. Horenstein MS, Ross RD, Singh TP, Epstein ML. Pediatr Cardiol. 2002 Jan-Feb;23(1):100-2. Epub 2002 Feb 19.PMID: 11922497 [PubMed - indexed for MEDLINE]Related articles
• Anthracycline-induced cardiac injury using a cardiac cell line: potential for gene therapy studies. L'Ecuyer T, Horenstein MS, Thomas R, Vander Heide R. Mol Genet Metab. 2001 Nov;74(3):370-9.PMID: 11708868 [PubMed - indexed for MEDLINE]Related articles
• Molecular basis of anthracycline-induced cardiotoxicity and its prevention. Horenstein MS, Vander Heide RS, L'Ecuyer TJ. Mol Genet Metab. 2000 Sep-Oct;71(1-2):436-44. Review.PMID: 11001837 [PubMed - indexed for MEDLINE]Related articles
• Balloon pericardiotomy for recurrent pericardial effusions following fontan revision. Forbes TJ, Horenstein SM, Vincent JA. Pediatr Cardiol. 2001 Nov-Dec;22(6):527-9. Epub 2001 Dec 4.PMID: 11894163 [PubMed - indexed for MEDLINE]
•   Mitral Stenosis, Acquired (Pediatrics: Cardiac Disease and Critical Care Medicine) Acquired mitral stenosis (MS), M Silvana Horenstein, MD,
• Mitral Stenosis, Congenital (Pediatrics: Cardiac Disease and Critical Care Medicine)...emedicine.medscape.comMitral Stenosis, CongenitalM Silvana Horenstein, MD,
• Atrial Flutter (Pediatrics: Cardiac Disease and Critical Care Medicine)...emedicine.medscape.comAtrial Flutter M Silvana Horenstein, MD,
• Pacemaker Therapy (Pediatrics: Cardiac Disease and Critical Care Medicine) M Silvana Horenstein, MD,
• Cardiomyopathy, Dilated (Pediatrics: Cardiac Disease and Critical Care Medicine) M Silvana Horenstein, MD,
• Sinus Node Dysfunction (Pediatrics: Cardiac Disease and Critical Care Medicine)...emedicine.medscape.comSinus Node DysfunctionM Silvana Horenstein, MD,
• Supraventricular Tachycardia, Wolff-Parkinson-White Syndrome (Pediatrics: Cardiac Disease and Critical Care Medicine)Tachycardia, Wolff-Parkinson-White SyndromeM Silvana Horenstein, MD,
• Atrioventricular Block, Third Degree, Acquired (Pediatrics: Cardiac Disease and Critical Care Medicine)Block, Third Degree, AcquiredM Silvana Horenstein, MD,
• Syncope (Pediatrics: Cardiac Disease and Critical Care Medicine)...emedicine.medscape.comSyncopeM Silvana Horenstein, MD,
•   Atrioventricular Block, Second Degree (Pediatrics: Cardiac Disease and Critical Care Medicine)...emedicine.medscape.comAtrioventricular Block, Second DegreeM Silvana Horenstein, MD,
•   Cor Triatriatum (Pediatrics: Cardiac Disease and Critical Care Medicine)...emedicine.medscape.comCor TriatriatumM Silvana Horenstein, MD,

Location & Contact

6431 Fannin Street
MSB 3.020
Houston, Texas 77030
713-500-5757 (Voice)

Faculty Biography

• Dr. M. Silvana Horenstein
  Staff Physician
• Department of Pediatrics
  Division of Cardiology
• University of Texas-Houston Medical School
  6410 Fannin Street, UPB 425
  Houston, Texas 77030
• phone: (713) 500-5738
  fax: (713) 500-5751
  e-mail: Maria.S.Horenstein @ uth.tmc.edu