A New Option for Urgent Cardiac Care

The Cardiac Direct Access Unit at BIDMC provides patients with non- life-threatening symptoms, such as chest pain or shortness of breath, the option to bypass the emergency room and see an attending cardiovascular physician, avoiding emergency room wait times and expense. 


Cardiac Direct Access

For Physicians

For Patients

CDAc Services

  • Same-day evaluation by a cardiologist
  • Capacity for overnight evaluation in a unit staffed 24 hours a day by clinical nurses and advanced practice providers
  • Extended hours on weekdays (8 a.m. - 11 p.m.)
  • In-unit diagnostics, including stress testing and echocardiography
  • Direct transfers to the inpatient cardiology service as needed, bypassing the emergency room

The Cardiac Direct Access clinic includes exam rooms where cardiologists and cardiac nurse practitioners test, evaluate and treat patients. This area also houses our advanced heart failure clinic, where patients with heart failure receive timely, expert cardiac assessment.

Our observation rooms allow cardiologists and cardiac nurse practitioners  to monitor, test and treat patients overnight, often avoiding the need for hospital admission.

Our diuresis room provides heart failure patients with same-day outpatient IV therapy. We offer scheduled sessions and access to urgent slots Monday through Friday.

Access to advice from our cardiologists is available to colleagues through state-of-the-art telemedicine capabilities. Teams from urgent care centers, emergency departments or physician practices can consult with the CDAc team and also get expert guidance on whether patients are likely to benefit from referral to BIDMC in Boston.

The Cardiac Direct Access Unit (CDAc) at BIDMC offers patients with chronic or advanced heart problems immediate care from a cardiologist, without having to go to the emergency room.