Stay Connected. Manage Your Care.
Access your health information anytime and anywhere, at home or on the go, with MyHealth.
- Message your clinic
- View your lab results
- Schedule your next appointment
- Pay your bill
The MyHealth mobile app from Stanford Health Care puts all your health information at your fingertips and makes managing your health care simple and quick.
Guest Services
24/7
We are available to assist you
whenever you need it. Give us a call at
650-498-3333 or
PHYSICIAN HELPLINE
Have a question? We're here to help! Call 1-866-742-4811
Monday - Friday, 8 a.m. - 5 p.m.
REFER A PATIENT
Fax 650-320-9443
Track your patients' progress and communicate with Stanford providers conveniently and securely.
As a child, Stanford cardiologist Sanjiv Narayan was fascinated with the science of computers, but his father told him there was no future in it. Narayan decided he’d follow in his father’s footsteps and became a doctor and a computer engineer. What’s delighted him is how he’s been able to combine the two to practice innovative medicine in cardiac electro-physiology.
Stanford Physician: Sanjiv Narayan, MD, PhD
https://stanfordhealthcare.org/doctors/n/sanjiv-narayan-sanjiv1.html#summary-content
Sanjiv Narayan
Cardiac electrophysiologist
Professor of Medicine (Cardiovascular Medicine) at the Stanford University Medical Center
Bio:
Dr. Narayan is Professor of Medicine at Stanford University, a practicing cardiologist and a translational scientist in the field of arrhythmia medicine. Dr. Narayan is director of Electrophysiology Research at Stanford, and has built an independently funded “bedside-to-bench-to-bedside” translational research program focused on the mechanisms for human atrial fibrillation and life-threatening ventricular arrhythmias. This work led to the development of mapping techniques for fibrillation that use computational analysis in an attempt to circumvent the limitations of electrogram analysis by computationally reconstructing optical mapping - the gold standard for mapping arrhythmias that remains unavailable in patients. This led to the discovery of rotors in human AF, with ablation (Focal Impulse and Rotor Modulation, FIRM) as the basis for novel improved therapies for cardiac fibrillation. The laboratory is grateful for continuous funding of this work by the National Institutes of Health from 2001-2019, and also by the Doris Duke Charitable Foundation, American College of Cardiology and American Heart Association. To further develop technology resulting from this research and enable wider clinical testing, Dr. Narayan co-founded a startup company (Topera, Inc), and the FIRM approach is increasingly used at centers worldwide.
Dr. Narayan is active in mentorship, and has trained numerous graduate students in bioengineering, residents/fellows in training and medical students. In addition to publishing their work, and a large number of these trainees have applied successfully for extramural funding, have won research and clinical prizes and over 80% remain in academic medicine. Dr. Narayan has won teaching prizes for his clinical mentorship as well as research prizes.
Dr. Narayan was born in Aylesbury, Buckinghamshire, England, then his family moved to Birmingham where he trained initially in medicine then in software engineering, becoming a fellow of the Royal College of Physicians of London. He then did his doctoral research in neuroscience at the University of California Los Angeles, and his clinical training in Internal medicine at Harvard/Mount Auburn Hospital, and in Cardiology/EP at Washington University in St. Louis. Dr. Narayan is board-certified in Internal Medicine, Cardiology and Clinical Cardiac Electrophysiology, has been voted as a “Top Doctor", and has an active clinical practice at Stanford. He is a devoted family man, and he and his wife have three children. Together, they enjoy swimming, biking, skateboarding, music and travel.
Dr. Narayan is active in mentorship, and has trained numerous graduate students in bioengineering, residents/fellows in training and medical students. In addition to publishing their work, and a large number of these trainees have applied successfully for extramural funding, have won research and clinical prizes and over 80% remain in academic medicine. Dr. Narayan has won teaching prizes for his clinical mentorship as well as research prizes.
Dr. Narayan was born in Aylesbury, Buckinghamshire, England, then his family moved to Birmingham where he trained initially in medicine then in software engineering, becoming a fellow of the Royal College of Physicians of London. He then did his doctoral research in neuroscience at the University of California Los Angeles, and his clinical training in Internal medicine at Harvard/Mount Auburn Hospital, and in Cardiology/EP at Washington University in St. Louis. Dr. Narayan is board-certified in Internal Medicine, Cardiology and Clinical Cardiac Electrophysiology, has been voted as a “Top Doctor", and has an active clinical practice at Stanford. He is a devoted family man, and he and his wife have three children. Together, they enjoy swimming, biking, skateboarding, music and travel.
Practice Areas
Professional Education
- Board Certification: Clinical Cardiac Electrophysiology, American Board of Internal Medicine (2001)
- Fellowship: Washington University School of Medicine/Barnes Jewish Consortium (2001) MO
- Board Certification: Cardiovascular Disease, American Board of Internal Medicine (2000)
- Residency: Barnes and Allied Hospitals/Washington University School of Med (2000) MO
- Board Certification: Internal Medicine, American Board of Internal Medicine (1996)
- Internship: Mount Auburn / Harvard Medical School (1996) MA
- Fellowship: UCLA - School of Medicine (1994) CA
- Internship: University of Birmingham (1991) UK
- Medical Education: University of Birmingham (1987) United Kingdom
Administrative Appointments
- Director, Clinical Cardiac Electrophysiology Fellowship Training Program, University of California, San Diego (2008 - 2012)
- Co-Director, Electrophysiology Program, University of California, San Diego (2008 - 2014)
- Director, Electrophysiology Program, Veterans Affairs San Diego Healthcare System (2001 - 2014)
- Director, Electrophysiology Research, Stanford Medicine (2014 - Present)
- Director, Atrial Fibrillation Program, Stanford Medicine (2014 - Present)
Publications
-
Ablation of atrial fibrillation
Wright, M., & Narayan, S. M. (2015). Ablation of atrial fibrillation. TRENDS IN CARDIOVASCULAR MEDICINE, 25(5), 409-419. -
Progress toward the prevention and treatment of atrial fibrillation: A summary of the Heart Rhythm Society Research Forum on the Treatment and Prevention of Atrial Fibrillation, Washington, DC, December 9-10, 2013.
Van Wagoner, D. R., Piccini, J. P., Albert, C. M., Anderson, M. E., Benjamin, E. J., & Wehrens, X. Ht. (2015). Progress toward the prevention and treatment of atrial fibrillation: A summary of the Heart Rhythm Society Research Forum on the Treatment and Prevention of Atrial Fibrillation, Washington, DC, December 9-10, 2013. Heart rhythm , 12(1), e5-e29. -
Rotor mapping and ablation to treat atrial fibrillation
Zaman, J. Ab., Peters, N. S., & Narayan, S. M. (2015). Rotor mapping and ablation to treat atrial fibrillation. CURRENT OPINION IN CARDIOLOGY, 30(1), 24-32. -
Stability of Rotors and Focal Sources for Human Atrial Fibrillation: Focal Impulse and Rotor Mapping (FIRM) of AF Sources and Fibrillatory Conduction
Swarup, V., Baykaner, T., Rostamian, A., Daubert, J. P., Hummel, J., & Narayan, S. M. (2014). Stability of Rotors and Focal Sources for Human Atrial Fibrillation: Focal Impulse and Rotor Mapping (FIRM) of AF Sources and Fibrillatory Conduction. JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 25(12), 1284-1292.
-
Human Atrial Fibrillation Initiates via Organized Rather Than Disorganized Mechanisms
Schricker, A. A., Lalani, G. G., Krummen, D. E., Rappel, W.-J., & Narayan, S. M. (2014). Human Atrial Fibrillation Initiates via Organized Rather Than Disorganized Mechanisms. CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 7(5), 816-U94.
-
Rotors and Focal Sources for Human Atrial Fibrillation - Mechanistic Paradigm With Direct Clinical Relevance
Lalani, G. G., Trikha, R., Krummen, D. E., & Narayan, S. M. (2014). Rotors and Focal Sources for Human Atrial Fibrillation - Mechanistic Paradigm With Direct Clinical Relevance. CIRCULATION JOURNAL, 78(10), 2357-2366.
-
Mapping and ablating stable sources for atrial fibrillation: summary of the literature on Focal Impulse and Rotor Modulation (FIRM)
Baykaner, T., Lalani, G. G., Schricker, A., Krummen, D. E., & Narayan, S. M. (2014). Mapping and ablating stable sources for atrial fibrillation: summary of the literature on Focal Impulse and Rotor Modulation (FIRM). JOURNAL OF INTERVENTIONAL CARDIAC ELECTROPHYSIOLOGY, 40(3), 237-244.
-
CrossTalk proposal: Rotors have been demonstrated to drive human atrial fibrillation
Narayan, S. M., & Jalife, J. (2014). CrossTalk proposal: Rotors have been demonstrated to drive human atrial fibrillation. JOURNAL OF PHYSIOLOGY-LONDON, 592(15), 3163-3166.
-
Defining Arrhythmic Risk and Defibrillator Therapy in ARVC Shocking Rhythm?
McGarry, T. J., & Narayan, S. M. (2014). Defining Arrhythmic Risk and Defibrillator Therapy in ARVC Shocking Rhythm?. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 64(2), 126-128.
-
Rotor Stability Separates Sustained Ventricular Fibrillation From Self-Terminating Episodes in Humans
Krummen, D. E., Hayase, J., Morris, D. J., Ho, J., Smetak, M. R., & Narayan, S. M. (2014). Rotor Stability Separates Sustained Ventricular Fibrillation From Self-Terminating Episodes in Humans. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 63(24), 2712-2721.
-
Ablation of Rotor and Focal Sources Reduces Late Recurrence of Atrial Fibrillation Compared With Trigger Ablation Alone Extended Follow-Up of the CONFIRM Trial (Conventional Ablation for Atrial Fibrillation With or Without Focal Impulse and Rotor Modulation)
Narayan, S. M., Baykaner, T., Clopton, P., Schricker, A., Lalani, G. G., & Miller, J. M. (2014). Ablation of Rotor and Focal Sources Reduces Late Recurrence of Atrial Fibrillation Compared With Trigger Ablation Alone Extended Follow-Up of the CONFIRM Trial (Conventional Ablation for Atrial Fibrillation With or Without Focal Impulse and Rotor Modulation). JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 63(17), 1761-1768.
-
Lone Atrial Fibrillation Does it Exist?
Wyse, D. G., van Gelder, I. C., Ellinor, P. T., Go, A. S., Kalman, J. M., & Rienstra, M. (2014). Lone Atrial Fibrillation Does it Exist?. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 63(17), 1715-1723.
-
Intermittent Atrial Tachycardia Promotes Repolarization Alternans and Conduction Slowing During Rapid Rates, and Increases Susceptibility to Atrial Fibrillation in a Free-Behaving Sheep Model
Monigatti-Tenkorang, J., Jousset, F., Pascale, P., Vesin, J.-M., Ruchat, P., & Pruvot, E. (2014). Intermittent Atrial Tachycardia Promotes Repolarization Alternans and Conduction Slowing During Rapid Rates, and Increases Susceptibility to Atrial Fibrillation in a Free-Behaving Sheep Model. JOURNAL OF CARDIOVASCULAR ELECTROPHYSIOLOGY, 25(4), 418-427.
-
Highlights of the Year in JACC 2013
DeMaria, A. N., Adler, E. D., Bax, J. J., Ben-Yehuda, O., Feld, G. K., & Tsimikas, S. (2014). Highlights of the Year in JACC 2013. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 63(6), 570-602.
-
Structural contributions to fibrillatory rotors in a patient-derived computational model of the atria.
Gonzales, M. J., Vincent, K. P., Rappel, W. J., Narayan, S. M., & McCulloch, A. D. (2014). Structural contributions to fibrillatory rotors in a patient-derived computational model of the atria. Europace : European pacing, arrhythmias, and cardiac electrophysiology : journal of the working groups on cardiac pacing, arrhythmias, and cardiac cellular electrophysiology of the European Society of Cardiology, 16 Suppl 4, iv3-iv10.
-
Initial independent outcomes from focal impulse and rotor modulation ablation for atrial fibrillation: multicenter FIRM registry.
Miller, J. M., Kowal, R. C., Swarup, V., Daubert, J. P., Daoud, E. G., & Wheelan, K. R. (2014). Initial independent outcomes from focal impulse and rotor modulation ablation for atrial fibrillation: multicenter FIRM registry. Journal of cardiovascular electrophysiology, 25(9), 921-9.
-
Rotors and focal sources for human atrial fibrillation: mechanistic paradigm with direct clinical relevance.
Lalani, G. G., Trikha, R., Krummen, D. E., & Narayan, S. M. (2014). Rotors and focal sources for human atrial fibrillation: mechanistic paradigm with direct clinical relevance. Circulation journal : official journal of the Japanese Circulation Society, 78(10), 2357-66.
-
Rhythm control in heart failure patients with atrial fibrillation: contemporary challenges including the role of ablation.
Trulock, K. M., Narayan, S. M., & Piccini, J. P. (2014). Rhythm control in heart failure patients with atrial fibrillation: contemporary challenges including the role of ablation. Journal of the American College of Cardiology, 64(7), 710-21.
-
Human Atrial Fibrillation Initiates via Organized Rather Than Disorganized Mechanisms.
Schricker, A. A., Lalani, G. G., Krummen, D. E., Rappel, W. J., & Narayan, S. M. (2014). Human Atrial Fibrillation Initiates via Organized Rather Than Disorganized Mechanisms. Circulation. Arrhythmia and electrophysiology, 7(5), 816-24.
-
A case of a human ventricular fibrillation rotor localized to ablation sites for scar-mediated monomorphic ventricular tachycardia
Hayase, J., Tung, R., Narayan, S. M., & Krummen, D. E. (2013). A case of a human ventricular fibrillation rotor localized to ablation sites for scar-mediated monomorphic ventricular tachycardia. HEART RHYTHM, 10(12), 1913-1916.
-
Frequency Analysis of Atrial Action Potential Alternans A Sensitive Clinical Index of Individual Propensity to Atrial Fibrillation
Lalani, G. G., Schricker, A. A., Clopton, P., Krummen, D. E., & Narayan, S. M. (2013). Frequency Analysis of Atrial Action Potential Alternans A Sensitive Clinical Index of Individual Propensity to Atrial Fibrillation. CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 6(5), 859-867.
-
Targeted Ablation at Stable Atrial Fibrillation Sources Improves Success Over Conventional Ablation in High-Risk Patients: A Substudy of the CONFIRM Trial
Baykaner, T., Clopton, P., Lalani, G. G., Schricker, A. A., Krummen, D. E., & Narayan, S. M. (2013). Targeted Ablation at Stable Atrial Fibrillation Sources Improves Success Over Conventional Ablation in High-Risk Patients: A Substudy of the CONFIRM Trial. CANADIAN JOURNAL OF CARDIOLOGY, 29(10), 1218-1226.
-
Direct or Coincidental Elimination of Stable Rotors or Focal Sources May Explain Successful Atrial Fibrillation Ablation On-Treatment Analysis of the CONFIRM Trial (Conventional Ablation for AF With or Without Focal Impulse and Rotor Modulation)
Narayan, S. M., Krummen, D. E., Clopton, P., Shivkumar, K., & Miller, J. M. (2013). Direct or Coincidental Elimination of Stable Rotors or Focal Sources May Explain Successful Atrial Fibrillation Ablation On-Treatment Analysis of the CONFIRM Trial (Conventional Ablation for AF With or Without Focal Impulse and Rotor Modulation). JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 62(2), 138-147.
-
Panoramic Electrophysiological Mapping but not Electrogram Morphology Identifies Stable Sources for Human Atrial Fibrillation Stable Atrial Fibrillation Rotors and Focal Sources Relate Poorly to Fractionated Electrograms
Narayan, S. M., Shivkumar, K., Krummen, D. E., Miller, J. M., & Rappel, W.-J. (2013). Panoramic Electrophysiological Mapping but not Electrogram Morphology Identifies Stable Sources for Human Atrial Fibrillation Stable Atrial Fibrillation Rotors and Focal Sources Relate Poorly to Fractionated Electrograms. CIRCULATION-ARRHYTHMIA AND ELECTROPHYSIOLOGY, 6(1), 58-67.
-
What Tissue Does Circumferential PV Isolation Actually Modulate?
McGarry, T. J., & Narayan, S. M. (2013). What Tissue Does Circumferential PV Isolation Actually Modulate?. Journal of cardiovascular electrophysiology.
-
HRS Policy Statement: Clinical Cardiac Electrophysiology Fellowship Curriculum: Update 2011
Link, M. S., Exner, D. V., Anderson, M., Ackerman, M., Al-Ahmad, A., & Chugh, S. S. (2011). HRS Policy Statement: Clinical Cardiac Electrophysiology Fellowship Curriculum: Update 2011. HEART RHYTHM, 8(8), 1340-1356.
-
Highlights of the Year in JACC 2010
DeMaria, A. N., Bax, J. J., Ben-Yehuda, O., Feld, G. K., Greenberg, B. H., & Tsimikas, S. (2011). Highlights of the Year in JACC 2010. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 57(4), 480-514.
-
Highlights of the Year in JACC 2009
DeMaria, A. N., Bax, J. J., Ben-Yehuda, O., Feld, G. K., Greenberg, B. H., & Tsimikas, S. (2010). Highlights of the Year in JACC 2009. JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 55(4), 380-407.