Cardiology Tasmania

30/08/2026

It is a pleasure to have Dr Sarang Paleri join the team at Cardiology Tasmania. I would go as far as to say that all of the cardiologists at the Royal Hobart Hospital remember Sarang fondly as an excellent registrar.

Dr Sarang Paleri is now a General Cardiologist, completing a Fellowship in Non-Invasive Cardiac Imaging (including Echocardiography and Coronary CT Angiography) at the Victorian Heart Hospital.

In addition to his clinical work, Sarang is pursuing a PhD at the Victorian Heart Institute, focusing on novel markers of tissue characterisation and high-risk plaque on Coronary CT Angiography.

In the picture, he is accompanied by one of our most senior and respected sonographers, Eswar Sivaraj, who has been pivotal in setting up outreach echocardiography services to rural areas. Eswar is also completing a PhD under the guidance of Professor Tom Marwick.

Our team is growing, and with it, the high calibre of services that we provide to the Tasmanian community.

Dr Paleri will be providing echo services between Melbourne and Hobart for the next few years, but will expand his scope of practice in Tasmania after completion of his PhD.

10/02/2025

Proud to announce that Cardiology Tasmania ran its first interstate outreach cardiology clinic at Springs Medical in Daylesford in late January!

We performed 20 bulk-billed echocardiograms and held an evening education session for the local GPs. The service is planned to continue every 8 weeks.

A big thank you to the team at Springs Medical for their welcoming reception.

09/06/2023

It was a pleasure to co-host the inaugural SonoTas (2023) conference with Dr Greg Hasking in Launceston. Cardiologists from the north and south donated their time and expertise in cardiac imaging to improve the skills of our states cardiac sonographers and cardiology registrars. A bigger conference in the states capital is on the agenda for next year and will be open to registrants from interstate

Heart specialists from across the state gathered in Launceston last Saturday.

08/05/2022

Honoured to be invited to speak at the World Congress of Echocardiography 2022, which was held in Australia for the first time this weekend. Big shout out to the organising committee for a fantastic conference!

13/05/2021

A beautiful example of a quadricuspid aortic valve, although it probably won't bring you luck...🍀

This is a rare congenital cardiac valve defect thought to affect 1:1000 to 1:10,000 people. This is an example of one of the most common variants (4 equally sized cusps). It is associated with a significantly increased risk of aortic regurgitation, and about ~30% patients have an associated aortopathy

08/05/2021

I am proud to have facilitated Hobart's inaugural Patient and Carers Amyloid workshop, an initiative of the Australian Amyloid Network.

A big thanks to Dr Anna Johnston, Dr Geoff Kirkland, Dr Sergio Farina, the RHH cardiac research nurses, the Myeloma Australia nurses, and of course the patients!

Lots of very important information for this increasingly recognised problem

03/04/2021

Sub-clinial bioprosthetic valve thrombosis (BVT)

The incidence of BVT is ~1.4-6.0% depending on the cohort. Although the median time for BVT is ~1-2 years cases have been reported as late as 10 years.

From an echo perspective there are three simple criteria (if ALL are present there is a 90% specificity for the diagnosis):
- Increase in mean gradient (>50% from baseline)
- Restricted cusp mobility
- Thickened cusp (>2 mm)

Treatment is with anticoagulation (warfarin), and the valve is usually re-imaged at i-12 weeks to ensure resolution / improvement.