Dr. Carlos A. Espinoza

Richard Pacca is a Cardiologist and a Nuclear Medicine provider in Oxford, North Carolina. Dr. Pacca is rated as a Distinguished provider by MediFind in the treatment of Pulmonary Edema. His top areas of expertise are Heart Failure with Preserved Ejection Fraction (HFpEF), Heart Failure, Pulmonary Edema, and Endocarditis. Dr. Pacca is currently accepting new patients.

My work is aimed at trying to understand how heart failure develops and how we can develop a new type of drug therapy for that condition. Heart failure happens to run in my family – I have a relative with the disease. In many ways, that has had an impact on what I’m doing. Duke provides a lot of cutting-edge care for people who suffer from congestive heart failure. We are a large transplant center and have expertise in the care of patients with advanced heart failure and for patients who need advanced therapies. We also have expertise in the research realm, which really provides a lot of insight into the care of patients. Duke is a world-class institution. I’m really lucky to work here and to be among a lot of folks who are bright and innovative and really interested in patient care. Dr. Abraham is rated as an Advanced provider by MediFind in the treatment of Pulmonary Edema. His top areas of expertise are Heart Failure, Pulmonary Edema, Heart Failure with Preserved Ejection Fraction (HFpEF), Pacemaker Implantation, and Cardiac Ablation.

I am grateful for the opportunity to practice cardiology and to improve people's lives in truly meaningful ways. My clinical practice is focused on patients with advanced heart failure, pulmonary arterial hypertension and complex valvular disease. Modern medicine is complicated, and I strive to help patients and families understand their conditions and treatment options as completely as possible. I work with patients to develop an individualized treatment approach that best satisfies their goals of care. It is a privilege to practice at Duke. We have extensive resources, broad expertise, and access to novel treatment options to help patients improve their quality and quantity of life. Outside of work, I enjoy cycling, running, hiking and spending time with my family. Dr. Trichon is rated as a Distinguished provider by MediFind in the treatment of Pulmonary Edema. His top areas of expertise are Heart Failure, Pulmonary Edema, Pulmonary Hypertension, Pulmonary Veno-Occlusive Disease, and Cardiac Ablation.