Nicholas Costa II, MD

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As a clinical cardiac electrophysiologist, my specialty is evaluating the electrical activity of the heart to diagnose symptoms, detect abnormal heart rhythms, or signal higher risk of heart disease. I do this using non-invasive methods such as electrocardiograms (EKGs) and wearable monitors, as well as procedures such as catheter ablations, which must be performed in a specialized operating room. \n I use findings from these and other tests and procedures both to diagnose my patient's condition and recommend potential therapies. \n I became fascinated with caring for patients with heart rhythm disorders while working as an emergency medical technician (EMT) at age 16. I still have memories of a 9-year-old patient I helped treat at the time for an abnormally fast heartbeat. Though suffering, she calmly allowed us to place her IV so we could administer medicine to help her. I never forgot her strength, which is among the experiences that inspired me to pursue a career in medicine. \n I've since come to appreciate how complicated and challenging medicine can be. Because the path forward is not always clear, I've learned that the way I communicate my findings to patients and families can be just as important as the findings themselves. I use straightforward language, draw diagrams, and provide extra materials to ensure you a clear understanding of next steps, whether that is running a diagnostic test or identifying therapies that best meet your needs. \n Novant Health's commitment to this collaborative approach to patient care is what brought me, my wife Kyla and out daughter Evangeline to North Carolina from our native New Jersey in 2019. We have since welcomed our second daughter Alessandra and grown to love living here. We spend as much time as possible outside, whether hiking, swimming, or just relaxing on our porch. My other interests include martial arts training, reading, woodworking, and sailing.