Spas Kotev, MD joined Iowa Heart Center’s Ottumwa team in the summer of 2014. His interventional and cardiology fellowship was with Newark Beth Israel Medical Center in New Jersey. His internal medicine residency was at the John Hopkins University/Sinai Hospital in Baltimore, Maryland. Dr. Kotev went to medical school in Bulgaria at the Medical University Sofia. He is board certified in cardiology, nuclear cardiology, echocardiography
and board eligible in interventional cardiology. His specialties include PCIs, peripheral interventions, and structural heart disease.

To schedule an appointment with Dr. Kotev, please call the Keokuk County Health Center Specialty Clinic at (641) 622-1180. Cardiology services are provided on site the second Thursday and fourth Tuesday of each month.

A member of the Iowa Heart Center Cardiology Team, Ed Melcher, ARNP, has been providing cardiology services at KCHC since the fall of 2018.

Ed Melcher, ARNP grew up in southern Iowa and graduated from Ottumwa High School. He completed his nursing education at Briar Cliff College in Sioux City and his Advanced Practice Nursing at University of Iowa in Iowa City. Since his Nurse Practitioner completion, he has been a provider of Cardiology Care at UIHC, Mercy Hospital and Iowa Heart Center. He lives in Iowa City with his wife and two children.

To schedule an appointment with Ed Melcher, ARNP, please call the Keokuk County Health Center Specialty Clinic at (641) 622-1180. Cardiology services are provided on site the second Thursday and fourth Tuesday of each month.

KCHC offers Phase 2 and Phase 3 Cardiac Rehabilitation

If you have had a recent Heart Attack or a procedure on your heart, you may qualify for Keokuk County Health Center’s Cardiac Rehab program. Phase 2 Cardiac Rehab is a telemetry monitored exercise program, initiated soon after returning home from being hospitalized for a heart event or procedure. The goals of the program are to improve your cardiac conditioning and to work on making lifestyle changes to prevent future heart events. During cardiac rehab, your individual treatment plan will help you progress as tolerated, improve your cardiac conditioning, improve your quality of life and will encourage you to continue some type of exercise program after discharge. Phase 2 Cardiac Rehab is typically covered by most insurance plans. Once discharged from Phase 2 Cardiac Rehab, you will be offered the opportunity to return to Phase 3 Cardiac Rehab Maintenance Program.

Phase 3 Cardiac Rehab is a maintenance program in which you come to KCHC and utilize our exercise equipment while being supervised by the Cardiac Rehab Nurse. We will work on maintaining or improving your physical and cardiac fitness. Phase 3 Cardiac Rehab is not covered by insurance. The cost is $5.50 per session and you will receive a bill at the end of each month.

During participation in either Cardiac Rehab program, you will be closely monitored by the Cardiac Rehab Nurse. Your weight, vital signs and blood sugars will be monitored and if any concerns are noted during your exercise sessions, communication will be made with your Cardiologist or Primary Care Provider. During your exercise sessions, trained personnel and emergency equipment/services are readily available to deal with and minimize the dangers of untoward events should they occur.

If you would like more information or to know whether you meet criteria regarding Cardiac Rehabilitation at Keokuk County Health Center please contact Jeni Clarahan, Cardiac Rehab Nurse, at (641) 622-1145.