Adrian Fluture, M.D., F.A.C.C., F.S.C.A.I.
In Practice Since 2008
Primary Specialties
- Diplomate in Interventional Cardiology, The American Board of Internal Medicine
- Diplomate in Cardiovascular Disease, The American Board of Internal Medicine
- Diplomate in Echocardiography, The National Board of Echocardiography
- Diplomate in Nuclear Cardiology, Certification Board of Nuclear Cardiology
Medical Education
Victor Babes University of Medicine and Pharmacy, Timisoara, Romania
Languages other than English
Romanian, German, French, Spanish
Primary Hospital
Banner – Wyoming Medical Center, Casper, WY – Medical Staff
Additional Hospital Affiliations
- Banner – Platte County Memorial Hospital, Wheatland, WY
- Banner – Washakie Memorial Hospital, Worland, WY
- Banner – North Colorado Medical Center, Greeley, CO
- Campbell County Memorial Hospital, Gillette, WY
- Converse County Memorial Hospital, Douglas, WY
- Hot Springs Health, Thermopolis, WY
- Johnson County Healthcare, Buffalo, WY
- Memorial Hospital of Carbon County, Rawlins, WY
- SageWest Health Care in Riverton and Lander, WY
- Summit Medical Center, Casper, WY
- Wyoming Behavioral Institute, Casper, WY
Professional Training
Residency, Internal Medicine
New York Medical College, Metropolitan Hospital Center, New York, New York
Fellowship, Cardiovascular Disease
Tufts University School of Medicine, Baystate Medical Center, Springfield, Massachusetts
Fellowship, Interventional Cardiology
Tufts University School of Medicine, Baystate Medical Center, Springfield, Massachusetts
Training in Non-invasive diagnostic vascular procedures
Baystate Medical Center, Springfield, Massachusetts
Residency
Internal Medicine: 2001-2004
New York Medical College, Metropolitan Hospital Center, New York, NY
Cardiology Residency: 1994-2000
Victor Babes University of Medicine and Pharmacy, Cardiology Institute, Timisoara, Romania
Fellowship
Interventional Cardiology Fellowship: 2007-2008
Tufts University School of Medicine, Baystate Medical Center, Springfield, MA
Cardiovascular Fellowship: 2004-2007
Tufts University School of Medicine, Baystate Medical Center, Springfield, MA
Professional Experience
Introduced Transcutaneous Aortic Valve Replacement (TAVR) to the state of Wyoming at Wyoming Medical Center: March 2020
Cath Lab Director Wyoming Medical Center, Casper, WY: 3/2020 – Present
Supervising Heart Failure Program, Wyoming Medical Center, Casper, WY 2016 – Present
Director Regional Cardiac Care & Myocardial Infarction, Wyoming Medical Center, Casper, WY: 2012 – Present
- Restructuring local, in house and regional acute coronary event response and raising it to one of the nation’s best per ACC registries results.
Academic Appointments
Clinical Instructor: 2004-2008
Tufts University School of Medicine, Baystate Medical Center, Springfield, MA
Assistant Chief Medical Resident: 2003-2004
New York Medical College, Metropolitan Hospital Center New York, NY
Clinical Instructor: 1994-1999
Victor Babes University of Medicine and Pharmacy, Cardiology Institute, Timisoara, Romania
Assistant Professor: 2000-2001
Victor Babes University of Medicine and Pharmacy, Cardiology Institute, Timisoara, Romania
Board Certifications
The American Board of Internal Medicine – Diplomate in Interventional Cardiology: 2008 – Present
The American Board of Internal Medicine – Diplomate in Cardiovascular Disease: 2007 – Present
The American Board of Internal Medicine – Diplomate in Internal Medicine: 8/2004 – 12/2014
Sub-Specialty Certifications
Certification Board of Nuclear Cardiology – Diplomate in Nuclear Cardiology: 2007 – Present
American Society of Hypertension, Specialist in Clinical Hypertension: 6/2013 – Present
The National Board of Echocardiography, Diplomate in Endovascular Medicine: 2010 – Present
The American Board of Vascular Medicine, Diplomate in Vascular Medicine: 2009 – 2019
Certification Board of Nuclear Cardiology, Diplomate in Nuclear Cardiology : 2007 – Present
CT Angiography: COCATS Level 2
Honors and Awards
Society of Cardiovascular Angiography and Interventions: 2012 – Present
American College of Cardiology: 2008 – Present
American Medical Association: 2006 – Present
Physician of the Year, Wyoming Medical Center, Casper, WY: 2014
Exceptional Humanistic Qualities Award, Residency, NYMC, NY: 2004
Most Outstanding Intern, Residency, NYMC, NY: 2002
Merit Government Scholarship, University of Medicine and Pharmacy, Timisoara: 1990 – 1993
Professional Experience
Interventional Cardiologist
Wyoming Cardiopulmonary Services, P.C.
1230 East 1st Street, Casper, WY 82601 | Office Phone: (307) 266-3174
- Private practice specializing in interventional cardiology, structural heart interventions, vascular disease treatment, general cardiology, vascular ultrasound, echocardiography and nuclear cardiology.
- Additionally, have accepted directorship roles and responsibilities at Wyoming Medical Center having supervised the Heart Failure Program, having served as the Cath Lab Director and as Director of Regional Myocardial Infarction and Cardiac Care.
- Teaching cardiology to Wyoming Family Practice, University of Wyoming rotating residents.
Journal Articles: A. Fluture, G.R. Giugliano, M.J. Schweiger, T Narula, C.M. Gibson, M.C. Southard, M.A. Goulder, S. Deitcher, R.P. Giugliano. The Role of Recombinant Nematode Anticoagulant Protein c2 in Patients with Non-ST Segment Elevation Acute Coronary Syndrome undergoing Percutaneous Coronary Interventions. An Angiographic Sub-study of the ANTHEM – TIMI 32 Trial. Work in progress.
A. Fluture, K.A. Howk, S.L. Houser, Q.R. Simmons, C. Smith, D. Sauro, D. Badway, T. Wood, G.R. Giugliano, Preclinical Safety Evaluation of a Novel Helical Rotational Thrombectomy Device. Work in progress.
A. Fluture, G.R. Giugliano, R.P. Giugliano. Recombinant Nematode Anticoagulant Protein c2 in non-ST Segment Elevation Acute Coronary Syndrome. Future Cardiology 2007; 3:365-75.
St. I. Dragulescu, A. Ionac, L.P. Petrescu, I. Oravitan, A. Fluture, et al. Transesophageal echocardiography in the evaluation of the risk of systemic arterial emboli. Spontaneous echo contrast. Timisoara Medicala 1995;1(Anniversary supplement) :52-56
A. Fluture, S. Chaudhari, WH Frishman. Systemic Lupus Erythematosus: Valvular Heart Disease. Heart Disease 2003;5:349-353
A. Fluture, A. Ionac, L.P. Petrescu, et al. Comparing the efficiency of the echocardiographic pharmacologic stress test with the ergometric – ECG exercise stress test in the diagnosis of the coronary artery disease. Preliminary study. Timisoara Medicala 2001; vol L:63-67
A. Fluture, A. Ionac, S. Pescariu, et al. The role of transesophageal echocardiography in the diagnosis of the aortic dissection. The experience of the Cardiology Centre Timisoara. Timisoara Medicala 2001; vol L:55-58
St.I. Dragulescu, A. Fluture. Stress echocardiography: Diagnosing the coronary artery disease. Timisoara Medicala 2001; vol L:5-8
D. Cozma, S. Pecariu, A. Ionac, M. Stiubei, A. Fluture, et al. Treatment of the patients with hypertrophic obstructive cardiomyopathy by implantation of the double chamber pacemaker, in Experimental and Medical-Surgical Researches 1999,year VI, nr 2-3: 202-206
Branea I, Gaita D, Dragulescu I, Socoteanu I, Luca C, Mancas S, Dragan S, Iurciuc M, Velimirovici D, Gaspar M, Fluture A, Ionac A, Deutsch P, Pescariu S, Petrescu LP. Assessment of treatment with magnesium orotate in early postoperative period of patients with cardiac insufficiency and coronary artery by-pass grafts (ATOMIC). Rom J Intern Med 1999;37:287-96.
Abstracts: A. Fluture, D. Skuzinski, W.L. Hiser, J. Heideman, D. Bienvenue, J.R. Cook, L. Jiang. Comparison of Echocardiographic Parameters for Left Ventricular Synchrony. Submitted for AHA 2007.
A. Fluture, D. Skuzinski, W.L. Hiser, J. Heideman, D. Bienvenue, J.R. Cook, L. Jiang. Reevaluation of The Role of M-mode Echocardiography in Assessing Left Ventricular Synchrony. Submitted for AHA 2007.
A. Fluture, K.A. Howk, S.L. Houser, Q.R. Simmons, C. Smith, D. Sauro, D. Badway, T. Wood, G.R. Giugliano, Preclinical Safety Evaluation of a Novel Helical Rotational Thrombectomy Device. J Am Coll Cardiol 2007;49:35B.
A. Fluture, L. Massie, W. Hiser, H. Aziz, J. Heideman, D. Bienvenue, J.R. Cook, L. Jiang. Time to Peak Displacement on Speckle Tracking Imaging: A Better Parameter for Left Ventricular Synchrony. J Am Coll Cardiol 2007;49:134A.
A. Fluture, G.R. Giugliano, M.C. Southard, M.J. Schweiger, C.M. Gibson, R.P. Giugliano, Angiographic Outcomes in Patients with Non-STE Acute Coronary Syndrome Undergoing Percutaneous Coronary Interventions using Adjunctive Recombinant Nematode Anticoagulant Protein c2 versus Placebo: An ANTHEM-TIMI 32 Analysis. Am J Cardiol 2006;98:198M.
A. Fluture, L. Massie, X. Shen, H. Aziz, J. Ashraf, J. Heideman, D. Bienvenue, J.R. Cook, L. Jiang. Assessment of Left Ventricular Radial Contraction by Tissue Doppler Velocity Imaging: A Comparison with 2D Speckle Tracking Strain. The 7th Annual Research Week at Baystate Medical Center, May 2006, p.13.
A. Fluture, H. Aziz, L. Massie, D.P. Sethi, J. Heideman, D. Bienvenue, J.R. Cook, L. Jiang. Time to End Systolic Velocity, a Novel Tissue Doppler Measurement, Correlates Best With Maximal Longitudinal Contraction. J Am Coll Cardiol 2006;47:948-8.118A.
A. Fluture, K. Santiago, J. Heideman, J.R. Cook, L. Jiang: Insights into Left Ventricular Synchrony: Peak Velocity vs. Peak Contraction. J HK Coll Cardiol 2006;14 (suppl 1): A79-0116.
A. Fluture, C.N. Sharma, S. Chaudhari. Cocaine induced Brugada syndrome. Abstract ACP- New York Chapter, Downstate Scientific Meeting, March 2004.
D.C. Patel, D. Asudani, A. Fluture, S. Chaudhari. Pseudoachalazia as a presentation of Non-Hodgkin’s lymphoma. Abstract ACP- New York Chapter, Downstate Scientific Meeting, March 2004.
A. Fluture, A. Ionac, S. Pescariu, et al. Prediction of the coronary artery disease by detection of thoracic atherosclerotic aortic plaque using transesophageal echocardiography and by detecting extracranial carotid artery atherosclerotic plaque using B-mode ultrasound. Echocardiography 2001;18:274
A. Fluture, A. Ionac, L.P. Petrescu, et al. The utility of the transesophageal echocardiographic pharmacologic stress test with dobutamine in the diagnosis of the coronary artery disease. Preliminary study. Revista Romana de Cardiologie 1999;IX:9
A. Ionac, A. Fluture, M. Stiubei, et al. The value of transesophageal echocardiography in the diagnosis of perivalvular abscess in patients with infectious endocarditis. Revista Romana de Cardiologie 1999;IX:144 (poster presentation, The Romanian National Cardiology Congress; Sinaia, 1999)
A. Ionac, A. Fluture, S. Pescariu, et al. The function of left atrial appendage in patients with rheumatic heart disease in sinus rhythm. A transesophageal echocardiographic study. Revista Romana de Cardiologie 1999;IX:145 (poster presentation, The Romanian National Cardiology Congress; Sinaia, 1999)
A. Fluture, L.P. Petrescu, M. Slovenski, et al. The evaluation of the echocardiographic pharmacological stress test with dypiridamole, of the echocardiographic pharmacological stress test with dobutamine and of the ergometric – ECG exercise stress test in the diagnosis of the coronary artery disease. Preliminary study. Revista Romana de Cardiologie 1998;VIII:147. (poster presentation, The Romanian National Cardiology Congress; Sinaia, 1998)
A. Ionac, L. Petrescu, S. Pescariu, A. Fluture, et al. Echocardiographic evaluation of left ventricular function after aortic valve replacement in patients with aortic stenosis. Revista Romana de Cardiologie 1998;VIII:148 (poster presentation, The Romanian National Cardiology Congress; Sinaia, 1998)
A. Ionac, S. Pescariu, L. Petrescu, M. Slovenschi, A. Fluture, et al., Quantification of aortic regurgitation by Doppler echocardiography, Revista Romana de Cardiologie 1998;VIII;148 (poster presentation, The Romanian National Cardiology Congress; Sinaia, 1998)
S. Pescariu, C. Luca, A. Ionac, D. Cozma, H. Branea, C.T. Luca, M. Slovenski, A. Fluture, et al. Cardiac stimulation in sick sinus syndrome, Revista Romana de Cardiologie 1998;VIII;100 (poster presentation, The Romanian National Cardiology Congress; Sinaia, 1998)
S. Pescariu, B. Dodinot, A. Ionac, D. Cozma, M. Slovenski, N. Radoi, A. Fluture, et al. Reuse of pacemakers. Is it cost effective? Revista Romana de Cardiologie 1998;VIII;49 (poster presentation, The Romanian National Cardiology Congress; Sinaia, 1998)
A. Fluture, A. Ionac, S. Pescariu, et al. The importance of detecting thoracic aortic atherosclerotic plaque using transesophageal echocardiography for prediction of the coronary artery disease. The academic days in Timisoara may 1998. (Oral presentation)
Book Chapters: S. Pescariu, A. Fluture, Methods of exploring patients with cardiovascular disease, in Medical Clinic vol II, eds. V.Serban, St.I.Dragulescu, Ed. Marineasa, 2000, p.13-43
S. Pescariu, A. Fluture, Cardiovascular emergencies, in Medical Clinic vol II, eds. V.Serban, St.I.Dragulescu, Ed. Marineasa, 2000, p.450-480
St.I. Dragulescu, S. Pescariu, A. Ionac, A. Fluture, et al. “Cardiology for students”, Ed. Brumar, Timisoara, 1998
Professional Accomplishments
- Restructured and reintroduced a state-of-the-art STEMI/acute coronary syndrome program in central Wyoming
- Initiated a resistant Hypertension clinic at Wyoming Cardiopulmonary Services, PC
- Introduced Transcutaneous Aortic Valve Replacement (TAVR) to the state of Wyoming, at Wyoming Medical Center
- Cardiac catheterization laboratory Accreditation for Cardiovascular Excellence (ACE)
- Reintroduced patent foramen ovale (PFO) and atrial septal defect (ASD) closures at Wyoming Medical Center
- Introduced Left Atrial Appendage Occluder [LAAO] placements to the state of Wyoming at Wyoming Medical Center