Cardiology · Delray Beach, FL

Jonathan Vafai, MD

Personalized cardiology care in Delray Beach

A board-certified cardiologist, bringing nearly two decades in cardiovascular medicine to the prevention, diagnosis, and long-term treatment of heart conditions.

Chairman of Cardiology, Delray Medical Center
Medical Director, Echocardiography Laboratory
FAU Cardiology Fellowship Faculty
Castle Connolly Top Doctor
Portrait of Dr. Jonathan Vafai
Jonathan Vafai MD
The Boca Raton Observer Top Docs 2026 badge

About

01 / Background

Dr. Vafai has been seeing patients at South Florida Heart Institute in Delray Beach since 2011.

Since beginning advanced cardiology fellowship training in 2007, Dr. Vafai has devoted nearly two decades to cardiovascular medicine.

He chairs the Department of Cardiology at Delray Medical Center, a role that reaches beyond his own patients into credentialing, policies and protocols, peer review, and a seat on the hospital's Medical Executive Committee. He also serves as Medical Director of the Echocardiography Laboratory there, and previously served as Vice-Chairman of the Department of Medicine from 2018 to 2020. He is core clinical faculty for the FAU Cardiology Fellowship at Florida Atlantic University's Schmidt College of Medicine, mentoring two fellows each year in echocardiography and cardiac imaging.

He trained at NYU School of Medicine, completed internal medicine training at Beth Israel Deaconess Medical Center (Harvard Medical School), and served as Chief Fellow during his cardiology fellowship with the NYU program at Northwell Health. He is a Fellow of the American College of Cardiology and the American Society of Echocardiography.

He has practiced with the same group, South Florida Heart Institute, since 2011. When a patient is admitted to Delray Medical Center, any member of that trusted team may care for them in the hospital, but Dr. Vafai remains their primary cardiologist: the one who knows their history and picks up the thread when they go home.

Philosophy of care

02 / In his own words

Cardiology has been my sole focus and life's work. I care deeply about my patients and approach every visit the way I would want my own family to be treated—with time, honesty, compassion, and respect.

My philosophy is lifestyle first whenever possible. Exercise, nutrition, and daily habits form the foundation of heart health, and medications or procedures are added thoughtfully when they truly serve your best interest. When I make a recommendation, it is never routine—it is based on experience, evidence, and a genuine belief that it is right for you.

My role is to educate, guide, and offer clear advice; your role is to make the decisions that feel right for your life and values. The best care happens when we work together through shared decision-making.

I have trained at leading hospitals in New York and Boston, and that experience continues to guide my care today. Even while practicing here in Florida, I rely on a broad national perspective and a trusted network of outstanding specialists. When referrals are needed, I send patients to people I trust and would confidently recommend to my own family.

I am deeply grateful for the trust my patients place in me. It is a privilege to care for you and to be part of your team.

— Jonathan Vafai, MD

Clinical focus

03 / Areas of interest, in my own words

Clinical cardiology

Most of my week is general cardiology: the visit where we work out whether a symptom is the heart at all, and the long-term follow-up of patients I've known for years. I also care for patients in the hospital at Delray Medical Center, so office and inpatient care aren't two separate worlds.

Cardio-oncology

Some cancer treatments can affect the heart, occasionally years later. I work alongside oncologists at Delray Medical Center and area cancer centers to watch for that early. A deep background in imaging and keeping current with newer chemotherapy and immunotherapy regimens is what sets this apart from general cardiology. The goal is to protect the heart without ever getting in the way of treating the cancer.

Echocardiography

Imaging is the part of cardiology I've stayed closest to since fellowship. I direct the Echocardiography Laboratory at Delray Medical Center, recertified with the National Board of Echocardiography in 2022, and read my own patients' studies. An echo is only as useful as the interpretation behind it.

Structural heart disease

I don't implant valves; I'm the imager on the heart team. My part is deciding who is a candidate for catheter-based aortic, mitral, or tricuspid valve treatment, when the timing is right, and whether the result is what we hoped for. I've served as an investigator on several of the trials that brought these therapies into practice.

Quality & education

As Chairman I lead the department's quality-improvement work, and as core faculty for the FAU cardiology fellowship I teach the cardiology fellows about echocardiography. Teaching keeps you honest: having to explain why I read a study a certain way or make a recommendation is the best check on my own skills and forces me to stay up to date.

What I don't do

I'm a non-invasive cardiologist. I don't perform catheterizations or stents, ablations, or device implants. When a patient needs one of those, I refer to a specific colleague I know and trust, often someone I work beside at Delray Medical Center every week, and I stay involved before and after. Being clear about the limits of my own lane is part of the job.

Conditions treated

04 / What we see
Chest pain & palpitations
Often the first visit: is this the heart, or something else? I'd rather answer that carefully, with a history, an exam, and the right test, than order everything at once.
Coronary artery disease
Managing angina and lowering the risk of a first or repeat heart attack through medication and risk factors, and knowing when a stent or bypass would actually help.
Heart failure & cardiomyopathies
Following ejection fraction over time, managing symptoms, and getting patients onto the medical therapy that actually changes outcomes in systolic or diastolic heart failure.
Hypertension & hyperlipidemia
Long-term control of blood pressure and cholesterol, including advanced lipid care: Lp(a), familial hypercholesterolemia, and newer therapies when statins alone aren't enough.
High blood pressure care →
Valvular heart disease
Following aortic stenosis, mitral regurgitation, or valve prolapse with serial imaging so that if intervention is needed, the timing is right: not too early, not too late.
Arrhythmias
Initial evaluation and medical management of atrial fibrillation, flutter, and other rhythm problems, with electrophysiology brought in when an ablation or device is on the table.
Pericardial disease
Diagnosing and treating pericarditis and pericardial effusions, a longstanding interest of mine.
Preventive cardiology
Risk assessment and long-term prevention, lifestyle first, for patients who want to stay ahead of heart disease rather than react to it.
Related articles →
Cardio-oncology
Monitoring and protecting heart health for patients undergoing chemotherapy or radiation, working alongside the treating oncology team.
Cardio-oncology care →
Non-invasive procedures & diagnostic testing

A test should answer a question. I order one when the result would change what we do, not as a reflex and not to be thorough for its own sake. Most of what's listed here is done in our office, and I read the echocardiograms and nuclear studies myself; cardiac CT goes through outside facilities, and a TEE is done at Delray Medical Center. If I'm not recommending a test you expected, ask me. I'd rather explain than order something that won't help.

Read about new imaging and structural technology →
Echocardiography (ultrasound)
Transthoracic echocardiogram (TTE)
Standard ultrasound to evaluate heart structures, valve function, and overall ejection fraction.
Stress echocardiogram
Combines ultrasound imaging with physical exercise or medication to evaluate wall-motion abnormalities under stress.
Transesophageal echocardiogram (TEE)
Performed at the hospital under mild sedation; views the heart from within the esophagus for detailed evaluation of the valves or to check for blood clots.
Echocardiography & cardiac imaging →
Advanced cardiac imaging
Cardiac CT / CT coronary angiography (CTCA)
Through outside facilities. Non-invasive 3D imaging to calculate coronary calcium scores or visualize arterial blockages, enhanced with HeartFlow or Cleerly AI analysis for a fuller picture of coronary circulation and cardiac risk.
Nuclear cardiology (on-site)
SPECT nuclear stress testing using radiotracers to measure myocardial blood flow and perfusion.
Ambulatory monitoring
Electrocardiogram (ECG / EKG)
Standard baseline tracing of the heart's electrical activity.
EKG monitoring
Zio patch monitor, worn for up to 14 days for continuous recording or for mobile telemetry with remote monitoring, to capture intermittent rhythm abnormalities.
Blood pressure monitoring
With a BioBeat monitor, we can monitor your blood pressure silently and noninvasively for 24 hours.
Pacemaker / ICD / loop recorders
We monitor our patients' implanted devices both remotely and in our office.
Stress testing
Treadmill exercise stress test
Evaluates blood pressure, rhythm, and ischemic ECG changes during physical exertion. Often done with nuclear imaging to increase the accuracy.
Pharmacological stress test
Uses medication (e.g., regadenoson) with nuclear imaging for patients who cannot exercise on a treadmill.

Media

05 / Coverage
Video

Meet the Doctor

A short introduction to Dr. Vafai's practice and approach to cardiac care, produced by Palm Beach Health Network.

Watch the video ↗
News · Feb 28, 2022

On WPTV: Cardio-Oncology

Dr. Vafai is interviewed on WPTV about Delray Medical Center's cardio-oncology program, which monitors heart health during cancer treatment.

Watch the segment ↗
News · Jan 3, 2023

On CBS12: Damar Hamlin

Dr. Vafai speaks with CBS12 about Damar Hamlin's on-field collapse, explaining commotio cordis and how rare cardiac arrest is among athletes.

Read the segment ↗
Video

Heart Month

It's Heart Month! Dr. Vafai, Chair of Cardiology at Delray Medical Center, talks about heart disease and how you can stay heart-healthy.

Watch the video ↗
Press · Jul 25, 2025

South Florida Heart Institute

Boca Raton Observer profiles the Castle Connolly-recognized cardiologists of South Florida Heart Institute, including Dr. Vafai, Chief of Cardiology at Delray Medical Center.

Read the profile ↗
The Boca Raton Observer Top Docs 2026 badge
Press

Top Docs 2026

Boca Raton Observer ↗

Patient reviews

06 / What patients say
4.9★
96 reviews · Birdeye
5.0★
19 ratings · Vitals
5.0★
Healthline FindCare
"Always very professional, caring, thorough, a good listener and a great problem solver."
Patient review · Birdeye
"Dr. Vafai is outstanding, knowledgeable, and exceptionally responsive to messages."
Patient review · Birdeye
"A caring and competent cardiologist who invests time to analyze and evaluate the patient's condition."
Patient review · Birdeye
Read more reviews ↗

What to expect on your first visit

07 / Before you arrive

A little preparation helps your first appointment run smoothly and gives Dr. Vafai the fullest picture of your heart health from day one.

Photo ID & insurance card
Please bring a valid photo ID and your current insurance card(s) for registration.
Referral or prior authorization
If your insurance requires a referral or authorization for a cardiology visit, please confirm it's on file before you arrive.
Current medication list
A list of all medications, vitamins, and supplements you take, with dosages — or simply bring the bottles.
Other healthcare provider details
Names, phone numbers, and fax numbers for your Primary Care Physician and any specialists — such as your oncologist for cardio-oncology patients — so we can coordinate care and send notes directly.
Recent records
Ahead of time, get us recent labs, EKGs, or notes from your prior cardiologist or primary care doctor. If you had a recent hospitalization, it is important that you make the office staff aware.
Prior imaging — on CD, not just the report
If you've had a cardiac CT, catheterization, or echocardiogram elsewhere, please bring the imaging disc itself so it can be compared directly, not only the written report.
What to wear
A comfortable, loose-fitting two-piece outfit and shoes that are easy to remove make blood pressure checks and EKG electrode placement easier. Please avoid heavy skin creams or fragrances, as they can interfere with EKG electrode placement.
Bring a companion
You're welcome to bring a family member or friend to help take notes and ask questions.
No fasting required
There's no need to fast before your visit — we do not perform routine blood work in the office.
Arrive 15 minutes early
Dr. Vafai runs on schedule. Arriving a little early gives you time to complete registration paperwork ahead of your scheduled visit.
Parking
Free, on-site patient parking is available at both office locations — no validation needed.

Frequently asked questions

08 / FAQ
Do you accept my insurance plan?

Please call the office for these details. We take most major insurances.

Can I walk in, or do I need a scheduled appointment?

Please call for an appointment. You may be advised to speak with a nurse to help triage your issue. If the issue is urgent, you may be advised to go to the ER.

If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately — do not wait for a callback from the office.

How do I reach Dr. Vafai between visits?

Call the office and our nursing staff will triage your question and get it to Dr. Vafai, or send a message through the patient portal, which he reviews himself. For anything that can't wait, call rather than message.

How do I request medication refills?

You can call the office and leave a message, or request a refill through the patient portal.

What is the cancellation or late-arrival policy?

We appreciate advance notice, as other patients may have urgent issues and want to be seen. If you are more than 5–10 minutes late for your appointment, you will be asked to reschedule.