Kirsten Tolstrup, MD


Kirsten Tolstrup is a noninvasive cardiologist with special interests in echocardiography and valvular and structural heart disease. Her clinical expertise includes use of transthoracic echocardiography, transesophageal and three-dimensional transesophageal echocardiography and supine bicycle stress testing with echocardiography for the evaluation of cardiovascular disease in general and valvular heart disease in particular. Tolstrup works closely with the interventional team on transcatheter-based procedures such as transcatheter aortic valve replacement (TAVR) and MitraClip. A professor at UCSF, her research focuses on implementation of new noninvasive procedures and development of multidisciplinary team approaches to cardiovascular care. She is also a professor of medicine at the University of New Mexico School of Medicine, where she directs the Heart Station and Echo Laboratory.

Tolstrup earned her medical degree at the University of Copenhagen in Denmark, where she completed residencies in orthopedic surgery and trauma medicine. She also completed a residency in internal medicine at the Los Angeles County+USC Medical Center and a fellowship in cardiovascular medicine at UNM.


Cardiovascular Care and Prevention Center — Golden Gate Practice
1 Daniel Burnham Ct., Suite 260
San Francisco, CA 94109
Phone: (415) 502-5099
Fax: (415) 502-5097

Hours: Monday to Friday
8 a.m. - 4:30 p.m.

Board Certification

Cardiovascular Disease, American Board of Internal Medicine

Academic Title


More about Kirsten Tolstrup


University of Copenhagen 1993


USC Medical Center 1998


University of New Mexico School of Medicine 2001

Selected Research and Publications

  1. Saric M, Armour AC, Arnaout MS, Chaudhry FA, Grimm RA, Kronzon I, Landeck BF, Maganti K, Michelena HI, Tolstrup K. Guidelines for the Use of Echocardiography in the Evaluation of a Cardiac Source of Embolism. J Am Soc Echocardiogr. 2016 Jan; 29(1):1-42.
  2. Roldan CA, Schevchuck O, Tolstrup K, Roldan PC, Macias L, Qualls CR, Greene ER, Hayek R, Charlton GA, Sibbitt WL. Lambl's Excrescences: Association with Cerebrovascular Disease and Pathogenesis. Cerebrovasc Dis. 2015; 40(1-2):18-27.
  3. Roldan CA, Tolstrup K, Macias L, Qualls CR, Maynard D, Charlton G, Sibbitt WL. Libman-Sacks Endocarditis: Detection, Characterization, and Clinical Correlates by Three-Dimensional Transesophageal Echocardiography. J Am Soc Echocardiogr. 2015 Jul; 28(7):770-9.
  4. Tanaka J, Izumo M, Fukuoka Y, Saitoh T, Harada K, Harada K, Gurudevan SV, Tolstrup K, Siegel RJ, Shiota T. Comparison of two-dimensional versus real-time three-dimensional transesophageal echocardiography for evaluation of patent foramen ovale morphology. Am J Cardiol. 2013 Apr 01; 111(7):1052-6.
  5. Izumo M, Shiota M, Kar S, Gurudevan SV, Tolstrup K, Siegel RJ, Shiota T. Comparison of real-time three-dimensional transesophageal echocardiography to two-dimensional transesophageal echocardiography for quantification of mitral valve prolapse in patients with severe mitral regurgitation. Am J Cardiol. 2013 Feb 15; 111(4):588-94.
  6. Izumo M, Shiota M, Saitoh T, Kuwahara E, Fukuoka Y, Gurudevan SV, Tolstrup K, Siegel RJ, Shiota T. Non-circular shape of right ventricular outflow tract: a real-time 3-dimensional transesophageal echocardiography study. Circ Cardiovasc Imaging. 2012 Sep 01; 5(5):621-7.
  7. Saitoh T, Izumo M, Furugen A, Tanaka J, Miyata-Fukuoka Y, Gurudevan SV, Tolstrup K, Siegel RJ, Kar S, Shiota T. Echocardiographic evaluation of iatrogenic atrial septal defect after catheter-based mitral valve clip insertion. Am J Cardiol. 2012 Jun 15; 109(12):1787-91.
  8. Saitoh T, Shiota M, Izumo M, Gurudevan SV, Tolstrup K, Siegel RJ, Shiota T. Comparison of left ventricular outflow geometry and aortic valve area in patients with aortic stenosis by 2-dimensional versus 3-dimensional echocardiography. Am J Cardiol. 2012 Jun 01; 109(11):1626-31.
  9. Miyata-Fukuoka Y, Izumo M, Shimada Y, Kuwahara E, Gurudevan SV, Tolstrup K, Siegel RJ, Shiota T. Left atrial size and function are related to pulmonary hypertension in coronary artery disease. Echocardiography. 2012 May; 29(5):535-40.
  10. Nalawadi SS, Tolstrup K, Cuk O, Shiota T, Gurudevan SV, Siegel RJ. Atropine as an adjunct to supine bicycle stress echocardiography: an alternative strategy to achieve target heart rate or rate pressure product. Eur Heart J Cardiovasc Imaging. 2012 Jul; 13(7):612-6.
  11. Tolstrup K, Shiota T, Gurudevan S, Luthringer D, Luo H, Siegel RJ. Left atrial myxomas: correlation of two-dimensional and live three-dimensional transesophageal echocardiography with the clinical and pathologic findings. J Am Soc Echocardiogr. 2011 Jun; 24(6):618-24.
  12. Thompson KA, Shiota T, Tolstrup K, Gurudevan SV, Siegel RJ. Utility of three-dimensional transesophageal echocardiography in the diagnosis of valvular perforations. Am J Cardiol. 2011 Jan; 107(1):100-2.
  13. Gurudevan SV, Shah H, Tolstrup K, Siegel R, Krishnan SC. Septal thrombus in the left atrium: is the left atrial septal pouch the culprit? JACC Cardiovasc Imaging. 2010 Dec; 3(12):1284-6.
  14. Nalawadi SS, Siegel RJ, Wolin E, Yu R, Trento A, Shiota T, Tolstrup K, Luthringer D, Gurudevan S. Morphologic features of carcinoid heart disease as assessed by three-dimensional transesophageal echocardiography. Echocardiography. 2010 Oct; 27(9):1098-105.
  15. Daneshvar D, Wei J, Tolstrup K, Thomson LE, Shufelt C, Merz CN. Diastolic dysfunction: improved understanding using emerging imaging techniques. Am Heart J. 2010 Sep; 160(3):394-404.
  16. Biner S, Rafique A, Rafii F, Tolstrup K, Noorani O, Shiota T, Gurudevan S, Siegel RJ. Reproducibility of proximal isovelocity surface area, vena contracta, and regurgitant jet area for assessment of mitral regurgitation severity. JACC Cardiovasc Imaging. 2010 Mar; 3(3):235-43.
  17. Rafique AM, Biner S, Ray I, Forrester JS, Tolstrup K, Siegel RJ. Meta-analysis of prognostic value of stress testing in patients with asymptomatic severe aortic stenosis. Am J Cardiol. 2009 Oct 01; 104(7):972-7.
  18. Biner S, Rafique AM, Ray I, Cuk O, Siegel RJ, Tolstrup K. Aortopathy is prevalent in relatives of bicuspid aortic valve patients. J Am Coll Cardiol. 2009 Jun 16; 53(24):2288-95.
  19. Biner S, Rafique AM, Wolak A, Tolstrup K, Siegel RJ. Visual assessment of left ventricular dyssynchrony using tissue synchronization imaging. Cardiology. 2009; 114(2):90-9.
  20. Naqvi TZ, Rafique AM, Swerdlow C, Verma S, Siegel RJ, Tolstrup K, Kerwin W, Goodman J, Gallik D, Gang E, Peter CT. Predictors of reduction in mitral regurgitation in patients undergoing cardiac resynchronisation treatment. Heart. 2008 Dec; 94(12):1580-8.

Publications are derived from MEDLINE/PubMed and provided by UCSF Profiles, a service of the Clinical & Translational Science Institute (CTSI) at UCSF. Researchers can make corrections and additions to their publications by logging on to UCSF Profiles.