Jennifer N. Avari Silva, M.D.

Assistant Professor of Pediatrics, Cardiology
Patient Oriented Research UnitCardiology

phone: (314) 454-6095


  • B.A., Union College1997
  • M.D., St. George's University School of Medicine2002


  • Residency in Pediatrics, Miami Children's Hospital2002 - 2005
  • Fellowship in Pediatric Cardiology, Washington University School of Medicine/St. Louis Children's Hospital2005 - 2008
  • 4th year Advanced Fellowshipin Pediatric and Adult Congenital Electrophysiology, Children's Hospital Boston/Harvard Medical School2008 - 2009

Licensure and Board Certification

  • ECFMG2002
  • Missouri Board of Medicine2005
  • Diplomate, American Board of Pediatrics2005
  • Missouri Board of Medicine2009
  • IL, Department of Financial and Professional Regulation Divisional of Professional Regulation2011
  • MO, DEA2012
  • MO, BNDD2012
  • American Board of Pediatrics, Subboard of Pediatric Cardiology2012
  • MO, Missouri State Board of Registration for the Healing Arts2013
  • International Board of Heart Rhythm Examiners, Certified Electrophysiology Specialist--Pediatric Cardiology, certificate #: 1927452015


  • Fellow, Heart Rhythm Society2016 - Pres

Recent Publications view all (32)

Publication Co-Authors

  1. Nguyen HH, Shahanavaz S, Van Hare GF, Balzer DT, Nicolas R, Avari SIlva JN. Percutaneous Pulmonary Valve Implantation Alters Electrophysiologic Substrate J Am Heart Assoc. 2016;5(10). doi:10.1161/JAHA.116.004325   PMCID:PMC5121524   PMID:27694326  
  2. Moore JP, Wang S, Albers EL, Salerno JC, Stephenson EA, Shah MJ, Pflaumer A, Czosek RJ, Garnreiter JM, Collins K, Papez AL, Sanatani S, Cain NB, Kannankeril PJ, Perry JC, Mandapati R, Silva JN, Balaji S, Shannon KM.. A Clinical Risk Score to Improve the Diagnosis of Tachycardia-Induced Cardiomyopathy in Childhood Am J Cardiol. 2016;118(7):1074-80. doi:10.1016/j.amjcard.2016.07.008   PMID:27515893   
  3. Avari Silva JN, Bromberg BI, Emge FK, Bowman TM, Van Hare GF. Implantable Loop Recorder Monitoring for Refining Management of Children With Inherited Arrhythmia Syndromes. J Am Heart Assoc. 2016;5(6). PMCID:PMC4937287  PMID:27231019  
  4. Dykes JC, Al-mousily MF, Abuchaibe EC, Silva JN, Zadinsky J, Duarte D, Welch E. The incidence of chromosome abnormalities in neonates with structural heart disease Heart. 2016;102(8):634-7. doi:10.1136/heartjnl-2015-308650   PMID:26843533  
  5. Nguyen HH, VanHare GF, Rudokas M, Bowman T, Silva JNA.. SPEAR Trial: Smartphone Pediatric ElectroCArdiogram Trial. PLoS One. 2015;10(8):e0136256. PMCID:PMC4546652   PMID:26295569   
  6. Rockefeller TA, Silva JNA, Liao S, Vichharajani A. . Corrected QT prolongation and bradycardia during therapeutic hypothermia in an infant: a case report NoeReviews. 2015. 
  7. Zhang J, Sacher F, Hoffmayer K, O’Hara T, Strom M, Cuculich P, Silva JNA, Cooper D, Faddis M, Hocini M, Haissaguerre M, Scheinman M, Rudy Y. . Cardiac Electrophysiological substrate underlying the ECG phenotype and electrogram abnormalities in Brugada Syndrome patients. Circulation. 2015;131(22):1950-9.. doi:10.1161/CIRCULATIONAHA.114.013698   PMCID:PMC4452400  PMID:25810336   
  8. Vijayakumar R*, Silva JNA*, Desouza KA, Abraham RL, Strom M, Sacher F, VanHare GF, Haissaguerre M, Roden DM, Rudy Y. . Electrophysiologic Substrate in congenital Long QT Syndrome: noninvasive mapping with electrocardiographic imaging (ECGI). Circulation. 2014;130(22):1936-43.. doi:10.1161/CIRCULATIONAHA.114.011359   PMCID:PMC4245321   PMID:25294783   
  9. Rudokas MW, Patel MD, Bowman TM, Van Hare GF, Silva JNAS. Lead Advancement in Pediatric Patients with SelectSecure 3830 Pacing Leads Journal of Cardiology and Current Research. 2014. 
  10. Silva JN, Erickson CC, Carter CD, Greene EA, Kantoch M, Collins KK, Miyake CY, Carboni MP, Rhee EK, Papez A, Anand V, Bowman TM, Van Hare GF, Participating Members of Pediatric and Congenital Electrophysiology Society (PACES). Management of pediatric tachyarrhythmias on mechanical support. Circ Arrhythm Electrophysiol. 2014. doi:10.1161/CIRCEP.113.000973  PMID:24987047  
  11. Moore JP, Patel PA, Shannon KM, Albers EL, Salerno JC, Stein MA, Stephenson EA, Mohan S, Shah MJ, Asakai H, Pflaumer A, Czosek RJ, Everitt MD, Garnreiter JM, McCanta AC, Papez AL, Escudero C, Sanatani S, Cain NB, Kannankeril PJ, Bratincsak A, Mandapati R, Silva JN, Knecht KR, Balaji S. Predictors of myocardial recovery in pediatric tachycardia-induced cardiomyopathy. Heart Rhythm. 2014;11(7):1163-9. doi:10.1016/j.hrthm.2014.04.023  PMID:24751393  
  12. Silva JN, VON Bergen NH, Dubin AM, Collins KK, Chen J, Bowman TM, Van Hare GF. Assessment of intrathoracic impedance algorithm in the pediatric and adult congenital population. Pacing Clin Electrophysiol. 2014. doi:10.1111/pace.12372  PMID:24646399  
  13. Mills KI, Anderson J, Levy PT, Cole FS, Silva JN, Kulkarni S, Shinawi M. Duplication of 20p12.3 associated with familial Wolff-Parkinson-White syndrome. Am J Med Genet A. 2013;161A(1):137-44. doi:10.1002/ajmg.a.35701  PMID:23239491  
  14. Silva JN, Silva JR. Updates on the inherited cardiac ion channelopathies: from cell to clinical. Curr Treat Options Cardiovasc Med. 2012;14(5):473-89. doi:10.1007/s11936-012-0198-1  PMID:22865245  
  15. Silva JN, Vashist S, Van Hare GF. 3:2 antegrade atrioventricular block with AV nodal reentrant tachycardia: what is the mechanism and where is the block? Pacing Clin Electrophysiol. 2012;35(7):877-9. doi:10.1111/j.1540-8159.2012.03420.x  PMID:22553974  
  16. Vashist S, Silva JN, Van Hare GF, Papez AL, Su WW, Rhee EK. Unusually high association of hypertrophic cardiomyopathy and complex heart defects in children with fasciculoventricular pathways. Pacing Clin Electrophysiol. 2012;35(3):308-13. doi:10.1111/j.1540-8159.2011.03274.x  PMID:22242628  
  17. Ghosh S, Silva JN, Canham RM, Bowman TM, Zhang J, Rhee EK, Woodard PK, Rudy Y. Electrophysiologic substrate and intraventricular left ventricular dyssynchrony in nonischemic heart failure patients undergoing cardiac resynchronization therapy. Heart Rhythm. 2011;8(5):692-9. doi:10.1016/j.hrthm.2011.01.017  PMCID:PMC3096066  PMID:21232630  
  18. Silva JN, Canter CE, Singh TP, Gauvreau K, Piercey GE, Berul CI, Smoot LB, Blume ED, Fynn-Thompson F, Almond CS. Outcomes of heart transplantation using donor hearts from infants with sudden infant death syndrome. J Heart Lung Transplant. 2010;29(11):1226-30. doi:10.1016/j.healun.2010.06.004  PMID:20691612  
  19. Collins KK, Silva JN, Rhee EK, Schaffer MS. Use of a wearable automated defibrillator in children compared to young adults. Pacing Clin Electrophysiol. 2010;33(9):1119-24. doi:10.1111/j.1540-8159.2010.02819.x  PMID:20561227  
  20. Silver ES, Silva JN, Ceresnak SR, Chiesa NA, Rhee EK, Dubin AM, Avasarala K, Van Hare GF, Collins KK. Cryoablation with an 8-mm tip catheter for pediatric atrioventricular nodal reentrant tachycardia is safe and efficacious with a low incidence of recurrence. Pacing Clin Electrophysiol. 2010;33(6):681-6. doi:10.1111/j.1540-8159.2010.02706.x  PMID:20230479  
  21. Silva JN, Canter CE. Current management of pediatric dilated cardiomyopathy. Curr Opin Cardiol. 2010;25(2):80-7. doi:10.1097/HCO.0b013e328335b220  PMID:20019605  
  22. Silva JN, Van Hare G. Management of postoperative pediatric cardiac arrhythmias: current state of the art. Curr Treat Options Cardiovasc Med. 2009;11(5):410-6. PMID:19846040  
  23. Collins KK, Van Hare GF, Kertesz NJ, Law IH, Bar-Cohen Y, Dubin AM, Etheridge SP, Berul CI, Avari JN, Tuzcu V, Sreeram N, Schaffer MS, Fournier A, Sanatani S, Snyder CS, Smith RT Jr, Arabia L, Hamilton R, Chun T, Liberman L, Kakavand B, Paul T, Tanel RE. Pediatric nonpost-operative junctional ectopic tachycardia medical management and interventional therapies. J Am Coll Cardiol. 2009;53(8):690-7. doi:10.1016/j.jacc.2008.11.019  PMID:19232902  
  24. Ghosh S, Avari JN, Rhee EK, Woodard PK, Rudy Y. Hypertrophic cardiomyopathy with preexcitation: insights from noninvasive electrocardiographic imaging (ECGI) and catheter mapping. J Cardiovasc Electrophysiol. 2008;19(11):1215-7. doi:10.1111/j.1540-8167.2008.01203.x  PMCID:PMC2631093  PMID:18479334  
  25. Avari JN, Rhee EK. Cardiac resynchronization therapy for pediatric heart failure. Heart Rhythm. 2008;5(10):1476-8. doi:10.1016/j.hrthm.2008.05.024  PMID:18672406  
  26. Ghosh S, Rhee EK, Avari JN, Woodard PK, Rudy Y. Cardiac memory in patients with Wolff-Parkinson-White syndrome: noninvasive imaging of activation and repolarization before and after catheter ablation. Circulation. 2008;118(9):907-15. doi:10.1161/CIRCULATIONAHA.108.781658  PMCID:PMC2747627  PMID:18697818  
  27. Avari JN, Rhee EK. Markers of coronary sinus accessory pathways in pediatrics. Pacing Clin Electrophysiol. 2008;31(8):968-73. doi:10.1111/j.1540-8159.2008.01123.x  PMID:18684252  
  28. Ghosh S, Avari JN, Rhee EK, Woodard PK, Rudy Y. Noninvasive electrocardiographic imaging (ECGI) of epicardial activation before and after catheter ablation of the accessory pathway in a patient with Ebstein anomaly. Heart Rhythm. 2008;5(6):857-60. doi:10.1016/j.hrthm.2008.03.011  PMCID:PMC2967218  PMID:18482872  
  29. Ghosh S, Avari JN, Rhee EK, Woodard PK, Rudy Y. Noninvasive electrocardiographic imaging (ECGI) of a univentricular heart with Wolff-Parkinson-White syndrome. Heart Rhythm. 2008;5(4):605-8. doi:10.1016/j.hrthm.2007.12.018  PMCID:PMC2329801  PMID:18325851  
  30. Avari JN, Jay KS, Rhee EK. Experience and results during transition from radiofrequency ablation to cryoablation for treatment of pediatric atrioventricular nodal reentrant tachycardia. Pacing Clin Electrophysiol. 2008;31(4):454-60. doi:10.1111/j.1540-8159.2008.01033.x  PMID:18373764  
  31. Gazit AZ, Avari JN, Balzer DT, Rhee EK. Electrocardiographic diagnosis of myocardial ischemia in children: is a diagnostic electrocardiogram always diagnostic? Pediatrics. 2007;120(2):440-4. doi:10.1542/peds.2007-0170  PMID:17671071  
  32. Lehman GC, Van Hare GF, Silva JNA. . Atrial Tachycardia in an Electrically Dissociated Native Right Atrium after Heart Transplantation. Heart Rhythm Case Reports. 
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