Jennifer N. Avari Silva, M.D.

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Professor of Pediatrics, Cardiology
Director, Pediatric Electrophysiology
College of Arts & SciencesSchool of MedicineCardiology

phone: (314) 454-6095


  • BA, Union College1997
  • BA, Wellcome Institute for the History of Medicine, The Netherlands Institute of the Health Sciences in conjunction with Nijmegen University, and Semmelweis University1994
  • MD, 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
  • Fellow, Rudy Lab in Biomedical Engineering, Washington University in St Louis2006 - 2008
  • 4th year Advanced Fellowship in Pediatric and Adult Congenital Electrophysiology, Children's Hospital Boston/Harvard Medical School2008 - 2009
  • Leadless Pacemaker Implant, Medtronic, Inc2018 - 2018

Licensure and Board Certification

  • 2002 - PresECFMG
  • 2005 - PresDiplomate, American Board of Pediatrics, General Pediatrics Certification
  • 2009 - PresMO, BNDD
  • 2009 - PresMO, DEA
  • 2009 - PresMO, Missouri Board of Medicine
  • 2009 - PresMissouri Board of Medicine, Controlled Medication License
  • 2009 - PresMO, Missouri State Board of Registration for the Healing Arts
  • 2009 - PresIL, Illinois Department of Financial and Professional Regulation
  • 2009 - PresIL, Illinois Department of Financial and Professional Regulation, Controlled Substance License
  • 2010 - PresIL, Department of Financial and Professional Regulation Divisional of Professional Regulation
  • 2012 - PresDiplomate, American Board of Pediatrics, Pediatric Cardiology Certification
  • 2015 - 2025International Board of Heart Rhythm Examiners, Certified Electrophysiology Specialist--Pediatric Cardiology, certificate #: 192745

Honors and Awards

  • Best Poster, 18th Annual HHS SBIR/STTR Conference2016
  • Fellow, Heart Rhythm Society2016 - Pres
  • Fellow, American Heart Association2018 - Pres
  • Founder Nomination, Tech Startup Readiness Project, Ball State University and Indiana University2019
  • Innovator Award (Skandy Award), Skandalaris Center for Interdisciplinary Innovation and Entrepreneurship2019
  • World Zoroastrian Entrepreneur, World Zarathushti Chamber of Commerce2019
  • Finalist (Deamer Category), LaunchCode’s Moonshot Awards2019
  • Top Doctor, St Louis Magazine2019 - Pres
  • Fellow, American College of Cardiology2020 - Pres
  • IDEA Award for Design Interaction2020
  • Silver Prize, Edison Award 2021 in Surgical Visualization Platforms (Science, Medical and Dental)2021

Recent Publications view all (67)

Publication Co-Authors

  1. Incorporation of the CardioMEMS(TM) System during an Exercise Physiology Test in a Pediatric Congenital Heart Disease Patient Contributing to Medical Decision Making Pediatr Cardiol. 2021. doi:  
  2. 2021 PACES Expert Consensus Statement on the Indications and Management of Cardiovascular Implantable Electronic Devices in Pediatric Patients: Executive Summary Heart Rhythm. 2021. doi:  
  3. 2021 PACES Expert Consensus Statement on the Indications and Management of Cardiovascular Implantable Electronic Devices in Pediatric Patients Heart Rhythm. 2021. doi:  
  4. Design Considerations for Interacting and Navigating with 2 Dimensional and 3 Dimensional Medical Images in Virtual, Augmented and Mixed Reality Medical Applications Virtual, Augmented and Mixed Reality. Industrial and Everyday Life Applications. HCII 2021. Lecture Notes in Computer Science. 2021;LNCS 12770 :1-17. doi:  
  5. Sex and Race Disparities in Presumed Sudden Cardiac Death--One Size Does Not Fit All Circ: A&E. 2021;14(5). doi:DOI: 10.1161/CIRCEP.121.010053  PMID:33993706 
  6. The Future of Electrophysiology: Using Mixed Reality During Cardiac Ablation Procedures EP Lab Digest. 2021;21(5):1-2. 
  7. Impact of Augmented Reality Improvement in Ablation Catheter Navigation as Assessed by Virtual-Heart Simulation of Ventricular Tachycardia Ablation Computers in Biology and Medicine. 2021;133:104366. doi:10.1016/j.compbiomed.2021.104366  PMID:33836448 
  8. Comparing Patient and Family Usability of Insertable Cardiac Monitors in a Pediatric Cohort: Patient External Activator Versus Smartphone Transmission Heart Rhythm O2. 2021. doi:  
  9. A unique cardiovascular presentation of pheochromocytoma SAGE Open Medical Case Reports. 2021;9:2050313X21994037. doi:10.1177/2050313X2199403  PMCID:PMC7900786  PMID:33680468 
  10. The Impact of Direct to Consumer Wearables in Pediatric Electrophysiology Telehealth Clinics: A Real-World Case Series Cardiovasc Digit Health J. 2020;1(3):169-171. doi:10.1016/j.cvdhj.2020.09.005  PMCID:PMCID 7538375  PMID:33043315 
  11. Digital Health and the Care of the Arrhythmia Patient; What Every Electrophysiologist Needs to Know Circ Arrhythm Electrophysiol . 2020;12(11):e007953. doi:10.1161/CIRCEP.120.007953  PMID:33021815 
  12. Institutional experience of healthy pediatric patients presenting with atrial fibrillation who had an electrophysiology study J Card Surg. 2020;35(5):1004-1009. doi:10.1111/jocs.14506  PMID:32163635 
  13. Development and Human Factors Considerations for Extended Reality Applications in Medicine: The Enhanced ELectrophysiology Visualization and Interaction System (ĒLVIS) Virtual, Augmented and Mixed Reality. Industrial and Everyday Life Applications. HCII 2020. Lecture Notes in Computer Science. 2020;12191:341-356. doi:  
  14. First-In-Human Use of a Mixed Reality Display During Cardiac Ablation Procedures JACC: Clinical Electrophysiology. 2020;6(8):1023-1025. doi:DOI: 10.1016/j.jacep.2020.04.036  PMCID:PMC7743819  PMID:32819517 
  15. Performance Evaluation of Mixed Reality Display for Guidance during Transcatheter Cardiac Mapping and Ablation. IEEE J Transl Eng Health Med. 2020;(3):1-10. doi:10.1109/JTEHM.2020.3007031  PMCID:PMC7390021  PMID:32742821 
  16. Successful Institutional Development of a Pediatric Exercise Stress Testing Program after the Establishment of a Dedicated Exercise Team Journal of Exercise Physiology Online. 2020;23(3):38+. 
  17. Use of Extended Realities in Cardiology Trends Cardiovasc Med. 2020;30(3):143-148. PMCID:PMC6917970  PMID:31076168 
  18. Catheter Ablation in Pediatric Congenital Heart Disease: A Modern Perspective Circ Arrhythm Electrophysiol . 2019;12(11):e008019. doi:DOI: 10.1161/CIRCEP.119.008019  PMID:31722542 
  19. Extended Reality In Medical Practice Curr Treat Options Cardiovasc Med. 2019;21(4):18. doi:DOI: 10.1007/s11936-019-0722-7  PMCID:PMC6919549  PMID:30929093 
  20. What have we learned in the last 20 years? A Comparison of a Modern Era Pediatric and Congenital Catheter Ablation Registry to Prior Pediatric Ablation Registries Heart Rhythm. 2019;16(1):57-63. doi:DOI: 10.1016/j.hrthm.2018.08.013  PMID:30118886 
  21. Can smartphone wireless ECGs be used to accurately assess ECG intervals in pediatrics? A comparison of mobile health monitoring to standard 12-lead ECG PLoS One . 2018;13(9):e0204403. doi:DOI: 10.1371/journal.pone.0204403  PMCID:PMC6160047  PMID:30260996 
  22. Emerging Applications of Virtual Reality in Cardiovascular Medicine JACC Basic Transl Sci. 2018;3(3):420-430. doi:DOI: 10.1016/j.jacbts.2017.11.009  PMCID:PMC6058998  PMID:30062228 
  23. Coronary sinus morphology in pediatric patients with supraventricular tachycardia J Interv Card Electrophysiol. 2018;51(2):163-168. doi:DOI: 10.1007/s10840-018-0323-5  PMID:29397525 
  24. Atrioventricular Nodal Reentrant Tachycardia in Patients With Congenital Heart Disease Outcome After Catheter Ablation Cric A&E. 2017;10(7):e004896. doi:DOI: 10.1161/CIRCEP.116.004869  PMID:28687669 
  25. Reveal LINQ Versus Reveal XT Implantable Loop Recorders: Intra- and Post-Procedural Comparison. J Pediatr. 2017;187:290-294. doi:DOI: 10.1016/j.jpeds.2017.04.057  PMID:28545873 
  26. Force-Sensing Catheters During Pediatric Radiofrequency Ablation: The FEDERATION Study. JAHA. 2017;6(5):e005772. doi:DOI: 10.1161/JAHA.117.005772  PMCID:PMC5524110  PMID:28515113 
  27. Use of intravenous sotalol in newborns with supraventricular tachycardia. HeartRhythm Case Rep. 2017;3(7):332-335. doi:DOI: 10.1016/j.hrcr.2017.03.010  PMCID:PMC5511985  PMID:28748138 
  28. A Clinical Risk Score to Improve the Diagnosis of Tachycardia-Induced Cardiomyopathy in Childhood. Am J Cardiol. 2016;118(7):1074-80. doi:DOI: 10.1016/j.amjcard.2016.07.008  PMID:27515893 
  29. Percutaneous Pulmonary Valve Implantation Alters Electrophysiologic Substrate J Am Heart Assoc. 2016;5(10):e004325. doi:DOI: 10.1161/JAHA.116.004325  PMCID:PMC5121524   PMID:27694326 
  30. Implantable Loop Recorder Monitoring for Refining Management of Children With Inherited Arrhythmia Syndromes. J Am Heart Assoc. 2016;5(6):e003632. doi:DOI: 10.1161/JAHA.116.003632  PMCID:PMC4937287  PMID:27231019 
  31. Use of Smartphone Technology in Cardiology Trends Cardiovasc Med. 2016;26(4):376-86. doi:DOI: 10.1016/j.tcm.2015.11.002  PMID:26686266 
  32. Atrial Tachycardia in an Electrically Dissociated Native Right Atrium after Heart Transplantation. HeartRhythm Case Rep. 2016;2(4):356-359. doi:DOI: 10.1016/j.hrcr.2016.04.004  PMCID:PMC5419896  PMID:28491709 
  33. The incidence of chromosome abnormalities in neonates with structural heart disease Heart. 2016;102(8):634-7. doi:DOI: 10.1136/heartjnl-2015-308650  PMID:26843533 
  34. SPEAR Trial: Smartphone Pediatric ElectrocARdiogram Trial. PLoS One. 2015;10(8):e0136256. doi:DOI: 10.1371/journal.pone.0136256  PMCID:PMC4546652  PMID:26295569 
  35. Corrected QT prolongation and bradycardia during therapeutic hypothermia in an infant: a case report NeoReviews. 2015. 
  36. Cardiac electrophysiological substrate underlying the ECG phenotype and electrogram abnormalities in Brugada syndrome patients. Circulation. 2015;131(22):1950-9. doi:DOI: 10.1161/CIRCULATIONAHA.114.013698  PMCID:PMC4452400  PMID:25810336 
  37. Electrophysiologic substrate in congenital Long QT syndrome: noninvasive mapping with electrocardiographic imaging (ECGI). Circulation. 2014;130(22):1936-1943. doi:DOI: 10.1161/CIRCULATIONAHA.114.011359  PMCID:PMC4245321  PMID:25294783 
  38. Commentary Clin Chem. 2014;60(9):1156. doi:DOI: 10.1373/clinchem.2014.226241  PMID:25170165 
  39. Lead Advancement in Pediatric Patients with SelectSecure 3830 Pacing Leads J Cardiol Curr Res. 2014;1(3):75. doi:DOI: 10.15406/jccr.2014.01.00015  
  40. Predictors of myocardial recovery in pediatric tachycardia-induced cardiomyopathy. Heart Rhythm. 2014;11(7):1163-9. doi:DOI: 10.1016/j.hrthm.2014.04.023  PMID:24751393 
  41. Management of pediatric tachyarrhythmias on mechanical support. Circ Arrhythm Electrophysiol. 2014;7(4):658-663. doi:DOI: 10.1161/CIRCEP.113.000973  PMID:24987047 
  42. Assessment of intrathoracic impedance algorithm in the pediatric and adult congenital population. Pacing Clin Electrophysiol. 2014;37(9):1174-80. doi:DOI: 10.1111/pace.12372  PMID:24646399 
  43. Duplication of 20p12.3 associated with familial Wolff-Parkinson-White syndrome. Am J Med Genet A. 2013;161A(1):137-44. doi:DOI: 10.1002/ajmg.a.35701  PMID:23239491 
  44. 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 
  45. 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 
  46. 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 
  47. Congenital long QT 3 in the pediatric population Am J Cardiol. 2012;109(10):1459-65. doi:DOI: 10.1016/j.amjcard.2012.01.361  PMID:22360817 
  48. 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 
  49. 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 
  50. 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 
  51. 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 
  52. Current management of pediatric dilated cardiomyopathy. Curr Opin Cardiol. 2010;25(2):80-7. doi:10.1097/HCO.0b013e328335b220  PMID:20019605 
  53. Management of postoperative pediatric cardiac arrhythmias: current state of the art. Curr Treat Options Cardiovasc Med. 2009;11(5):410-6. doi:DOI: 10.1007/s11936-009-0043-3  PMID:19846040 
  54. Cardiac resynchronization therapy in pediatric congenital heart disease: insights from noninvasive electrocardiographic imaging. Heart Rhythm. 2009;6(8):1178-85. doi:DOI: 10.1016/j.hrthm.2009.04.017  PMCID:PMC2717033  PMID:19632630 
  55. Pediatric non post-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 
  56. 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 
  57. Cardiac resynchronization therapy for pediatric heart failure. Heart Rhythm. 2008;5(10):1476-8. doi:10.1016/j.hrthm.2008.05.024  PMID:18672406 
  58. 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 
  59. 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 
  60. 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 
  61. 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 
  62. 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 
  63. 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 
  64. Diagnosis and Treatment of Fetal Tachyarrhythmias US Cardiology. 2006;35(2):1-5. 
  65. Virtual and augmented reality in cardiovascular care: State of the art and future perspectives JACC: Cardiovascular Imaging. 
  66. Children Really Are Not Little Adults: What We Can Take Away from the 2021 PACES Expert Consensus Statement on the Indications and Management of Cardiovascular Implantable Electronic Devices Heart Rhythm O2. 
  67. Accelerating the Application of Extended Reality Devices in Medicine IEEE Access. 
Last updated: 10/24/2021
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