Services

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Echocardiography

Echocardiography has become routinely used in the diagnosis, management, and follow-up of patients with any suspected or known heart diseases. It is one of the most widely used diagnostic tests in cardiology. It can provide a wealth of helpful information, including the size and shape of the heart (internal chamber size quantification), pumping capacity and the location and extent of any tissue damage. It not only allows doctors to evaluate the heart valves, but it can detect abnormalities in the pattern of blood flow, such as the backward flow of blood through partly closed heart valves, known as regurgitation. By assessing the motion of the heart wall, echocardiography can help detect the presence and assess the severity of any wall ischemia that may be associated with coronary artery disease. Echocardiography also helps determine whether any chest pain or associated symptoms are related to heart disease. Echocardiography can also help detect any cardiomyopathy, such as hypertrophic cardiomyopathy, as well as others. The biggest advantage to echocardiography is that it is noninvasive (doesn't involve breaking the skin or entering body cavities) and has no known risks or side effects.

 

Nuclear Stress Test

Typically, a radiotracer (Tc-99 sestamibi, Myoview or Thallous Chloride 201) may be injected during the test. After a suitable waiting period to ensure proper distribution of the radiotracer, photos are taken with a gamma camera to capture images of the blood flow. Photos taken before and after exercise are examined to assess the state of the coronary arteries of the patient. Showing the relative amounts of radioisotope within the heart muscle, the nuclear stress tests more accurately identify regional areas of reduced blood flow.

 

Coumadin Clinic

The Anticoagulation Clinic is designed to help patients manage and maintain therapeutic clotting times to keep them safe. The patients that are enrolled in the Anticoagulation Clinic are taking either Coumadin, Warfarin Sodium, or Jantoven. Fewer incidences as well as fewer hospital visits have resulted from the patients that have been managed in the Anticoagulation Clinic.

Testing is done via finger stick method. The patients know the results right away—there is no waiting. Our nurses instruct the patients of any changes in the Coumadin dosages with written instructions. Then the return visit is scheduled by our medical receptionist.

 

EKG

Electrocardiography (ECG or EKG from the German Elektrokardiogramm) is a transthoracic (across the thorax or chest) interpretation of the electrical activity of the heart over a period of time, as detected by electrodes attached to the outer surface of the skin and recorded by a device external to the body.[1] The recording produced by this noninvasive procedure is termed as electrocardiogram (also ECG or EKG). An electrocardiogram (ECG) is a test that records the electrical activity of the heart. ECG is used to measure the rate and regularity of heartbeats, as well as the size and position of the chambers, the presence of any damage to the heart, and the effects of drugs or devices used to regulate the heart, such as a pacemaker.

 

Abdominal Aortic Ultrasound

An ultrasound of the abdominal aorta is a non-invasive, painless test that uses high-frequency sound waves to image the "aorta," the main blood vessel leading away from the heart. When the walls of the abdominal aorta become weak, they may balloon outward If the aorta reaches over 3 centimeters in diameter, it is then called an abdominal aortic aneurysm (AAA). As the aneurysm gets larger, the risk of rupture increases. Ultrasound imaging of the aorta is useful for measuring its size to screen for AAA. Screening is particularly recommended for men over the age of 60 who have ever smoked and for anyone with a family history of AAA. In addition to screening, ultrasound is also a useful tool after the diagnosis of AAA to monitor its size on a regular basis to see if it needs to be repaired.

 

Carotid Ultrasound

Ultrasound imaging, also called ultrasound scanning or sonography, involves exposing part of the body to high-frequency sound waves to produce pictures of the inside of the body. Ultrasound examinations do not use ionizing radiation (as used in x-rays). Because ultrasound images are captured in real-time, they can show the structure and movement of the body's internal organs, as well as blood flowing through blood vessels. Ultrasound imaging is a noninvasive medical test that helps physicians diagnose and treat medical conditions. An ultrasound of the body's two carotid arteries, which are located on each side of the neck and carry blood from the heart to the brain, provides detailed pictures of these blood vessels and information about the blood flowing through them. A Doppler ultrasound study is usually an integral part of a carotid ultrasound examination. Doppler ultrasound is a special ultrasound technique that evaluates blood flow through a blood vessel, including the body's major arteries and veins in the abdomen, arms, legs and neck.

 

Holter treatment

A ‘Holter monitor’ is a continuous tape recording of a patient's ECG for 24 hours. It is worn during regular daily activities under regular clothing. It helps your cardiologist compare symptoms of dizziness, palpitations or black outs with data gathered on the heart. Holter monitoring is used to detect an abnormal heart rhythm.

 

Pacer Clinic

he Pacemaker Clinic provides the cardiologist with a way to monitor your pacemaker or defibrillator and make any adjustments that are needed to the device. The pacemaker function and battery are checked by a telemetry unit or "wand" that is placed on your chest wall over the pacemaker noninvasively. The pacemaker transmits its information to the "wand" placed on your chest. Any adjustments that need to be made to the pacemaker are transmitted by the "wand" to the pacemaker. The pacemaker also contains a fair amount of information on your heart’s electrical function over a period of time that your cardiologist is able to access through the pacemaker check. The whole procedure usually takes 20 minutes.

 

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