Our range of office services and testing includes:
During a Cardiovascular Consultation it will consist of seeing the Doctor or Nurse Practitioner to go over any symptoms the patient is having, to examine the patient blood pressure and heart rate during the visit. The patient will receive an EKG if they are having any symptoms or if they are a new patient to our facility. The Doctor or Nurse Practitioner will do a physical examination which consist of them listening to your heart, lungs, and heartbeat; they will also feel for the pulse on bilateral feet. After speaking to the Doctor or Nurse Practitioner they will schedule any further testing they believe the patient needs.
An EKG is short for Electrocardiogram; during an EKG you will have 12 electrode pads which is like stickers that are placed on the chest and the machine is hooked up and connected this way, the test is painless and only takes less than a minute to do. It is a test that measures the electrical activity of the heartbeat. The electrical impulse indicates a wave to show how the muscle is squeezing and pumping blood from the heart. This test is used to also detect heart problems such as heart attack, arrythmia, or irregular heartbeat.
Echocardiogram is an ultrasound on your chest to evaluate the heart. This test takes 15-20 minutes. An echocardiogram checks how your heart chambers and heart valves are pumping blood through your heart. During an echocardiogram you are also hooked up to electrodes to check the heart rhythm to see how the blood moves through the heart.
During a Stress Echo the patient will have an echocardiogram, their blood pressure monitored and heart rate monitored prior to walking on a treadmill, the patient will then walk on a treadmill for a certain amount of time while the Doctor or Nurse Practitioner monitors the blood pressure and heart rhythm. The Stress Echo has 6 stages on the treadmill and each stage the treadmill inclines and speeds up a little. The goal of this test is to meet your max heartrate before stopping the treadmill. Once the patient has met their max heart rate or stop on the treadmill, they will lie down for another echocardiogram. This test will show how well your heart and blood vessels are working.
During a Nuclear Stress Test the patient will not eat, drink or take any medications prior to the test. The test is around 3-4 hours long and once the patient reaches a halfway point the Nuclear techs will allow you to eat. The nuclear techs will take pictures of your heart at rest and after stress, the study utilizes a radioactive tracer to create images of how well blood is reaching your heart muscles and if there is any indication of blockages in the arteries in the heart.
During an Exercise Stress test the patient will be hooked up to a 12 lead EKG machine and will walk on a treadmill, the treadmill has 6 stages and during each stage the treadmill incline and speeds up. This test shows how well your heart responds during times it’s worked the hardest to allow the Doctor to see if there are any issues with blood flow within the patient’s heart and allows the Doctor or Nurse Practitioner to monitor your heart rate.
Carotid Duplex is an ultrasound of the arteries in the neck. This ultrasound takes around 10 minutes. It allows the doctor to see how well the blood is flowing through the arteries, the carotid arteries supply blood directly to the brain.
A Holter Monitor is a battery-operated device the records and measures the patient’s heart rate and activity continuously for 24-72 hours. The device is 5 leads and is worn by the patient until they come in for the staff to take off. While wearing a Holter Monitor it is continuously monitoring the patient’s heart rate and activity and this allows the doctor to see if the patients heart is working properly, if the patient experiences any arrhythmias, or has an irregular heartbeat. An event monitor is very similar to a Holter monitor except the event monitor is worn up to 30 days.
This test is an ultrasound on the arteries in the legs. During this ultrasound the technician will do an ultrasound on bilateral legs. This test allows the doctor to see how the blood is flowing in the arteries in the legs to make sure the patient is receiving good blood flow to the feet and to make sure the patient doesn’t have possible blockages in the legs. Patients could have symptoms of leg pain, cramping, tingling, restless, aching, discoloration, cold to the touch or ulcerations if they are not receiving enough blood flow to the feet. This test takes around 15-20 minutes.
This test is an ultrasound on the veins in the legs. During this test the technician will do an ultrasound on bilateral legs. This test allows the doctor to see if your veins have any reflux/ varicose veins which would cause leg pain, leg swelling or discoloration. Venous Duplex is an ultrasound that also looks at the veins in the legs and looks at the veins higher up towards the stomach area to see if the blood flow back to the heart is good. This test allows the doctor to see if there is any compression in the iliac veins which can cause leg swelling.
This test is another way to check the blood flow to the feet. The patient will have to lay flat and will have blood pressure cuffs on their arms, thighs, calves, ankles, and big toes. The machine will then take the blood pressure in each cuff and compare the numbers for the doctor to read. This test allows the doctor to see if the patient is receiving enough blood flow to the foot.
When a patient needs a Surgical Clearance there are a few precautions we follow at our office. If you are a new patient at our office, you will come in for an appointment, get an EKG and depending on symptoms and blood pressure the Doctor or Nurse Practitioner will decide if you need further testing. Typically the Doctor does want to have the patient do a Stress test and Echocardiogram to make sure the heart is healthy. If the patient is current, the Doctor or Nurse Practitioner will look at the patients most recent test or schedule the current patient for another Stress test and Echocardiogram for more recent results.
A pacemaker is a small, battery-operated device that helps regulate a patient's heart rhythm. It's usually placed under a patient's skin, just below the collar bone, and sends out electrical impulses that keep the heart beating at its proper speed. During the pacemaker clinic the technicians will make sure your pacemaker is still working properly and to look at the pacemaker settings and to make any needed changed during the visit.
An implantable cardioverter-defibrillator (ICD) is a small battery-powered device placed in your chest to monitor your heart rhythm and detect irregular heartbeats. An ICD can deliver electric shocks via one or more wires connected to your heart to fix an abnormal heart rhythm. During the ICD clinic the technicians will make sure the ICD is still working properly and look over settings and make any notes or changes needed.
At our office we are associated with LabCorp. We can draw blood and send for multiple types of lab work that is needed. Typically it takes 1-2 days to receive the results.
Coronary Angiography is a procedure performed at the hospital. This procedure is performed by the doctor. This is an outpatient procedure, which means “same day discharge”. The patient will receive an IV upon arriving for conscious sedation, the patient will not be completely asleep. The doctor will get access in the right radial artery, which is the right wrist. Then, the doctor will use a wire and a catheter to guide him to the patient’s heart. Once the doctor is in the heart with the catheter, he will take selective pictures by injecting IV-dye (Iodine) which indicates the blood flow in the heart. This will allow the doctor to see if the patient has any blockages in the heart. After the procedure is performed the patient will stay in recovery for 2-4 hours depending on stability. If patient is stable, they will be discharged home.
Coronary Angioplasty/Stent Placement is a procedure performed at the hospital performed by the doctor. This procedure typically takes place after the patient has had a Coronary Angiography. The patient will receive an IV upon arrival for conscious sedation, the patient will not be completely asleep. The doctor will get access in either the wrist or the groin. Then, the doctor will use a wire and a catheter to guide him to the patient’s heart. By injecting IV-dye (Iodine) the doctor will be able to use the wire to the blockage in the heart. To open the blockage, balloon angioplasty will be performed. Balloon angioplasty is a catheter with a small balloon at the end of the catheter that the doctor will inflate. Once the blockage has been opened, the doctor will deflate the balloon and remove it. Depending on the blockage, the doctor may place a stent in the heart. This will help keep the blockage open. This procedure can be outpatient, which is “same day discharge”. Depending on the patient stability the doctor will give a discharge time.
Peripheral Vascular Angiography is a procedure performed in our Outpatient Lab at our office. The procedure is outpatient, which means “same day discharge”. This procedure is for patients that may have had an abnormal Lower Arterial, Ankle Brachial Index, extreme leg pain, or discoloration/ulceration. The patient will be given conscious sedation to keep them comfortable, the patient is not put completely asleep but given enough to stay comfortable throughout the procedure. The patient will need to be NPO (no food, drink or medications prior to procedure). Once the patient arrives, they will receive an IV for the sedation. For the procedure, the Doctor makes a small incision in the left radial artery, which is the left wrist. The doctor will then use a wire and a catheter to guide him to the arteries in the legs. Once the catheter is in place to take pictures of the legs, the doctor will then inject IV-dye (Iodine) to indicate blood flow in the legs. The doctor will take selective shots of bilateral legs and iliac arteries to allow him to see if the patient has blockages in the arteries, which is also referred as Peripheral Vascular Disease (PAD).
Peripheral Vascular Angioplasty/Stent Placement is typically a procedure followed up after the patient has had an Angiography. This procedure is for patients that have blockages in the arteries in the legs which is Peripheral Vascular Disease (PAD). This procedure takes place in our Outpatient Lab in our office. The patient will receive an IV upon arrival for sedation. The patient receives conscious sedation to keep them comfortable throughout the procedure. For the procedure, the doctor will get access in either the left or right common femoral artery, which is your left or right groin. Once the doctor has access, he will use a wire and a catheter to guide him to the blockage in the leg. The doctor will then take pictures with IV-Dye (Iodine) to indicate the blood flow in the artery to confirm the blockage. Once the blockage is confirmed the Doctor will proceed with balloon angioplasty, balloon angioplasty is a catheter with a small balloon on the end, the doctor is able to inflate the balloon to open this blockage. After the balloon is deflated and removed the doctor will take a photo by injecting the IV-dye to see to results. Stent Placement can be considered, if the blockage is severe and needs further treatment. If so, the doctor will place a stent in the artery to hold this blockage open. If the patient does get a stent placement, the patient does receive a stent card that they can keep showing where the stent was placed for when going to a hospital or etc. The patient will have to lie flat for a certain amount of time for recovery. If the patient receives a closure device the recovery is 2-4 hours depending on stability. If the patient does not receive a closure device the recovery is 4-6 hours depending on stability. The patient will follow up at the office in 2 weeks post procedure.
A Pacemaker Implantation will be performed at the hospital. A pacemaker implantation is a small electronic device that is usually placed in the chest (just below the collarbone) to help regulate slow electrical problems with the heart. The patient will stay in the hospital until stable after this procedure. After the procedure, the patient will have multiple follow ups at the office to look at the procedure site.
Varicose Vein treatment is a non-invasive procedure performed by the Doctor called Vein Ablation to close off the bad varicose vein that has a lot of reflux. This procedure is performed at our office and is outpatient, which means “same day discharge”. The patient will have sedation to keep them comfortable during this procedure. After the procedure is performed and the varicose vein is closed, the patient will come back 3 days after the procedure to have a post ultrasound.