In-Office Diagnostic Testing:
EKG and related studies:
EKG: An electrocardiogram (EKG, ECG) is a test that measures the electrical signals that control heart rhythm. The test measures how electrical impulses move through the heart muscle as it contracts and relaxes.
Stress Test (Treadmill): Sometimes called a Treadmill test or Exercise test. It helps your doctor find out how well your heart handles its workload. As your body works harder during the test, it requires more fuel and your heart has to pump more blood. The test can show if there’s a lack of blood supply through the arteries that go veto the heart. Taking a stress test also helps your doctor know the kind and level of physical activity that’s right for you.
Holter Monitor: A Holter monitor is a battery-operated, portable device that measures and tape-records your heart’s electrical activity (ECG) continuously for 24 to 48 hours. Electrodes (small conducting patches) are placed on your chest and attached to a small recording monitor that you can carry in a pocket or in a small pouch worn around your neck. The recording is then analyzed, a report of the heart’s activity is tabulated and irregular heart activity is correlated with a diary that you keep of your activity at the time. It is very important that you accurately record your symptoms and activities so that the doctor can correlate them with your Holter monitor findings.
Cardiac Event Monitors: If your physician has given you a Cardiac Event monitor (CEM), your doctor will recommend wearing the device for a few weeks or up to 30 days. When you feel a symptom, you may be directed by your physician to push a button on your monitor to record the rhythm, or, if you have an eTrigger Event Monitor, it will automatically record when it identifies an arrhythmia, whether you feel a symptom or not.
“INR” fingerstick for monitoring warfarin Coumadin levels.
Pacemaker/Defibrillators follow up visits:
In-office “check” and remote monitoring, device adjustments, pre-operative and post-operative evaluation.
Transthoracic Echocardiogram (TTE): This is the most common type and is conducted in the office. Views of the heart are obtained by moving the transducer to different locations on your chest or abdominal wall.
Stress-echocardiogram: This test uses ultrasound imaging to show how well your heart muscle is working to pump blood to your body. During this test, an echocardiogram is done both before and after your heart is stressed either by having you exercise on a treadmill which makes your heart beat harder and faster. A stress echocardiogram is usually done to find out if you might have decreased blood flow to your heart (coronary artery disease).
Carotid Duplex Ultrasound: This is a safe, painless procedure that uses sound waves to examine the structure and function of the carotid arteries in your neck. The primary purpose of a carotid ultrasound is to test for narrowed carotid arteries that indicate an increased risk of stroke.
Arterial Duplex Ultrasound: This ultrasound looks at the blood flow in the large arteries and veins in the arms and legs. It is done as the first step to look at arteries and veins. The test is done to help diagnose: Arteriosclerosis of the arms or legs; Blood clot (deep vein thrombosis), and/or Venous insufficiency.
Venous Duplex Ultrasound: This type of ultrasound shows if there is a blockage in a leg or arm vein. Such blockages are usually caused by blood clots, which can be dangerous and even life-threatening if they break loose and travel through the blood to the lungs. If you have pain or swelling in one leg or arm, your doctor may order an ultrasound to determine whether your symptoms are caused by a blockage.
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.
Ankle-Brachial Index Test (ABI): This test is a quick, noninvasive way to check your risk of peripheral artery disease (PAD). Peripheral artery disease is a condition in which the arteries in your legs or arms are narrowed or blocked. People with peripheral artery disease are at a high risk of heart attack, stroke, poor circulation and leg pain.