What to Expect at Your First Appointment:
Typically a cardiac evaluation begins with a cardiologist consult. After obtaining vitals and a medical history, a resting 12-lead EKG is preformed to detect irregular heart rhythms or old injuries to the heart. Labwork is frequently ordered, these tests help identify risks for cardiac disease as well as determine general health status. An Echocardiogram maybe ordered to evaluate the heart’s size and how strongly the heart is pumping. A stress treadmill test may also be ordered to evaluate whether adequate blood flow to the heart occurs during exercise. If these tests are positive, further evaluation may be necessary. The standard for determining the exact location and degree of blockage in the arteries is an angiogram or cardiac catherization. In addition to Echocardiograms and Stress Testing, Carotid Doppler Testing, Venous and Arterial Doppler Testing maybe preformed when indicated.
Common Tests and Procedures
Echocardiogram (ECHO) is a type of ultrasound test that is used to look at how blood flows through the hearts chambers, valves and blood vessels.
Venous Doppler is a type of ultrasound test that evaluates blood velocity as it flows through a blood vessel, including the body’s major arteries and veins in the abdomen, arms, legs and neck.
Stress Treadmill Testing: important information is derived from exercise capacity, blood pressure response, development of arrhythmias and whether or not symptoms such as chest pain develope during exercise. This allows for assessment of the presence and severity of Ischemia, prognosis, overall functional capacity and the efficiency of therapeutic intervention.
Carotid Doppler: is a non-invasive ultrasound test that is used to measure the flow of blood through the large carotid arteries located in the neck that supply blood to the brain. These arteries can become narrowed due to arteriosclerosis or other causes and can lead to transient ischemic attack (mini-stroke) or cerebral vascular accident (stroke).
Upper & Lower Extremity Arterial Doppler[+] Expand
Upper & Lower Extremity Arterial Doppler: is an ultrasound test that is able to demonstrate blocked or reduced blood flow through major arteries of the arms and legs. It is used to evaluate: numbness and tingling sensations in the hands, feet and legs, sensation of fatigue and heaviness in the arms and legs and to investigate the possibility of thoracic outlet syndrome.
24 Hour Holter Monitor: is a continuous tape recording of a patient’s EKG for 24 hours during the patient’s regular activites. It is used to evaluate symptoms of dizziness, palpitations, blackouts, episodes of chest pain or reduced blood supply to the muscle ofthe left ventricle.