Office Based Services
 
 

 
Diagnostic Testing
Diagnostic services provided in our office include Dobutamine, Nuclear and Excercise Stress Tests, Electrocardiograms, Echocardiograms, Holter Monitoring, Event Monitoring, Tilt Table Testing, Pacemaker and Defbrillator Device Checks and Abdominal Aortic Ultrasound Screening.


Electrocardiogram (EKG)
An EKG measures the electrical output of your heart.  It is a simple test and the first test to be performed.  The direct result is a graph which a trained cardiologist interprets.


Event Monitor
This is a noninvasive test to measure the hearts rhythm. An event monitor is a portable monitor that records your heart rhythm for up to 30 days (a holter monitor is used for 24 hours).  If symptoms occur while wearing the monitor, the electrical activity of your heart can be reviewed and it can be determined if an abnormal rhythm appears with the symptoms.


 
Exercise Stress Echocardiogram
A stress echo is a test that combines an ultrasound study of the heart with a stress test.  It allows the doctor to observe how the heart reacts when it is made to work harder.  The test is performed while the patient walks on a treadmill.  This is useful in diagnosing heart disease.  During the echo study a transducer is held against the chest.  The transducer sends ultrasound waves that bounce off the various parts of the heart.  The echoes are converted into a moving image of the heart.  The echo is first performed while your heart is at rest.  The patient then exercises and additional echo images are taken.  The images are then compared side by side.  If an area of the heart muscle does not pump, as it should during and after exercise, this often indicates that it is not receiving enough blood because of a blocked or narrowed artery.


Exercise Stress Test
Evaluates the hearts electrical activity and the blood flow to your heart during exercise.  Performed on a treadmill, under supervision, this test is useful in diagnosing blockages in coronary arteries.  When the coronary arteries are blocked or narrowed, the heart muscle may not receive enough oxygen during exercise.  This results in symptoms of angina (chest pain) and abnormal readings on an EKG.  If the test is abnormal or inconclusive the doctor may order additional tests.  During the test, report any symptoms such as chest pain, shortness of breath, leg fatigue or dizziness.  The test will be discontinued when the patient becomes too tired to continue, significant symptoms appear, abnormal EKG changes appear or when the patient reaches peak heart rate.


Holter Monitor
This is a noninvasive test to measure the hearts rhythm.  A holter monitor is a portable monitor that records your heart rhythm for 24 hours (an event monitor does this for up to 30 days).  If symptoms occur while wearing the monitor, the electrical activity of your heart can be reviewed and it can be determined if an abnormal rhythm appears with the symptoms.


Nuclear Studies
Nuclear Stress Testing involves an injection of a small amount of radioactive material, which circulates in the blood stream and shows if the heart is receiving adequate blood supply under stress and/or rest conditions by way of a special camera.  Accommodation can be made for those that are unable to physically exercise on a treadmill, typically a part of this test.  This allows the cardiologist to assess the patient for signs of coronary artery disease or to re-assess the condition of patients with known coronary artery disease. 


Pacemaker/AICD Evaluation
A pacemaker and ICD evaluation in the office is an electronic analysis of the device to test its function and remaining battery life.  The check is performed to evaluate that the implanted device is functioning properly.  Some devices may be checked periodically by remote home monitoring.  During the office evaluation, adjustments and reprogramming can be done when not where needed.


Tilt Table
A tilt table is used when a patient has unexplained fainting spells.  This test is used to create sudden changes in physical position that occur just before fainting spells.  This test can show if your fainting is due to abnormal nervous system reflexes that cause your heart rate to slow down and your blood pressure to drop.