In Office Services

A Holter monitor is used in diagnosing heart rhythm disturbances that may occur at times when you are away from the doctor’s office. It is used in conjunction with a written diary/log of your daily activities. It is worn under your clothes for 24–48 hours.

An echocardiography uses ultrasound high-frequency sound waves to create a videotape of the heart’s chambers, valves, wall motion and blood flow patterns. This gives your provider detailed pictures and video of your heart.

An EKG/ECG is a basic test that records the heart’s electrical activity. It is able to give your provider information regarding any past damage to your heart, dysrhythmias and other cardiac abnormalities.

The Nuclear Medicine Stress Test is a way to determine whether or not your heart receives an adequate blood supply during increased demand. It is usually used to evaluate coronary artery disease along with how well your heart muscle is functioning. A small, safe amount of a pharmacological radionuclide is injected into an arm vein before and during testing. This material locks into your heart muscle giving the cardiologist a “snap shot” of blood flow at that moment. A special camera is then used to image your heart muscle to determine if blood flow is normal. This is used in conjunction with either a treadmill stress test or a chemical stress test. A chemical stress test is used in patients who are unable to walk on a treadmill.

Pacemakers and defibrillators aid the heart to maintain its required heartbeat and rhythm to keep blood flowing throughout the body. Periodic check-ups are required of these devices. These are done in-office with your pacemaker representative. These checkups will evaluate function, battery life and abnormal rhythms.

• Abdominal ultrasound is performed to evaluate the abdominal aorta for aneurysmal areas.
• Lower extremity arterial ultrasounds and ankle-brachial index (ABI) is performed to evaluate for any peripheral vascular disease.
• Carotid ultrasound is performed to evaluate for any carotid stenosis, which can cause stroke.
• Renal ultrasound is performed to evaluate for renal artery stenosis.
• Venous ultrasound is to evaluate for any blood clots and also for venous insufficiency.

Commonly referred to as an exercise Stress Test, treadmill testing evaluates the heart’s response to increased activity. It is performed in-office and is mainly used to evaluate coronary artery disease. The patient walks on a treadmill while the heart rhythm and blood pressure is monitored by our cardiovascular technician throughout the exam.