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EKG (Electrocardiography) is the recording of the electrical activity of the heart.

 

Holter Monitoris a portable device for continuously monitoring various electrical activities of the cardiovascular system for at least 24 hours. The Holter's most common use is for monitoring heart activity (electrocardiography or ECG). Its extended recording period is sometimes useful for observing occasional cardiac arrhythmias or epileptic events, which would be difficult to identify in a shorter period.

 

For patients having more impermanent symptoms, lasting only for a short period, a Cardiac Event Monitor can be used, which can be worn for a month or more. The Holter monitor records electrical signals from the heart via electrodes attached to the chest. Electrodes are placed over bones to minimize artifacts from muscular activity. These electrodes are connected to a small piece of equipment attached to the patient's belt or hung around the neck and are responsible for keeping a log of the heart's electrical activity throughout the recording period.

 

Cardiac Catheterization - (heart cath) is the insertion of a catheter into a chamber or vessel of the heart. This is done both for diagnostic and interventional purposes.

 

Coronary Stent - a tube placed in the coronary arteries that supply the heart, to keep the arteries open in the treatment of coronary heart disease. Stents reduce chest pain and have been shown to improve survivability in the event of acute myocardial infarction.

 

Pacemaker - (or artificial pacemaker, so as not to be confused with the heart's natural pacemaker) is a medical device that uses electrical impulses, delivered by electrodes contracting the heart muscles, to regulate the beating of the heart. The primary purpose of a pacemaker is to maintain an adequate heart rate, either because the heart's natural pacemaker is not fast enough, or because there is a block in the heart's electrical conduction system. Modern pacemakers are externally programmable and allow the cardiologist to select the optimum pacing modes for individual patients. 

 

Defibrillator Insertionis a common treatment for life-threatening cardiac dysrhythmias, ventricular fibrillation, and pulseless ventricular tachycardia. Defibrillation depolarizes a critical mass of the heart muscle, terminates the dysrhythmia, and allows normal sinus rhythm to be reestablished by the body's natural pacemaker, in the sinoatrial node of the heart.

Cardiac Ablationis an invasive procedure used to remove or terminate a faulty electrical pathway from sections of the hearts of those who are prone to developing cardiac arrhythmias such as atrial fibrillation, atrial flutter, supraventricular tachycardias (SVT) and Wolff-Parkinson-White syndrome.

Home Sleep Study - a test that records the body's activity during sleep. They are helpful in the identification of sleep disorders.

Venous Doppler

Echocardiography - (often referred to as a cardiac echo or an echo) is a sonogram of the heart. (It is not abbreviated as ECG, which in medicine usually refers to an electrocardiogram).

Carotid Ultrasound

Abdominal Aortic Aneurysm Screening

Ankle Brachial Index (ABI) - the ratio of the blood pressure in the lower legs to the blood pressure in the arms.

Regular Stress Test(or cardiac diagnostic test) is used in medicine and cardiology to measure the heart's ability to respond to external stress in a controlled clinical environment. The stress response is induced by exercise or drug stimulation.

Vein Ablation Procedure If the valves leak, blood pools in leg veins which can become enlarged or varicose. Endovenous ablation is an image-guided, minimally invasive treatment for varicose veins. We use radiofrequency to cauterize (burn) and close the varicose veins.

Nuclear Stress Test - The best-known example is myocardial perfusion imaging. Typically, a radiotracer (Tc-99 sestamibi, Myoview, or Thallous Chloride 201) may be injected during the test. After a suitable waiting period to ensure proper distribution of the radiotracer, scans are acquired with a gamma camera to capture images of the blood flow. Scans acquired before and after exercise are examined to assess the state of the coronary arteries of the patient. Showing the relative amounts of radioisotope within the heart muscle, the nuclear stress tests more accurately identify regional areas of reduced blood flow.

 

Pharmacological Stress Test - is generally used when a patient cannot achieve adequate work level with treadmill exercise or has poorly controlled hypertension or left bundle branch block.

 

Adult Immunizations include Flushot / Pnemovax (Pneumonia Shot) / TDAP / Vitamin B12.

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