Cardiac Diagnostic Services

Cardiac Event Monitoring
This test records the rhythm of your heart for up to 30 days. The monitor is the size of a beeper that you can remove and apply as needed, for anywhere from two weeks to a month, as prescribed by your physician. The monitor is patient activated. If you experience lightheadedness, heart palpitations, skipped heartbeats, or dizziness, you simply push its button to record or monitor the incident. This information is then sent via the telephone line to the office where it is printed out and evaluated.

Nuclear Stress Test Electrocardiogram (EKG)
This test records electrical activity of your heart using small electrode patches that are attached to the skin of your chest, arms, and legs. An EKG may be performed if your doctor suspects a heart condition may be present, and it is used to assess heart rhythm, diagnose poor blood flow to heart muscles, diagnose heart attacks, or evaluate abnormalities of the heart.

Echocardiogram Stress Echocardiogram
An echocardiogram or an ECHO, uses ultrasounds to create images of the heart’s chambers, valves, wall motion, and blood flow patterns, either at rest or during a stress test. An ECHO will be able to show the size, shape, and movement of the heart muscle, as well as how the blood is flowing through the muscle.

Stress Test (also called exercise stress test)
The Stress Test, conducted by a board certified cardiologist, evaluates your heart under conditions of physical activity. It analyzes the blood supply to the heart muscle and also provides information about the condition of your heart. Additionally, it can evaluate abnormalities of cardiac rhythm. Electrodes are placed on your chest and your ECG will be recorded while you’re at rest, then while walking on a treadmill at varying speeds and elevations, and then following exercise. Your blood pressure will also be monitored regularly during the test.

Trans-Esophageal Echocardiogram
The Transesophageal Echocardiogram is similar to the Signal-Averaged Echocardiogram described above, but instead you will be given a local anesthetic and will be sedated, but conscious. An ultrasound probe is passed through the mouth into the esophagus and an echocardiogram is obtained in this position. Since the probe is positioned directly next to the heart, certain parts of the heart can be much better imaged and evaluated than would a routine echocardiography. A board-certified cardiologist performs the test.

Multiple Gated Acquisition (MUGA) Scans
This noninvasive test is used to evaluate the pumping function of the lower chambers of the heart using small amounts of radioactive tracers. The tracer is injected into the vein and special cameras are used to detect the radiation released to produce computer-generated images of the beating heart. This allows the doctor to monitor the pumping function of the heart.

Holter Monitoring (Ambulatory ECG Monitoring)
The Holter Monitor records the rhythm of your heart for 24 hours or more, and is designed to evaluate and detect any arrhythmia (palpitations) of the heart. You are given a small portable recorder that’s attached to you by several chest electrodes. Your ECG will be recorded for 24 hours, and you will be asked to return the following day to have the recorder removed. You will also be asked to keep a diary of your activities and cardiac symptoms for correlation with the recording. After the recorder is removed, our computer will analyze it, and a board certified cardiologist will evaluate the tracing.

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