The mission of Salem Heart Center, P.C. is to provide the communities in which we serve, the highest level of care in the diagnosis and treatment of heart and vascular disease.

 

 

Heart Attack and Heart Disease: Our staff includes board-certified cardiologists and an electrophysiologist who are highly-trained and experienced professionals. When a heart attack occurs, it can be a very scary time for not only the individual, but for their family as well. The good news is that many conditions that lead up to a heart attack can be identified and treated before an attack occurs. There are many factors that can contribute to a heart attack or stroke that can be prevented or minimized. Contact our office to find out more about evaluations and screening tests which are painless, non-invasive and, in many instances, can be lifesaving!! If you have already experienced a heart attack, proper management and routine follow ups can help to avoid further damage as well as help increase your quality of life.

Arrhythmia Management

Carotid Duplex Ultrasound

Consultation Services: Patients may be evaluated in an outpatient clinic setting by a cardiologist as requested by their primary physician.

Doppler Ultrasound: A non-invasive test using reflected sound waves to evaluate blood as it flows through a blood vessel. Doppler senses the speed of sound and can pick up abnormal leakage or blockage of valves. It can show blocked or reduced blood flow through narrowing in the major arteries of the neck which could cause a stroke. It can reveal blood clots in the leg veins (called deep vein thrombosis or DVT) that could break loose and block blood flow to the lungs (pulmonary embolism).

Electrocardiogram (EKG or ECG): A test that records on graph paper the electrical activity of your heart through small electrode patches attached to the skin of your chest, arms, and/or legs.

Echocardiography: A non-invasive test, similar to one a pregnant lady might have, that uses ultrasound to evaluate your heart muscle, heart valves, and risk for heart disease. It creates a moving picture outline of your heart’s valves and chambers. This is often combined with Doppler ultrasound and color Doppler to evaluate blood flow across your heart’s valves.

Evaluation: see Consultation Services

Event Monitor: This is a portable EKG machine (attached to electrodes on your chest) that monitors the electrical activity of a freely moving person’s heart. Similar to a Holter Monitor, an Event Monitor is used if your symptoms are infrequent and is typically worn for a month. Although this device continuously monitors your heart rhythm, you must push a button when you experience a symptom, in order for the machine to begin recording. Each time you develop a symptom, an event button can be depressed, and the heart's rhythm is recorded and saved in the recorder. The rhythm can be saved and transmitted over the phone line. You should try to get a reading for each symptom felt and log any information into the diary given to you. The doctor can then look at the rhythm you experienced and compare it to what you were doing at the time.

Heart Improvement Programs

Holter Monitor: A portable EKG machine (attached to electrodes on your chest) that continuously monitors the electrical activity of a freely moving person’s heart. Worn generally for 24-48 hours, it is most often used when an abnormal heart rhythm or ischemia is suspected. Your doctor and learn if you are having irregular heartbeats, what kind they are, how long they last, as well as what may cause them.

Lipid Management

Nuclear Imaging: This is a diagnostic stress test done by injecting a small amount of radioactive tracer into the patient. A special camera, which detects the radiation released by the substance, is used to produce a computer image of the heart. These pictures are taken both at rest and after exercise. The combination of these two pictures can help determine if there is adequate blood flow to the heart at rest as well as during exercise.

Pacemaker & defibrillator follow-up: After implantation of a pacemaker or defibrillator, consistent monitoring of your device is necessary. They type of device you have determines the type of follow up monitoring that is needed. Monitoring your device keeps your physician informed as to the longevity of the device (as to when it might need to be replaced), how the leads are functioning, and what “settings” would be best for you. Follow up appointments range from in office checks to those done remotely. Remote checks may require nothing of you while others, like a Transtelephonic Monitor (TTM) device, would require the heart’s rhythm to be transmitted over the phone line with the aid of this device.

Peripheral Arterial Disease

Stress Testing: A test performed in the office by a trained technician to determine the amount of stress that your heart can manage before developing either an abnormal rhythm or evidence of ischemia (not enough blood flow to the heart muscle). There are several types of stress tests available. An exercise stress test is performed by walking on treadmill at increasing levels of difficulty, while the electrocardiogram, heart rate, and blood pressure are monitored. An exercise stress test can be done on its own or using a radioactive substance (see Nuclear Imaging).

Stress Echocardiogram (Stress Echo): A procedure combining echocardiography with exercise to evaluate the heart’s function at rest and with exertion. Dobutamine is a medication that might be used to simulate exercise, if you are unable to exercise on a treadmill.

 

Arrhythmia Catheter Ablation: A non-surgical procedure in which a catheter is inserted into a specific area of the heart. A special machine directs energy through the catheter to small areas of the heart muscle that causes the abnormal heart rhythm. This energy “disconnects” the pathway of the abnormal rhythm. It can also be used to disconnect the electrical pathway between the upper and lower chambers of the heart. Ablation is used to treat most PSVT’s, atrial flutter, atrial fibrillation, and some atrial and ventricular tachycardia's. This can be combined with other procedures to achieve optimal treatment.

Cardiac Catheterization: Also called cardiac cath or coronary angiogram. This is an invasive test that allows your doctor to see how well your heart is functioning. It is used to check the blood flow in the arteries, blood pressure in the heart chambers, how well the heart valves are working and to check for defects in the way the heart wall moves. The purpose of this test is to find out if you have disease in your coronary arteries. During the test, a long, narrow tube, called a catheter, is inserted into a blood vessel in your arm or leg and guided to your heart with the aid of a special X-ray machine. Contrast dye is injected through the catheter so that X-ray videos of your valves, coronary arteries, and heart chambers can be created. Results can help determine which method of treatment would be most effective. Minor blockages might be treated medically while more severe blockages may require bypass surgery.

Carotid Artery Stent: A procedure, much like a coronary angioplasty, used to open narrowed carotid arteries. This is approved for patients who have severe carotid artery narrowing and a high risk of complications from surgery.

Coronary Intervention: Also known as Percutaneous Coronary Intervention (PCI). This is similar to a Cardiac Catheterization, but is used to open up a narrowed coronary artery. Angioplasty is a technique which allows for enlargement of an artery (that is blocked or narrowed) without surgery. In many cases, PCI can be done during a Cardiac Catheterization. If PCI is necessary, a tiny balloon is attached to the end of the catheter. The balloon is inflated, pushing aside the plaque and widening the artery so that it no longer restricts blood flow. The balloon is then deflated and removed from the artery. A stent may also be placed in order to help keep the artery open.

Defibrillator Implantation: Also known as an Implantable Cardioverter Defibrillator (ICD). The procedure in which a small electronic device is implanted under the skin that constantly monitors your heart rate and rhythm. When it detects a very fast, abnormal heart rhythm, it delivers electrical energy to the heart muscle to help the heart to beat in a normal rhythm again.

Electrical Cardioversion: A procedure used to convert an irregular heart rhythm to a normal heart rhythm by applying electric shock or using certain medications.

Electrophysiological Studies: Is a test that safely reproduces your abnormal heart rhythm and then records the electrical activity and electrical pathways of your heart. It is used to help determine the cause of your heart rhythm disturbance and which treatment is best for you. Treatment options range from medication to an ablation or to the implantation of a device.

Implantable Loop Recorders: A type of continuous recorder which is implanted under the skin of the chest. This recorder can be kept for more than a year and is used to record the electrical signals from your heart.

In-hospital Consultation: Patients presenting to the ER (or currently hospitalized) may be evaluated by a cardiologist as requested by their attending physician.

Pacemaker Implantation: The procedure in which a small electronic device is implanted under the skin and sends electrical impulses to the heart muscle to maintain a suitable heart rate and to prevent slow heart rates.

Peripheral Angiography

Peripheral Intervention

Transesophageal Echocardiography (TEE): An invasive imaging procedure that creates a picture of the heart's movement, valves, and chambers using high frequency sound waves that come from a small transducer passed down your throat. TEE provides clear images of the heart's movement because the transducer is close to the heart and limits interference from air in the lungs. Echo is often combined with Doppler ultrasound and color Doppler to evaluate blood flow across the heart's valves.

 
 

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