Cardiovascular Assessment

card-assessment1An in-depth interview with cardiologist Dr. Sanjeev Palta that includes an initial heart check-up and EKG. Dr. Palta evaluates your cardiovascular risk and develops a comprehensive cardiovascular care plan.  Dr. Palta also provides "second opinion" assessments.

Pre-Surgical Cardiac Clearance

presurg-card-clearance1Many surgeries require that a cardiologist evaluate one’s heart to ensure it is healthy enough to undergo the stresses of surgery.  We streamline the clearance process so that you do not have to spend the long hours that it often takes to get cardiac clearance in the hospital setting.

Coronary Angiogram & Stent Placement

A coronary angiogram is a surgical procedure done to assess the coronary arteries for blockages.  This is carried out if one’s stress test indicates a significant arterial blockage. During the angiogram, a tiny thin tube is inserted in an artery or vein in the groin and threaded through the vessels to look for blockages near the heart.  A type of dye that's visible by X-ray machine is injected into the blood vessels of the heart.  This allows for a detailed look at the inside of the coronary blood vessels.  If a blockage is found during cardiac catheterization, the doctor removes plaques from the arteries and places a small mesh wire called a stent that keeps the cleared artery open.  Should it be necessary for you to get an coronary angiogram or cardiac stent placement, our highly respected interventional cardiologist can follow through with you at New York Methodist Hospital in Park Slope, Brooklyn or Wyckoff Heights Medical Center in Bushwick, Brooklyn.

coronary angiogram

Electrocardiogram (EKG)

An EKG is a graphical tracing of heart rate and rhythm.  An EKG provides a “snap shot” of your heart function and can indicate the need for further cardiovascular evaluation.

EKG-test

Echocardiogram (“Echo”)

Using specialized ultrasound technology, this non-invasive procedure produces a 2-D sonogram of the four chambers and valves of the heart.  This procedure detects problems with any of the heart valves and also measures how well the heart pumps blood throughout the body.  NYCC’s Echocardio Lab and technicians meet a high level of excellence, earning accreditation by the Intersocietal Commission for the Accreditation of Echocardiography Laboratories (ICAEL) as well as the Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL).

Echocardiogram

Exercise & Nuclear Stress Tests

 

exercise stress testExercise Stress Test:  This test is done to evaluate the heart’s capacity to support activity.  During this test, the patient walks on a specialized treadmill. While undergoing activity, a continuous EKG recording of how the heart responds to physical exertion is produced.  Blood pressure and heart rate are also recorded over the duration of the stress test.

Stress Echocardiogram Test:  An echocardiogram uses high frequency sound waves (ultrasound) to examine the heart’s anatomy and functional capacity. A treadmill stress test evaluates your heart’s response to physical activity through the monitoring of your heart rate, heart rhythm pattern, blood pressure, and functioning when challenged by exertion.  When the two tests are combined, an assessment can be made of the status of your heart at rest, as well as during and immediately following stress. This can indicate whether or not there are significant blockages in the heart’s arteries. It is also useful for evaluating how well the heart is recovering following a major cardiac event such as a heart attack as well as evaluating the effect of exercise on heart valve function.
 
Nuclear Stress Test:  Persons with chest pain or other symptoms of heart disease may be developing atheroschlerosis of the coronary arteries, the blood vessels that supply oxygen to the heart.  The nuclear stress test is done to check the coronary arteries for potential blockages.   For this test, a small dose of radioisotope is injected that enables us to gather detailed imaging of the heart and its functional capacity.  The “stress” part of the test can either be induced by walking on the treadmill or, if one is not able to walk, through the use of medication.  NYCC’s nuclear stress testing facility is accredited by the American College of Radiology (ACR).  We utilize a state-of-the-art sitting-up camera that allows for more in depth results as well as a more comfortable patient experience.

Nuclear stress test

24-Hr. Heart Monitoring

24-Hr. Heart Monitoring:  For patients experiencing palpitations, skipping, or racing of the heart, a specialized heart monitor is worn for 24 hours.  It tracks and records the heart’s rate and rhythm pattern continuously over this time.  This information allows us to assess arrhythmias.  

21-Day Wireless Heart Monitoring:  Utilizing our wireless tracking service, e-Cardionet, multi-week monitoring of the heart is possible.  The wireless technology allows for continuous information on the heart’s rhythm and rate to be relayed to us without the patient having to do anything beyond wearing the heart monitor.

holter

Carotid Doppler

A sonogram of the carotid arteries in the neck to assess arterial plaque build-up that, if not treated, can lead to a stroke.  If persons are experiencing dizziness or blackouts or have a history of heart disease, it is important to assess the health of the carotid arteries because these are the two major vessels that supply blood to the brain.

carotid doppler

Peripheral Arterial Disease (PAD) Testing

There are two tests we use to evaluate the health of the peripheral arteries, the vessels that supply oxygenated blood to the legs and arms.  Like the coronary arteries, these can become clogged by plaques that restrict or block blood flow.  PAD testing is commonly ordered when one has health problems that increase risk for PAD and/or when one has symptoms of PAD.  Common symptoms of PAD include leg/calf pain while walking that subsides when at rest, or numbness, tingling, or unusual temperature differences in the extremities.

ABI-result1Ankle Brachial Index (ABI) Evaluation:  An initial PAD screening test that uses a specialized device that simultaneously measures the blood pressure in your ankles and wrists.  If the blood pressure in the legs does not correspond to that in the arms, it may indicate that plaques are restricting blood flow in the legs.

 

 

lower-ext-dopp1Lower Extremity Doppler:  This test produces a more in-depth study of the health of the blood vessels in the legs.  Using ultrasound technology, this non-invasive procedure produces sonogram imaging of the arteries in the legs.  The sonogram shows if there is arterial plaque build-up and reduced blood flow through the legs.

Abdominal Aortic Aneurysm Screening

Using ultrasound technology, this non-invasive procedure produces a sonogram of the lower aorta in the abdominal region.  The sonogram imaging indicates if there is distention or bulging occurring in the lower aorta. If too much distention of the aorta occurs, it can lead to a potentially fatal rupture.   An abdominal ultrasound is a preventive screening tool that can be used to identify an abdominal aortic aneurysm so that prompt treatment can be provided prior to aneurysm rupture.

Abdominal aortic aneurysm

External Counterpulsation Therapy (ECP)

new ecpAn in-office non-invasive therapy to treat patients with coronary artery disease and/or congestive heart failure who are not suitable candidates for surgery.   During ECP treatment, the patient’s lower body is secured with special cuffs that pulse in time with the rhythm of the patient’s heart.  The treatment increases coronary blood flow allowing more oxygen to reach the heart muscle, and, over time, improving coronary circulation.  ECP therapy is not widely available in the Brooklyn/Queens area.  We are proud to be able to offer this innovative treatment as it can significantly improve the well-being of patients with advanced heart disease.

To learn more about our ECP services, view our short film NYCC External Counterpulsation Therapy. Please check our External Counterpulsation Therapy video below.

Pacemaker & ICD Follow-Up Assessment

Our electrophysiologist provides follow-up evaluations to ensure patients obtain maximum benefit from their implanted devices that keep the heart beating normally.  Regular evaluations assess device functioning, identify malfunctions and/or wear, and ensure optimization of device battery life.

pacemaker-1

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