Diagnostics

EKGThe first step in addressing heart or vascular problems is to correctly diagnose the condition so that appropriate treatment can be pursued.
When a diagnostic test is needed we use the most up-to-date procedures to diagnose and treat heart and vascular disease.
Cardiology Associates is accredited by the American College or Radiology for Computed Tomography (CT), the Intersocietal Accreditation Commision for Nuclear Cardiology and PET.  
Listed here are a number of the medical tests we may perform to help determine the exact nature of the problems one may face:





Electrocardiogram ECG/EKG

Test used to record heart rhythms and is used to help detect or diagnose irregular heart rhythms or arrhythmias.

 

Cardiopulmonary Exercise Test (CPX / CPET)

Exercise test to measure how well your heart, lungs and muscles work together and assist in determining the cause of any fatigue or shortness of breath.

 

Pulmonary Function Test (PFT)

Test used to evaluate lung function involving several different tests while breathing at different rates.  The PFT can be combined with the CPX to evaluate the entire cardiopulmonary system.

 

Stress testing

Also known as an exercise test or treadmill test, this test monitors your heart rate and blood pressure during periods of cardiac stress.  This test can be performed via treadmill or simulated with chemical inducement

 

Doppler Studies (Arterial, Carotid, Renal Artery or Venous)

Studies using ultrasound waves to assess blood flow in parts of the body.

 

Holter Monitoring

A continuous recording or monitoring, via electrocardiogram, of a patient’s heart rhythm, usually over a 24-hour period, to help detect arrhythmias or irregular heart rhythms that may not be detected during a resting electrocardiogram.

 

Remote and In-office Pacemaker Monitoring

The remote or in-office interrogation (capture) and or programming of a heart rate and rhythms from an implanted device such as a pacemaker or ICD (Implantable Cardioverter-Defibrillator).

 

Echocardiography: 

Transesophageal Echocardiography (TEE) & Stress Echocardiography

A grouping of ultrasound tests using sound waves to determine the shape, texture and movement of valves and other heart structures.

 

Transesophageal Echocardiography (TEE) – Performed in the esophagus, which is close to the heart, to give clearer pictures of the heart and its structures. A transducer is placed on the end of a tube which is passed down into the esophagus. A TEE assists the physicians in identifying problems such as heart infection or disease or problems with the heart’s wall or valves.

 

Stress Echocardiography – Performed in conjunction with a stress test (description above) to evaluate the heart muscle at rest and immediately after exercise.

 


Cardiac and Peripheral CT

3-D imaging technique performed on our 64 slice volume CT scanner which provides a more detailed image of the coronary and vascular system to reveal any signs of cardiovascular disease. 

 

Cardiac PET

As the first practice in the area with a dedicated cardiac PET scanner, our physicians are able to view a superior image of both the anatomical structures within the body and the metabolic activity occurring in those structures, so that they can more accurately diagnose a problem and pinpoint the best approach to treatment.

Cardiac PET is the fastest and most accurate way to detect many types of heart disease and heart abnormalities that could potentially lead to a heart attack. Cardiac PET also assists our physicians in predicting the likely out come of various therapeutic alternatives and after treatment methods are started it can help monitor how well a patient is progressing.

 

Cardiac Calcium scoring

A preliminary screening test performed on our 64 slice volume CT scanner.  A cardiac calcium score is a strong predictor in determining if you may be on a path or have the beginning stages of heart disease.  Cardiac Calcium scoring identifies and measures the amount of calcified plaque in the coronary arteries and rates it based on the agatson scale.  As this is a medical test that is considered a screening it is not typically covered by insurance.  We offer this test for $125.00 and payment is due at the time of service.  We will provide you with documentation to submit your payment to your insurance company, a cafeteria plan, medical savings account or a medical flexible spending account.

 

Cardiac Catheterization

Also know as a Coronary Angiography, this procedure performed via catheter in the cath lab, allows the physician to measure pressure inside the heart, diagnose cardiac complications, evaluate the coronary arteries and choose the best course of treatment.

 

Peripheral Vascular Angiography

Similar to a cardiac cath, this procedure is performed in the peripheral vessels (extremities) to evaluate the arteries outside of the heart for blockages (PVD, Peripheral Vascular Disease) and, if needed, choose the best course for treatment.

 

 

Low Dose CT Lung Screening

Early detection of malignant tumors can increase survival rates of patients who may be diagnosed with lung cancer. A low dose CT lung screening can identify cancer cells at a time when they are still localized to the lungs and these CT images can detect smaller nodules or cancer than a standard chest x ray.  
Low dose CT lung screening is a non-invasive, painless procedure that uses low-dose x rays to screen the lung for cancer in just seconds.  This test is performed on our 64 slice volume CT scanner using 90% less radiation than a conventional chest CT scan.     
If you are between the ages of 55 to 77 and  have smoked over 30 "pack years"* you may qualify for the low dose CT lung screening.   Should you not meet the screening requirements, we offer this screening for $250.
Cardiology Associates is a accredited by the American College of Radiology as a Designated Lung Cancer Screening Center. 

* A pack is equal to 20 cigarettes.  If you have smoked either a pack a day for the last 30 years, or two packs a day for the last 15 years, you have 30 pack years.


   

PHYSICIAN SPOTLIGHT
E. Matthew Quin, M.D.
 

Cardiac Electrophysiology