Diagnostic Testing

At Heart and Vascular Care, we use only the most state-of-the-art equipment and up-to-date procedures currently available for diagnostic testing and strive to provide our patients with services that are both convenient and comfortable for them. We understand that every patient is unique and suffers from varying degrees of pain and mobility.  We offer a broad range of diagnostic testing methods available to further the understanding of disease, injury, and congenital or acquired abnormalities of the heart and blood vessels. These tests assist in the diagnosis and treatment of cardiac and vascular disease.

Our range of office services and testing includes:

Cardiovascular Consultation

Electrocardiogram (EKG)


Stress Echo

Carotid Ultrasound


Nuclear Stress Test

Exercise Stress Test

Lower Extremity Arterial Doppler

Holter Monitor/Event Monitor

Ankle Brachial Index

Venous doppler Screening

Surgical Clearance

Protime Clinic

Pacemaker Clinic

ICD Clinic

Laboratory Services

Nuclear Stress Test

This is a test, performed in the office, involving either an exercise stress test on a treadmill or a chemical stress test that uses a medication to make your heart rate higher. Following the stress portion of the test, a nuclear medicine technologist will inject you with a radioactive tracer and images will be taken of your heart, allowing the physicians to see which areas of your heart receive enough blood and which areas do not. This test is safe and effective in the diagnosing of blockages in the coronary arteries.

Non-Nuclear Stress Test

These tests allow doctors to determine how well your heart functions when it is made to work harder. This is done by acquiring EKG and ultrasound images while you exercise on a treadmill.  The test measures your heart's health under the stress of physical activity. Your blood pressure and pulse are also monitored by a specially trained technician, an expert in using stress test equipment. The stress EKG aids in determining in how fit you are and how safe an exercise program is for you, or if a heart problem exists. The stress EKG provides even more specific information about how your heart and coronary arteries are functioning.

Stress Echo

This test also utilizes either exercise stress on a treadmill or chemical stress with medication and is followed by the visualization of the heart muscle using echocardiography. Depending on the movement of the heart muscle during stress, your physicians will decide on either the presence or absence of coronary artery disease and determine the need for further testing.

Holter/Event Monitors

These are medical devices that serve as portable ECG’s. The patient can wear these devices within the comfort of their own home, while the rhythm of their heart is constantly monitored and any changes or abnormalities are recorded for their physician’s review.


This is a sound wave-based procedure, performed in the office, to check for the presence of blockages in any of the arteries in the legs, neck, abdomen, or kidneys. This test defines the extent of such blockages and the need for further testing.

Venous Ultrasound

This is also a sound wave-based procedure, performed in the office, to check for blood clots in the veins and to check for venous reflux disease, the underlying causes of spider veins or varicose veins.

Ankle-Brachial Index (ABI)

In this method, blood pressure cuffs are placed and inflated at various points along a patient’s leg. These pressures are then compared to the pressure of the arm, helping to determine whether the current blood flow is adequate or if further action is needed.

Clinical Cardiology and Vascular Medicine Services

The specialists at Heart and Vascular Care offer comprehensive, office-based consultations and management of all symptoms and conditions affecting the cardiac and peripheral vascular systems. Our goal is to prevent and diagnose cardiovascular disease. To better serve our patients, we have several office locations which offer a range of services.

Clinical Cardiology and Vascular Medicine Services

Cardiovascular Consultation.

Vascular Medicine Consultation.

Interventional Cardiology.

Endovascular Treatment of Peripheral Artery Disease.

Venous Disease Consultation.

Vein Phlebectomy and Sclerotherapy.

RF Ablation for Venous Reflux.

Preventive Cardiology.

Advanced Lipidology.

Clinical Electrophysiology.

Pacemaker and Defibrillator Clinic.

Remote/Home Pacemaker and Defibrillator Monitoring.

Cardiac Rehabilitation.

Congestive Heart Failure Management.

Hospital Procedures

For invasive procedures, you would be under the best of care with our physicians who have served as Directors of the Cardiac Catheterization Laboratories at Northside Hospitals Forsyth and Cherokee where they pioneered coronary angioplasty and stenting. Our specialists perform the following procedures at Northside Hospital Forsyth, Northside Hospital Cherokee, Emory Johns Creek Hospital, and St. Joseph’s Hospital of Atlanta.

Hospital Procedures

Cardiovascular Consultation.

Diagnostic Cardiac/Coronary Angiography.

Cardiac/coronary Angioplasty and Stenting.

Peripheral Vascular and Endovascular Angiography, 
Angioplasty, and Stenting.

Pacemaker Placement.

Intravascular Ultrasound.

Fractional Flow Reserve Evaluation.

Trans-esophageal Echocardiogram.

DC Cardioversion.

Tilt Table Testing.

Radial Catheterization and Interventions.

Same Day Coronary Angioplasty and Stenting Discharge.

Endovascular Procedures

The physicians at Heart and Vascular Care perform endovascular procedures to treat peripheral artery and venous disease at our office-based Vascular Lab in Cumming, Georgia. We offer patients and their families a comfortable and easily accessible location for their procedures.