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)

IVUS

Exercise Stress Test

Ankle Brachial Index

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.

Preparation

  • Treadmill Nuclear Stress Test: Do not eat, drink or smoke six (6) hours prior to the test. Do not consume caffeine twelve (12) hours prior. Do not take any beta blockers, calcium channel blockers or nitrates one day, (24 hours), before the test unless otherwise instructed. Wear comfortable clothing and walking shoes. The test takes 2 to 3 hours as your heart is made to work harder by exercising on a treadmill or by using a chemical agent if you are unable to walk rapidly.
  • Lexiscan Nuclear Stress Test (For those who cannot walk rapidly on treadmill): Do not eat, drink or smoke six (6) hours prior to the test. Do not consume caffeine twelve (12) hours prior. Do not take any theophylline or erectile dysfunction medications (24 hours) before the test unless otherwise instructed. Wear comfortable clothing. The test takes 2 to 3 hours as your heart is made to work harder by walking rapidly on a treadmill or using a chemical agent if you are unable to walk on a treadmill.

Heart and Vascular Care has been recognized for its high quality in echocardiography by the Intersocietal Accrediation Commision of Nuclear Cardiology (IAC).

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.

Preparation

  • Do not eat or drink three (3) hours prior to the test. Do not smoke at least six (6) hours prior. Do not take any beta-blockers or nitrates one day, (24 hours), before the test unless otherwise instructed. Wear comfortable clothing and walking shoes. The test takes approximately thirty (30) minutes, and you will be walking on a treadmill.

Heart and Vascular Care has been recognized for its high quality in echocardiography by the Intersocietal Accrediation Commision (IAC).

Cardiac PET Scan

This is a test, performed in the office, involving a chemical stress test that uses a medication to make your heart rate higher. 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, requiring less radiation than a nuclear stress test, and effective in accurately diagnosing blockages in the coronary arteries.

Preparation

  • Do not eat, drink or smoke six (6) hours prior to the test. Do not consume caffeine twelve (12) hours prior.
  • Do not take any theophylline or erectile dysfunction medications (24 hours) before the test unless otherwise instructed.
  • Wear comfortable clothing. Most cardiac PET exams are completed in less than 1 hour; however, a longer exam should not be cause for concern. Your doctor can provide specific details about how long you should plan to be present for your exam.

Heart and Vascular Care has been recognized for its high quality in echocardiography by the Intersocietal Accrediation Commision of Nuclear Cardiology (IAC).

Stress Echocardiogram

This test also utilizes exercise stress on a treadmill 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.

Heart and Vascular Care has been recognized for its high quality in echocardiography by the Intersocietal Accrediation Commision (IAC).

Echocardiogram

Examination of the heart’s size, pumping strength, valve function and the presence of blood flow through the use of ultrasound waves.

Preparation
No special preparation is necessary. Patients will need to undress from the waist up and put on a short gown. The test should last approximately 30 to 45 minutes.

Heart and Vascular Care has been recognized for its high quality in echocardiography by the Intersocietal Accrediation Commision (IAC).

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.

Heart and Vascular Care has been recognized for its high quality in echocardiography by the Intersocietal Accrediation Commision (IAC).

Venous Ultrasound

Technician use ultrasound images to non-invasively evaluate the veins of the lower extremities, detecting venous reflux and blood clots in the legs. Venous reflux is the underlying cause of spider veins and varicose veins.

Preparation

  • Drink at least four (4) cups of water the morning of the ultrasound. Do NOT wear compression stockings 24 hours prior to the scheduled test. Wearing the compression stockings within 24 hours prior may invalidate the test results causing the test to be rescheduled. The test takes approximately forty-five (45) minutes. Be prepared to undress from the hip down.

Heart and Vascular Care has been recognized for its high quality in echocardiography by the Intersocietal Accrediation Commision (IAC).

Lower Extremity Arterial Ultrasound and Ankle Brachial Index (ABI)

Doctors look for blockages in the leg arteries using ultrasound waves and blood pressure cuffs on the leg.

Preparation
No special preparation is necessary. Patients will need to undress from the hip down.

Heart and Vascular Care has been recognized for its high quality in echocardiography by the Intersocietal Accrediation Commision (IAC).

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.

Heart and Vascular Care has been recognized for its high quality in echocardiography by the Intersocietal Accrediation Commision (IAC).

Carotid Ultrasound

Doctors use ultrasound waves to look for blockages in neck arteries.

Preparation: No special preparation is necessary.

Heart and Vascular Care has been recognized for its high quality in echocardiography by the Intersocietal Accrediation Commision (IAC).

Abdominal Aortic Aneurysm

Doctors measure the size of your abdominal aorta and evaluate for an abdominal aortic aneurysm.

Preparation: Take 30 mL of milk of magnesia or Mylanta the night before the procedure. Do not eat or drink anything after midnight. Do not smoke for at least six (6) hours prior to your test. Wear a comfortable, two-piece outfit made of loose clothing. Please take all medication as prescribed. The test takes approximately thirty (30) minutes

Heart and Vascular Care has been recognized for its high quality in echocardiography by the Intersocietal Accrediation Commision (IAC).

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.

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.