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"Care" is more than just the name of our practice.  It is our philosophy to provide comprehensive cardiac care for the comfort and convenience of our patients in our specially designed medical suite.  

Echocardiography is a diagnostic test that uses ultrasound waves to create an image of the heart muscle. Ultrasound waves that rebound (or echo) off the heart can show the size, shape and movement of the heart’s valves and chambers, as well as the flow of blood through the heart. Echocardiography may show such abnormalities as poorly functioning heart valves or damage to the heart tissue from a past heart attack.

Exercise Stress Test
A stress test, sometimes called a treadmill test or exercise test, helps the doctor find out how well your heart handles work. As your body pumps harder during the test, it requires more oxygen, so the heart must pump more blood. This test can show if the blood supply to the heart is reduced by a blockage in the arteries that flow to the heart muscle.

Nuclear Stress Test
A nuclear stress test measures blood flow to your heart muscle both at rest and during stress on the heart. It's performed similarly to a routine exercise stress test, but provides images that can show areas of low blood flow through the heart and areas of damaged heart muscle. A nuclear stress test usually involves taking two sets of images of your heart one set during an exercise stress test while you're exercising on a treadmill or stationary bike, or with medication that stresses your heart, and another set while you're at rest. A nuclear stress test is used to gather information about how well your heart works during physical activity and at rest. You may be given a nuclear stress test if your doctor suspects you have coronary artery disease or another heart problem, or if an exercise stress test alone wasn't enough to pinpoint the cause of symptoms such as chest pain or shortness of breath. A nuclear stress test may also be recommended in order to guide your treatment if you've already been diagnosed with a heart condition.

Holter Monitor
You will be asked to wear a special monitor for 24 hours in order to determine if there are any signs of an arrhythmia or irregular heartbeats. The doctor may order this test if you complain of palpitations, have a history of syncope (or passing out), or certain abnormalities on your electrocardiogram (EKG)

Vascular Tests
Carotid (ka-ROT-id): ultrasound is a painless and harmless test that uses high-frequency sound waves to create pictures of the insides of your carotid arteries. You have two common carotid arteries, one on each side of your neck. They each divide into internal and external carotid arteries. The internal carotid arteries supply oxygen-rich blood to your brain. The external carotid arteries supply oxygen-rich blood to your face, scalp, and neck.

Abdominal Aortic Aneurysm Screening: Ultrasound has about 98% accuracy in measuring the size of the aneurysm, and is safe and noninvasive.

Renal artery duplex scanning: The renal arteries provide blood flow to the kidneys. Renal artery disease, including narrowing (stenosis) due to atherosclerosis, can result in reduced blood-flow to the kidney. This can cause hypertension (high blood pressure). Renal artery stenosis is the most common correctable cause of hypertension. Long-standing, untreated renal artery disease is also an important cause of kidney failure.

Chronic Venous Insufficiency: Venous insufficiency is a problem that is localized to the legs, ankles, and feet. One leg may be more affected than the other (asymmetrical edema). In contrast, systemic diseases that are associated with fluid retention generally cause the same amount of edema in both legs, and can also cause edema and swelling elsewhere in the body. The response to therapy with diuretic drugs in patients with venous insufficiency tends to be unsatisfactory. This is because the continued pooling of fluid in the lower extremities makes it difficult for the diuretics to mobilize the edema fluid. Elevation of the legs periodically during the day and the use of compression stockings may alleviate the edema. Some patients require surgical treatment to relieve chronic edema that is caused by venous insufficiency.

Peripheral Arterial Disease: Peripheral arterial disease (P.A.D.) is a disease in which plaque (plak) builds up in the arteries that carry blood to your head, organs, and limbs. Plaque is made up of fat, cholesterol, calcium, fibrous tissue, and other substances in the blood. When plaque builds up in the body's arteries, the condition is called atherosclerosis (ATH-er-o-skler-O-sis). Over time, plaque can harden and narrow the arteries. This limits the flow of oxygen-rich blood to your organs and other parts of your body. P.A.D. usually affects the arteries in the legs, but it also can affect the arteries that carry blood from your heart to your head, arms, kidneys, and stomach. This article focuses on P.A.D. that affects blood flow to the legs.

ABI (Ankle-Arm Index, Ankle-Brachial Index): An ABI or Ankle-Arm Index or Ankle-Brachial Index tests how good the large vessels that head down towards the foot. The patient's blood pressure is taken at each arm and at each ankle, and the ratios are compared. People with poor circulation in the vessels that head towards the foot will have altered ABI's. For example, an ABI of .96 or above is normal. An ABI of .31 to .95 will have pain with activity. An ABI of .25-.3 will have pain at rest. And an ABI under .3 will have a tendency towards gangrene. Most podiatric physicians will generally not perform elective surgery once the ABI nears .75.

Toe Pressures: Toe pressures are like a blood pressure test for the toes. Like with the ABI, large pressure differences between the toe pressure and the arm pressure signify disease.

PPG: A PPG or Photoplethysmograph is another non-invasive test. Unlike the Doppler, the PPG measures the health of the tiny vessels. It is done by applying a small probe to the tips of a toe. It is painless.

Home Sleep Test
Sleep home test is a fast, simple and cost effective alternative for the diagnosis and treatment of obstructive sleep apnea.