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NON-INVASIVE TESTING

EKG or electrocardiogram.
The electrocardiogram amplifies and records the tiny electrical signal which your heart makes with each beat. It is a simple and very useful test.

Echocardiogram.
This "sonar" study is a safe and painless test which uses a -
handheld ultrasound probe which is applied to your chest to make pictures of the heart valves and chambers, identifying abnormal structures and function. We offer the very best equipment, skilled technologists, and expert physician readers who have access to your chart and are therefore looking for the special details that are important in your case.

Stress Testing.
We offer a variety of stress tests. The specific type ordered for you will depend on your physical condition and a number of other medical factors.

The EKG monitored treadmill test ("standard EKG stress test")-
In this test you will walk on a treadmill with gradually increasing speed and elevation until you want to stop or we find a reason to stop you. We look at how far you can go, whether you develop any discomfort, what happens to your heart rate, rhythm, and blood pressure, and whether there are any abnormalities on the electrocardiogram. The test, including set up and cool down, usually takes about 45 minutes. There is a copy of our consent form listed under the heading of "Download Forms for Patients".

Nuclear Cardiology - Our Nuclear Laboratory is nationally accredited by ICANL. Our patients benefit from state-of the-art equipment equal to top health care centers. The results meet efficient, high quality standards.

Treadmill Cardiolite Stress Test - An intravenous line will be placed in the patient before exercise. The patient will walk on a treadmill and a tiny amount of radioisotope will be injected at peak exercise. The patient will be imaged within the hour.

Persantine Cardiolite Stress Test - For patients who cannot or should not exercise a pharmacologic or persantine test is dorie. An intravenous line will be placed in the patient before the test and the medicine will be administered to "stress" the heart. The patient will then receive the cardiolite injection and will be imaged within the hour.

With either of the above stress test the patient returns the next day for "resting pictures". The doctor will then review both sets of images and evaluate relative blood flow and global function of the heart muscle.

Pharmacologic stress testing. -
A pharmacologic, "chemical stress test" is prescribed for individuals who can't or shouldn't walk on the treadmill.

Adenosine Nuclear Stress Test -
We obtain nuclear scan images of the heart at rest and after the infusion of a medication which mimics exercise. The scans are then compared for evidence of poor coronary blood flow.

Holter monitor. -
Three EKG leads are placed on your chest and connected to a small tape recorder which can be carried with a belt or shoulder strap. Every heart beat is recorded for 24 hours. If you feel anything unusual, there is a button that you can push to mark the time on the recording. We ask you to keep a diary of your activities while you are wearing the unit. It is very helpful in determining the cause for palpitations, lightheadedness, or fainting spells, and for evaluating response to medication.

Event Recorder. - We have several styles of small recorders which can be kept for up to a month. Recordings can be made at the time of infrequent spells of lightheadedness, palpitation, or fainting. You can transmit your EKG by telephone to our office, or a central monitoring station.

MUGA Scan. - An isotope is injected and a scan performed which shows how well your heart muscle is contracting.

Pacemaker monitoring. - For those who have an implanted pacemaker we offer a convenient and accurate way to check your pacemaker function by telephone on a regular basis.

Anticoagulation Management. -Coumadin (Warfarin) is an effective medication which prevents blood clotting in patients for whom blood clots may cause injury. Patients with artificial heart valves, rhythm abnormalities such as atrial fibrillation and flutter and blood clots in large veins in the body are often managed with this medication. Our staff helps manage the safe dosing of Coumadin by closely following a blood test called the INR. By keeping the dosage controlled, we can safely prevent clotting while avoiding problems with bleeding. There are many other drugs and diet modifications which can influence the proper dose of anticoagulation. The INR must be done at least monthly and often more frequently for safety. Our Coumadin Center helps our patients take Coumadin safely.

INVASIVE PROCEDURES

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Eastern Connecticut Cardiology Associates LLC
43 West Middle Turnpike Manchester, CT 06040
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