Hovering over medical terms provides a pop-up definition of that term.
Obviously, we can’t prescribe a form of treatment until we know exactly what it is we’re treating—which is why the initial testing phase is so important.
We begin by asking questions about your symptoms, and your personal and family medical history. We then perform routine tests for blood pressure, cholesterol, and a cardiovascular physical examination. Based on these initial observations, your doctor may order follow-up tests to examine your heart in more detail.
We perform a full range of diagnostic testing—from traditional X-rays to innovative CT scanning and cardiac catheterization. The specific test ordered will depend on your symptoms, medical history, and other risk factors such as blood pressure, cholesterol level, age, weight, and if you are a smoker.
As the name implies, non-invasive image exams require no cutting or surgery, and no instruments are inserted into the body. These tests are fast, accurate, and basically painless, so that most can be performed on an out-patient basis. All our physicians specialize in non-invasive diagnostic testing including echocardiography and transesophageal echocardiography, Holter monitoring, pacemaker interrogation, electrocardiograms (EKGs) and exercise stress tests (nuclear stress testing and echocardiographic stress testing). We also use the latest in vascular imaging technology, including vascular ultrasound of the leg arteries and veins as well as the carotid arteries.
This imaging method uses radiation to assess the adequacy of coronary blood flow to detect blocked arteries, as well as the function of the heart. A small amount of radioactive material, called a “tracer,” is injected into patient, then a special camera detects the gamma rays emitted by the tracer and sends the images to a computer for analysis. These tests are quick, safe, and relatively painless. Once these tests are completed, you can resume your normal day’s activities.
A long thin tube, called a “catheter” is inserted in the patient’s arm or groin and threaded through to the heart. Using the catheter, the doctor can conduct a variety of diagnostic tests, such as Coronary Angiogram and Heart Biopsy, and perform certain corrective medical procedures on-the-spot, if required, such as Balloon Angioplasty, Stent Placement, Ablation, and Thrombectomy. Patients typically are awake during cardiac catheterization and there is a quick recovery time.
Dr. Brogno is a specialist in cardiac catheterization testing and medical procedures.