Conditions & Services
diagnostic and therapeutic techniques.
Conditions We Diagnose & Treat
Cardiac Arrhythmias
Cardiac arrhythmias are abnormal heart rhythms that can range from irregular heartbeats to rapid or slow heart rates. They can cause symptoms such as palpitations, dizziness, or shortness of breath and require evaluation and treatment to restore normal heart rhythm.
Coronary Artery Disease and Myocardial Infarction
Coronary artery disease refers to the narrowing or blockage of the blood vessels that supply the heart, while myocardial infarction, commonly known as a heart attack, occurs when the blood flow to the heart muscle is severely reduced or blocked, leading to damage or death of the heart tissue.
Hypertension
Hypertension, or high blood pressure, occurs when the force of blood against the artery walls is consistently too high. It is a common condition that, if left uncontrolled, can lead to serious complications such as heart disease, stroke, or kidney problems.
Heart Valve Disease
Heart valve disease refers to conditions affecting the valves of the heart, such as valve stenosis (narrowing) or regurgitation (leakage). It can impair the heart's ability to efficiently pump blood, leading to symptoms like fatigue, shortness of breath, or chest pain.
Lipid Disorders
Lipid disorders involve abnormalities in cholesterol and triglyceride levels. High cholesterol and triglycerides can contribute to the development of cardiovascular disease. Managing lipid disorders typically involves lifestyle changes, medication, and regular monitoring.
Peripheral Arterial Disease
Peripheral arterial disease occurs when there is a narrowing or blockage of blood vessels outside of the heart, commonly affecting the arteries in the legs. It can cause leg pain, cramping, or reduced blood flow, and requires treatment to improve circulation and prevent complications.
Varicose Veins & Chronic Venous Insufficiency
Varicose veins are enlarged bulging veins present under the skin. They are especially common on the legs. Symptoms of varicose veins may include leg pain, heaviness, itching, and swelling. If left untreated, they can lead to skin discoloration and ulcers (sores)
Obesity & Excess Body Weight
Obesity is a very common health problem affecting millions of individuals worldwide with multiple long-term consequences including increased risk of diabetes, hypertension, cardiovascular disease and stroke, cancer, and joint complications. We utilize a multifaceted approach to help patients reduce body weight, including lifestyle changes such as diet and exercise, as well as weight-loss medications such as GLP-1 agonists (Semaglutide and Tirzepatide).
Congestive Heart Failure
Congestive heart failure (CHF) is a chronic condition in which the heart’s ability to pump blood efficiently is compromised, resulting in fluid buildup and insufficient oxygen supply to the tissues. Broadly speaking, there are two major types of CHF: one in which the heart fails to contract appropriately (heart failure with reduced ejection fraction) and one in which the heart fails to relax appropriately (heart failure with preserved ejection fraction).
Services
Electrocardiography (ECG or EKG)
ECG is a non-invasive test that records the electrical activity of the heart, helping detect rhythm abnormalities and current or previous heart attacks.
Echocardiography (Heart Ultrasound)
Echocardiography utilizes sound waves to create images of the heart's structure and function, aiding in the diagnosis and management of various cardiovascular conditions.
Peripheral Arterial Sonography
Peripheral arterial sonography is a non-invasive imaging technique that examines blood flow and detects abnormalities in the peripheral arteries, such as the carotid arteries (neck arteries supplying blood flow to the brain) or the leg arteries.
Lower Extremity Venous Sonography
Lower extremity venous sonography helps detect superficial and deep vein thrombi (clots) as well as determine the presence of chronic venous insufficiency, a treatable condition that causes varicose veins and leg swelling.
Ambulatory Cardiac Monitoring
Ambulatory cardiac monitoring involves wearing a portable device to record the heart's electrical activity over an extended period, helping diagnose and evaluate cardiac rhythm abnormalities that may occur intermittently.
Implantable Loop Recorders
Implantable loop recorders are small devices placed under the skin during a simple office procedure to monitor and record the heart’s electrical activity for very extended periods (years), aiding in the diagnosis of intermittent or infrequent cardiac rhythm disturbances.
Cardiac Stress Testing
Cardiac stress testing involves evaluating the heart’s performance during exercise or with the use of special medications with the goal of detecting potential heart artery blockages.
Diagnostic Coronary Angiography
Diagnostic coronary angiography is an invasive procedure that uses contrast dye and X-rays to visualize the heart arteries, helping assess the severity of blockages and the best way to open them.
Percutaneous Coronary Intervention
Percutaneous coronary intervention (PCI), commonly known as coronary angioplasty or stenting, is a minimally invasive procedure performed in the hospital setting to open blocked or narrowed coronary arteries, restoring blood flow to the heart.
Right Heart Catheterization
Right heart catheterization involves inserting a catheter to measure pressures and oxygen levels in the heart’s right chambers as well as lung arteries to evaluate cardiac function, particularly in conditions like heart failure or pulmonary hypertension.
Transesophageal Echocardiography
Transesophageal echocardiography (TEE) utilizes a specialized probe inserted into the esophagus to obtain detailed images of the heart, providing enhanced visualization for assessing valve function, detecting blood clots, or evaluating certain structural heart conditions.
Interrogation of Implantable Cardiac Devices
In-office interrogation of pacemakers, defibrillators, and implantable loop recorders to ensure optimal device function and implement necessary adjustments.
Lower Extremity Radiofrequency Vein Ablation
For varicose veins above the knee we offer a minimally invasive radiofrequency (thermal) ablation technique. This method employs a small catheter applied under local anesthesia to deliver heat directly to the diseased vein. The procedure causes the vein to collapse thus rerouting the superficial venous blood flow to healthier veins, leading to the gradual improvement of varicose veins and reduction of lower extremity edema
Lower Extremity Chemical Vein Ablation
For insufficient veins below the knee and sometimes for those above the knee we provide chemical ablation (sclerotherapy) using Polidocanol (Varithena), a prescription micro-foam. Injected under local anesthesia, it causes the diseased vein to collapse. This treatment offers results similar to radiofrequency ablation, including the disappearance of varicose veins and alleviation of symptoms.
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