IMRAN CHAUDRY, MD & REZAUL ISLAM, MD

SERVICES

GUIDE TO HEALTHY LIVING

There are many factors that play a role in the health and fitness of all of us. Exercise, diet, and lifestyle are vital to maintaining a healthy body. Here you will find links to more in-depth discussions of how to enrich your life.

OFFICE TESTS

During the course of your medical care, you may require certain diagnostic tests at the discretion of your physician. Fortunately, Monroe Cardiovascular Associates is able to offer many non-invasive and invasive cardiovascular tests in the office. These diagnostic tests include:

NON-INVASIVE PROCEDURES

EKG - Electrocardiograms provide information regarding the electrical activity of the heart, as well as various other cardiac abnormalities such as heart attacks. These are often necessary to make a diagnosis as well as for follow-up.

HOLTER MONITORING - An ambulatory Holter monitor is a portable 24-hour tape recording of your heart beat used to detect irregularities in rhythm.

EVENT RECORDING - Patient-activated Holter monitor-like recorders and continuous event monitors are used for an extended period of time and is helpful in the evaluation of sporadic cardiac symptoms or events.

PACEMAKER CLINIC - There are several tests that can be performed to evaluate your pacemaker. Many of the routine pacer checks are done via telephone transmission from the patient's home. Periodically, the patient may need to come to the office for a more formal evaluation or for computerized reprogramming of the device.

ECHO CARDIOGRAPHY - An Echo cardiogram is a simple, yet very essential, non-invasive test that uses two-dimensional, Doppler, M-mode, and color flow ultrasonic imaging for the assessment of chamber size and function, valve function, physiological information (blood flow velocities, gradients and pressures) and other important disorders such as congenital heart defects.

VASCULAR STUDIES
- These non-invasive tests are beneficial in the assessment of peripheral vascular disease or circulation disorders. Using various ultrasound and pressure recording techniques, the arteries and veins of the extremities can be studied. In addition, these exams can identify abnormalities in the carotid arteries of the neck and also the abdominal aorta.

TILT TABLE - The tilt table test checks to see how a change in position—from lying to standing—affects heart rate and blood pressure. Your doctor uses the test to try and reproduce your symptoms of syncope (fainting). There are many causes for syncope. One possible cause is a sudden slowing of the heart, combined with a drop in blood pressure. This reduces the amount of blood flowing to the brain, and fainting can result.

STRESS TESTING - This procedure is an important exam which is beneficial for the evaluation and follow-up of coronary artery disease, chest pain syndromes, functional capacity (exercise tolerance) and analysis of blood pressure and heart rate responses. These tests are performed under constant rhythm and blood pressure monitoring by a cardiologist and technician:

TREADMILL EXERCISE TEST - This type of stress test is conducted on a treadmill using various walking protocols. Depending on the patient, your cardiologist may opt to select a more sophisticated test by using heart images for obtaining more information about your heart.

NUCLEAR CARDIOLOGY - Our state-of-the-art Nuclear laboratory performs several types of cardiovascular diagnostic tests. With the use of hi-tech computers, we can analyze relative blood flow and global function of the heart muscle. Nuclear cardiac tests may be used in conjunction with treadmill or pharmacological stress tests.

INVASIVE PROCEDURES

CARDIAC CATH - Cardiac catheterization (sometimes called an angiogram) is a specialized test which is useful in the evaluation of heart disease. The presence or lack of coronary artery disease as well as the specific location and severity of coronary lesions can be determined with a cardiac catheterization. This procedure is able to determine the function of the heart chambers, valves, and other cardiac structures. This test can also measure the different pressures and gradients within the heart. Cardiac catheterization is relatively safe and is typically associated with very low morbidity and mortality.

PERIPHERAL ANGIOGRAPHY - Angiograms to evaluate several arteries in your body like the aorta, renal (kidney) and carotid and leg arteries

RADIO FREQUENCY CATHETER VENOUS ABLATION OF VARICOSE VEINS - Procedure is a minimally invasive treatment alternative with less pain and less bruising when compared to traditional vein stripping surgery and laser treatment. Using the Closure system, physicians close the diseased veins by inserting the Closure catheter into a vein and heating the vein wall using temperature-controlled RF energy. Heating the vein wall causes collagen in the wall to shrink and the vein to close. After the vein is sealed shut, blood then naturally reroutes to healthy veins. Venous reflux or venous insufficiency develops when the valves that usually keep blood flowing out of your legs become damaged or diseased.