SVMC cardiology

 

 

STRIVING TO IMPROVE YOUR LIFE ONE BEAT AT A TIME

You get one life and you get one heart. The board-certified cardiologists and associated practitioners at SVMC Cardiology are committed to helping you make the most of both.

Our patient-centered approach to care and personalized care plans maximize your quality of life while delivering the treatment you need when you need it.

Creating the appropriate treatment plan for your condition begins with a cardiac consultation. Your consultation is a chance for you to share your health history and current concerns with your cardiologist. All necessary exams and tests are conducted on-site by your cardiac care team. The results are shared and discussed directly with you so that you fully understand your condition, treatment options, associated risks, and potential lifestyle changes.

After a heart episode or surgery, there’s nothing our cardiac team and you want more than for you to just get back on your feet and live the life you want. That’s why we begin your rehabilitation program before you even leave the hospital. Through a combination of education and exercise, your personalized program will help you build strength and reduce your risk factors. Using the full range of cardio equipment in our Cardiac Rehab Center and under the watchful eye of our rehab team, you’ll improve your heart’s strength and capacity and get closer to resuming a full and active lifestyle. For more information about Cardiac Rehabilitation, click here.

In order to understand how well your heart is or isn’t functioning, an echocardiogram may be performed. This non-invasive procedure uses sound waves to produce images of your heart. Both of SVMC’s cardiologists are board certified in echocardiography and able to observe how your heart is pumping and identify any abnormalities in the heart muscle or valves. An echocardiogram allows our team to make the most informed and appropriate recommendations for the next steps in your care.

If a standard echocardiogram does not provide a clear image of your heart, your SVMC care team may recommend a transesophageal echocardiogram or TEE. Performed at the hospital, this procedure involves inserting a flexible tube containing a transducer down your throat and into your esophagus. From this closer vantage point, the transducer then uses sound waves to create more detailed images of your heart and allows for better diagnosis.

Before we treat your heart, we need understand how it’s performing. At SVMC we offer a number of non-invasive stress tests that can quickly and easily reveal a number of things including: how well your heart works during increasing levels of activity; how certain medications are impacting blood flow; the effectiveness of procedures done to improve heart performance; and more.

If you have risk factors for heart disease, calcium scoring may may help you learn more about whether you are actually at risk. The non-invasive test uses high-speed CT imaging technology to measure the hardening of the heart’s arteries, a leading indicator of heart disease and heart attacks. Visit the calcium scoring page for complete details. 

A pacemaker is one of the most effective ways to ensure a heart maintains a steady, healthy beat. The SVMC cardiac team is exceptionally skilled and experienced at both pacemaker implantation and monitoring. Considered a minor surgery, implantation takes place at the hospital with most patients returning to normal activity (and a more steadily beating heart) within a few days. Like all medical equipment, pacemakers need a little TLC every now and then. At SVMC our cardiac team can perform routine monitoring, both remotely and in the office, and reprogramming as needed.

One of the most common cardiac diagnostic tools, an EKG is a painless way to check for problems with the electrical activity of your heart. The EKG translates and records your heart’s electrical activity over a period of time and translates it into waves. Your SVMC care provider can use printouts of the waves to detect any patterns that might point to a specific condition and put together a treatment plan that meets your specific needs.

Should your SVMC cardiac care provider want to monitor your heart over a longer period of time than is practical for a standard EKG, you may be given a Holter or event monitor. Worn outside the body and completely painless, monitors are helpful in detecting abnormalities that only happen occasionally and can help your doctor link any abnormalities to specific activities or events in your day.

Carotid ultrasound
At SVMC our goal is to treat your health issues before they become problems. Using our sophisticated carotid ultrasound test, your cardiac care provider can detect blockages in your neck arteries that could lead to a stroke or indicate problems in other parts or your circulatory system.

Education
Because understanding what causes heart problems is essential to resolving them, we offer a variety of educational resources to patients and their families.  Workshops are offered on an ongoing basis throughout the Dartmouth-Hitchcock network, and condition-specific literature is available in our offices. 

140 Hospital Drive, Suite 211, Bennington, VT 05201
Phone: (802) 442-0800
Fax: (833) 343-1597

Hours:
Monday – Friday:  8:30 a.m. – 5 p.m.

Directions: 
For directions to SVMC Cardiology, click here. 

Parking:
For appointments at SVMC Cardiology, park in parking area P3 or P5.

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    COVID Vaccine or Natural Immunity
    Anonym
    / Categories: WELLNESS, 2021

    COVID Vaccine or Natural Immunity

    Everywhere you look, people play sports, drive cars, and do their jobs outfitted with the latest safety equipment. Few people would think about buying a car without airbags or playing football without a helmet. But, people sometimes assume that if they have been infected with COVID-19, they have developed natural immunity and that they are unlikely to get infected again. I can see the logic. “Natural” immunity, like “natural” food, must be better, they think. In this case, though, the science of vaccines—like the science that has given the safety advances in countless areas of our lives—holds some powerful benefits.

    COVID cases and individuals vary. People can get a mild case of COVID or a severe one. Their response to infection may have been vigorous or weak. Because there are so many variables, it is difficult to tell whether a person who has been infected is protected to the extent necessary to prevent another infection. Vaccines, on the other hand, are consistent and most people’s bodies respond in a predictable way to make protective levels of antibodies.

    Vaccines offer better protection than natural immunity does. A recent study showed that the odds of a laboratory-confirmed case of COVID-19 was more than 5½ times higher among those who had already had COVID than those who had been vaccinated. A study from Kentucky measured people’s risk of reinfection among unvaccinated previously infected people at more than twice as high compared to those who had been vaccinated. COVID infection does provide protection against reinfection for 3 – 6 months, but this is quite variable between individuals. 

    Isn’t there a test to see if you’re immune? There are several tests that will tell you if you have developed antibodies for COVID. Antibodies can increase and decrease over time without indicating much about how protective they are against getting another infection. While higher levels of neutralizing antibodies generally signal higher protection, scientists don’t yet know what level of neutralizing antibodies is necessary to provide protection. So while it seems like the test would tell you if you’re immune, currently it actually only tells you whether or not you’ve been exposed to COVID. As we learn more about antibody responses to infection and vaccines, we will have a better understanding of what it takes to be fully immune. Until then, it isn’t worth taking the risk that you might still have immunity following infection without the predictable response to vaccination. 

    Getting the vaccine after you’ve recovered from COVID is safe. If you are currently sick with COVID, wait until you have recovered and met the criteria for discontinuing isolation to get vaccinated. If you were treated with monoclonal antibodies or convalescent plasma, you should wait 90 days. Talk to your doctor if you are uncertain about what treatments you received or if you have a history of multisystem inflammatory syndrome, as this may also affect how long to wait before getting vaccinated.  For most people, there is no risk and plenty of advantages in getting vaccine as soon as possible after COVID.

    Just as I would encourage my patients to wear a seatbelt, I encourage my patients to get vaccinated even if they have already had COVID-19. In this case and many others, the advances afforded to us by science really make a difference in our health and survival.

    Marie George, MD, FIDSA, is an infectious disease specialist at Southwestern Vermont Medical Center in Bennington.

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