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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    Dysphagia: What's Behind Your Swallowing Difficulties?
    Grace Weatherby
    / Categories: WELLNESS, 2024

    Dysphagia: What's Behind Your Swallowing Difficulties?

    Swallowing is a complex process that involves the coordinated action of at least 30 muscles and multiple nerves in the mouth, throat, and esophagus. When any part of this system is disrupted, it can lead to swallowing difficulties, also known as dysphagia.

    More prevalent in older adults, dysphagia can prove to be a minor inconvenience for some while for others it can lead to severe complications and put their health and quality of life at risk.

    Dysphagia can present a variety of symptoms, broadly categorized into two types: oropharyngeal and esophageal. The type of symptoms being experienced serve as clues to medical professionals about the potential cause of the condition.

    Here’s how the symptoms of oropharyngeal and esophageal dysphagia differ:

    Oropharyngeal Dysphagia:

    1. Difficulty starting to swallow: This includes trouble moving food from the mouth to the throat.
    2. Choking or coughing: Food or liquids might enter the airway instead of the esophagus, causing coughing or choking.
    3. Nasal regurgitation: Liquids or food coming back up through the nose.
    4. Gurgling voice: A wet-sounding voice after eating or drinking.
    5. Recurrent pneumonia: Due to aspiration of food or liquids into the lungs.

    Esophageal Dysphagia:

    1. Feeling of food stuck in the throat or chest: A sensation that food is lodged somewhere in the esophagus.
    2. Painful swallowing: Discomfort or pain when swallowing.
    3. Regurgitation: Bringing food back up without nausea.
    4. Heartburn: A burning sensation in the chest.
    5. Unexplained weight loss: Difficulty in swallowing may lead to a reduced intake of food, resulting in weight loss.

    With a clear understanding of the type of dysphagia you’re experiencing, your healthcare provider can begin to explore what’s specifically behind your condition.

    COMMON CAUSES OF DYSPHAGIA

    Oropharyngeal

    Aging

    Head and neck surgeries and injuries

    Dementia

    Stroke  

    Parkinson’s Disease

    Amyotrophic Lateral Sclerosis (ALS)

    Multiple Sclerosis (MS)

    Muscular Dystrophy

    Thyroid Enlargement: Often the result of an iodine deficiency or Grave’s Disease

    Pharyngitis and Tonsillitis: Inflammation of the throat and tonsils most often due to infection

    Oral Candidiasis (Thrush): Soreness in the mouth and throat resulting from a fungal infection in the mouth

    Esophageal

    Aging

    Esophageal Stricture: A narrowing of the esophagus, often the result of acid reflux of gastroesophageal reflux disease (GERD)

    Esophageal Rings and Webs: Thin layers of tissue that form in and partially block the esophagus. These can be congenital or develop later due to chronic acid exposure from GERD.

    Esophageal Tumors: Benign or malignant growths in the esophagus. Risk factors include smoking, heavy alcohol use, and family history.

    Diffuse Esophageal Spasm: Irregular spasm contractions of the esophagus brought on by damage to the nerves that coordinate the muscles of the esophagus

    Scleroderma: Hardening and tightening of the skin and connective tissues that restricts the esophagus, resulting from an autoimmune disease

    Eosinophilic Esophagitis: An allergic inflammatory condition often related to food allergies and environmental allergens

     

    Understanding the type of dysphagia you are experiencing and the underlying cause is crucial for effective treatment and management.

    Beyond assessing your symptoms, diagnosis often involves a clinical examination and imaging studies. Based on the findings, treatment may include:

    • Swallowing therapy: Exercises to strengthen the muscles involved in swallowing
    • Lifestyle changes: Modifying eating habits and using safe swallowing strategies
    • Dietary modifications: Changing the texture of foods and liquids to make swallowing easier and/or reducing acid intake.  
    • Medications: To manage underlying conditions like infections or inflammation.
    • Surgery: In cases where structural abnormalities need to be corrected.
    • Dilation: Stretching narrowed areas of the esophagus.

    If you or someone you know experiences persistent difficulty swallowing, contact your doctor. Addressing any issue early can significantly improve outcomes and help you return to living your life fully sooner.

     

    Kate O'Neill, MS, CCC-SLP, is a speech-language pathologist at SVMC Outpatient Rehabilitation, part of Southwestern Vermont Medical Center.

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