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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    Frostbite: How to Spot, Treat, and Prevent It
    Grace Weatherby
    / Categories: WELLNESS, 2024

    Frostbite: How to Spot, Treat, and Prevent It

    Now that we are deep in the season of single- and negative-digit temperatures, it’s important to take steps to protect yourself from frostbite.

    While rare, frostbite happens when the fluid in the tissue of your body becomes so cold it freezes. The ice crystals that form can damage or even destroy the tissue and nearby blood vessels. In severe cases, the damage can lead to gangrene and amputation.

    However, there is more to getting frostbite than just frigid temperatures. Wind chill can also play a role as it removes heat from the body faster, making your tissue more susceptible to frostbite. The faster the wind blows, the more quickly frostbite can set in

    The parts of the body most susceptible to frostbite include: ears, nose, cheeks, fingers, and toes. 

    If you are spending time outdoors in cold and blustery conditions, there are several signs of trouble to look out for.

    In the earliest stages of frostbite, your skin may feel cold and prickly and may appear red. As the condition advances, the affected area may feel numb to the touch. As the frostbite worsens, your skin may appear white or bluish white, followed by grayish yellow. In extreme cases, skin may feel firm and waxy and turn purple, brown, or even ashen. You may also find it difficult to move naturally as your muscles stiffen from the cold.  

    If you see or feel any of these signs, it’s important to act quickly to warm your skin.

    Immediate Care

    • Move to a warmer place
    • Take off any wet or tight clothes

    Warming Up

    Note: Warming a body back up should be done slowly. The process may cause pain or discomfort; this is completely normal.

    • Use your own body heat by placing cold and numb fingers under your arms in your arm pits.
    • Place affected body parts in warm water for no more than 30 minutes. Do NOT use hot water on frostbite as this can cause burns.
    • DO NOT USE DRY HEAT, like heating pads, fireplaces, or blow dryers as they can cause burns.
    • DO NOT RUB OR MASSAGE frost bitten areas as this can increase skin damage/irritation.

    Routine Care

    • If you used warm water to warm up, pat dry, do not rub
    • Cover skin with bandages or clean, dry material until
    • Seek urgent evaluation at ExpressCare or Primary Care Clinic

    Seek Emergency Care

    • If the person exposed to cold is passing out, having trouble speaking, appears confused or clumsy, is not shivering, or displays difficulty or abnormal breathing. These could be signs of hypothermia, a life-threatening condition in addition to frost bite.
    • If the skin is hard, waxy, or has turned black.

    To lower your risk of frostbite, follow these steps whenever venturing out in the cold for extended periods of time:

    • Dress for the cold: Choose windproof and waterproof outer garments to protect against wind, snow, and rain. Wear layers of light, loose clothing. The air between the layers will work to keep your skin warm without causing sweating. (Note: wet skin is more at risk of frostbite than dry skin). Be sure to cover areas most at risk of frostbite (ears, nose, cheeks, fingers, toes). When possible, choose wool over cotton and wear mittens instead of gloves.
    • Stay dry: As noted, wet skin is more at risk of frostbite than dry skin. For that reason, take precautions to keep snow out of your boots, mittens, and clothing. If you get wet, go inside immediately and remove wet clothing.
    • Stay hydrated:  Be sure to drink plenty of water before, during, and after spending time out in the cold.
    • Stay alert: If you’re outside for stretches longer than 30 minutes, be sure to check yourself for signs of frostbite every 30 minutes. If you see or feel signs of frostbite, head indoors immediately.
    • Stay sober: Drinking alcohol can cause the body to lose heat faster than normal. Save the alcoholic beverages for when you’ve safely returned indoors.

     

    Bentley Munsell BSN, RN, CEN, is the Clinical Nurse Manager for ExpressCare at Southwestern Vermont Medical Center.

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