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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    Good Pandemic News
    Anonym
    / Categories: WELLNESS, 2021

    Good Pandemic News

    If there is one thing that is constant about the pandemic, it’s the constant updates we hear about on a daily basis. Here is a quick look at the good news that unfolded this week.

    Vaccines
    The next age band, 65+, will open on Monday. This is far faster than predicted and part of what is fueling optimism about the ability to vaccinate our population in Vermont. In addition, the Johnson & Johnson vaccine is getting close to achieving approval. As a single dose, the J & J vaccine is far easier to administer and has been shown to prevent severe illness and death in clinical trials.

    Variants
    Understandably, reports of decreased efficacy of vaccine in trials to SARS-CoV-2 variants is causing tremendous anxiety. Even with this seemingly dire news, there are many positive aspects of the vaccine-variant interaction to focus on. The vaccines currently in use or nearing approval appear to prevent severe disease requiring hospitalization and death from all known variants. A vaccine booster can be updated against variants and given at the necessary interval. The FDA noted this week that boosters will not require a lengthy randomized controlled trial. Companies will be able to design, produce, and distribute them within just a few months. In fact, Moderna just announced yesterday that company has manufactured a vaccine tailored to the B.1.351 variant first identified in South Africa.

    Travel, Exposure, and Gatherings
    Those who have been fully vaccinated, meaning that at least 14 days have passed since their complete series, no longer need to quarantine to travel to or return to Vermont. Similarly, fully vaccinated Vermonters do not have to quarantine after exposure to someone with COVID-19. And, fully vaccinated households may now gather with one other household. The lifting of these restrictions provide people with the first “perks” of getting vaccinated. Note that non-vaccinated people, must follow Vermont’s travel and gathering rules. 

    Efficacy vs. Effectiveness
    You may have heard scientists talking about “efficacy” and ”effectiveness” and wondered whether they are synonymous.  The terms have a subtle but important difference in epidemiology. Efficacy is how well an intervention performs in a trial. Effectiveness, a much more familiar word, refers to how well an intervention performs under real-world conditions. This past weekend, reports from Israel, where vaccination efforts have been especially efficient, shared the Pfizer vaccine was 98.9% effective at preventing hospitalizations and death in those who had received two doses. Those numbers are even better than the “efficacy” stats reported during the trial.

    Masks
    While it is difficult to say with certainty, as the pandemic changes from day to day, it seems as if we will be able to discontinue mask use in many public places by the end of the summer. Masks may still be recommended for people with high-risk health conditions in crowded venues, for children under 12, in elementary and high schools, and while traveling by plane or internationally.

    These small steps forward are signs of good things to come. They should also help encourage us to continue wearing masks and distancing throughout the next several months until we are all vaccinated.

    Trey Dobson, MD, is chief medical officer for Southwestern Vermont Medical Center and an emergency physician for Dartmouth-Hitchcock Health. 

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