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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    How to Better Understand ADHD in Adults
    Grace Weatherby
    / Categories: WELLNESS, 2024

    How to Better Understand ADHD in Adults

    Attention deficit hyperactivity disorder (ADHD) is one of those terms people tend to jokingly throw about when attempting to explain a forgetful or disorganized moment. But for the 8.7 million U.S. adults with ADHD, the condition is no laughing matter.

    While the average age for an ADHD diagnosis is in the 4 -to 7-year-old window, depending upon the severity of symptoms, sometimes symptoms are overlooked or misdiagnosed. But, because the condition lasts into adulthood and symptoms can change over time, a later in life diagnosis is entirely possible.

    For an adult to be diagnosed with ADHD, they must exhibit at least five or more symptoms of inattention and least five or more symptoms of hyperactivity-impulsivity for at least six months.

     

    Inattention symptoms in adults can include:

    difficulty paying attention for long periods

    difficulty completing forms

    a tendency to lose their phone, their keys, or other important items

    trouble staying organized

    easy distraction

    forgetfulness

    trouble focusing when speaking to someone

    a tendency to try to do more than one thing at once

    a desire for quick fixes to issues

    difficulty keeping employment

     

    Hyperactivity-impulsivity symptoms can include trouble with:

    engaging in leisure activities

    sitting still

    taking turns

    interrupting others

    fidgeting or tapping the feet or fingers

     

    There is no cure for ADHD but some people find success managing symptoms through treatment including:

    Medication: Medication is more commonly prescribed for adults as compared to children, in part because adults have lived with their symptoms through all of their lives. Your doctor may prescribe a stimulant or non-stimulant based on the symptoms experienced as well other medications you may be taking, the potential for substance abuse, and other existing medical conditions.

    Cognitive behavioral therapy (CBT): CBT can help you identify problematic thoughts and behaviors and implement strategies to help you cope, self-regulate, and change negative behaviors.

    Counseling: Counseling, in the form of marital, family, and individual therapy can improve communication and help others better understand the causes behind an individual’s perceived forgetfulness, lack of motivation and other disruptive behaviors.

    If you’re concerned you or a loved one may have adult ADHD, contact a healthcare provider for an assessment. The right treatment can markedly improve your mood, self-esteem, relationships, performance at work, and more.

     

    Reija Rawle, MD, is a family medicine physician at the SVMC Pownal Campus of Southwestern Vermont Medical Center

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