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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    Grace Weatherby
    / Categories: WELLNESS, 2024

    How to Determine an ExpressCare or Emergency Department Visit

    The baby spikes a fever at midnight.

    You twist your knee mogul skiing.

    Your daredevil wee-one takes a header from a bunkbed during a Friday night sleepover.

    What is it about illnesses and injuries? They always seem to happen when we are least prepared and often when the doctor’s office is closed.

    When health concerns arise, you may suddenly be faced with the question of where to go: The Emergency Department (ED) or a same-day walk-in clinic, like ExpressCare?

    The key to making the right choice for care is understanding the difference between the severity of health issues that are treated by a same-day clinic versus in the ED. Click and save the graphic below to determine where you should seek care for different ailments and issues.

    The primary reason for choosing the ED v. ExpressCare has a lot to do with how they are equipped, staffed and operating hours.

    Open 24/7, the ED is staffed and equipped to treat life- or limb-threatening health conditions in people of all ages. When you require immediate medical attention for a potentially serious condition, the emergency department is the best option. 

    ExpressCare is open daily from 8 a.m. to 6 p.m. and does not schedule appointments. ExpressCare can see patients for minor medical conditions that you would most likely see your primary care provider for as well. You can walk in and be seen by a member of the provider team. ExpressCare is staffed with physician assistants, nurse practitioners, and clinical staff who assess, determine if your health concern is appropriate to be managed in the clinic, and offers comprehensive and timely care. Volumes do fluctuate but wait times at ExpressCare can be shorter than the ED.

    It is important to remember, that the staff working in ExpressCare understand the value of their patient’s time but also want to provide high quality, patient-centered care. This is reflected in their average visit time of 90 minutes from registration to discharge in ExpressCare. This time is dependent upon many factors like patient volumes, staffing, procedures, testing, and complexity of health concerns.

    The same is true for the ED. Emergency care is initiated through a process called triage, which allows patients with potentially life-threatening conditions to be evaluated sooner by the next available physician. How long an ED visit takes also depends on many factors, most importantly, the severity of the individual’s medical concern.

    During triage, things like patient history, patient vital signs, and the current medical concern are all taken into consideration. In cases of severely ill or injured patients, several tests, multiple nurses and doctors may require to assess and stabilize the patient. This demand on resources means that care time speeds up for some patients and slows down for others. For example, a complete evaluation for chest pain can take a minimum of 4 hours from start to finish. During that time, the patient will be monitored, reassessed, and undergo several tests to determine the cause of the chest pain. This time-consuming evaluation enables us to see if anything immediately life threatening is happening and take corrective action. It requires the same amount of time and resources to determine if nothing life threatening is occurring. In those cases, patients are referred to follow-up care to find the cause of your discomfort.

    Regardless of where you go, it’s important to remember that nationwide there is an increased number of patients presenting to the ED. While wait times are rising, they should never deter anyone from visiting the ED if they believe they have a true medical emergency.

    Jill Maynard, MSN, RN, CEN, SANE Director of Emergency Nursing and Bentley Munsell BSN, RN, CEN Clinical Nurse Manager of ExpressCare at Southwestern Vermont Medical Center.

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