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

    Quitting Smoking: an Exercise in Patience & Perseverance

    Here’s the cold, hard truth about quitting smoking: it’s hard and the experience is different for everybody.

    We have all heard the tale of those lucky people who go cold turkey once and find their smoking days are behind them. Those individuals, however, are the exception.

    According to the American Lung Association, it takes an average of 8-10 attempts to quit smoking. Other research suggests it could take 30 or more tries before succeeding.

    While these numbers may sound discouraging to any first- (or second- or even fifth-) time quitter, there is hope to be found in repeated relapses. That is, with every attempt you learn more about what triggers your urge to smoke and what methods do or don’t help curb cravings. In that light, there are no failures; just lessons that take you one step closer to figuring out how to successfully quit.

    For most people, the best way to quit will be some combination of medicine, a method to change personal habits, and emotional support. Here’s a look at some of those approaches:

    Nicotine Replacement Therapy (NRT): The main addictive substance in tobacco, nicotine creates an actual physical dependence and leads to withdrawal symptoms when attempting to quit. In the form of gum, patches, sprays, inhalers, or lozenges, NRT supplies small amounts of nicotine to lessen withdrawal symptoms.

    According to the CDC, using two NRTs together can boost your chances for quitting successfully.

    Prescription Medication: If you have a severe dependency on nicotine (smoke more than 1 pack a day, smoke within 5 minutes of waking, wake up at night to smoke), you may want to talk to your health care provider about using prescription medicine to help you quit. 

    There are currently two FDA-approved prescription medications to help you quit:

    Varenicline, sold under the brand name Chantix, works by blocking the pleasant effects of nicotine on the brain, making smoking less appealing.

    Bupropion, marketed as Wellbutrin, Zyban, and available in generic form, reduces cravings and withdrawal symptoms.

    While these drugs are non-addictive, there are potential side effects, and they may not be recommended for individuals with certain physical or mental health conditions.

    Support Groups and Programs: For many smokers, working with a support program gives them a much better chance of quitting. The following free programs offer support in a variety of forms including daily email programs, a quit coach, online groups, and more.

    Whether you’re trying to quit for the first time or having yet another go at it, remember quitting is possible. Embrace the journey to living smoke-free, relapses and all, and stay focused on how your physical health and life will improve when you finally succeed.

     
    Michael Algus, MD, FACP is a pulmonologist at Southwestern Vermont Medical Center.

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