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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    Tapping the Brakes on J & J
    Anonym
    / Categories: WELLNESS, 2021

    Tapping the Brakes on J & J

    The Johnson & Johnson vaccine, prized for being delivered in one dose, is undergoing investigation for the potential that it may—in very rare circumstances—cause blood clots.  Here’s what you need to know:

    1. Nearly 7 million Johnson & Johnson vaccines have been delivered in the United States.
    2. Six women ages 18 – 48 experienced unusual blood clots originating in veins that drain blood from the brain. And, unfortunately, one has died.
    3. As a result of this very serious finding, the government has halted use of this vaccine until more information is known.
    4. In all six cases, the condition happened between 6 and 13 days after vaccination.
    5. The condition is extraordinarily rare. Fewer than one in one million people are affected. SVMC has given about 2,000 Johnson & Johnson vaccines. Statistically speaking, we would likely need to give 500 times that many to encounter a blood clotting issue among one of our patients.
    6. Those affected also had low platelet counts. Platelets are the part of the blood that helps blood clot and stops bleeding. This is counterintuitive, as you would expect someone with a clotting issue to have high platelet counts. Scientists are working intently to discover the issue.
    7. The AstraZeneca vaccine, which is not yet approved in the United States, was produced using the same technology and has also been connected to unusual clots in very rare cases in Europe. Patients were sometimes diagnosed with a similar condition (TTP or thrombotic thrombocytopenia purpura) associated with receiving Astra Zeneca vaccine.
    8. Doctors are learning how to treat this unique clotting condition now. Treating this problem differs from treatment of other kinds of blood clots.
    9. If you received the Johnson & Johnson vaccine, there are no recommendations at this time to stop certain medications or pursue any treatment.
    10. If you experience severe headache often with visual changes, leg swelling or pain, chest pain, skin eruption of purpura, or shortness of breath within 2 weeks after receiving the shot, contact your healthcare provider.
    11. As directed, neither SVMC nor the State of Vermont are giving Johnson & Johnson vaccines at this time. There are no Johnson & Johnson vaccines scheduled at SVMC clinics, and there is no need to reschedule. The state of Vermont is reaching out to residents scheduled to receive Johnson & Johnson vaccines this week and offering them Moderna vaccinations.
    12. There is a potential that the use of Johnson & Johnson vaccines will resume once scientists have defined the risk factors. For instance, Johnson & Johnson may be used for older adults, where the risk of this type of clot is even lower than it is for younger people.

    If you have questions not addressed here, please e-mail them to wellness@svhealthcare.org. We will answer them directly or in an upcoming e-newsletter.

    Marie George, MD, FIDSA, is an infectious disease specialist at Southwestern Vermont Medical Center in Bennington, VT.

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