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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    Teenagers, Parents, and COVID
    Administrator Account
    / Categories: WELLNESS, 2020

    Teenagers, Parents, and COVID

    The teenage years are a difficult time for parents and their children, even when there isn’t a pandemic. COVID-19 has intensified all of our parent-teen interactions by introducing yet another big safety concern and keeping us in closer proximity than ever before. As cooler weather closes in and COVID cases rise locally and nationwide, it may be time to reset this important relationship in a way that will increase our chances of keeping our bodies, our minds, our relationships, and our communities healthy.

    Get yourself in order. Before you approach your teen, it’s a good idea to ensure that you are meeting your own needs and setting a good example. Are you masking in public, distancing from those outside your household, keeping social engagements outdoors, and washing your hands frequently? Are you following a healthy routine, including time for self-care? Are you limiting your exposure to troubling news and relying on good sources of information? Are you getting enough sleep and following a healthy diet? Do you have and use a good outlet for your COVID thoughts and feelings? The answers to these questions don’t necessarily have to be “yes.” Admitting where you can improve is a great place to start.

    Ask your teen how they are. It can be off-handed and casual. No matter what, listen, reaffirm, and ask follow-up questions that show that you are listening. (This can be really difficult if we are overly focused on our own needs, which is why it is so important to get yourself together before approaching them.) Reserve judgement, even if they share that they have done something risky. They might have serious worries, but you are never going to hear them unless you stop directing and start validating.

    If you get in deep, minimize disruptions, give them your complete attention, and take your time. Follow all of the potential threads of conversation and let them get all the way through what’s on their mind. Giving them the opportunity to share openly, even on its own, can be helpful in working through heavy feelings. If you happen to get unavoidably interrupted, be sure to follow up and try to pick up where you left off.  

    Account for their friends. If your child has close friends, they can be the most influential people in their lives. Missing the connection with friends could be a major source of grief. Facilitate safe outdoor meetings with their friends. And ask your child how their friends are doing. They could be worried about their friends or could have had a disagreement with them. Again reserve judgement, listen, validate, and echo what they have said, so that they know you are listening.

    Balance inclusion and privacy. Invite your teen to take a walk or show you the next level on their video game. Leverage their interests to do something together. Understand, though, that teens need privacy, too. Don’t be alarmed if they shut you down.

    Ease up on the things you can. Give teens more control over clothing choices, what they choose to eat, or how they spend their time. But don’t let up when it comes to knowing where they are, who they are with, and what they are doing. When you have to put your foot down for safety reasons, tell them why. For instance, “I will not drive you to Bella’s house, because it is too cold for you to stay outside and that’s not safe.” Offer an alternative, like a Netflix watch party or some other way to connect.

    When the time is right, share your feelings. Once your teen has shared how they are doing with you, you can share with them too. Be honest. Be vulnerable. Be fallible. In short, be a real person, not an “authority.” Tell them what worries you, things that involve them, maybe, but also things that don’t. Too often, we put up a front. As long as you don’t overload them, it’s helpful for teens to know that everyone is wrestling with these issues.

    Get help when you need it. Frustration and sadness are understandable. But if your child seems to have lost interest in the things they used to enjoy or if they seem more irritable for reasons you can’t determine, it’s time to raise concern. They might be feeling depressed and need more help than you can offer. Call your pediatrician, United Counseling Service at 802-442-5491, or the National Suicide Prevention Lifeline at 1-800-273-8255.

    By opening the channels of communication between you and your teen, you are more likely to develop the type of relationship you need to keep your teen, your family, and your community safe during this health crisis. The important habits you build now will be a benefit throughout both your lives.

    Meghan Gunn, MD, is the chair of the Department of Pediatrics at Southwestern Vermont Medical Center.

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