Diagnostic Heart Testing

An echocardiogram is a form of non-invasive imaging that uses ultrasound to observe the heart’s movement. One of the more common cardiac tests, an echocardiogram can provide valuable information about heart size, valve function, and potential issues that may be developing. In addition, some patients may need an echocardiogram to investigate the cause of cardiac symptoms or for clearance before certain surgeries.

A stress test provides information about how the heart functions under stress, such as during exercise. This test can help with the diagnosis of coronary artery disease, heart disease, arrhythmias, and other problems.

During a stress test, the patient exercise to increase heart stress. Patients unable to exercise can receive a drug to induce cardiac stress. Cardiac parameters and vital signs are monitored during the test. A stress test may include echocardiography or other imaging, like MRI.

Blood pressure is typically measured in an arm. However, an ankle/brachial index test measures the difference in blood pressures in the arms and ankles to check for possible peripheral arterial disease (PAD). This disease affects the arteries in the feet and legs. Frequent leg cramps, difficulty walking, and cold feet and legs are all possible PAD symptoms.

An ABI is non-invasive and quick. The test is straightforward and consists of a few blood pressure measurements.

A Holter monitor is a continuous electrocardiogram (EKG), a test of the heart’s electrical activity. This small, non-invasive device is attached by electrodes to the torso and records heart rate and rhythm. While an electrocardiogram can be performed in the office, such a test may not be of sufficient duration to record data during symptoms.

Holter monitors solve this problem. A patient wears a Holter monitor for 24 hours or more, allowing the device time to capture a larger picture of cardiac electrical activity. The device is small, unobtrusive, and non-invasive. There are no needles or pain involved.

An event monitor has the same function as a Holter monitor but is worn for a more extended period, such as a week or more. For example, we use the Cardea Solo monitor by Cardiac Insights. This “portable EKG” is extremely comfortable and won’t interfere with your regular routine, including exercise.

The Cardea Solo monitoring period is typically 7 days or less. The information captured is processed and analyzed in our office, providing a detailed snapshot of your heart’s activity and condition. Since the dataset is much larger than a brief, in-office electrocardiogram, the Cardea Solo can provide invaluable insight into your cardiac situation.