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Cardiovascular Treatments & Services

冰球突破的心血管专家团队在心脏病学护理的各个方面提供丰富的经验:无创心脏病学, interventional cardiology, and electrophysiology. 每个医生都有自己独特的视角,在心脏病的检测和治疗方面提供专业的护理, peripheral vascular disease, and disorders of the heart.

ADVANCED CAPABILITIES

Our team also includes advanced expertise in complete interventional cardiac care, including cardiac catheterization, interventional coronary procedures, and interventional peripheral vascular procedures. We offer office locations in York, Wells, 和纽因顿(以前称为海岸心脏病学),并在其中一些地点和冰球突破提供检测和治疗.


CARDIAC DIAGNOSTIC TESTING AVAILABLE

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Ankle-Brachial (ABI) Testing
A test that uses ultrasound to detect peripheral vascular disease. 这个测试使用多普勒结合一系列的手臂和腿部血压袖带来测量四肢的血流量. 这项测试最常用于确定腿部疼痛是否是腿部循环不良(跛行)的结果。. Because these tests use ultrasound and not x-rays, they are completely safe. These procedures do not require any preparation.
Cardiovascular Screening

($100)* This includes screening for abdominal aortic aneurysm (AAA), carotid artery disease, atrial fibrillation and peripheral artery disease (PAD). 依靠冰球突破的专家来评估你的整体心血管健康,报名参加冰球突破的低成本项目, preventive cardiovascular health screenings! Each 1/2 hour appointment will provide screenings for the most life-threatening vascular diseases. Appointments are necessary. Call York Hospital’s Heart Health Care team at (207) 351-2424 for more information. *These screenings may not be covered by Medicare or other
insurance companies.
Please check with your carrier for details.

Echocardiogram

This test is usually called an Echo. It uses sound waves (ultrasound) to produce a moving, two-dimensional (2D) image of the patient’s beating heart on a video screen. It is a painless procedure that does not use x-rays and is completely safe. The physician can study the heart’s size and function, the motion and structure of the four heart valves and measure the direction and speed of blood flow. The test takes approximately 45 to 60 minutes to perform. No preparation is required.

EKG – Electrocardiogram
EKG是一种通过放置在皮肤特定位置的电极显示心脏电活动的图形. 病人心脏产生的电活动由心电图机处理,然后打印在特殊的方格纸上,随后由医生解释. This is a painless process that requires no preparation and takes approximately 10-15 minutes to perform.
Event Recording
这是不罕见的患者有症状,不经常发生,并没有记录24小时动态心电图. This test is similar to a Holter monitor except it is meant to be worn for several days. Instead of the entire 24 hours of EKG information being stored, 事件记录仪只存储或“循环”最后40-60秒的心电图,直到患者出现症状. 然后,患者按下记录器上的一个按钮,“冻结”存储在记忆中的当前40-60秒的心电图,并额外记录15-20秒的心电图. The recorder then locks this information in its memory, and goes back to the ‘loop’ mode to wait for the button to be pressed again if there is another event. Typically five events can be saved in the recorder. The event can be transmitted by phone to Cardiology to allow us to look at what has been recorded. The recorder is then reset and ready to record additional events if needed. Patients are shown how to connect themselves to allow them to sleep and bathe. The recorders are usually kept for 1 – 2 weeks.
Holter Monitoring
A continuous, 24小时心电图(EKG)记录心律,以确定是否存在心律紊乱以及是否需要治疗. This test is done most commonly for one of three reasons: a patient feels one or more of these disturbances such as palpitations (ectopy) or rapid heart rate (tachycardia); a patient is having symptoms (such as dizziness or fainting) which may be due to tachycardia and/or bradycardia (slow heart rate); To determine if a patient’s pacemaker or defibrillator is working properly. 一副扑克牌大小的便携式数字记录仪通过5个粘接电极连接到患者的胸部. This device records every heartbeat over the 24-hour period it is worn. When it is returned, the information is scanned by special computer software. 给病人写日记,记录日常活动,使症状和活动与记录相关联.
Stress Echo
A Stress Echo is a non-invasive test that combines two tests, a treadmill test and an echocardiogram. 在已知病人的心电图不能提供足够的诊断信息或医生怀疑以前的压力测试是假阳性的情况下,使用该测试. 超声心动图的增加有助于提高测试的准确性,因为它提供了关于心脏在运动过程中的额外机械信息. Echo images are taken before and immediately after exercise. These images are then interpreted along with the EKG at the end of the test.
Transesophageal Echocardiogram
A minimally invasive echocardiogram that offers very clear images of the heart’s structures and valves, without the interference of the chest wall and lungs. This procedure requires that a probe be passed down the esophagus (much like a gastroscope), except it uses ultrasound instead of a light source and camera. Total time for the test is about 1 hour. A patient needs to fast after midnight. The time that the probe is in the body is typically about 10 to 15 minutes. An IV is started to administer sedation to make the patient comfortable during the procedure. If the test is performed as an outpatient procedure, the patient needs to arrange for transportation home.
Treadmill Test/Stress Test – Adult
This test evaluates the heart’s response to exercise using a treadmill. It is used primarily to determine if a patient has coronary artery disease. The heart’s electrical activity is continuously monitored using an electrocardiograph (EKG). The treadmill exercise portion of the test is staged. The treadmill starts at a very slow walking pace and at a slight uphill grade. Every three minutes the speed and grade are increased. During the exercise portion of the test, a physician is present. 该测试的目标是实现年龄调整后的目标心率,以使测试在统计上可靠. The physician will discuss the results of the test with the patient immediately afterward. The complete procedure takes 30 – 45 minutes, with the exercise portion typically lasting 6-12 minutes. Depending on the reason for the treadmill, some medications should not be taken before the test. It is important to discuss this with your physician prior to the day of the test.
T-wave Aternans Testing
  • 这是一种特殊类型的心电图,它观察心脏电活动的一个非常具体的方面. It is used as a screening tool to assess a patient’s risk for a certain type of rhythm abnormality. It is usually done in conjunction with a stress test.
Vascular Ultrasound
This is a painless technique using ultrasound for visualizing arteries and veins. It is a generic term that includes tests such as Carotid Ultrasound, Venous Ultrasound and Arterial Ultrasound. 这些程序有时被称为双工血管超声,因为信息通常以两种不同的方式显示. One is an image that displays the cross sectional anatomy of the blood vessel being studied. It is what is typically thought of as an ultrasound image (like the baby pictures of a pregnancy). The other is what is called doppler. This is a two dimensional visual display of the speed and direction of blood flow within a vessel, similar to doppler weather maps that display cloud movements overlaid on a map. Doppler allows us to determine if blood flow has slowed, 由于疾病而在血管中逆转或停止,并准确测量疾病的严重程度.

CARDIAC CATHETERIZATION

York Hospital’s renowned Cardiac & Vascular Catheterization Lab provides cardiac catheterizations, electrophysiology studies, and ablations and vascular & cardiac angiography. In addition, 冰球突破是缅因州仅有的四家进行经皮冠状动脉介入治疗(冠状动脉球囊/支架置入术)的医院之一。.

ELECTROPHYSIOLOGY

York Hospitals’ Cardiology team also offers electrophysiology as a specialty. If heart rhythm problems are discovered, 医生和团队成员将执行适当的程序,包括植入起搏器(包括双心室)或除颤器.

PACEMAKER & IMPLANTABLE DEFIBRILLATOR CLINICS

Pacemakers and implantable cardioverter defibrillators (ICD) are small battery-powered, devices implanted in the chest to regulate the heart’s rate and rhythm. 起搏器的设计是为了纠正心动过缓(心律慢)和ICD的心动过速(心律快)。. These devices are implanted at York Hospital. 使用起搏器和ICD的患者需要检查他们的设备,以监测其设备的临床有效性以及电池和电子设备的状态. 通常每三到四个月就诊一次,但根据几个因素可能会更频繁, 例如设备的使用时间,或者是否需要因患者医疗状况的变化而重新调整设备. Telephone follow-up is also done for pacemaker patients. Patients use a special transmitter to send their EKG to the clinic by phone. 这使得患者可以方便地在任何有手机的地方检查他们的起搏器,而不必每次都来诊所检查. Typically, an individual will be scheduled for telephone pacer checks once every three months, with one clinic visit scheduled per year.

REHABILITATION

Living Well Center: 

心肺康复:心肺康复计划的设计是为了满足心肺病人的需要(包括, but not limited to, those who have had a heart attack, coronary artery bypass surgery, Chronic Obstructive Pulmonary Disease, or Angina) and their families. The program combines education, exercise, nutritional counseling, stress reduction, and behavior modification strategies. The goal of Cardiopulmonary Rehabilitation is to help patients recover, 恢复正常的日常生活活动,制定积极的生活方式策略,以改善他们未来的健康状况.

We offer specialized clinical exercise and education programs for Cardiac, Pulmonary, Congestive Heart Failure, Diabetes, Oncology, Osteoporosis/Osteopenia, Spine Health and Balance. We also offer many community-based health programs, support groups, disease management education, and more.  Call 207-351-3700 or click this link for more information.