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  Cardiology :  
   
 

Dr. Mikhail Kapchits, Board Certified in Cardiovascular Diseases, Internal Medicine and Nuclear Cardiology, provides the following services:

 
  Heart Rate  
Your doctor feels your pulse in order to check your heart's rate, rhythm and regularity. Each pulse matches up with a heartbeat that pumps blood into the arteries. The force of the pulse also helps evaluate the amount (strength) of blood flow to different areas of your body.

Heartbeat
Your doctor listens to your heart with the aid of a stethoscope. The opening and closing of your valves make a "lub dub" sound known as the heart sounds. The doctor can evaluate your heart and valve function and hear your heart's rate and rhythm by listening to your heart sounds.
 
Blood Pressure

Blood pressure is the force or pressure exerted in the arteries by the blood as it is pumped around the body by the heart.
Physical Exam
Your doctor can also tell about your heart's function by examining other parts of your body such as your eyes, your arms and legs, and your skin


Blood Tests
Your doctor may recommend a blood test to check your cholesterol and other markers that may indicate heart disease.

Electrocardiogram and Specialized EKGs
An electrocardiogram (also called EKG or ECG) is a test that records the electrical activity of your heart through 10 small electrode patches attached to the skin of your chest, arms and legs. An EKG may be part of a complete physical exam or it may be used to further investigate symptoms related to heart problems. Your doctor uses the EKG to:
• Assess your heart rhythm
• Siagnose poor blood flow to the heart muscle (ischemia)
• Diagnose a heart attack
• Evaluate certain abnormalities of your heart, such as an enlarged heart.

Stress Tests
Stress tests are tests performed by a doctor and/or trained technician to determine the amount of stress that your heart can manage before developing either an abnormal rhythm or evidence of ischemia (not enough blood flow to the heart muscle). The most commonly performed stress test is the exercise stress test. The exercise stress test - also called a stress test, is a test used to provide information about how the heart responds to exertion. It involves walking on a treadmill at increasing levels of difficulty, while your electrocardiogram, heart rate and blood pressure are monitored. An electrocardiogram (also called EKG or ECG) is a test that records the electrical activity of your heart through 10 small electrode patches attached to the skin of your chest, arms and legs. An EKG may be part of a complete physical exam or it may be used to further investigate symptoms related to heart problems. Your doctor uses the EKG to:
• Assess your heart rhythm
• Siagnose poor blood flow to the heart muscle (ischemia)
• Diagnose a heart attack
• Evaluate certain abnormalities of your heart, such as an enlarged heart.

Echocardiogram
An echocardiogram (often called "echo") is a graphic outline of the heart's movement. During this test, high-frequency sound waves, called ultrasound, provide pictures of the heart's valves and chambers. This allows the technician, called a sonographer, to evaluate the pumping action of the heart. Transthoracic echocardiogram: This is the standard echocardiogram. High frequency sound waves (ultrasound) are bounced off the heart structures (using a device called a transducer) producing images and sounds that can be used by the doctor to detect heart damage and disease.Echo is often combined with Doppler ultrasound and color Doppler to evaluate blood flow across the heart's valves

Duplex Doppler
ADuplex Doppler ultrasound uses standard ultrasound methods to produce a picture of a blood vessel and surrounding organs. In addition, a computer converts the Doppler sounds into a graph that provides information about the speed and direction of blood flow through the blood vessel being evaluated.

Color Doppler
Color Doppler uses standard ultrasound methods to produce a picture of a blood vessel. In addition, a computer converts the Doppler sounds into colors that are overlaid on the image of the blood vessel and that represent the speed and direction of blood flow through the vessel.

Stress echocardiogram

This is an echocardiogram that is performed while the person exercises on a treadmill. This test can accurately visualize the motion of the heart's walls and pumping action when the heart is stressed; it may reveal a lack of blood flow that isn't always apparent on other heart tests. The echocardiogram is performed just prior and just after the exercise.

Thallium/Technetium Cardiac Scan

Thallium (Nuclear) Stress Test: This test helps to determine which parts of the heart are healthy and function normally and which are not. Before exercising, a very small and harmless amount of radioactive substance is injected into the patient. Then the doctor uses a special camera to identify the rays emitted from the substance within the body; this produces clear pictures of the heart tissue on a monitor. Using this technique, the heart has "hot" and "cold" spots that indicate the areas of heart muscle damage present before, during and after exercise.

It is typically done for people with unexplained chest pain or to determine the location and amount of injured heart muscle after a heart attack.

Stress thallium scans often involve making two sets of images: one set is taken while the person is at rest (called resting images), and the other is taken after the heart has been stressed either through exercise (treadmill or bike) or by using a medication (both are called stress images). Then the resting images and the stress images are compared. The medication used in place of exercise either causes healthy arteries (but not blocked ones) to become wider (dilate) or increases the workload on the heart, both of which increase the heart muscle's need for oxygen, revealing areas of the heart that are not receiving adequate blood flow. Medication stress testing may be done instead of exercise stress testing for people with certain conditions that may make exercise difficult.
Our Team
     
   
  ...Marina Neystat, M. D.  
     
   
  ...Mikhail Kapchits, M. D.  
     
  ...Regina S. Druz, M. D., FACC  
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
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