Coronary Artery Disease:
Getting to the Heartof the Matter
If your physician refers you for
diagnostic testing for a possible
heart condition, trust that Central
Montgomery Medical Center (CMMC)
has the advanced medical technology to
determine how well your heart is doing
its job.
"We've got the
most technologically
advanced equipment
available," says Clifford
Ehrlich, MD, Medical
Staff President and
cardiologist at CMMC.
"Diagnostic tests are
quick, painless and noninvasive."
Most tests can be completed -- and
ready for physician review -- in less than
an hour:
- Echocardiography. During the "echo"
exam, a patient lies on a table while a
technician places an ultrasound probe
(called a transducer) on his or her
chest. Images of the heart at various
angles are projected onto a monitor
for physician review.
- Stress Test. A patient walks on a
treadmill while blood flow to the
heart is assessed by an immediate
echocardiogram or nuclear scan.
The test measures how the heart
functions during exercise, when the
heart rate increases. A patient not
physically able to walk on a treadmill
can undergo a nuclear stress test, to
artificially "stress" the heart
with medication.
- Ambulatory Monitors.
Around-the-clock
monitoring of the heart
is provided with portable
electrocardiography (EKG
or ECG) that records the
electrical activity of the
heart. Electrodes are taped
to the chest and the monitor
is fastened to a patient's
belt or clothing. A Holter
monitor records activity for
up to 24 hours, while an
event monitor records heart activity
for up to 30 days.
Advanced Imaging to Come
In the near future, diagnostic services
for heart patients will include computed
tomography (CT) imaging. Cardiologists
will view 3-D, X-ray images of the
coronary arteries in real time.
"We'll observe blood vessels that
feed the heart, and any soft plaque,
blockages or narrowing of the arteries,"
Dr. Ehrlich says. "Because images will
be more precise and detailed, we may
detect abnormalities earlier than we
could before. And, this may lead to more
prompt and effective treatment."
CT images will be obtained through
the Toshiba Aquilion™ 32-slice CT
scanner. Prior to a test, a patient will
receive an intravenous injection of
contrast medium dye that will enhance
the visibility of blood vessels during the
examination.
As with traditional X-ray testing,
the procedure is quick, painless
and minimally invasive. Images are
interpreted by a physician or technician,
and results usually are available within
48 hours.
Blood Pressure and Cholesterol Screenings
High blood pressure and high cholesterol
are major risk factors for cardiovascular
disease.
When diagnosed, these risk factors
may be lowered through diet, exercise and
medication. If left untreated, high blood
pressure and high cholesterol may lead to
strokes, heart attacks and kidney failure.
Assess your risk for cardiovascular
disease by attending health screenings,
provided by the North Penn Visiting
Nurse Association, at Central
Montgomery Medical Center (CMMC).
Date: First Friday of each month
Date: 10 AM to 2 PM
Location: CMMC Lobby
Fee: Free blood pressure screenings
$10 for total cholesterol (TC)
$20 for TC/HDL and ratio
For more information, please call
215-855-6191.
For more information about
diagnostic testing at CMMC,
please call 215-361-4570. To learn
how you can adopt a heart healthy
lifestyle, please log onto our Web site at
www.IchooseCentralMontgomery.com.
On the left side, click Health Information.
Under Outcome Improvement, click Heart
Health.