Yale New Haven Heart and Vascular Center offers virtually every type of advanced cardiac testing technology, including echocardiography, ultrasound, cardiac molecular nuclear medicine imaging inclusive of cardiac magnetic resonance imaging (MRI) and computed tomography (CT scans).
Through our advanced testing facilities, a comprehensive assessment of your cardiovascular status can be performed while an outpatient or as an inpatient. We can assess the heart’s function, size and blood flow with nuclear cardiology procedures. With echocardiography, which uses sound waves, we can evaluate the heart’s function and how well the heart’s valves work. We also provide a complete range of non-invasive tests that can help pinpoint problems concerning the heart. Among these are peripheral vascular tests, stress tests, electrocardiograms, exercise stress tests, and Holter monitoring.
Ambulatory blood pressure monitoring assists in the diagnosis of clinical hypertension. The blood pressure monitor is worn for a 24-hour period.
The blood pressure monitor is about the size of a large cell phone (generally worn at the waist) and is connected with a hose to a full-size blood pressure cuff on your arm. The monitor will automatically obtain and record your blood pressure every hour. You will be given a diary to record certain activities and symptoms experienced while wearing the monitor.
Event monitoring is done over 3-30 days (depending on how long your doctor would like you to wear the monitor) and is designed to record an "event" when you are experiencing symptoms. The monitor can be removed daily to shower or bathe (you will be given extra stickers so that you can change them). The event monitor is about the size of a large beeper and is worn with two wires and stickers. This type of monitor requires you to press a button when you feel symptoms, and then transmit the recording over the telephone.
Holter monitoring is done over 24 hours (and occasionally 48 hours). Monitor must be ordered by your doctor. The Holter monitor cannot be removed for 24 hours (the monitor is not waterproof), so it is important to note that you will not be able to shower or bathe until the recording period is over. The monitor itself is about the size of a large beeper and is worn with five wires and stickers. You will not have to press any buttons on the monitor, but you will be asked to keep a diary of activities and symptoms during the 24 hour period.
The tilt-table test is a simple, inexpensive, and informative test that can help identify the causes of fainting. As its name implies, the tilt table test involves placing a patient on a table with a foot-support, then tilting the table upward. The tilt-table may start off in a horizontal position and be tilted by degrees to a completely vertical position. The patient's blood pressure, pulse, and symptoms are monitored throughout the test.
Cardiologist Mark Somers, MD, was a runner training for the New York City Marathon in 2007 when he first started experiencing chest discomfort. A heart catheterization revealed a blockage in his left main coronary artery, known as the “widow maker.”
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