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Cardiovascular Disease Management

Biventricular Pacemaker (CRT Pacing Device)

What is a Biventricular Pacemaker?

Cardiac resynchronization therapy (CRT) is used to treat the delay in ventricle contractions that occur in people with advanced heart failure meaning the heart’s pumping power is weaker than normal.

With heart failure, blood moves through the heart and body at a slower rate, and pressure in the heart increases.

A delay between the contraction of the right and left ventricles often occurs with heart failure, so the walls of the left ventricle are unable to contract at the same time. The biventricular pacemaker is an electronic device that is implanted under the skin. It has 2 or 3 leads that are positioned in the heart to help the heart beat in a more balanced way.

Coumadin® Clinic

What is a Coumadin® Clinic?

Our Coumadin® or anticoagulation clinic is a simple way to monitor patients taking Coumadin® or any other anticoagulant or blood-thinner.

As a patient taking anticoagulants, you should be aware of the potential for side-effects that can happen if you are not properly monitored. Some side effects can be life-threatening.

Participating in monitoring of your anticoagulants may decrease complications and deaths from blood-thinning medications.

Device and Arrhythmia Management and Monitoring

What is Device and Arrhythmia Management and Monitoring?

With our device monitoring clinic, we routinely follow patients who have implanted cardiac devices. Over the years, implanted cardiac devices have grown to include pacemakers and defibrillators, that monitor and intervene on cardiac rhythm, as well as newer devices used for the detection of cardiac arrhythmia. Patients visit the clinic shortly after having a device implanted. After the initial visit, in person visits may be once or twice yearly.

The great majority of these devices are followed from home, known as remote monitoring, using the patient’s phone or internet access. Technical information is taken from the devices in person, or monitoring from home, and relayed to our physicians.

A close relationship often forms between our device patients and our staff and our cardiovascular technicians. Furthermore, our clinic acts as a source of support and education for patient regarding their devices and heart rhythm.

Heart Failure Management

What is Heart Failure Management?

To diagnose heart failure, we will take a complete medical history, review your symptoms, perform a physical examination, and order additional testing. We will also check for the presence of risk factors such as high blood pressure and diabetes.

ICD (Implantable Cardioverter Defibrillator) Implantation

What is a ICD implantation?

An ICD is an implantable battery-operated device that is packed full of electrical circuitry. It’s function is to monitor your heart’s rhythm and deliver an electrical defibrillation shock if ventricular tachyarrhythmia is detected.

Pacemaker Implantation (Single, Dual)

What is a Pacemaker Implantation?

A pacemaker is a small device that’s placed in the chest to control heart rhythm. A pacemaker uses electrical pulses to prompt the heart to beat at a normal rate. The procedure to implant a pacemaker does not require open heart surgery, and most people go home within 24 hours. You may be given medication to make you sleepy and relaxed.

The procedure is generally performed under local anesthesia. A small incision, approximately 5 cm long is made in the upper chest and a thin, insulated wire called a lead is guided through the vein into the heart. The lead is then connected to the pacemaker and the device is programmed.The pacemaker is then inserted beneath the skin and your pacemaker is tested to ensure it is working properly.

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