The Cardiology Department provides cardiac treatment to adult and geriatric patients. Patients may undergo cardiac catheterization, primary angioplasty with emergency placement of coronary stents for acute myocardial infarction, intra-aortic balloon insertion, pulmonary artery catheter insertion, temporary and permanent pacemaker insertion, transesophageal echocardiography, cardioversion, electrophysiology studies, ICD device placement checks and tilt table studies.
Staff is responsible for the continuity, development and implementation of the patient’s plan of care. Collaboration with the physicians, nurses, echo technicians and other members of the healthcare team is an ongoing process that assures an optimal outcome.
The newly expanded state-of-the-art Catheterization Laboratory is comprised of entirely digital imaging equipment that allows for greater image quality and less radiation. An enhanced EP service, digitalized cardiac ultrasound reporting access, a planned EKG management system as well as an enhanced 5-bed holding room will define the continuum of care available.
(For Pediatric patients: The Center for Pediatric Specialty Care: cardiology)
Non-Invasive Adult Diagnostic Testing:
Echocardiography: a sound wave picture that records the movement of the heart valves and chamber walls. It can be useful in finding and evaluating the following: abnormal heart valves, chamber enlargement, abnormal openings between chambers and/or the fluid level in the sac around the heart and other abnormalities.
Electrocardiography: (ECG) a record of the electrical activity of the heart. The ECG gives important information concerning the spread of excitation to the different parts of the heart, and is of value in diagnosing cases of abnormal cardiac rhythm and myocardial damage.
Electrophysiology: a field of study that deals with the relationships of body functions to electrical phenomena (e.g., the effects of electrical phenomena (e.g., the effects of electrical stimulation on tissues, the production the production of electric currents by organs and tissues, and the therapeutic use of electric currents).
Holter Monitor: A portable cardiac Holter monitor affords physicians the ability to monitor adults (and children) who may have abnormalities of the heart’s rhythm. Such abnormalities can make a person faint, feel nauseous or have a seizure. The individual wears the device around his/her waist of hip with the EKG leads applied to the chest area. As the person resumes normal activities, the heart information registers on the monitor. This enables 24 hour monitoring either at home or in the hospital. The physician is then able to analyze.
Nuclear Scanning: a special type of X-ray in which a small amount of radioactive material is injected into a vein. As the radioactive material moves through the heart chambers and/or heart muscle, a nuclear scanning camera records the heart’s images. The two types are: a.) Multiple-gaited Acquisition Scan (M.U.G.A.): evaluates wall motion of heart muscle to determine the ejection fraction.
Thallium Stress Test: exercise is performed and the radioactive material, thallium, circulates to the heart. A camera records which areas are receiving adequate amounts of blood, and which are not. If your doctor has scheduled a Thallium Stress Test, he or she is looking for more detailed information about the flow of blood to your heart and you body’s response to monitored exercise.
Stress Test: also called a treadmill or exercise tolerance test, is an exam by a cardiologist that records the patient’s cardiovascular response to exercise- heart rate, blood pressure, and EKG readings. During the test you’ll walk on a treadmill at gradually increasing speeds and angle of incline. The test helps determine how fit and how safe an exercise for an individual, or if a heart problem exists. A stress test can reveal problems that would not appear at rest.
Tilt Table Testing: a simple test that helps the doctor pinpoint the case of fainting. It checks how changes in body position can affect blood pressure. The patient is placed on a table that is slowly tilted upwards. The test tries to recreate fainting symptoms while blood pressure and heart rate are monitored.
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Invasive Adult Diagnostic Testing and Procedures:
Cardiac Catheterization/Electrophysiologic Laboratory: a thin catheter (tube) is inserted through an artery or vein, usually in an arm or leg, and advanced into the major vessels and heart chambers. To reach the right side of the heart, the physician inserts the catheter into a vein; to reach the left side, it is inserted into an artery. Catheters can be placed in the heart either for diagnosis or for the treatment. The person receives local anesthesia before the procedure.
Cardioversion: a controlled electrical shock to the heart to correct an irregular rhythm. The patient is sedated while being monitored very carefully by and MD or RN.
ICD device placement checks: an ICD is a small electronic device placed permanently inside your body. The ICD continuously monitors your heart rhythm. If it senses your heart beating too fast, the ICD can pace the heart to slow down the heart rhythm. If necessary, the ICD can send out one or more electric shocks to return the heart to normal rhythm. Generally, after the device is implanted, the Electrophysiologist will check the device before the patient goes home. The patient is moderately sedated and monitored by an RN while the MD interrogates the ICD and makes adjustments as needed for that specific patient.
Intra-aortic balloon insertion: a catheter with a large balloon is placed in the patient’s aorta by a cardiologist. The timed inflation and deflation of this large helium-filled balloon facilitates filling of the coronary arteries and emptying blood from the left ventricle.
Pacemaker Insertion (temporary or permanent): a pacemaker helps treat a slow heart rhythm. It is a small lightweight electronic device that is place permanently inside your body. A pacemaker keeps track of your heartbeat and, when necessary, generates electrical signals similar to the hearts natural signals. These signals keep the heart beating at the correct speed.
Primary Angioplasty (with emergent placement of coronary stents for acute myocardial infarction): A team of 4 (includes interventional cardiologist) responds within 30 minutes to the emergency call. After a diagnostic catheterization to determine the blocked artery, the interventional cardiologist passes a catheter from patient’s groin up to the coronary artery. A guide wire is threaded through the catheter past the point of the blockage into the wall of the artery. The artery is opened with a balloon, restoring blood flow. A stent may be inserted to hold the artery open. Post intervention the patient recovers in the CCU or may be transferred to a tertiary care facility if indicated.
Pulmonary Artery Catheter Insertion: a small catheter is placed in a major vein. This catheter is able to measure pressures within the right side of the heart.
Transesophageal Laboratory (TEE): a diagnostic test using an ultrasound device that is passed into the esophagus of the patient, to create a clear image of the heart muscle and other parts of the heart. A tube with a device called a transducer is passed down into the patient’s throat and into the esophagus (the food tube that co9nnects the mouth and the stomach). The transducer directs ultrasound waves in the heart, and the reflected sound waves, picked up by the transducer, are translated into an image of the heart. A TEE usually last about 30-60 minutes.
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Cardiac Rehabilitation Program
Cardiac rehabilitation promotes optimal lifestyle changes and medical management to improve cardiovascular health, prevent the occurrence and/or progression of cardiovascular disease and reduce the risk of a heart attack, stroke or need for future surgery. Good Samaritan Hospital Medical Center in West Islip offers a comprehensive Cardiac Rehabilitation Program. Each program participant works with an exercise specialist to meet outlined goals for a healthy lifestyle.
Cardiac rehabilitation programs benefit patients who have, or are recovering from heart conditions or procedures, such as cardiovascular disease, angina or heart attack (myocardial infarction), heart surgery (coronary artery bypass, valve repair or replacement, and heart transplant) and interventional procedures (angioplasty or stent placement). These patients decrease their risk of future heart problems, improve their strength and endurance, learn safe exercise methods and healthy eating habits, enhance their stress management and renew self-confidence.
Through supervised and monitored exercise, education and support, Good Samaritan’s Cardiac Rehab team provides individualized care to help patients to improve their physical, emotional and spiritual well being and make appropriate lifestyle changes. The program follows the guidelines of the American Association for Cardiovascular and Pulmonary Rehabilitation and incorporates a 12-week monitored exercise program and educational sessions on topics such as cardiac risk factors, stress management and low-fat eating. Participants attend exercise sessions two to three times per week. These sessions are held in the Respiratory Care Department located on the first floor of the hospital. There they will use a variety of equipment such as treadmills, arm ergometers, stationary bicycles, seated steppers, and weights to help improve your cardiovascular health.
To enroll, contact your doctor or call Cardiac Rehabilitation for assistance at (631) 376-4444. A referral from a Primary Care provider or cardiologist is required.
Support Group: Good Samaritan Heart Club: Meets on the second Thursday of every month for patients, former patients, family and friends.
Hours of Operation: 7 am - 7 pm with 24/7 coverage.
For further information, click here or call the Physician and Health Referral Line at (631) 376-4444.
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Non-Invasive Adult Diagnostic Testing
Invasive Adult Diagnostic Testing and Procedures
Cardiac Rehabilitation Program