Properly identifying and diagnosing your issue is the first step toward
correcting it. Here are some of the non-invasive tests that Garden City
Hospital cardiologists can use to study the condition of your heart:
Stress echocardiography helps doctors detect coronary artery disease by
comparing the heart at rest and during exercise or stress. It uses sound
waves before, during, or immediately after physical exercises, such as
treadmill exercise, to take pictures of the heart. Your doctor may order
one of the following stress tests:
Exercise Stress Test: An exercise stress test helps your doctor see how your heart works during
exercise. This test is also called an exercise tolerance test, an exercise
electrocardiogram, or a treadmill test. For this test, you will be connected
to an electrocardiogram and blood pressure cuff while you exercise to
record your heart’s electrical activity.
Drug Inducted Stress Test: This test is for patients who are not able to walk on a treadmill. Like
a treadmill test, it evaluates your heart's response to stress, but
in this case, medication rather than physical exercise stresses the heart.
Nuclear Stress Test: In addition to measuring your heart's electrical activity during stress,
a nuclear study provides pictures of your heart. This nuclear study has
two parts: a scan of your heart at rest and a scan of your heart under
stress. This information will help us determine if any of the coronary
arteries are blocked. To take the scan, we will give you a small amount
of weak radioactive isotope through an IV. On a scan, it will show which
areas of your heart muscle are receiving blood.
Preparing for a Stress Test
Electrocardiogram (EKG or ECG)
An EKG or electrocardiogram measures the heart's electrical impulses
through sensors taped to different areas on the body. The test is done
by placing 10 small electrode patches on your chest, arms, and legs and
are quick and painless. It is used to find out whether the heart rate
and rhythm are normal or if heart damage has occurred. It can even show
a heart attack in progress.
Holter monitors show heart impulses over time. Patients usually wear sensors
connected to the chest that are attached to a small recording device for
24-48 hours, based on the recommendation from the cardiologist. Holter
monitor tests are usually done after a traditional test, such as an electrocardiogram
if the cardiologist needs more information about a heart condition. The
cardiologist will then use this information to determine if the heart
has a rhythm problem.
Tilt Table Test
If you have sudden or frequent fainting spells (syncope), your doctor may
order a Tilt-Table Test. During this test, we will monitor your heart
rate and blood pressure as you lie flat on a table. Then we will tilt
the table upward so that you are almost in a standing position. The changes
in your heart rate and blood pressure as you change position can show
whether it is a heart rhythm problem that is causing you to faint.
Talk to your doctor about scheduling an appointment with one of our board-certified
heart experts to see what test might be right for you. Please call 734-458-4366
to schedule an appointment.