SeaCoast Cardiology Consultants, PLLC
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Below is a list of testing that our office performs.
Garrett L. Rogers, MS, MD, MBA, FACC
Duke Trained
Invasive/Interventional Cardiologist
3080 Henderson Drive,  Jacksonville, NC, 28546
Phone:  (910) 353-3000 
   Fax: (910) 238-4456
Electrocardiogram (EKG)
An Electrocardiogram is a quick look at the electrical activity of the heart. The technician will place 10 sticky tabs (electrodes) on your arms, legs and chest.  You will be asked to stay very still while the test is recorded. This will be then be given to the physician for interpretation. This is a short test and does not require a preparation.

To learn more about this testing, Click Here:  http://www.heartsite.com/html/ekg.html



Treadmill Stress Test
A Stress test is an exercise EKG. This is a good way for the physician to evaluate you for symptoms that may be related to heart disease (CAD). This test will also evaluate your blood pressure with exercise to ensure you don’t have exercise induced hypertension.  We will evaluate your heart for exercise induced abnormal heart beats,and exercise tolerance for fatigue and shortness of breath.
Please wear comfortable exercise clothing and shoes.  Do not eat a large meal prior for this test because it may cause nausea or stomach pain, which could be confused with chest pain. Please allow  about half an hour for this test.

To learn more about this testing, Click Here:  http://www.heartsite.com/html/regular_stress.html



Echocardiogram
An Echocardiogram is an ultrasound of your heart. This will allow us to evaluate  how well your heart is pumping. We will look at the size thickness and movement of the heart and your valves.  Many measurements including color (to check direction of blood flow), and M-Mode (which is a single dimension image), will be used determine all these factors.

There is no preparation for this test. You will be asked to remove your top, and a gown will be supplied for the ladies. Please allow about 45 minutes for this exam.
To learn more about this testing, Click Here:  http://www.heartsite.com/html/echocardiogram.html



Nuclear Stress Test
A nuclear stress test is a diagnostic test used to evaluate the adequacy of the blood supply to the heart muscles. The heart receives life-giving blood from vessels called coronary arteries. If these arteries become partially blocked or narrowed by the accumulation of plaque, the heart may not receive the blood supply it needs to function properly. This narrowing of the coronary arteries is called arteriosclerosis or more commonly coronary artery disease (CAD). If CAD is limiting blood flow to a part of your heart, this condition will be detected by the nuclear stress test.

An IV will be started and a radioactive isotope (myoview or cardiolite) will be injected into your vein. There will be a wait (about 30 minutes), then we will take your first set of images. You will lie down on a table and a camera will rotate around you to take the resting pictures.  You will then be brought to another room and hooked up to an EKG monitor, to watch your heart beat. Blood pressure will be taken. This is the “stress” portion of the test. You will then be asked to walk on the treadmill.  If you are unable to walk or unable to increase your heart rate to the desired target, an injection of a chemical to simulate exercise (Lexiscan) will be injected into your vein. The second dose of the isotope will be injected during this portion of the test. Heart beat and blood pressure will be monitored closely. After this part of the test, there will be another wait (about 30 minutes) (If you are a diabetic you may have a light snack now). There will be one more set of pictures taken and then you will be done.

Preparation for nuclear stress test:

•  Plan on being here about 3-3 1/2 hours (You may want to bring a book);
•  No caffeine for 24 hours prior to exam (very important);
•  Wear comfortable clothing and walking shoes (you will be hooked up to an EKG machine, and asked to walk on the treadmill. One piece dresses not suggested);
•  Drink at least 3 cups of water the morning of the test;
•  Nothing to eat or drink at least 4 hours prior to test (Water is ok);
•  Take all medications as directed;
•  Diabetics: Take half your insulin. If you take pills do not take them until you are ready to eat. You may bring a light snack and will be able to eat it after the exercise portion.

To learn more about this testing, Click Here:  http://www.heartsite.com/html/isotope_stress.html



Holter Monitor
A holter monitor is a continuous recording of your heart beat (usually worn 48-96 hours). It helps the physician correlate symptoms such as dizziness, palpitations (a sensation of fast or irregular heart rhythm) or black outs (syncope). During this time you will continue your regular daily activities. (Cook, clean, work, exercise, etc.). 5 electrodes (EKG patches) will be placed on your chest and you will carry a small monitor for the duration. It is very important you wear the monitor all the time (even when sleeping), because one never knows when symptoms will occur. We will supply extra electrodes in the event you would like to shower.

If you experience symptoms you will be instructed to press the symptom button located on the front of the monitor, and also record any symptoms and activity in your diary. This will help the doctor see what your heart beat is doing while symptoms are occurring.

If monitor stops recording please make note on diary, and replace with a new AA battery (we will supply if needed).

No preparation is needed.

DO NOT GET THE MONITOR WET.
Please return monitor and diary on day instructed so we can have it read.

Please Click Here for a Printable Diary (Adobe Acrobat required)
To learn more about this testing, Click Here:  http://heartsite.com/html/holter.html



Event Monitor
An event monitor is a portable EKG monitor that is usually worn for 30 days. It is similar to a holter monitor. This type of monitor is worn by patients who do not experience symptoms every day. The monitor is activated by pushing a button and an EKG recording will be saved into the device. The event monitor will record 30 seconds prior to pushing the button and 30 seconds after. This monitor is also equipped with a sensor in it, and if your heart goes very fast, slow or irregular, it will automatically record. You will then send the recording to a testing center via telephone, and they will fax us the tracing. This is similar to a holter monitor; however it is not a continuous recording and is only activated by you or an arrhythmia.

To learn more about this testing, Click Here:   http://www.cardiosmart.org/HeartDisease/CTT.aspx?id=716



Ankle Brachial Index (ABI)
An Ankle Brachial Index (ABI) is a test done to check the circulation in your legs. Blood pressure cuffs will be placed on your arms and legs. They will be inflated and readings will be taken. These will be presented to the physician for interpretation.

Preparation:
Please be prepared to remove shoes and socks. Wear short sleeves so the technician can place blood pressure cuffs on your arms.

To learn more about this testing, Click Here:  http://www.vdf.org/diseaseinfo/pad/anklebrachial.php



Pulmonary Function Test (PFT)
This will measure how much air your lungs can hold, and how quickly you move air in and out of your lungs. You will be asked to blow forcefully into a tube called a spirometer. This may need to be repeated several times. Breathing tests may be done to determine why you might be short of breath or are having trouble breathing.

Preparation: 
Do not eat a heavy meal prior to your test. Do not smoke 4-6 hours prior to test.

To learn more about this testing, Click Here:  http://www.nlm.nih.gov/medlineplus/ency/article/003853.htm



Carotid Ultrasound
A carotid ultrasound will look at the arteries in your neck called carotid arteries. This will evaluate if there is any narrowing or blockages in your neck. The carotid arteries supply your brain with oxygen-rich blood. You have one carotid artery on each side of your neck.
This usually takes about 30 minutes, and there is no preparation.

To learn more about this testing, Click Here:  http://www.nhlbi.nih.gov/health/dci/Diseases/cu/cu_whatis.html



Vascular Ultrasound
A vascular ultrasound is a sonogram done of the arteries and veins in your legs. This will help us determine if there might be a clot or narrowing in the blood vessels in your legs.

Please be prepared to remove clothing from area to be scanned. This usually takes 30-60 minutes.

To learn more about this testing, Click Here:  http://www.radiologyinfo.org/en/info.cfm?pg=vascularus