Preventive Cardiology

  • Electrocardiogram (EKG)
  • Holter Monitor
  • Echocardiogram
  • Carotid Doppler
  • Nuclear Stress Testing*
  • EBT heart scanning (also used for full body, lung, and colon screening)*

Electrocardiogram (EKG)
An electrocardiogram is used to monitor your heart. Each beat of your heart is triggered by an electrical impulse normally generated from special cells in the upper right chamber of your heart. An EKG records these electrical signals as they travel through your heart. We can look at these heartbeats and rhythms to diagnose various heart conditions. This is a non-invasive and painless test.

Holter Monitor
A Holter monitor uses electrodes and a recording device to track your heart’s rhythm for 24 to 72 hours.

Why might I need a Holter monitor?

  • You have an abnormal EKG finding
  • You had a heart attack
  • You are scheduled for heart surgery
  • You started treatment with new heart medications
  • You have a pacemaker

What is an Echocardiogram?
An ultrasound test that uses high-pitched sound waves to look for:  abnormal heart sounds (murmurs or clicks), an enlarged heart, unexplained chest pains, shortness of breath, heart valve changes, thickness and movement of the heart wall,  and measure the size and shape of the heart’s chambers.  It can also detect a disease that affects the heart muscle and the way it pumps, such as cardiomyopathy.

What is a Carotid Doppler?
This Doppler ultrasound is a non-invasive test that uses sound waves to measure the flow of blood through the large carotid arteries that supply blood to the brain.  These arteries can become narrowed due  to arteriosclerosis or other causes, and this can lead to TIAs (mini-strokes) or CVAs (strokes.) The Carotid Doppler test can help us determine stroke risk and the need for preventive measures.

What is a Nuclear Stress Test?
This test measures blood flow to your heart muscle both at rest and during stress on the heart. It is performed similarly to a routine exercise stress test, but provides images that can show areas of low blood flow through the heart and areas of damaged heart muscle.  It is an advanced test to detect all stages of CAD ( coronary heart disease.)

What is EBT?
The test is heart scanning with Electron Beam Tomography (EBT) and can see coronary artery disease (plaque) as much as fifteen years before symptoms occur with an accuracy of between 98-99%!

See diagram below:

EBT Heart Scan

EBT Radiation Dose

*services performed by “Inner Imaging, PC


Are you at risk for a heart attack or stroke? If you answer “yes” to two or more of the following questions, the American Heart Association recommends you talk to a healthcare provider for further assessment of your cardiovascular health.

  • Are you a man aged 45 or older?
  • Are you a woman aged 55 or older?
  • Do you have a father or a brother who had a heart attack before the age of 55 – or a mother or sister who had one before the age of 65?
  • Do you have a close blood relative who had a stroke?
  • Do you smoke – or live or work with people who smoke every day?
  • Do you have a high stress job or lifestyle?
  • Is your total cholesterol level 240 or higher?
  • Is your HDL (or “good cholesterol”) level less than 35?
  • Is your blood pressure 140/90 or higher?
  • Do you get less than 30 minutes of physical activity on most days?
  • Are you 20 pounds or more overweight for your height and build?
  • Do you have diabetes or a fasting blood sugar of 126 or higher, or do you need medicine to control your blood sugar?
  • Do you have coronary heart disease or have you ever had a heart attack?