Cardiology

LRMC offers a wide range of cardiovascular services for adult patients with cardiac conditions that affect their heart and blood vessels. From testing and treatment to prevention and rehabilitation, our experienced and highly skilled staff is trained to take care of the unique needs of heart and vascular patients – and their families.

Signs of a Heart Attack

If you are experiencing any of these signs or symptoms of heart attack,
Get Help Immediately! Call 911! Get to the nearest Emergency Room now!

  • Uncomfortable pressure, fullness, squeezing or tightness in the center of the chest that lasts more than a few minutes or goes away and returns.
  • Pain or discomfort spreading to the jaw, neck, shoulders, or arms.
  • Pain or discomfort between the shoulder blades.
  • Shortness of breath with chest discomfort
  • Light-headedness, fainting, dizziness
  • Fatigue, unexplained weakness
  • Indigestion or gas-like pain
  • Sense of impending doom
  • Sweating
  • Nausea

Risk Factors for Heart Disease

  • Genetics: If heart disease runs in your family
  • Gender: Heart attacks kill nearly as many women as men in the United States
  • Age: 85% of people who die of coronary heart disease are 65 or older
  • High blood cholesterol
  • High blood pressure
  • Physical inactivity
  • Obesity or overweight
  • Tobacco use
  • Diabetes

Cardiology Services:

EKG/ECCG (electrocardiogram)
A measurement of the heart’s electrical activity printed on graph paper. Electrode patches are placed on the patient’s bare chest and lead wires are hooked to the patches. It is often done as an adjunct to the patient’s office visit but occasionally a patient may come in strictly for an EKG.

24 Hour Holter Monitor
Holter monitor is a portable electrocardiogram (EKG) that monitors the electrical activity of an ambulatory (freely moving) patient’s heart.

Event Monitor
King of Hearts Monitor or CardioCall Monitor
Event monitors are another form of portable EKG recording device used to monitor the patient with intermittent or episodic symptoms over a period longer than 24 hours (often 2 weeks to 30 days). The patient pushes an event button to record tracings when he/she experiences intermittent symptoms.

Echocardiogram/Cardiac Ultrasound
An ultrasound imaging procedure where a technician uses a sonographic probe to visualize the patient’s heart at rest. Measurements are taken and compared to normal dimensions for resting heart function. Ultrasound uses sound waves to achieve the images used by the cardiologist to evaluate the heart.

Protime
A blood test to measure the effectiveness of the blood thinning medication Coumadin (warfarin). A finger stick specimen and a point-of-care monitor are used in the office to perform these tests. Based on the test results (which are received in less than three minutes), the patient’s blood-thinning medication may be increased or decreased to ensure it is in a therapeutic range.

Plain or Standard Treadmill Stress Test
A test that measures the heart’s response to exercise via EKG while a patient walks on a treadmill. It is often combined with ultrasound or echocardiographic imaging for a stress echo (see more detailed description below) by cardiologists to evaluate performance of the heart more effectively than with EKG alone.

Stress Echo
This test also measures the heart’s response to exercise via EKG while a patient walks on a treadmill. Combined with echocardiographic imaging, a stress echo provides the interpreting cardiologist with visual imaging of the heart’s performance, and for patients with intermediate risk of coronary artery disease, the diagnostic value is better than using EKG alone. Two dimensional echocardiographic images are recorded before, during and/or after stress testing using either exercise (treadmill or bicycle) or pharmacologic (such as Dobutamine or other vasoactive agents) techniques to evaluate for segmental wall motion abnormalities and to assess overall cardiac performance.

Thallium or Persantine Thallium Stress Test
Also called: Nuclear Stress Test or Cardiolyte Stress Test
This test is performed at the hospital. Like the in-office stress test, the patient walks on a treadmill to produce cardiac exercise stress. The patient is monitored with EKG. The heart is visualized by a special X-ray like camera that detects a nuclear agent that is injected into the patient via an IV.

Cardioversion
The patient is shocked with a special electrical delivering device to correct an irregular heart rhythm (atrial fibrillation or atrial flutter). The patient is sedated and large electrical patches are applied to the chest. Cardioversions are performed by cardiologists on an outpatient basis in the hospital.

The patient is shocked with a special electrical delivering device to correct an irregular heart rhythm (atrial fibrillation or atrial flutter). The patient is sedated and large electrical patches are applied to the chest. Cardioversions are performed by cardiologists on an outpatient basis in the hospital.

Call (208) 527-8206 ext 101 to schedule your appointment with our provider Dr. Gorman.