Echocardiography Imaging Laboratory
Nuclear Medicine Imaging Laboratory
Vascular Imaging Laboratory
Arrhythmia Clinic
Coumadin Clinic
Arrhythmia Clinic
Please be courteous if you are unable to make an appointment at our office and contact us immediatley.  Please note that missed appointments without notification will be suject to a fee.

FAQ’s  What are these tests?  What information are these tests acquiring?  Why are they so important for me?  
     A Tilt Table Test can help determine if a miscommunication is occurring between the Nervous System and the Cardiovascular System.  These two systems work hand in hand all the time to regulate our blood pressure and heart rates.  

    A Holter Monitor is a continuous recording of your heart rhythm for 24 or 48 hours.  Since it is worn during your daily routine activities it helps the ordering provider correlate symptoms of dizziness or lightheadedness, palpitations, or black outs.  It can also help evaluate a patient’s EKG during episodes of chest pain, during which time there may be telltale changes to suggest an abnormality.  All Holter Monitors are analyzed in our office and are read by our physicians.

LOOP MONITOR          
    A Loop Monitor is ordered for 14-30 day period.  The Loop Monitor is called so because it always retains in its memory a loop of the most recent 90 seconds of your heart rhythm.  When you have an event the monitor freezes that most recent 90 seconds of rhythm and then records another 30 seconds in real time.  A Loop Monitor is most often ordered for a patient experiencing random symptoms that can usually be captured during the ordered time period.When an event is sent in a report is generated and forwarded to our office for analysis by our physicians.
    Delaware Heart & Vascular utilizes two specific Event Monitors ordered for 14-30 day periods.  These are ordered for persons who have a suspected heart arrhythmia but who normally do not always have symptoms.  These monitors are triggered to record an event by heart rates below and above certain set rates and by heart rhythm irregularities. The event is automatically sent in to the receiving company and a report is generated to our physicians for analysis.  


    A Post Event monitor does not have wires that connect to the device.  When a patient experiences symptoms, he/she activates the recorder by pressing a button after it is held to the chest.  The acquired data is then sent via telephone to an outside source and a report is generated and forwarded to the physician’s office for analysis.

    Implantable loop recorders are about the size of a pack of gum.  This monitor is inserted under the skin on your chest. Your provider will discuss the procedure with you.  No chest electrodes are used for implantable loop recorders.  
    A qualified physician or technical person can program the device to record when you start it manually using an external activator or automatically if it detects and abnormal heart rhythm.  As with other monitors a report is generated by the interrogator and is given to the ordering physician for analysis. 

    A Pacemaker is a small device that is implanted in the chest to help control abnormal heart rhythms.  This device uses electrical pulses to prompt the heart to beat at a normal rate.  A Pacemaker does one job; it puts in the beat that’s missing.  
    A Pacemaker can relieve some arrhythmia symptoms, such as fatigue and fainting due to slow heart rates or slow irregular heart rhythms.  But overall a Pacemaker also can help a person who has abnormal heart rhythms resume a more active lifestyle. 

    An implantable cardioverter defibrillator is a small device that is placed in your chest or abdomen.  The device uses electrical pulses or shocks to help control life-threatening, irregular heartbeats, especially those that could cause sudden cardiac arrest (SCA).      
    SCA is a condition in which the heart suddenly and unexpectedly stops beating.  If the heart stops beating, blood stops flowing to the brain and other vital organs.  This usually causes death if it is not treated in minutes.           
    All Implanted Cardio Defibrillators also have pacemaker capabilities.

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