Services

Health Services Provided

 

OFFICE CARDIAC CONSULTATION

Consultations are scheduled at your request or with a referral from your primary physician. When you arrive for your initial consultation we will review the details of your current complaints and questions. We will want to know the pertinent details of your past medical history, a list of any medications and food supplements that you take, any allergies, your family medical history, and your social environment. Prior records from your physicians, including labs, EKG’s and diagnostic studies, would be very helpful, and will avoid duplication. A complete physical examination will be done, and we will then discuss our findings and recommendations for further treatment and/or diagnostic testing.
 
Please print and fill out our health questionnaire which appears on this website under "New Patient Forms". Please write down in advance any questions you would like to ask, so that we can be sure to address them.
 
HOSPITAL CONSULTATIONS
 
We have arranged our schedule to be available 24-hours a day to see you at the Hospital if you need urgent care. We respond directly to requests from your physician, from you or a family member for either consultations or "second opinions".

NON-INVASIVE TESTING AVAILABLE IN OFFICE:

EKG or electrocardiogram. The electrocardiogram amplifies and records the tiny electrical signal which your heart makes with each beat. It is a quick and very useful test. Analysis of its pattern is often a clue to your conditions.

  1. Echocardiogram. This "sonar" study is a safe and painless test which uses a handheld ultrasound probe which is applied to your chest to make pictures of the heart valves and chambers, identifying abnormal structures and function. We offer the very best equipment, skilled technologists, and expert physician readers who are looking for the special details that are important in your case.
  2. Stress Testing. We offer a variety of stress tests. The specific type ordered for you will depend on your physical condition and a number of other medical factors.
     
    1. The EKG monitored treadmill test – ("standard EKG stress test")- In this test you will walk on a treadmill with gradually increasing speed and elevation until you want to stop or we find a reason to stop you. We look at how far you can go, whether you develop any discomfort, what happens to your heart rate, rhythm, and blood pressure, and whether there are any abnormalities on the electrocardiogram. The test, including set up and cool down, usually takes about 45 minutes. There is a copy of our consent form listed under the heading of "New Patient Forms".
    2. Echocardiographic treadmill test (AKA Stress Echo) – To the EKG monitored test described above, we add the additional dimension of echocardiography. This tells how your heart walls are contracting before exercise and immediately afterwards. Abnormal contractions after exercise would indicate poor coronary blood flow to the area involved. This test provides information about heart muscle function and gives an accurate indication of the presence or absence of coronary narrowing.
    3. Nuclear treadmill Test – Like the Echocardiographic treadmill test, the nuclear test adds an additional level of information to the standard stress test. An intravenous line is placed before patients begin exercise. Then, a tiny amount of a mild radioisotope is injected at the peak of exercise. The isotope travels to the heart muscle with the blood flow and an area of diminished blood flow shows up as "a cold spot" on the scan. Two scans are obtained- at rest and exercise. This series of tests takes approximately 1– 1 1/2 hours to complete. The test provides accurate information about blood flow to the heart muscle and heart muscle function. This is particularly helpful in individuals who have complicated cardiac histories or abnormal electrocardiograms or who have had cardiac interventions, including stents, angioplasties or bypass.
    4. Pharmacologic stress testing. – A pharmacologic, "chemical stress test" is prescribed for individuals who can't or shouldn't walk on the treadmill.
      1. Persantine or Lexi Scan – We obtain nuclear scan images of the heart at rest and after the infusion of a medication which mimics exercise. The scans are then compared for evidence of poor coronary blood flow.
  3. Holter monitor. – Three EKG leads are placed on your chest and connected to a small recorder which can be carried with a belt or shoulder strap. Every heart beat is recorded for 24 hours. If you feel anything unusual, there is a button that you can push to mark the time on the recording. We ask you to keep a diary of your activities while you are wearing the unit. It is very helpful in determining the cause for palpitations, lightheadedness, or fainting spells, and for evaluating response to medication.
  4. Event Recorder. – We have several styles of small recorders which can be kept for up to a month. Recordings can be made at the time of infrequent spells of lightheadedness, palpitation, or fainting. The device can automatically transmit your EKG to our office, or a central monitoring station.
  5. MUGA Scan. – An isotope is injected and a scan performed which shows how well your heart muscle is contracting.
  6. Pacemaker monitoring. – For those who have an implanted pacemaker or defibrillator (AICD) we offer full diagnostic testing of your device in our office on a regular scheduled basis.
 
Prescription Refills
 
Our office is happy to accommodate your needs for prescription refills during business hours (see above). Your pharmacy may need to fax us a request for a refill. Our office needs 48 hours to respond to refill requests. If you have not been seen in over a year, you will most likely need to make a follow up appointment before refills can be given to assure that the medication is still appropriate and beneficial to your situation.
 
Also, please remember that we can ONLY refill prescriptions during business hours as the on call doctors do not have access to your medical records. Please make note of how many pills are left in your bottle and request refills ahead of time to avoid running out. Your pharmacy may fax refills to (305) 932-2397.

 
  • Lawrence A. Berger M.D., P.A. is proud to be a nationally accredited imaging facility.  Our Nuclear Laboratory is accredited by the Intersocietal Commission for the Accreditation of Nuclear Laboratories ICANL. Lawrence A. Berger M.D., P.A. received this accreditation by voluntarily demonstrating substantial compliance to the requirements outlined by ICANL Standards and by demonstrating a commitment to high quality patient care.

Helpful Links

American Heart Association

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