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Cardiovascular

Treating Cardiovascular Disease

Florida Hospital DeLand Cardiovascular Services offers state-of-the-art cardiac care with dedicated staff available around the clock. As an Accredited Chest Pain Center and designated HeartCaring facility – a nationwide, clinically-based proactive program based on treating cardiovascular disease – we offer comprehensive care that provides some of the best diagnostic and treatment options for your heart.

Using the state-of-the-art technology to diagnose and treat cardiovascular disease, our team leads the way in providing advanced treatment for patients. Since time is a critical aspect of healing, we are able to perform many of the diagnostics, procedures and treatments right here in our facility (by referral only). That means you get these testing procedures and treatments faster to prevent increased damage to your heart tissue:

Heart Disease Testing Procedures at Florida Hospital DeLand

Cardiac Stress Testing

Designed to optimize a doctor’s ability to diagnose heart disease, our stress testing capabilities include routine treadmill or echo stress tests as well as nuclear exercise tests with/without medications.

Cardiac Catheterization Lab

In our lab, doctors perform diagnostic testing that assess the pumping function of the heart, examine the coronary arteries for blockages, measure the pressure within the heart and access the heart valves. This lab is also an integral part of the cardiovascular disease treatment mentioned below.

Tilt Table Testing

To evaluate the cause of fainting (also called syncope and can be associated with cerebral ischemia), the tilt table test studies how the brain reacts to being tilted at a 65-degree angle.

EKG (Electrocardiograms)

This test measures the electrical activity of the heart and translates the activity into a graph for doctors to determine if the activity is normal.

24 Hour Holter Monitors

A variation of an EKG test, this test monitors the electrical activity of the heart for 24 hours. The patient usually keeps a diary of activities for physicians to compare with the data.

Pulmonary Function Testing

To test for obstructive or restricting lung disease, this test uses instructional breathing techniques to determine the patient’s lung volume and capacity.

Echo/Vascular Testing

Using the most advanced technology for cardiac imaging, this test allows doctors to visualize the heart’s appearance and function using ultrasound waves.

Vascular and Pulmonary Therapies and Special Procedures

Once a patient’s heart disease or lung disease is confirmed, Florida Hospital DeLand provides these advanced treatments for the condition:

Respiratory Therapy

With the area’s top respiratory therapists, Florida Hospital DeLand provides every respiratory service needed, including respiratory assessments and treatments, emergency management of the airway and ventilator management.

Interventional Radiology

Using the latest minimally invasive technology available, our specialists perform various procedures that decrease pain and recovery time. Whether outpatient or inpatient, these procedures can include:

  • Carotid angiography
  • Picc line placement
  • Abdominal aortic angiography
  • Renal angiography
  • Dialysis catheter placement
  • Management of dialysis grafts/fistulas
  • Abscess drainages
  • Peripheral interventional procedures
  • Percutaneous Coronary Intervention (PCI)
  • And more.

PCI: The First Lifesaving Step

When cardiovascular disease causes a heart attack, saving time is the best way to save the patient’s life and ensure heart tissue can be repaired. Using the percutaneous coronary intervention (PCI) procedure, Florida Hospital DeLand acts fast to unblock a narrowed coronary artery without performing surgery. This saves vital heart tissue from damage with less pain and recovery time for patients.

After clearing the artery with PCI, the cardiology can determine the best treatment for the patient’s condition.

PCI may includes these advanced procedures:

  • Balloon Catheter Angioplasty—a cardiac catheter with a small balloon moves to the blockage and slightly inflates to open the narrowed passageway.
  • Stent—A small, hollow mesh tube is placed in the artery to keep it open after a balloon catheter angioplasty is performed. For some patients, a drug-eluting stent, coated with medication to prevent narrowing, can be used.

Developing Technology

As technology and procedures develop, Florida Hospital Deland works to provide patients the best care available. One example of updating procedures, transradial access, changes the way an angioplasty is performed by gaining access to the heart through the radial artery in the wrist rather than the femoral artery in the groin. Find out more about this alternate procedure using our FAQ questions below:

What is transradial access?

Transradial access uses the radial artery found in the wrist as an entry point for diagnostic and interventional cardiac procedures.

Is transradial access something new?

No. Physicians have been performing transradial procedures for more than 20 years. In fact, it is the preferred method in many countries outside the US.

How does it compare to transfemoral access?

Both are viable access options, but each technique has perceived benefits and limitations. For instance, transradial access procedure reportedly causes less pain and recovery time for the patient, but requires a physician to learn a new technique rather than relying on experience.

Some risks and discomforts with femoral access include:

  • Inability to gain access in obese patients or patients with peripheral cardiovascular disease
  • Increased risk of bleeding complications and the subsequent need for transfusions
  • Increased risk of nerve damage
  • Immobility for at least four to six hours after the procedure
  • More post-procedure pain
  • Longer recovery time

Benefits of transradial access include:

  • The patient can be on blood thinners without affecting the procedure
  • Almost no incidence of bleeding complications
  • Greater access success for obese patients and patients with peripheral cardiovascular disease.
  • Quicker mobility after the procedure
  • Quicker discharge from the hospital

Can transradial access be utilized 100% of the time on all patients?
No. In some patients, transradial access is not possible, so femoral or brachial (elbow) access may be used.

How do you determine if I am a good candidate for transradial access?
Your doctor will determine if you are a good candidate for transradial access based on your pulse and the type of procedure needed.