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Services & Procedures

Heart Failure Program

Holter Monitor | IMATRON Ultrafast Electron Beam Tomography (EBT) |  MUGA (Multi Gated Acquisition Scan)| Manhattan | New York City | NYCThe mission of our Heart Failure Program is to improve the quality of life and reduce the risk of death for patients with congestive heart failure. Heart failure is a disease of epidemic proportion in the United States. In fact, it is currently the leading cause of hospital admission for patients over the age of 65.

The traditional approach of specialized heart failure treatment centers is to focus on patients with end-stage heart failure. These patients are evaluated for cardiac transplant, and are offered adjustments of their standard therapies as well as enrollment in investigational protocols.

However, while this approach is appropriate for patients with end-stage disease, it does not help the vast majority of heart failure patients, those with dysfunction of the left ventricle (the main pumping chamber of the heart) and congestive heart failure. These patients may be relatively asymptomatic, but they are actually at high risk for disease progression and death, frequently sudden death.

That is why the strategy at the Heart Failure Program is to focus on patients within the entire spectrum of this disease, from those with left ventricular dysfunction who are relatively asymptomatic to patients with end-stage disease. With this approach, we hope to improve the long-term outcome of this serious disease.

Our Heart Failure Program is at the leading edge of scientific and clinical developments in congestive heart failure and features services such as:

  • Patient education and disease management strategies to enhance the patient's well-being
  • Case management to optimize patient outcomes
  • Information on clinical studies
  • Evaluation for heart transplants
  • Nutritional assessments
  • Exercise programs
  • Counseling to assist with lifestyle changes

To schedule an appointment with Dr. Meir Shinnar please call (212) 844-8828.


Holter Monitor

A Holter Monitor is a battery operated device that records a 24 or 48 hour electrocardiogram (EKG). An EKG records the electrical activity of your heart. Five electrodes ("sticky patches") will be attached to your chest. These electrodes are attached to the recorder, which is about the size and weight of a transistor radio or "walkman".

The Holter Monitor is worn for 24 or 48 hours (depending on the physicians order). It will be attached to a strap, so it will be easier for you to carry around with you. You will be given a small diary to keep notes in. If you have any symptoms such as dizziness, chest pain, difficulty breathing or feelings that your heart is skipping a beat, please write the time they occur in your diary.

During the 24 or 48 hours that you have the Holter Monitor on:

DO NOT shower. Keep the monitor on while you sleep. If you have any problems with the sticky patches or the recorder, let your health care provider know.

Upon completion of the monitoring period, the electrodes ("sticky patches") will be removed. The monitor is to be returned to the office in order to retrieve the information recorded. The tape and the diary will be reviewed and interpreted by a Cardiology physician and a report will be sent to your referring provider.

Event Monitor

When heart arrhythmias occur infrequently or without symptoms, monitoring may need to occur over a longer period of time. Event monitoring can monitor heart rhythms for up to 30 days. Each patient is provided with a cardiac monitor. An EKG is recorded when symptoms occur, and the data is transmitted to a cardiac monitoring center. Upon receipt, the EKG is immediately reviewed and communicated to your physician.

To schedule a Holter Monitor or an Event Monitor, please contact one of the following locations: Chinatown PC, Greenpoint, Phillips Ambulatory Care Center (Union Square), Upper East Side.


IMATRON Ultrafast Electron Beam Tomography (EBT)

Patients who have the advantage of the early detection of heart disease have often been able to significantly reduce or even reverse their heart disease. INNER IMAGING uses only the "Gold Standard" of heart scanners. The Ultrafast EBT heart scanner is very fast and has clarity that can assess a person's risk of heart disease years before the general symptoms appear! There are no needles, no dyes, no discomfort, and no need to remove your clothes.

The EBT coronary artery scan is able to identify people at high risk of a heart attack or other cardiovascular event even if they are fit, athletic, healthy, did not smoke and were free of diabetes, hypertension and high cholesterol.


Medical Cardiology

Pacemaker | PET Scan | Manhattan | New York City | NYCDeath from heart disease is largely preventable, if diagnosis and treatment are begun early enough. Considering that nearly 60 million Americans already have one or more cardiovascular disorders and more than half the population is at risk, the number of lives that would be saved by a routine visit to a cardiologist is staggering. Risk Factors for heart disease include smoking, high blood pressure, high blood cholesterol, diabetes, being overweight or obese and physical inactivity.

Our physicians know the importance of timely evaluation and early diagnosis of patients who are at risk for heart disease. That is why they make it as effortless as possible for patients to obtain a thorough cardiology assessment using the most sophisticated cardiac diagnostic techniques available today.

The Heart Institute's medical cardiology team specializes in the prevention, detection and treatment of heart disease. The team members have been pioneers of many clinical programs, including the use of Positron Emission Tomography for the most accurate diagnosis of coronary disease.

Considered the first line of defense for cardiac disease, consultative and medical cardiology encompasses diagnostic and treatment capabilities, prevention regimens, heart disease medications and cardiac rehabilitation. The Heart Institute offers such noninvasive cardiac diagnostic testing procedures as electrocardiography (ECG or EKG), stress testing, echocardiography, nuclear cardiology and Positron Emission Tomography.

In addition to offering extensive diagnostic capabilities, our medical cardiologists also provide specialized noninvasive treatment for angina, arrhythmia and heart failure.

Please choose from one of the many locations our providers practice.


MUGA (Multi Gated Acquisition Scan)

A MUGA scan is a nuclear medicine test to evaluate the function of the heart ventricles. It is also called Radionuclide Angiography. It provides a movie-like image of the beating heart, and allows the doctor to determine the health of the heart's major pumping chambers. The advantages of MUGA is that it is more accurate than an echocardiogram and it is non-invasive. This scan uses the electrical signals of the heart to trigger the camera to take a series of pictures that can be viewed later like a motion picture. The pictures record the heart's motion and determine if it is pumping (contracting) properly. MUGA scanning may take 2 to 3 hours to obtain all the needed views and can be done both before and after you exercise. You may be given nitroglycerin to see how your heart responds to this medicine. MUGA scanning may be done after a first-pass scan. It is usually not done on children.


To learn more about our Services & Procedures, please call us today to schedule an appointment.

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