Union Health

Union Hospital's Cardiovascular Testing encompasses EKG, treadmill, echo, and vascular exams. We perform diagnostic exams for patients ranging from neonatal to a geriatric level. The vascular services we provide are:

Venous Imaging

-upper extremity

-lower extremity

Arterial Imaging

-upper extremity

-lower extremity

-PVR (pulse volume recording)

Carotid Duplex Imaging

These services are available on an outpatient basis as well as those who are inpatients and emergency room status.

Cardiovascular Testing is staffed Monday through Friday 6:00 a.m. to 5:30 p.m. and Saturday 7:00 a.m. to 5:30 p.m. The department is closed on Sunday and holidays. Technicians are on call for emergency or stat situations after hours until 8:30 p.m., seven days a week. View location map and get driving directions to our facility.

Routine procedures are performed in a dark, quiet exam room. We also provide the same services bedside for those patients that are unable to travel in the hospital, i.e. intensive care unit patients.

All of our examinations are interpreted by our highly qualified physicians who specialize in cardiology, cardiothoracic surgery, or vascular surgery.

Our staff consists of eight expertly trained technicians who aide the physicians in providing the best care possible to our customers. The laboratory is accredited through ICAVL (International Commission for Accreditation of Vascular Laboratories) which maintains very high standards.

EXAMS:

cv electrodesVenous Imaging

Veins are examined with ultrasound that allows us to look inside the veins and listen to the blood flow. The main indication for these examinations is to rule out blood clots and identify the cause of varicose veins and ulcers on the legs.

The patient will be lying down and comfortable. The venous exams are painless and last approx. 15-30 minutes.

Arterial Imaging

Arteries are examined with ultrasound that allows us to look inside the arteries as well as listen to the blood flow. Blood pressures may be taken in the arms and legs to assess adequate blood flow in the extremities. The main indication for these exams is to rule out blockage in the arteries and look for abnormalities like aneurysms.

The patient will be lying down and comfortable. The arterial exams are painless and last approx. 30-45 minutes.

Carotid Duplex Imaging

The carotid arteries in your neck are examined with ultrasound that allows us to look inside the arteries as well as listen to the blood flow. Indications for this test are symptoms that are consistent with a stroke or mini-stroke (TIA). Some of those symptoms are sudden visual changes, dizziness, and weakness or numbness on one side of the body.

This exam will identify any abnormal build-up in the carotid artery which would cause decreased blood flow to the brain.

The patient will be lying down and comfortable. The carotid artery exam is painless and lasts approx. 15-30 minutes.

cv test patientThe echo (cardiac ultrasound) services we provide are:

  • Echocardiogram
  • Neonatal Echocardiogram
  • Transesophageal Echocardiogram
  • Stress Echocardiogram
  • Dobutamine Stress Echocardiogram

These services are available on an outpatient basis as well as those who are inpatients and emergency room status.

The cardiac ultrasound department is staffed Monday through Friday 6:00 a.m. to 5:30 p.m. and Saturday 7:00 a.m. to 5:30 p.m. The department is closed on Sunday and holidays. Technicians are on call for emergency or stat situations after hours, seven days a week.

Routine procedures are performed in a dark, quiet exam room. We also provide the same services bedside for those patients that are unable to travel in the hospital, i.e. intensive care unit patients.

All of our examinations are interpreted by our highly qualified physicians who specialize in cardiology.

Our staff consists of eight expertly trained technicians who aide the physicians in providing the best care possible to our customers.

EXAMS:

Echocardiogram

The heart is examined with ultrasound to evaluate how well the heart is pumping. We can also look at the valves of the heart to check for leaking or blockage of the arteries.

The patient will be lying down on their left side while the technologist uses a probe and ultrasound gel to visualize the heart. The echo exams are painless and last approx. 15-30 minutes.

Neonatal Echocardiogram

cv test drThe heart of a newborn is examined with ultrasound to evaluate how well the heart is pumping, leaking of the valves, blockage of the arteries, or malformations.

All technologists performing this exam have been given advanced training at Riley Hospital for Children and are certified in neonatal echocardiography.

These exams are read by the cardiologists at either Riley Hospital or the Children's Heart Center at St. Vincent's in Indianapolis.

This exam is painless and no sedation is needed for the infant. The exam lasts approx. 45 minutes to 1 hour.

Transesophageal Echocardiogram (TEE)

The TEE is an exam generally used to visualize areas of the heart that are difficult to see with a regular echo. It is performed by the cardiologist with assistance from our technologist and staff RN.

Patients are given an IV and oxygen. Their throats are numbed with some gel and anesthetic spray to subdue the natural gag reflex. The cardiologist with instruct on which IV sedatives to administer. He will then gently slide the probe down the patient's throat and behind the heart. Ultrasound is used to visualize the structures and valves of the heart. Once everything is visualized, the probe is removed.

Vital signs are monitored for at least thirty minutes. This exam generally takes 1 to 1.5 hours and that includes preparation and recovery time.

Patients are prohibited from anything by mouth for four hours before and after the exam.

Stress Echocardiogram

cv man computerStress echocardiograms are used to evaluate how well the heart is pumping, any leaking of the valves, or any blockage of the arteries during rest as well as after being stressed (walking on treadmill).

Ultrasound of the heart is performed first while the patient is at rest. Then one of the EKG technicians places electrodes on the patient and prepares them to walk on the treadmill.

The cardiologist is present during the treadmill part of the exam. The patient starts walking slow and gradually speeds up until the target heart rate is achieved. The treadmill is then stopped and the patient is instructed to lie on their left side while more ultrasound pictures of their heart are obtained. This exam lasts approx. 1 to 1.5 hours.

Dobutamine Stress Echocardiogram

Dobutamine stress echocardiograms are used to evaluate how well the heart is pumping. This is done by administering medication to increase the patient's heart rate and blood pressure instead of walking on the treadmill.

Patients are brought back to an exam room where our staff RN applies oxygen and starts an IV. The technician uses ultrasound to obtain images of the heart.

The cardiologist will instruct the RN to administer the Dobutamine through the IV. Ultrasound images of the heart will be examined while the medication is being given. Additional Dobutamine is given until the patient's target heart rate is achieved. The length of time and how much dobutamine is given will be determined by how sensitive and reactive the patient is to the medication.

Patients are monitored by the technician and RN until the heart rate returns to normal.