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Cardiovascular

Our commitment at Catskill Regional Medical Center means that trained and qualified staff will be with you every step of the way to help you make meaningful and healthful lifestyle changes. We take pride in helping our patients recover faster, easier, and more effectively through our cardiac care programs, cardiac rehabilitation, and testing services.

Our offices are located at 68 Harris Bushville Road in Harris, NY 12742. To learn more about our program or to schedule an appointment, please call:

  • For Rehabilitation Services: 845-794-3300 ext. 2755
  • Cardio-pulmonary Services: 845-794-3300 ext. 2146
  • Appointment scheduling: 845-794-3300 ext. 2226

Meet Our Medical Group Cardiologists

Part of Catskill Regional Medical Center’s network of care includes our Medical Group physicians. While you and your family will benefit from the hospital’s advanced technology and access to immediate critical care, including an emergency department and on-site lab, Catskill Regional Medical Group provides highly-skilled and experienced cardiologists and a team of nurses and support professionals who provide compassionate care to our patients on an inpatient and outpatient basis.

Mitul Patel, M.D.
Mitul Patel, M.D.
Cardiologist

Emmanuel Nketiah, M.D.
Emmanuel Nketiah, M.D.
Cardiologist

Learn more about our Medical Group Cardiologists >>

Cardio-Pulmonary Testing & Treatment Planning

Sometimes your family doctor will ask a cardiologist to evaluate your heart and recommend the right treatment or further tests. Chest pain or discomfort, a family history of heart disease, or ongoing serious heart problem would all require the care of our cardiac team. This team is comprised of highly trained and licensed professional.

Echocardiograms (Appointment required)

An echocardiogram is an ultrasound of your heart. The heart and valves are visualized using sound waves and a video recording is made.

Preparation: There is no preparation required for this exam.
Length of Exam: Approximately one hour


TEE’s (with or without cardioversion)

A TEE uses high-frequency sound waves, providing clear moving pictures of your heart. This test is similar to a standard echocardiogram, except that the pictures of the heart come from inside the esophagus rather than through the chest wall. The sound waves are sent through the body with a device called a transducer which is attached to a tube and carefully placed down your esophagus.


Cardioversion

Cardioversion is a brief testing procedure where an electrical shock is delivered to your heart to convert an abnormal heart rhythm back to a normal rhythm. Cardioversion is used in emergency situations to correct a rapid abnormal rhythm associated with faintness, low blood pressure, chest pain, difficulty breathing or loss of consciousness. It can be administered chemically or electrically. Chemical cardioversion uses anti-arrhythmia medications to restore your heart’s normal rhythm. Electrical cardioversion safely uses electrical shock, delivered through electrodes which are applied to the skin on the chest and back.


Stress Echo Test

A stress echocardiography, also called an echocardiography stress test or stress echo, is a procedure that determines how well your heart and blood vessels are working. During a stress echocardiography, you’ll exercise on a treadmill while your doctor monitors your blood pressure and heart rhythm. Images are taken by the echocardiographer before and after exercise on the treadmill.


Holter Monitor Testing (Appointment required)

A Holter monitor is a small recorder that you wear on your body for 24-48 hours  to monitor your heart rate and rhythm throughout the day and night. You will be asked to return the recorder within a day or two.

Preparation: There is no preparation required for this exam. Please bring a list of your medications.
Length of Exam: Approximately 20 minutes to attach the recorder to patient


Exercise Stress Test (Appointment required)

An exercise stress test (treadmill test) monitors your heart rate and rhythm while you walk on a treadmill.

Preparation: No eating, drinking or smoking after midnight prior to the test. Wear comfortable walking shoes and loose-fitting clothing.
Length of Exam: Approximately 60 minutes


Pharmacological Stress Test (Appointment required)

This stress test is used for people who cannot exercise. You will receive lexiscan intravenously which  is given to the patient to dilate (widen) your blood vessels as if you were exercising. The technician will then inject a radiographic isotope through an IV line and will run a scan. Another scan is done approximately 45 minutes later.

Preparation: No eating, drinking or smoking after midnight prior to the exam. No caffeine or decaf products for 24 hours prior to exam. The Cardio-Pulmonary Department will request a list of medications you are taking, and information on any allergies you might have.
Length of exam: Approximately four hours


Nuclear Stress Test (Appointment required)

A nuclear stress test is done by injecting a radiographic isotope through an IV. The injection is followed by a scan in nuclear medicine. Part 2 of this test will consist of either exercising on the treadmill or receiving a pharmacological agent that takes the place of exercise. The last part of this exam will be the post stress scan.

Preparation: The patient must not eat, drink or smoke from midnight the night before the exam. No caffeine or decaf products for 24 hours prior to exam. The nuclear medicine department will give instructions for the resting scan.
Length of Exam: Approximately 3-4 hours


Pacemaker Checks (Appointment required)

This checkup ensures that the pacemaker is working as it should. Your doctor will let you know how often it should be checked. When you visit the office or clinic for a pacemaker check (perhaps every six months), here is what the doctor will learn:

  • How your heart is working
  • Whether the device is properly connected to your heart
  • Whether the device needs a change in programming to assure your safety

Preparation: You should have your pacemaker ID card and your insurance card. You will be asked for the name of your primary care physician or a cardiologist where reports will be sent.
Length of Exam: Approximately one hour


Electrocardiogram (EKG)

An electrocardiogram (EKG) records the electrical activity of your heart. It is an important part of the initial evaluation of a patient who is suspected to have a heart-related problem. During the test, electrodes (conducting patches) are applied to your chest, arms and legs. Small wires are then used to connect the electrodes to an EKG machine. The electrical activity created by your heart is processed by the EKG machine and then printed on a special graph paper. This information is evaluated by your cardiologist. The EKG test is painless and takes just a few minutes.


Pulmonary function testing

Pulmonary function tests (PFTs) are a group of tests that measure how well your lungs work. This includes how well you’re able to breathe and how effective your lungs are able to bring oxygen to the rest of your body.

Your doctor may order these tests if you’re having symptoms of lung problems as part of a routine physical to monitor how effective your treatment is if you have a lung disease, such as asthma to assess how well your lungs are working before you have surgery. PFTs are also known as spirometry or lung function tests.


Electroencephalogram (EEG)

An electroencephalogram (EEG) is a test used to evaluate the electrical activity in the brain. Brain cells communicate with each other through electrical impulses. An EEG can be used to help detect potential problems associated with this activity.

An EEG tracks and records brain wave patterns. Small flat metal discs called electrodes are attached to the scalp with wires. The electrodes analyze the electrical impulses in the brain and send signals to a computer that records the results.

These lines allow doctors to quickly assess whether there are abnormal patterns. Any irregularities may be a sign of brain disorders.

Cardiac Rehab Program

Cardiac wellness requires commitment and if you have cardiovascular disease or suffer from heart-related difficulties, rehabilitation is a key component of your cardiac recovery. At Catskill Regional Medical Center we have a comprehensive program for cardiac rehabilitation and heart care that will help you to regain strength and build a healthier heart.

Our cardiac rehabilitation program is certified by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR).

While cardiac rehab programs are not required to be certified, Catskill Regional Medical Center is committed to providing our patients with the highest quality care. Certification by the AACVPR ensures that our Cardiac Rehabilitation Program meets the highest standards of patient care.

Our cardiac rehabilitation program is designed to help patients significantly reduce their risk or recurrence of heart disease by helping to restore their health and well-being. Whether you have come to us for preventative care or ongoing heart treatment, we’re here to help you make healthy changes in many parts of your life.

Learn more about our Cardiac Rehab Program »

Cardio-Pulmonary Care

Catskill Regional Medical Center wants to help you prevent heart disease: Eat a diet low in animal fats and cholesterol and high in fruits, vegetables, and grains. Stay away from cigarettes. Keep your body weight within a healthy range. Keep your blood pressure and blood sugar under control.

This will pay off in many ways. Heart disease still remains the number one killer in the United States. Our fast-paced lives can sometimes make it difficult to stick to a healthy lifestyle. Even the most health-conscious person may not be able to overcome an inherited risk for heart disease or a problem in the structure of the heart.

Our cardiologists are experts in diagnosing and treating heart disease. If you have another medical condition, such as diabetes or kidney disease, your cardiologist will know how to plan your care to take all your health needs into account. Sometimes your family doctor will ask a cardiologist to evaluate your heart and recommend the right treatment or further tests. An example of this might involve a stress test for someone with a family history of heart disease. Chest pain or discomfort is one of the most common reasons to see a cardiologist. Serious heart problems require the ongoing care of a cardiologist.

Our preventive cardiologists will evaluate your risk of heart disease and start preventive therapy. Our rehabilitative cardiologists focus on your recovery after a heart attack or an episode of congestive heart failure. Both help you to make healthy changes in many parts of your life, in addition to taking the appropriate medications for your particular problems.

Our cardiologists, the Cardio-Pulmonary Department and the Radiology Department work together as a team to assist in providing you with the treatment you may require. The tests can be performed in the office or the Cardio-Pulmonary Department as an outpatient procedure. The information from these tests will help your cardiologist to plan the appropriate treatment for you.


Our offices are located at 68 Harris Bushville Road in Harris, NY 12742. To learn more about our program or to schedule an appointment, please call:

  • For Rehabilitation Services: 845-794-3300 ext. 2755
  • Cardio-pulmonary Services: 845-794-3300 ext. 2146
  • Appointment scheduling: 845-794-3300 ext. 2226