Cardiac Procedures
After seeing your Cardiologist you may be referred for some cardiac tests to further assess and care for your health. We understand that this can be quite daunting if unfamiliar to our patients, so below we have a brief description of each individual test along with where you can make an appointment to have these performed.
ECG or Electrocardiogram
Electrical activity of the heart is measured with dots/leads attached to chest/wrist/ankles which monitors 10 seconds of heart activity. This is usually done by the Cardiologist in the consulting room or by one of our nurses prior to seeing the cardiologist. Often your GP will also perform an ECG in their rooms.
Transthoracic Echocardiogram / Echocardiogram
“Echo” is an ultrasound of the heart where a checks the structure/functioning using gel and a probe showing images/rhythm. Takes approximately 20 minutes to complete.
Where:
- Lake Imaging St John of God Hospital Ballarat
- Diagnostic Services -Ballarat Base Hospital
- Maryborough Hospital
- Ararat East Grampians Health
- Stawell Hospital
- Horsham Wimmera Health Care Group – Book in our rooms or online
- Hamilton Consulting Rooms – Book in our rooms or online
- St Arnaud Medical Centre – book in our rooms or online
- Dimboola Medical Centre – book in our rooms or online
When having an “echo” you must have intact skin – that is no uncovered wounds – in the area of your heart. Please ring our rooms if you are not sure.
Stress Echocardiogram (Stress Echo)
A Stress Echo is a procedure that determines how well your heart and blood vessels are working under stress. You will exercise on a treadmill while your doctor monitors your blood pressure and heart rhythm. When your heart rate reaches peak levels, your doctor will take ultrasound images of your heart to determine whether your heart muscles are getting enough blood while you exercise.
Where:
- Lake Imaging St John of God Hospital Ballarat – Book in our rooms
- Diagnostic Services -Ballarat Base Hospital
Stress Electrocardiogram (Stress ECG)
A Stress ECG is a procedure that determines how well your heart and blood vessels are working under stress. You will exercise on a treadmill while your doctor monitors your blood pressure and heart rhythm.
Where:
- Diagnostic Services -Ballarat Base Hospital
- Ballarat Cardiology – Book in our rooms
Holter Monitoring
Holter Monitoring records the rhythm/palpitations/black outs of the heart for 24hrs-7days during normal activity. A mobile device Hangs loosely around the neck by a strap/clipped to waistband with electrodes on chest. Patients are asked to record symptoms/feelings while wearing the Holter Monitor before returning to the clinic it was fitted at to have removed. It is often not visible through clothing.
Where:
- Ararat Medical Centre
- Ballarat Consulting Rooms – Reported by our Doctors – Book in our rooms or online
- Clarendon Medical Centre Maryborough
- Daylesford Springs Medical Centre
- Dimboola Medical Centre – Reported by our Doctors – Call
- Hamilton Family Practice – Reported by our Doctors – Call
- Horsham Wimmera Medical Centre – Reported by our Doctors – Call
- Nightingale Clinic Maryborough
- Rural Northwest Health – Reported by our Doctors – Call
- St Arnaud Medical Centre – Reported by our Doctors – Call
24 Hour Blood Pressure Monitor
Small recorder around waist/shoulder which checks blood pressure every 15 minutes during the day/20 minutes at night.
Where:
- Ballarat Consulting Rooms – Reported by our Doctors – Book in our rooms or online
- Diagnostic Services Ballarat Base Hospital
- Clarendon Medical Centre Maryborough
- Nightingale Clinic Maryborough
- Stawell Medical Centre
- Horsham Wimmera Medical Centre
CT Coronary Angiogram or CTCA
CT Coronary Angiography is a specialized form of CT scanning used to take images of the coronary arteries of the heart (angiograms). These arteries supply blood to the heart muscle and disease of these vessels (atherosclerosis) is responsible for most heart attacks.
WHERE:
- Lake Imaging St John of God Hospital Ballarat
- Ararat East Grampians Health
- Stawell Hospital
MIBI Stress Test or Myocardial Perfusion Study
A MIBI Stress Test is a Nuclear Medicine test that lets your doctor know how well your heart muscle is being supplied with blood.
Where:
- Lake Imaging St John of God Hospital Ballarat
Chest Xray or CXR
A Chest Xray is a painless, noninvasive test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. “Noninvasive” means that no surgery is done and no instruments are inserted into your body
Where:
- Lake Imaging St John of God Ballarat
- Maryborough Hospital
- Ararat East Grampians Health
- Stawell Hospital
- Horsham Wimmera Health Care Group
V/Q Scan
A V/Q Scan is a nuclear medicine scan using radioactive material to examine air/blood flow in the lungs to look for blood clots (Pulmonary Embolism)
Where:
- Lake Imaging St John of God Hospital Ballarat
Lung Function Tests
Used to measure the function of the lungs to help diagnose lung disease. Spirometry tests use a spirometer device to measure how much the lungs can blow out in a full breath to see how much narrowing is present.
Where:
- Diagnostic Services Ballarat Base Hospital
- Horsham Wimmera Medical Centre
- Ararat Medical Centre
Gated Blood Pool Scan
Labelling red blood cells with a radiopharmaceutical and then measuring the amount of blood in the heart at different times. Measures the filling and emptying of the heart chambers.
Where:
- Lake Imaging St John of God Hospital Ballarat
Coronary Angiogram
Coronary Angiogram is a surgical procedure in which a special X-ray is taken of your heart’s arteries (the coronary arteries) is taken to see if they are narrowed or blocked.
Procedure Information
+ Pre-Procedure:
- Your admitting Hospital will call you to go through your preadmission preparation via the phone.
- You will need to Fast from Midnight the night before your procedure.
- Continue to take all of your medications, unless you were informed by your cardiologist during your consultation.
- You will need to have a recent Chest Xray and Blood tests
+ Procedure:
- Coronary Angiogram is a Day Case so you will need to arrange for a family member or carer to bring you and pick you up upon Discharge. (If you are a patient who lives more than 2 hours away, then you will be admitted for an Overnight Stay)
- The Angiogram procedure is performed in a special ‘Cath-Lab’ which is similar to a theatre, and for Private patients usually performed at St John of God Hospital Ballarat or Ballarat Health Services Base Hospital for patients who are uninsured.
- Lying on a narrow table, you will be moved from side to side during testing.
- You will be connected to a machine that will monitor your heartbeat continuously throughout testing.
- An intravenous needle may be inserted to the back of your hand to allow medicines to be given during the test.
- Local anesthetic is administered through your wrist (sometimes groin area) where the catheter will be inserted into the main artery point.
- The Catheter moves through the main blood vessel (aorta) to the coronary arteries in the heart, which is watched via x-rays on a monitor. You most likely will not feel anything during this process as there are no nerves inside your arteries.
- Once the Catheter is in place, contrast dye* is injected and x-ray images are taken as the dye moves through the coronary arteries. (Certain catheters are required to study the different arteries, so will be replaced within the same area)
- Once your procedure has been finished, the catheter will be removed and you will be transferred to the Recovery area or ward.
- A standard Angiogram procedure takes about 30-40 minutes. And can most likely be discharged home within 4-6 hours (unless you live more than 2 hours away and are staying as an inpatient overnight).
* You may experience nausea, chest discomfort and a warm feeling in your upper chest to whole body upon injection of the contrast dye, but this will pass soon after within 10-15 minutes. The x-ray dye will pass through your kidneys and is excreted in your urine.