Cardiology

"Your Heart is in the Right Place"

Expert Cardiac Care. Close to Home. Trust your heart to Cortland Regional's team of cardiac experts. With the addition of expert cardiologists Dr. Jorge Davidenko and Dr. Hana Smith, our team is as strong as any in the region. We specialize in the diagnosis and treatment of a wide variety of heart conditions, including hypertension, congestive heart failure, and coronary artery disease. Dr. Davidenko is an expert in the area of cardiac rhythm disorders and in the use of medical imaging to detect heart disease.

When you need cardiac care, look no further than Cortland Regional. The care you need is close to home, conveniently located on our main campus. Improved and expanded cardiac care: it's another way we're working to be the center of your care.

Evaluating Cardiac Stress

Cardiac stress is revealed during physical exercise. The heart becomes under stress when the amount of oxygen reaching the heart muscle begins to decrease. Our supportive and caring staff provides you with local and easy cardiac stress testing for early detection and treatment of cardiovascular diseases. The following tests can be performed:

  • Treadmill Stress Test
    The simple stress test is used to evaluate both the vascular and heart systems during exercise to determine the amount of stress your heart can handle before developing an abnormal rhythm. The test answers two common questions; is there an underlying heart disease that may only be apparent when the heart is under stress from exercise? If there is underlying heart disease, how severe is it?
  • Nuclear Stress Test
    Nuclear stress tests combine exercise with a form of nuclear testing such as a PET scan to reveal more detailed information. Nuclear stress test can help measure the cause of chest pain, extent of artery blockage, prognosis of those who have recently suffered from a heart attack, and it can also help measure the level of exercise a patient can safely perform.
  • Dobutamine Nuclear Stress Test
    Similar to an adenosine nuclear test, this type of test is also used to see if your heart muscle is getting the proper blood supply through non-exercise techniques.
  • Stress Echocardiogram
    An echocardiogram test is a test that shows the heart's movement through a sonogram, or ultrasound. Your doctor may perform an "echo" to determine the presence of many types of heart disease, assess the overall function of the heart, or follow the progress of heart valve disease over time.
  • Dobutamine Stress Echocardiogram
    This test is done both before and after your heart has been stressed by non-exercise techniques. The test is usually performed to find out if you may have decreased blood flow to your heart.

Echocardiography

Echocardiography is a cardiac ultrasound of the heart used to create two-dimensional images of the cardiovascular system. Echocardiography is used to diagnose cardiovascular diseases and can also provide important information including the size and shape of the heart, the heart's pumping capacity, and the location and extent of any damage of its tissues. Two of the tests we specifically utilize are echocardiogram and TEE.

  • Echocardiogram
    This is a test in which ultrasound is used to examine the heart. It provides more advanced imaging and a more accurate measurement of the heart chambers. This test provides your doctor with information about the size of the chambers of the heart and the pumping function of the heart.
  • Tee
    This test is used to see the inside of your heart and blood vessels. Your doctor may want to perform this test if you have a problem in your heart, a problem with your heart valves, or a problem with the blood flow in your heart.

Peripheral Vascular Testing

This is a non-heart test that uses ultrasound to view blood vessels, including arteries in the neck. Blockages and narrowing passages of the blood vessel walls may also be diagnosed using this technique.

EKG and 24 hour Holter Monitoring

This is a portable monitoring device that will continuously monitor the electrical activity of the heart for 24 hours or more.

Pacemaker Clinic

Cortland Regional Medical Center offers a Pacemaker Clinic. The Clinic staff work with you after your pacemaker has been implemented to assure the best experience for you. Our full-service Clinic is outfitted with the latest technology and caring staff you've come to trust at Cortland Regional Medical Center.
We have the ability to assess appropriate function, test generator and lead integrity, extract diagnostic information, assess battery status, and determine elective replacement time. Any changes that are necessary in the way your particular pacemaker or defibrillator operates can be programmed into your device at that time.

Cardiac Rehabilitation

Cardiac Rehabilitation Phase II is a Medicare-approved 8-12 week program that aims to ease the patient who experienced a cardiac event, such as a heart attack or heart surgery, back into normalcy through monitored exercise and education. Patients entering the program are treated to a warm, spacious, private exercise room complete with a full array of equipment such as treadmills, an elliptical machine, a N-U step machine, recumbent bike, ergometer, and an air dyne bike.

Phase II Cardiac Rehabilitation typically can start 4-8 weeks after a cardiac event, depending upon the type of cardiac event and whether or not a patient has had surgery. The program sets the patient up with a regular exercise routine – which typically includes cardiovascular exercise, free weight work and stretching – that is performed under constant ECG monitoring. The patient also learns about exercising on his or her own within new limits: how to monitor heart function, how to stay within safe ranges of exertion, and what to do when something doesn't feel right. Classes, lectures, and videos address stress, nutrition, and other topics for patients as well as family members and caretakers.