Cardiology Services in Cortland
Your Heart is in the Right Place
You can 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.
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 tests
can help measure the cause of chest pain, the extent of artery blockage,
and prognosis of those who have recently suffered from a heart attack.
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
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 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.
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.
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
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.
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 Phase II is a Medicare-approved, 8 to 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.