Our Clinic is equipped with the best and most comprehensive arrhythmia managemnt services available in the metroplex.  These services are listed below

1.  Holter monitoring:

Holter monitoring is available for all our patients.  We have the ability to do 12 lead holters. This technology helps localize the site of origin of many arrhythmias.  In our holter monitors we do heart rate variability studies.

2.  Tilt Table Test:

We can do tilt table tests in our office.  We use beat by beat blood pressure monitoring for our tilts.  We usually measure cardiac output and thoracic fluid content using Impedance cardiography (www.cardiodynamics.com)

3.  Pulmonary Function Tests:

Patients who are on amiodarone require serial pulmonary function tests.  In order to avoid interobserver variations, we do our own pulmonary function tests with DLCO (diffusion capacity of carbon mono-oxide)  If you are a patient of the heartbeat clinic and you are on amiodarone, by the time you walk out of our office, you have dose of your medicine adjusted, in the same visit.  We can do corrected DLCO using our own point of care hemoglobin testing.

4.  Liver Function Tests:

We do point of care testing of liver function tests for our patients who are on anti-cholesterol medication and amiodarone.  This is just a finger stick test.

5.  Thyroid Function Tests:

Point of care qualitative TSH analysis is available.

6.  Lipid Profile:

We can do lipid profile for our patients.  We are planing to develop our own lipid clinic.

7.  Coumadin Clinic.

Coumadin clinic is run onsite by our qualified staff.

8.  Signal Average EKG:

This is special type of electrocardiogram that is required in some cases to assess the risk of life threatening arrhythmias.  We are the only practice in town to offer this facility.

9.  P wave signal averaging:

This is new technology and still in clinical research.  It is used to measure hi resolution signals in the upper chamber of the heart.  We use it for our research purposes primarily.

10.  Impedance Cardiography:

This technique measures the cardiac output and stroke volume (amount of blood pumped per heartbeat) non invassively.  We use it for autonomic function testing, assessment of shortness of breath and for fine tuning our pacemakers.

11. Microvolt T wave Alternans:

This technique is used to evaluate the risk of sudden death, The leads are hooked up and then patient is asked to walk on a treadmill.  The heart rate is kept between 100 and 110 for 2 minutes 30 seconds and then between 110 and 120 for 1 minute and 30 seconds.  This test has a very negative predictive value to rule out sudden death.  This is a new test and is in ongoing clinical research.

12.  Carotid Doppler:

For our patients with unexplained fainting spells, we have the ability to assess the extracranial circulation and blood inflow thru the brain non-invassively. 

13.  Stress Test:

We have ability to do chemical as well as exercise stress test.

14.  Assessment of forearm blood flow:

This is a research technique used to study arterial inflow in forearm blood vessels.    We use Hokanson equipment for this purpose

15.  24 hour blood pressure:

we have ability to do 24 hour monitoring of blood pressure for our patients..We use this technique to diagnose white coat hypertension and work-up of low blood pressure or labile blood pressure.

16.  Contrast Echocardiography:

State of the art contrast echocardography is available to rule out clots inside the heart.  We are the only practice in the area with this technique.

17.  Autonomic Nervous System Testing:

We have ability to analyse cardiac response to variuos physiological stimuli.  In this regard we can do inspiration to expiration ratio, posture index and valsalva ratio. 

18. Metabolic Stress Testing:

This technique is invaluable to assess cause of unexplained shortness of breath.  We are the only practice in North Dallas to perform this study.  Thsi gives us an ability to pre-screen our patient with defibrillators.