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Cardiology

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Cardiology

Cardiology Providers

Cardiology Locations

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87th Avenue Clinic
700 NE 87th Ave
Vancouver, WA 98664
360-882-2778
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Salmon Creek Clinic
2525 NE 139th Street
Vancouver, WA 98686
360-882-2778

Information about Cardiology

Overview

Keeping your heart healthy

Get exceptional care for your body’s most vital organ. Our clinic cardiologists find, treat, and prevent diseases of the heart and blood vessels. They get to know your medical history, examine your heart and lungs, and monitor your blood pressure and weight. When you have questions about chest pain, need advice on how to improve your heart health, or want information on preventing heart disease, they’re there to provide the most up-to-date medical guidance.

For hearts that need more attention, our cardiologists can perform a range of procedures, including cardiac catheterization, pacemaker implantation, and transcatheter aortic valve replacement (TAVR). They also offer angioplasty, stenting, rotational atherectomy, intracoronary, and cardiac ultrasounds. Doctors in the cardiology department can complete specialized balloon valvuloplasty and alcohol septal ablations in conjunction with Oregon Health & Science University.

Services

We care for conditions including:

  • Adult congenital heart disease
  • Aortic stenosis, atrial fibrillation
  • Atrial flutter
  • Cardiomyopathy
  • Chest pain
  • Congestive heart failure
  • Coronary artery disease
  • Heart failure
  • Heart valve disease
  • Hypertension
  • Hypertrophic cardiomyopathy
  • Palpitations
  • Supraventricular tachycardia
  • Syncope
  • Venous disease (varicose veins)
  • Wolff Parkinson White Syndrome

We offer a range of treatments and services including:

  • Implantable Cardioverter Defibrillator devices
  • Nutrition and risk factor modification counseling
  • Pacer and bi-ventricular pacer checks
  • Peripheral vascular disease evaluation and treatment
  • Preoperative cardiovascular evaluation
  • Radiofrequency catheter ablation services
  • Renal stent procedures
  • Transcatheter aortic valve replacement (TAVR)
  • Watchman implants

We offer testing and monitoring options including:

  • Cardiac CT
  • Full interpretation
  • Non-invasive coronary angiography
  • Cardiac monitors
    • 24-hour holster monitor
    • 30-day event monitor (loop recorders)
    • Implantable event recorders (12 month)
  • Cardiac MRIs
  • Electrocardiography
    • Electrocardiogram stress testing (ECG)
    • Exercise stress echo
    • Pharmacologic stress echo
    • Resting echo 2-D Doppler, and color Doppler
    • Transesophogeal echo
  • Electrophysiology studies (EPS)
  • Nuclear imaging
  • Exercise stress perfusion study
  • First-pass gated ventriculography
  • Gated ventriculography (multi-gated accusation (MUGA)—nuclear cardiac exam)
  • Pharmacologic stress perfusion study
  • Myocardial viability study
FAQs

What is transcatheter aortic valve replacement (TAVR)?

Transcatheter aortic valve replacement (TAVR) is a minimally invasive procedure for select patients who have been diagnosed with severe symptomatic aortic stenosis and are not candidates for open heart surgery.

Severe aortic stenosis is a narrowing of your aortic valve opening that does not allow normal blood flow. It can be caused by a birth defect, rheumatic fever, or radiation therapy. It can also be related to age.

The TAVR procedure allows for the placement of a balloon-expandable aortic heart valve into the body using catheters rather than traditional surgery methods. This less-invasive procedure is different than open heart surgery. TAVR uses a catheter to replace the heart valve instead of opening up the chest and completely removing the diseased valve. It can be performed in multiple ways, however the most common approach is the transfemoral approach (through an incision in the leg). Only a heart team can decide which approach is best, based on a person’s medical condition and other factors. Once in place, the replacement valve functions like a normal, healthy valve with proper blood flow.

Learn more about our First TAVR Procedures.

How does the WATCHMAN device work?

The WATCHMAN™ device is a one-time implant that prevents left atrial appendage blood clots from entering the bloodstream and blocking a blood vessel in the brain, resulting in a stroke. This quarter-size barrier is an alternative to blood thinners.

The device is self-expanding, shaped like a jellyfish, and made from nitinol (nickel-titanium alloy). The top of it is covered with a permeable polyester fabric that acts like a filter initially, but becomes covered with a patient’s own cells within 45 days.

Not all strokes are the result of a clot traveling to the brain from the left atrial appendage. Other causes can include high blood pressure and narrowing of the blood vessels to the brain. The WATCHMAN implant will not prevent these other causes of stroke and does not cure atrial fibrillation. Be sure to discuss your specific situation with your doctor as you consider all options to reduce your risk of stroke.

Visit our WATCHMAN FAQ page to learn more.

My grandmother, father, and brother have all had heart disease. Does this mean I will too?

More than 800,000 Americans will die this year from heart attacks and other cardiac illnesses, and many of these deaths will be preventable. Even with a strongly inherited predisposition to heart disease, you can cut your risks dramatically by pursuing a heart-healthy lifestyle. This includes eating a heart-healthy diet, exercising frequently, and seeing your cardiologist regularly.

I’ve been trying to get my spouse to quit smoking for some time. What can I say about smoking that will help?

Smoking tobacco is the single most dangerous thing you can do to your heart. Cigarette smoking not only increases your risk of heart disease, but it also worsens other factors that contribute to heart disease, including increasing your blood pressure, decreasing good cholesterol, and making blood clots more likely. People who smoke a pack a day are more than twice as likely to have a heart attack than people who don’t smoke.

 

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