routine medical check-up
- Frequent flyers at risk for DVT
WHAT INFORMATION ARE NECESSARY FOR US?
1 Patients Demographic data including accurate age, sex
- Detailed patient history e.g family or personal history of diabetes, hypertension
- Recent therapies e.g anticoagulant; antihypertensive, insulin etc.
4 Recent cholesterol level and when necessary ECG (these are performed simultaneously at the center)
5 Relevant lifestyle e.g cigarettes, alcoholics etc.
OUR CARDIO-VASCULAR WORK UP INCLUDES:
- Clinical Examination by referring clinician with adequate clinical notes.
- Chest X-ray
- Electro cardiogram, with both automated machine and Physician’s interpreteation by our team of specialists.
Our Echocardiogram is performed by specialists using our Latest ViVID GE machine, equipped with ECG, stress echo, Tissue echo and color with Spectral Doppler facilities. Each study is done with a standard protocol obtained in Parasternal long and short axes, Apical four-chamber and five-chamber views, Subcostal and if needed, suprasternal windows. Our facility is equipped with a Trans-oesophageal probe for TEE. The machine has a 17- inch ergonomic panoramic monitor with color display for patient and clinician viewing. Our results are detailed and includes a wide range of measurements obtained using advanced cardiac soft-ware in M-mode, 2D, spectral Doppler using Pulse wave and continous waves as applicable.
Basic information like chamber sizes and morphology, LV diastolic and systolic functions, Doppler measuremnts across valves namely Mitral, tricuspid, aortic valves; pressure gradients, regurgitant flows, valvular diseases and motion abnormalities, calcifications, integrity of walls, regional wall motion abmormalities, thicknesses, presence of intracardiac clots and masses, congenital abnormaties, septal defects, shunts, pericadial effusions are usually included.
Stress Echo protocols, Trans-oesophageal Echo, Dobutamine Stress Echo are available in our cardiovascular laboratory.
- Vascular ultrasound: This includes Carotid Doppler in patients with TIA, strokes, thrombo-embolic disease etc. Peripheral Doppler studies are available for the lower extremities including Common femoral, superfifial femoral, profunda femoris, popliteal, tibia, peroneal arteries and venous counterparts. Patients with artherosclerosis, diabetics with gangrenous changes, deep vein thrombosis, burns etc usually
benefit from the peripheral vascular studies.
VASCULAR LABORATORY: The vascular laboratory handles imaging of blood vessels, especially with ultrasound, CT and MRI. The various protocols available include:
An abdominal vascular ultrasound is recommended for patients with a family history of aortic aneurysms, those who have a smoking history or have been diagnosed with coronary artery disease.
Abdominal vascular ultrasound is performed to assess the main aorta and the main arteries including the renal (kidney) arteries that arise from the aorta. The main indication for abdominal vascular ultrasound is to diagnose an abdominal aortic aneurysm, which is an enlargement of the aorta as it runs through the abdominal cavity and branches into the arteries that supply the legs.
Carotid ultrasound can assess the development of plaque in the arteries.
A carotid ultrasound is simply performed. It is a non-invasive test using sound waves to assess the size and caliber of the carotid and vertebral arteries that supply blood to the brain. It is a very accurate assessment of plaque development in these arteries but more importantly it will detect serious blockage in the carotid arteries that can put you at risk for a stroke. There is minimal discomfort when the test is performed, and the results are known immediately. Serial tests may be performed to follow a non critical blockage in these arteries.
A peripheral venous study is usually done to diagnose a blood clot in the veins.
A peripheral venous study is an ultrasound study of the venous system of the legs or arms. It is usually done to diagnose a blood clot in these veins. It may also be done to assess for leaky valves within the venous system which can result in swelling, especially of the lower extremities. It is done without any discomfort and the results are very accurate, predictable and may be very important in your treatment.
A peripheral arterial study is an ultrasound study assessing the flow of blood into your legs and is very accurate in determining the amount of blood flow to your legs.
Peripheral Arterial Studies
Peripheral arterial disease is a common disease associated with atherosclerosis (plaque formation) occurring in any of the arteries in your body. It is often associated with coronary artery disease as well as cerebrovascular disease. It is simply diagnosed by using an ultrasound or by measuring an ankle-brachial index, which is a ratio of the blood pressure measurement in your arms and your legs.. If this is noted to be abnormal or if you have symptoms of leg pain while walking, a peripheral arterial study may be indicated. This is an ultrasound study assessing the flow of blood into your legs and is very accurate in assessing the presence of plaque and determining the amount of blood flow to your legs.