Occasionally, your medical evaluation, treatment and care may require certain additional (more invasive) diagnostic and interventional procedures.

Fortunately, we are privileged with cardiologists specializing in these areas. These procedures include:

• CARDIAC CATH - Cardiac catheterization (sometimes called an angiogram) is a specialized test which is useful in the evaluation of heart disease. The presence or lack of coronary artery disease as well as the specific location and severity of coronary lesions can be determined with cardiac catheterization. This procedure is able to determine the function of heart chambers, valves, and other cardiac structures. This test can also measure the different pressures and gradients within the heart. Cardiac catheterization is relatively safe and is typically associated with very low morbidity and mortality.
• TRANSESOPHAGEAL ECHO - This type of echocardiogram, also known as TEE, is performed by inserting a small flexible tube with an ultra- sound transducer into the esophagus (similar to an endoscopy) after the throat is numbed with a local anesthetic spray and the paticnt receives mild intravenous sedation. This 15-20 minute examination provides accurate detailed information on different heart structures.
• OTHER - At times, your cardiologist may recommend other types of angiograms to evaluate several arteries in your body like the aorta, renal (kidney) and carotid arteries. Your cardiologist will discuss the specific indications with you.

Coumadin requires careful monitoring and regulation for safe use. We understand the importance of providing such a service to meet the needs of patients taking Coumadin.

The Coumadin Clinic is under the supervision of our cardiologists. We have a committed staff consisting of experienced nurses and technicians.

We have an on-site lab where the fingerstick method is all that is needed to obtain your Protime blood results in a quick two minutes. At that time, you will receive written results, instructions, and your next appointment will be scheduled. This service is offered by appointment to help expedite your visit.

The Coumadin Clinic will provide each patient with counseling and educational materials to help you achieve and maintain appropriate Coumadin control.