General Cardiology

Diagnosis and Treatment

Many patients come to us after receiving a heart disease screening test or reporting heart-related symptoms, such as chest pain, shortness of breath, or palpitations, to their rheumatologist. Rheumatologists often refer patients to the cardio-rheumatology program for diagnostic testing to determine the cause of these problems.

To diagnose a heart condition, we conduct a variety of tests, always emphasizing minimally invasive approaches, whenever possible, to precisely pinpoint each patient’s cardiac condition. Diagnostic procedures include:

• Detailed medical history
• Blood testing
• Electrocardiography (EKG)
• Echocardiography and Stress Testing
• Cardiac magnetic resonance imaging (MRI), which can show inflammation in the layers of the heart
• Computed tomography (CT) scanning

In addition, we perform diagnostic tests designed specifically for patients with rheumatologic conditions. For example, not all patients can complete a treadmill test. In those cases, for appropriate patients, we may offer a supine bicycle test instead.

With all patients, we consider a range of potential prevention strategies. These are designed to help keep a cardiac condition from getting worse. Or, if patients are at risk of developing heart disease, specific action, such as diet and exercise programs, may help prevent it from occurring.

Just as we do with our diagnostic tests and prevention strategies, we tailor treatment plans specifically to each patient. Many patients have limited mobility or pain due to joint issues. They may not be able to perform some cardiac strengthening exercises, for example. So, we offer different ways to ensure all patients get the conditioning they need.