Cardiac Catheterization Laboratory
The Cardiac Catheterization Laboratory, led by Dr. Samin Sharma, is comprised of six fully equipped rooms for angiography and state-of-the-art computerized blood circulation studies. Last year, the laboratories performed over 16,000 procedures, including more than 5,500 interventional procedures, such as the following: percutaneous angioplasty, intracoronary stenting, rotational atherectomy, interventions on chronic total occlusions, balloon valvuloplasty, alcohol septal ablation, and peripheral vascular interventions. Myocardial biopsies (both primary diagnostic and for heart transplant recipients) and full assessments of pulmonary hypertension are performed regularly as well.
The Cardiac Catheterization Laboratory has achieved the highest volume and lowest mortality rate in New York State for angioplasty procedures for over 10 years (report from the New York State Department of Health).The Phyllis and Lee Coffey Non-Invasive Area: Echocardiography Laboratory
The Echocardiography Laboratories perform approximately 50-60 echocardiograms daily, including interventional and/or pharmacological and exercise stress studies. Transthoracic echocardiograms are also performed in two outpatient facilities (Joseph H. Hazen Ambulatory Care Center and Kravis Health Center). Over 14,000 studies were performed in the past year. Advanced echocardiography equipment (including real-time, three-dimensional imaging) is integrated into clinical studies when appropriate.
The Phyllis and Lee Coffey Non-Invasive Area: Nuclear Cardiology & Stress Laboratory
The Nuclear Cardiology and Stress Electrocardiography Laboratory, led by Dr. Milena Henzlova, performs over 5,000 noninvasive tests annually for the diagnosis of cardiac disease and the assessment of its severity. The tests performed include electrocardiographic stress tests, SPECT myocardial perfusion studies with Tc-99m Sestamibi or thallium-201 combined with either exercise or pharmacologic stress. The laboratory staffing includes several cardiologists, all certified in Nuclear Cardiology, Registered Nurses, and Certified Nuclear Medicine Technologists.
Electrocardiography and Electrophysiology Section
The Electrocardiography (ECG) and Electrophysiology (EP) Section, led by Dr. Vivek Reddy, provides electrocardiograms, signal-averaged ECG's, 24-hour Holter monitors and an array of cardiac events-monitoring and ambulatory telemetry services.The EP service provides electrophysiology studies, radiofrequency catheter ablations, cardioversion, tilt-table tests, implantation of pacemakers, cardioverter defibrillators, resynchronization devices, intra-operative mapping, and cryoablation (in collaboration with cardiothoracic surgery), an arrhythmia clinic, and consultation and follow-up services. Over 2,000 procedures were performed last year. Currently, there are two dedicated EP rooms with state-of-the-art equipment for mapping and ablation.
Heart Failure and Cardiac Transplantation Program
The Heart Failure Program, led by Dr. Sean Pinney, integrates clinical care and heart failure research. Patients referred to the Heart Failure Program receive a full cardiac evaluation and optimization of their medical regimen including cardiac resynchronization devices. The heart failure evaluation customarily includes cardiopulmonary exercise testing and circulation assessment. Clinical research studies are currently studying new devices for monitoring and treating heart failure, as well as new drugs for the treatment of acute decompensated heart failure.
Patients with advanced heart failure are evaluated for cardiac transplantation or destination therapy with a left ventricular assist device (LVAD). More than twenty transplants and thirty LVAD implantations are performed each year.
The Pulmonary Hypertension Program evaluates and treats patients with primary and secondary forms of pulmonary hypertension. Treatments range from oral vasodilating agents to continuous ambulatory infusions of pulmonary vasodilators, inhaled nitric oxide and investigational agents.
The Zena and Michael A. Wiener Cardiovascular Institute (CVI) at Mount Sinai has a dedicated Vascular Medicine section, led by Dr. Jeffrey Olin, which sees inpatients and outpatients. Dr. Olin is a nationally-known expert in vascular medicine, and particularly in fibromuscular dysplasia (FMD). He has extensive experience in the management of FMD, and collaborates closely with colleagues in Interventional Radiology for both diagnosis and treatment of this disease. There is an active, vascular laboratory, where ultrasound studies are performed by technologists. Over 6,000 studies were performed last year.
Advanced Cardiac Imaging
Our advanced cardiovascular imaging center, led by Dr. Javier Sanz, performs over 1,000 cardiac computed tomography and magnetic resonance studies per year. A new state-of-the-art clinical and research cardiac imaging facility was added to our services in 2008.
Cardiac Rehabilitation and Preventive Cardiology
Mount Sinai's Cardiac Health Program is designed to help people with heart disease recover faster and lead healthier lives. Rehabilitation is focused on patients with myocardial ischemia other post-operative states. The comprehensive, individualized program goes well beyond exercise and diet to include education, counseling, emotional support, and a growing number of other options. A physician and a nurse direct the program.
Within the CVI, an endocrinologist and a cardiologist with extensive training in preventive medicine and preventive cardiology run a busy Lipid and Diabetes Clinic as part of the Joseph H. Hazen Ambulatory Cardiac Care Center. Each patient is evaluated for the proper diet and drugs for producing optimal cholesterol, triglyceride, and glucose levels. Individual counseling and help with weight loss is included when necessary and desired.
The Cardiovascular Medicine FPA is open from 8am until 6pm, Monday through Friday.