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SmartScreen – 3 Vascular Exams

1. CAROTID ARTERY ULTRASOUND Includes CIMT measurement. Carotid intimal-media thickness (CIMT) is a tool to assess the cumulative effect of atherosclerosis risk factors and is an independent predictor of future cardiovascular (CV) risk. A stroke, or “brain attack”, occurs when blood flow to the brain is interrupted. The lack of oxygen kills brain cells in the immediate area, often causing symptoms such as weakness or numbness on one side of the body, trouble walking, and vision or speech changes. The more common type of stroke, the ischemic stroke, is associated with carotid artery disease.  The tighter the narrowing, the higher the risk of stroke.  The carotid arteries are evaluated on both sides of the neck and Doppler velocities are obtained to evaluate the degree of narrowing.

2. ABDOMINAL AORTA ULTRASOUND AAA Abdominal aortic aneurysms (AAA) are caused by progressive weakening of the aortic wall that causes a “ballooning” of the vessel. The aorta carries blood flow from the heart to all parts of the body including the vital organs and the legs and feet. The aneurysm will grow larger and eventually rupture if it is not diagnosed and treated.  A ruptured AAA carries an 80-90% risk of death.  That is why recognizing this disease BEFORE it gets too large is so important. AAA screening can identify these deadly aneurysms before they grow to a stage where they are likely to rupture.

3. ABI (ANKLE BRACHIAL INDEX) Blood pressure exam of the arms and legs testing for PVD (Peripheral Vascular Disease) or PAD (Peripheral Arterial Disease). PAD progresses over time at variable rates in each individual depending on the area of circulation effected and one’s health and family history. For many, the outward indications will not appear until the artery has narrowed by 70 percent or more. Commonly, PAD may affect the legs by causing symptoms of leg discomfort in the calf, the thigh, or the buttock during walking.  This pain is called intermittent claudication.  However, many people with PAD will experience atypical symptoms in the legs or few symptoms at all until the disease is far advanced.  PAD may be so severe as to cause skin ulcers on the feet or legs or pain at rest in the lower legs and feet.

Cost: $250

SmartHeart = Cardiac Ultrasound + EKG

Echocardiogram – Cardiac Ultrasound examination of cardiac structures and functions. We measure chamber size, muscle thickness, Ejection Fraction (EF%), and evaluate valve function for regurgitation, insufficiency and stenosis. Includes a 12-Lead EKG. This exam can identify enlarged hearts and leaky valves that could be causing murmurs.

Cost: $250

Varicose Vein Exam – Venous Ultrasound

Ultrasound examines venous valve reflux/ insufficiency in the lower extremities. Venous insufficiency can cause painful varicose veins and the effects of chronic swelling, over time ulcers may occur. Venous reflux examinations are a non-invasive tool utilized by cardiovascular surgeons to identify the abnormal direction of the venous blood flow towards the feet.  It is often ordered for patients who are experiencing symptoms such as swollen legs or ankles, burning or itching in the legs, leg pain, restless legs, or painful varicose veins.  A screening is a valuable technique employed to determine the root cause of a patient’s venous reflux problems.

Cost: $250

Under 18 Athletic Cardiac Screen = Cardiac Ultrasound + EKG

Echocardiogram – Cardiac ultrasound and a 12-Lead EKG for otherwise healthy younger athletes, these exams are best for youth who are subject to Sudden Death Syndrome (SDS) from congenital abnormalities during exercise  The addition of electrocardiography and echocardiography to a standard history and physical for screening school-aged kids can disclose conduction and structural issues associated with an elevated risk of sudden cardiac death. Call for special team and school discount pricing.

Cost: $250

Additional Imaging Choices

Thyroid Imaging for size, nodules and mass identification Cost: $250

Mesenteric and Celiac Arteries, Dialysis Access and Bypass Grafts Cost: $250

 

Complete Abdominal including Liver, Gallbladder, Kidneys, Spleen, and Pancreas for structural abnormalities including all major veins and arteries Cost: $250

12 Lead EKG

An ECG – EKG is the best way to measure and diagnose abnormal rhythms of the heart, particularly abnormal rhythms caused by damage to the conductive tissue that carries electrical signals, or abnormal rhythms caused by electrolyte imbalances. After a heart attack or MI (Myocardial Infarction), the EKG can identify if the heart muscle has been damaged in specific areas. The ECG cannot reliably measure the pumping ability of the heart, for which ultrasound-based Echocardiogram – ECHO tests are used. We provide a 12 Lead EKG analysis read by a cardiologist.

 

Cost: $100