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Cardiology

Cardiology2022-09-18T07:34:58-04:00

At CentraState, we’re committed to helping people throughout the region keep their hearts healthy on many fronts. In addition to offering robust wellness and heart disease prevention programs, we provide advanced treatment for a wide range of heart conditions, from coronary heart disease to congestive heart failure. We also provide prompt emergency care and access to expert cardiologists and other physicians trained to safeguard healthy hearts.

732-294-2912
REQUEST INFORMATION
732-294-2912
REQUEST INFORMATION

At CentraState, we’re committed to helping people throughout the region keep their hearts healthy on many fronts. In addition to offering robust wellness and heart disease prevention programs, we provide advanced treatment for a wide range of heart conditions, from coronary heart disease to congestive heart failure. We also provide prompt emergency care and access to expert cardiologists and other physicians trained to safeguard healthy hearts.

CARDIAC SERVICES

Heart and Steth

The Thomas J. Blanchet Cardiac Diagnostic Center at CentraState’s Star and Barry Tobias Ambulatory Campus offers comprehensive services using advanced technology to identify and evaluate heart conditions, and to monitor your progress following treatment for a heart-related condition. The center’s experienced staff is certified in advanced cardiac life support (ACLS).

View the different cardiac diagnostic tests available at CentraState Medical Center below.

Cardiology experts use many different diagnostic procedures—including cardiac catheterization—to determine if you may have heart disease or a heart problem.

Cardiac catheterization is a non-surgical, minimally invasive procedure that allows your cardiologist to take X-ray pictures of your heart to visually assess how well your heart is functioning. Usually performed as an outpatient procedure, it allows our cardiologists to view how your heart functions from the inside without the use of surgery.

Cardiac catheterization can be used to detect the presence and severity of blockages in the arteries of the heart, evaluate the pumping action in the chambers of the heart, determine how well the heart valves are working, uncover heart problems that may have been present since birth, detect possible damage from previous heart attacks, infections, or trauma, check on the results of cardiac bypass surgery, and assess heart function as it relates to surrounding tissues.

Your cardiologist’s office will contact the Cardiac Catheterization Lab to schedule your test, including pre-admission testing, which may include blood work, an EKG, and X-rays. You will be asked to call CentraState’s Centralized Scheduling department at 732-294-2778 on the day before your test to preregister. This ensures that important paperwork is prepared before you arrive for your test.

The Cardiac Catheterization Lab is in the Donna O’Donnell, RN, Medical Arts Building adjacent to CentraState Medical Center.

How Cardiac Catheterization Is Performed

In the Cardiac Catheterization Lab, you are placed on cardiac monitors. You receive a local anesthetic at the site of catheterization and a mild sedative to help you relax. You remain awake during the procedure.

Your cardiologist threads a catheter—a thin, flexible tube—through a blood vessel in your wrist (radial artery) or groin (femoral artery), and carefully advances it into your heart and its arteries using X-ray guidance. Through the catheter, the physician can measure pressures and take blood samples.

A contrast dye is injected through the catheter into your heart’s blood vessels and chambers. The cardiologist can view the movement of the dye through your heart and coronary arteries to identify any areas of narrowing or blockage. This portion of the test is called coronary angiography. The cardiac catheterization team also performs a ventriculography, in which dye is injected into the heart’s pumping chambers to provide a view of the heart’s pumping action. X-ray pictures are taken in the Control Room adjacent to the Cardiac Catheterization Lab during the procedure and recorded digitally. Results will be presented at your follow up appointment.

For more information about CentraState’s Cardiac Catheterization Lab, call 732-303-5174.

Preventing Heart Disease in Women

If you’re noticing any heart disease symptoms, it’s something that you should not put off. Heart disease is the number one killer of women in America. That’s just one of the reasons why CentraState offers cardiac care designed especially for women, from prevention to treatment.

Located in our Star and Barry Tobias Ambulatory Campus, the Gloria Saker Women’s Heart Program at Centrastate was developed and managed by women, to identify women at risk for cardiovascular disease and help them modify preventable risk factors. The Women’s Heart Program offers comprehensive cardiac services from board-certified cardiologists and nurse practitioners who specialize in women’s heart health. We provide in-depth cardiac evaluations, individualized treatment plans, and assistance in preventing cardiovascular disease, including health, wellness, and fitness programs.

Pay attention to these heart disease risk factors in women: Diabetes, chronic kidney disease, metabolic syndrome, strong family history of coronary artery disease, hypertension with a systolic blood pressure above 120, body mass index higher than 25, tobacco use, inactive lifestyle, high cholesterol.

Learn about Early Heart Attack Care (EHAC) here.

Individualized Heart Disease Risk Assessment

The first step in identifying risk factors for heart disease is to conduct an individualized cardiac assessment. This will help us better understand your lifestyle habits and create an appropriate treatment plan. After reviewing your history and assessment results, the next step is a physical examination and screening tests. These may include: blood pressure, cholesterol levels, blood glucose testing, weight/body mass index, cardiac diagnostic tests.

Based on your assessment and test results, we work closely with you and your primary care physician to develop a customized wellness plan that addresses any risk factors you may have.

Scheduling an Appointment

You can be referred to The Gloria Saker Women’s Heart Program at CentraState by your primary care physician, or request an appointment without a referral. We accept most insurances. To request an appointment, call 732-637-6366.

Adopting a Healthy Lifestyle for Your Heart

The Star and Barry Tobias Health Awareness Center helps people adopt healthy lifestyles through our engaging wellness programs. As part of these offerings, our weight management and health services include:

  • Nutrition counseling—A registered dietitian designs a personalized approach to healthy eating and weight management.
  • Weight-loss programs—Group sessions taught by registered dietitians and fitness professionals are custom-designed for those with cardiac risk factors.
  • Metabolic weight analysis—This includes computerized metabolic rate analysis and interpretation of results to help you achieve weight management goals.
  • Smoking Cessation Programs at CentraStateOur trained tobacco dependence counselors provide proven methods to help you achieve your smoke-free goal. A group setting offers mutual support, positive reinforcement, and encouragement.
  • CentraState’s Fitness and Wellness Center– Stocked with the latest strength and cardiovascular equipment, two pools, and more than 170 group exercise classes each week for all fitness levels and ages.

CARDIAC TESTS AND DIAGNOSTICS

24-HOUR HOLTER MONITOR TEST

A 24-hour Holter monitor test can help identify an irregular heartbeat or palpitations. This test is an EKG (electrocardiogram) taken for a 24-hour period. During this time, you are able to go about most of your daily activities at home. A Holter monitor test requires a prescription. To schedule a 24-hour Holter monitor test, call 732-294-2778.

To set up the test, five electrode patches are placed in different locations on your chest. A cable connects the electrodes to a portable electrocardiographic device (the Holter monitor), which records the electrical activity of your heart continually over the next 24 hours, while you go about your normal activities. The Holter monitor can be worn over your shoulder or attached to a belt around your waist.

During the test period, you also keep a detailed diary recording the time and circumstances of any heart-related symptoms, such as chest pain, dizziness, shortness of breath, or heart palpitations. After the test period, you return to the Cardiology Services Department to have the monitor removed and turn in your diary.

The Holter monitor recording is then analyzed and the doctor compares it with your diary to identify any correlation between abnormal recordings and your activities or symptoms.

Do not take a bath or shower. You may wash as long as the recorder does not get wet. Do not use an electric blanket while wearing the recorder. If you are allergic to any tape, alert the technician before the electrodes are placed on your chest.
The recording will be scanned the day you bring it back. Your physician will receive the results in one to three days. Please be sure that we have your doctor’s address before you leave. You may resume all daily activities after the monitor is removed.

STRESS TESTS

An exercise stress test measures your heart’s health during physical activity. It involves walking on a treadmill under the supervision of a physician while your heart is monitored. The test usually takes 30 to 40 minutes. This test helps determine: underlying heart conditions, your fitness level, a safe exercise program for you.

This test can often detect heart disorders missed by an EKG (which is performed while you are at rest). Because the heart beats faster and the body needs more oxygen while exercising, an exercise stress test can provide more specific information about the functioning of the heart muscle and arteries.

To prepare for an exercise stress test, do not eat for 2 hours before the test, wear loose-fitting, comfortable walking clothing, wear flat, rubber-soled shoes or sneakers, women should wear a non-underwire bra, you may also need to avoid certain medications before the test.

During the test, a specially trained technician or nurse places electrodes on your chest. The cables or “leads” from the electrodes are connected to an electrocardiograph recorder. You then step on a treadmill or stationary bike and exercise according to the doctor’s instructions. The technician takes an EKG every minute and monitors your blood pressure and pulse during the exercise. Your results are interpreted by a cardiologist, and your physician or primary care provider will receive them within one to two days.

A prescription is needed for an exercise stress test. To schedule an exercise stress test, please call 732-294-2778 or request an appointment online.

A nuclear stress test is similar to an exercise stress test in that you exercise on a treadmill while your heart is monitored. However, a nuclear stress test also uses thallium or another tracing substance to provide more information about blood flow to your heart. The test will take about 3 to 4 hours.

To prepare for a nuclear stress test, do not eat for 8 hours before the test, wear loose-fitting, comfortable walking clothing, wear flat, rubber-soled shoes or sneakers, women should wear a non-underwire bra, you may also need to avoid certain medications before the test.

During a nuclear stress test you receive an injection of a small amount of a nuclear isotope before and during the test. A rotating camera above you takes pictures of your heart following the injections, both at rest and after you exercise. This way, the cardiologist can visualize the blood supply to your heart before and after the stress test. A physician is present throughout the course of exercise. Your results are interpreted by a cardiologist, and your physician or primary care provider will receive them within one to two days.

A prescription is needed for this test. To schedule a nuclear stress test, please call 732-294-2778 or request an appointment online.

Sometimes called a non-stress test, a pharmacological nuclear stress test evaluates blood flow to the heart by using a tracing substance instead of exercise.

You should avoid eating for four hours before the test. Your doctor will instruct you about certain medications to avoid.

Throughout the test and for a period of time after it, an EKG (electrocardiogram) is taken. A medication that simulates the effects of stress (or exercise) on the heart is given to you through an IV (intravenously), along with nuclear isotopes in order to make it possible to image the heart muscle. A rotating camera above you takes two sets of images—one at rest before the medication is administered and one after the medication is administered. Each set of images takes about 15 minutes. A physician and nurse will be present during the stress portion of the test. Your results are interpreted by a cardiologist, and your physician or primary care provider will receive them within one to two days.

A prescription is necessary for this test. To schedule a pharmacological nuclear stress test, please call 732-294-2778.

ECHOCARDIOGRAMS

The echocardiogram, also called “echo,” is a painless test that is used to track the heart’s movements or diagnose certain heart abnormalities. It operates like the sonar used by whales and submarines to locate objects under water. During the test, sound waves generated by small devices called transducers bounce off heart structures and beam back to a screen where they are recorded. The test typically takes less than 45 minutes.

During the test, you are asked to remove clothing above the waist or anything covering the left side of the chest. A hospital gown and a towel to cover the chest area will be provided. A specially trained technician will hold the echo transducer with firm pressure in various places across the chest. You may be asked to lie in different positions while information is gathered and recorded. A CentraState cardiologist will evaluate the findings and prepare a report that is sent to your physician in one to two days. Your physician will explain the results to you and recommend additional tests or treatment, if necessary.

Echocardiogram with Contrast

Your physician may order the use of an imaging agent to enhance certain parts of the echocardiogram test, which is called echocardiogram with contrast. This involves the insertion of a small intravenous catheter and the imaging agent by a registered nurse. Please let the scheduler know if your physician has indicated this on your prescription when you call to register.

A prescription is required for an echocardiogram. To schedule an echocardiogram, please call 732-294-2778 or request an appointment online.

A stress echocardiogram (stress echo) combines exercise, stress testing, and cardiac ultrasound to look for evidence of ischemic heart disease (narrowed arteries) and monitor blood flow in the heart. The test takes about 1 to 2 hours.

You may walk on a treadmill, pedal a bike, or receive intravenous medicine if you are unable to exercise. An echocardiogram will be done before and immediately after exercise or medication.

Although your doctor will provide specific instructions on how to prepare, the basic guidelines are: Do not eat for 2 hours before the test, wear loose-fitting, comfortable walking clothing, wear flat, rubber-soled shoes or sneakers, women should wear a non-underwire bra, you may also need to avoid certain medications before the test.

A prescription is needed for a stress echocardiogram. To make an appointment, please call Cardiology Services at 732-294-2912.

A transesophageal echocardiogram (TEE) is an invasive diagnostic procedure used to detect abnormalities in the internal structure of the heart muscle.

During the TEE, an IV is started so you can receive a sedative to promote restfulness and prevent discomfort, and you are connected to an EKG monitor. During the test, an ultrasound transducer is passed through your mouth and down the esophagus to view the heart muscle. A cardiologist or nurse, and a cardiac ultrasound technician, are present throughout the procedure.

To prepare for a TEE, you should avoid taking anything by mouth for 6 to 8 hours before the test. If you have dentures, please remove them. There is a short recovery period after the test. If you are taking the test as an outpatient, you must arrange for someone to drive you home.

A prescription is needed for a transesophageal echocardiogram. To schedule an appointment, please call 732-294-2778.

CARDIAC REHABILITATION

If you have a cardiovascular condition or are recovering from a heart attack, a cardiac procedure, or cardiac surgery, the Cardiac Rehabilitation Program at CentraState’s Star and Barry Tobias Ambulatory Campus can help. We offer a three-phase approach to improving your physical and emotional health.

CentraState’s Cardiac Rehabilitation Program is certified by the American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR). The program is led by a medical director who is a board-certified cardiologist. Our team also includes registered nurses with cardiac care experience and cardiac rehabilitation training who are certified by the American Heart Association in advanced cardiac life support (ACLS).

For more information about CentraState’s Cardiac Rehabilitation Program, call 732-294-2918.

Cardiac Rehab Scaled

Phase I of cardiac rehabilitation, which begins in the hospital, provides education about risk factors, nutrition, medications, physical activity, and recovery from surgery. We help you understand how to live with or overcome your condition and how to prepare for life at home.

Phase II is an outpatient, monitored exercise program that meets one to three times a week and is tailored to fit your individual needs. Exercise becomes more vigorous as your function improves, which also helps you gain confidence. The program usually lasts up to three months and incorporates walking, weight training, and other supervised activity using equipment such as treadmills, stationary bikes, rowers, stair climbers, and arm ergometers. A physician referral is needed for participation.

Phase III allows you to continue a supervised exercise program if medically necessary, while also exercising at home. The program meets twice a week and may continue for up to 16 weeks. A physician referral is needed for participation.

After completing the Cardiac Rehabilitation Program, you can continue your commitment to health and well-being through our Fitness and Wellness Center’s Cardiac Wellness Program and Health Awareness Center offerings—all conveniently located at CentraState’s Star and Barry Tobias Ambulatory Campus.

PERIPHERAL ARTERY DISEASE REHABILITATION

CentraState provides a Supervised Exercise Therapy Program designed to aid those with symptomatic peripheral artery disease (PAD), including discomfort in the legs and restricted blood flow to the kidneys, stomach, arms, legs, and feet.

The customized program involves walking on a treadmill at a certain incline and speed until you develop mild discomfort, then taking a break until symptoms subside, then restarting. The exercise is completed under the supervision of a cardiac rehabilitation nurse and is designed to build endurance, alleviate the symptoms of PAD, and possibly prevent the need for surgery.

The program is three times a week for 12 weeks, and participants usually advance from being able to perform 15 to 30 minutes of exercise to 50 to 60 minutes of exercise per day, including warm-up and cool-down time. Once the on-site program concludes, patients are encouraged to exercise on their own at home or a medically-supervised fitness center such as CentraState Fitness and Wellness Center.

The benefits of PAD Rehab include: Improved exercise tolerance, more stamina, better quality of life, reduced probability of having a cardiac event, increased circulation.

For more information about CentraState’s PAD exercise program, call 866-CENTRA7 (866-236-8727).

Supervised exercise therapy is a promising, non-surgical weapon to treat PAD. Patients who have experienced heart attacks or have had open-heart surgery have been referred to supervised exercise therapy programs for many years and have made great strides in regaining their exercise stamina. Because peripheral artery disease often makes exercise painful, this is a new approach, and while exercise may be uncomfortable at first, the benefits greatly outweigh the initial discomfort.

First, you’ll need a formal diagnosis of peripheral artery disease from a referring physician, followed by a prescription. Diagnostic tests for PAD include an ankle-brachial index (ABI) test, which compares the blood pressure in your foot with the blood pressure in your arm; ultrasound, MRI or CT scan of legs; or an arteriogram, which provides a “road map” of your arteries, locating any blockages.

After diagnosis, if your doctor says you are able to exercise and that it’s safe for you to do so, you may begin. The program is covered by Medicare. To determine if other insurance coverage is available, patients can contact their insurance companies for individual policy and plan details.

CARDIOLOGISTS

David Pinnelas, M.D. DP

David Pinnelas, M.D.

Cardiology

Gregory Noto, M.D., FACC

Gregory Noto, M.D., FACC

Cardiac Catheterization, Cardiology

John Werber, M.D. JW

John Werber, M.D.

Cardiology

Ashish Shukla, M.D. AS

Ashish Shukla, M.D.

Cardiology

Leonard Sandler, M.D. LS

Leonard Sandler, M.D.

Cardiology

Peter Farrugia, M.D. PF

Peter Farrugia, M.D.

Cardiology, Interventional Cardiology

Sangeeta Garg, M.D.

Sangeeta Garg, M.D.

Cardiology

Iris Mentle, M.D. IM

Iris Mentle, M.D.

Cardiology

Aaron Van Hise, D.O. AV

Aaron Van Hise, D.O.

Cardiology

Lance Berger, M.D.

Lance Berger, M.D.

Cardiology

Peter Hynes, M. D. PH

Peter Hynes, M. D.

Cardiology

John Covalesky, D.O.

John Covalesky, D.O.

Cardiology

Robert Kayser, M.D., F.A.C.C., F.S.C.A.I.

Robert Kayser, M.D., F.A.C.C., F.S.C.A.I.

Cardiac Catheterization, Cardiology, Endovascular Intervention

Maurice Weiss, M.D. MW

Maurice Weiss, M.D.

Cardiology

Ashish Awasthi, M.D.

Ashish Awasthi, M.D.

Cardiac Catheterization, Cardiology, Endovascular Intervention

Edmund Karam, M.D. EK

Edmund Karam, M.D.

Cardiology

Riple Hansalia, M.D. RH

Riple Hansalia, M.D.

Cardiology

Jatinchandra Patel, D.O.

Jatinchandra Patel, D.O.

Cardiac Catheterization, Cardiology

Rayson Yang, M.D. RY

Rayson Yang, M.D.

Cardiology

Divya Menon, M. D. DM

Divya Menon, M. D.

Cardiology

Ted Gutowski, M.D.

Ted Gutowski, M.D.

Cardiology

Arthur Okere, M.D. AO

Arthur Okere, M.D.

Cardiology

Renato Apolito, M.D.

Renato Apolito, M.D.

Cardiac Catheterization, Cardiology, Endovascular Intervention

Stephanie Chin, M.D. SC

Stephanie Chin, M.D.

Pediatric Cardiology

Aarti Patel, M.D.

Aarti Patel, M.D.

Cardiology

Elsa Castro, M.D. EC

Elsa Castro, M.D.

Pediatric Cardiology

Sadaf Khan, M.D. SK

Sadaf Khan, M.D.

Pediatric Cardiology

Vincent Zales, M.D. VZ

Vincent Zales, M.D.

Pediatric Cardiology

Jasrai Gill, M.D. JG

Jasrai Gill, M.D.

Cardiology

Chase  Contino, M.D. CC

Chase Contino, M.D.

Cardiology, Clinical Cardiac Electrophysiology

Maria Umali, M.D. MU

Maria Umali, M.D.

Pediatric Cardiology

Michael Macciocca, MD MM

Michael Macciocca, MD

Cardiology

Mitchel Alpert, M.D. MA

Mitchel Alpert, M.D.

Pediatric Cardiology

Loyda Rivera, M.D. LR

Loyda Rivera, M.D.

Pediatric Cardiology

Matthew Schoenfeld, MD MS

Matthew Schoenfeld, MD

Cardiology, Echocardiography, Nuclear Cardiology

Mildred G.
Mildred G.
Mildred G.
When Mildred Grace, 72, had an EKG as a safeguard before a scheduled surgery, it signaled that she may have a cardiac issue. At the advice of a friend, she contacted the Gloria Saker Women’s Heart Program at CentraState—where she learned that despite not having any symptoms, she had three health conditions that put her at risk for a serious...Read More >
Bart G
Bart G
Bart G
Long-Time First Responder Marks Another First Bart Amburgey, an 87-year-old lifelong resident of New Egypt, is considered by many as a legend in his hometown. Earning the nickname “Father Bart” for his reputation as a role model and storyteller, he has volunteered in his community throughout his life—including 47 years with the first aid squad and 50 years with the...Read More >
Larry D.
Larry D.
Larry D.
Larry Donsky is known for cracking jokes and making people laugh, but when he suffered a heart attack last June, he got serious about his health with cardiac rehabilitation. Active in the men’s club of his adult community and the local Italian-American club, the 77-year-old Jackson resident regularly booked entertainers for club events. During one event, he was asked to...Read More >

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Remarkable Recovery Through Cardiac Rehab

Ken Savoia, 59, was no stranger to heart issues. The avid runner had seen his cardiologist, Ted Gutowski, MD, regularly for the last 15 years to ensure that minor cardiac troubles didn’t develop into more concerning conditions. Then three years ago, Dr. Gutowski diagnosed Ken with hypertrophic obstructive cardiomyopathy (HCM)....Read More>

Quick Action Saves Freehold Man While Exercising

Bob Mackiel, 73, is no stranger to exercise. He typically swims, walks on a treadmill, and uses weight machines three times a week. Despite having a heart attack in 2016 and a pacemaker, Bob, of Freehold, was in good health. He was shopping for a new gym when his doctor...Read More>

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