At UPMC Heart and Vascular Institute (formerly York Heart & Vascular Specialists), we specialize in cardiology, electrophysiology, and vascular medicine. Our team of cardiologists is specially trained in invasive and non-invasive cardiac and vascular procedures and brings many years of experience to our patients in the York, PA community. We look forward to working with you and your referring physician to develop the best plan of care for your health.
We are excited to bring our heart and vascular experts from York Heart & Vascular Specialists together with UPMC Hanover to provide a range of cardiovascular services to York and Adams counties.
As a convenience to our patients, limited laboratory testing can be performed at our York, PA office. Your blood specimen is taken at our office and hand-delivered to UPMC Memorial for the results. If there are any concerns about these results, our office will contact you, but please feel free to call us if you have not heard anything. It is our office policy to contact patients about testing results within two weeks. This call will notify you as to whether a change is required in your plan of care. High quality, effective communication about your health care is a priority for our practice.
Electrocardiography is a method by which the electrical activity of the heart is recorded. It is an important tool, frequently used by cardiologists, in evaluating the heart. There are a few methods by which this can be achieved in our office: A 12-lead ECG (electrocardiogram) is done by attaching multiple cables to your limbs and chest wall. The electrical signals from your heart are then transferred to a printed “picture.” This is a painless procedure done in a matter of minutes.
Another way of recording the heart’s electrical activity is through holter monitoring or event recorders. These are also painless but involve a longer period of time. If you are curious about the details of this testing, please see the link under patient education/procedures and testing.
York, PA Patients who have permanent pacemakers, implantable cardiac defibrillators or implantable loop recorders require specialized, perhaps more frequent, office visits. Patients who have a device are seen in our device clinic and often a representative from the company who manufactured the device is also present.
What happens during this visit?
Through computerized equipment, implantable devices are “interrogated” on a routine basis. Some of this may be done remotely from your home; however, it is necessary for an in-office visit at least annually. This testing is done through the use of a piece of equipment called a pacemaker programmer. A few ECG (electrocardiogram) leads will be attached to the skin. A sensor, which often looks like a donut, is laid on top of the device. This sensor is attached to the computerized programmer via a cable. This is a painless process and allows the programmer to “look at the activity of the device.” Special testing is done to ensure proper function of the device. During this process, reports are printed from the programmer and placed in your chart. A letter about the testing results is then sent to your primary care physician.
What is remote monitoring?
Remote monitoring is a means by which the device can be monitored without leaving home. Depending on the type of device, this can be done in one of two ways.
The first is called Transtelephonic or TTP. Using special home equipment and a regular home phone, signals are transmitted through a computerized system. This information is then reviewed by a technician and reported to your pacemaker nurse/physician.
The second method is a wireless system. Using a home, remote system, devices are monitored wirelessly. Often times, this occurs while the patient is sleeping. Regardless of which method you choose, the necessary equipment is supplied to you by the manufacturer of the device.
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