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Cardiology Consultation for Outpatients

All our physicians are dedicated, full-time clinical cardiologists. We have been providing cardiology consultative services in the MetroWest area for over three decades. We provide comprehensive cardiology consultative services for all manner of cardiac conditions, including pre-surgical evaluation, second opinion consultations, and ongoing follow-up of our existing patients. Our physicians are committed to seeing you promptly and to take extra time to communicate to you and your family our treatment plan.

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Cardiac Consultations for Inpatients

Physicians from the Heart Center of MetroWest are always available day and night to manage the medical needs of cardiac patients who require inpatient hospital care. We are available for comprehensive cardiology consultation, especially for patients in the Coronary Care Unit, Intensive Care Unit, and Telemetry Unit.  These inpatient consultations are available at Framingham Union and Leonard Morse Hospitals.

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Cardiac Catheterization Laboratory

Our cardiologists use sophisticated digital technology to perform diagnostic cardiac catheterizations in the Cardiac Catheterization Laboratory at Framingham Union Hospital.  This is an invasive procedure that begins by the physician placing a small, flexible tube (catheter) in the artery of the arm or leg. Then, dye is injected into the coronary arteries to identify any potential blockages. It also allows for an evaluation of the heart’s pumping function and can identify other conditions, such as congestive heart failure. Following your catheterization you may be a candidate for coronary angioplasty and/or stenting which will be performed by our board certified Interventional Cardiologists. For patients who present to the Emergency Room with a heart attack we offer life-saving Primary Angioplasty.

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Cardiac Rehabilitation Services

Under the directorship of our Heart Center Cardiologists both acute and maintenance cardiac rehabilitation are offered to our patients at MetroWest Medical Center. These highly successful programs are medically supervised .The primary purpose is to expedite recovery from cardiac events or conditions through individualized exercise prescriptions and enhanced patient education and risk factor modification. The ultimate goal is to reduce the chances of further progression of a patient's cardiovascular illness. Please contact us for further information and if you wish to join one of our programs.

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Electrophysiology Services

Electrophysiology (EP) is a subspecialty of cardiology focusing on the management of abnormal heart rhythms.  The Heart Center of MetroWest is the only cardiology group in the area that has a board certified electrophysiologist on staff to evaluate patients with abnormal heart rhythms.  Symptoms of abnormal heart rhythms can include palpitations, fluttering and fainting spells.  These symptoms can be evaluated in our office where we provide our patients with ambulatory heart monitors.  Once a diagnosis is made, many of these abnormal heart rhythms can be successfully treated in the state of the art electrophysiology laboratory located at MetroWest Medical Center.  At this facility, our cardiologists can perform a wide range of procedures to treat abnormal heart rhythms including ablations and the insertion of pacemakers and defibrillators.

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Women’s Cardiovascular Clinic

Cardiovascular disease is the number one cause of death in women, killing 6 times as many women as breast cancer.  The natural history, presentation, diagnosis and treatment of cardiovascular disease are often different in women than in men.  Recognizing these differences and the risk posed to women by cardiovascular disease, the Heart Center of MetroWest offers a Women’s Cardiovascular Clinic.  The clinic is directed by Dr. Elizabeth Ascher. The Women’s Cardiovascular Clinic will allow Dr. Ascher to work with women in addressing the growing number of cardiovascular issues that are unique to women. 

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Echocardiography

An echocardiogram is a test that uses sound waves to take pictures of the heart, obtaining important information regarding your heart’s size and function. It is especially useful in aiding the management of patients with coronary artery disease, valvular heart disease, congestive heart failure, and congenital heart disease.  In addition, we offer trans-esophageal echocardiography (TEE.)  During a TEE, a flexible tube is passed through your mouth and into the esophagus in order to take detailed pictures from behind the heart without the sound waves having to travel through skin, lungs, and bone. TEE can frequently obtain more detailed pictures than can be obtained by the external echocardiogram. Our Echocardiography Laboratory is staffed by cardiologists who are board certified by the National Board of Echocardiography.

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Stress Testing

Stress testing is a fundamental diagnostic exam to assess cardiac function and health.is commonly used to determine whether coronary artery disease is present and can give powerful prognostic information in patients with known heart disease.  It also can be used to determine your exercise capacity, problems or to determine the effects of exercise on your heart rhythm.  A cardiologist will interpret your test and will make recommendations regarding necessary follow-up.

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Nuclear lmaging and Stress Echocardiography

Comprehensive cardiac imaging services enable our physicians to provide state-of-the-artdiagnostic evaluation and follow-up treatment for our patients. In many circumstances, pictures need to be taken of the heart following a stress test in order to obtain more detailed information.  A Nuclear stress test is a non-invasive test that can determine whether there are blockages in the coronary arteries, and whether there has been a previous heart attack. It also provides powerful prognostic information in patients with known heart disease.  Our Cardiac Imaging Laboratory is directed by cardiologists who are board certified in Nuclear Cardiology.  In addition to nuclear stress testing we offer exercise stress echocardiography which may also be used to non-invasively determine if you have coronary artery disease. For patients with known heart disease it can be used to monitor your progress.

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Advanced Cardiac Imaging

Using powerful magnetic fields, MRI can non-invasively evaluate the anatomy and function of the heart. The information obtained during a cardiac MRI study often cannot be obtained by other cardiac imaging technologies. It is available as a joint program with the Heart Center of MetroWest and MetroWest MRI. Cardiovascular Computed Tomography is an emerging technology that can aid in the non-invasive evaluation of coronary artery disease. Our physicians can arrange for coronary CT angiography when other imaging modalities do not provide the necessary information.

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Pacemaker and Defibrillator Clinic

The Heart Center of MetroWest has a full-time clinic dedicated to monitoring patients with pacemakers and defibrillators, including biventricular devices.  Patients followed in our clinic have their devices checked routinely over the phone and periodically in our office.  We also offer informational meetings and support groups for patients with pacemakers and defibrillators.  These meetings are held throughout the year.  

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Anticoagulation Clinic

The Heart Center of MetroWest has a full-time clinic focused solely on managing patients who require anticoagulation with warfarin for conditions such as atrial fibrillation and valvular heart disease.  We check patient’s anticoagulation levels in our clinic with a finger stick.  This allows us to obtain instant results and provide immediate instructions.  We are also available to help provide guidance and instruction to patients if it becomes necessary to temporarily discontinue anticoagulation for surgical or dental procedures.

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Cholesterol Clinic

Abnormal cholesterol levels increase patients’ risk of having heart attacks and strokes.  The Heart Center of MetroWest has created a cholesterol clinic to help patients improve their cholesterol levels and reduce their risk of heart attacks and strokes.  This clinic is under the direction of Dr. William Castelli.  Dr Castelli is world famous for his expertise in cholesterol disorders. He is also the former director of the Framingham Heart Study.

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