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APEX Heart Centre Services

Consultation

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  • Cardiology Consultations
  • Subspecialty Cardiology Clinics:
    • Heart Failure
    • Post-revascularization
    •  Arrhythmia

Onsite Cardiac Testing

  • 12-lead ECG
  • Treadmill exercise stress test
  • Echocardiogram
    • Bubble study
    • Contrast study
  • Exercise stress ECHO
  • Dobutamine stress ECHO
  • Holter
    • 24hr, 48hr, 7days, 14days 24hr
  • Ambulatory BP monitor
    • $50 surcharge

Subspecialty Clinics

Heart Failure Clinic​

Patients with clinical findings of heart failure and Echo showing LV systolic or diastolic dysfunction. Patients with heart failure require close monitoring and uptitration of HF medications to prevent recurrent hospitalization. We will be incorporating a nurse educator to provide patient guidance on dietary changes, exercise, weight monitoring, and sick day medication management. This will ensure timely and appropriate care for all heart failure patients.

Post-Revascularization Clinic

Patients with MI, PCI, or CABG within 1 year. Patients following coronary revascularization are at high risk of recurrent cardiac events within 1 year. This clinic is set up to help ensure patients achieve targets for BP, LDL-C, HbA1C, and help manage dual antiplatelet therapy post revascularization. A nurse educator will provide patient guidance on dietary changes, exercise, weight loss and smoking cessation. After the first year, the patient will have ongoing follow-up with an APEX cardiologist for annual or biannual review.

Arrhythmia Clinic

Atrial fibrillation, tachy- or brady-arrhythmias, presyncope, syncope, palpitations. We will be working in partnership with the Arrhythmia Clinic at KHSC to ensure seamless patient transition between the 2 sites. Patients requiring devices, ablations, or cardioversions will be referred to KHSC. Dr. Kevin Michael is a specialist in electrophysiology and arrhythmia (see biography) and will provide ongoing care for difficult to manage arrhythmia patients.

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