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wevtecservic · 10 months

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Expert Cardiology Consultants in Houston: Your Pathway to Heart Health

Heart disease is a leading cause of mortality worldwide, making it crucial to have access to skilled and compassionate cardiology consultants. In the bustling metropolis of Houston, Texas, you'll find an array of renowned cardiology consultants who are dedicated to delivering top-notch care for heart-related issues. In this blog, we'll explore why these specialists are essential and highlight some of the leading cardiology consultants in Houston. The Significance of Cardiology Consultants Cardiology consultants are medical professionals with specialized expertise in diagnosing, treating, and preventing heart diseases. They play a vital role in safeguarding the heart health of patients through a combination of diagnostic tests, medication management, interventional procedures, and lifestyle counseling. A trusted cardiology consultant can help you maintain a healthy heart or address any existing cardiac issues effectively. Leading Cardiology Consultants in Houston Houston Methodist DeBakey Heart & Vascular Center One of the foremost names in cardiology in Houston is the Houston Methodist DeBakey Heart & Vascular Center. This world-renowned institution is affiliated with the Houston Methodist Hospital, consistently ranked among the top hospitals in the United States. The center is home to a team of highly skilled cardiology consultants who provide comprehensive services, including diagnostic testing, interventional procedures, and cardiac rehabilitation programs. Memorial Hermann Heart & Vascular Institute The Memorial Hermann Heart & Vascular Institute is another prominent player in the field of cardiology in Houston. With a vast network of hospitals and clinics throughout the city, they offer a wide range of cardiology services, from general heart care to advanced cardiac surgery. Their cardiology consultants are known for their expertise in diagnosing and treating complex cardiac conditions. Texas Heart Institute The Texas Heart Institute is an internationally renowned research and treatment facility based in Houston. It has a long history of pioneering cardiovascular research and innovations in the field. The institute's cardiology consultants are at the forefront of cardiac care, specializing in the treatment of heart diseases through the latest advancements in medical technology. Kelsey-Seybold Clinic Kelsey-Seybold Clinic is a multi-specialty medical group that offers a comprehensive range of healthcare services, including cardiology. Their team of board-certified cardiologists provides personalized care for heart patients. With various locations in Houston, they make cardiology consultations easily accessible for the city's residents. Baylor St. Luke's Medical Center Baylor St. Luke's Medical Center, a part of the CHI St. Luke's Health system, is well-known for its cardiac services and is home to some of Houston's most esteemed cardiology consultants. They are equipped to handle a wide spectrum of heart conditions, ranging from arrhythmias and heart failure to complex heart surgeries. Conclusion In a city as diverse and dynamic as Houston, it's comforting to know that you have access to a host of exceptional cardiology consultants who are dedicated to your heart health. From renowned institutions like the Houston Methodist DeBakey Heart & Vascular Center to the pioneering research at the Texas Heart Institute, you have a wealth of options for seeking expert cardiology care. If you're looking to maintain a healthy heart or require specialized treatment for a cardiac condition, don't hesitate to consult one of these leading cardiology consultants in Houston. Your heart deserves the best, and these experts are here to ensure it receives the care and attention it needs to thrive. Your heart health is a top priority, and with these exceptional professionals by your side, you're in good hands.

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advancedcardiodr · 5 years

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Advanced Cardiovascular Care Center | Best Cardiologists in Houston

#cardiology hospital in houston cardiologist in houston cardiology hospital

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themontgomeryheart-blog · 5 years

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Address: 10480 Main Street, Houston, TX 77025

Phone: (713) 599-1144

Located in Houston, Texas, The Montgomery Heart & Wellness Center is a state-of-the-art wellness facility complete with all the technology and resources to provide comprehensive medical and wellness care. Having seen many patients suffer the consequences of chronic heart disease, Dr. Baxter Montgomery founded the practice in 2006 with the mission to reverse and prevent life-threatening illness.

Dr. Baxter Montgomery is a Board Certified Cardiologist with years of experience in the latest medical practices and nutritional health. He is a Clinical Assistant Professor of Medicine in the Division of Cardiology at the University of Texas and a Fellow of the American College of Cardiology. In addition to running Montgomery Heart & Wellness, he manages arrhythmias and coronary disease, performs angiographies, defibrillator implants, and other hospital procedures and teaches young physicians.

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nelsonshake · 7 years

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6th Echocardiogram: Visiting Houston

We met with Texas Children’s Hospital (TCH) in Houston yesterday because they’re the number one pediatric cardiology unit in the nation, we wanted a second opinion, and they can do a sedated heart echocardiogram, which would give the clearest image to date of Isla’s heart.

Since the echo entailed sedation, we had to put Isla on a fast. We fed her one last time at 6:15 in the morning. She’s been eating well lately—more ounces per day than ever—so we were worried she might lose it later in the afternoon when she was hungry, but she did pretty well. We gave her the oral sedative at 1:00, and within 30 minutes she was out. (It is a strange thing to see your child drugged. It’s not like when you peek into their room and catch a glimpse of them sleeping. She was just limp, lifeless. It was really quite disturbing for me.)

They also did an X-ray of Isla’s chest, which in the past has shown if her heart is dilated or enlarged. Soon after all of this, we met with Dr. Alan Riley. He’s the cardiologist our doctor in Temple connected us with. He gave us a wealth of information and was quite helpful, answering any questions we had and carefully explaining what’s ahead.

The main thing we learned is that the hole between Isla’s ventricles, called a VSD, is larger than anyone initially thought. We’ve been under the impression that it is 5 millimeters in size, which it is—5 millimeters in width; however, it is also a very long hole, stretching from the top of Isla’s heart to the back of it. Now, it’s true that, as our doctor in Temple has told us, the tricuspid valve is beginning to cover up part of the VSD, but it is covering up the hole better in some places than others because of how long the VSD is. In Dr. Riley’s mind, the growth of the tricuspid valve alone probably won’t be enough to cover over the VSD. (This isn’t to completely discount the tricuspid valve’s growth, either. Dr. Riley said that without its growth we would’ve already done surgery.)

Another newer concern has to do with the aortic valve, the most important part of the heart. It occupies the space at the other side of the VSD and hangs right above it. Sometimes a VSD can start to draw the aortic valve into the hole because of the intense pressure involved with the ventricles. If that happens, the aortic valve can start to leak, and then you have a dangerous case on your hands. That hasn’t happened with Isla, but it’s not out of the realm of possibility, and that concerns Dr. Riley.

(I realize I’m only mentioning the VSD. That’s because the hole between Isla’s atria, the ASD, is really inconsequential in comparison. If the ASD were the only hole in her heart, we wouldn’t even be meeting with doctors in Houston. You can monitor a kid with an ASD for years and not have to worry about substantial health problems.)

We asked for Dr. Riley’s honest opinion, and he said that from where he stood he thought the holes closing on their own is unlikely. That said, we still have some time to see if they will. He explained that research has shown letting a VSD like this linger past one year of age can begin to bring in a host of other problems. So for Isla right now, her first birthday in April is the benchmark. That gives us four to five months to try a few things.

The main thing Dr. Riley wants to try is to wean her off medicines and see if her heart grows stronger on its own. The reason we can do this safely is that Isla’s heart condition isn’t the kind that will result in sudden cardiac arrest. Any deterioration would be gradual and announce itself with noticeable signs—difficulty eating, more labored breathing, etc.

We give Isla Enalapril once a day for her blood pressure and Lasix twice a day for the dilation and enlargement of her heart. We’re stopping Enalapril today and will drop Lasix to once a day next week. If her heart in the coming months improves without medications, great. If it doesn’t and her heart starts to become enlarged or dilated again, then we’ve got our answer: Her heart isn’t going to improve on its own, and we need to move to surgery.

So, again, open-heart surgery would likely happen close to her first birthday, somewhere around April.

We’ll see our cardiologist in Temple in December and then visit Dr. Riley in Houston again in January to check in on how Isla’s doing with decreased meds. We’ll remain in a holding pattern until then.

One thing we continue to be grateful for is how Isla doesn’t know anything different. She remains a happy, joyful baby. She charms the nurses, techs, and doctors with her big smile and laugh, and we like to think she brings a little light to a medical world dealing with dour and difficult situations.

We covet your prayers and would like to ask you to pray specifically for several things concerning all of this:

That Isla’s heart could get stronger without her medication

That she would not get sick, specifically avoiding any respiratory illness, throughout the winter months

To that end, please pray that Sally and I can also avoid getting sick

That she would continue to eat well

That the needs of our day to day can still be accomplished while we’re juggling all of this

Thank you for continuing to pray for her and for us.

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gordonwilliamsweb · 4 years

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Eerie Emptiness Of ERs Worries Doctors As Heart Attack And Stroke Patients Delay Care

The patient described it as the worst headache of her life. She didn’t go to the hospital, though. Instead, the Washington state resident waited almost a week.

When Dr. Abhineet Chowdhary finally saw her, he discovered she had a brain bleed that had gone untreated.

The neurosurgeon did his best, but it was too late.

“As a result, she had multiple other strokes and ended up passing away,” said Chowdhary, director of the Overlake Neuroscience Institute in Bellevue, Washington. “This is something that most of the time we’re able to prevent.”

Chowdhary said the patient, a stroke survivor in her mid-50s, had told him she was frightened of the hospital.

She was afraid of the coronavirus.

The fallout from such fear has concerned U.S. doctors for weeks while they have tracked a worrying trend: As the COVID-19 pandemic took hold, the number of patients showing up at hospitals with serious cardiovascular emergencies such as strokes and heart attacks shrank dramatically.

Across the U.S., doctors call the drop-off staggering, unlike anything they’ve seen. And they worry a new wave of patients is headed their way — people who have delayed care and will be sicker and whose injuries will be exacerbated by the time they finally arrive in emergency rooms.

It has alarmed certain medical groups, such as the American College of Cardiology and the American Heart Association. The latter is running ads to urge people to call 911 when they’re having symptoms of a heart attack or stroke.

‘Where Are All These Patients?’

Across the country, ER volumes are down about 40% to 50%, said Dr. William Jaquis, president of the American College of Emergency Physicians.

“I haven’t seen anything like it, ever,” he said. “We anticipated, actually, higher volumes.”

But doctors say once-busy emergency rooms have slowed to an eerie calm.

“It was very scary because it was so quiet,” Dr. David Tashman, medical director of the ER at USC Verdugo Hills Hospital in Glendale, California, said about the early days of the outbreak.

“We normally see 100 patients a day, and then, you know, overnight, we were down to 30 or 40.”

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Some of that decrease in normal patient volume was deliberate.

As hospitals prepared for a surge of COVID patients, officials advised people to avoid emergency rooms if at all possible. Tashman said he wasn’t surprised to see fewer trauma patients, because the roads were emptier. But soon he and other ER physicians noticed that even truly urgent cases were not coming in.

“We know the number of heart attacks isn’t going to go down in a pandemic. It really shouldn’t,” Tashman said.

Dr. Larry Stock, an ER doctor at Antelope Valley Hospital in Lancaster, California, thought the same thing.

“I mean, we’ve all been scratching our heads — where are all these patients?” Stock said. “They’re at home, and we’re starting to get … the tip of the iceberg of this phenomenon.”

One study collected data from nine hospitals across the country, focusing on a crucial procedure used to reopen a blocked cardiac artery after a heart attack. The hospitals performed 38% fewer of those procedures in March than in previous months.

At Harborview Medical Center in Seattle, Dr. Malveeka Sharma has tracked a 60% decline in stroke admissions in the first half of April compared with the previous year.

Nationally, 911 call volumes for strokes and heart attacks declined in March through early April, according to data collected by ESO, a software company used by emergency medical service agencies.

In Connecticut, Dr. Kevin Sheth noticed a similar trend at Yale New Haven Hospital.

Sheth started calling other stroke doctors, trying to understand what was happening.

“The numbers had dramatically plummeted almost everywhere,” said Sheth, chief of the division of neurocritical care and emergency neurology at Yale School of Medicine. “This is a big deal from a public health perspective.”

Sheth said clinical stroke centers have seen an “unprecedented” drop in stroke patients being treated, with decreases from 50% to 70%.

In April, the American Heart and American Stroke associations put out emergency guidance to ensure health care providers keep stroke teams active and ready to treat patients during the pandemic.

Sheth said he worries it could be challenging to care for all the patients who eventually show up at hospitals in even worse shape after delaying care.

“When those stroke numbers come back, we could have serious capacity issues,” he said. “We were already bursting at the seams.”

“People are in this fear mode,” said Dr. John Harold, a cardiologist at Cedars-Sinai Medical Center in Los Angeles and board president of the Los Angeles chapter of the American Heart Association.

Harold said the full public health consequences of people avoiding the hospital aren’t yet clear.

“The big question is, are these people dying at home?” he asked.

Patients Fear The Hospital

Patients who are already at higher risk of experiencing medical emergencies describe a mix of fear and confusion about how to get safe and adequate care.

In March, Dustin Domzalski ran out of his epilepsy medication.

The 35-year-old from Bellingham, Washington, had trouble reaching his doctor, whom he would normally see in person, to get a refill.

Within a few days of not taking the medication, he had a major seizure while in the shower. His caregiver called an ambulance, which took him to the ER.

“I woke up and asked where I was and what happened,” Domzalski said. “The guy in the next room to me was coughing and doing all kinds of stuff.”

The experience was so unnerving that Domzalski now plans to avoid the hospital if at all possible.

“I am not going to the hospital unless I have a seizure and injure myself,” he said. “I’d rather stay here than potentially have problems from the virus.”

Miami resident Stayc Simpson recalled a frightening ordeal when she went to the ER in mid-March.

Simpson, a cancer survivor with heart failure, woke up with a pounding heart rate that she worried could signal a heart attack.

At the hospital, she was screened for COVID-19 and was soon moved to a unit for suspected cases because she had a cough, even though that is also a symptom of heart failure.

“When the reality hit that I was in the COVID unit, I thought, ‘If I didn’t have it before, then I probably will now,'” Simpson said.

She spent a day there, wracked with anxiety. Six days later, back at home, she learned she had tested negative for the virus.

Simpson knows the hospitals have made many changes since the early days of the pandemic, but the thought of calling 911 still scares her.

“I have seen news reports that tell me it’s safer now. … I don’t know if I have full confidence in that right now,” she said. “The risk of COVID is terrifying.”

Dangerous Risks Of Postponing Care

Some physicians are already glimpsing the consequences of patients putting off care.

“I’ve never seen the number of delays that I have in the last month or so,” said Dr. Andrea Austin, an ER physician in downtown Los Angeles.

She’s treating more serious cases because patients are waiting. “That’s really one of the tragedies of COVID-19,” Austin said. “They’re staying at home and trying to diagnose themselves or really playing down their symptoms.”

Chowdhary, the neurosurgeon from Bellevue, Washington, said some of his stroke patients have already seen life-altering consequences.

One older man noticed weakness on the left side of his body but avoided the hospital for four days.

“Now, at that point, we couldn’t do anything to reverse the stroke,” Chowdhary said. “That weakness is permanent.”

Because of the stroke damage, the patient could no longer take care of his wife, who has cognitive issues. Eventually, the couple had to leave their home and move into a nursing home.

Jennifer Kurtz, stroke program coordinator at Overlake in Bellevue, said some patients who delayed care are now grappling with the physical and emotional toll.

“They feel so much guilt and regret that they didn’t come to the hospital earlier,” she said.

A caregiver confessed to Kurtz that she didn’t bring her husband to the hospital when she first noticed symptoms of a stroke.

“She can’t even tell her daughter [that] … because she is so ashamed,” Kurtz said.

Doctors Plead: ‘Don’t Delay’

Patients must navigate the sometimes conflicting messages from public officials as well as disruptions to their routine medical care.

The surge of COVID-19 patients in hot spots such as New York City and New Orleans led to “the sense of an overstretched health care system without capacity,” said Dr. Biykem Bozkurt, president of the Heart Failure Society of America and a cardiologist at Baylor College of Medicine in Houston.

“This may have created a false sentiment that routine care is to be deferred or that there is no capacity for non-COVID patients — this is not the case,” Bozkurt said. “We would like our patients to seek care, not wait.”

Hospitals are also trying to reassure patients they are taking precautions to keep them safe. Many have set up protocols for admitting suspected COVID-19 patients, such as separate screening areas inside the ER and dedicated areas of the hospital for coronavirus inpatients.

Tashman, the emergency physician at USC Verdugo Hills Hospital, is pleading with patients to come in for help immediately for heart attack and stroke symptoms: “Don’t delay. You’re not bothering us. You’re not imposing on us.”

This story is part of a partnership that includes KPCC, NPR and Kaiser Health News.

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stephenmccull · 4 years