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What Does A Cardiologist Do On Your First Visit?

what does a cardiologist do on your first visit

Understanding What Does A Cardiologist Do On Your First Visit?

If you are seeing a cardiologist for the first time, and you’re worried about your heart, it can be a bit overwhelming. Knowing what to expect during your first visit can help calm your anxiety, as well as help you prepare for your visit. This article will discuss what does a cardiologist do on your first visit, what the experience of meeting a cardiologist for the first time is typically like, and some potential treatments and assessments you could experience.

What Does A Cardiologist Check On The First Visit?

When you have your first appointment with a cardiologist, they will conduct an extensive assessment to determine your cardiovascular health status. The visit will primarily consist of a comprehensive review of your medical history–including any prior heart problems–your family history of cardiac disease, and any other factors (medications, lifestyle) that could affect your heart health.

So, if you are wondering, what does a cardiologist check on the first visit? First, your cardiologist will ask questions about whether you have any symptoms. These will include questions regarding things like chest pain, shortness of breath, palpitations, fatigue or lightheadedness, as well as the timing of the symptoms. What precipitated the symptom? How does your symptom relate to activities of daily living, like exercise? This assessment allows the doctor to assess the severity of your issue and aspects of the symptoms.

The last step of the visit is a physical examination, which is one of the most significant steps. The cardiologist will listen to your heart and lungs with a stethoscope to detect abnormal sounds, murmurs, or irregular heart rates. Your cardiologist will also check for swelling in the extremities, palpate your pulse at several arteries, and check your blood pressure; this is a generic overall evaluation that says a lot about your cardiovascular function.

Tests Done By A Cardiologist On The First Visit

So, what tests done by cardiologist on the first visit? In the first appointment, many cardiologists still do several diagnostics and collect as much cardiac information as possible.

  • The most common test is an electrocardiogram (ECG or EKG), which records your heart’s electrical activity. This painless diagnostic only takes a few minutes to administer, and can detect the heart’s abnormal rhythms, signs of previous infarctions, or other heart issues.
  • If your doctor suggests tests, they may recommend an echocardiogram (or “echo”), which shows how your heart is working. An echocardiogram is an ultrasound of the heart. This test involves applying gel freely onto the patient’s chest, then imaging the heart using sound waves, which also images structures of the heart and its functioning. It can give the doctor information about many variables about the heart, such as how thick the wall of the heart is, how the heart is functioning overall, and more.
  • The cardiologist will often order blood tests to obtain their metrics regarding health indicators. For example, cardiologists may be interested in cholesterol numbers, levels of blood sugars, inflammatory markers, or cardiac enzymes, which may indicate damage to the heart.
  • Depending on your symptoms and risk factors, your cardiologist may propose doing a stress test during their office visit, or they may schedule it for a later appointment. The stress test can be used to see how the heart responds to stress or exertion and is valuable for diagnosing coronary artery disease or possibly detecting cardiac issues that are not apparent at rest.

what does a cardiologist check on the first visit

What To Expect During Your Cardiology Doctor Consultation

The consultation part of your visit with the cardiologist is when you talk to the cardiologist. Include questions about your symptoms, treatments, lifestyle changes/suggestions, prognosis, etc. Your doctor will review the initial findings with you in terms you can understand and discuss further considerations and treatment plans.

Your Cardiologist will review all your tests with you and tell you in what context they should be interpreted when considering your heart health. If any testing shows an abnormality, they will explain the significance of the abnormality and offer recommendations for next steps (medications, lifestyle changes, more tests, or, in some cases, referring you to other specialists).

Risk factor mitigation is often an essential part of your first visit. Your cardiologist will examine risk factors like high blood pressure, high cholesterol, diabetes, smoking, being overweight, and not getting enough exercise. Then, in an effort to improve your cardiovascular health and prevent any further deterioration, your cardiologist will suggest specific changes to reduce these risk factors.

Preparing For Your First Cardiologist Appointment

For Your First Visit:

  • You must have a complete list of medications and supplements (with doses). Try to collect any other medical records, test results, or reports associated with your heart health. If you have had cardiac surgeries or hospital procedures, it’s wise to take records of these, too.
  • Write everything you can related to your symptoms. Your cardiologist will want to know the date of onset, frequency of the episodes, and whether there were any predisposing factors before the event. Please describe the aggravating and relieving factors as well. The more precisely you describe your symptoms to your cardiologist; the easier it will be for your cardiologist to arrive at a proper diagnosis and an appropriate, effective treatment plan.

Follow-Up Care And Ongoing Cardiology Treatment

The initial appointment establishes the groundwork for how your heart health will be managed. Based on your first assessment and testing, your cardiologist will decide a plan for your management, whether medications, lifestyle changes, or something else. Your cardiologist will then set up follow-up visits to check on your progress.

Many patients with cardiac problems are routinely managed with office visits, tests, and/or medication management. Your cardiologist may take some time during your appointment to make sure patients understand the importance of adhering to their treatment plan and lifestyle changes to give them the best chance at success with their heart health.

What tests done by cardiologist on the first visit

Choosing The Right Cardiology Practice

When choosing a cardiologist, consider the training and experience that apply to your condition and the scope of services available. Advanced Medical Group is an example of a practice with experienced cardiologists, high-quality diagnostics and treatment, and full-spectrum cardiovascular care.

Your first appointment with a cardiology office will change your perspective on improving and managing your heart and cardiovascular health. Understanding what to expect and how to plan for your visit will help you best utilise it for improving your heart health and overall health, and help you establish a partnership in your efforts to improve your heart health and prevent cardiovascular health problems.

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Fathima

Fatima Shaik MD

Cardiologist

Fatima Shaik is a board certified internist and cardiologist. She specializes in general cardiology and heart rhythm disorders. She cares for patients at Advanced Medical Group in Jersey City and North Bergen. She also performs procedures at Jersey City Medical Center.

She completed her undergraduate education at NYU and received her MD degree for SUNY Downstate Medical Center. She completed her residency training at Mount Sinai Beth Israel Medical Center and her cardiology fellowship at New York Presbyterian Queens. She went on for advanced training in electrophysiology at Cooper Hospital in Camden, NJ.
She is trained in device implantation, SVT and atrial fibrillation ablations as well as watchman implantations.
She is fluent in English and Hindi.
She is currently accepting new patients.

Reema Parikh, DPT

Physical Therapist

Reema Parikh received two bachelor’s degrees from Long Island University and Touro College, and graduated as a Doctor of Physical Therapy from Touro College in 2013. In her early years as a DPT, she received an award for excellence in research and taught a course for the national physical therapy licensing board exam. Dr. Parikh has a passion for helping patients on their health journey; she is experienced in all ages and care of patients, ranging from pediatric care to geriatric care. She has hosted live and virtual workouts for varying levels of physical activity, incorporating mobility and strength segments. Dr. Parikh has furthered her education by receiving certifications in many aspects of physical therapy and holistic care including Nutritional PT, Restorative Yoga, Pilates, and Reiki.

Maria-Avila

Maria Avila, NP

Nurse Practitioner

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Jersey City

Union City

West New York

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Jersey City

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Dr. Parab

Aishwarya Parab, PT

Physical Therapist

Aishwarya Parab received her Bachelors in Physiotherapy in India in 2015 and furthered her studies at Long Island University where she graduated with her Masters in Exercise Science, Sports, and Nutrition in 2019. She has experience working with various conditions, including herniated disks, spondylolysis, and post-operative mobility issues. Aishwarya has taken courses to expand her knowledge in the physical therapy world, including spinal mobility courses, neuromuscular reeducation courses, and getting a certificate with Revolution in Motion. Aishwarya finds it exceedingly rewarding to build a long-term relationship with her patients and shows commitment towards providing structured and effective healthcare.

Dr. Prajakta Avhad

Prajakta Avhad, MD

Pain Management located in Franklin Township, Somerset, NJ & East Brunswick, NJ

About Dr. Avhad
Dr. Prajakta Avhad is double board-certified in Pain Management and Anesthesiology. Dr. Avhad received her M.B.B.S. from MIMER, India, and completed her Surgical internship and Anesthesia residency at Brookdale University Hospital in Brooklyn, New York during which she interned at Memorial Sloan Kettering, St. Luke’s Roosevelt, and Staten Island Hospital.

She then completed her Pain Management Fellowship from Cleveland Clinic Foundation.

Dr. Avhad is a diplomate of the American Board of Anesthesiology and a member of the American Academy of Pain Medicine.

Dr. Avhad has been in practice in Central and South Jersey for more than 12years. She is a caring physician with expertise and experience in treating a spectrum of Pain conditions like chronic back and neck pain, herniated discs/sciatica with minimally invasive interventional procedures.

Dr. Avhad and her family reside in New Jersey. She is an avid gardener active with her kids, dog, and garden if not tending to her broad and exotic orchid collection.

Radhika Patel PA-C

Radhika Patel, PA-C

Physician Assistant located in Jersey City, NJ

About Patel
Graduating summa cum laude from Rutgers University with a BA in Biological Sciences and minor in Spanish, Radhika Patel obtained experiences in outpatient medicine as well as in emergency medical services prior to pursuing a career as a physician assistant. She graduated from the Rutgers University Physician Assistant program with a Master of Science after training in cardiology, internal medicine, and urgent care, among many other fields at various hospitals and private practices throughout the state of New Jersey. She is a proud member of the team at Advanced Garden State Cardiology and looks forward to meeting with patients each day in our Jersey City office.

Enrique D Chappilliquen Lucio, PA-C

Enrique Chappilliquen, PA-C

Physician Assistant located in Union City, NJ & Jersey City, NJ

About Dr. Chappilliquen
Graduated from Mercy College Physician Assistant Program with a Masters of Science in Physician Assistant Studies, Enrique has extensive experience in the medical field for more than 6 years.

He has clinical experience and training in internal medicine, cardiology, general and vascular surgery, hematology, oncology, and emergency medicine. He joined Dr. Richard’s practice in October of 2016. Since then, he has been a dedicated medical provider working in the Union City office and the Hematology/Oncology office in Jersey City as well.

As a Hispanic, he proudly serves his community with passion and devotion. Being able to communicate fluently with his patients allows him the opportunity to provide excellent medical care to the Hispanic community in Union City and Jersey City. Also, sharing the same language, culture, and values as his patients allows him to connect at a personal level with his patients. Enrique continues to develop his knowledge and skills constantly to continue satisfying the needs of his patients.

Dr Christopher Samaniego, DPM

Christopher Samaniego, DPM

Podiatrist located in Jersey City, NJ, Union City, NJ, and West New York, NJ

Christopher Samaniego, DPM, is originally from Freehold, New Jersey. He attended college at Messiah College, where he graduated Magna Cum Laude with a degree in Biology. He earned his podiatric medical degree from Temple University School of Podiatric Medicine in Philadelphia, PA and completed his surgical residency training at Detroit Medical Center in Detroit, MI. 

Dr. Samaniego provides comprehensive foot and ankle care at Advanced Medical Group in Jersey City, Union City, and West New York. His specialized surgical training includes

  • Bunion
  • Hammertoe correction
  • Diabetic foot care
  • Fungal nail care
  • Plantar fasciitis, tendinitis, orthotics
  • Gout, warts, neuroma care
  • Flat feet and high arched feet
  • Foot and ankle trauma
  • Adult and paediatric foot conditions
  • Arthritis of the foot and ankle
  • Arthroscopy, joint replacement, minimally invasive techniques

Samaniego is a member of the American College of Foot and Ankle Surgeons and the American Podiatric Medical Association. He keeps up to date on the latest surgical techniques and available technology in foot and ankle care.

Prior to joining Advanced Medical Group, Samaniego studied public healthcare in Zambia and assisted in providing care to the local community. He has also presented research at the annual meeting of the American College of Foot and Ankle Surgeons. Samaniego achieved the highest rank of Eagle Scout through the Boy Scouts of America and volunteered with Troop 454 for scouts with special needs and the Freehold Public Library. In his free time, Samaniego volunteers with his local church community service and youth programs.

Samaniego resides in Jersey City, NJ and maintains his health by cycling and interval training several times a week. He explains, “Healthy doctors inspire healthy patients. I follow the same advice I give my patients, and I read constantly to become a better physician every day. I encourage my patients to ask questions and learn about the cause of their symptoms. An ounce of prevention is worth a pound of cure.”

Dr. Merwin Richard, MD. A cardiologist

Merwin Richard, MD

Cardiologist located in Jersey City, NJ & Union City, NJ

As an established board-certified internist and cardiologist, Merwin Richard, MD, has a reputation for helping patients with the most complex of health conditions. He cares for patients at Advanced Medical Group in West New York, Jersey City, and Union City, New Jersey.

Richard began his undergraduate education in medicine at Stanley Medical College in India. He earned his doctor of medicine degree from Tamil Nadu Dr. M.G.R. Medical University before relocating to New York City.

After completing both his internship and internal medicine residency through the Albert Einstein College of Medicine, Dr. Richard went through advanced fellowship training. He completed a cardiovascular fellowship at Columbia University College of Physicians and Surgeons, then went on to finish a second fellowship in interventional cardiology through Mount Sinai School of Medicine (now Icahn).

 

Throughout his career, Richard has stayed involved in numerous research projects and previously served as a professor at the University of Medicine and Dentistry of New Jersey (now Rutgers University). Richard went on to become the director of the first cardiac catheterization and interventional laboratory in Jersey City and has extensive training in vein treatments.

To ensure he continues staying up to date with the latest research and techniques, Richard maintains his board memberships. He’s board certified through the American Board of Internal Medicine in cardiovascular disease and interventional cardiology.

Being fluent in English,  Spanish, and Tamil gives Richard the opportunity to communicate with patients from diverse cultural backgrounds. Richard is currently accepting new patients.

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