Tests and Treatments

Discreet testing

Practice Details

Appointments

Hours

Visiting

Veterinarians

Support Staff

What to Expect

 

What we offer:

We have the newest digital equipment to best diagnose and treat pets

  • Echocardiography – Human hospital grade ultrasound
  • Electrocardiography (ECG) with digital output
  • Digital radiography (x-rays)
  • Blood pressure – Doppler and oscillometric
  • Holter monitors (24 hour ECG)
  • Telemetry for in-hospital cases
  • Fluoroscopy for invasive procedures and more
  • Electroconversion of atrial fibrillation and other rhythm disturbances
  • Pacemakers
  • Angioplasty of narrowed valves
  • Occluders for Patent Ductus Arteriosus
 

Why Choice Cardiology?

  • We have been providing hospital based veterinary cardiology care in the Denver Metro area and Colorado since 1993
    • We have always provided primary hospital based care for our clients and patients
      • So we know what happens for our clients and patients
    • We have always handled complex or difficult to manage cases
  • We offer same day or next day services so that pets in need do not have to wait to be seen by a cardiologist
    • We do not have an emergency fee
  • Patients live 75% longer when co-managed by both their family veterinarian and a board-certified cardiologist
    • Patients co-managed have more opportunity to return for routine care to their family veterinarian
    • We collaborate with family veterinarians
    • Our expertise allows longer and healthier lives for pets
  • We are dedicated to a better client and pet experience.
    • Clients are present and viewing the ultrasound on a large monitor, so pets are less anxious and clients are better informed.
 

Echocardiography

An echocardiogram (or heart ultrasound) is used to look within the heart, confirm the diagnosis, and to look for other problems within the heart that might confound therapy.

We perform all phases of echocardiography (heart ultrasound)

We want you to be present to see the echocardiogram, so we can teach you as we perform the examination, and you can calm your pet


 

  • MMode
    • This allows us to perform measurements on chamber sizes and function



  • Two Dimensional
    • This allows us to see what is happening inside the heart
    • We can see the chambers and muscle, evaluate for masses, fluid in the heart sac, blood clots and so much more


  • Color-flow Doppler
    • We can see blood flow within the heart
      • we evaluate all valves to see if they are leaking and to what extent
      • we can quickly evaluate for abnormal blood flow


  • Spectral Doppler
    • Here is where we can measure pressures within the heart, and even the lungs


  • Tissue Doppler
    • This allows us to evaluate function at specific points in the heart
      • We can get a sense of abnormal relaxation of the heart
      • We can get a sense of pressures that spectral Doppler may not give


  • Analysis of measurements with reference to normal values
    • We are the only group who can analyze the measurements we obtain with complete normal values
      • We use EchoVet, veterinary ultrasound software we built ourselves
        • We have every normal value in veterinary medicine
        • We have breed values so we can closely analyze and monitor your pet



Digital Radiography

  • X-rays (radiographs) let us see the heart size (but not inside the heart), and also let us evaluate the lungs (which an echocardiogram cannot perform)
    • . Radiographs show how large the heart is in the chest and how it is enlarging with time, and also show congestive heart failure (pulmonary edema) or other lung problems.
      • Radiographs are often repeated with time to assess response to therapy.


Electrocardiography

  • An electrocardiogram (EKG or ECG) is very useful to check for rhythm disturbances and may be repeated to assess response to certain medications.



Holter Monitor

  • An 24 hour electrocardiogram (Holter monitor) may be required to check for very intermittent rhythm disturbances where we cannot detect significant rhythm disturbances in the office
    • Your pet wears a backpack system at home, and we want you to perform normal activities
    • This is often necessary if a pet is fainting occasionally


Doppler Blood Pressure

  • A blood pressure is often useful, since the heart is not pumping blood effectively, and blood pressure can be low
    • Some heart medications can lower blood pressure, and cause pets to be weaker on their medications
  • Doppler blood pressures are the most accurate for small dogs and cats


Laboratory Testing

  • Since heart medications can affect other body systems (especially the kidneys), laboratory testing is often essential
    • Labwork is very important, because hearts with disease do not handle water loads very well , but kidneys require water load to maintain function.
      • Usually, there is a wide area to work within where the heart and the kidneys are both happy, but if kidney function is marginal, kidney failure can occur.
  • We may also need to evaluate for other disease that may be making your pet feel ill



Fluoroscopy

  • We don’t perform flouoroscopy (which is a moving X-ray) all that often, and it is very helpful when we do
    • Pacemakers
      • Yes, pets get pacemakers, and it makes a world of difference for them
    • Tracheal collapse
      • Occasionally, we need to perform flouoroscopy to diagnose tracheal collapse
      • We use flouoroscopy if we need to place a stent inside the trachea to hold it open if a pet is having trouble breathing with their tracheal collapse
    • Congenital defects
      • There are certain congenital defects that may be fixed using flouoroscopy
        • Pulmonic Stenosis
        • Patent Ductus Arteriosus


Electroconversion

  • In humans, they often convert people out of atrial fibrillation by an electric shock
  • We can do the same procedure in dogs, with some modifications
    • Dogs have to be anesthetized to perform the procedure
    • Both people and dogs have to be on medications to try to prevent recurrence of the original rhythm disturbance
  • In both people and dogs, complication rates from the procedure are very low


From Our Clients

  • I want to thank you for giving Byron a couple extra years with me. He died May 15, but it wasn’t because of his heart. I am grateful you helped us. It was very important to me.–Margie (Byron)