Electrophysiology Services
Electrocardiography 
We provide
comprehensive evaluation of pediatric
electrocardiograms, both in the office and by facsimile from hospitals and other
pediatricians' offices.
Holter
Monitoring
Holter monitoring provides 24-hour recordings of
cardiac activity to detect and plan treatment of arrhythmia abnormalities.
Event
Monitoring
This type of monitoring provides evaluation
of arrhythmia abnormalities over a 30-day period of time. This testing allows
for assessment of heart rhythm during symptomatic periods. Data from
the recorder is sent by telephone to our office in Virginia, where our physicians
interpret the recording.
Pacemaker
Clinic
This clinic
is provided for patients who have implanted pacemakers. Pacemaker
status is determined and transtelephonic pacemaker evaluations are
performed.
Echocardiography Services
One of the
most useful tools for our cardiologists is the use of echocardiography, or
sound wave pictures of the heart. This allows the physician to examine
structures of the heart and identify any abnormalities. We provide
two-dimensional, M-mode, color flow and spectral Doppler ultrasound as part
of this service. 
Exercise Physiology
Services
Metabolic Exercise Testing/Metabolic Exercise
Assessment
An exercise test helps the cardiologist find out how
well the child's heart, lungs and muscles work during
exercise. The test can also show if there is a lack of blood flow to
the heart as the child does work, and helps the cardiologist know the kind
and level of activity that's right for the patient.
Sports
Medicine Evaluation/Exercise Prescription
Children undergo a metabolic exercise test to evaluate
maximal work capacity
and anaerobic threshold. This information is used by our exercise
physiologist to
provide a detailed exercise
prescription relative to the recreational or competitive athletic
participation and training that we perform.
Cardiac
Rehabilitation
Children with congenital heart disease
undergo metabolic exercise testing and are given comprehensive guidelines
for a safe and effective exercise program. The program is updated as
the patient grows and the disease progresses.
Preventive
Cardiology/Patient Education
Our staff provides comprehensive evaluation
of primary risk factors for coronary artery disease, including lipid
disorders (high cholesterol), high blood pressure, physical inactivity, and
obesity. Once a risk factor is detected, patients and their families
are given detailed information about life-style modifications aimed at
reducing the risk for heart disease later in life.
Invasive
Cardiology Services
Invasive Cardiology
Our physicians perform cardiac catheterization for
diagnostic and therapeutic purposes, including catheter therapy for
narrow valvular and vessel lesions, coil and balloon occlusion of
anomalous vessels, and cardiac biopsy.
Home Care Services
Home Care
We coordinate with home-care
programs to provide home nursing services for patients with complex
congenital and acquired heart disease.
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