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Heart and Vascular Institute

The Kendall Regional Medical Center Heart and Vascular Institute has become a premier facility for comprehensive cardiovascular care, earning national recognition.

We offer more advanced technology, more experienced heart care specialists and a greater range of support services to effectively diagnose and treat cardiovascular disease.

Diagnostics

Using the area's most advanced, noninvasive diagnostic tests, the talented team at Kendall Regional Medical Center performs a variety of medical exams to detect the presence of heart disease. The type of tests performed depends upon the referring physician's interpretation of the patient's risk factors, medical history and current symptoms. Your physician will usually perform preliminary tests, such as chest x-ray and blood work, and may progress to more specialized procedures including echocardiography and cardiac catheterization. We also have an electrophysiology laboratory to diagnose patients with heart rhythm problems, as well as a Cardiac CTA – 64 Slice CT Scanner.

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Cardiac Catheterization Laboratory

Cardiac Catheterization is a medical sub-specialty dedicated to using minimally invasive techniques with imaging guidance. A heart catheterization - or "cath" exam, as it is commonly called - is a special diagnostic x-ray imaging exam that allows your physician to see if any of the coronary arteries have blockages or evaluate patients’ heart valves functionality.

  • Right and left heart catheterization
  • Coronary angiogram
  • Left ventriculograms grams and other angiographies
  • Temporary pacemaker insertion
  • Intravascular Ultrasound
  • Intra-aortic balloon pump insertion
  • Pericardiocentesis
  • Thrombolytic therapy
  • Percutaneous Coronary Interventions (PCI) such as:
  • Angioplasty
  • Coronary Stenting
  • Atherectomies
  • Peripheral Vascular disease angiograms
  • PTA
  • Stents

The advanced technology in our cardiac catheterization laboratories includes the GE Cardiac Vascular X-ray equipment, Two GE Innova 2100, all-digital cardiovascular imaging system that assists in better viewing and treatment of coronary artery blockages that could cause heart attacks or other serious cardiovascular damage. These revolutionary systems allow cardiologists to view hard-to-see blood vessels with exceptional clarity under even the most difficult conditions.

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D2B (Door-to-Balloon)

D2B: An Alliance for Quality is a new Guidelines Applied in Practice (GAP) program launched by the American College of Cardiology (ACC) to save time and save lives by reducing the door-to-balloon times in U.S. hospitals by opening vessels or blockages. National ACC/AHA guidelines state that hospitals treating acute heart attack patients by bringing the patients to the catheterization laboratory and relieving the block artery should readily achieve a door-to-balloon time of 90 minutes or less, and studies have demonstrated strong associations between time to primary Percutaneous Coronary Interventions (PCI) and in-hospital mortality risk. Time is truly muscle. Therefore, we have an aggressive Cardiac Alert Program that involves the efforts of highly skilled team of physicians, nurses, and technologists that provide 24 hours 7 days a week emergency cardiac care.

Kendall Regional Medical Center is participating in this effort along with the American Heart Association (AHA) and the National Heart Lung and Blood Institute. The D2B Alliance was developed to make what is current extraordinary performance ordinary by providing hospitals with key evidence-based strategies and supporting tools needed to begin reducing their D2B times. Also, Kendall Regional Medical Center is part of the Miami-Dade County Fire Rescue STEMI Network.

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Electrophysiology Lab

Our electrophysiology lab boasts an array of state-of-the-art technology including the Prucka System to stimulate the heart, and a EnSite System for 3-D Mapping. These are capable of performing a wide range of procedures including:

  • Sinus Node Recovery Times
  • HIS Bundle Recordings
  • A-V Nodal Conduction Recordings
  • Atrial and Ventricular Pacing/Recording
  • Comprehensive Electrophysiology Studies
  • Cardiac 3D Mapping
  • Cardiac Ablations

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Echocardiography Lab

Our echocardiography laboratory is equipped with the latest cardiac transthoracic and transesophageal ultrasound systems. The Philips5500 is a fully digital system with enhanced tissue harmonic imaging with next generation broadband flow imaging. Cardiologists have a workstation for evaluation and analysis of the images.

Specialized procedures performed in the Echocardiography Lab include the following:

  • Diagnostic 2-dimensional echocardiography with or without M-Mode, Color Flow, Mapping and Doppler
  • Transesophageal echocardiography with Multiplane Transducer

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Cardiac Surgical Program (Open Heart Program)

Kendall Regional Medical Center has two dedicated state-of-the-art open heart suites backed up by a Cardiovascular Intensive Care Unit (CVICU) which is staffed by a specialized CVOR team, who provide the highest quality care for the patient and comfort to the patient’s family and friends. In addition, we use the Universal Care Model in CVICU. Patients stay in Cardiovascular Intensive Care Unit from the moment they had their surgery until they are medically ready to go home.

We provide the following Cardiac Surgery Services:

  • Coronary artery bypass cases (on-pump, off-pump, PAD-CAB)
  • All valvular cases requiring repair or replacement of native tissue valves including minimally invasive
  • Cases involving repair of replacement of the ascending and descending aorta and pulmonary arteries.
  • Intra-aortic balloon counterpulsation
  • Right and left heart ventricular assist and support
  • ECMO (extracorporeal membrane oxygenation) and ECCOR (extracorporeal CO2 removal) services

In addition, we also work very closely with our Cardiopulmonary Services Department which maintains patients’ airways and post surgery intubation. They also perform many pulmonary function studies.

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Nuclear Medicine Stress Lab

Nuclear Medicine involves the use of minute radioactive particles called isotopes to diagnose a wide variety of disorders. The Nuclear Medicine Department at Aventura Hospital and Medical Center has advanced SPECT cameras that more accurately localize abnormalities. Sophisticated computers are used to analyze and visualize the data.

Cardiac Stress Testing is performed in the Nuclear Medicine Lab to evaluate various cardiac disorders such as; infarction, ischemia, ejection fraction and wall motility. The stress test can be performed on a treadmill or by using pharmaceutical stress agents, e.g. Adenosine and Persantine

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Non-Invasive Vascular Ultrasound Laboratory

This Discipline uses ultrasound waves to detect disease in veins and arteries throughout the body, by using pulse wave and color Doppler. Most frequently performed exams are lower and upper extremity venous and arterial, and carotids dropplers. Other specialized exams to name a few are venous mapping, aliens test, thoracic outlet syndrome, shut testing, SMA Doppler and renal artery doppler.,/p>

The laboratory has a dedicated team of sonographers who are nationally registered by the American Registry of Diagnostic Medical Sonographers.

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Cardiac Rehabilitation

Phase I Cardiac Rehabilitation begins in the hospital and will continue at home until you see your physician. Your physician will let you know when you and your heart are ready to tolerate a more aggressive exercise program.

Goals of the Program:

  • To maintain and improve your heart's ability to tolerate activity.
  • To maintain and increase your muscle strength.
  • To prevent joint stiffness.
  • To improve your circulation
  • Teach how to monitor your pulse
  • Teach how to monitor signs and symptoms of fatigue
  • Learn sternal precautions

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Interventional Radiology

Interventional Radiology is another service that provides for both diagnostic and interventional procedures. Many of the radiologist at Kendall Regional Medical Center have been on staff for over 20 years and have extensive experience in radiological procedures.

Specialized procedures performed in Interventional Radiology include the following:

  • Uterine Fibroid Embolization
  • Carotid Artery Stenting
  • Endovascular Treatment of Abdominal Aortic Aneurysms (AAA)
  • Renal, Angiography and Stenting
  • CT Guided Biopsies and drainages
  • Tunneled Dialysis and Ports Insertions

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