Diagnostic & Therapeutic Services

Diagnostic & Therapeutic Services


Echocardiography-Adult Transthoracic

ICAELJCA's Adult Echocardiology Laboratory has successfully completed the process for ICAEL accreditation and is only one of 1000 labs in the United states to receive this honor. An Echocardiogram is an ultrasound of the heart which utilizes sound waves to examine the shape, motion, and blood flow of the heart. It can reveal if a heart valve is narrowed or leaking and show how severe the problem is.

Stress Echocardiogram

The cardiac stress echo test involves exercising on a treadmill while your vitals are closely monitored by multiple electrodes on your chest. A stress echo is highly specialized for determining specific information about the coronary arteries which supply blood to the muscle of the heart. This is a noninvasive test that is used for the assessment of coronary heart disease (CAD).

Stress Doppler Echocardiogram

This cardiac test is much like the stress echo except uses ultrasound technology along with the treadmill exercise to assess specific information about valvular disease and the pressures in the heart and lungs.  This test is used to look at how blood flows through the heart chambers, heart valves, and blood vessels. The movement of the blood reflects sound waves to a transducer. The computer then measures the direction and speed of the blood flowing through your heart and blood vessels.

Echocardiogram with Bubble Study

A cardiac echocardiogram with a bubble study is a technique used to obtain additional information regarding possible intracardiac shunts (holes in the inner walls of the heart). The saline moves through the heart as the technician follows it.  The saline makes certain heart functions more visible by showing if any bubbles do not follow the normal blood flow pathway through your heart.

Arterial Doppler Study

The Ankle/Brachial Index (ABI) is a simple, non-invasive vascular test that compares the blood pressure at the ankles with the blood pressure at the arms. ABI is used to diagnosis Peripheral Arterial Disease (PAD), a common circulatory problem in which narrowed arteries reduce blood flow to your limbs. ICANL 


The heart is evaluated at rest and during exercise using a small amount of radioisotope during this noninvasive procedure. Both the pump function and the blood flow of the heart are assessed during the nuclear cardiology testing procedures. As a result, physicians are able to detect the presence of cardiovascular disease. Jackson Cardiology Nuclear Lab is one of the first in the United States to receive accreditation by ICANL for its commitment to high quality and patient care.



An electrocardiogram (EKG or ECG) is a painless test that records the heart's electrical activity. An EKG shows how fast your heart is beating, checks the timing and the strength of the electrical signals, and if there are any arrhythmias. An EKG can be used to check how well medical devices that are implanted into the heart are working and can also help detect heart disease.

Holter Monitoring

A Holter monitor is a continuous tape recording of a patient's EKG for 24 to 48 hours. Since it can be worn during the patient's regular daily activities, it helps the physician correlate symptoms of dizziness, palpitations, or black outs. Since the recording covers ata least 24 hours, on a continuous basis, Holter monitoring is much more likely to detect an abnormal heart rhythm when compared to the EKG which lasts less than a minute. It can also help evaluate the patient's EKG during episodes of chest pain, during which time there may be telltale changes to suggest ischemia or reduced blood supply to the muscle of the left ventricle.

Event Recording

Event recorders use a circular tape that stores only approximately 30 seconds of a patient's heart rhythm. That is, at any given time while a patient is wearing them, event recorders will have the most recent 30 seconds of the patient's EKG. When the patient experiences the symptom of interest, he/she presses a button that freezes the recording, which is then transmitted by telephone to an interpreting center. A major advantage of event recorders is that they can be used for up to 30 - 60 days, until the transient symptom being looked for occurs. Another advantage is that, as long as the symptom of interest typically lasts for more than a minute or two, the ECG electrodes do not actually need to be attached all the time. Since attaching the electrodes takes less than a minute, they can simply be attached as needed.

Cardiac Stress Test-Treadmill Only

The stress test is used to evaluate the heart and vascular system during exercise. This test does not involve ultrasound or nuclear imaging. It helps to answer if coronary heart disease is present as well as any other underlying heart diseases.


Our Device Clinic works with patients after the implantation of an internal device such as a pacemaker, implantable cardioverter defibrillators (ICDs), and loop recorders by monitoring your heart's electrical function and maintaining your heart's rhythm. Remote monitoring is offered to patients with pacemakers and ICDs. Remote monitoring allows the patient to have a device check from the comforts of their home instead of coming into the clinic. Our specialty trained staff will help your cardiologist monitor your device and make any adjustments needed to make sure it is functioning properly.


Donna ThomasOur primary goals for our Lipid Clinic is to establish realistic lifestyle changes with education and counseling that will enable patients to make informed choices and lower cholesterol to reduce occurrence of heart attacks and strokes. Lipids are just another name for Cholesterol. Over the years we have all been made aware of cholesterol. Cholesterol is a waxy substance that's produced by the body and found in foods that come from animals. Cholesterol isn't a bad thing your body needs it to make hormones, skin oils, digestive juices vitamin D. The problem is when we have too much especially LDL (bad cholesterol). This type is responsible for the fatty build-up that clog your arteries. The other type HDL (good cholesterol) actually helps remove build-up in the arteries and protect against heart disease.

Know your numbers!!!. For men and women TOTAL cholesterol less than 180 This consists of LDL which should be low and HDL which should be high. [Above Right: Donna Thomas, CFNP]