Diagnostic & Consultation Services

Service from the heart, for the heart

In-hospital Services:

•  Coronary Angiography & Angioplasty
•  Coronary Artery Bypass Surgery
•  Heart Valve Repairs & Replacement
•  Transoesophageal Echocardiography
•  Right heart study
•  Pacemakers

 

Our specialists have affiliations with the following hospitals:


Public Hospitals:

Private Hospitals:

Stress Echocardiogram is a non invasive method of detecting heart disease which otherwise may not be apparent without exercise.

Do not eat for 2 hours prior to the test. Medicines which are Beta blockers are stopped for 48 hours & selected Calcium channel blockers (eg Verapamil & Diltiazem) are stopped for 24 hours, unless otherwise advised by your doctor. Please wear comfortable two piece clothing & shoes for walking on the treadmill.

During the test:
•   A resting ECG and echocardiogram where ultrasound images of your heart are taken, is done prior to exercise.
•   You will then complete a regular treadmill exercise test, while your ECG, heart rate and blood pressure are recorded.
•   Then you will be quickly moved back to the echocardiogram bed and your heart will be looked at again for any sign of abnormal activities.
•   When your test is over, you may return to your normal routine. Ask your doctor about taking any medicine that you were told to skip before the test.

(Approximately 30 minutes)

What is Dobutamine Stress Echocardiography ?

A dobutamine (stress) echo combines a normal echo with a drug (dobutamine) which has similar effects to exercise on the heart and circulation. This is an alternative way of stressing the heart for people who are unable to exercise on a treadmill. Dobutamine is an adrenaline-like medicine that makes your heart pump harder and faster like exercise does. We use dobutamine instead of treadmill exercise in people with poor health, joint problems, poor circulation in their legs, lung problems or the elderly. The test is performed while you lay on a couch on your left side. ECG electrodes are attached to your chest to monitor the electrical activity of your heart during the test. A blood pressure cuff is applied to your arm to monitor your blood pressure and automatically inflates every few minutes throughout the study. An intravenous (IV) will be placed in your arm and dobutamine will be given to you through this IV. Initially you will feel nothing at the start, but it is normal for you to feel your heart beat harder and faster with higher doses of the drug. Sometimes the dobutamine may cause some chest discomfort, nausea or shortness of breath. Throughout the study, your heart will be continuously imaged with ultrasound. It is important that you tell us if you feel anything uncomfortable or unusual during the test.

To prepare for this test, you must not eat or drink for one hour prior to the test. Medicines which are Beta blockers & Calcium channel blockers need to be stopped 48 hours prior to the test. The dobutamine stress echo test takes approximately 1 hour, including preparation and recovery time.

What happens afterwards?

When the test is over, the dobutamine is stopped and your heart beat soon returns to normal. The IV is then removed from your arm and you will be able to go home. You may feel a little tired after the test, but you should soon feel normal again. If you have any problems after the test or if you have any questions, please call your doctor. The results will be discussed with you after the test. Any ongoing treatment will also be discussed and the need for any further follow up. Your referring doctor and local GP will also get the results.

Are there any risk?

There are no known risks from the clinical use of ultrasound for scanning. The dobutamine (stress) test is very safe and widely used in patients with chest pain or patients with symptoms that limit their ability to exercise. A small number of patients may experience flushing of the face and / or minor palpitations, both of which go away very quickly once the test is stopped. You may also notice symptoms that you would otherwise have developed during normal exercise, such as chest pain, breathlessness, or dizzy spells, which usually go away once the test is stopped.

Dobutamine (stress) echo is widely used in patients with suspected or existing coronary artery disease. There is a very small risk of serious side effects such as heart attack or stroke in these patients. Fortunately, serious side effects are very rare.

Please notify the doctor immediately if you are:

  • Pregnant or think that you may be pregnant (there is a risk of injury to the foetus from dobutamine)
  • Lactating or breastfeeding allergic or sensitive to medications or latex. Like any medical procedure, coronary angioplasty occasionally causes complications. However, in skilled hands these are rare. The doctor performing the investigation will discuss this with you before the test.

AVAILABLE AT THE FOLLOWING LOCATIONS


THOMASTOWN
WHEELERS HILL

Echocardiogram, often referred to cardiac echo or simply an echo is a non-invasive test that uses sound waves to produce a moving image of the heart. This test can indicate heart chamber or valve abnormalities.

Echocardiography has become routinely used in the diagnosis, management, and follow-up of patients with any suspected or known heart diseases. It is one of the most widely used diagnostic tests in cardiology. It can provide a wealth of helpful information, including the size and shape of the heart (internal chamber size quantification), pumping capacity, and the location and extent of any tissue damage. An Echocardiogram can also give physicians other estimates of heart function such as a calculation of the cardiac output, ejection fraction, and diastolic function (how well the heart relaxes).

The advantages of echocardiography is that it is non-invasive (doesn’t involve breaking the skin, entering body cavities or any exposure to radiation) and has no known risks or side effects.

(Approximately 30 minutes)

Transoesophageal Echocardiogram (TOE) is an ultrasonic diagnostic test performed under light sedation in a hospital by a cardiologist. A transducer is passed into your oesophagus to create a clear image of the heart muscle and other parts of the heart.

Transoesophageal Echocardiography provides a much better image of the heart as the ultrasound beams do not need to pass through the skin, fat and lung before scanning the heart. This method is particularly useful for the imaging of the valves of the heart, the aorta and septal defects.

AVAILABLE AT THE FOLLOWING LOCATIONS


WARRINGAL PRIVATE HOSPITAL

What is a CT Scan of the Coronary Arteries (CTCA)? 

The blood vessels that supply blood to the heart are the coronary arteries (CA). Previously the only accurate way of accessing these was by a conventional coronary angiogram. This is an invasive test which requires hospital admission and a contrast injection through a large needle in an artery in your groin.

Today the coronary arteries for most people can now be accessed using ultra-fast computed tomography (CT) scanners. The benefit is that a CTCA is a less invasive test that involves a contrast injection through a vein in the arm. It is quicker, has less potential complications and has been shown to be as accurate as a conventional coronary angiogram.

What are the Risks? 

As with any medical procedure there are some risks associated with the scan:

  • Radiation: X-rays are used during the scan. We are proud to use the lowest dose CT scanner. The typical dose is around 0.5mSv – 2mSv depending on the size of the patient and the technique used. At the lower dose this amount of radiation is about 1/4 of the amount of background radiation that you receive ina year from natural sources such as cosmic rays. This dose is S – 20 times LESS than the dose from some other CT scanners.
  • Contrast Reaction: Very rarely people experience an allergic reaction to the contrast (dye). This usually manifests as an itchy rash which settles down by itself. Asthmatic patients may experience worsening of their asthma shortly after the injection. Patients with kidney failure require a cautious contrast injection as contrast can (usually temporarily) worsen kidney function. There is a 1 in 250 000 chance of a life threatening (anaphylactic) reaction.
  • Contrast leakage: Very rarely the contrast goes into the tissues under the skin in your arm rather than into the vein. This can cause bruising, swelling andmild  This usually resolves by itself. We will perform a test injection using saline to help prevent this from happening. In addition, a member of staff will be with you to watch the injection.

What to Expect

  • You will change into a gown and have your blood pressure and heart rate monitored. You will be assessed by a radiologist or cardiologist. You may require additional medication.
  • You will have a cannula (plastic needle) inserted in the vein near your elbow and ECG leads placed on your chest.
  • You may be given GTN (Nitrolingual spray) under the tongue just before the scan to relax your coronary arteries helping us to obtain the best images possible. This may give you a mild headache.
  • You may notice a warm sensation and a metallic taste during the contrast injection. This is normal.
  • For some scans. you need to hold your breath for up to 15 seconds and to lie flat for about 5-10 minutes.
  • Although the scan time is fast – 1/4 second the process is more time consuming. Allow up to 2 hours.
  • Allow for post procedure care and monitoring for a short period of time after the completion of the examination. The effects of beta-blockers should wear off after half a day but please consider organising someone else to provide transport home.

Results 

  • Your referrer will be notified directly of any urgent/ unexpected findings on the day of examination. Routinely test results will take 2-3 days.
  • If you have any questions about the test please discuss this with your referring doctor. Also, there are radiographers and radiologists on hand atHeartscan Australia who will be able to address any of your concerns.

Test preparation for Coronary CT – please follow instructions

  1. PRE-MEDICATION REGIMEN – AIM: HR Equal to or less then 60 bpm
  • Metoprolol 50-100 mg night before and 8am morning of CTCA prescribed by referrer
    OR
  • Chronic beta blocker / calcium channel therapy to heart rate Equal to or less then 60 bpm
  1. Other preparation
  • Take ALL normal morning medications except metformin
  • Fast for 4 hours if possible prior to CTCA
  • No caffeine, coffee, tea, energy drinks for 24 hours prior to CTCA
  • No Cialis, Viagra, Levitra or similar for 36 hours prior to CTCA

AVAILABLE AT THE FOLLOWING LOCATIONS


BURWOOD EAST
BENDIGO

24 hour ECG Holter Monitor

Electrical activity of the heart is measured over 24 hours using a lightweight monitor attached to a belt. The monitor has 4/5 leads that are applied to the chest. Patients are generally unrestricted in their daily activities. You will not be able to shower or bathe in the 24 hours with the monitor attached. No preparation. (Approximately 15 minutes)

24 hour BP Monitor(Privately Billed)

Ambulatory blood pressure monitoring (ABPM) involves measuring your blood pressure for 24 hours as you go about doing your daily routine and when asleep. You wear a device that measures your blood pressure at regular intervals. The information is recorded on a chip in the device and allows the doctor to get a detailed picture of blood pressure variation in a normal environment. You will not be able to shower in the 24 hours with the monitor attached. No preparation. (Approximately 15 minutes)

ECG is a simple test to record the electrical rhythm of the heart. No preparation. (Approximately 15 minutes)

Cardiologist Consultations

All of our cardiologists are highly trained in cardiac disease diagnosis and treatment. They have also undertaken advanced training in sub specialties within cardiology. Some have completed PhD degrees and/or have obtained experience from renowned specialized cardiac institutions.

To view a brief profile on each of our Cardiologist’s, please select from the “Specialists” menu tab

Lung Function Test is a Spirometry Test involving breathing into a mouthpiece, which is connected to a machine via some tubing. You will be required to breathe in and out as deeply as possible, and then as fast and as forcefully as possible. The test may make you feel temporarily short of breath. To measure diffusion capacity (Gas Transfer), you breathe a harmless gas for a very short time. The concentration of the gas in the air you breathe out is measured. The difference in the amount of gas inhaled and exhaled measures how effectively gas travels from the lungs into the blood. If possible do not take Ventolin, Asmol, Bricanyl, Bretaris, Brezhaer for 4 hours, Spiriva, Atrovent, Onbrez for 6 hours and Pulmicort, Serevent, Symbicort, Seretide, Flixotide, Oxis, Alvesco, Salmeterol, Beclomethasone, Flutiform, Breo ‐ Ellipta for 12 hours before the test. Do not smoke 6 hours beforehand. (Approximately 30 minutes)

AVAILABLE AT THE FOLLOWING LOCATIONS


WERRIBEE
THOMASTOWN
WHEELERS HILL
PACKENHAM

Home Based Sleep Study (Confirmation subject to meeting guidelines per item 12250)

You will be required to visit the clinic on the night of your home based study, where you will be fitted with the Home Based Sleep Study unit or given instructions on how to set up the sleep study unit before bed time as well as the return of the sleep monitoring device the following morning. This appointment will take approximately 30 minutes. You will need wear the device overnight which will monitor your breathing, brain activity, heart rate and body movements using several simple sensors applied to your skin. You will need to return the monitoring device to the office from which you collected it by 9:30am the next day.

(Approximately 30 minutes for the visit)

Dr Hamna Sahi – Respiratory & Sleep physician
MBBS, FRACP

Specialities: Sleep Medicine, Obstructive Sleep Apnoea (OSA), Snoring, Narcolepsy, Restless Legs Syndrome, Lung Cancer, General Respiratory Medicine, COPD, Asthma, Chronic cough, (RLS),                  Emphysema, Bronchiectasis, and Bronchoscopy.
Dr Hamna Sahi is fluent in UrduHindiPunjabi, English & is partially fluent in Arabic.

 

Dr Rajiv Sharma – Respiratory & Sleep Physician
MBBS, MD, FRACP

Specialities: OSA, Hypersomnolence, Asthma, COPD, Chronic cough, Interstitial Lung Disease.
Dr Rajiv Sharma is fluent in both English & Hindi

 

Consultations Available at:

  • Dandenong ——————— 40 Stud Rd, Dandenong 3175
  • Wheelers Hill —————— G1 (Salveo Specialist Centre), 202 Jells Rd, Wheelers Hill 3150
  • Thomastown ——————- 113 High St, Thomastown 3074
  • St Albans ———————— 73 Alfrieda St, St Albans 3021
  • Werribee ———————— 245 Heaths Rd, Werribee 3030

CPAP SERVICES AVAILABLE AT
……………………………………………………………….

ST ALBANS
WHEELERS HILL

Sherry Hsieh BNutrDiet

Sherry is an Accredited Practising Dietitian who completed her Bachelor of Nutrition and Dietetics from Monash University. She has worked in various settings including aged care, acute and sub-acute hospitals and private practice. Sherry is currently the sole dietitian at The Victorian Rehabilitation Centre working with inpatients, outpatients and group programs including the cardiac rehabilitation program, falls and balance and oncology programs. She also manages her own private practice in the community. Sherry has special interest in chronic disease management, such as cardiovascular disease, diabetes and weight management. She is a devoted food lover who is dedicated to translating nutrition science into basic food knowledge to empower people to make positive lifestyle changes.

Sherry is also fluent in Mandarin.

Consulting at:

AVAILABLE AT THE FOLLOWING LOCATIONS


WHEELERS HILL

Ausmedi CPAP Therapy

Ausmedi International Pty. Ltd., a subsidiary of Meditech Group, has been specialising in sleep apnoea treatments and medical oxygen generation products for more than 15 years in Mainland China, Hong Kong, Taiwan and Australia in successful collaboration with Hospitals, Clinics as well as Sleep Centres. Ausmedi provides various choices of CPAP/APAP products, home oxygen products and large-sized medical oxygen solutions to either patients and business clients.

CPAP Therapy is generally recommended for patients diagnosed with moderate to severe obstructive sleep apnea (OSA).

What is Sleep Apnea? – The only way that sleep apnea can be diagnosed is by an overnight sleep study Sleep apnea is a common disorder that causes frequent pauses in breathing during sleep. Obstructive sleep apnea (OSA) occurs when the soft tissue at the back of your throat relaxes during sleep, causing a blockage of the airways. The severity of the condition depends on how often the breathing is interrupted.

Typical symptoms of sleep apnea include: Witnessed apneas or choking, Regular loud snoring, Regular fatigue & sleepiness, Cardiovascular risk factors. (Hypertension, Diabetes, BMI > 30, other heart disease)

Ausmedi’s CPAP Therapy Service provides timely, personalized and superior services to patients:

• Device trial, rental and purchasing guide
• Instructions on using CPAP products
• Continuous phone follow-up plan to ensure patients’ therapy and comfort

CPAP and Home Oxygen Products

Ausmedi is the authorized distributor of Yuwell, Fisher & Paykel, BMC and AirSep to provide Life-Time Therapy Program to ensure the patients having the most comfortable and optimized treatment. Our services includes therapy guidance, device trial, patients’ treatment follow-up and device maintenance.

+61 3 8510 8741

AVAILABLE AT THE FOLLOWING LOCATIONS


DANDENONG
WHEELERS HILL

ST ALBANS

Heartscope Practical Echo training program is designed to

 

  • To develop the hands-on skills to perform a routine adult transthoracic echocardiogram within 60 minutes
  • Provide training in the theoretical aspects of echocardiography
  • On completion students will be able to perform and interpret a comprehensive echocardiogram recognising commonly encountered pathology of the myocardium, valves, pericardium and great vessels
  • Gain an understanding of machine controls for image optimisation
  • Have an introduction to preliminary report writing incorporating relevant measurements and pathology found

 

Course Duration: Single semester course. The course runs for 22 weeks with 3 hours of training twice a week (total of six contact hours per week)
Commencement Date  TBA
Minimum Entry requirements: Hold a minimum of Bachelor of Science Degree from any recognised University or hold any other relevant undergraduate degree recognised by Australia. Successful Enrolment into DMU course prior to commencement.
Cost: $13,000 (Including GST) – payable in total one week prior to commencement of the course. There is a deposit of $1,500 payable at the time of enrolment.
Course Contact: Email: training@heartscope.com.au  Tel: +613 9560 7558

 

Terms and Conditions
  1. Requires you to hold a minimum of Bachelors of Science Degree from any recognised Australian University or hold any other relevant undergraduate degree recognised by Australia.
  2. Would need your enrolment into the DMU course prior to your formal acceptance into the Practical Echo Training Program.
  3. Heartscope reserves the right to refuse enrolment on any basis and refund of the deposit will be in full.
  4. Applicants who withdraw from the program prior to commencement will receive 80% refund of their deposit.
  5. Applicants who fail to make the final payment by the due date will be taken off the program and will receive 80% refund of their deposit.
  6. Applicants who withdraw after commencement of the program will not be entitled to a refund.
  7. Completion of this program does not provide formal qualification of echo skills.

 

Enrollment Form

Click  here  to download Echo Training Program Enrollment Form

Introduction

The echo training program is intended for health care professionals to develop the necessary hands-on skills to perform a routine echocardiogram. No previous echo experience is necessary; however a basic knowledge of the anatomy and cardiovascular system is required. This is a traineeship program which would allow the sonographer to gain employment with the company upon completion.

 

Program design

The Echo Training Program is a hands-on training program held at various Heartscope Victoria sites, predominantly at Wheelers Hill. Two 3 hour sessions are provided each week over 22 weeks starting with the routine windows, views and measurements then advancing to echo calculations and an introduction to cardiac pathology. Students will also be provided with demo patients on which to practice on and gain confidence in image acquisition. The students will also be exposed to pathology via pre-recorded images on the Echopac system. Total training time is 156 hours.

 

Aim of the Program

At the conclusion of the program, the trainee should have sufficient skills to perform a routine adult transthoracic echo within 60 minutes. All images and measurements will be performed in accordance with ASE guidelines. Participants will gain an understanding of machine controls for image optimisation and learn the normal values relating to the adult heart. They will learn to recognise abnormal findings and have an introduction to preliminary report writing incorporating relevant measurements and pathology found. Participants will develop an understanding of their own limitations and learn to seek assistance when necessary.

 

Echo equipment

Training will be conducted on the GE Vivd 7, Vivid E9 or other GE systems.

 

Terms and Conditions
  1. Completion of this program does not provide formal qualification of echo skills. Sonographers must complete an external accredited echo course such as the DMU or QUT course and obtain accreditation as a medical sonographer through ASAR in order to perform echocardiograms unsupervised.
  2. Heartscope Victoria reserves the right to refuse enrolment on any basis.

 

How to apply

Send in a copy of your resume to training@heartscope.com.au

AVAILABLE AT THE FOLLOWING LOCATIONS


WHEELERS HILL

Appointments, Results & Fees

Patient Information for Diagnostic Tests

Appointments

To make an appointment, please call us on 1800 202 111

For all appointments please bring:

  • your medicare card
  • your referral letter
  • medications or a medication list
  • all other relevant information, such as hospital discharge papers
Appointment Reminders

We will call you at least one day before your appointment to remind you of your appointment and to provide you with any necessary information with regard to the test.

Cancelling an appointment

Should you need to cancel your appointment please contact us at least one day in advance. We will arrange an alternative time.

Results

Your test results will be sent to your doctor as soon as possible to so as to your get prompt medical attention. Echo and Stress Echo reports are sent electronically within 24-48 hours.

Patient Fees

Most of our services are bulk billed. Privately billed patients are required to pay the fees on the day of the test or consultation, by either a credit card (Visa or MasterCard) or cash.

Private-billed services:

24 Hour BP Monitor: $80 out-of-pocket

Use the slider to explore the inside of the heart

Want to schedule an appointment?

Call us at 1300 693 246 or 9560 7558 or fill in the appointment form...