Heart Care Center
St. Bernards HeartCare Center is the region's leading provider of heart care services. Each day our team of doctors, cardiologists, heart surgeons, nurses and other healthcare professionals treats patients suffering from all forms of heart disease, from common problems to life-threatening conditions. Our specially-trained cardiac clinic staff is available 24 hours a day, seven days a week seeing patients through diagnosis, treatment and rehabilitation. If you were recently diagnosed with heart disease, or you're looking for highly skilled, compassionate intensive care doctors and heart specialists, you will find the cardiac care you need right here at St. Bernards.
For more information, visit the St. Bernards Heart & Vascular website.
If you are having a heart emergency, call 911, and get to the St. Bernards Heart Attack Treatment Center.
The American Heart Association recognizes St. Bernards Healthcare for achieving 85% or higher composite adherence to all Mission: Lifeline STEMI Receiving Center Performance Achievement indicators for consecutive 24-month intervals, 75% or higher compliance on all Mission: Lifeline STEMI Receiving Center quality measures, and First-Door-to-Device time of 120 minutes or less for transfers, to improve the quality of care for STEMI patients.
Educates cardiac patients on cardiac health and risk factors including, but not limited to: smoking cessation, lipid management, the effects of diabetes on the heart, and maintaining heart-healthy blood glucose levels. The Cardiac Educator is also involved with the education of patients on pre- and post-cardiac procedures, assists in educating patients on prescribed medications prior to procedures, assists in coordinating cardiac rehab while patient is both an inpatient and outpatient, and consults with a dietician to see patients with modifiable cardiac risk factors. The Cardiac Educator also assists in referring patients with modifiable cardiac risk factors to community education programs such as:
- Adult Diabetic Support Group
- Heart Club
- Diabetes Awareness
- Fresh Start
- Great American Smoke-Out
- Heart Health Fair
- Women's Heart Health
Risk Stratification and Pre- and Post-Cardiac Surgery Patient Education is provided.
This specialized unit with lower nurse-to-patient ratio for post-cardiac surgery patients is a 12-bed unit located on the second floor.
Outpatient Cardiac Rehabilitation is the specific educational and progressive rehabilitation program for cardiac patients.
- Provides educational and outpatient rehabilitative services to a multitude of patient populations including cardiac, pulmonary and diabetic patients.
- Heart Club is a monthly support group for cardiac patients/survivors.
- A variety of workshops, seminars and special programs are also available to meet community education needs.
- Outpatient pulmonary rehabilitation is also offered.
Intensive Care Unit for post-cardiovascular surgery patients is an eight-bed unit located on the northeast wing of the first floor. The Intensive Care Unit waiting room is located on the intermediate level of the HeartCare Center. In the Intensive Care Unit, there are also three private family waiting/consultation rooms.
- Electrocardiography (EKG): the electrocardiogram is a recording of the heart's electrical activity as a graph on a moving strip of paper. This gives the doctor important information about the heart, such as heart rate and rhythm, from which the physician can infer medical conditions and past heart history.
- Carotid Ultrasound Imaging-unilateral and bilateral imaging available.
- Venous Ultrasound Imaging-unilateral and bilateral imaging available.
- Echocardiography: a non-invasive method used to visualize actual motions and physical properties of the heart. Transmitting pulses of high frequency sounds and receiving the echo signal, this sophisticated ultrasound instrument is one of the latest advances in identifying heart malfunction. Studies are done with Doppler and color flow and contrast medium as needed.
- Stress and Dobutamine Echocardiography: combines the modalities of echocardiography and cardiac stress testing to evaluate the heart function non-invasively.
- Transesophageal Echocardiography: allows the interpreting doctor to visualize cardiac structures on patients who are normally difficult to image and is an excellent vehicle for ruling out thrombus source in the heart as well as evaluation of LV on hand to image patients.
- Echo contrast is added to Echocardiography studies to enhance LV images as needed.
- Peripheral artery imaging-lower and upper imaging available.
- Cardiac Stress Testing: diagnostic treadmill testing, stress echocardiography and nuclear myocardial perfusion imaging studies, both pharmacological and physiological stress are available.
- Holter monitoring: A recording and scanner provide printouts of heart activity obtained from the Holter monitor. Data analysis by the scanner enables patients to benefit from increased evaluation time.
- Pulmonary function testing: simple spirometry, nitrogen wash studies and/or body plethysmograph or FRC, flow volume loops and diffusion studies. Bronchodilation done on request.
- Arterial Segmental Doppler: upper and lower extremity studies performed as well as rest and exercise studies.
At St. Bernards, there’s a reason we don’t have a chest pain center. Because chest pain is often the last warning sign of a heart attack.
Many heart attack victims, especially women, never have chest pain. In fact, a woman’s chances of surviving a heart attack are less than a man’s.Too many people die each year of an embarrassment to seek help during a heart attack, because they’re afraid that the discomfort they’re feeling might just be indigestion; that they might waste our time.
At the St. Bernards Heart Attack Treatment Center, a cardiologist is on call 24 hours a day, seven days a week offering immediate care for patients experiencing symptoms like shortness of breath, heartburn, indigestion and unexplained pressure, burning, heaviness, tightness or fullness in the center of the chest. For more information, please call (870) 207-5200.
Cardiac catheterization is the most definitive means of evaluating patients for coronary artery disease. Electrophysiology allows the doctor to determine the cause of heart rhythm disturbances. For more information, please call (870) 935-6729.
- As part of our comprehensive HeartCare Center, St. Bernards offers a complete, properly equipped, fully staffed Electrophysiology Program.
- Our doctors have the ability to perform atrial fibrillation ablations and have access to general anesthesia during AF ablation cases, thanks to recent technology and equipment updates in the medical center’s EP Lab. Renovations in our Cath labs have also given us more square footage in the two state-of-the-art procedure rooms.
- New advanced equipment additions include the Siemens Acuson X300 System ICE (Intracardiac Echocardiography), Philips FD 20 Imaging System, Maestro Ablation RF System, Stockert 70 Generator with Coolflow Pump, and a new EP Med Recording System.
- To learn more about Electrophysiology, click here.
- Coronary balloon angioplasty (PTCA), coronary stent placement, Vascular Brachytherapy and Laser Athrectomy are available as options for treatment of specific coronary and peripheral artery lesions (both drug eluting and traditional stents are available).
- Ablation and implantable devices such as Pacemakers and Internal Cardiac Defibrillators are options for rhythm disturbances.
Therapy, including Fibrinolytic Tissue Plasminogen Activator (TPA), Activase, and Retevase are available as well as 2b3a platelet-inhibitors.
Sometimes heart disease hides in the legs. It’s called peripheral artery disease, and it’s caused by the same buildup of plaque that causes heart disease. At St. Bernards, our new chronic total occlusion (CTO) catheter with an integrated camera allows doctors to navigate inside blocked arteries with full control to find PAD and fix it.
In addition, as of March 12, 2015, our own Dr. Barry Tedder was named the lead patient enroller in a clinical study designed to evaluate the safety and efficacy of a new system developed by Avinger, Inc., a manufacturer of image-guided, catheter-based systems for the treatment of PAD.
The new Pantheris catheter system is the only device to combine directional atherectomy with real-time intravascular imaging to aid in the removal of plaque from diseased lower extremity arteries.
Common Symptoms of PAD might include:
- Pain or fatigue in the legs that goes away when you rest
- Numbness in the legs or feet
- Skin wounds or ulcers on the legs or feet that heel slowly
Call 855.207.7300 to schedule your fast, easy and painless PAD Screening.
Diagnostic procedure completed by gently inserting a catheter into the blood vessels that feed the heart. Several injections of x-ray dye are made into the arteries allowing doctors to see heart blockages. Pressure measurements also are taken inside the heart to further evaluate the heart chambers and valves.
Percutaneous Transluminal Coronary Angioplasty:
Also known as PCI or balloon angioplasty, this interventional procedure involves inserting a balloon-tipped catheter into a blocked heart artery. The balloon is then inflated and deflated to compress the blockage of plaque and increase the blood flow.
A stent is a small metal coil, or mesh tube, that may be placed in the artery to help keep it from reclosing by providing a scaffolding-like support. A stent is commonly used in conjunction with a balloon angioplasty and athrectomies.
Technique used to remove plaque from a blocked heart artery. These procedures can be completed using several different state-of-the-art methods that the cath lab has readily available.
Procedure that involves the implantation of an electronic device that helps the heart maintain regular beats.
Device which utilizes sound waves to assist in the evaluation of the heart arteries. A small catheter is placed inside the artery, and pictures are taken from within to better define the blockages.
Procedure which examines arteries of the body, i.e. arteries in the leg, for diagnosis and treatment, helping increase the blood flow where needed. Balloons and stents are often used in other arteries outside the heart, including the legs, kidneys and carotid arteries.
Implantable Cardioverter Defibrillator (ICD):
An ICD is a small, electronic device that is permanently place inside the body to help control the heart’s rhythm, speed and pattern. Like a pacemaker, it constantly monitors the heart rhythm. Most importantly, it has the ability to stop a dangerous arrhythmia.
Radiofrequency Catheter Ablation:
In some situations, the specific area of the rhythm disturbance can be corrected by sending heat energy through a catheter to a small region of the heart to vaporize the abnormal area.
St. Bernards was the first hospital in Arkansas to use cryoablation, a technique to treat arrhythmias which involves freezing abnormal areas causing arrhythmias. In appropriate patients, cryoablation is often safer and easier to use than alternate procedures that treat by heating.
Electrophysiology (EP) Study:
An EP study is a diagnostic study in which a catheter in gently inserted into the blood vessels that feed the heart. The catheter is guided into the heart and the catheter’s electrodes gather data regarding the heart’s electrical function. During an EP study, an electrophysiologist may provoke arrhythmias and collect data about the events, helping the doctor assess the needed treatment.
Electrophysiology is a cardiology specialty that diagnoses and treats heart arrhythmias, a disturbance of the heart’s normal rhythm that may be serious and even life threatening. (EP lab)
Electrophysiology Lab Services include:
- Electrophysiology Study
- Permanent Pacemaker - single, dual, biventricular leads, subcutaneous pacemakers
- Internal Cardiac Defibrillators
- Cardiac ablation
- Atrial Fibrillation Ablation, Ventricular Tachycardia Ablation
- Intracoronary echo ultrasound (ICE) and digital cardiovascular imaging
- Loop recording monitors
The Cardiac Catheterization Lab (cardiac cath lab) is a specialized service providing diagnostic and interventional procedures used in the treatment of coronary artery and peripheral vascular disease.
Cath Lab Services include:
- Diagnostic cardiac catheterization
- Radial artery cardiac catheterization
- Intravascular ultrasound
- Coronary angioplasties and revascularization, Chronic Total Occlusion procedures
- Thrombectomy – clot removal
- Atherectomy – Laser and rotational
- Peripheral angioplasty, Chronic Total Occlusion procedures
September of 2012 to January 31, 2013:
- 67 CODE STEMI activations
- Average time from 1st Patient Contact to Balloon is 83 minutes-*Note this is not our doorto Balloon
- Most of the damage from a heart attack occurs in 1st two hours
- Evidence has shown that restoring blood flow in 120 minutes or less from time of symptom onset reduces patient morbidity and mortality.
- Class 1 recommendation from AHA/ACC –Percutaneous Cardiac Intervention in 120 minutes or less in transferred in patients and 90 minutes or less in patient’s presenting to hospital ED as walk-in.
- The medical center provides a complete range of cardiac services including procedures such as repair and replacement of heart valves, cardiac revascularization and repair and reconstruction of intrathoracic vessels.
- Open heart surgery is a highly specialized procedure utilizing a heart-lung bypass machine (the "pump") which performs outside-of-the-body circulation and oxygenation during surgery.
- Open heart surgery includes a wide range of procedures designed to correct both congenital and acquired cardiac and coronary artery disease.
- Off Pump Cases are also performed in which this specialized surgery is performed without the use of the heart lung machine. Open heart surgery without the use of the heart lung machine often reduces risks and complications. There is also a quicker recovery time following surgery.
- AICD (Automatic Implantable Connecter Defibrillator), an implantable device to regulate heart rhythm, is also available.
Telemetry monitoring available hospital-wide.