A patient centered support group for discussing and understanding complete heart care. Attendees will find comfort and strength in education and self-awareness. Understand conditions of living with Cardiac Device Assistance, and connect with others to feel a sense of community. This forum is open to the public and free of charge. This group’s affiliation is not for profit.
Cardiologist, Dr. Neil Sanghvi discusses Women and Heart Disease at the WJCT studio Lunch & Learn community heart education. The title of his talk was “What does your sex have to do with it? How to keep your heart ticking.”
Dr. Sanghvi discussed the facts, symptoms and treatment of irregular heart rhythms as well as the differences between women and men when it comes to heart care.
Did you know that heart failure is more common in women than men, yet women receive treatment two times less often than men.
Dr. Sanghvi was interviewed on First Coast Living and discussed the topics of Atrial Fibrillation, Pacemakers and Implantable Cardiac Devices. Dr. Sanghvi is an Electrophysiologist Cardiologist with First Coast Heart & Vascualr Center.
What is a pacemaker and why would someone need one? Pacemakers are devices that are about the size of a silver dollar. They are placed under the skin usually below the collar bone. They typically have anywhere from 1-3 wires that enter the heart via a blood vessel under the collar bone. These devices are usually placed in patients who suffer from a slow heart beat which results in a number of symptoms including fatigue, shortness of breath, inability to exercise, lightheadedness, or fainting to name a few.
What is a defibrillator, also known as an ICD, and why would someone need one of these devices? ICDs are implantable devices that are placed in similar fashion as a pacemaker. However, an ICD’s job is typically to treat fast and lethal irregular beats known as ventricular tachycardia (VT) or ventricular fibrillation (VF). Many people know that heart disease is the #1 killer in the US. What many do not know is that the reason most patients die is due to untreated VT or VF. Approximately 450,000 people die each year in the US from these arrhythmias. Patients at the highest risk include those who have had a prior heart attack, especially if this has resulted in a weakened heart muscle. Those with a weak heart muscle for other reasons are also at risk. Also, patients who may have had several episodes of passing out without an explanation should be evaluated since a small portion of these patients are likely suffering from VT and/or VF.
If a patient needs to have a device implanted, what type of device should be used? This is a decision that is typically made by the implanting surgeon. There are several manufacturers of devices in the US. Many of the devices have similar features. However, there are some distinct differences.
What happens if there is a problem with one of the wires or if one device type needs to be changed to another? Sometimes these devices may have a wire malfunction or one of the wires may be recalled due to a suspected risk of malfunction. Many surgeons often place a new wire in the heart and leave the old wire abandoned there since they are not capable of taking out the old wire. Unfortunately, this increases the risk of infections and for blood vessels to clot since there is more hardware in the body. Patients should seek out surgeons that specialize in lead extractions. Dr. Neil Sanghvi is able to utilize a laser to carefully and safely tease out the old lead that has scarred into the heart. The risk of a major complication is often less than 1-2% in many cases. The advantage is that it allows for less hardware to remain in the body which decreases the risks of infection and blood vessel clotting.
Yesterday one of our patients came to see Dr. Dinesh Pubbi to have her pacemaker checked. Unfortunately the patient was unable to get out of the car and into our building. Dr. Pubbi with the help from several of our staff and one of our Boston Scientific reps – Jamie Kirkley, took our equipment out to the patient in her car. Talk about curb service! Thanks everyone for going the extra mile!
First Coast Heart & Vascular Center has made a sincere commitment to excellence that is second to none. We stand by core principles of: Quality, Integrity and Compassion. We will always put our patients first.
In our four main offices covering four counties (Duval, Clay, St. Johns and Flagler), First Coast Heart & Vascular Center provides a wide range of cardiac, vascular & electrophysiological diagnostic testing. We also have satellite offices in Duval County that are conveniently located to serve our patients.
Our physicians service all major hospitals in the Duval, Clay and St. Johns counties including:
Memorial Hospital Jacksonville,
Baptist Hospitals (downtown and South),
St. Vincent Hospital South,
Orange Park Hospital,
Flagler Hospital in St. Augustine,
We are on call 24/7 for our patients. If you are admitted to any of these hospitals, we will be happy to attend to your needs as long as you make it known and request that our doctors see you. We have access to your records from any of our offices or homes and that will ensure that there are no interruptions in your care. It will also cut down on your expenses, health care system expenses and will eliminate duplication and unnecessary testing.
Our main offices are equipped with the latest in Nuclear imaging machines, Echo or Vascular equipment as well as the latest in Electronic Medical Records (EMR) which facilitate getting all your records to your primary care or referring doctors in an expeditious manner and with high efficiency. EMR assures a full circle of care with your referring doctors and hospitals. Our board certified cardiologists offer a spectrum of services including, but not limited to: consultation, diagnostic stress testing (Nuclear), Echocardiography, vascular testing, pacemaker or defibrillator implantation & interrogation, diagnostic cardiac & vascular catheterization (Angiography) and intervention (Stents, Rotablators, Laser, Debulking with Atherectomy, Carotid Artery or Renal Artery Stenting, PFO Closure, etc.).
Dr. Dinesh Pubbi is a board certified electrophysiologist with much successful experience in atrial fibrillation treatment including Atrial Fibrillation Ablation.
Dr. L. Van Crisco welcomes both cardiac and vascular patients and especially complicated vascular patients with special attention to vein disease. He is a nationally recognized interventional cardiologist with a vast experience in both cardiac and vascular intervention as well as structural heart disease.
First Coast Heart and Vascular Center contracts with every major insurance company as well as Medicare, Tricare and Medicaid. We offer a wide range of financial plans for your piece of mind. We will work with you to make your care affordable. Please browse the patient portal where you may access us 24 hours a day or send a scheduling question, billing question, or a comment or suggestion. You will be contacted within ONE business day by knowledgeable professional staff ready to help you.
Our doctors welcome new patients, former patients and patients seeking a second opinion in all of our offices. Our doctors cross cover each other when one is caught up in an emergency or on vacation to make sure your care is not interrupted.
Please help us keep you informed of your care by pointing out which of our doctors you wish to see and which office location you prefer to visit.
We at First Coast Heart & Vascular Center also want you to know that we support our Veterans and our Local Law Enforcement communities; they are here for all of us so we will be here for them.
Thank you for choosing First Coast Heart & Vascular Center, PA and for putting your heart in our hands.
The doctors and staff at First Coast Heart & Vascular Center