Central Long Island: La Grande Place 1350 Deer Park Avenue North Babylon, NY 11703 Phone: 631-482-1355 Get directions
Eastern Long Island: Spring Lake Place 281 Middle Country Road Middle Island, NY 11953 Phone: 631-345-6670 Get directions

How aspirin can prevent recurrent heart attack and ischemic stroke

Aspirin can help reduce the risk of recurrent heart attack and ischemic stroke by reducing the tendency of blood to clot. Without aspirin, heart attack and stroke can occur if blood cells stick together and block an artery, stopping blood from reaching the heart or brain. An aspirin regimen can reduce the risk of recurrent heart attack by 30% and recurrent ischemic stroke by 22%.

Accuracy of ECG / EKG Interpretation

Background Interpretation of ECGs in athletes is complicated by physiological changes related to training. The purpose of this study was to determine the accuracy of ECG interpretation in athletes among different physician specialties, with and without use of a standardized ECG criteria tool. Methods Physicians were asked to interpret 40 ECGs (28 normal ECGs from college athletes randomized with 12 abnormal ECGs from individuals with known cardiovascular pathology) and classify each ECG as (1) ‘normal or variant – no further evaluation and testing needed’ or (2) ‘abnormal – further evaluation and testing needed.’ After reading the ECGs, participants received a two-page ECG criteria tool to guide interpretation of the ECGs again.
Results A total of 60 physicians participated: 22 primary care (PC) residents, 16 PC attending physicians, 12 sports medicine (SM) physicians and 10 cardiologists. At baseline, the total number of ECGs correctly interpreted was PC residents 73%, PC attending 73%, SM physicians 78% and cardiologists 85%. With use of the ECG criteria tool, all physician groups significantly improved their accuracy (p<0.0001): PC residents 92%, PC attending 90%, SM physicians 91% and cardiologists 96%. With use of the ECG criteria tool, specificity improved from 70% to 91%, sensitivity improved from 89% to 94% and there was no difference comparing cardiologists versus all other physicians (p=0.053). Conclusions providing standardized criteria to assist ECG interpretation in athletes significantly improves the ability to accurately distinguish normal from abnormal findings across physician specialties, even in physicians with little or no experience.

Download the PDF here and read the entire article.

Learn more about ECG Interpretation.

Heart Disease Survey, How much do you know?

Take the Heart & Health heart disease survey and test your knowledge. Do you know the actual facts or just the myths about heart disease? Find out how much you know by taking the survey here: http://heartandhealth.com/heart-disease-survey

How Does Your Heart Work? Educational Video


Watch this educational video with detailed diagrams and explanations from medical professionals all about the human heart. Heart and Health releases educational videos via our web site and social networks to increase public awareness about preventative care and treatment. The more you know about your body, the more you know how to best take care of it.

Concerned about your heart health? Click here to make an appointment with Heart and Health.

Recent Events Navel Expo Doctor Kavesteen

Heart and Health holds weekly public events around Long Island to promote early detection and preventative care. This video also showcases Doctor Kavesteen at the Navel Expo event at the Huntington Hilton. We offer free blood pressure testing, along with other basic tests to help the general public have a better idea of their current health status.

View the slideshow:

Internship Testimonial about Heart & Health

From http://cardiologyli.com

My name is Kareen Champagne and I am a graduate of Stony Brook University. I applied for an internship at Heart and Health cardiology clinic with Dr. Kavesteen in order to attain more experience in the field of medicine before entering medical school. During this three-month internship, Dr. Kavesteen assigned me various medical topics to research and write about, then discuss with him. From this alone, I learned a great deal about patient experiences with illness, the causes and effects of various diseases, as well as prevention and treatment. Along with research, I also assisted the clinic staff with clerical duties and shadowed medical assistants. I observed how they worked with patients and soon, I learned how to gather patient information, such as vital signs and medical history, as well as preparing and assisting with running cardiology tests, including EKGs, stress tests, heart and vessel sonograms, and T-wave exams. Although becoming adept with the new technology and learning how these tests help to diagnose the patient was very interesting and valuable, there was an even more fruitful aspect of my training. More than anything, I appreciate how the medical assistants and Dr. Kavesteen taught me how to interact with patients and develop my bedside manner in a clinical setting, something which could only be done through careful observation and practice. I am extremely grateful to Dr. Kavesteen and his team of employees at Heart and Health for teaching me so much. The superlative distinction of Heart and Health is not the equipment or the efficiency and accuracy of their work, but how much everyone cares about the patients, especially Dr. Kavesteen, who tries to work with his patients to give them the care and treatment which is best for them. I am confident that everything I have learned at Heart and Health will aid me greatly in my future medical endeavors and I enjoyed my time as a part of the team.

Medicare to reimburse for obesity screening and counseling

The Centers for Medicare and Medicaid Services (CMS) will reimburse you for preventive obesity screenings and counseling, but the agency has not instructed its contractors on how these services are to billed and paid, according to a spokeswoman.

Ellen B. Griffith, spokeswoman for CMS, wrote in an email to Medical Economics eConsult that CMS already has published that CPT code G0447, a 15-minute face-to-face behavioral counseling for obesity, has been assigned total non-facility RVUs of 0.74. The 2011 conversion factor is $33.9764.

In addition, the agency has stated that CPT code G0449, a 15-minute annual face-to-face obesity screening is bundled.

“We do not make separate payment for this service,” Griffith said.

Both codes G0447 and G0449 are available on the CMS Web site.

Screening and counseling coverage is effective as of the decision date, so when contractors are ready to process the claims, physicians will be able to submit claims for service back to the date of coverage, according to the spokeswoman.

Patients with Medicare will not be charged for the screening or counseling, according to CMS. Screening for obesity and counseling for eligible beneficiaries by primary care providers are covered under this new benefit. For a beneficiary who screens positive for obesity with a body mass index greater than 30, the benefit includes one face-to-face counseling visit each week for 1 month and one face-to-face counseling visit every other week for an additional 5 months, according to CMS.

The beneficiary may receive one face-to-face counseling visit every month for an additional 6 months (for a total of 12 months of counseling) if he or she has achieved a weight reduction of at least 6.6 pounds during the first 6 months of counseling.

More than 30% of men and women in the Medicare population are estimated to be obese, CMS reports.

Original article posted on: http://modernmedicine.com

Holistic Cardiology Treatment and Prevention

Proper Nutrition is the basis for optimum health and well being. Holistic nutrition is the modern natural approach to developing a healthy balanced diet while taking into account the person as whole. Holistic nutrition is considered to be part of holistic health.

Holistic health is an approach to treating a person’s well being by taking into consideration all aspects of life. A long term course of action includes emotional and spiritual health along with the physical body. Modern medicine focuses on treating a symptom rather than the root cause. If a person is experiencing a symptom or chronic condition, the problem has most likely been developing for some time. The goal of holistic nutrition is to facilitate a health recovery plan as well as build a strong foundation for long term optimum health.

Learn more about Holistic Cardiology Treatment at:http://nycardiologist.org

Biomedix

“PADnet has been indispensable diagnostic instrument in my medical practice. I have been able to detect Peripheral Vascular Disease in its early stages of development and prevent its further progression. It has been a great tool for risk stratification of my patients with diabetes, hypertension and dyslipidemia. It is clear that patients with positive findings are in much higher risk for heart attack and stroke. As a result, I have been able to be more aggressive with lipid lowering agents and antiplatelet therapies. Thus I have been able to prevent further progression of coronary artery disease and atherosclerotic vascular disease. Biomedix has made this test easy to use and readily available in the outpatient setting with high sensitivity and specificity.
Early detection and prevention are secrets to living a healthy long life. They are the new milestones of 21st century medical care.” -Doctor David Kavesteen

Opioid Dependency

Heart and Health offers psychological and medical treatment options for patients suffering from pain killer, heroin, or other opioid drug addictions. Opioid Dependency effects millions of people in the United States. Visit http://opioiddependency.com to learn more about available treatment options and to get more information about our Middle Island office.