The most widely used investigative tool in cardiology. The ECG represents
the hearts own electrical activity providing insight into a variety
of heart conditions.
Ambulatory Blood Pressure Monitoring
Provides blood pressure information over a 24 hour period.
Allows exclusion of white coat hypertension, confirmation of true
hypertension and an assessment of blood pressure control in patients
Holter (24 hour ambulatory ECG) monitoring
Provides ECG information over a 24 hour period.
Allows detection of both fast and slow rhythm disturbances in patients
with palpitations, dizziness, blackouts and other intermittent
May also detect asymptomatic rhythm abnormalities in patients with
known heart disease.
Treadmill Exercise ECG
Compares the ECG tracing at rest to that at exercise. Useful screening
test for coronary artery disease in men, but is not accurate in women.
An ECHO is an ultrasound of the heart, providing detailed images
and extensive information on the heart muscle and valve structure
ECHO has many indications, including the investigations of Murmurs
(exclude valve disease), Shortness of Breath (exclude muscle or valve
dysfunction), and Hypertension (assess for cardiac hypertrophy and
Compares the heart muscle function at rest to that at peak exercise
in multiple views.
The changes seen on Stress ECHO occur earlier than ECG changes
or symptoms and are more reliable, hence providing superior accuracy
in both detecting and excluding coronary artery disease.
Stress ECHO is the non-invasive investigation of choice in men
and women for the investigation of chest pain, shortness of breath
exertion or risk factors for heart disease.
The Shire Heart Clinic is a Philips Luminary site and uses their
most advanced echocardiogram, the IE-33 to ensure optimal image
quality and cardiac ultrasound assessment. This provides the
accuracy in diagnosis.