Our team currently provides adult cardiology outreach services to Conrad and Havre, Montana. We extend our services to these communities to ensure patients have access to expert clinicians and specialized care without having to travel for hours to reach the clinic. Our outreach program includes comprehensive heart evaluations, ongoing management of heart conditions, and personalized treatment plans tailored to each patient’s needs and preferences. We work closely with local healthcare providers to coordinate care, ensuring seamless care that helps strengthen patient outcomes by bringing care closer to home.
Structural heart disease refers to conditions that alter the shape and integrity of certain parts of the heart, including the valves, walls and chambers. These abnormalities can be caused by older age, injury, infection, or those present at birth. Structural heart procedures provide alternative treatment options that can be equally or more effective yet less invasive than traditional open heart surgery. These minimally invasive techniques not only reduce the risks associated with open heart surgery but also can shorten recovery times, helping patients get back to normal activities more quickly.
At Great Falls Clinic, we offer a range of advanced structural heart procedures, including:
- Alcohol septal ablation: Reduces thickened heart muscle in patients with hypertrophic cardiomyopathy by injecting alcohol into a small artery
- Atrial septal defect (ASD) closure: Closes a hole in the atrial septum, the wall between the upper chambers of the heart
- MitraClip™: Clips together the leaflets of a leaky valve, improving function and reducing the symptoms of heart failure
- Patent foramen ovale (PFO) closure: Closes a small, persistent hole between the heart’s atria to lower the risk of stroke
Cardiology Care in Great Falls, MT
Our approach to heart disease:
Prevention
We know that prevention is the first line of defense against heart disease. That’s why we focus on providing comprehensive preventive care for each patient, evaluating individual lifestyle, health, and genetic factors to help patients understand their risk. We conduct regular screenings and provide tailored lifestyle modifications to empower our patients to improve their heart health to support a higher quality of life both now and in the future.
Diagnosis
When a patient develops heart disease, making an accurate and timely diagnosis is crucial to effectively managing their condition and improving treatment outcomes. We utilize state-of-the-art diagnostic tools and techniques to detect heart disease, including cardiac catheterization, echocardiography, electrocardiography, nuclear imaging, and arterial doppler.
Treatment
At Great Falls Clinic, we believe in a multidisciplinary approach to heart disease intervention. From minimally invasive procedures to open heart surgeries, we offer a wide range of treatment options to, first and foremost, restore heart function and, secondly, to support a healthy heart and help each patient drive positive changes in their quality of life through holistic care programs.
Services
Structural Heart
Structural heart disease refers to conditions that can affect the shape of the heart’s valves, walls or chambers, with abnormalities caused by age, injury, infection or those present at birth. Structural heart procedures provide alternative treatment options that can be equally or more effective, and less invasive than traditional open heart surgery.
Cardiac Catheterization
The cardiac catheterization procedure is performed to both diagnose heart problems and also to treat previously diagnosed cardiovascular conditions.
During the cardiac catheterization procedure, a catheter (a long thin tube) is inserted in an artery or vein in the groin, neck or arm and moved through your blood vessels to your heart.
Doctors can then do diagnostic tests using the catheter. Some heart disease treatments, such as coronary angioplasty and coronary stenting, are also performed using cardiac catheterization.
Cardiac catheterization is used for testing, and also during treatment for certain heart conditions including:
- Angioplasty - blockages in your blood vessels that could cause chest pain
- Measuring pressure and oxygen levels in your heart
- Checking your hearts pumping function
- Biopsies
- Diagnosing congenital heart defects
- Diagnosing heart valve problems
- Treating irregular heart rhythms
Echocardiography
The Great Falls Clinic Echocardiography Lab has held national accreditation since 2003 with the ICAEL in Pediatric and Adult Resting and Stress Echocardiography
Echocardiogram: A resting ultrasound evaluation of structure, function, blood flow and pressures within the heart. Images are obtained by placing a transducer at various locations on the chest. This test includes color Doppler evaluation of blood flow.
Stress Echocardiogram: An echocardiogram is done both before and after your heart is stressed either by having you exercise on a treadmill or by injecting a medicine that makes your heart beat harder and faster. A stress echocardiogram is usually done to find out if you might have blockage or decreased blood flow to your heart’s arteries (coronary artery disease, or CAD).
Transesophageal Echocardiogram (TEE): For this test, the probe is passed down the esophagus instead of being moved over the outside of the chest wall. TEE shows clearer pictures of your heart, because the probe is located closer to the heart and because the lungs and bones of the chest wall do not block the sound waves produced by the probe. A sedative and an anesthetic applied to the throat are used to make you comfortable during this test.
Electrocardiography (EKG)
Electrocardiogram (EKG or ECG): This is a test that checks for problems with the electrical activity of your heart. Small patches called electrodes are applied to the skin and wires or leads are attached. An EKG translates the heart’s electrical activity into line tracings on paper
Holter Monitor: Electrodes are applied to the skin (similar to the leads used in recording a standard ECG), and are attached to a portable recording device about the size of a deck of cards. While carrying this device in a pouch or on a belt, you will be asked to resume your normal activities while the device records a continuous ECG tracing for 24 or 48 hours. You will be asked to keep a diary of your activities including symptoms.
Event Recorders: Event recorders do not record every heart beat. Instead, event recorders store only approximately 30 seconds of your heart’s rhythm. That is, at any given time while you are wearing it, event recorders will have recorded the most recent 30 seconds of your ECG. When you experience a symptom, you should press a button on the recorder, associating that recording with your symptom. The recording should then be transmitted by telephone to a monitoring center. A major advantage of event recorders is that they can be used for 30 – 60 days, increasing the chances of finding a specific symptom or recording.
Nuclear Imaging
Nuclear imaging of the heart uses small, safe doses of radioactive substances (called radioisotopes, radionuclides or tracers), which are injected into the bloodstream, usually as part of a stress test. Radionuclides used for cardiac imaging include technetium (Cardiolite®, Myoview®) – the most commonly used – as well as thallium tracers. This is why a nuclear stress test is sometimes referred to as a “thallium stress test” or “Cardiolite stress test”.
Pacemaker/Devise (ICD)
The Pacemaker/ICD Clinic provides comprehensive outpatient surveillance and patient education. Patients receive Pacemaker/ICD analysis and programming, and ICD Interrogation and programming. The Pacemaker/ICD Clinic performs the following services for patients who have had either a Pacemaker, ICD or Loop Recorder implanted:
- Pacemaker Threshold and Sensing Testing
- Automatic Cardioverter Defibrillator Checks (ICD)
- Implantable Loop Recorder Interrogations
- Remote Device Management utilizing the Carelink and Latitude Systems
Arterial Doppler (lower extremity pneumoplesthmography)
Arterial Doppler studies utilize Doppler ultrasound to hear and produce images on a monitor for the purpose of evaluating the arterial blood flow to the lower extremities (legs). Through timed inflation and deflation of blood pressure cuffs, the technician is able to demonstrate blocked or reduced blood flow through the major arteries of the legs.
Clinical Research
At any given time, the Heart Center is involved in research studies related to heart disease and treatment. For more information on Clinical Research please visit here.