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Windsor Cardiology Imaging

Windsor Cardiology is proud to offer a state of the art cardiology imaging service for our patients. Enormous advances in medical technology mean that our doctors can obtain hugely detailed images of the cardiac anatomy using a combination of the very latest technology and highly-skilled doctors and technicians. The advantage of this is that we can make highly informed decisions about your treatment in a very easy and convenient way – often with very little downtime for you the patient.

Your results can be discussed with you in a relaxed and private consultation, and any further treatment can be decided on knowing we have as much information as possible to guide us with your care.

Coronary CT Angiography

We are delighted to partner with Bridge Clinic Advanced Imaging to offer an excellent and personalised service using one of most revolutionary and advanced scanners available, and one of only a handful in the UK. The Toshiba Aquilion One 640 scanner provides for far greater accuracy of scan diagnosis with the benefits of extremely low dose radiation. Patients are normally no longer than a few minutes in the open scanner, a real benefit for those patients who may be anxious or who suffer with claustrophobia.

The scanning suite is purpose built in a tranquil setting, with light and airy waiting and changing areas and ample parking. The consultant cardiologist is available to talk to you before and after your scan, and our dedicated technician is with you throughout your scan to ensure everything runs smoothly.

Stress Echocardiography

Stress echocardiography is a day case procedure using ultrasound imaging to look at how well you heart muscles are working to pump blood around your body, particularly when you exercise. It is mainly used to detect decreases and changes in blood flow due to coronary artery disease.

Windsor Cardiology has a dedicated room for stress echocardiography at The Bridge Clinic in Maidenhead. After a short consultation with the consultant, you are taken through to a room containing a special form of exercise bike, and some monitoring equipment. A resting echocardiogram is done first and you are also connected to an ECG to record your heart rate.

You will be asked to pedal slowly at first, and then at slightly faster rates so that your heart can be recorded at different stages of exercise. This gives the consultant very important information about the blood flow to your heart, and can take between 10 and 20 minutes in all. A specialist nurse is also present to help record your heart and assist both you and the consultant.

The consultant will ask you to stop if your heart is beating at the target rate, you are too tired to continue, or if you are having any chest pain or blood pressure changes.

Sometimes exercise alone is not enough, and the consultant will give you a drug called dobutamine via an injection. This mimics the effect of exercise and makes your heart beat harder and faster, again allowing the doctor to look at blood flow changes. Your ECG and blood pressure are monitored throughout the test by the specialist nurse. A substance called contrast is sometimes also used to allow the consultant to see the blood flow more clearly.

You are given time to recover following this short procedure, and a nurse is on hand should you need any assistance. You will need to get someone to drive you home following this procedure but you will be fine to drive the next day.

Transcranial Doppler Bubble Ultrasonography

Transcranial Doppler bubble ultrasonography is a special test designed to quantify the amount of blood cells crossing the partition between the heart chambers in patients with unexplained stroke or heart attack, when a hole in the heart – patent foramen ovale – is suspected to be a cause of an embolic vascular event. During the test high frequency sound waves are sent into the brain through the side of the head to image cerebral arteries. A needle will be placed in your arm to inject bubble contrast during special breathing exercises. As the sound waves bounce off the bubble blood contrast agent a clear trace appears on a computer screen allowing us to quantify the size of the cardiac shunt and determine your prognosis. We can then sit down with you after the test and discuss treatment options with you.