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Cardiology Testing & Heart Health in NYC

In-office cardiac testing in NYC: ECG, Holter monitoring, echocardiogram, stress testing and heart and stroke risk screening, run by internal medicine.

Cardiology at NYMD Center is diagnostic testing and risk screening done inside the group. We perform electrocardiograms, ambulatory ECG monitoring, echocardiograms and exercise stress tests in the office, run the blood work that defines heart and stroke risk, and manage blood pressure and cholesterol. The program is coordinated by Dr. Yulya Timashpolsky, an internal medicine physician with more than thirty years of experience and a focus on cardiovascular care. When a test shows something that needs a catheterization, a stent or a cardiac surgeon, we refer you to interventional cardiology and hand over a complete record.

We built the program this way because most cardiac care that patients need is not a procedure. It is finding out whether the chest tightness on the stairs matters, whether the palpitations are benign, whether the blood pressure that reads high at the pharmacy is really high, and what a family history of early heart attack means for you. Those questions are answered with tests we can do here, interpreted by a physician who already knows your history.

What we test

A resting ECG takes a few minutes and is the starting point for chest pain, changes in heart rhythm, and pre-operative clearance. When the rhythm problem comes and goes, an ambulatory ECG worn at home for a day or longer catches what a single tracing misses. An echocardiogram uses ultrasound to show the heart's chambers, valves and pumping strength, and is the test for a murmur, shortness of breath or an abnormal ECG. An exercise stress test records the ECG and blood pressure while you walk on a treadmill and tells us whether the heart muscle gets enough blood under load.

Alongside the tests, our heart and stroke risk factor screening pulls together blood pressure, lipids including ApoB, glucose and A1c, kidney function, weight and family history into an estimate of your risk and a plan to lower it. High blood pressure and hyperlipidemia are managed here rather than referred out.

How it connects to the rest of the group

Two connections matter most. The first is men's health. Erectile dysfunction is an early marker of vascular disease: the arteries of the penis are small and narrow first, often years before the coronary arteries cause symptoms. Every man our urologists see for ED is offered a cardiovascular screen, and because the testing is in the same building, it actually happens. A man who came in for one problem leaves with the other one identified while it is still easy to treat.

The second is longevity medicine. Cardiorespiratory fitness and ApoB are two of the four markers in our longevity panel, and the stress test that measures fitness is the same one that screens for coronary disease. The cardiology program and the longevity program share data, so a patient is not tested twice for the same answer.

Internal medicine also relies on the program for pre-operative clearance before procedures in our own surgery center, for patients with diabetes whose cardiac risk is elevated, and for anyone whose annual physical raises a question.

Who leads it

Dr. Yulya Timashpolsky coordinates the program, orders and interprets the studies, and manages risk factors over time. She works with the rest of our internal medicine team and with the urologists and gynecologists who refer patients in. Interventional cardiologists we refer to are outside the practice, and we choose them for the individual patient.

How to get seen

Testing is ordered by a physician after a visit, so the first step is an appointment with internal medicine at the Manhattan or Forest Hills office, or a referral from your NYMD urologist or gynecologist. Same-week appointments are usually available, most major insurance is accepted, and the tests are typically scheduled within days of the visit. If you have a symptom that worries you today, call the office and say so; chest pain, fainting or a racing heartbeat at rest are reasons to be seen the same day or to go to an emergency department.

Conditions & services

Questions patients ask

Is NYMD Center a cardiology practice?

We are a multi-specialty group with a cardiac testing and risk screening program run by our internal medicine physicians. We perform the diagnostic tests in the office, interpret them, and manage blood pressure, cholesterol and risk factors. We do not perform catheterizations, stents or cardiac surgery. When a result calls for that level of care, we refer you to an interventional cardiologist and share everything we have found.

Why does a urology practice screen men for heart disease?

Because erectile dysfunction is often the first sign of it. The arteries of the penis are small and show the effects of plaque and poor blood flow years before the larger coronary arteries do. A man who develops ED in his forties or fifties has a meaningful chance of having early vascular disease elsewhere. Our urologists send those men for a cardiovascular screen, and the tests are done in the same building.

What tests can be done in the office?

Resting ECG, ambulatory ECG monitoring worn for a day or longer, echocardiogram, exercise stress testing and the full blood panel for heart and stroke risk, including lipids, glucose and inflammatory markers, are all done on site at our Manhattan office. Results are reviewed by the physician who ordered them, usually at a follow-up visit within the week.

Do I need to prepare for a stress test or echocardiogram?

For an echocardiogram, no preparation is needed. For an exercise stress test, wear comfortable clothes and walking shoes, avoid a heavy meal and caffeine for a few hours beforehand, and ask us in advance whether to hold any of your heart or blood pressure medications, because some of them blunt the response we are trying to measure.

How often should I have my heart checked if I feel fine?

It depends on your risk. Blood pressure and lipids belong in every annual physical from early adulthood. More detailed testing is added based on family history, diabetes, smoking, weight, symptoms, and findings such as ED or an abnormal lipid panel. We would rather set the interval to your risk than to a calendar, which is the same approach our longevity program takes.

Make an appointment

Manhattan (212) 991-9991 · Forest Hills (718) 360-9550 · same-week visits, most major insurance accepted.

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