At age 58, Bill G. decided it was time to become healthier “I wanted to start exercising again, but I started feeling very lethargic,” he says. “Just really blah.”
Concerned, he saw his primary care provider, Lisa Toffey, MD, with Summit Internal Medicine. She performed an electrocardiogram that showed something wasn’t quite right with Bill’s heart. Dr. Toffey recommended Bill see Interventional cardiologist David Bartov, MD, with Atlantic Health Overlook Medical Center.
“I had a friend of mine who is 10 years younger than me and definitely more fit than I am, and he had a heart attack and needed a couple of stents put in,” says Bill, who also has diabetes, a precursor to heart problems. “I didn’t want to wait until I had a heart attack to find out that something was wrong with me.”
The power of advanced cardiac imaging
Bill met with Dr. Bartov, who ordered a stress test. When the results were inconclusive, Dr. Bartov recommended an advanced noninvasive cardiac imaging test, called coronary computed tomography angiography (CTA). Both tests were performed at Atlantic Health Overlook. A coronary CTA combines CT scan capabilities and contrast dye to take high-quality images of the coronary arteries, giving interventional cardiologists like Dr. Bartov the ability to identify potential blocked arteries.
“A stress test is informative for diagnosing coronary artery disease, but the CTA goes one step further by showing exactly where a blockage is located and its severity. Knowing this information helps guide clinical decision making,” Dr. Bartov says.
The CTA showed that Bill had a 90% blockage in the left anterior descending artery (LAD), considered the most important of the three major arteries leading to the heart. Dr. Bartov recommended a cardiac catheterization, a procedure considered the gold standard for diagnosing coronary artery disease.
“Dr. Bartov laid out our plan of attack,” Bill says. “He told me this is what I recommend, but it’s ultimately your decision. He said it in a way that was easy to understand. He made me and my wife feel a lot more relaxed.”
Getting fast care for a troubling heart problem
On February 2, 2022, Dr. Bartov performed Bill’s cardiac catheterization, inserting a catheter through the wrist in what’s called a transradial approach. The catheterization confirmed the blockage in Bill’s LAD, allowing Dr. Bartov to relieve the blockage through an elective angioplasty with a stent.
“I predominantly use the transradial approach for my catheterizations,” Dr. Bartov says. “It’s associated with improved patient comfort, shorter recovery time, and less bleeding and other vascular complications than the traditional approach of inserting a catheter through the groin.”
The procedure to reopen Bill’s blocked LAD took less than 60 minutes, and he was discharged home the same day. “I went into the hospital around 7:00am and was out before 5:00pm,” Bill says.
Less than two weeks after the procedure, Bill said “I’m feeling great now.” He’s getting ready to start an exercise program and is making a commitment to take better care of his health. And he’s happy to have received quality heart care close to home.
“I’ve lived in this area for the past 50 years, and I’ve always had a great experience with Atlantic Health Overlook,” he says. “It made a big difference to have this done locally, where my wife could pick me up afterward and I could be back home in just a few minutes.
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