Cardiovascular (cardiac) imaging uses the latest imaging technology — like a cardiac MRI, echocardiogram, electrocardiogram (EKG), cardiac CT and nuclear imaging — to get a clear picture of your heart and blood vessels. These images allow us to detect, diagnose and even treat a variety of cardiovascular conditions like heart failure and heart disease.
Peace of mind is at the heart of what we do
Cardiac imaging tests provide important answers about your heart health that can’t be seen with the naked eye. Whether we’re pinpointing the cause of your symptoms or monitoring your treatment plan’s progress, cardiac imaging tests are helpful tools heart experts use at almost every step of your treatment path.
Conditions
Our team can detect and diagnose the full range of cardiovascular diseases, including:
If your primary care doctor or cardiologist believes that you’re living with a condition affecting your heart or blood vessels, ask them about how Tufts Medicine can support your heart care.
Testing
You can trust that our doctors and care team will do everything they can to quickly, efficiently and accurately diagnose heart conditions. We'll decide on the right tests for you based on your symptoms, medical history and family health history.
Cardiac MRI
A cardiac MRI uses a magnetic field and radio waves to create images of your heart and the inside of your blood vessels. These images allow us to look for any potential conditions that can harm your heart health.
Because a cardiac MRI uses a strong magnet to create images, your care team will explain how to prepare for your MRI with steps like removing all metal objects beforehand. It’s important to note that people with some types of pacemakers or implanted defibrillators cannot undergo an MRI because the magnet can harm the devices. People with titanium implants (such as hip or knee replacements and most prosthetic heart valves and heart stents) are typically approved for an MRI.
For most cardiac MRI tests, your technician will inject you with a special type of dye called a contrast agent that helps light up specific tissues on the scan to detect scarring or other abnormalities of your heart muscle.
CT scan
A CT scan uses specialized X-rays to diagnose conditions throughout your body, and they’re effective at visualizing your heart, too. A CT scan can help us evaluate blood vessels and coronary arteries for any signs of blockages or narrowing. Your doctor may give you a special dye called a contrast agent that helps provide us with detailed information about the blood vessels in your heart. Please note there is some radiation exposure with CT scans, but the benefits of accurate diagnosis and detailed imaging outweigh the minimal risk.
Echocardiogram (“echo”)
An echocardiogram is an ultrasound of your heart. We use echocardiograms to answer important questions, like:
- Are your heart valves leaking or restricted?
- Is your heart muscle thick?
- Is your heart pumping in a healthy way?
This test is performed by gliding a small hand-held wand (known as a transducer) across your skin. The transducer emits high-frequency sound waves that travel until they hit a boundary, like your heart muscle and valves, and create an echo. When the echoes return to the transducer, they produce images on the ultrasound monitor in real time.
Electrocardiogram (EKG)
An electrocardiogram (EKG) is a test that checks your heart’s electrical activity. It’s used to diagnose conditions like heart failure, cardiac sarcoidosis and hypertrophic cardiomyopathy, to name a few.
An EKG records your heart's electrical signals and translates your heartbeat and rhythm into a graph for your care team to examine.
Stress echocardiogram
A stress echocardiogram is a two-part test that shows how your heart functions under stress. We will use both an electrocardiogram (EKG) and an echocardiogram (echo) to examine your heart. To see how your heart rate responds to exercise and rest, we will also conduct an exercise stress echocardiogram.
Exercise stress echocardiogram
Exercise stress echocardiograms are special tests that allow your doctor to decipher whether you develop a heart obstruction when your heart rate increases during daily physical activities, like walking up stairs. Also known as the more traditional approach, the exercise stress echocardiogram involves running on a treadmill while attached to an EKG. When running on a treadmill isn't a safe option, we can use medications to artificially stress the heart, also known as a chemical stress test.
Your doctor may order an exercise stress echocardiogram if a regular echocardiogram shows a thickened heart muscle but no blocked blood flow when you’re at rest.
A care team member will be by your side the entire exam, monitoring your blood pressure and electrocardiogram (EKG) as you exercise. You’ll start by walking on the treadmill at a moderately slow pace. The treadmill will increase speed and tilt upward like a small hill every few minutes. We’ll keep a pulse on how you’re feeling throughout the test by asking questions like:
- Are you short of breath?
- Do you feel faint or dizzy?
- Do you have any chest pain?
Once you reach your maximum level of exercise, you’ll lie down on your left side on a nearby bed so the specialist can take additional pictures of your heart.
Your care team will walk you through how to prepare for an exercise echocardiogram with instructions like:
- Not eating or drinking for 4 hours before our test
- Pause on taking any heart medications on the day of your test because we want to see how your heart functions without the influence of medications
- Wear comfortable, loose-fitting clothing and sneakers
Nuclear cardiac imaging
Nuclear cardiac imaging is a type of nuclear medicine that uses small amounts of a safe radioactive substance to take pictures of your heart. These images help us see if some parts of your heart aren’t getting enough blood or aren’t working as they should. The test is often done with an exercise stress test, where you either walk on a treadmill or take a medicine that makes your heart react like you’re exercising. This helps show how well blood is flowing to your heart.
Your care team will walk you through how to prepare for your nuclear cardiac imaging stress test with guidance such as:
- Ask your doctor about which medications you should take on the day of the test.
- Wear light clothes and comfortable shoes since you’ll be exercising on a treadmill.
- Only eat a light breakfast for a morning test or a light lunch for an afternoon test.
- Don’t consume any caffeine on the day of the test.
The test is often combined with an exercise stress echocardiogram, where you either walk on a treadmill or take a medicine that makes your heart react like you’re exercising. After the exercise or medication, a small amount of a radioactive tracer is injected into your bloodstream. The amount of radiation is low, and the test is generally safe, with the benefits usually outweighing any risks.
Next, you'll lie on a table while a special camera takes pictures of your heart. The camera tracks the tracer and shows areas of your heart that may not be getting enough blood. The test is done in two parts: once when your heart is under stress and again when it’s at rest. By comparing the images, your doctor can see how well your heart is functioning and identify any potential issues.
Treatments
The power of cardiovascular imaging isn’t limited to diagnosing conditions. We’re pioneers in using cardiac ultrasounds to guide procedures, like:
- Alcohol septal ablation for hypertrophic cardiomyopathy (HCM)
- Atrial septal defect (ASD) device closure
- Patent foramen ovale (PFO) device closure
- Surgical valve replacement
- Transcatheter valve replacement (TAVR)
Interventional radiology
Interventional radiology uses the power of image-guiding technologies to perform minimally invasive procedures. These technologies include:
Your doctor may recommend interventional radiology instead of surgery in certain situations.
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