Cardiac Imaging and Diagnostics at Covenant Health

Non-invasive cardiac imaging uses advanced technology to create detailed pictures of the heart and blood vessels without the need for surgery or catheterization. Examples include:

• Echocardiogram: Uses sound waves to produce real-time images of the heart’s structure and function.
• Cardiac Computed Tomography (CT): A specialized X-ray that provides detailed cross-sectional images of the heart and coronary arteries.
• Cardiac MRI: Uses magnetic fields and radio waves to produce precise images of the heart’s anatomy and function.
• Coronary Calcium Scan: A CT scan that detects calcium buildup in the coronary arteries to assess heart disease risk.
• Electrocardiogram (EKG/ECG): a non-invasive test that records the heart’s electrical activity. Visit our Electrophysiology page for more information on EP testing.

Nuclear imaging and stress tests use small amounts of radioactive material and specialized imaging to evaluate blood flow, heart function, and areas of damage or stress in the heart. Examples include:

• Nuclear Stress Test: Measures blood flow to the heart during rest and exercise using a radioactive tracer.
• Nuclear Treadmill Test: Combines exercise on a treadmill with nuclear imaging to assess blood flow and identify areas of reduced circulation.
• Single-Photon Emission Computed Tomography (SPECT): Produces 3D images of the heart to evaluate blood flow and detect heart conditions.
• Thallium Cardiac Viability Imaging: Uses a radioactive tracer to assess heart muscle viability and detect damaged tissue.
• Multigated Acquisition (MUGA) Scan: Evaluates the heart’s pumping efficiency by tracking a radioactive tracer in the blood.

Vascular ultrasound and diagnostic tests are non-invasive procedures that use sound waves or pressure measurements to evaluate blood flow, blockages, or circulation in arteries and veins. Examples include:

• Arterial/Venous Ultrasound: Uses ultrasound to assess blood flow and detect clots, blockages, or abnormalities in veins and arteries.
• Duplex Arterial/Venous Doppler Ultrasound: Combines traditional ultrasound with Doppler technology to measure the speed and direction of blood flow in vessels.
• Ankle Brachial Index (ABI): Compares blood pressure in the ankle and arm to diagnose peripheral artery disease (PAD) and circulation issues.

Invasive and specialized diagnostic procedures involve inserting devices or instruments into the body to provide detailed information about heart function, blood flow, or rhythm disorders. Examples include:

• Coronary Angiogram: A catheter-based procedure that uses X-rays and contrast dye to visualize blockages in the coronary arteries.
• Implantable Loop Recorder: A small device implanted under the skin to monitor and record abnormal heart rhythms over an extended period.

A referral may be required, depending on your insurance and the type of test. We recommend checking with your doctor or contacting our scheduling team for guidance.

A regular stress test monitors your heart while you exercise on a treadmill or stationary bike, while a nuclear stress test includes imaging with a small amount of radioactive tracer to assess blood flow to your heart.

Costs vary based on the type of test and your insurance coverage. Our team can provide estimates and assist with insurance verification to help you understand your financial responsibility. Contact us for details about self-pay options or insurance coverage. 

Most cardiac imaging tests are non-invasive and painless. Some tests, like nuclear imaging or stress tests, may involve mild discomfort from an IV or exercise.

The length of your appointment depends on the type of test, but most procedures take between 30 minutes and an hour. Some advanced imaging tests may take longer.

Your doctor will review the results and discuss them with you, typically within a few days. If urgent findings are detected, we will notify you as soon as possible.