Heart care at MountainView Hospital
MountainView Hospital is dedicated to your heart. In fact - we do more heart procedures than any other hospital in the Las Vegas Valley. We are focused on heart health, from diagnosis of heart disease to management of heart failure and everything in between.
From our heart attack care through our ER, cardiology services to heart surgery and recovery in cardiac rehab, we have the full continuum of heart care through our Las Vegas Heart Institute.
The Las Vegas Heart Institute encompasses cardiologist in our Las Vegas Heart Associates clinic; MountainView Cardiovascular & Thoracic Surgery Associates; and the hospital's outpatient cardiac rehab program.
MountainView Hospital has earned high marks for its quality heart care, including recognition from U.S. News & World Report as being a "high performing hospital" in the areas of heart failure and COPD (2019/2020). Additionally, the Society for Thoracic Surgeons has ranked MountainView as a three-star program (the highest rating available) for isolated valve repair and replacement (MVRR) procedures and mitral valve repairs and replacements with coronary artery bypass graft procedures (MVRR+CABG). MountainView also is a Joint Commission certified Chest Pain Center.
We have a dedicated team of cardiologists and in-house cardiac surgeons who perform a wide variety of specialties, including open-heart surgery, vascular surgery, heart catheterization, minimally invasive procedures and TAVR surgery. Our cardiologists offer the highest levels in heart care through interventional cardiology and electrophysiology. We are committed to providing congestive heart failure education, to ensure that patients get the information needed to help manage their heart failure and live a fulfilling life.
We continue to bring patients the latest in heart care and services, including the latest in case for atrial fibrillation and devices for heart failure monitoring.
We are an accredited Chest Pain Center, earning this accreditation from the Joint Commission for Chest Pain for sustaining superior levels of service for patients during a cardiac arrest. We are leading the way in providing a full-range of diagnostic and treatment option for all areas of cardiac and cardiovascular care.
Las Vegas Heart Associates
Las Vegas Heart Associates is the leading provider cardiovascular care in the Las Vegas Valley. Our specialists are highly trained in general, interventional, structural, vascular, nuclear, sports cardiology, echocardiography and electrophysiology while using state of the art techniques and superior technology.
Las Vegas Heart Associates is conveniently located in the medical office building, 2880 N. Tenaya, on the campus of MountainView Hospital. Our physicians see patients at the hospital as well as in-office for any emergencies that arise.
MountainView Cardiovascular & Thoracic Surgery Associates
MountainView Cardiovascular & Thoracic Surgery Associates has developed a heart program focused on your individual needs. As an affiliate of MountainView Hospital, they are available 24/7 and are able to provide comprehensive patient management. With a convenient location in the medical office building adjacent to MountainView, they are able to provide you or your loved one with continuity of care, both in the clinic setting and as an inpatient, if surgery is required.
To find a cardiologist or physician who specializes in heart care, call us at (702) 962-5021.
Services we offer
Heart failure is a chronic condition that in most cases cannot be cured. In our iCare CHF Program, we are here to work with you to manage your symptoms and avoid hospital admissions.
Our multidisciplinary clinic includes physicians, nurses, registered dieticians, physical therapy as well as hospice/palliative care services with the sole focus to help you and to assist your physician in your congestive heart failure treatment. Our program goals are to help you with cardiac education, increase your awareness of signs and symptoms of heart failure, reduce sodium and record your weight daily, incorporate exercises and activities into your routine and improve your quality of life.
Non-valvular atrial fibrillation (AF) is an irregular heartbeat that can lead to blood clots, stroke, heart failure and other heart-related complications. AF is the most common cardiac arrhythmia, currently affecting more than five million Americans.
MountainView Hospital was among the first hospitals in the region to offer patients with non-valvular atrial fibrillation (AF), an alternative to long-term warfarin medication with a new left atrial appendage occlusion (LAAO) device. Research has proven that the LAAO device is an alternative for stroke-risk reduction in patients with non-valvular atrial fibrillation (AF).
The LAAO device is intended for transcatheter left atrial appendage (LAA) closure through the skin. Patients with non-valvular atrial fibrillation who are at increased risk for stroke and systemic embolism, are suitable for warfarin and seek a non-pharmacologic alternative to warfarin may be eligible for a left atrial appendage ligation. By closing off the LAA, a thin, sack-like appendix arising from the left side of the heart that is believed to be the source of a majority of stroke-causing blood clots in people with non-valvular AF, the risk of stroke may be reduced and, over time, patients may be able to stop taking warfarin.
Our non-invasive cardiovascular testing departments are designed to assist the physician in gathering information about the patient to assess cardiac or vascular functioning. These departments include electrocardiogram (EKG or ECG), echocardiography and vascular ultrasound.
In our EKG department, you can receive one of the following cardiac tests:
- 12-lead EKG: A 12-lead EKG is a recording of your heart's electrical signals as recorded on paper. This recording will give your physician information to show any potential problems with the electrical system of your heart. Sometimes a physician may want to see more than what a 12-lead EKG test can show and will order a holter monitor or an event monitor for you to wear for a longer period of time.
- Tilt table test: A tilt table test is done to give your physician more information if you are experiencing fainting, also known as syncope. During the exam, the physician may try to recreate the symptoms you have when you faint in order to provide proper diagnosis and treatment.
- Stress test: Stress tests allow your physician to see how your heart is responding to exercise. This test uses a treadmill or medication to speed up your heart rate. At times, an echocardiogram will be performed to give the physician ultrasound images to see how your heart is working when exercising.
In our echocardiography department, you can receive heart tests that will give your physician information about how well you heart is working. These ultrasound images give clear pictures of the walls, chambers and size of your heart. Our clinical staff is certified to provide the best imaging possible. These ultrasound tests include:
- TEE exam: The TEE exam is completed when your physician wants to have a closer look at your heart from inside your esophagus (or throat). These ultrasound images can give your physician information about diagnosing and treating diseases, infections or problems with the walls or chambers of your heart.
Vascular ultrasound department
In our vascular ultrasound department, you can receive testing which will give your physician information about the vessels of your body, including your brain vessels and the carotids in your neck all the way down to your lower legs. These ultrasound images help to show how fast your blood is moving through your vessels. Additionally, our clinical staff also performs an exam looking for peripheral arterial disease (PAD) called an ankle-brachial index test (ABI). Our clinical staff is specialty certified to provide the best imaging possible. Vascular imaging will give your physician information about diagnosis and treatment options for possible blockages, aneurysms, tears, blood clots and varicose veins.
If a cardiac surgeon determines you are at high-risk or too sick for open-heart surgery, and if medicine is not helping you feel better, TAVR allows a new valve to be inserted within your diseased aortic valve while your heart is still beating. This minimally invasive surgical procedure repairs the valve without removing the old, damaged valve. Instead, it wedges a replacement valve into the aortic valve’s place.
The TAVR approach delivers a fully collapsible replacement valve to the valve site through a catheter. Once the aortic valve replacement expands, it pushes the old valve leaflets out of the way and the tissue in the replacement valve takes over the job of regulating blood flow.
Usually valve replacement requires an open-heart procedure with a “sternotomy,” in which the chest is surgically open for the procedure. The TAVR procedure can be done through very small openings that leave all the chest bones in place.
The TAVR procedure is performed using one of two different approaches, allowing the cardiologist or surgeon to choose which one provides the best and safest way to access the valve:
- TAVR procedure can be performed by entering through the femoral artery (large artery in the groin), called the transfemoral approach, which does not require a surgical incision in the chest.
- TAVR surgery can be performed by using a minimally invasive surgical approach with a small incision in the chest and entering through a large artery in the chest or through the tip of the left ventricle (the apex), which is known as the transapical approach.
What is aortic stenosis?
Aortic stenosis is a narrowing of the aortic valve opening that does not allow normal blood flow. In elderly patients, severe aortic stenosis is sometimes caused by the build-up of calcium on the aortic valve’s leaflets. Over time, the leaflets become stiff, reducing their ability to fully open and close. When the leaflets do not fully open, the heart must work harder to push blood through the aortic valve to the body.
Women’s heart health
Heart disease in women is the number one killer in the U.S. In fact, more women die of heart attacks than men do every year. MountainView Hospital is committed to treating heart disease in women and educating them about the importance of keeping their hearts healthy.
Heart attack symptoms in women
It is important to know that symptoms may vary among men and women. Most commonly, men experience symptoms that include chest pain, jaw pain, pain that travels down one or both arms, sweating, shortness of breath, nausea and vomiting or indigestion. However, women often experience a variety of different heart attack symptoms, including:
- Shortness of breath
- Unusual fatigue
- Nausea / indigestion / pressure in the upper abdomen
- Back pain
- Lower chest discomfort
When dealing with heart disease, there are risk factors that can and cannot be controlled. Some of the uncontrollable risk factors include:
- Family history
- Age, specifically affecting women post menopause
- Ethnicity - a higher likelihood exists if you are African-American, Hispanic or Native American
Some of the controllable risk factors include:
- High blood pressure
- High cholesterol
- Physical inactivity