Salem CardioVascular Associates has provided excellence and innovation in heart care for over 30 years.

Salem CardioVascular Associates provides multiple in-office services from our clinics in Salem, Dallas, and Stayton, as well as hospital services at Salem Hospital, West Valley Hospital, and Santiam Memorial Hospital.

CARDIOLOGY

We care for people with health
issues relating to their heart.

PATIENT PORTAL

Access online services and information.

Our Team

As a patient of Salem Cardiovascular Associates, you will have support from multiple cardiac specialists for the diagnosis and treatment of various cardiovascular conditions, including heart disease, atrial fibrillation, and lipid management to name a few.

William K. Stiles MD

General Cardiologist

Deborah Hughes MD

General Cardiologist

Barath Krishnamurthy MD

Interventional Cardiologist

Kevin Thompson DO

Interventional Cardiologist

Joshua G. Leichman MD

Electrophysiologist and General Cardiologist

Sharon L. Espersen MS, ANP-C

Cardiology Nurse Practitioner

Masen Wymore MSN, AG-ACNP

Nurse Practitioner

Services

In collaboration with your primary care physician and other specialists, our cardiologists, electrophysiologist and associated heart care professionals will provide comprehensive cardiovascular care, as well as education to you and your family.

As a patient of Salem Cardiovascular Associates, you will have the support from multiple cardiac specialists for the diagnosis and treatment of various cardiovascular conditions, including heart disease, atrial fibrillation, and lipid management to name a few.

In-Office Services

  • Consultation Services
  • Non-invasive Stress Test
  • Echocardiography
  • Nuclear Imaging
  • Lipid (cholesterol) Management
  • Pacemaker/Defibrillator Follow Up
  • Anticoagulation Management
  • Congestive Heart Failure Management
  • Arrhythmia (abnormal heartbeat) Management
  • Home Device Monitoring
  • Heart Improvement Clinic
  • Electrocardiography (EKG)
  • Cardiac Event Monitoring
  • Holter Monitoring

Hospital Services

  • In-Hospital Evaluation
  • Catheterization Angiography, and Percutaneous Coronary Intervention, including Stent Placement with both Radial and Femoral Access
  • Pacemaker and Defibrillator Implantation
  • Electrophysiological Studies
  • Arrhythmia Catheter Ablation Procedures
  • Transesophageal Echocardiography
  • 64 Slice Coronary CT Angiography
  • Cardioversion
  • Complex Coronary Interventions
  • Rotational Atherectomy
  • Peripheral Angiography 

Health Education

Our team here at Salem CardioVascular Associates want you and your family to be educated about cardiovascular health and disease.

Free Patient Support Resources

We are here to help you and your family learn about your cardiovascular health and provide educational resources to learn more about your condition and how to manage it. Our clinical staff and providers are always willing to lend a helping hand to assist you with educational resources in our office and in the community, so please ask! Below are a couple of free support resources on heart and chronic disease management

Coronary Artery Disease (CAD) is a condition where there is inadequate blood supply to the heart, usually caused by blocked arteries.

Any stress procedure may have some risks and you should consult with your physician regarding the risks and benefits prior to having this procedure. The radioactive materials, Myoview, Sestamibi, Cardiolite and Thallium, have been shown to be safe with low incidence of adverse reactions. This test and materials are used routinely worldwide, under physician supervision, for myocardial perfusion imaging. Neither Myoview, Sestamibi nor Thallium are "dyes," and there should be no serious side effects from their injection.

Under certain circumstances, a regular stress test may yield inconclusive results. To improve the diagnostic accuracy, your physician may request a Myocardial Perfusion Stress Test.

Under certain circumstances, a regular stress test may yield inconclusive results. To improve the diagnostic accuracy, your physician may request a Myocardial Perfusion Stress Test.

faq3The test usually consists of two parts, after exercising and under resting conditions. There are many variations for performing the test, which depend on the department's routine procedure. The entire test may be completed in one day or in two separate days. You will be informed if the exercise or rest portion will be done first. MYOVIEW will be administered by injection during peak exercise and once again while you are at rest.

To begin the test, ECG electrodes will be attached to your chest. This will allow your physician to monitor your heart rate before, during, and after you have exercised. A blood pressure cuff will be placed on your arm to monitor your blood pressure before, during and after exercise. Additionally, an intravenous (I.V.) line will be placed in your hand or arm vein to allow for ease of the MYOVIEW injection. The IV will be removed when the exam is completed.

The exercise part of the exam is usually done with a treadmill, very similar to a treadmill used at a health club. Exercise begins slowly, with the pace gradually increasing approximately every three minutes. As you exercise, your heart rate and blood pressure will change. This is normal and you will be closely monitored throughout the exam. At your peak exercise, MYOVIEW will be injected into the I.V. You will then be asked to continue exercising for an additional one or two minutes.

Approximately 30 minutes to 1 hour after the exercise is complete, pictures will be taken of your heart using a special camera able to trace either the MYOVIEW or the Thallium that has localized in your heart. You will be asked to sit in an imaging chair. The chair will rotate around the detector heads and take pictures of your chest. This will take 8 to 10 minutes to complete. It is very important that you hold very still while the camera takes the pictures of your heart. You will not receive any radiation from the camera.

class2CLOTHING - You should wear comfortable, loose-fitting clothing for exercise and comfortable shoes appropriate for walking. Please try to avoid underwire bras and metal on your shirt.

MEDICATIONS - Consult with your physician regarding whether certain medications should be taken before, or held until after, the test. Certain medications may interfere with the effectiveness of the exam.

WORK - Depending on the department procedure, time permitting, you may have time to go back to work between the two parts of the exam. The physician will inform you if this is possible.

Important Points to Remember

  • The test may take place on one or two days, depending on the individual.
  • Both parts must be completed for obtaining results.
  • You will receive an injection for both parts of the exam.
  • The radioactive material is ordered especially for you. If you are unable to keep your appointment for any reason, notify us at 503-585-5585 before the exam.
  • A written report of the test will be sent to your physician once it is interpreted.
  • If you are pregnant or suspect you may be, notify your doctor before taking the test.

Please note that this information is provided for educational purposes only. It is not intended to substitute for informed medical advice. The user of this site should not use this information to diagnose or treat a health problem or disease without consulting with a qualified health care provider.

An isotope stress test is also known as a nuclear, thallium, Cardiololite, Myoview or dual isotope stress test, depending upon the method used.

During exercise, healthy coronary arteries dilate (develop a more open channel) more than an artery that has a blockage. This unequal dilation causes more blood to be delivered to heart muscle supplied by the normal artery. In contrast, narrowed arteries end up supplying reduced blood flow to its area of distribution. This reduced flow causes the involved muscle to "starve" during exercise. The "starvation" may produce symptoms (like chest discomfort or inappropriate shortness of breath), and EKG abnormalities. When a "perfusion tracer" (a nuclear isotope that travels to heart muscle with blood flow) is injected intravenously, it is extracted by the heart muscle in proportion to the flow of blood.

The amount of tracer uptake helps differentiate normal muscle (which receives more of the tracer) from the reduced uptake demonstrated by muscle that is supplied by a narrowed coronary artery. In other words, areas of the heart that have adequate blood flow quickly picks up the tracer material. In contrast, muscle with reduced blood flow pick up the tracer slowly or not at all. Analysis of the images of the heart (taken by a scanning camera) can help identify the location, severity and extent of reduced blood flow to the heart. The reduced blood flow is known as ischemia (pronounced is-keem-ya).

s test may yield inconclusive results. To improve the diagnostic accuracy, your physician may request a Myocardial Perfusion Stress Test.

Frequently Asked Questions

Every visit with your provider is an opportunity for you and your family to ask questions and become better informed about your cardiovascular health.

Appointment Questions

Each insurance company is unique and requirements change often. Your primary care physician’s office should make arrangements for you, and as a double check, our Referral and Pre-Authorization Specialist will verify everything is in place for your first visit. Please refer to your individual insurance plan information for its specific requirements.

Please call our office at 503-585-5585 to make an appointment. If referred by your primary care physician’s office, we will contact you through their request.

Please call our office at 503-585-5585 to cancel or reschedule any appointment. We prefer at least 24 hours notice so that another patient can be contacted and moved into your vacant appointment time.

Please bring a listing of any medications that you are taking – both prescribed and over-the-counter – along with the dosage amount. (Ask one of our Medical Assistants for a handy wallet card for listing medications.)

Financial Questions

Please refer to your individual insurance plan information for co-pay and coverage information. Unless other arrangements have been made previously, your co-pay amount is expected at the time of service.

We accept Medicare and most commercial insurance plans. We will verify acceptance of coverage prior to your visit and contact you if there are concerns.

Many insurance companies require a referral for office visits and pre-authorization for studies and procedures. Our Referral and Pre-Authorization Specialist will acquire all necessary approvals for your care. Please be aware that this process sometimes takes a week or more, depending on individual insurance companies’ processes, but every effort will be made to expedite the process for urgent cases.

Our major concern is for your good health and quality of life and your insurance status does not change that. We are happy to work with you to formulate a payment plan unique to your situation.

For private pay patients, we offer a 15% discount for full payment made on the day of service. If your budget does not allow full payment on the day of your visit, we are happy to work with you to formulate a payment plan unique to your situation.

For your convenience, we accept all major credit cards including VISA, Mastercard, Discover and American Express. We also accept cash, debit charges, and checks.

General Questions

We have handicapped parking and access at all locations.

We are conveniently located within 1 block of public transportation and we are a familiar destination for Trip Link, Cherry Lift, Gold Star Transport, and local cab companies.

Parking at our main location (885 Mission St. SE) is underneath and behind the building, accessible from Mission Street.

Parking at our satellite clinics is convenient at each location.

Interpretive services are available upon request for commonly encountered, and most other, foreign languages and are recommended in place of family member interpretation so that medical terminology is accurate and family members can concentrate on supporting their loved one.

Medical records are available after permission is given by the patient through the signing of a release form or by request from a primary care physician or other specialist’s office for continuity of care. Please contact our office for any requests or questions you may have regarding your medical records.

You are welcome to approach any member of our staff with your concern. They will be happy to help you or direct you to the appropriate member of management.

If you are having an emergency, call 911. Otherwise, the Salem Hospital Emergency Room is available 24 hours a day and can contact your doctor if necessary.

For more information online we recommend the following websites:

American Heart Association - American Heart Association's mission is to build healthier lives, free of cardiovascular diseases and stroke.

The Heart Rhythm Society - The Heart Rhythm Society provides information on specific arrhythmias such as atrial fibrillation. It also is useful for information about pacemakers and defibrillators.

CHFpatients - For those interested in cardiomyopathy and congestive heart failure, this is a patient-oriented site intended for patients with heart disease. It is maintained by an individual who has heart disease.

Heart Failure Online - This site provides a wide variety of information and contains a Spanish translation.  It is sponsored by the San Diego Cardiac Center and the Sharp Foundation for Cardiovascular Research and Education.

Heart Failure Society - This patient-oriented site is sponsored and maintained by the Heart Failure Society of America, Inc. The information provided is designed to help patients with heart failure feel better, stay out of the hospital, and live longer.

Peripheral Artery Disease (PAD) - This is a site sponsored by the Society for Vascular Surgery.

The Zapper - This site is an “unofficial” source of information for patients who have received an implanted cardiac defibrillator. It is useful for discussing real-life experiences and concerns about having an implanted defibrillator. The site has medical consultants and links to many of the specific pacemaker/defibrillator companies.

WomenHeart - If you want a female focus about heart health, this is a useful site. WomenHeart was founded by three women who had heart attacks while in their 40s. Their mission is to increase awareness about women and heart disease.

Quality Care

When the need arises for specialized cardiovascular care, most people want the following things from their team of health care providers: A dedicated provider that you and your family can trust, one that listens to your questions and concerns, and a well-trained provider that knows the latest advancements in cardiovascular health.

New Patients

To make an appointment call 503-585-5585

What to bring with you to your appointment

  • Please bring a listing of any medications that you are taking, both prescribed and over-the-counter, along with the dosage amount. Ask one of our Medical Assistants for a handy wallet card for listing your medications.
  • Also include any forms that were sent to you in the mail or handed to you at your previous appointment.
  • We will need to see your insurance card and photo identification each time you visit us to assist in billing and comply with federal laws.

Parking

  • 885 Mission St – parking is available under and behind the building. You can access this lot from Mission Street. Please be aware that parking at the park across the street at Bush Park may result in a ticket from the city.

Contact Us

Serving the Mid-Willamette Valley with our main office in Salem, and day clinics in Stayton and Dallas.

Main Office:

Salem CardioVascular Associates, PC
885 Mission St SE
Salem, OR 97302
See Map and Directions

(503) 585-5585 - main
(503) 399-1659 - fax
(503) 371-1637 - billing

BE ADVISED: This email is not transmitted in a secure fashion. Please do not include personal health information or attachments. Call our clinic at 503-585-5585 to discuss any personal information or health issues.

Email: info@salemcardiovascular.com

 

Single Day Clinics:

Inside The Specialty Clinic (every Monday, Tuesday and Wednesday morning)
1369 N 10th Ave.
Stayton, Oregon 97383
See Map and Directions

Inside West Valley Hospital (Every Friday)
525 Washington St.
Dallas, Oregon 97338
See Map and Directions

 

 

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