Services
 
 

Bostick Heart Center Services

The Bostick Heart Center at Winter Haven Hospital is designed to treat all aspects of cardiovascular disease or heart disease, the leading cause of death for men and women. We are committed to providing you with the highest quality, compassionate care, from diagnosis to treatment to recovery.

Heart disease is a broad term used to describe a range of diseases that affect your heart including:

  • Coronary artery disease
  • Heart attack
  • Heart failure
  • Heart rhythm problems (arrhythmias)
  • Heart valve problems
  • Heart infections
  • Heart defects you were born with
  • Cardiomyopathies (weak/enlarged hearts)

We have obtained a three-star rating (the highest rating possible) from the prestigious Society of Thoracic Surgeons (STS). Because of this, our open-heart program was rated among the top 50 heart programs in the nation by a leading consumer magazine.

Cardiac Diagnostic Tests

An all-inclusive spectrum of cardiac tests are offered. Noninvasive cardiac diagnostic tests include but are not limited to:

  • EKG
  • Stress testing
  • Nuclear stress testing
  • Holter monitoring
  • Loop recorders
  • Echocardiography
  • 3-D echocardiography
  • Transesophageal echocardiography (TEE)

Invasive cardiac diagnostic tests are conducted by specially trained invasive/interventional cardiologists:

  • Diagnostic Cardiac Catheterizations: Show the heart’s arteries to assist in determining if intervention (stents) or surgery is indicated
  • Electrophysiology Studies (EPS): Evaluates abnormal heart rhythms

Cardiac Catheterization Laboratory

Your cardiologist may find narrowing or occlusion of the coronary artery/arteries, which will reduce or eliminate blood flow to the heart muscle, causing pain and possible damage to the heart. Our team of highly skilled interventional cardiologists can treat this with a minimally invasive procedure that places a stent in the area where the narrowing is found. Using a technique called the transradial approach, an interventional cardiologist performs these diagnostic and interventional procedures by inserting a thin tube through the radial artery located in the wrist and placing a small wire mesh called a stent to open the occluded or narrowed artery.

Winter Haven Hospital serves as a training site to teach other interventional cardiologists the transradial approach. The Center’s team emphasizes that not every patient can have the transradial approach because each patient’s anatomy is different. The interventional cardiologist will make sure that the patient is a candidate for this procedure and that the safest and most appropriate care is given.

Benefits of transradial cardiac catheterization include:

  • Greater patient comfort
  • Same results as traditional femoral artery approach
  • Ability to walk after the procedure
  • Shorter post-procedure recovery
  • Lower risk of complications

Additional procedures that are performed in our Cath Lab include, but are not limited to:

  • Peripheral (leg) artery stenting
  • Coronary (heart) artery stenting
  • Carotid (neck) artery stenting
  • Athrectomy
  • Inferior vena cava filters (umbrellas that prevent clots from reaching vital organs)
  • Electrophysiology
  • Implantation of heart devices: Pacemakers, defibrillators (ICDs), biventricular pacemakers

Electrophysiology Studies for Heart Rhythms

An electrophysiology study (EP study) is a test performed to diagnose and guide treatment of electrical abnormalities of the heart. The procedure is performed by a sub-specialist known as an electrophysiologist (EP). An EP physician is a cardiologist who has undergone additional fellowship training in the area of heart rhythm disorders.

An EP study may be indicated for many reasons including but not limited to abnormal slow or fast heart rates, passing out spells (syncope), skipped beats (palpitations), or to further identify patients at risk for sudden cardiac death. The EP physician advances small catheters with tiny electrodes into the heart in a painless, minimally invasive fashion. These electrodes directly record the electrical activity and pathways of the heart to help determine the cause of the heart rhythm disturbance, the location of the abnormal rhythm focus and the best treatment for you.

Treatments offered for heart rhythm disorders include:

  • Medications to control or treat abnormal heart rhythms
  • Ablation procedures using either radiofrequency energy (heat) or cryoablation (cold) for elimination of abnormal heart rhythms. Ablations performed include ablation of atrial flutter, supraventricular tachycardia (SVT), and complex ablations for atrial fibrillation and ventricular tachycardia.
  • Electrical cardioversion to convert and maintain a normal heart rhythm
  • Implantable cardioverter defibrillators (ICD) to restore natural rhythm in patients at risk for recurrent life threatening ventricular tachycardia or fibrillation
  • Remote monitoring for difficult-to-diagnose arrhythmias utilizing holter monitors, event monitors and small injectable recorders
  • Pacemakers to regulate the rate and rhythm of the heart
  • Cardiac resynchronization therapy for heart failure patients to help improve their symptoms and to slow, and even reverse, the progression of their disease

Cardiovascular Surgery

Our cardiovascular surgical team consists of surgeons, anesthesiologists, physician assistants, perfusionists, nurses and surgical techs. The open-heart team is part of the Ocala Heart Institute. They were chosen for their consistency to achieve excellent outcomes as well as for their holistic approach in meeting the spiritual and emotional needs of the patient and their loved ones.

One of the distinguishing factors influencing positive outcomes for our patients is the specialized role of the cardiovascular anesthesiologists. The cardiovascular anesthesiologists follow and direct the care of the patient from the operating room through their stay in the intensive care unit.

Our Cardiovascular Intensive Care Unit (CVICU) and our Cardiovascular Unit (CVU) offer expert care from a team of dedicated nurses, nurse practitioners, and other health care providers. Our patients and their families are at the center of all we do.

Surgical procedures include but are not limited to:

  • Coronary artery bypass grafting (ACB — aortic to coronary bypass)
  • Valve repair
  • Maze procedures
  • Transmyocardial revascularization (TMR)
  • Carotid artery endarterectomy
  • Insertion and extraction of devices such as pacemakers, defibrillators (ICD), biventricular pacemakers (BiV)
  • Thoracic and abdominal
  • Acute and chronic aneurysm repairs
  • Aortic dissection
    • Lung surgery using video-assisted thoracoscopy or VATS approach
    • Bypass grafting to improve circulation in the legs

We know that good care begins long before surgery. We provide individualized education for our patients and their families/support people, focusing on what typically happens during and after surgery. Learning about heart surgery and what to expect can help lessen feelings of stress and anxiety. We encourage questions and provide you with informational materials designed to serve as a good reference throughout your recovery and beyond.

Outpatient Cardiac Rehabilitation

The Cardiac Rehabilitation program at the Bostick Heart Center offers three phases: Phase I is devoted to the inpatient population, and phases II and III provide monitored exercise sessions for outpatients with trained cardiac nurses.

The program helps participants learn about their disease process and the therapeutic lifestyle changes they need to make. Additionally, the program helps the cardiac patient regain strength, decrease pain, improve activity tolerance, reduce the risk of future cardiac events and improve their overall quality of life.

Phase I

This phase begins when the patient is recovering in the hospital, providing education for:

  • Cardiac-related procedures such as diagnostic caths and interventions such as stent placement and surgical procedures described earlier
  • Cardiovascular diagnoses such as angina, heart attack, heart failure, hypertension, atrial fibrillation, valve disorders, high cholesterol and peripheral artery disease
  • Cardiac medications

Additionally, RNs provide closely supervised exercise to maintain physical fitness and identify risk factors that need to be modified.

Phase II

This phase includes exercise and education to help participants recover after a cardiac event. Every participant receives instructional care while critical vital signs (such as pulse rate, respiratory rate and blood pressure) are constantly monitored. The education classes within the program are administered by registered nurses, dietitians, pharmacists, chaplains and a psychologist.

The program is prescribed by the participant’s primary care doctor or cardiologist, followed by a full evaluation for final recommendations. It is specifically designed to meet the patient’s individual needs based on the doctor’s guidelines and the evaluation results.

People of all ages, genders and ethnic backgrounds can benefit from cardiac rehabilitation. Those who have experienced any of the following cardiac events or procedures are recommended to ask their doctor if they are a candidate for the Cardiac Rehabilitation Program:

  • A heart attack within the last 12 months
  • Angioplasty with or without stents
  • Coronary bypass surgery
  • Valve replacement or repair
  • Heart transplant
  • Stable angina
  • Heart failure

Phase III

This phase is a supervised exercise program in which individuals learn to self-manage their overall cardiovascular health. It is designed for those who have graduated from a Phase II program. To enroll in this program, a doctor’s prescription is needed. Then you will meet with a cardiac rehab nurse to discuss the program and your health history. You will then be enrolled in a class.

The Cardiac Rehabilitation Department also takes an active role in the community to promote cardiovascular wellness through health fairs and community events.

Educational Classes and Support Group

The Heart-to-Heart Support Group meets the second Tuesday of each month, 3–4pm, at the Wellness Center Conference Room. Discussion topics and presentations include:

  • Managing Change
  • Heart-Healthy Diet
  • Emotions and the Heart
  • Label Reading and Weight Management
  • Medication Safety
  • Diabetes and the Heart

For more information, call the Winter Haven Hospital Wellness Center at (863) 292-4127.

For a physician referral, call (855) 233-0888 or find a doctor near you.