Castillo jacksonville

Want to switch regions? Choose from the options: Australian UK Spanish. Contact us. We noticed you are on our US page. Make an Inquiry Loading Thank you Close. Back to top. Overview Carlos Castillo, MD is board-certified in Internal Medicine and Medical Oncology and has nearly 20 years of oncology and hematology experience.

A Holter monitor is a portable device that records your heart's rhythm ECG continuously for 24 to 48 hours. The device is the size of a small camera. It has wires with silver dollar-sized electrodes that are attached to your skin.

Castello uses information captured on the Holter monitor to figure out if you have a heart rhythm problem. It is used in patients who have palpitations, irregular heart beat or known arrhythmias. If a 24 hour Holter monitor doesn't capture your irregular heartbeat, you may need a wireless telemetry monitor, which can be worn for weeks. One of our medical assistants will attach the electrodes to your chest and will help you put the Holter monitor on and explains how to take care of it.

They will instruct you how to record your symptoms on a diary while wearing it. Stay away from high-voltage areas, metal detectors or large magnets. If you feel symptoms such as chest pain, shortness of breath, uneven heartbeats or dizziness, note in your diary the time of day they began. Your diary entries will be compared to the changes in your ECG recorded by the Holter monitor. An ankle-brachial index ABI test is a simple way for Dr. Castello to check if you have blockages in the arteries of your legs also known as peripheral artery disease PAD.

The ankle brachial index compares the blood pressure in the upper and lower limbs, obtained by placing blood pressure cuffs in your arm and ankle. Blood flow is also obtained with a small Doppler device that measures the velocity of the blood.

You will hear unusual sounds. There is a resting component and an exercise component. The resting pressures and Doppler velocities are first obtained at rest.

Then, you will be asked to walk on a treadmill for a few minutes to complete the exercise component. If you are unable to walk, you will be asked to raise your toes, to complete the exercise part. Generally, you won't need to follow any special preparation before your appointment to have an stress ABI test performed. You may want to wear loose, comfortable clothing that allows Courtney to easily place a blood pressure cuff on your ankle and upper arm.

Transesophageal echocardiography TEE is a test that produces pictures of your heart. TEE uses high-frequency sound waves ultrasound to make detailed pictures of your heart and the arteries that lead to and from it.

Unlike a standard echocardiogram, the echo transducer that produces the sound waves for TEE is attached to a thin tube that passes through your mouth, down your throat and into your esophagus.

Because the esophagus is so close to the upper chambers of the heart, very clear images of those heart structures and valves can be obtained. How to Prepare for a TEE:. Please arrive two hours before your test time. You need to be fasting the night before the test starting at midnight. Make sure you take your medications the same way you usually do with little sips of water. Diabetic patients please do not take your insulin but do bring it with you. You will be required to be monitored for an hour after your test for safety reasons.

The test is done under moderate sedation Twlight. For this test you are required to have a driver, contact the office if you do not have someone who can take you to have the test done and pick up after. Please call us at to obtain more information.

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An echocardiogram may be used to diagnose: Abnormal heart valves, Abnormal heart rhythms, Inflammation or infection, Atherosclerosis, Coronary heart disease, Congestive heart failure See below for further explanation. An arterial ultrasound is indicated if you are experiencing Leg pain when walking Resting leg pain, leg heaviness Foot, ankle, heel or toe ulcers Skin discoloration See below for further explanation. In Office Procedures. This test is typically used to evaluate chest pain, shortness of breath and valvular disease How do I prepare for a Stress Test or Stress Echo?

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