The New York Cardiac Diagnostic Center offers Sports Cardiology (athletic heart screenings).
Cardiac assessment of the athlete includes history and examination to assess both medical and sport-related problems, a stress test, an Electrocardiogram (ECG) and where appropriate, further testing which may include Echocardiography either at rest or with exercise, cardiac MRI and testing for significant cardiac rhythm disturbances.
Dr. Steven Reisman (a best in class NYC cardiologist) can identify important and sometimes life threatening cardiovascular problems with the clear goal of maintaining the safe return of the athlete to their chosen sport wherever possible.
I have never been to a doctor as knowledgeable and caring as Dr Reisman. Excellent bedside manner, highly knowledgeable and simply brilliant. His office staff is excellent and you are seen at your assigned time – super rare in NYC. Don’t consider any other cardiologist because he is as good as it gets, really ~ Google
Our cardiologist’s goal is to assess and evaluate athletes to ensure safe participation in athletics.
What is Sports Cardiology?
The first ever reported exercise-related death in history dates back to when the Greeks won the battle against the Persians in Marathon. A foot messenger was told to run back to Athens to deliver the joyous news, but after arrival and after shouting his message, he collapsed and was pronounced dead. Hippocrates’ tutor, the Greek physician Herodicus is generally considered to be the father of sports medicine, and he taught gymnastics and understood the association between therapeutic exercise and good diet for good overall health. Nowadays, cardiologists understand this association far more closely, and top athletes often rely very heavily on sports medicine and especially as there is the risk of sudden cardiac death. Sports cardiology has been a subspecialty of cardiology since 2011 when the American College of Cardiology developed the Exercise and Sports Cardiology Section.
Top athletes must manage their overall health to remain competitive, and this management is often extremely complex. Usually, they will have a team of specialists who collaborate closely, and which include physicians, nutritionists, coaches, psychologists, and exercise physiologists.
The athlete’s physician and especially our cardiologist Dr. Reisman is probably the most important member of the team and who will meticulously examine past medical history, carry out screening tests, and physical examinations and supervise exercise intensification, maximizing cardiovascular performance without the need for drugs.
However, sports cardiology isn’t just for top athletes, and it can help anyone who likes to stay fit and exercise regularly, including weekend warriors, to achieve their maximum potential while protecting their heart.
Why See a Sports Cardiologist?
A sports cardiologist such as Dr. Reisman has trained as a cardiologist but has specialized expertise allowing them to understand the physical demands of sports and the psychology behind playing sports. He has a significant experience in treating athletes and understand how important it is for them to continue playing, and especially athletes who have cardiovascular conditions.
Reasons to visit the NYC cardiologist may include:
- You are a professional athlete and your contract requires it
- You are a non-professional athlete experience unexplained and troubling cardiac symptoms
- New feelings of shortness of breath
- New feelings of heart palpitations
- Chest pain during exercise / athletics
- Unexpected but unexplained change in performance during exercise
- Pre-competition screening or identified cardiac abnormality on screening
- Return to sport / athletics after previously identified cardiac problem
What to Expect When You First See a Sports Cardiologist?
Initially, Dr. Reisman, cardiologist in New York will want to evaluate your medical history, and also talk to you about your history of participating in your chosen sport. It’s important to make sure cardiologist Dr. Reisman knows all your symptoms, so it might be worth writing them down before you go.
Of course, Dr. Reisman will want to give you a cardiovascular physical examination, and it’s quite likely he may order other tests including an electrocardiogram or other diagnostic cardiac tests as required, for example, stress echo tests.
An electrocardiogram or ECG is a machine that measures your heart’s electrical activity using stickers on your chest. It looks at the electrical conduction pathways around your heart, and the test is quick, painless, and non-invasive. Once completed, the cardiologist Dr. Reisman can evaluate the results and will look for changes related to playing sports. If he see anything that requires further investigation, he may recommend an echocardiogram. This is an ultrasound that takes video images showing the structure of your heart. The purpose of an echocardiogram is to allow the cardiologist Dr. Reisman to look at the mechanics of your heart, such as the walls, valves, and chambers and to take specific measurements.
- This looks at the electrical conduction pathways around the heart.
- A machine collects the heart’s electrical activity from stickers on the chest.
- It is read by a cardiologist specifically looking for sports related changes.
- The test is painless, non-invasive and takes only a few minutes to perform
A stress echo test uses a resting echocardiogram with an exercise test. With this test, an echocardiogram is taken of your heart before and after using a treadmill. It’s a very useful test showing how well your heart and heart valves can handle physical activity and may be recommended to help discover the symptoms of heart problems during exercise. The test is painless and quite quick, and the results are available soon after the procedure is completed. During the test, the echocardiogram is taken while you are at rest, usually while lying on your back, and is repeated when you are standing and are taking exercise.
Laboratory tests, including blood tests immediately after, will provide further information, and once all this information is collated, your local cardiologist or cardiac doctor Dr. Reisman can recommend the most suitable course of treatment. If your heart is healthy, you may still benefit from a sports nutrition consultation or physical therapy, and advice can be provided on how to stay active and maintain or improve your athletic performance. Also, referrals to other specialists may be appropriate if a cardiologist cannot resolve any health issues.
- This at times recommended if an ECG requires further investigation
- An ultrasound test will take video images of the structure of the heart.
- Measurements allow comparison of the hearts mechanics (walls, valves, chambers).
When to See a Sports Cardiologist?
You can visit your nearby local cardiologist or sports cardiologist Dr. Reisman in the city if you are a non-professional athlete and have noticed some troubling symptoms affecting your heart, or if you are a professional athlete and are required under the terms of your contract to see a heart specialist. Athletes should also consider seeing Dr. Reisman, a cardiologist in NYC if they have noticed heart palpitations or are unexpectedly short of breath, or if they have felt chest pain while playing sports or during exercise. Other potential changes include a change in performance that is unexplained. A sports cardiologist can help people who have previously had a heart problem and who are looking to return to playing sports.
What Will Happen If I Have Heart Problems?
If you do have heart problems, Dr. Reisman New York cardiologist or your local cardiologist can talk to you about a suitable treatment. Even though athletes tend to be very healthy, it still possible to develop heart problems.
One of the most common heart problems is atherosclerosis. Even though exercise helps to protect against this disease, it’s still an issue even amongst athletes. It’s been suggested that atherosclerosis is the most common reason for sudden cardiac death in older athletes. Another common problem is hypertension or high blood pressure in healthy athletes. Often treatment for hypertension focuses on lifestyle modifications and medications that shouldn’t affect athletic performance.
It’s also possible to have pre-existing cardiovascular disease or inherited conditions that include arrhythmias and valvular disease. Usually, people with congenital heart disease are encouraged to exercise, but there are specific recommendations for each type of congenital heart disease. If a valvular heart disease is classified as being mild, most athletes will still be able to participate in competitions but will need regular monitoring.
An exercise stress test can help diagnose the severity of this condition. Athletes with more severe valvular heart disease may need to restrict their activities until the problem is addressed.
If you have any questions for the best in class NYC cardiologist or would like to schedule a consultation or appointment please feel free to contact Dr. Steven Reisman of the New York Cardiac Diagnostic Center and indicate which Manhattan office (Upper East Side, Midtown Cardiologists, or Wall Street / Financial District) you would like to see the cardiologist for a cardiac consultation.