502-1355 Bank Street, Ottawa, ON K1H 8K7 T 613-738-1584 F 613-738-9097 E [email protected]

The Ottawa Cardiovascular Centre is pleased to announce the expansion of our clinic in terms of concept and capacity

RAPID ACCESS • SHORT WAIT LISTS • EXPANDED SERVICES

We have hired two Physician Assistants to extend and enhance our services. We have added a second pediatric cardiologist. In addition, we now offer:

EXPANDED NON-INVASIVE SERVICES: Nuclear Cardiology Imaging expanded with 2 state of the art CZT solid state cameras expanded with addition for rapid acquisition/lower radiation of 4 state of the art GE Vivid E 90 systems • Treadmill or persantine stress myocardial • No wait times imaging • Echo contrast enhances difficult imaging RAPID REFERRAL CLINIC: • Treadmill and bicycle stress Atrial fibrillation/anticoagulation, chest pain, echocardiography palpitation/syncope, shortness of breath, • Adult and pediatric echocardiography post ER visit

Arrhythmia Detection: Real time wireless RESIDUAL RISK CLINIC: prospective monitoring for immediate Optimization of diabetes, dyslipidemia, arrhythmia detection and notification hypertension, post revascularization, • 2 day holter monitoring vascular risk reduction, LV function/HF • 3 day holter: retrospective quantitative CardioOncology, adult congenital HD, analysis (on site hook-up and mail out first responders/sports – ischaemic Mini Holter) risk assessment

 Please note that e-Referral is now available via the OCEAN e-Referral Healthmap

502-1355 Bank Street, Ottawa, ON K1H 8K7 T 613-738-1584 F 613-738-9097 • 3 and 7 day mobile cardiac telemetry E [email protected]

Name: Patient OHIP Number:

Address: Referring Physician/Provider:

Physician OHIP Billing Number: • 14 day CardioPhone real time wireless Phone: DOB (mm/dd/yyyy): Copy to:

q Atrial Fibrillation/Anticoagulation q Chest Pain q Palpitation/Syncope q Shortness of Breath Rapid Referral Clinic q Post ER Visit (Patient known to OCC) q Other: ______

q Diabetes (Glycaemia/ HF/Nephtoprotection) q Dyslipidemia q Hypertension q Post Revascularization (PCI/CABG) q Vascular Risk Reduction (CBVD/CVD/PVD) Residual Risk Clinic q Failure/LV Dysfunction q Adult Congenital Heart Disease q First Responders/Sports Ischemic Risk q Cardio-Oncology (Post treatment CV Risk Management)

Consultation Urgency q Cardiologist q Pediatric Cardiologist q Rapid Referral Clinic q Elective q First Available q CV-Focused Internist q Endocrinologist q Semi-Urgent

OCC Cardiologists OCC CV Focused Internists q Dr. Chamoun Chamoun q Dr. Rob Maranda q Dr. Howard Lee q Dr. Alain Baldo q Dr. Binny Kuriakose q Dr. John Dawdy q Dr. Joel Niznick q Dr. Angela Seshadri (PEDs) q Dr. Dan Boivin q Dr. Dora Liu (ENDO) q Dr. John Fulop q Dr. Brendan Quinn q Dr. Victoria Gelt (PEDs) q Dr. Jodi Heshka

Non-Invasive Investigation Indication Suggested Appropriate Investigation* q Stress Test (Treadmill) q Chest pain As per Ischaemia algorithm q Echo/Doppler q Ischaemia Assessment As per Ischaemia algorithm q Exercise Stress Echo (Treadmill) q Dyspnea Echo / Ischaemia algorithm See our referral on the reverse or download a digital q Exercise Stress Echo (Bicycle) q Palpitation/Arrhythmia Echo / Holter / MCT / Event recorder q Holter Monitor 2 days (d) q Atrial Fibrillation Echo / Holter / MCT / Event recorder q Mini Holter (mail-out) 3 days (d) q Syncope q Dizziness Echo / Holter / MCT / Event recorder q Murmur Echocardiogram q MCT (Mobile Cardiac Telemetry) q 3d q 7d q F/U Valvular Heart Disease Echocardiogram q Event Recorder q 14d q 28d q F/U Prosthetic Valve Echocardiogram q Ambulatory BP Monitor q Heart Failure Echocardiogram form on our website at www.ottawacvcentre.com. Nuclear Cardiology q LV Function Echocardiogram q Treadmill Exercise Myocardial Perfusion Imaging q TIA/Stroke Workup Echo / Holter / MCT / Event recorder q Persantine Myocardial Perfusion Imaging q F/U Pericardial Disease Echocardiogram (Persantine testing contraindicated in asthmatics) * Please note that Ottawa Cardiovascular Centre will arrange appropriate diagnostic testing prior to consultation on your behalf as required unless it has been done recently. Medical History Details: ______Medications: ______

Risk Factors q Hypertension q Dyslipidemia q Diabetes q Smoking q Family history CAD

Physician/ OHIP Billing Number: Health Care Provider Signature: Date (mm/dd/yyyy):  Please note that e-Referral is now available via the OCEAN e-Referral Healthmap

502-1355 Bank Street, Ottawa, ON K1H 8K7 T 613-738-1584 F 613-738-9097 E [email protected]

Name: Patient OHIP Number:

Address: Referring Physician/Provider:

Physician OHIP Billing Number:

Phone: DOB (mm/dd/yyyy): Copy to:

q Atrial Fibrillation/Anticoagulation q Chest Pain q Palpitation/Syncope q Shortness of Breath Rapid Referral Clinic q Post ER Visit (Patient known to OCC) q Other: ______

q Diabetes (Glycaemia/ HF/Nephtoprotection) q Dyslipidemia q Hypertension q Post Revascularization (PCI/CABG) q Vascular Risk Reduction (CBVD/CVD/PVD) Residual Risk Clinic q Heart Failure/LV Dysfunction q Adult Congenital Heart Disease q First Responders/Sports Ischemic Risk q Cardio-Oncology (Post treatment CV Risk Management)

Consultation Urgency q Cardiologist q Pediatric Cardiologist q Rapid Referral Clinic q Elective q First Available q CV-Focused Internist q Endocrinologist q Semi-Urgent

OCC Cardiologists OCC CV Focused Internists q Dr. Chamoun Chamoun q Dr. Rob Maranda q Dr. Howard Lee q Dr. Alain Baldo q Dr. Binny Kuriakose q Dr. John Dawdy q Dr. Joel Niznick q Dr. Angela Seshadri (PEDs) q Dr. Dan Boivin q Dr. Dora Liu (ENDO) q Dr. John Fulop q Dr. Brendan Quinn q Dr. Victoria Gelt (PEDs) q Dr. Jodi Heshka

Non-Invasive Investigation Indication Suggested Appropriate Investigation* q Exercise Stress Test (Treadmill) q Chest pain As per Ischaemia algorithm q Echo/Doppler q Ischaemia Assessment As per Ischaemia algorithm q Exercise Stress Echo (Treadmill) q Dyspnea Echo / Ischaemia algorithm q Exercise Stress Echo (Bicycle) q Palpitation/Arrhythmia Echo / Holter / MCT / Event recorder q Holter Monitor 2 days (d) q Atrial Fibrillation Echo / Holter / MCT / Event recorder Syncope Dizziness Echo / Holter / MCT / Event recorder q Mini Holter (mail-out) 3 days (d) q q q Murmur Echocardiogram q MCT (Mobile Cardiac Telemetry) q 3d q 7d q F/U Valvular Heart Disease Echocardiogram q Event Recorder q 14d q 28d q F/U Prosthetic Valve Echocardiogram q Ambulatory BP Monitor q Heart Failure Echocardiogram Nuclear Cardiology q LV Function Echocardiogram q Treadmill Exercise Myocardial Perfusion Imaging q TIA/Stroke Workup Echo / Holter / MCT / Event recorder q Persantine Myocardial Perfusion Imaging q F/U Pericardial Disease Echocardiogram (Persantine testing contraindicated in asthmatics) * Please note that Ottawa Cardiovascular Centre will arrange appropriate diagnostic testing prior to consultation on your behalf as required unless it has been done recently. Medical History Details: ______Medications: ______

Risk Factors q Hypertension q Dyslipidemia q Diabetes q Smoking q Family history CAD

Physician/ OHIP Billing Number: Health Care Provider Signature: Date (mm/dd/yyyy):