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Derek Vincent Exner
SPECIALTIES AND AREAS OF INTERESTS
Cardiology
Arrhythmia
Electrophysiology
Implantable Cardiac Devices
Pacemakers
SITES PROCEDURES PERFORMED AT
Foothills Medical Centre
LANGUAGES SPOKEN
English
CONTACT INFORMATION
Phone: 403-220-3219
Fax: 403-210-8140
NOTES
Service locations where specialist practices. Click each location for referral information.
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Cardiac Implantable Electrical Device (CIED) Clinic
at Foothills Medical Centre
Connect Care Specialty: Cardiology
Connect Care Department: CGY FMC CARDIAC DEVICE
9th Floor - Main Building - Cardiovascular Labs 1403 29 Street NW, Calgary Alberta, T2N 2T9
Phone: 403-944-1188 (Central Access)
Fax:
403-270-0718
Alberta Health Services - Calgary Zone
Estimated Routine Appt Wait Time: Within 3 months
Accepting referrals at this service
SERVICE DESCRIPTION
Provides full support services for people with pacemakers, ICD's, implanted loop recorders (ILR).
Offers regular follow-up care to make sure pacemakers and ICD's are working properly, and to watch for any other heart-related problems.
EMERGENCY REFERRAL PROCESS
This service does not have an emergency referral process. Concerns of serious illness or injury should be directed to go to the nearest Emergency Department. Patients with potentially life threatening conditions should immediately phone 9-1-1.
This service does not have an emergency referral process. Concerns of serious illness or injury should be directed to go to the nearest Emergency Department. Patients with potentially life threatening conditions should immediately phone 9-1-1.
URGENT REFERRAL PROCESS
EMERGENT REFERRAL / EMERGENCY:
ACH: (403) 955-7211 - Call hospital operator to page on-call Pediatric Cardiologist
FMC: (403) 944-1110 - Call hospital operator to page on-call Electrophysiologist
RGH: (403) 943-3000 - Call hospital operator to page on-call Electrophysiologist
PLC: (403) 943-4555 - Call hospital operator to page on-call Electrophysiologist
SHC: (403) 956-1111 - Call hospital operator to page on-call Electrophysiologist
EMERGENT REFERRAL / EMERGENCY:
ACH: (403) 955-7211 - Call hospital operator to page on-call Pediatric Cardiologist
FMC: (403) 944-1110 - Call hospital operator to page on-call Electrophysiologist
RGH: (403) 943-3000 - Call hospital operator to page on-call Electrophysiologist
PLC: (403) 943-4555 - Call hospital operator to page on-call Electrophysiologist
SHC: (403) 956-1111 - Call hospital operator to page on-call Electrophysiologist
ROUTINE REFERRAL PROCESS
Fax completed referral form to:
ICD referrals:
Phone: (403) 944-2316 Fax:(403) 270-0718
Pacemaker referrals:
Phone: (403) 944-1188 Fax: (403) 270-0718
Implantable Loop Recorders (ILR):
Phone (403) 944-1188 Fax:(403) 270-0718
Non-Connect Care Users: Complete the referral form and send it to the service using the contact information in this profile.
Connect Care Users: Use the Ambulatory Referral Order to the respective specialty in Connect Care.
Fax completed referral form to:
ICD referrals:
Phone: (403) 944-2316 Fax:(403) 270-0718
Pacemaker referrals:
Phone: (403) 944-1188 Fax: (403) 270-0718
Implantable Loop Recorders (ILR):
Phone (403) 944-1188 Fax:(403) 270-0718
Non-Connect Care Users: Complete the referral form and send it to the service using the contact information in this profile.
Connect Care Users: Use the Ambulatory Referral Order to the respective specialty in Connect Care.
ELIGIBILITY REQUIREMENTS
ACH:
- referrals accepted for persons aged 0-18
FMC/PLC/RGH/SHC/ACH:
Please refer to the Decsion Support Tool on the CIED Referral Form
ACH:
- referrals accepted for persons aged 0-18
FMC/PLC/RGH/SHC/ACH:
Please refer to the Decsion Support Tool on the CIED Referral Form
REFERRAL FORM
Cardiac Implantable Electrical Device Clinic (CIED) Referral Form
Cardiac Implantable Electrical Device Clinic (CIED) Referral Form
REFERRAL FAX
403-270-0718
PHONE
403-944-1188 (Central Access)
403-944-1188
FAX
403-270-0718
LINKED SPECIALISTS
Chew, Derek
Exner, Derek Vincent
Kavanagh, Katherine M.
Morillo, Carlos Arturo (Carlos)
Quinn, Francis Russell (Russell)
Rizkallah, Jacques
Rothschild, John M.
Shanmugam, Ganesh
Sumner, Glen Linnell
Veenhuyzen, George (Yorgo)
Wilton, Stephen Bruce
Chew, Derek
Exner, Derek Vincent
Kavanagh, Katherine M.
Morillo, Carlos Arturo (Carlos)
Quinn, Francis Russell (Russell)
Rizkallah, Jacques
Rothschild, John M.
Shanmugam, Ganesh
Sumner, Glen Linnell
Veenhuyzen, George (Yorgo)
Wilton, Stephen Bruce
REFERRAL GUIDELINES
+
-
Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Timing
Additional Details
+
-
Bradycardia
Medication List (dose, frequency, route)
|
Within 1 month
Past medical history
|
Within 1 month
ECG (with arrhythmia)
|
Within 3 months
Recent cardiac test
|
Within 1 month
+
-
Brugada syndrome
Medication List (dose, frequency, route)
|
Within 1 month
Past medical history
|
Within 1 month
ECG (with arrhythmia)
|
Within 3 months
Recent cardiac test
|
Within 1 month
+
-
Cardiac arrest
Medication List (dose, frequency, route)
|
Within 1 month
Past medical history
|
Within 1 month
ECG (with arrhythmia)
|
Within 3 months
Recent cardiac test
|
Within 1 month
+
-
Heart block
Medication List (dose, frequency, route)
|
Within 1 month
Past medical history
|
Within 1 month
ECG (with arrhythmia)
|
Within 3 months
Recent cardiac test
|
Within 1 month
+
-
Long QT syndrome
Medication List (dose, frequency, route)
|
Within 1 month
Past medical history
|
Within 1 month
ECG (with arrhythmia)
|
Within 3 months
Recent cardiac test
|
Within 1 month
+
-
Syncope
Medication List (dose, frequency, route)
|
Within 1 month
Past medical history
|
Within 1 month
ECG (with arrhythmia)
|
Within 3 months
Recent cardiac test
|
Within 1 month
+
-
Ventricular fibrillation
Medication List (dose, frequency, route)
|
Within 1 month
Past medical history
|
Within 1 month
ECG (with arrhythmia)
|
Within 3 months
Recent cardiac test
|
Within 1 month
ADDITIONAL SERVICE DETAILS
This office manages all referrals for the cardiac pacemakers, implantable cardioverter defibrillator (ICD), and cardiac resyncronization therapy (CRT).
COMMUNICATION PROCESS
Communication of referral receipt to referral
source will occur within
2
calendar days.
Communication of appointment details or wait list status to patient and referral
source will occur within
14
calendar days.
Communication of initial appointment outcomes to referral
source will occur within
30
calendar days.
MISSED APPOINTMENT GUIDELINES
Currently in development.
Currently in development.
DIRECTIONS
The CIED Clinic is located within the 9th floor of the FMC main building.
Foothills Medical Centre is located at the intersection of 16 Avenue NW and 29 Street NW.
Transit:
Public transportation is available to this facility.
The CIED Clinic is located within the 9th floor of the FMC main building.
Foothills Medical Centre is located at the intersection of 16 Avenue NW and 29 Street NW.
Transit:
Public transportation is available to this facility.
PARKING INSTRUCTIONS
Will be provided at the time of appointment details communication call/letter.
The new Central Parking is now open to patients, families and visitors. Public parking is available on the Skyline (second level at grade) and Mountain levels (third level) with an additional level opening in the coming months.
Most public parking at Foothills Medical Centre will be in the new Central Parking, but there are two other public parking lots for your convenience: West Parking (Lot 10) and North Parking (Lot 6).
Will be provided at the time of appointment details communication call/letter.
The new Central Parking is now open to patients, families and visitors. Public parking is available on the Skyline (second level at grade) and Mountain levels (third level) with an additional level opening in the coming months.
Most public parking at Foothills Medical Centre will be in the new Central Parking, but there are two other public parking lots for your convenience: West Parking (Lot 10) and North Parking (Lot 6).
PARKING MAP
Foothills Medical Centre parking map
Foothills Medical Centre parking map
ADDRESS
9th Floor - Main Building - Cardiovascular Labs
1403 29 Street NW
Calgary Alberta
T2N 2T9
HOURS OF OPERATION
Monday:
8:00 am - 4:00 pm
Tuesday:
8:00 am - 4:00 pm
Wednesday:
8:00 am - 4:00 pm
Thursday:
8:00 am - 4:00 pm
Friday:
8:00 am - 4:00 pm
Description:
Some inpatient services are available 24 hours/day.
WHEELCHAIR ACCESSIBILITY
Yes
This service is already linked to the profile of Dr.
Link this service to the profile of Dr.
Cardiac Function Clinic
at Rockyview General Hospital
Connect Care Specialty: Cardiology
Connect Care Department: CGY RGH CARDIAC FUNCTION CL
7007 14 Street SW, Calgary Alberta, T2V 1P9
Phone: 403-943-8623
Fax:
403-943-8619
Alberta Health Services - Calgary Zone
Estimated Routine Appt Wait Time: Within 3 months
Accepting referrals at this service
SERVICE DESCRIPTION
Clinic is dedicated to the management of heart failure patients who have complex care needs.
The Cardiac Function Clinic (CFC) is a multidisciplinary clinic dedicated to the support of Heart Failure (HF) patients who have complex care needs that require close monitoring and/or medication optimization .
Care offered includes ongoing physical assessment, management of medical and non-pharmacological treatments, and patient teaching regarding diet, lifestyle and medication management.
EMERGENCY REFERRAL PROCESS
Clinically unstable patients should be directed to either call 911 or to present to the nearest Emergency Department. On call service or emergent care is
NOT
provided by this clinic after hours.
Clinically unstable patients should be directed to either call 911 or to present to the nearest Emergency Department. On call service or emergent care is
NOT
provided by this clinic after hours.
URGENT REFERRAL PROCESS
URGENT
: Target < 2 weeks*
*For urgent referrals, the referring source must call the Cardiac Function Clinic (CFC) and speak directly to the nurse clinician to secure appointment.
URGENT
: Target < 2 weeks*
*For urgent referrals, the referring source must call the Cardiac Function Clinic (CFC) and speak directly to the nurse clinician to secure appointment.
ROUTINE REFERRAL PROCESS
Referrals sent to the CFC
must
include the following components
before
a referral will be processed and assessed. Incomplete referrals will be returned to the referring source for completion.
Completed CFC Referral Form
Accurate patient demographics including contact information is listed.
ROUTINE
: Target < 6 weeks
Referrals sent to the CFC
must
include the following components
before
a referral will be processed and assessed. Incomplete referrals will be returned to the referring source for completion.
Completed CFC Referral Form
Accurate patient demographics including contact information is listed.
ROUTINE
: Target < 6 weeks
ELIGIBILITY REQUIREMENTS
Patients must meet the following
eligibility requirements:
1. A diagnosis of Heart Failure (HF) either through a consultant's note or through a discharge summary from hospital.
2. A primary cardiologist has been identified and they are agreeable to follow the patient in CFC
3. A documented measure of Left Ventricular Ejection Fraction (LVEF).
4. Require ongoing titration of medications or enhanced surveillance for
Patients must meet the following
eligibility requirements:
1. A diagnosis of Heart Failure (HF) either through a consultant's note or through a discharge summary from hospital.
2. A primary cardiologist has been identified and they are agreeable to follow the patient in CFC
3. A documented measure of Left Ventricular Ejection Fraction (LVEF).
4. Require ongoing titration of medications or enhanced surveillance for either:
Optimization Track: Medication titration of evidence based HF medications only. (Following medication titration, patient will be immediately discharged from the CFC to the care of the primary cardiologist or the primary care giver).
Care Track: Ongoing management of HF care in clinic until meeting discharge criteria.
5. Be 18 years or older.
6. Patient/Agent is aware and agreeable to be seen and cared for in the CFC and be able to physically attend appointments on a regular basis.
For special cases outside of eligibility criteria, direct discussion between the accepting primary cardiologist and the medical director of the specific CFC should take place. Referral will be accepted if in agreement by both parties.
Exclusion Criteria/Ineligibilty:
Does not have a confirmed diagnosis of HF
Referrals for a second opinion or advanced HF specialist assessemnt
Does not have symptoms of HF
Patient's primary cardiologist does not follow within the CFC
Does not have a primary cardiologist
Unable to physically attend the CFC on a regular basis
Not willing to adhere to Patient/Clinic roles
Patients followed by another program
Known history documented abuse of staff and for whom an accepted risk mitigation plan is not in place.
Patients who are not eligible for the CFC may be considered for referral to:
Cardiac Navigation
Referral to Alberta Healthy Living Program (Dietary Consult and/or Exercise)
Primary Cardiologist
Internist/GIM clinic
Community paramedics
Access to AHS website myhealth.alberta and search heart failure for educational literature
Referral to Home Care Heart Failure Team (only within Calgary Zone city limits)
If requested by the referrer, the Medical Director of the CFC at any site may on request, review the referral to suggest best available alternative.
...
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REFERRAL FORM
Cardiac Function Referral Form
Cardiac Function Referral Form
REFERRAL PHONE
403-943-8623
REFERRAL FAX
403-943-8619
PHONE
403-943-8623
FAX
403-943-8619
LINKED SPECIALISTS
Abdi Ali, Ahmed
Aggarwal, Sandeep Goel
Banijamali, Hamid
Bell, Alexandra
Boyne, Timothy Stephen (Tim)
Champagne, Patrick
Charbonneau, Francois
Curtis, Michael John
Exner, Derek Vincent
Figura, Maria
Filipchuk, Neil George
Guron, Namrata Kaur (Nita)
Habibi, Hamid Reza
Heydari, Bobby
Howlett, Jonathan Gordon
Hutchison, Stuart James
Ilhan, Erkan
Isaac, Debra L.
Jelani, Anwar Dastagir
Kanani, Ronak Suresh
Karlstedt, Erin
Kazmi, Mustapha Haider
Kealey, Angela Joyce
Keir, Michelle Lorraine
Kolman, Louis Robert
Kryski, Albert J.
Lyons, Kristin
Mason, Cindy Ann
Mylonas, Ilias
Quinn, Francis Russell (Russell)
Reynolds, Stephen
Schnell, Gregory Bruce
Sharma, Nakul Chander
Sharma, Rajat
Shaw, Jeffrey
Weeks, Sarah Glover
Westib, Andreas
Zhao, Xi Jacksy (Jacksy)
Abdi Ali, Ahmed
Aggarwal, Sandeep Goel
Banijamali, Hamid
Bell, Alexandra
Boyne, Timothy Stephen (Tim)
Champagne, Patrick
Charbonneau, Francois
Curtis, Michael John
Exner, Derek Vincent
Figura, Maria
Filipchuk, Neil George
Guron, Namrata Kaur (Nita)
Habibi, Hamid Reza
Heydari, Bobby
Howlett, Jonathan Gordon
Hutchison, Stuart James
Ilhan, Erkan
Isaac, Debra L.
Jelani, Anwar Dastagir
Kanani, Ronak Suresh
Karlstedt, Erin
Kazmi, Mustapha Haider
Kealey, Angela Joyce
Keir, Michelle Lorraine
Kolman, Louis Robert
Kryski, Albert J.
Lyons, Kristin
Mason, Cindy Ann
Mylonas, Ilias
Quinn, Francis Russell (Russell)
Reynolds, Stephen
Schnell, Gregory Bruce
Sharma, Nakul Chander
Sharma, Rajat
Shaw, Jeffrey
Weeks, Sarah Glover
Westib, Andreas
Zhao, Xi Jacksy (Jacksy)
REFERRAL GUIDELINES
+
-
Urgent Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Timing
Additional Details
+
-
Heart failure
Past Medical History
|
Most recent
Medication List (dose, frequency, route)
|
Most recent
Cardiac Consultation/Internal Medicine Consultation/Discharge Summary
|
Most recent
Blood Work: CBC, Electrolytes, BUN
|
Within 1 month
Blood Work: OP NT-pro BNP, Inpatient NT-pro BNP required upon discharge
|
Within 6 months
Echocardiogram - Mandatory
|
Most recent
Cardiac catheterization
|
If available (most recent)
Cardiac MRI
|
If available (most recent)
MUGA - Multiple-gated acquisition
|
If available (most recent)
Myocardial perfusion stress imaging using Thallium 201
|
If available (most recent)
progressive HF and/or decompensated HF
new diagnosis of HF, unstable, decompensated
new progression to NYHA IV, AHA/ACC stage D
post myocaridal infarction HF
post hospitalization or ER visit for HF
HF with severe valvular heart disease
+
-
Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Timing
Additional Details
+
-
Heart failure
Past Medical History
|
Most recent
Medication List (dose, frequency, route)
|
Most recent
Cardiac Consultation/Internal Medicine Consultation/Discharge Summary
|
Most recent
Blood Work: CBC, Electrolytes, BUN
|
Within 1 month
Blood Work: OP NT-pro BNP, Inpatient NT-pro BNP required upon discharge
|
Within 6 months
Echocardiogram - Mandatory
|
Most recent
Cardiac catheterization
|
If available (most recent)
Cardiac MRI
|
If available (most recent)
MUGA - Multiple-gated acquisition
|
If available (most recent)
Myocardial perfusion stress imaging using Thallium 201
|
If available (most recent)
new diagnosis of HF, stable, compensated
HF with mild to moderate or NYHA II/III symptoms
worsening HF with therapy
mild symptoms with valvular heart disease, renal disease or hypotension
chronic HF disease management NYHA II
NYHA FC I symptoms, structural heart disease without symptoms of HF (AHA/ACC stage B)
ADDITIONAL SERVICE DETAILS
COMMUNICATION PROCESS
Communication of referral receipt to referral
source will occur within
7
calendar days.
Communication of appointment details or wait list status to patient and referral
source will occur within
14
calendar days.
Communication of initial appointment outcomes to referral
source will occur within
30
calendar days.
MISSED APPOINTMENT GUIDELINES
No show or late cancellation (<24hour) to the initial appointment will result in telephone followup to explain our discharge policy for no show appointments and rebooking of appointments. A total of three no shows or late cancellations (<24 hours) to an initial appointment will require a re-referral to the CFC.
Patients who miss three consecutive scheduled follow up CFC appointments, or 50% of their appointments within a year, without notification to the clinic and with no valid reason, will be assessed for discharge from the clinic.
Patients who are unable to attend scheduled appointments must notify the clinic at least 24 hours in advance.
No show or late cancellation (<24hour) to the initial appointment will result in telephone followup to explain our discharge policy for no show appointments and rebooking of appointments. A total of three no shows or late cancellations (<24 hours) to an initial appointment will require a re-referral to the CFC.
Patients who miss three consecutive scheduled follow up CFC appointments, or 50% of their appointments within a year, without notification to the clinic and with no valid reason, will be assessed for discharge from the clinic.
Patients who are unable to attend scheduled appointments must notify the clinic at least 24 hours in advance.
DIRECTIONS
Rockyview General Hospital is located at the intersection of 14 Street SW and 75 Avenue SW.
Transit:
Public transportation is available to this facility.
Rockyview General Hospital is located at the intersection of 14 Street SW and 75 Avenue SW.
Transit:
Public transportation is available to this facility.
PARKING INSTRUCTIONS
Public parking available in Lot 1, and Lot 9. Accessible parking lots available near the Emergency entrance.
Public parking available in Lot 1, and Lot 9. Accessible parking lots available near the Emergency entrance.
PARKING MAP
Rockyview General Hospital Parking Map
Rockyview General Hospital Parking Map
ADDRESS
7007 14 Street SW
Calgary Alberta
T2V 1P9
HOURS OF OPERATION
Monday:
8:00 am - 4:15 pm
Tuesday:
8:00 am - 4:15 pm
Wednesday:
8:00 am - 4:15 pm
Thursday:
8:00 am - 4:15 pm
Friday:
8:00 am - 4:15 pm
WHEELCHAIR ACCESSIBILITY
Yes
This service is already linked to the profile of Dr.
Link this service to the profile of Dr.
Cardiac Arrhythmia Central Access and Triage
at Foothills Medical Centre
Connect Care Specialty: Cardiology
Connect Care Department: Calgary Zone Arrhythmia CAT
1403 29 Street NW, Calgary Alberta, T2N 2T9
Phone: 403-944-4632
Fax:
403-592-4241 (Referral)
Alberta Health Services - Calgary Zone
Estimated Routine Appt Wait Time: Within 9 months
Accepting referrals at this service
SERVICE DESCRIPTION
Provides management, treatment, and education for people with heart rhythm abnormalities.
Service may include:
treating symptomatic heart rhythm abnormalities that don't need a pacemaker or defibrillator
cardiac electrophysiology central referral, triage, assessment, treatment, and education
telehealth and on-site education classes for patients and families
interventional electrophysiology procedures including EP studies and ablations
EMERGENCY REFERRAL PROCESS
Please direct patients to the nearest Emergency Department or Urgent Care Facility.
Please direct patients to the nearest Emergency Department or Urgent Care Facility.
URGENT REFERRAL PROCESS
Please note - Syncope within the setting of any documented arrhythmia
should be reported urgently
.
Contact RAAPID (403-944-4486) for the Electrophysiologist on call for any urgent referrals including those that may require inpatient admission.
Please note - Syncope within the setting of any documented arrhythmia
should be reported urgently
.
Contact RAAPID (403-944-4486) for the Electrophysiologist on call for any urgent referrals including those that may require inpatient admission.
ROUTINE REFERRAL PROCESS
Please fax completed referral form
Please include any additional cardiac diagnostic tests that have been completed or are pending
This is a referral service
only
referring to the most appropriate electrophysiologist with the shortest wait time
Current patient
demographics
and contact information is essential
Cardiac Arrhythmia Additional Information
Please fax completed referral form
Please include any additional cardiac diagnostic tests that have been completed or are pending
This is a referral service
only
referring to the most appropriate electrophysiologist with the shortest wait time
Current patient
demographics
and contact information is essential
Cardiac Arrhythmia Additional Information
ELIGIBILITY REQUIREMENTS
This clinic sees patients 18 years of age and older
This clinic sees patients 18 years of age and older
REFERRAL FORM
Cardiac Arrhythmia Referral Form
Cardiac Arrhythmia Referral Form
REFERRAL PHONE
403-944-4632
REFERRAL FAX
403-592-4241
PHONE
403-944-4632
FAX
403-592-4241 (Referral)
LINKED SPECIALISTS
Chew, Derek
Clegg, Robin Leigh
Exner, Derek Vincent
Ilhan, Erkan
Kavanagh, Katherine M.
Kuriachan, Vikas Prabhu
Morillo, Carlos Arturo (Carlos)
Quinn, Francis Russell (Russell)
Raj, Satish Ramnarayan
Rizkallah, Jacques
Sheldon, Robert S. (Bob)
Sumner, Glen Linnell
Veenhuyzen, George (Yorgo)
Wilton, Stephen Bruce
Chew, Derek
Clegg, Robin Leigh
Exner, Derek Vincent
Ilhan, Erkan
Kavanagh, Katherine M.
Kuriachan, Vikas Prabhu
Morillo, Carlos Arturo (Carlos)
Quinn, Francis Russell (Russell)
Raj, Satish Ramnarayan
Rizkallah, Jacques
Sheldon, Robert S. (Bob)
Sumner, Glen Linnell
Veenhuyzen, George (Yorgo)
Wilton, Stephen Bruce
REFERRAL GUIDELINES
+
-
Routine Reason for Referral
Access Targets convey the clinically appropriate timeframe patients should be seen within, by reason for referral and priority level.
Access Target
Required Information/Investigations
Timing
Additional Details
+
-
Ablation
Current Patient Demographics
|
Current
Referral letter including history
|
Within 1 month
Medication List (dose, frequency, route)
|
Within 1 month
ECG
|
Within 1 month
Documentation of Arrhythmia
|
Any and all
Echocardiogram
|
If available
Holter monitor
|
If available
Stress test
|
If available
Opinion for ablation;
Atrial Fibrillation (AF)
Atrial Flutter (AFL)
Supraventricular Tachycardia (SVT)
Wolf Parkinson White (WPW)
Ventricular Tachycardia (VT)
+
-
Brugada syndrome
Current Patient Demographics
|
Current
Referral letter including history
|
Within 1 month
Medication List (dose, frequency, route)
|
Within 1 month
ECG
|
Within 1 month
Documentation of Arrhythmia
|
Any and all
Echocardiogram
|
If available
Holter monitor
|
If available
Stress test
|
If available
+
-
Long QT syndrome
Current Patient Demographics
|
Current
Referral letter including history
|
Within 1 month
Medication List (dose, frequency, route)
|
Within 1 month
ECG
|
Within 1 month
Documentation of Arrhythmia
|
Any and all
Echocardiogram
|
If available
Holter monitor
|
If available
Stress test
|
If available
+
-
Orthostatic hypotension
Current Patient Demographics
|
Current
Referral letter including history
|
Within 1 month
Medication List (dose, frequency, route)
|
Within 1 month
ECG
|
Within 1 month
Documentation of Arrhythmia
|
Any and all
Echocardiogram
|
If available
Holter monitor
|
If available
Stress test
|
If available
Orthostatic Vitals Signs
|
Within 1 month
Please perform orthostatic vitals (including heart rate and blood pressure) as follows;
5 mins supine
1 min standing
5 mins standing
8 mins standing
10 mins standing
+
-
Palpitations
Current Patient Demographics
|
Current
Referral letter including history
|
Within 1 month
Medication List (dose, frequency, route)
|
Within 1 month
ECG
|
Within 1 month
Documentation of Arrhythmia
|
Any and all
Echocardiogram
|
If available
Holter monitor
|
If available
Stress test
|
If available
+
-
Postural orthostatic tachycardia syndrome
Current Patient Demographics
|
Current
Referral letter including history
|
Within 1 month
Medication List (dose, frequency, route)
|
Within 1 month
ECG
|
Within 1 month
Documentation of Arrhythmia
|
Any and all
Echocardiogram
|
If available
Holter monitor
|
If available
Stress test
|
If available
Complete Blood Count
|
Within 12 months
Iron Indices
|
Within 12 months
Orthostatic Vital signs
|
Within 1 month
Thyroid Stimulating Hormone Measurement
|
Within 12 months
Please perform orthostatic vitals (including heart rate and blood pressure) as follows;
5 mins supine
1 min standing
5 min standing
8 min standing
10 min standing
+
-
Sinus tachycardia
Current Patient Demographics
|
Current
Referral letter including history
|
Within 1 month
Medication List (dose, frequency, route)
|
Within 1 month
ECG
|
Within 1 month
Documentation of Arrhythmia
|
Any and all
Echocardiogram
|
If available
Holter monitor
|
If available
Stress test
|
If available
Complete Blood Count
|
Within 12 months
Iron Indices
|
Within 12 months
Orthostatic Vital Signs
|
Within 1 month
Thyroid Stimulating Hormone Measurement
|
Within 12 months
Inappropriate Sinus Tachycardia
Please perform orthostatic vitals (including heart rate and blood pressure) as follows;
5 mins supine
1 min standing
5 min standing
8 min standing
10 min standing
+
-
Supraventricular tachycardia
Current Patient Demographics
|
Current
Referral letter including history
|
Within 1 month
Medication List (dose, frequency, route)
|
Within 1 month
ECG
|
Within 1 month
Documentation of Arrhythmia
|
Any and all
Echocardiogram
|
If available
Holter monitor
|
If available
Stress test
|
If available
Please indicate if SVT is associated with syncope.
|
current
+
-
Syncope
Current Patient Demographics
|
Current
Referral letter including history
|
Within 1 month
Medication List (dose, frequency, route)
|
Within 1 month
ECG
|
Within 1 month
Documentation of Arrhythmia
|
Any and all
Echocardiogram
|
If available
Holter monitor
|
If available
Stress test
|
If available
Complete Blood Count
|
Within 12 months
Iron Indices
|
Within 12 months
Orthostatic Vital Signs
|
Within 1 month
Thyroid Stimulating Hormone Measurement
|
Within 12 months
Syncope within the setting of any arrhythmia
should be reported urgently
. See urgent process above for further direction.
Please perform orthostatic vitals (including heart rate and blood pressure) as follows;
5 mins supine
1 min standing
5 mins standing
8 mins standing
10 mins standing
+
-
Ventricular premature contractions
Current Patient Demographics
|
Current
Referral letter including history
|
Within 1 month
Medication List (dose, frequency, route)
|
Within 1 month
ECG
|
Within 1 month
Documentation of Arrhythmia
|
Any and all
Echocardiogram
|
If available
Holter monitor
|
If available
Stress test
|
If available
Premature Ventricular Contractions (PVC)
+
-
Wolff Parkinson White syndrome
Current Patient Demographics
|
Current
Referral letter including history
|
Within 1 month
Medication List (dose, frequency, route)
|
Within 1 month
ECG
|
Within 1 month
Documentation of Arrhythmia
|
Any and all
Echocardiogram
|
If available
Holter monitor
|
If available
Stress test
|
If available
Please indicate if WPW is associated with syncope.
|
current
ADDITIONAL SERVICE DETAILS
Services include:
Cardiac electrophysiology central referral, triage, and education
Interventional electrophysiology procedures including EP studies and ablations -
only at FMC
Implanted Loop Recorder - SHC
Usual referrals are for SVT (supraventricular tachycardia) or VT (ventricular tachycardia).
Atrial Fibrillation (AF) / Atrial Flutter (AFL) management should go directly to either;
Atrial Fibrillation Clinic at FMC; 403-944-3580 (fax)
Atrial Fibrillation Clinic at SHC; 403-668-2155 (fax)
COMMUNICATION PROCESS
Communication of referral receipt to referral
source will occur within
7
calendar days.
Communication of appointment details or wait list status to patient and referral
source will occur within
14
calendar days.
Communication of initial appointment outcomes to referral
source will occur within
30
calendar days.
MISSED APPOINTMENT GUIDELINES
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance.
If you are unable to attend a scheduled appointment, please contact the clinic a minimum of 48 hours in advance.
DIRECTIONS
Clinic directions are communicated at time of appointment scheduling.
Clinic directions are communicated at time of appointment scheduling.
PARKING INSTRUCTIONS
Not applicable.
Not applicable.
PARKING MAP
Foothills Medical Centre Parking Map
Foothills Medical Centre Parking Map
ADDRESS
1403 29 Street NW
Calgary Alberta
T2N 2T9
HOURS OF OPERATION
Monday:
9:00 am - 4:00 pm
Tuesday:
9:00 am - 4:00 pm
Wednesday:
9:00 am - 4:00 pm
Thursday:
9:00 am - 4:00 pm
Friday:
9:00 am - 4:00 pm
WHEELCHAIR ACCESSIBILITY
Yes
V4.12