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In-Office Services

Jean-Pierre Awaida, MD, PA offers advanced cardiology diagnostic methods in Delray Beach, Florida. Our cardiovascular specialists are highly trained in identifying conditions affecting the heart and vascular system through diagnostic testing.

We establish personal relationships with our patients, and our patients are never just a number. We evaluate your health history along with testing results, and then work together to determine the best treatment plan, hoping for a fast recovery, and most importantly improving your quality of life.

Cardiac Diagnostics

We offer the following diagnostic methods to discover the source of your problem and symptoms:

Exercise (treadmill) and pharmacologic stress testing (ECG)

A treadmill stress test evaluates how the heart works during exercise. This test may reveal your heart problems, as the heart pumps faster during physical activity, when not at rest. If you cannot exercise, special medications (pharmacologic agents) may be used instead of the treadmill.

Nuclear stress test

A nuclear stress test will help your physician see if you have coronary artery disease (CAD), which is caused by inadequate blood supply to the heart, usually caused by blocked arteries. A special camera shows areas of healthy and unhealthy heart muscle. Pictures will be taken during this test for the doctor to evaluate and provide treatment if necessary. 

Echocardiogram

An echocardiogram is an ultrasound of the heart where sound waves create a “live” picture of the heart beating. Your doctor will be able to view the valves and chambers of your heart to check for heart disease, heart murmurs, and evaluate the functioning of your heart valves chambers. 

Electrocardiogram (EKG)

This records the electrical activity of the heart and can reveal if there may be evidence of heart attacks or insufficient blood supply to the heart.

Holter Monitor and event monitoring

A Holter monitor records your heart's electrical activity the entire time you're wearing it. An event monitor records your heart's electrical activity only at certain times while you're wearing it. These portable devices record the level of your heart’s activity while you go about your day. 

Ankle Brachial Index (ABI)

ABI is performed by taking blood pressure measurements at the ankle and the arm while a person is at rest.

Cardiac CTA interpretation

A coronary computed tomography angiogram (CTA) uses advanced CT technology, along with intravenous (IV) with contrast dye, to obtain three-dimensional pictures of the moving heart and great vessels.

Coumadin Clinic

We offer a Coumadin Clinic for patients receiving anticoagulation therapy. The goal of the clinic is to educate patients about the use of this type of therapy and to monitor patients for side effects and evaluate their risk of bleeding.

Cardioversion

Cardioversion can correct a heartbeat that's too fast (tachycardia) or irregular (fibrillation). Cardioversion is usually used to treat people who have atrial fibrillation or atrial flutter, which are conditions where the electrical signals that cause your heart to beat in a regular rate and rhythm don't properly travel through the upper chambers of your heart.

Pacemaker and defibrillator interrogation

Patients using pacemakers usually receive a pacemaker interrogation during follow-up appointments after the initial pacemaker implantation. The doctor will retrieve information about cardiac events from the memory of the device, confirm that the batteries are still in good condition, and make sure everything is working properly.

Cardiovascular checkup

The key to preventing coronary artery disease (CAD), is managing your risk factors. But, how do you know which risk factors you have? The best way to find out which risk factors you have, is through screening tests because it helps detect them in their earliest stage. For many patients, screening tests serve as a wake-up call. 

Most regular cardiovascular screening tests should begin at age 20. The frequency of follow-ups will depend on your level of risk.

Your cardiac work up with Dr. Awaida will involve a health background interview and a physical exam.

The background interview is used to gather illness history and identify your risk factors for developing Cardiovascular Disease. Dr. Awaida will perform cardiac tests, including an electrocardiogram and a round of blood tests and will calculate your 10-year risk for developing cardiovascular disease.

Several other tests may be done during this cardiac work up. Patients may undergo a stress test that allows the doctor to assess their coronary arteries or whether they develop rhythm problems while exercising. Moreover, a patient may undergo an echocardiogram, which gives the cardiologist information about the size and shape of your heart and how well your heart's chambers and valves are working.

It also shows how well blood flows through the chambers and valves of your heart. Dr. Awaida may prescribe a 24-hour Holter monitor that you wear in the comfort of your home or at work, to evaluate your heart rate and rhythm over a 24-hour period '"APPOINTMENT REQUEST". 


Vascular Procedures

Patients with coronary artery disease (CAD) often have another associated vascular disease, especially in the blood vessels of the kidneys, carotid arteries, and legs.

We provide the following in-office vascular procedures:

Carotid Ultrasound

Examines the carotid arteries that carry blood pumped by the heart to the brain.

Abdominal Ultrasound

Examines the abdominal aorta for possible aneurysm or dilation of the artery.

Ankle Brachial Index (ABI)

ABI is performed by taking blood pressure measurements at the ankle and the arm while a person is at rest.

Lower Extremity Arterial Ultrasound

Performed to evaluate the arteries of the legs for peripheral vascular disease. This is sometimes the cause for claudication and leg pain.

Treatments usually include lifestyle changes (diet and exercise), medicines, and ongoing care. If you have severe heart failure, you also may need medical procedures or surgery.

Arrhythmia and congenital heart disease management

An arrhythmia is an abnormal heart rhythm, or irregular heartbeat. It can be treated in many cases with a technique called a catheter ablation. During a catheter ablation, a high-frequency electrical energy is delivered through a catheter (a small, thin tube) through a vein in the leg, and makes its way into the small area inside the heart that causes the abnormal heart rhythm, with the goal of removing what is causing the arrhythmia.

When catheter ablation fails or when the patient also has a congenital heart condition (he or she is born with it), it may be necessary to perform surgery to remove the arrhythmia. In the case of congenital heart disease, surgical ablation can be done at the same time as surgery to correct the heart defect.

Medication Therapy

Patients take medications to improve the quality of their health and their lives. However, many are unsure whether they are truly benefiting from their prescribed medications or whether they are taking them the way they should.

Many patients take a combination of prescribed and over-the-counter medications as well as natural and vitamin supplements. The medication regimen can become confusing especially for the elderly, patients recently discharged from the hospital and/or those who have multiple chronic conditions (such as diabetes, hypertension, hyperlipemia and congestive heart failure, myocardial infarction).

At our office, we have a clinical pharmacist on staff, with extensive clinical pharmacy experience, previously a senior attending pharmacist at the Massachusetts General Hospital- a teaching hospital of Harvard Medical School.  Certified by the American Pharmacist Association to provide Medication Therapy Management (MTM), our pharmacist will help you understand and optimize your drug therapy and improve therapeutic outcomes.

In clinical studies, MTM has proven to:

  • Improve patient adherence and utilization of medications
  • Increase percentage of patients meeting their treatment goals (e.g., blood pressure, blood glucose, cholesterol, lifestyle changes...)
  • Reduce drug duplication, harmful side-effects or interactions between medications, vitamins, and supplements
  • Lead to greater medication cost savings, and medical resource cost savings (e.g., fewer emergency department visits), due to more effective use of drug therapy.

"Schedule an appointment with our pharmacist".

To request an appointment with Jean-Pierre Awaida, MD, PA at please call us at (561) 499-3919, or request an appointment online using our interactive appointment request form.

Jean-Pierre Awaida, MD, P.A