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Follow Your Heart to the Region’s Best Care

Welcome to cardiology at Crystal Run. At Crystal Run, our cardiology team is dedicated to protecting you from the serious consequences of heart disease through preventative care and early diagnosis. Our skilled cardiologists, among the best in the country, are all board certified, and most have additional advanced fellowship training in areas such as:

  • Echocardiography (sonogram of the heart);
  • Nuclear cardiology (noninvasive imaging);
  • Adult Transthoracic and Transesophageal Echocardiography (a sonogram obtaining various views of the heart);
  • Cardiovascular Computed Tomography (special x-rays to take clear images of the heart);
  • Electrophysiology (heart rhythm testing); and
  • Interventional Cardiology (minimally invasive procedures to treat blockages to the heart).

We are the only practice in the region providing state-of-the-art imaging and diagnostic services, cardiac electrophysiology, and immediate access to a state-of-the-art catheterization lab. Our Rock Hill and Middletown facilities offer the only fully accredited echocardiography and nuclear cardiology labs in Sullivan County.

Our highly skilled community-based cardiologists perform both emergency and elective angioplasty, as well as other traditional and interventional cardiac procedures. Our cardiologists, work closely with our experienced technicians, nurses, nutritionists, and rehabilitation therapists, to bring you the most comprehensive cardiac care, close to your home.

Our team of cardiovascular specialists serves the following areas:

  • Middletown, NY
  • Goshen, NY
  • Newburgh, NY
  • Warwick, NY
  • Rock Hill, NY
  • West Nyack, NY
  • New York, NY
  • Monroe, NY


Cardiology Imaging by Location:

155 Crystal Run Road, Middletown: Echo/Stress Echocardiography, Pulmonary Function Testing (PFT), Holter Monitoring, and Nuclear Stress Cardiology Imaging

61 Emerald Place, Rock Hill: Echo/Stress Echocardiography, Pulmonary Function Testing (PFT), Holter Monitoring, and Nuclear Stress Cardiology Imaging

West Nyack: Nuclear Stress Cardiology Imaging, Echo/Stress Echocardiography, Holter Monitoring, and Vascular Imaging


Reduce Your Risk of Heart Disease:

Follow Your Heart to Better Health

Do you have high blood pressure or high cholesterol? Diabetes? Are you overweight? Is your body mass index too high? Talk to a Crystal Run cardiologist. Together with your primary care physician, he or she can advise you about important screenings, educational programs, lifestyle modifications, and, if necessary, coordinate the right treatment for your cardiovascular condition.

Interactive BMI calculator

A healthy heart is one key to living a long and full life. That’s why Crystal Run Healthcare is dedicated to protecting you from the serious consequences of heart disease through preventive care and early diagnosis. If you have concerns about your heart health, consult our team of cardiologists, as they are among the best in the country.

Taking our Healthy Heart Quiz will help you understand what you can do right now to reduce your risk of cardiovascular disease and enhance your longevity and quality of life.

It only takes a minute or two, and your answers are completely confidential.

What can you do right now to reduce your risk of heart disease?

  • Stop smoking.
  • Be physically active.
  • Eat foods high in fiber, low in saturated fats.
  • Control your weight.
  • Learn ways to manage stress.

What to Expect

When you make an appointment to see a heart specialist at Crystal Run Healthcare, a board-certified cardiologist will evaluate the health of your cardiovascular system. If you display signs of hypertensive heart disease or other conditions, the cardiologist will recommend further tests, lifestyle changes, and/or a course of treatment. If you require cardiac surgery, such as heart bypass surgery, your cardiovascular doctor may recommend that you see a cardiovascular surgeon. While typically a last resort, the highly-trained cardiovascular specialists at Crystal Run will see that you receive the best care using state-of-the-art techniques.

Nuclear Stress Tests: FAQs

Crystal Run’s nuclear cardiology labs were among the first in North America to be recognized by the Intersocietal Commission for the Accreditation of Nuclear Medicine  Laboratories (ICANL) (now the Intersocietal Accreditation Commission or IAC) for our commitment to high-quality care and quality diagnostic testing.

Nuclear cardiology studies use noninvasive techniques to assess myocardial blood flow, evaluate the pumping function of the heart, and visualize the size and location of a heart attack.

If your physician has ordered a nuclear stress test, you may wonder how to prepare for it and what to expect. Below, we have listed some of our most frequently asked questions. If you require further information, please contact our office at 845-703-6999.


Frequently Asked Questions About Nuclear Stress Tests

1. How should I prepare for the procedure?

You should avoid drinking caffeine/decaf (coffee, tea, etc.) and smoking for 12 hours before the examination. You should not eat or drink anything four hours prior to the procedure. Wear comfortable, rubber-soled walking shoes and loose-fitting clothes for your procedure.

2. What does the equipment look like?

The imaging equipment, called a gamma camera, consists of specialized detectors enclosed within a metal housing ring.  This IS NOT an MRI scanner.  The gamma camera will move slowly and automatically in an arc over the front of your chest after the technologist positions it.  Please inform the nurse or technologist if you are claustrophobic (cannot withstand enclosed spaces) or cannot lie flat on your back for a period of time.

3. How is the procedure performed?

For the stress part of the examination, you will exercise by either walking on a treadmill or having a medication test.

  • While you exercise, an EKG will monitor the electrical activity of your heart, and your blood pressure will be measured frequently.  Before you stop exercising, you will be given a radioactive tracer through an IV line in the arm.  The compound is given when the blood flow to the heart is at its peak rate, caused by your exercise.  This provides the best opportunity to identify regions of the heart that are not receiving adequate blood flow.
  • One minute later, you will stop exercising.  Approximately 15-30 minutes later, you will lie on the gamma camera table for imaging.
  • If you are unable to use a treadmill, you will instead be given medication that will cause your heart vessels to dilate.  You will next be given the radioactive tracer.  Approximately 90 minutes after that, you will lie on the gamma camera table for imaging.

4. What will I experience during and after the procedure?

  • You will be asked to exercise until you are either too tired to continue or short of breath, or if you experience chest pain, leg pain, or other discomfort that causes you to want to stop.
  • You may experience a cool sensation from the intravenous injection of the radioactive tracer because the saline fluid is at a lower temperature than your body.  You might experience some discomfort while on the camera, since one or both arms will be above your head.
  • If you are given medication test, you may experience a brief period of anxiousness, dizziness, nausea, or shortness of breath.  If the side effects of the medication persist or become uncomfortable, another medication can be given to stop the effects.
  • You may resume regular activities after the procedure (eating, driving, etc.).  The radioactivity in your body will decrease over a short period of time, passing out of your body through your urine and stool or natural decay.

5. Are there any side effects to the radioactive tracer?

Some patients experience a slight taste in their mouth or a smell.  The solution is a saline-based material; therefore, you will not feel any different.  Please note, however, that you will be radioactive for 12 hours.

6. Does this material change the color of your urine?

No. if you experience color-change with your urine, please see a physician.  This will not be related to the test.

7. Should I take my medications?

For the resting portion of the test, you may take all prescribed medications.  For the stress portion of the test, please see instructions or speak with your physician.

8. What does the test show?

This test will show if you have any blocked arteries or have ever had a heart attack.  Please be aware that both parts of the test are needed for an adequate reading of the test unless otherwise specified by the reading or your cardiologist.



155 Crystal Run Road
Middletown, New York 10941
P: 845.703.6999
855 Route 17M
Monroe, New York 10950
P: 845.615.6999
7 Hatfield Lane
Goshen, New York 10924
P: 845.615.6999
1200 Route 300
Newburgh, New York 12550
P: 845.725.0100
75 Ronald Reagan Boulevard
Warwick, New York 10990
P: 845.651.6999
61 Emerald Place
Rock Hill, New York 12775
P: (845) 794-6999
2 Centerock Road
West Nyack, New York 10994
P: 845.348.1100
6 Liberty Square Mall
Stony Point, New York 10980
P: 845.786.5544

Have a Question? We have answers!