At Monument Health Heart and Vascular Institute, you’ll find western South Dakota’s largest group of cardiovascular specialists who offer the full spectrum of care including diagnostic services, cardiovascular research and nationally accredited labs. Our institute includes two cardiac and vascular surgical suites, two catheterization labs, an electrophysiology device lab and a hybrid suite with state-of-the-art imaging equipment.
Our cardiologists are board-certified in their specialties of cardiology, vascular medicine, cardiac and thoracic surgery, interventional cardiology, electrophysiology and more. They team up with skilled nurses, sonographers and advanced practice providers to make sure you receive the right care at the right time.
Our cardiovascular diagnostics laboratory is accredited by the Intersocietal Commission for the Accreditation of Vascular Laboratories, the Intersocietal Commission for the Accreditation of Nuclear Medicine Laboratories and the Intersocietal Commission for the Accreditation of Echocardiography Laboratories.
Electrocardiogram (EKG) – This test records the electrical activity of your heart. It helps your doctor decide whether you need treatment for irregular heartbeats. No special preparation is required, and the procedure is painless. The EKG takes about 15 minutes to complete.
Echo & Vascular Ultrasound – A variety of tests use sound waves to create a moving picture of your heart, your major arteries and the venous system to show your doctor how your heart and circulatory system are functioning.
Event Monitor – This device records your heart rhythm when you feel symptoms or an “event.” At the time of the event, you push a button to record your symptoms. The data will be transmitted 24 hours per day, seven days per week. Generally, you wear the monitor for 30 days. However, your doctor might opt for a shorter period such as 14 days or 7 days.
Holter Monitor – This device records your heart rhythm for one to two days. You will need to keep a diary while you wear the monitor. The diary provides your doctor with important information to evaluate the effects of work, rest and play on your heart. You can’t get the monitor wet, so you’ll have to take sponge baths during the testing.
Stress Test – The exercise stress test, the most common stress test, evaluates how your heart functions during exertion. While you walk on a treadmill, your heart rhythm, blood pressure and physical responses are recorded. The test is done to evaluate the source of chest pain or other symptoms, evaluate your heart medications or to assess your fitness level. In certain cases, your stress test might also include nuclear medicine imaging or ultrasound imaging along with the treadmill exercise.
If you’re not able to walk on a treadmill, we have medications that help simulate the effect of exercise on your heart.
LUX/LINQ Implantable Monitor – The LUX/LINQ records the patient’s heart rhythm nonstop and monitors conditions such as atrial fibrillation or abnormal rhythms. The procedure takes about 5 minutes to implant the tiny device under the skin of a patient’s chest. The LUX/LINQ is a diagnostic tool which helps to understand potential serious problems such as A-Fib, which can cause strokes or life-threatening rapid heart rhythms which can cause sudden death. Patient Education Video
The heart, lung and vascular surgery team at Monument Health specializes in the surgical treatment of conditions of the heart, lungs, esophagus and chest wall as well as vascular disease (blood vessels). Our comprehensive services range from emergency care to advanced heart, lung and vascular disease treatment to heart failure treatment. Our unique position in South Dakota gives our patients access to the latest clinical trials and technology.
We deliver exceptional, nationally recognized cardiac care for our patients. Using the latest advancements and techniques, including minimally invasive heart surgery, our surgeons treat a wide range of cardiovascular and cardiothoracic, lung and vascular conditions. We offer:
- Coronary artery bypass grafting
- Valve surgery
- Aortic surgery
- Arrhythmia (atrial fibrillation) surgery
- Heart failure (ventricular assist device) surgery
- Minimally invasive heart surgery
- Surgery for adults with congenital heart disease
Surgeons at Monument Health are experts in the surgical management of conditions involving the lungs, esophagus and chest. Our thoracic surgeons are highly experienced in delivering leading-edge treatments such as video-assisted and robotic techniques. These minimally invasive surgical techniques result in less pain, quicker recovery and reduced risk of infection.
We offer the leading-edge procedures to treat:
- Lung cancer
- Esophageal diseases such as cancer, gastroesophageal reflux and motility issues
- Non-cancerous lung disorders
- Benign and malignant tracheal disorders
- Chest wall injuries, including rib fracture
- Hernia of the diaphragm
The cardiovascular and vascular surgeons of Monument Health are experienced in both open and endovascular management of all conditions involving arteries and veins. Our expertise in endovascular techniques helps our patients recover faster with excellent outcomes.
We provide state-of–the-art procedures to treat all types of vascular services, including:
- Open and endovascular treatment of thoracic aneurysms and dissections
- Open and endovascular treatment of abdominal aortic aneurysms and dissections
- Open and endovascular treatment of peripheral arterial disease
- Treatment of carotid artery disease
- Preoperative consultation
- Second opinions
- Clinical trials
Cardiac Rehabilitation at Monument Health
Cardiac Rehabilitation guides and inspires individuals who have heart disease or are at risk for developing heart disease. Our providers include physicians, registered nurses, exercise physiologists, pharmacists and a registered dietician. The Cardiac Rehab team will help you develop a stronger heart through aerobic exercise (treadmills, bikes, rowers and Nusteps) and strength training (weights and resistance bands).
Cardiac Rehab candidates range from those who have had heart surgery and stents to those who simply want to reduce the risk of heart problems with exercise in a professional environment. We will craft a program that fits your needs.
There are three phases of the Cardiac Rehabilitation Program.
Phase 1 – Inpatient cardiac rehabilitation
Phase 1 is for patients who are in the hospital recovering from heart surgery, heart attack, placement of stents or other types of heart problems. The focus is on educating you and your family, getting you started on a simple exercise program and putting you in touch with an outpatient cardiac rehabilitation program to continue your recovery.
Phase 2 – Outpatient cardiac rehabilitation
Phase 2 is for those with a recent heart attack, coronary artery bypass graft surgery, valve surgery, chest pain or angina due to coronary artery disease, heart angioplasty, heart stent placement, heart failure (if qualified), or peripheral artery disease (if qualified).
Ideally, Phase 2 starts within one week of discharge from the hospital. You achieve better results when you attend three days per week for up to 16 weeks. Sessions include:
- Nutrition classes and one-on-one session with dietician.
- Counseling and support for lifestyle changes.
- Education on your medications, heart disease and risk factors.
- Heart rate, blood pressure and heart rhythm evaluation.
- Clinically supervised progressive exercise involving: aerobic exercise, resistance training, stretching and balance abilities.
Phase 3- Maintenance
Phase 3 offers exercise, education and support in an independent-but-structured program to maintain your lifestyle change. Anyone who wants to reduce their risks for heart problems can join this phase.
Phase 3 features are:
- Exercise sessions available six days per week in open gym format.
- Heart rate, blood pressure, and heart rhythm evaluation when needed.
- Clinically supervised aerobic exercise, resistance training, relaxation and stretching
Phase 3 also features Supervised Exercise Therapy for Peripheral Vasculature Disease:
- Individualized treatment sessions assist patients in walking further distances or exercising for longer durations
- Clinically supervised aerobic exercise, resistance training, relaxation and stretching
- Educational sessions
Phase 3 has an initial assessment fee. Medicare and most commercial insurances do not cover phase 3.
Contact your local facility for current hours:
Insurance – Most commercial insurance companies cover the cost of Phase 2. Medicare covers 80 percent, and a supplement may cover the additional 20 percent. To be sure, ask your insurance company about coverage, co-pay, deductibles and number of sessions covered. If you are uninsured or have to pay a portion of the costs, a financial aid assistance program may benefit you. Please ask staff for a financial aid packet.
Doctors & Providers
What People Are Saying
Dr. Pradhan is a talented and compassionate physician. I have the utmost trust in his knowledge and care. I would highly recommend him without hesitation!
Appreciate the time spent with me. And the concise explanation of what can be done for me. Very comforting and re assuring manner of our office visit was nice.
Pleased with my experience. Short wait time. Very courteous and professional. Follow up was quick and thorough.
Dr. Barbera sat with me as he reviewed my lengthy history of heart problems. He took great care to listen to all my input, and he never felt rushed while doing so. He made sure that he understood all aspects of my problems so that we could move forward with proper treatment. He showed concern with my health and future. I’m very impressed.
Absolutely great doctor. He showed genuine concern for my health and went to great measures to ensure my mental and physical health were good. He called me shortly after my appointment to follow up with me. He also gave me information on other resources for my health. By far the best care I have received in South Dakota so far. I Highly recommend this physician.