by cardiopulmonarydiagnostic | Aug 9, 2026 | Uncategorized
Have you been told you need a stress test? Also called an exercise stress test, this diagnostic procedure involves exercising for a set period of time while your heart and breathing are closely monitored.
Stress tests are painless and noninvasive, and they offer valuable insight into your heart health. In fact, stress tests can diagnose arrhythmia, estimate your risk of heart disease, and more.
Dr. Kunal Patel and our team at NJ Cardiovascular Institute offer diagnostic stress tests as part of our comprehensive heart care services. If you’re considering a stress test, here’s what this simple screening can tell us about your heart.
What a stress test does
Stress tests give Dr. Patel and our team a few major insights into your heart health. We use stress testing to:
1. Evaluate how well your heart functions when you’re active
Exercising creates a demand on your body that makes your heart work harder and your blood pump faster. When your heart is working harder, potential issues with your arteries or your heart itself may be easier to identify than when you’re at rest.
When you participate in a stress test, our team monitors your heart rate, blood pressure, and breathing. Your heart rate rises as you exercise, and we can see changes in your heart function and breathing rate throughout the test. These results give us insight into your physical fitness, as well as your overall heart health.
2. Identify arrhythmias (irregular heartbeats)
An arrhythmia is an irregular heartbeat that’s caused by changes in your heart’s electrical signals. An arrhythmia can feel like an uncomfortable fluttering or racing heart, and it may occur when your heart is beating too fast or too slow. While arrhythmias don’t always mean you have a more serious heart issue, some types of arrhythmia get worse with exercise.
Dr. Patel may order a stress test if you have symptoms of a heart arrhythmia. Our team watches your heartbeat for irregularities during your stress test. We may recommend additional testing, such as an echocardiogram.
3. Determine your risk of coronary artery disease
Often, the main purpose of stress testing is to determine your risk of coronary artery disease (CAD). CAD is one of the most common types of heart disease, and it develops when the primary arteries that supply your heart get damaged or blocked.
Your stress test can tell Dr. Patel and our team if you have 70% or greater blockage in a one or more coronary arteries. If you do, you may have CAD. Stress testing alone can’t confirm heart disease, so Dr. Patel may order additional tests to confirm a diagnosis.
What to expect during your stress test
Dr. Patel may order a stress test if you have risk factors for CAD or symptoms of a heart problem. It’s a simple noninvasive test that gives our team valuable information about the state of your heart.
On the day of your stress test, our team attaches electrodes to your body and places a blood pressure cuff on your arm. You walk on a treadmill or ride a stationary bike until your heart rate reaches a predetermined target. We monitor your vital signs and how you’re feeling, then you stop exercising and we remove the monitors.
Once your results are ready, Dr. Patel reviews his findings with you. If he identifies heart disease, starting a treatment plan can help manage your symptoms and reduce your risk of complications.
Our Heart Smart Program gives you the education and tools you need to make heart-healthy changes in your life. We work with you to monitor your health, and we may recommend future stress tests to track changes over time.
A stress test tells Dr. Patel how well your heart works under pressure, and whether a serious condition could be threatening your health. To find out if you could benefit from a stress test, contact our offices in Lakewood, Newark, Paramus, or Secaucus, New Jersey, or book an appointment online now.
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by cardiopulmonarydiagnostic | Aug 9, 2026 | Uncategorized
Your heart beats an average of 100,000 times each day. You’re not aware of it most of the time, but heart palpitations can suddenly call your attention to your chest.
Heart palpitations are unusual or irregular heartbeats. Palpitations can feel like your heart is racing, fluttering, or that it skipped a beat. When they happen, it’s normal to be concerned about your heart health — but most of the time, palpitations aren’t a cause for worry.
Kunal Patel, MD and our team at NJ Cardiovascular Institute want to share what we know about heart palpitations and what causes them. If you experience these unusual changes in heart rhythm, it’s time to learn more.
Identifying heart palpitations
Your heart pumps blood throughout your body constantly. When it follows a regular rhythm, you may not be aware of it. When something disrupts your heart’s rhythm, palpitations occur.
Different people feel heart palpitations differently. The sensations can even vary between individual episodes, but some of the most common sensations include:
Racing heartbeat
Pounding heart
Fluttering in the chest
Heart skipping a beat
An extra, or double, heartbeat
You may feel palpitations in your chest, throat, or neck. It’s very common to become suddenly aware of your heart and your heartbeat when you experience palpitations.
Possible causes of heart palpitations
Most heart palpitations aren’t caused by heart problems, and they may be linked to external factors.
Some of the most common causes of palpitations include:
Strenuous exercise
Depression, anxiety, or panic attacks
Emotional stress
Hormonal changes
Stimulants like caffeine, nicotine, or illegal amphetamines
Alcohol
In rare cases, heart palpitations could indicate underlying heart issues like arrhythmias or heart disease.
When to make an appointment for heart palpitations
Many people experience heart palpitations from time to time. They’re not unusual, and they’re not always a sign of a more serious heart condition. However, if you have heart palpitations regularly or you’re concerned about your heart health, a visit to see Dr. Patel could ease your mind.
Heart palpitations are typically brief occurrences, and chances are high that the symptoms will be gone by the time your appointment comes around. If you’re seeking medical care for heart palpitations, consider keeping notes about each occurance to help us in your diagnosis.
We often use ambulatory arrhythmia monitoring to diagnose palpitations. This diagnostic test involves wearing a heart monitor that records your heart activity for a period of time. The results help us identify possible causes of palpitations.
Seek immediate medical care if your palpitations are accompanied by other symptoms, like loss of consciousness, pain, or difficulty breathing. You should always have your heart examined if you notice heart palpitations and you have a preexisting heart condition, such as congestive heart failure, or risk factors for heart disease.
If you still have questions about palpitations and heart health, we're here to help. Call the NJ Cardiovascular Institute office nearest you — in Newark, Paramus, or Secaucus, New Jersey — or request a consultation online to get started.
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by cardiopulmonarydiagnostic | Aug 9, 2026 | Uncategorized
Your heart is one of the most important organs. It pumps blood throughout your whole body, supplies oxygen and nutrients to your other organs and tissues, and removes waste products like carbon dioxide. Medical conditions that make it difficult for your heart to do its job are collectively known as heart disease.
At NJ Cardiovascular Institute, Dr. Kunal Patel is a highly experienced, board-certified cardiologist who helps you take good care of your heart. Dr. Patel uses a preventive approach to help you improve your heart health, as well as avoid or manage conditions like heart disease. Here’s what our team would like you to know about the nature of heart disease, some of its lifestyle-related risk factors, and what you can do about them.
What is heart disease?
Heart disease is very common, and it’s also deadly. About 610,000 Americans die every year from heart disease. It’s the leading cause of death for both men and women. Heart disease, or cardiovascular disease, is an umbrella term that includes a number of conditions such as coronary artery disease, angina, and congenital heart defects.
There are a number of factors that affect how likely you are to develop heart disease. These are known as risk factors. Some of these factors are set, such as your age, gender, and genetics. However, you have much more control over certain risk factors that are based on your lifestyle.
Risk factors you can change
Smoking
Smokers are almost twice as likely to have a heart attack than those who never smoked. Smoking damages your arteries, resulting in a buildup of fatty material, which in turn narrows your arteries. This narrowing of the arteries can cause a heart attack, because blood can’t travel through them.
If you smoke, the best thing you can do for your heart is to quit. Also, avoid spending time around people when they’re smoking, since secondhand smoke isn’t good for your heart, either.
Cholesterol
Your liver produces cholesterol, which is a component of all your cells that is used to make essential substances such as hormones. You also take in cholesterol from the foods you eat. Cholesterol comes in two forms: low density lipoprotein (LDL), and high density lipoprotein.
Low density lipoprotein (LDL) is usually known as the “bad” cholesterol because if you have too much of it, it can build up in your arteries and cause heart disease. High density lipoprotein is called the “good” cholesterol because it helps flush excess cholesterol back to your liver. Eating foods high in LDL, such as rich meats and fatty dairy products, can cause you to have high levels of cholesterol.
Hypertension
Hypertension means that you consistently have high blood pressure, so the force of your blood pushing against the walls of your blood vessels is too high. If not controlled, this pressure can cause damage to the tissues inside your arteries, creating a place for cholesterol to gather and narrowing the space where your blood can flow.
Inactivity
It is estimated that 35% of heart disease deaths occur as a result of physical inactivity. Your heart is a muscle, and it needs to be exercised regularly to keep it strong. In addition, regular exercise reduces blood pressure, decreases the chance of developing diabetes, and reduces obesity — which are three other risk factors for heart disease.
Obesity
Obesity puts you at risk for heart disease because it can increase your cholesterol levels. High cholesterol levels can lead to fatty buildup in your arteries, reducing the flow of blood and creating a risk for heart attacks. In addition, obesity can lead to diabetes and high blood pressure. Losing some weight can take a lot of strain off your heart.
Uncontrolled diabetes
A hormone called insulin allows your body to turn sugar (glucose) that’s in your blood into energy for your body. If you have diabetes, your body either doesn’t produce any insulin, or not enough. This results in high levels of glucose remaining in your blood, which is a state known as hyperglycemia. Uncontrolled hyperglycemia can damage your blood vessels, resulting in heart disease.
Heart disease is a very serious medical condition, but there are a number of lifestyle changes you can make that will help keep your heart healthy. At NJ Cardiovascular Institute, Dr. Kunal Patel takes care of your heart and teaches you how to prevent heart disease. Call our office or set up an appointment using our online booking tool today.
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by cardiopulmonarydiagnostic | Aug 9, 2026 | Uncategorized
Your heart works tirelessly to pump blood from your heart and deliver oxygen to every cell in your body. It’s one of your body’s most essential organs, but did you know that heart disease is the leading cause of death in the United States?
Heart disease encompasses a variety of conditions affecting your heart function. It can significantly impact your quality of life and overall health — but the good news is that most types of heart disease are treatable, especially when diagnosed in early stages.
Kunal Patel, MD, and our team at NJ Cardiovascular Institute work with patients of all ages to help them understand heart disease and its treatment options. When you know what to look for, you can recognize warning signs early and take proactive steps to protect your cardiovascular health. Here are five of the most common types of heart disease.
1. Coronary artery disease
Coronary artery disease (CAD) is the most common type of heart disease in the United States. It develops when plaque builds up in the arteries that supply blood to your heart muscle. Over time, this buildup narrows and hardens your arteries (atherosclerosis), which reduces blood flow and oxygen delivery to your heart.
CAD can cause chest pain, shortness of breath, or fatigue as it progresses. In severe cases, a complete blockage in an artery can lead to a heart attack.
2. Heart failure
Despite its name, heart failure doesn't mean your heart has stopped working. Instead, it means your heart isn't pumping blood as efficiently as it should. Heart failure develops gradually, often as a result of other conditions that weaken your heart over time, such as high blood pressure or CAD.
If you have heart failure, you might notice swelling in your legs and ankles, persistent fatigue, or difficulty breathing, especially when you’re lying down.
3. Arrhythmias
A healthy heart beats in a steady, regular rhythm. But when you have an arrhythmia, your heart beats too fast, too slow, or irregularly. It might feel like your heart is racing, fluttering, or skipping beats.
Some arrhythmias are harmless and don't require treatment, while others can be serious or even life-threatening. Atrial fibrillation is one of the most common types of arrhythmia, and it increases your risk of stroke if left untreated.
4. Heart valve disease
Your heart has four valves that open and close with each heartbeat to keep blood flowing in the right direction. When you have heart valve disease, one or more of these valves doesn't work properly.
The valve might not open fully, forcing your heart to work harder to pump blood through a narrowed opening. Or it might not close completely, allowing blood to leak backward.
Symptoms of valvular heart disease include fatigue, shortness of breath, chest pain, or dizziness as your heart struggles to compensate for valve dysfunction.
5. Cardiomyopathy
Cardiomyopathy refers to diseases of the heart muscle itself. If you have cardiomyopathy, your heart muscle becomes thick, rigid, or weak, which makes it harder for your heart to pump blood effectively.
You might not notice any symptoms in the early stages, but as the disease progresses, you may experience shortness of breath, swelling, fatigue, and irregular heartbeats. There are several types of cardiomyopathy, some inherited and others caused by conditions like high blood pressure, infections, or even alcohol abuse.
Taking control of your heart health
Heart disease is serious, but it doesn’t mean you can’t enjoy a full, active life. Dr. Patel and our team partner with you to understand your health needs and develop a treatment plan that fits your life.
Whether you have a heart disease diagnosis, risk factors for heart disease, or you’re simply taking a proactive approach to heart care, we’re ready to help. Our Heart Smart Program gives you the tools to maintain a healthy diet, exercise regularly, manage stress, avoid smoking, and keep conditions like high blood pressure and diabetes under control.
It includes regular checkups to monitor your progress, and we work with you to adjust your treatment plan as needed. By staying informed and proactive, you give yourself the best chance for a long, heart-healthy life.
Learn more about heart disease, your risk, and how to protect your heart with a personalized consultation at NJ Cardiovascular Institute. Call us at 201-866-7000 or send us a message online now.
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by cardiopulmonarydiagnostic | Aug 9, 2026 | Uncategorized
It’s estimated that up to 30% of American adults have metabolic syndrome: a cluster of conditions that occur together and can significantly increase your risk of heart disease, stroke, and diabetes. These conditions include high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels.
When these factors combine, they can disrupt your body’s metabolic processes — which often leads to a serious impact on your overall health. Kunal Patel, MD, and our team at NJ Cardiovascular Institute offer care for high blood pressure and heart disease, and we're here to help you understand how metabolic syndrome affects your heart.
So if you’ve been diagnosed with metabolic syndrome or you’re at risk, here’s what you need to know about it.
The basics of metabolic syndrome
Metabolic syndrome isn’t a single disease. To meet the criteria for a diagnosis of metabolic syndrome, a person must have three of the following risk factors that raise the risk of cardiovascular complications:
High blood pressure (hypertension)
High fasting blood sugar
High triglycerides
Low HDL (good) cholesterol
Excess abdominal fat
Having just one of these conditions doesn’t mean you have metabolic syndrome, but having three of them increases your chances of developing heart disease, type 2 diabetes, and stroke.
How metabolic syndrome affects your cardiovascular health
High blood pressure is one of the main components of metabolic syndrome, and it directly impacts your heart health. When you have high blood pressure, your heart must work harder to pump blood throughout your body.
Along with high blood pressure, high triglycerides and low HDL cholesterol levels may contribute to plaque buildup in your arteries — a condition known as atherosclerosis. Your arteries get narrower and stiffer as plaque builds up, which limits blood flow to your heart and other organs.
Over time, the strain of high blood pressure can damage your arteries and increase your risk of heart attack or stroke. Atherosclerosis can also eventually lead to serious complications like coronary artery disease, heart attack, and stroke.
The role of insulin resistance
Insulin resistance develops when your body becomes less effective at using the hormone insulin to regulate your blood sugar, and it’s a key driver of metabolic syndrome. When your body doesn't respond properly to insulin, your blood sugar levels remain high, which is called hyperglycemia.
Chronic high blood sugar damages your blood vessels over time and contributes to both diabetes and heart disease. Elevated blood sugar also prompts your pancreas to produce more insulin, further disrupting the body’s ability to regulate energy and fat storage.
Preventing and managing metabolic syndrome
Metabolic syndrome can have a significant impact on your heart health and your overall well-being. But the good news is that it’s largely preventable and manageable with lifestyle changes. That means if you have metabolic syndrome, heart disease and other complications aren’t inevitable.
In fact, healthy eating, regular physical activity, weight loss, and quitting smoking are some of the most effective ways to combat the risk factors associated with metabolic syndrome. Dr. Patel and our team offer the Heart Smart Program to help you make these changes in your own life.
The Heart Smart Program is a comprehensive cardiovascular health program designed to assess and manage your heart disease risk. It combines advanced diagnostic testing, personalized treatment plans, and lifestyle guidance to help you optimize your heart health and prevent future complications.
If you already have metabolic syndrome, we can prescribe blood pressure medicine and cholesterol-lowering medications, if you need them. We can also help you lose weight, if needed, and partner with you to manage your blood sugar if you have diabetes.
Regular check-ups with Dr. Patel are essential for monitoring your risk factors and ensuring they’re under control.
By making informed lifestyle choices and working closely with our team, metabolic syndrome doesn’t have to have a severe impact on your overall health. Learn more about your treatment options with a consultation at NJ Cardiovascular Institute. Call one of our offices in Elizabeth, Lakewood, Paramus, or Secaucus, New Jersey, or send us a message online.
by cardiopulmonarydiagnostic | Aug 9, 2026 | Uncategorized
Varicose veins — those bulging, twisted veins you see just beneath the surface of your skin — are a common condition affecting 20% of all adults at some point in their lives. While they’re often labeled as simply a cosmetic concern, varicose veins can sometimes be indicative of an underlying health issue.
But unfortunately, it’s not always easy to know if your varicose veins signal something more serious. Our team at NJ Cardiovascular Institute is here to help. Kunal Patel, MD, specializes in varicose vein care, and in this blog post, we’re exploring the connection between varicose veins and potentially more serious health conditions.
Why varicose veins occur
Your veins have valves inside that help keep blood flowing through your body effectively. Varicose veins develop when those valves start to malfunction.
Malfunctioning valves can make blood collect and pool in specific areas, and the veins get enlarged and twisted. Varicose veins are most common in your feet and legs, often causing discomfort, pain, and aching sensations.
The potential complications of varicose veins
Most of the time, varicose veins themselves are harmless. But in some cases, they can indicate an increased risk of developing other circulatory problems.
A few possible risks associated with varicose veins are:
Deep vein thrombosis (DVT)
A deep vein thrombosis (DVT) happens when a blood clot forms in a deep vein of your leg. The blood clot can dislodge and travel to other parts of your body, making it a potentially serious condition. If the clot travels to your lungs, it can cause a pulmonary embolism.
Having varicose veins puts you at increased risk of developing a DVT, because weak vein valves slow down the blood flow. If you have varicose veins and experience sudden leg pain, swelling, or redness, seek immediate medical attention to rule out a DVT.
Venous insufficiency
Varicose veins can also be a signal of venous insufficiency, a condition characterized by impaired blood flow from your legs back to your heart. Along with varicose veins, you might experience symptoms such as leg heaviness, fatigue, and swelling.
If you have venous insufficiency, seeking treatment is essential to determine the extent of your condition. If it’s left untreated, venous insufficiency can lead to skin ulcers and chronic inflammation.
Overall cardiovascular health
Finally, having varicose veins may mean you have an increased risk of cardiovascular health issues, like hypertension and heart disease. The exact connections aren’t fully understood, but underlying factors that cause varicose veins may also contribute to the development of cardiovascular disease.
That means if you have varicose veins, we may recommend taking extra steps to manage your cardiovascular health. Regular exercise, a healthy diet, and lifestyle modifications all help improve heart health.
Varicose veins are often viewed as a cosmetic nuisance — but it’s important to take them seriously. To learn more about your condition and get a treatment plan that fits your needs, schedule a consultation with Dr. Patel and our team at NJ Cardiovascular Institute.
Call one of our offices in Elizabeth, Lakewood, Paramus, or Secaucus, New Jersey, or send us a message online now.
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