Medical Services
In Office Consultation
We offer cardiac consultations; a vital aspect of medical treatment. The consultation is for patients to discuss with Dr. Leche their
Heart problems, complaints, and symptoms
Review medical history and lifestyle
See which test or treatment is right for you
Understand the risks and complications of different treatments and surgeries
Pre and post-operation information
Healthy lifestyle habits
The consultation provides an opportunity to thoroughly assess the patient’s current health status and share important information, ensuring clear communication and a deeper understanding of their cardiovascular needs and what steps to take next.
In Hospital Consultation
For medical situations where hospitalizations are required, it is beneficial that your treating physician has ample knowledge of your medical history. Dr Leche is available for inpatient consultations at HCA Florida Brandon Hospital. He will supervise your treatment, perform any necessary tests and procedures if you are experiencing a cardiovascular illness. Dr Leche will continue your care upon discharge with follow-up appointments in the office to support your recovery and ongoing health.
Interventional Cardiology
Interventional cardiology is a subspecialty of cardiology that treats heart and blood vessel conditions by using minimally invasive, catheter-based procedures, such as Stent Placement and Angioplasty. These procedures allow us to diagnose and treat various conditions without the need for open heart surgery resulting in shorter recovery times. Some conditions that are commonly treated with interventional cardiology are coronary artery disease, heart valve disorders, and peripheral vascular disease.
Echocardiogram
Echocardiology, also known as an echo test or heart ultrasound, is a non-invasive procedure that uses sound waves (ultrasound) to create moving pictures of the heart. These images are called echocardiograms, which allow the doctor to assess the heart's structure and function, including the size and shape of chambers and valves, and how well they are working.
Stress Testing
A stress test, also known as an exercise or treadmill test, shows how well your heart works during physical activity. As your body works harder, your heart needs to pump more blood, which can reveal if there’s reduced blood flow to the heart muscle. The test is typically done by walking on a treadmill while your heart rhythm, blood pressure, and breathing are closely monitored. If you're unable to exercise, a medication may be used to mimic the effects of exercise.
Stress testing helps determine the severity of heart conditions, guides treatment decisions, and helps your doctor recommend the right level and type of physical activity for you.
Nuclear Medicine (Nuclear Cardiac Stress Test)
Nuclear medicine is a safe, non-invasive, and painless imaging test that helps doctors see how well your heart is working in 2 phases. A small amount of radioactive material, such as thallium or sestamibi, is injected into your bloodstream, which travels to your heart. Then, a special camera takes pictures to show how blood flows to your heart and how well it's pumping.
One phase will monitor the patient while they are resting, and the second phase will monitor the patient after they have exercised. This test can help detect problems like blocked arteries, damage from a past heart attack, or areas of the heart that aren't working properly. It gives the doctor important information that other tests might not be able to show.
Holter and Event Monitoring
A Holter monitor is a small wearable battery operated device that continuously records your heart’s rhythm for 24 to 48 hours using an ECG (electrocardiogram). The Holter device is about the size of a deck of playing cards and has wires with silver dollar-sized electrodes that attach to your skin. The patient will wear the device as they go about their normal daily activities. The information gathered from the monitor will help detect irregular heartbeats (arrhythmia) and other vital information about your heart.
If symptoms are infrequent and don’t occur during the typical monitoring period, then Event Monitoring will be recommended. The patient will wear the device for a longer period, often times several weeks, dependent on the doctors’ orders.
Permanent Pacemaker Therapy and Follow Up
A pacemaker is a small, battery-operated device that helps keep your heart beating at a regular rhythm. It’s typically recommended for patients whose hearts beat too slowly or irregularly (a condition called bradycardia or arrhythmia). The device has two main parts: a generator and thin wires called leads.
The generator is a small unit that produces electrical impulses and is usually placed under the skin near the chest through a minor surgical procedure. The leads connect the generator to your heart and deliver these impulses, helping the heart maintain a steady and healthy rhythm—just like your heart's natural pacemaker would.
After implantation, regular follow-up care is essential. We monitor your pacemaker’s performance, check battery life, and make sure the device is functioning correctly.