Types of Treatments

Health First's team of Heart & Vascular physicians are all board-certified and offer some of the most leading cardiac treatments available. Treatment includes:

Atrial Fibrillation

AFib is an irregular heartbeat. In a normal heart, an electrical impulse passes through the top portions of the heart (atria) in an orderly fashion. With AFib, impulses are very rapid and uneven. In response to these impulses, the atria contract quickly and unevenly. This means the heart is unable to pump blood the way it should. Sometimes rapid AFib impulses cross to the ventricles causing them to beat rapidly and irregularly as well.

AFib is generally classified in three categories

  • Paroxysmal is when the AFib episode is intermittent.
  • Persistent AFib occurs more frequently and may or may not be responsive to drug therapy
  • Permanent AFib means the heart is in a constant AFib state.

Click here to learn more about our treatment and procedures for patients with AFib.


Electrophysiology is diagnosing, and treating the electrical activities of the heart. It is usually used to describe studies of spontaneous activity as well as cardiac responses to programmed electrical stimulation (PES). These studies are performed to assess complex arrhythmias, elucidate symptoms, evaluate abnormal electrocardiograms, assess risk of developing arrhythmias in the future, and design treatment. Treatment includes:

Cardiac Ablation
Cardiac ablation is used to destroy small areas in your heart that may be causing you heart rhythm problems. Small wires with electrodes are placed inside your heart to measure your heart's electrical activity. These electrodes are used to destroy the unhealthy (or damaged) areas of the heart.

Hybrid MAZE procedure
The Hybrid Maze procedure is a new minimally-invasive approach that combines cardiac electrophysiology and cardiac surgery to help restore normal heart rhythm for atrial fibrillation (AFib) patients. For more information on this procedure, visit our AFib treatment section on this site.

The WATCHMAN Procedure
Health First Heart & Vascular Services is proud to be the first and only comprehensive cardiology program in Brevard County to offer the WATCHMAN Implant. WATCHMAN is a one-time procedure that reduces the risk of stroke in people with atrial fibrillation and is as effective at reducing the risk of stroke as Warfarin. But unlike Warfarin, the WATCHMAN implant also reduces the long-term risk of bleeding.

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A pacemaker is a small device that is typically placed in the chest or abdomen to help regulate abnormal heart rhythms with leads passed through the veins to the heart. It uses electronic pulses to signal the heart to beat normally. It can regulate heart rates in one or more chambers of the heart.

Micra Leadless Pacemaker
The Micra is designed to provide a safe alternative to conventional single chamber pacemakers without leads. It is small enough to be delivered through a catheter and implanted directly into the heart with small tines and delivers electrical impulses that pace the heart through an electrode at the end of the device.

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Implantable Cardiac Defibrillators (ICDs)
An ICD is a device implanted similar to a traditional pacemaker with a device placed in the chest or abdomen with leads passed through veins to the heart. The device is for those at risk of sudden death to due ventricular fibrillation or other have a weakened heart muscle. The device monitors the heart rate and delivers an shock to the heart to restart a normal heart rhythm.

Cardiac Resynchronization Therapy (CRT)
Also called Biventricular pacing, CRT is used to relieve symptoms of arrhythmia by helping the heart maintain a constant rhythm. A pacemaker is implanted with three leads in the heart that help ensure the ventricles of the heart contract at the same time. A CRT may be recommended for patients with irregular heart rhythms caused by heart failure, heart damage, medications or age.

Cardiac Surgery / Cardiothoracic

Cardiac surgery can involve a variety of procedures to correct your heart problem. Some of the treatments and procedures Health First offers are:

Aortic valve replacement
Aortic valve replacement is heart surgery that replaces the malfunctioning valve. The malfunctioning is due to narrowing or leakage caused by a congenital abnormality or acquired disease (with age). These valves can be replaced by mechanical man-made materials or biological (tissue) valves from a pig, cow or human donor.

Coronary artery bypass
Coronary artery bypass or heart bypass surgery is used to create a bypass for blood and oxygen to reach your heart. This procedure is performed if you have a blockage in one or more of your coronary arteries. This procedure is used to treat coronary artery disease (when your heart does not get enough blood).

Open Heart
Open heart surgery is any surgery where the chest is opened and surgery is done on the heart muscle, valves, arteries or other parts of the heart.

Mitral/tricuspid valve repair and replacement
This procedure is done when the heart valves are not opening properly to keep blood flowing to the heart.

Transcatheter Mitral Valve Repair (TMVR)

Transcatheter Mitral Valve Repair (TMVR) is a minimally invasive procedure that may be an option for patients with degenerative mitral regurgitation who are too sick for surgery. Health First Heart & Vascular Services is proud to be the first and only comprehensive cardiology program in Brevard County to offer the MitraClip procedure.

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Interventional Cardiology

At Health First, our Interventional Cardiologists use fluoroscopy, CT, and ultrasound in nonsurgical treatment of various disorders including angioplasty and stents.

Carotid Angioplasty
Angioplasty or carotid angioplasty is done when blood flow in the carotid artery becomes partly or totally blocked by fatty material called plaque. This can reduce the blood supply to your brain, which can cause a stroke.

Coronary Angioplasty
This non-surgical technique is a specialized form of cardiac catheterization that is inserted in the arm or groin. It is also called percutaneous transluminal coronary angioplasty (PTCA) or balloon angioplasty. This procedure is used to widen the coronary arteries.

Cardiac catheterization
Cardiac catheterization is done by passing a thin flexible tube into the right or left side of the heart, usually from the groin. This procedure helps the physician obtain more information about the heart or its blood vessels. It may also be done to treat certain types of heart conditions or to determine if you need heart surgery.

Radial Catheterization
A radial cardiac catheterization is done by passing the thin flexible tube into the heart by going in through the radial artery, located in the wrist. This technique reduces recover time and bleeding. A patient will need to be evaluated to see if he/she is a candidate for a radial catheterization based on the functioning blood flow to the hand.

A stent is a tiny tube placed into an artery, blood vessel or other hollow structure to hold it open. Stents are placed inside a coronary artery after angioplasty to prevent the artery from re-closing.

Non-invasive cardiology

Cardiac ultrasound
A cardiac ultrasound or echocardiography, emits high frequency sound waves to create graphic images of the heart's structures, pumping action, and direction of blood flow.

An electrocardiogram is used to measure the electrical activity of your heart. An EKG can show if you heart is not getting enough oxygen, if a heart attack has occurred, what part of the heart was damaged, or an irregular heartbeat or rhythm.

Stress testing
Stress testing is a screening tool used to test the effect of exercise on your heart. This test can help determine any abnormalities with your heart.

Vascular Treatments

Health First's dedicated team of vascular surgeons and interventional radiologists provide treatment for all types of vascular problems such as:

Aortic Aneurysm
An aortic aneurysm is a general term for any swelling of the aorta to greater than 1.5 times normal size, usually representing an underlying weakness in the wall of the aorta. While the vessel may cause discomfort, a greater concern is the risk of rupture which can cause severe pain, internal hemorrhage and even death.

Varicose Veins
Varicose veins are bulgy, swollen, dark blue or green veins that most often appear on legs. They can be caused by factors such as heredity, pregnancy, hormones, trauma, or constant walking and standing. In many instances, they can cause great discomfort or could be the sign of a more serious vascular issue. A varicose vein has a damaged or malfunctioning valve allowing blood to collect in the vein, which causes them to swell and turn darker in color.

Deep Vein Thrombosis
Deep vein thrombosis is a blood clot that forms in a vein deep in the body. Blood clots occur when blood thickens and clumps together. Most occur in the lower leg or thigh. This clot can break off and travel through the bloodstream and block and artery in the lungs.

Treatments and procedures include:

Endovascular surgery
Endovascular surgery is a form of minimally invasive surgery that was designed to access many regions of the body via major blood vessels.

Endoscopic vein harvesting
Endoscopic vein harvesting is a surgical technique that is used in conjunction with coronary artery bypass surgery. The procedure involves removing a vein from another part of the body, most often the leg or arm. This vein is used to reroute the blood around the blocked arteries to restore blood flow and oxygen to the heart.

Vascular ultrasound
Vascular ultrasound is a test that uses high-frequency sound waves to image blood vessels including arteries and veins. This is usually performed if a clot in the vein is suspected.