Dedicated comprehensive heart and vascular treatment in the Greater Austin Region
At Baylor Scott & White Health locations across the Greater Austin Region, you can expect quality advanced care, diagnosis and treatment of heart and cardiovascular disease. The cardiology professionals on our staff take a team approach to rapid treatment of heart attacks, while our specialized services and innovative heart treatment options equip us to take on cardiology-related situations—from non-invasive diagnostic techniques to emergency heart procedures.
Our cardiovascular suites feature cardiac catheterization and electrophysiology (EP) labs. Through advanced equipment and innovative technology, these labs can accommodate interventional techniques, as well as complex cardiac and EP procedures.
A variety of cardiac services are available throughout the Greater Austin Region at our medical centers and clinics.
Common heart condition symptoms and treatments
Whether you’ve lived with symptoms such as heart weakness, shortness of breath or heart palpitations for a while or have just started experiencing them, it’s a good time to check in on your heart health. Our resources help you know the signs, risk factors and treatment options.
Download a free guide on heart valve diseases, atrial fibrillation (A Fib) and heart failure. Because when hearts get Better, it’s a thing of beauty.
Heart failure clinic
The Heart Failure Clinics in Round Rock and Marble Falls are available to help manage heart failure conditions by avoiding continued cardiovascular problems or emergency room visits.
Patients with weakened muscles due to heart attack or other cardiac conditions visit our clinic once or twice a week, as prescribed by their physician, for help with medications, lifestyle changes and infusions to improve their function, maintain their cardiac health and improve quality of life.
Services* provided at The Heart Failure Clinic include:
- Advanced medical management
- Participation in heart failure trials
- Left ventricular assist device (LVAD) implantation. A ventricular assist device (VAD) is a mechanical pump that helps to pump blood from the lower heart ventricles to the rest of the body and is most commonly implanted in the heart’s left ventricle
- CardioMEMS™ HF System. For individuals experiencing heart failure, blood pressure through the pulmonary artery (PA) can indicate worsening heart failure, even before symptoms—such as shortness of breath or weight gain—are evident. The CardioMEMS™ System features a small pressure-sensing device implanted directly into the pulmonary artery. Information is regularly transmitted to the patient’s care team, enabling doctors to use the information to adjust medications and treatment plans without the need to visit the clinic or hospital
- Right and left heart catheterizations
* Not all services available at all locations
- Atrial septal defect closure
- Calcium score cleaning
- Cardiac MRI
- Cardiac stress test
- Clinical research trials
- Coronary angiography
- Coronary artery disease management
- Coronary computed tomography angiography
- Coronary CTA program
- Disease prevention
- Echocardiogram and transesophageal echocardiogram
- Foramen ovale closure
- Heart rhythm disorders
- Heart valve disease
- HeartFlow analysis
- Peripheral arterial disease
An atrial septal defect (ASD) is a hole in the wall (septum) between the two upper chambers of the heart present at birth. This hole is typically closed by cardiac catheterization using a device inserted into the opening to plug the hole caused by the atrial septal defect.
This noninvasive test checks for a buildup of cholesterol in the heart’s artery walls and may identify the risk of a heart attack even before symptoms appear. Minimum requirements for this screening include males between the ages of 40-65 years, females between the ages of 45-70 years of age or have one of the following risk factors for heart disease: diabetes, current/former smoker, obesity, family history of heart disease, history of high cholesterol or history of high blood pressure. A physician referral is required for this screening.
Please call 512.509.9100 to schedule.
Cardiac magnetic resonance imaging is a non-invasive test that uses radio waves, magnets and a computer to create a series of images of the heart and its surrounding blood vessels. Cardiac MRIs are the most accurate test for measuring the percentage of blood that is pumped out of the heart every time it contracts and can show if heart muscle is dead or alive.
A cardiac stress test (sometimes called a heart stress test) is a physical exam designed to measure how well the heart handles work. The patient typically walks on a treadmill or rides a stationary bike while their heart rhythm, blood pressure and breathing are monitored. A cardiac stress test can reveal problems with blood flow within your heart.
Patients have the opportunity to participate in clinical research trials.
A coronary angiogram is a procedure in which dye is injected to the heart’s blood vessels while an X-ray machine takes a series of images of the heart. This procedure can detect clogged arteries in the heart that may need to be treated with a stent placement or a balloon angioplasty.
Patients with stable coronary artery disease require medical therapy to prevent disease progression and recurrent cardiovascular events, including a heart attack. Three classes of medication are essential to therapy for coronary artery disease management include lipid-lowering, antihypertensive and antiplatelet agents.
A computerized tomography (CT) coronary angiogram uses an X-ray machine to examine the arteries that supply blood to the heart and determine if they have a buildup of plaque, which can cause blood clots.
A coronary computed tomography angiogram (CTA) uses advanced CT technology, along with intravenous (IV) contrast material (dye), to obtain high-resolution, 3D pictures of the moving heart and great vessels. CTA is used to examine the health of blood vessels in the body, can be used to identify weakened sections of arteries or veins, visualize blood flow and detect fatty or calcium deposits (plaques) in the coronary arteries. A physician referral is required for this screening.
Please call 512.509.9100 to schedule.
Prevention for cardio metabolic, lipid and cardiovascular disease.
An echocardiogram is an ultrasound of the heart. A transesophageal echo (TEE) is a type of echocardiogram in which an ultrasound transducer is guided down the esophagus to get a clearer image of the heart without the ribs or lungs in the way.
An electrocardiogram (often called an EKG) is a test that measures the electrical activity of the heartbeat. An EKG measures the electric impulses that travel through the heart as it beats and the timing of the top and lower chambers of the heart.
A foramen ovale is a hole in the wall between the left and right atria of every human fetus. If the hole must be closed by a heart specialist, a closure device is placed by a catheter, threaded from the heart patient’s groin through the veins to the heart.
Heart rhythm disorders (often called arrhythmias) cover a range of conditions in which there is any deviation from the normal sequence of electrical impulses in the heart.
Heart valve disease occurs when one or more of the heart’s four valves do not function properly.
This non-invasive heart test provides a personalized 3D model of the coronary arteries that shows how each blockage impacts blood flow to the heart. This detailed information, which was previously only available through an invasive procedure, helps doctors determine the next step in a treatment plan.
Hypertension, or high blood pressure, is a condition in which the force of the blood against the heart’s artery walls is too high.
Peripheral arterial disease (also called peripheral artery disease) is a common circulatory problem in which narrowed arteries reduce blood flow to the limbs (arms or legs), which may result in leg pain while walking. Peripheral arterial disease can also result in a condition called atherosclerosis, which is a buildup of fatty deposits in the arteries.
Accredited heart attack/STEMI care
Baylor Scott & White Medical Center – Round Rock was the first hospital in the US to receive accreditation by the American Heart Association: Mission Lifeline as a STEMI Receiving Facility
ST-Elevation Myocardial Infarction (STEMI) is a very serious type of heart attack during which one of the heart’s major arteries, which provides oxygen and nutrient-rich blood to the heart muscle, is blocked. ST-segment elevation is an abnormality detected on the 12-lead ECG (electrocardiogram). Heart patients experiencing acute STEMI are at risk for developing life-threatening arrhythmias, like ventricular fibrillation, which causes sudden cardiac arrest—sometimes referred to as a “massive heart attack.”
STEMI can be treated with clot-busting drugs called thrombolytics (also called fibrinolytics) or with a primary percutaneous coronary intervention (PCI) in a cardiac catheterization lab—also known as angioplasty or stenting.
One of the quality measures for STEMI care is the time of first medical contact, or the amount of time it takes to successfully re-open the occluded (or blocked) heart artery. The clock starts when the patient arrives at the hospital and stops when the balloon is inflated in the cardiac catheterization lab here in our Round Rock heart center.
- Abdominal aortic aneurysm stent grafting
- Carotid stenting
- Chronic limb ischemia stenting
- Complex high-risk coronary stenting and chronic total occlusion
- Coronary atherectomy
- Coronary stenting
- Intravascular lithotripsy (IVL)
- Mechanical circulatory devices – Impella®
- Peripheral vascular angiogram
- Ultrasound-assisted catheter-directed thrombolysis
- Vena cava filter placement/removal
Endovascular stent grafting is a less invasive treatment for abdominal aortic aneurysm treatment. It uses an endovascular stent graft to reinforce the wall of the aorta and to help keep the damaged area of the heart from rupturing.
Carotid artery stenting is a minimally invasive interventional cardiology procedure in which a slender, metal-mesh tube, called a stent, is inserted and into the carotid artery and expands to increase blood flow to the heart in areas blocked by plaque.
Chronic limb ischemia is an advanced stage of peripheral artery disease, resulting in ischemic rest pain, arterial insufficiency ulcers and gangrene. Stent placement restores blood flow to the affected regions.
Chronic coronary total occlusion occurs when either the left main or right coronary artery—one of the arteries that delivers oxygen-rich blood to your heart—has become completely blocked (occluded) for three months or longer. Treatment may involve stent placement in the artery.
This minimally invasive heart procedure opens a coronary artery that is blocked or narrowed by plaque.
Coronary stenting is when a stent, a small, expandable wire and mesh tube, is placed inside a clogged artery to help widen the artery and restore normal blood flow.
Calcium makes the artery rigid and more difficult to treat with current technologies, which can result in complications for patients who are undergoing stent procedures. Intravascular lithotripsy (IVL) allows physicians to safely fracture problematic calcium using sonic pressure waves so that the artery can be expanded, and blood flow is restored with the placement of a stent and without unnecessary complications.
The Impella® heart pump temporarily assists the pumping function of the heart during stent placement to ensure blood flow is maintained to critical organs.
Cardiologists perform this heart procedure with angioplasty, stents and thrombectomy to open blocked or narrowed arteries in the legs.
This minimally invasive heart treatment that dissolves dangerous blood clots in vessels is conducted using a catheter and an ultrasound to locate the site of the blood clot.
An inferior vena cava (IVC) filter is a small, wiry device that interventional cardiologists in our hospital use to stop blood clots from going up into the lungs. The filter catches blood clots and stops them from moving up to the heart and lungs to prevent a pulmonary embolism.
Electrophysiology/Heart arrhythmia treatment
The Arrhythmia Program at Baylor Scott & White has the capabilities to help pinpoint a variety of heart rhythm problems and brings together cardiovascular expertise and medical technology to treat irregular cardiac rhythms (arrhythmias) that affect the heart's ability to pump blood. Electrophysiology studies, performed in the electrophysiology suite of our Round Rock and Lakeway hospitals, help determine the exact location and cause.
The program offers the following:
- Device clinic for pacemakers and implantable cardiac defibrillators (ICD)
- Participation in national clinical research
- Arrhythmia ablations (A-flutter, SVT and A-fib) to correct heart rhythm problems by scarring or destroying the heart tissue that triggers or sustains an abnormal rhythm
- Subcutaneous implantable cardioverter defibrillators (ICD) which is inserted beneath the skin to monitors heartbeats and deliver a small electrical shock to the heart if an abnormal rhythm is detected
- EKG recorders that similarly records the heart’s electrical activity when the patient is experiencing cardiac arrhythmia symptoms
- Tilt table procedures to evaluate the cause of fainting and identify faulty brain signals causing low blood pressure, and involves a patient lying flat on a horizontal table that tilts vertically while changes in blood pressure and an electrocardiogram are measured
- WATCHMAN is a one-time, minimally invasive procedure for people with atrial fibrillation not caused by a heart valve problem (or non-valvular AFib) who need an alternative to blood thinners. The WATCHMAN implant fits right into the LAA, the left atrial appendage of the heart, and permanently closes off the LAA and prevents potentially stroke-causing blood clots from escaping
*Not all services available at all locations
- Abdominal aortic aneurysm stent grafting and surgical repair
- Aortic valve replacement
- Arterial bypass grafting
- Arteriovenous fistula placement
- Ascending aortic aneurysm repair
- Carotid endarterectomy
- Coronary artery bypassing grafting
- Deep vein thrombosis
- Left atrial appendage resection
- Limb-salvage surgery
- Minimally invasive cardiac surgery
- Mitral valve repair/replacement
- Noninvasive vascular testing
- Pulmonary vein isolation
- Septal myectomy
- Thoracic aortic aneurysm stent grafting and surgical repair
- Thoracic outlet syndrome
- Tricuspid valve repair/replacement
- Venous ablations
- Video assisted thoracoscopic decortication/pleurodesis
- Video assisted thoracoscopic lobectomy
- Video assisted thoracoscopic lung biopsy
Abdominal aortic aneurysm stent grafting is the process in which a heart doctor places an endovascular stent inside of the abdominal aorta to prevent an aneurysm from rupturing.
An aortic valve replacement involves removing a faulty or damaged heart valve and replacing it with a new valve made from synthetic materials or animal tissue to improve blood flow to the heart.
Coronary artery bypass grafting (CABG) is the process of connecting, or grafting, a healthy artery or vein from the body to the blocked coronary artery. The grafted artery or vein bypasses the blocked portion of the coronary artery. This surgery is used for people with severe coronary heart disease and is used to improve blood flow to the heart.
An arteriovenous fistula (AV) is a connection made between an artery and a vein. A heart doctor typically places the arteriovenous fistula in the forearm, which can help the vein grow stronger by causing extra pressure and blood flow into it.
This heart procedure, in which a bulge in the aorta, the largest artery in the human body running from the left ventricle of the heart down to the abdomen, is repaired.
A carotid endarterectomy is a surgery that removes plaque buildup from inside a carotid artery in the neck to restore normal blood flow to the brain and prevent a stroke.
Coronary artery bypass graft surgery (CABG) is a procedure used to treat coronary artery disease. In the procedure, the blocked portion of the coronary artery is bypassed with a piece of a healthy blood vessel from elsewhere in the body to improve blood flow to the heart.
Deep vein thrombosis occurs when a blood clot forms in one or more deep veins in the body, typically the legs.
If a patient is at risk of developing blood clots in the left atrium, a heart procedure is performed that closes or removes the left atrium appendage to reduce the risk of stroke.
Limb-salvage surgery, also called limb-sparing surgery, is the most common type of surgery for a primary bone cancer or a soft tissue sarcoma in an arm or leg. The surgeon removes the tumor and an area of healthy tissue around it, while preserving as much of the limb as possible.
Heart specialists use this treatment method to access the heart through a small incision, removing the need for traditional open-heart surgery. During the heart procedure, an endoscope—a thin telescopic lens, light source and camera—is passed through a small incision in the chest, providing heart surgeons a magnified view of the inside of the body. Surgical instruments are also passed through the incision, allowing surgeons to operate on the heart.
A mitral valve replacement is a minimally invasive heart procedure to replace a mitral valve that isn't working properly.
Procedures that examine blood vessels throughout the body that feed major organs and tissue help diagnose and treat many vascular conditions, including peripheral arterial disease (PAD), stroke, aneurysms and thoracic outlet syndrome.
Pulmonary vein isolation is a procedure that creates scar tissue in the part of the left upper chamber of the heart where each of the four pulmonary veins connects. The heart surgeons here in Round Rock perform this operation to stop abnormal electrical signals in the heart that cause heart rhythm problems (arrhythmias).
A septal myectomy is a heart treatment for hypertrophic cardiomyopathy, which entails removing a portion of the septum that is obstructing the flow of blood from the left ventricle to the aorta.
Thoracic aortic aneurysm stent grafting is the process in which a heart doctor places an endovascular stent inside of the thoracic aorta to prevent an aneurysm from rupturing.
Thoracic outlet syndrome is a group of disorders that can cause pain in the shoulders and neck, as well as numbness in the fingers. These disorders occur when blood vessels or nerves in the space between the collarbone and the first rib (thoracic outlet) are compressed.
Tricuspid valve repair and tricuspid valve replacement are heart procedures that treat diseases affecting the tricuspid valve, one of four valves that control blood flow through the heart.
Venous ablation is a minimally invasive heart treatment that uses radiofrequency to cauterize or burn and close abnormally enlarged veins in the legs.
A thoracoscopic decortication is a surgical procedure done to free a fibrous capsule that has formed around the lung secondary to an inflammatory process, such as an infection.
A thoracoscopic lobectomy is the resection of an entire lobe of the lung, using a videoscope and an access incision, without the use of a mechanical retractor and without rib spreading.
A thoracoscopic lung biopsy is when a doctor inserts an endoscope through the chest wall into the chest cavity to obtain lung tissue for examination.
Structural heart program and cardiac valve clinic
Specializing in the diagnosis and treatment of conditions affecting the heart’s valves and other vital structures, Baylor Scott & White Health utilizes a team of interventional cardiologists and cardiothoracic surgeons to treat congenital (those appearing at birth) heart conditions, as well as those resulting from aging.
Aortic balloon valvuloplasty
A valvuloplasty is designed to improve blood flow through the heart valve. A long, thin catheter with a balloon on the tip is inserted into an artery in the arm or groin and guided into a narrowed valve in the heart. The balloon is then inflated to widen the opening of the valve and then deflated and removed.
Atrial septal defect (ASD) closure
An atrial septal defect (ASD) is a hole in the wall (septum) between the two upper chambers of the heart that is present at birth. This hole is typically closed by cardiac catheterization using a device inserted into the opening to plug the hole caused by the atrial septal defect.
Complex mitral valve repair
Mitral valve repair is a cardiac surgery procedure performed to treat stenosis or regurgitation of the mitral valve, the "inflow valve" for the left side of the heart.
Foramen ovale (PFO) closure
A foramen ovale is a hole in the wall between the left and right atria of every human fetus. If the hole must be closed by a heart specialist, a closure device is placed by a catheter threaded from the heart patient’s groin through the veins to the heart.
Participation in clinic research trials
Patients have the opportunity to participate in clinical research trials.
Transcatheter aortic valve replacement (TAVR)
Transcatheter aortic valve replacement (TAVR) is a minimally invasive heart procedure in which doctors insert a catheter into the leg and guide it to the heart. TAVR is used to replace a narrowed aortic valve that fails to open properly.
Transcatheter mitral valve replacement (TMVR)
Transcatheter mitral valve replacement (TMVR) is an alternative therapeutic option for the treatment of severe mitral regurgitation in heart patients with prohibitive or high surgical risk.
Transcatheter mitral valve repair (MitraClip™)
Transcatheter mitral valve repair is a minimally invasive alternative to open-heart surgery. The MitraClip™, a device made from metal and polyester that is designed to relieve symptoms of mitral regurgitation, is the only device currently approved by the FDA for transcatheter mitral valve repair.
WATCHMAN left atrial appendage closure implant
WATCHMAN is a one-time, minimally invasive procedure for people with atrial fibrillation not caused by a heart valve problem (also known as non-valvular AFib) who need an alternative to blood thinners. The WATCHMAN implant fits right into the LAA, the left atrial appendage of the heart, and is designed to permanently close off the LAA and keep blood clots, which may cause stroke, from escaping.
Have you been recently diagnosed with a heart problem? Have you just experienced a heart attack, angioplasty or bypass surgery? By participating in cardiac rehabilitation, you can start yourself on the road to recovery.
Cardiac rehabilitation's main goal is to assist you in developing a healthy lifestyle plan. Your plan will include major components of physical activity, education, stress management and nutrition counseling.