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Cardiology Referrals from Neurology/Stroke

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Dr. Sherry-Ann Brown specializes in non-invasive cardiology. She provides comprehensive cardiovascular care, focusing on early detection, prevention, and management of heart disease.

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Services Offered:

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  • Telehealth Video Visits: Direct virtual consultations with patients.

  • Interprofessional Consults: Submit a consult request, Dr. Brown provides recommendations based on the chart.

  • Comprehensive Cardiovascular Risk Assessments: For cancer patients, high-risk individuals, and preventive care.

  • Executive & Preventive Heart Health: Custom plans for professionals/individuals prioritizing cardiovascular wellness.

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Referral Tips

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  • Direct us to Relevant Medical Records:

    • Date of the last relevant PCP note/visit for the patient.

    • Cardiovascular test results (if available).

    • Key medical history.

    • Specify the urgency of the referral (routine, urgent, emergent).​

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Thank you for trusting us with Cardiology care of your patients.

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We are honored to serve you.

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Neurologist Information Packet: My Heart Spark P.C. & Dr. Sherry-Ann Brown

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Overview of My Heart Spark P.C.

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My Heart Spark P.C. is a specialized cardiology service led by Dr. Sherry-Ann Brown, dedicated to optimizing cardiovascular care, particularly in complex cases such as stroke evaluation. We provide comprehensive cardiac assessments, including advanced heart monitoring and diagnostic interpretation, to aid in the identification of cardioembolic and cryptogenic strokes.

 

Our Role in Stroke Evaluation

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When a stroke is suspected to be cardioembolic or classified as cryptogenic, a thorough cardiovascular evaluation is critical to uncovering potential sources of embolism or underlying heart disease. At My Heart Spark P.C., we assist neurologists by:

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  • Determining potential cardiac sources of embolism (e.g., atrial fibrillation, patent foramen ovale, valvular disease, left atrial thrombus, cardiomyopathy).

  • Guiding and facilitating the ordering of appropriate cardiac monitoring (e.g., Holter monitor, event monitor, implantable loop recorder, echocardiography).

  • Interpreting cardiac test results and providing expert recommendations for stroke prevention.

  • Coordinating further cardiac evaluation and management as needed.

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How to Refer a Patient to My Heart Spark P.C.

 

To ensure a timely and comprehensive cardiology consultation, we request that each consult request include the following:

 

1. Patient Information

  • Full name

  • Date of birth

  • Contact information

  • Insurance details

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2. Clinical Background

  • Date and details of the stroke event

  • Imaging findings (e.g., MRI, CT, CTA, MRA results)

  • Stroke classification:

    • Cardioembolic Stroke (I63.40, I63.50) (suspected or confirmed)

    • Cryptogenic Stroke (I63.9)

    • Other classification (if known)

  • Key neurological findings and deficits

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3. Cardiovascular Evaluation History

  • Known cardiac conditions:

    • Atrial fibrillation – I48.91 (Unspecified atrial fibrillation)

    • Heart failure – I50.9 (Heart failure, unspecified)

    • Valvular disease – I35.9 (Aortic valve disorder, unspecified), I34.9 (Mitral valve disorder, unspecified)

    • Congenital heart defects – Q24.9 (Congenital malformation of heart, unspecified)

    • Patent Foramen Ovale (PFO) – Q21.1

    • Left atrial thrombus – I51.3 (Intracardiac thrombosis, not elsewhere classified)

  • Any previous cardiovascular testing related to stroke risk:

    • Prior echocardiograms (TTE, TEE)

    • Previous cardiac monitoring results (Holter, event monitor, loop recorder)

    • ECG findings

  • Any history of deep vein thrombosis (DVT) or pulmonary embolism (PE)

    • DVT – I82.409 (Acute DVT, unspecified site)

    • Pulmonary Embolism – I26.99 (Other pulmonary embolism without acute cor pulmonale)

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4. Current Medications and Management

  • Antithrombotic therapy (e.g., aspirin, clopidogrel, anticoagulants)

    • Warfarin – Z79.01 (Long-term use of anticoagulants)

    • DOACs (e.g., apixaban, rivaroxaban) – Z79.02 (Long-term use of antiplatelets/antithrombotics)

  • Cardiovascular medications (e.g., beta-blockers, antihypertensives, antiarrhythmics)

  • Recent medication changes

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5. Specific Referral Question

  • What specific cardiovascular condition or abnormal test result is being queried?

  • What is the key cardiology question the referring neurologist needs an answer to?

  • What clinical decision will the answer impact (e.g., anticoagulation therapy, PFO closure, device implantation)?

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6. Urgency of the Consultation

  • Routine (Z02.89 – Encounter for other administrative examinations)

  • Urgent (R57.9 – Shock, unspecified) – Reason: Pending surgery or worsening symptoms

  • Emergent (I95.9 – Hypotension, unspecified) – Reason: Recurrent strokes or immediate intervention required

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Cardiology Consultation Request Form

 

Referring Physician Details

  • Name: _______________________________

  • Institution: ___________________________

  • Contact Number: ______________________

  • Email: ______________________________

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Patient Information

  • Full Name: ___________________________

  • Date of Birth: ________________________

  • Contact Info: _________________________

 

Clinical Information

  • Date of Stroke: _______________________

  • Stroke Type (circle one):

    • Cardioembolic (I63.40, I63.50)

    • Cryptogenic (I63.9)

    • Other: ___________________________

  • Relevant Imaging Findings:

    • MRI: [ ] Yes [ ] No

    • CT: [ ] Yes [ ] No

    • CTA/MRA: [ ] Yes [ ] No

    • Other: ___________________________

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Cardiovascular History

  • Known Cardiac Conditions: ___________________________

  • Prior Cardiovascular Testing:

    • ECG: [ ] Yes [ ] No - Date: ___________

    • Holter Monitor: [ ] Yes [ ] No - Date: ___________

    • Event Monitor: [ ] Yes [ ] No - Date: ___________

    • Echocardiogram: [ ] Yes [ ] No - Type: [TTE/TEE] - Date: ___________

    • Implantable Loop Recorder: [ ] Yes [ ] No - Date: ___________

    • Other: __________________________________

 

Current Medications

  • Antithrombotics: ___________________________

  • Cardiovascular Medications: ___________________________

  • Recent Medication Changes: ___________________________

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Referral Question(s)

  • What cardiovascular condition or abnormal test result is being queried?

  • What specific question(s) should be addressed by cardiology?

  • How will the cardiology recommendation impact clinical management?

 

Consult Urgency

  • Routine (Z02.89)

  • Urgent (R57.9) – Reason: ___________________________

  • Emergent (I95.9) – Reason: ___________________________

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Ordering and Obtaining Heart Monitoring Results

 

We assist neurologists in streamlining the process of ordering and reviewing Holter ziopatch cardiac monitoring studies.

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We look forward to collaborating with you in the evaluation of underlying cardiac cause of stroke, in the cardiovascular care of your patients!

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This packet serves as a comprehensive guide for neurologists and stroke teams to enhance cardiovascular risk assessment and streamline referrals to My Heart Spark P.C. for evaluation of possible underlying cardiac cause of stroke.

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