Skip Navigation LinksTrillium Health Partners > Patient Services > Cardiopulmonary Services

 Cardiopulmonary Services

The Cardiopulmonary Department at our Credit Valley Hospital location provides a broad range of diagnostic and therapeutic services for inpatient and outpatient referrals. We're committed to providing you with quality care and are always actively searching for ways to improve the services we offer.

The following information is available to you:

  • Asthma
  • COPD
  • Cardiovascular Care Program

Contact Information

The Credit Valley Hospital,
Cardiopulmonary Department [map]
2200 Eglinton Avenue West,
Mississauga ON, L5M 2N1
Telephone: 905-813-2712


Asthma

The Asthma Education Centre is located on the 3rd Floor, Cardiopulmonary Department in the Carlo Fidani Building.

To obtain an appointment, a Physician Referral is required. Once the centre receives your referral we will contact you directly to arrange an appointment. A health care professional who is trained in asthma management strategies will be able to work with you in customizing a written asthma action plan. There is no cost to you or your physician.

What to expect during your education session:

  • An individual 1 hour session
  • Perform routine spirometry, (to measure your breathing) for those who are able to do the test
  • Understand "what is asthma" and common symptoms
  • Identify early and late warning signs
  • Introduce ways to monitor your level of asthma control
  • Learn how to identify asthma triggers and ways to avoid or reduce exposure.
  • Find out about the medications your doctor has prescribed and learn how to use your inhaler properly
  • Discuss how to monitor your symptoms, medication use and potential asthma triggers using an asthma diary
  • Learn about peak flow measurements
  • Develop an asthma action plan using your current prescribed medications
  • Follow-up will be arranged

Routine Spirometry will be performed, at the beginning of each session, for those who are able to do the maneuver.

There is no cost to the referring doctor or the patient.

Spiromerty performed by young patient at Credit Valley Hospital

Contact Asthma Education Centre:
Telephone: 905-813-4060
Fax: 905-813-4046

Frequently asked questions

Q: What is Asthma?
A:
Asthma is a chronic condition that affects your lungs. The most common symptoms of asthma are coughing, shortness of breath, chest tightness, difficulty breathing and wheezing. The coughing often occurs at night or early in the morning. Not everyone will get all symptoms and not every asthmatic will wheeze. You can develop asthma at any age.
Asthma is caused by inflammation (or swelling) which narrows the airways. The muscles that wrap around the airways constrict (or tighten). Your irritated airways also produce mucus. The airways are very sensitive and can react to triggers which provoke asthma symptoms. Each person with asthma has their own specific triggers. Allergens, irritants, viral infections, exercise or weather conditions are all possible triggers. It is very important to identify and attempt to eliminate or reduce exposure to triggers.

Q: How is asthma diagnosed?
A:
Your doctor will ask you about your symptoms and possible triggers. Usually breathing tests are used to determine an asthma diagnosis when age appropriate. These tests are known as pulmonary function tests or spirometry.

Q: How do I know my asthma is well controlled?
A:
Asthma symptoms often come and go. Learning about your asthma, avoiding your triggers and understanding the importance of your asthma medication is the best way to avoid your asthma from getting worse. All asthmatics should have a written individual Action Plan which explains how to manage your asthma.

To determine if your asthma is controlled ask yourself the following:

  • Do I cough, wheeze or have a tight chest because of my asthma?
  • Does coughing, wheezing or chest tightness wake me at night?
  • Do I stop exercising because of my asthma?
  • Do I miss work or school because of my asthma?
  • Do I use my blue reliever inhaler 4 or more times a week?
If you answered YES to one or more of these questions, your asthma is not well controlled and you should see your doctor.

 

Pulmonary Function Tests

Pulmonary function tests or PFT's are a series of tests that measure your lung function. You will be asked to breathe in different ways while attached to a machine that will measure the air you breathe in and out. These tests are done in a lab, sometimes in the hospital and sometimes in a physician's office. The test is like a snapshot of what is going on inside your lungs. When we have all of the information we can tell how much air moves in and out of your lungs, if you have extra air in your lungs after you breathe out, and how well oxygen can get from the lungs into the blood stream.

Spirometry

Spirometry measures the amount (volume) and speed (flow) of air that can be inhaled and exhaled. Spirometry is an important tool which is quite useful in assessing conditions such as asthma.

How the Lungs Work?

The lungs are a remarkable organ. Through the lungs we get our main source of energy – oxygen. At the same time, the waste product, carbon dioxide, is breathed out. The lungs also have defenses against the dirt and other things that are in the air we breathe.

In order to take a breath in we normally use our diaphragm. This is a large muscle that sits at the bottom of our lungs. When we take a breath in the diaphragm contracts and moves down. It pulls the lungs with it which opens them up and pulls air into them. When we breathe out the diaphragm relaxes and moves up. This pushes the air out of our lung

When the air comes into the lungs it moves through the nose and/or mouth, through the throat and into the windpipe or trachea. The trachea divides in two and sends a tube to each of our lungs; one goes to the right side and one to the left. These tubes continue to divide and get smaller as they move out into the lungs. At the end of the smallest air tubes are tiny air sacs. These look a little bit like tiny balloons and connect to the air tubes like clusters of grapes. The air sacs or alveoli are surrounded by blood vessels. The oxygen rich air inside of the air sac is transferred into the blood stream and carbon dioxide replaces it in the air sacs. When we breathe out the air has very little oxygen in it and lots of carbon dioxide.

One of the defenses against the impurities in the air we breathe is our mucous. This is a sticky substance that lines the larger air tubes. Particles stick to it as the air moves through. This keeps the unwanted particles in the air from getting into the air sacs. Underneath the mucous layer are small hair-like projections called cilia. It is the cilia's job to move the layer of mucous along and out of the lungs. The lungs are making mucous all of the time, and the cilia are moving it out of our lungs. Often we are not aware of this; we actually swallow the mucous without realizing it. When we have a cold or infection the lungs make more mucous and that is when we cough more out of our lungs.

Chronic Obstructive Pulmonary Disease

To view click:
COPD (Chronic Obstructive Pulmonary Disease)

Cardiovascular Care Program at Credit Valley Hospital

We began offering cardiac programming in 1989 and have grown steadily since.
The Cardiovascular Care Program now includes 3 distinct programs/clinics: the Cardiac Device Clinic, Cardiovascular Risk Management Program and Heart Function Clinic.

Our Cardiac Device Clinic follows individuals with a cardiac device such as pacemaker, ICD or CRT.

Our Cardiovascular Risk Management Program (formerly Cardiac Rehab) is designed to assist individuals in recovering from a cardiovascular event such as heart attack, invasive cardiac or vascular intervention, non-disabling stroke or TIA.

Our Heart Function Clinic follows individuals diagnosed with heart failure.

We invite you to browse through our website. You will find more information about our programs/clinics, and our dynamic multi-disciplinary approach to helping patients achieve cardiovascular wellness.

Our Mission

The Cardiovascular Care Program is dedicated to the promotion and long-term maintenance of healthy lifestyles and optimal symptom management for the patients and families we serve in the Halton-Peel region.

Who We Are

Our highly educated and committed multi-disciplinary team of professionals provide assessments, counseling and educational programming.

Our team includes:

  • Cardiologists
  • Cardiology Technologists
  • Dietitians
  • Exercise Specialists/Kinesiologists
  • Nurses
  • Nurse Practitioner
  • Pharmacists
  • Social Workers
  • Volunteers &
  • Administrative Support

As a part of the Cardiopulmonary Department we can provide seamless diagnostic services to our patients. We also have linkages with other CVH hospital departments such as the diabetes care program.

World Class Facilities

Exercise Room:
Our world class cardiopulmonary exercise facility includes treadmills, a variety of stationary bicycles, elliptical machines, rowers, and weight equipment. Heart rate monitors and telemetry equipment ensure patients are exercising safely with Exercise Specialist supervision.

Facilities - Exercise Room

Diagnostic Testing:
The cardiopulmonary department provides a broad range of cardiology, neurology, vascular and pulmonary function diagnostic testing services. We ensure the patient experience is comfortable and safe by employing fully certified professional staff, using the most up-to-date medical equipment, and providing a bright and spacious environment.

Education Classroom:
Our education classroom is bright and inviting to promote learning and class participation. We offer a group core education series as part of the Cardiovascular Risk Management Program which includes topics such as, cardiovascular disease management, risk factor modification, cardiovascular medications, healthy eating and stress management. We also have a wide range of cardiovascular elective education classes as well. Check out our list of upcoming classes.

Consult Rooms:
Our counseling rooms allow you to meet with members of our multi-disciplinary team in comfort and privacy.

Facilities - Consult Room

Cardiac Device Clinic

This clinic follows individuals with a cardiac device such as pacemaker, ICD or CRT.

Multidisciplinary Services Include:

  • assessment and adjustment of cardiac devices
  • education before and after cardiac device implants or adjustments
  • telephone transmission follow-up for nursing home residents

Cardiovascular Risk Management Program

This program is designed to assist individuals recovering from a cardiovascular event such as a heart attack, invasive cardiac or vascular intervention (bypass, angioplasty), non-disabling stroke or TIA, or those with diagnosed peripheral vascular disease.

The goal of this program is to provide individuals with the skills and knowledge necessary to make informed decisions and healthy lifestyle changes to reduce cardiovascular risk.

Cardiovascular Risk Factors include:

  • Diabetes
  • High blood pressure
  • Smoking
  • High cholesterol
  • Obesity
  • Sedentary lifestyle
  • High stress
  • Positive family history

Multidisciplinary services include:

  • individual and group education on cardiovascular disease, risk factor modification, and self-management principles
  • optional individual counseling with dietary, pharmacy & social work support services
  • metabolic stress testing at program intake and discharge
  • individualized exercise prescription & 16 weeks for supervised exercise (classes 1 time per week)or home exercise programming
  • specialty programming including elective risk modification workshops
  • 6-month post program follow-up visit to assist with adherence to life style change
  • community linkage with City of Mississauga Fitness Centres which entitles program graduates to a 20% discount on a fitness membership

Cardiovascular Risk Management Program

Benefits of the Cardiovascular Care Program and Healthy Heart Programs

  • Increased physical fitness
  • Stronger and more efficient heart
  • Decreased angina symptoms
  • Decreased blood pressure
  • Increased good cholesterol, HDL
  • Decreased bad cholesterol, LDL
  • Weight loss and maintenance of a healthy weight
  • Increased energy
  • Increased strength and flexibility
  • Decreased stress
  • Controlled blood sugars
  • Improved quality of life!

Heart Function Clinic

The clinic follows individuals diagnosed with heart failure and followed by the Credit Valley Hospital Cardiology Group.

Multidisciplinary Services include:

  • Individual and group education to teach individuals to manage their chronic condition
  • Medication titration
  • Ongoing diagnostic testing to assess progress and make referrals to tertiary centres for interventions
  • Optional individual counseling with dietary, pharmacy, psychology & social work support services
  • Exercise programming (if appropriate)

For Current Clinic Patients:
Cardiovascular Care Program Elective Education Series »

Referral Process

Physician referral is required for the Cardiac Device and Cardiovascular Risk Management Program.

Cardiovascular Risk Management Program

Eligible participants are considered those who have had a cardiovascular event or diagnosis within the past 2 years. This would include:

  • Stable Coronary Artery Disease (CAD)
  • Heart Attack
  • Angioplasty(PTCA)/Stenting
  • Bypass Surgery (CABG)
  • Valve Surgery
  • Heart Failure
  • Cardiomyopathy
  • Cardiac Arrhythmia
  • Cardiac Device
  • Cerebral Vascular Disease (TIA/non-disabling stroke)
  • Peripheral Vascular Disease

Only patients followed by the CVH Cardiology group can be referred to the Heart Function Clinic at this time.

Physician referrals are online and can be faxed to us at 905-813-4546

locked access Physician Referral - Cardiovascular Care Program (Form 7971D)

Heart Health Habits

  • Be a non-smoker and avoid second hand smoke
  • Aim for a resting blood pressure of <140/90 or if diabetic <130/80
  • Monitor and control your cholesterol values

If you have heart disease
< 4.0 for total cholesterol
> 1.0 for HDL (good cholesterol)
< 2.0 for LDL (bad cholesterol)
< 1.5 for triglycerides

If you are at risk
< 5.2 for total cholesterol
> 0.9 for HDL
< 3.4 for LDL
< 2.3 for triglycerides

  • Monitor and control your blood sugars
    • fasting blood sugar - 3.6 -6.1 mmol/L
  • Choose heart healthy low fat foods and follow the guidelines of the Canada Food Guide
  • Maintain a healthy weight with a BMI between 20 and 25
  • Manage stress and practice meditation and stretching
  • Do Cardiovascular exercise most days of the week for 30 to 45 minutes at your training heart rate
  • Take your medications as directed

Smile and Enjoy Life!

Contact Us

Cardiovascular Care Program
Credit Valley Hospital
2200 Eglinton Avenue West
Mississauga, ON L5M 2N1

Telephone: 905-813-4198
Fax: 905-813-4546