Cardiac/Pulmonary Testing

The Cooper Clinic Cardiopulmonary Department serves patients of Cooper Clinic as well as referring physicians in the surrounding areas.

We offer the highest quality Cardiac and Pulmonary testing which includes EKG, Holter monitoring, Event Monitoring, Echocardiography, Echo with Bubble Study, Echo with Contrast, Stress/Echo, Nuclear Stress, Stress/Treadmill, EECP, Complete Spirometry, Lung Volume, Diffusion Capacities, Pre&Post Dilators, Methacholine Challenge Test,Updraft and 8-Hour Pulse Oximetry.

In April, 2011, Cooper Clinic began using 4D Cardiac Echo. The flow of blood through your heart can now be analyzed with superior images, a single heartbeat captured in real time. It’s a new dimension in Cardiology. And in this area, it’s available only at Cooper Clinic.

Services are provided by Registered Cardiac Sonographers, Certified and Licensed Respiratory Therapists, and a highly trained staff of technicians.

Appointment Information

To SCHEDULE an appointment: All appointments are scheduled by the office of the physician ordering your test.

To RESCHEDULE an appointment:  For Pulmonary testing, call 479-274-2000 Ext. 3611 or 800-333-1305. For Cardiology testing, call 479-274-4850 or 800-333-1305.

Test Results

All test results are sent to your physician, so please contact the office of the physician that has ordered your exams.


Cardiopulmonary Services are offered at locations listed below.
Main Clinic – 6801 Rogers Avenue, Fort Smith

  • EKG
  • Holter Monitors
  • Event Monitors
  • 8-hour Oxyscans
  • Stress/Treadmill
  • Nuclear Stress
  • Stress/Echocardiogram
  • Stress/Echocardiogram with Dobutamine
  • Echocardiogram with or without Contrast
  • Echocardiogram with Bubble Study

Description of Services

EKG – 12 lead with Rhythm-Tracing of the electrical activity of your heart.

Holter Monitor –  Digital and state-of-the-art recordings made simple.  No larger than a pager, a Holter Monitor uses 4 leads to record 3 channels of patient data.  They will record up to 48 hours of continual tracings of your heart.  These monitors are used to aide in the diagnosing of cardiac arrhythmias correlating with symptoms.

Event Monitors –  These monitors are worn from 2 weeks to 30 days and are used with patients who do not have symptoms every day, making arrhythmias difficult to identify.  These monitors can be adapted to the individual patient needs, such as 3 EKG leads, high and low heart rates.  The patient can call in their tracings over the telephone 7 days a week, 24 hours a day.

Routine Spirometry  /  Lung Volumes  /  Diffusion Capacities – These tests measure your breathing capacities, your different lung volumes, and how well your lungs can diffuse a mixture of gases.

Pre & Post Bronchial Dilator –  This tests to see if your lung capacity improves after you inhale a Bronchial Dilator.

Methacholine Challenge Test –  This test is used for the detection of airway hyperresponsivness.  In other words, a physiologic abnormality in patients with bronchial asthma.  The test is performed by utilizing a breath activated nebulizer that delivers predetermined doses of Provocholine, followed by breathing tests  to see if you react positively or negatively.

Updraft –  Breathing treatments given to open your airways.

8-Hour Oxisca –  A monitor that is worn while you are asleep to monitor your Oxygen Saturations at night.

Stress/Treadmill –  Walking on a treadmill with multiple stages of speed and grade to replicate your symptoms while your B/P and Heart Tracings are monitored for EKG changes.

Nuclear Stress – Coronary arteries are best evaluated by determining the changes in blood flow to the heart due to exercising.  The Cardiac Nuclear Stress Test utilizes physical exercise and radioactive compound to construct images of the heart thereby permitting the early detection of heart disease.

Stress/Echocardiogram –  This test involves an exercise treadmill while utilizing Ultrasound to image the heart at rest and at peak exercise. The physician can then visualize and compare the function and wall motion of the Left Ventricle for abnormalities caused by coronary heart disease.

Stress/Echocardiogram/Dobutamine –  This test  is conducted for those who cannot walk on a treadmill.  The Dobutamine is injected through an IV. This makes the heart contract as if the patient were exercising. The physician can then visualize the heart on Ultrasound to evaluate the wall motion and function of the left ventricle.

Echocardiogram – With Ultrasound we can examine the cardiac chambers and valves, adjacent great vessels, and the pericardium.  The heart is visualized in motion and evaluated for size, disease, fluid, and any cardiac abnormalities. The Echocardiographic Laboratory is accredited by ICAEL (Intersocietal Commission of Accreditation for Echocardiographic Laboratories).

Echocardiogram/Bubble Study –  Ultrasound of the heart to rule out shunts.