Cardiopulmonary Diagnostic Services
Every test under one roof. Five roofs across New Jersey.
From a resting EKG to AI-assisted echocardiography and low-dose lung cancer screening, the full evaluation happens in one visit, at whichever of our five offices is closest to your firehouse, precinct, or home. And every test here is ordered the same way: your physician determines whether it is indicated for you.
Heart
In-Office EKG
A twelve-lead electrical tracing of your heart, done in minutes at any of our offices. It captures rhythm, rate, and evidence of prior injury, and it is the baseline against which every future tracing is compared. Small changes on an EKG are often the first written record that something is developing.
Echocardiogram with Strain Imaging & AI Analysis
A standard echocardiogram tells you how much blood your heart pumps. Ours goes further, on every single study. Strain imaging measures how well the heart muscle fibers themselves are contracting, which can reveal weakening years before the pumping number drops. Every echocardiogram is then analyzed by an FDA-cleared artificial intelligence platform (Us2.ai) that automates dozens of guideline measurements and flags patterns associated with conditions like early heart failure and cardiac amyloidosis. A cardiologist reads every study; the AI is a tireless second set of eyes. Painless, about 30 to 45 minutes, no preparation.
Exercise Stress Test
Fire suppression and foot pursuits demand near-maximal effort with no warm-up. A resting EKG cannot tell you how your heart behaves at that intensity; a stress test can. While you walk on a treadmill, we continuously monitor your heart rhythm and blood pressure to detect blockages and rhythm problems that only appear under exertion, which is exactly when your job needs your heart most.
Nuclear Stress Test
When a standard stress test isn't enough, nuclear imaging shows the blood supply to the heart muscle itself, at rest and under stress. It can reveal significant blockages that other tests miss, performed in our IAC-accredited nuclear cardiology lab.
Cardiac CTA with AI Plaque Analysis & FFR-CT
A detailed CT study that visualizes the coronary arteries themselves, showing plaque and narrowing directly, without a catheter. Then two layers of FDA-cleared AI go to work. Plaque analysis quantifies and characterizes every deposit in every vessel, including the soft, non-calcified plaque most likely to rupture and cause a heart attack, the kind a calcium score cannot see. Physiologic analysis (HeartFlow FFRct or Cleerly ISCHEMIA) then determines whether each narrowing is actually restricting blood flow to the heart muscle, a question that once required a pressure wire threaded into the arteries. Performed on-site with IV contrast; your physician determines whether this test is indicated for you.
Coronary Calcium Score
A fast, non-contrast CT scan that measures the calcified plaque already sitting in your coronary arteries and converts it to a single number. It is one of the most direct answers available to the question every “healthy” 45-year-old should ask: how much arterial disease do I actually have? About ten minutes, no needles, dye, or preparation. Your physician determines whether this test is indicated for you.
Holter & Event Monitors
A small wearable recorder that captures every heartbeat for 24 to 48 hours (Holter) or logs symptomatic episodes over longer stretches (event monitor). It is how we catch the palpitations, skipped beats, and dizzy spells that never seem to happen during an office visit, including silent atrial fibrillation, a leading preventable cause of stroke.
Mobile Cardiac Telemetry (MCT)
The most sensitive form of outpatient rhythm monitoring: a discreet sensor, typically worn for 7 days and extendable to 30 at your physician's discretion, that transmits your heart rhythm continuously and flags significant abnormalities to a monitoring center in real time. For rhythm problems that strike once a week, on shift, at 3 a.m., MCT is how they finally get caught on record.
Cardiology Consultations & Ongoing Care
Testing without follow-through is just data. Our cardiologists manage what the tests find: blood pressure, cholesterol, rhythm problems, and anticoagulation, visit after visit, year after year. The physician who ordered your evaluation is the one managing the result, in the same office, with your full history in front of them.
Lungs & Sleep
Complete Pulmonary Function Testing (PFT)
Not just spirometry. Our full pulmonary function testing measures airflow, complete lung volumes, and diffusion capacity (DLCO), which is how efficiently oxygen actually crosses from your lungs into your blood. Years of smoke, diesel exhaust, and particulate exposure can erode lung function long before you feel short of breath on a job. Annual testing creates a personal baseline, so a decline is caught as a trend, not a crisis.
Chest X-Ray
Fast, on-site imaging of the lungs and heart silhouette. Used to evaluate persistent cough or shortness of breath and to detect changes related to occupational exposure.
CT Scan
Detailed cross-sectional imaging performed on-site when a chest X-ray or exam finding needs a closer look. CT can characterize lung nodules, airway disease, and other findings at a level of detail plain film cannot.
Low-Dose Lung Cancer Screening
Firefighting has been classified as carcinogenic to humans by the International Agency for Research on Cancer. Low-dose CT is the test proven to detect lung cancer at its earliest, most treatable stage, using a fraction of the radiation of a standard CT. Your physician determines whether this test is indicated for you based on your age, exposure history, and smoking history.
Sleep Studies: Home & In-Lab
Rotating shifts and overnight tones already fragment your sleep; untreated sleep apnea multiplies the damage, driving up blood pressure, cardiac risk, and on-duty fatigue. We offer both options: a home study, where you sleep in your own bed wearing a small recorder, and a fully monitored in-lab study when your physician needs deeper answers. Every study is physician-reviewed.
Sleep Apnea Treatment: APAP, Zepbound, Oral Appliances & Inspire
A sleep apnea diagnosis is only useful if the treatment is one you will actually use, so we offer more than one path. For device therapy, we fit modern auto-adjusting machines (APAP, what most people know as CPAP) that continuously tune the pressure to your breathing, with mask fitting and follow-up to make sure it is working. For patients who would rather treat the cause than wear the mask, we offer GLP-1 therapy, including Zepbound, which is FDA-approved for adults with moderate-to-severe obstructive sleep apnea and obesity; losing the weight often shrinks the apnea with it. For mild to moderate apnea, a custom-fitted oral appliance, arranged through our dental sleep medicine partners, holds the airway open with no machine at all. And for the right candidates who want none of the above, we refer directly to an Inspire implant sleep specialist. GLP-1 therapy is also available for other appropriate indications; your physician determines what is right for you.
Vascular
ABI / PVR (Ankle-Brachial Index & Pulse Volume Recording)
A painless circulation study using blood pressure cuffs on the arms and legs to detect peripheral artery disease, narrowing of the arteries that supply the limbs. PAD rarely announces itself early, but it is a reliable warning sign that the same process may be underway in the arteries feeding your heart. About 30 minutes, no needles.
Lower Extremity Arterial Duplex
Where ABI tells us that blood flow to the legs is reduced, arterial duplex ultrasound shows us exactly where and how badly. It maps the arteries from groin to ankle, locating and grading narrowings that cause cramping with walking, cold feet, or wounds that heal slowly. Painless, radiation-free, and the roadmap for whatever treatment decision follows.
Venous Duplex (DVT & Venous Insufficiency)
Ultrasound of the leg veins with two jobs. First, ruling a blood clot (DVT) in or out when a leg is swollen or painful, an answer that cannot wait. Second, mapping venous reflux, the failed one-way valves behind varicose veins, aching, and swelling, so treatment targets the actual source rather than the visible symptom.
Carotid Artery Ultrasound
A painless evaluation of the two arteries in your neck that supply the brain, measuring plaque buildup and narrowing. Carotid disease is a leading cause of stroke and it builds silently for years. Roughly 30 minutes, no preparation, and the findings directly shape how aggressively we manage your blood pressure and cholesterol.
AAA Screening (Abdominal Aortic Aneurysm)
A quick ultrasound of the body's largest artery where it passes through the abdomen. An aneurysm here typically causes no symptoms until it ruptures, and rupture is usually fatal; found early, it is watched or repaired on your schedule instead of an emergency room's. Your physician determines whether this test is indicated for you based on your age and smoking history.
Varicose Vein Evaluation & Treatment
Long shifts on your feet take a toll on the veins in your legs. We evaluate leg pain, swelling, heaviness, and visible veins with duplex ultrasound to find the failing valves at the source, then treat them in the office: radiofrequency ablation, Varithena (polidocanol injectable foam), and sclerotherapy. No hospital, minimal downtime, walk out the same day.
Vascular / General Ultrasound
Non-invasive, radiation-free imaging used to evaluate blood vessels and soft tissue, performed by our sonography team on-site at every location.
Imaging & Labs
On-Site Medical Laboratory
Bloodwork drawn during your visit, no separate trip, no second appointment. Panels include cholesterol and lipids, blood sugar and A1c, kidney and liver function, thyroid levels, PSA, and occupational panels including heavy metals testing, reviewed by your physician alongside your test results, not in isolation.
Advanced Lipid & Genetic Cholesterol Testing
A standard cholesterol panel can look reassuringly normal in a person carrying an inherited lipid disorder, which is exactly how early heart attacks keep surprising families who “checked out fine.” Our advanced lipid evaluation goes deeper than the routine numbers, examining the particles and inherited markers a standard panel never measures. If a parent or sibling had a heart attack or stent before 55, this is the conversation to have with your cardiologist. Which tests we order depends on you; that is the point.
Thyroid Ultrasound
Firefighting's carcinogen classification is one reason thyroid evaluation belongs in a first responder's annual exam: thyroid abnormalities are among the findings that early detection can catch while they are small and treatable. A thyroid ultrasound is a quick, painless evaluation of the gland to identify nodules that warrant follow-up.
Retinal Imaging (RetinaVue)
The retina is the one place in the body where blood vessels can be photographed directly, which makes it an early-warning system for the damage diabetes and high blood pressure do everywhere else. Our in-office RetinaVue exam takes a picture of the back of each eye in minutes, usually without dilating drops. Every image is reviewed by ophthalmologists, with results within two weeks. Diabetic retinopathy is the leading cause of blindness in working-age adults, and most of that vision loss is preventable when it is caught early.
Occupational & Family
Pre-Employment & Fit-for-Duty Physicals
Candidate physicals, return-to-duty evaluations, and law enforcement applicant exams, performed by a team that evaluates first responders every day and understands what the job demands of a body. We complete the State-mandated New Jersey State Trooper physical agility testing authorization, and we have for years; there is a stretch of every year our staff calls “trooper season,” when the applicants all seem to arrive at once. We know the paperwork, the timelines, and what the State needs to see.
Occupational Vision & Hearing Testing
Documented visual acuity, color vision, peripheral vision, and hearing testing that meets the occupational requirements of New Jersey law enforcement agencies, including State Trooper applicant standards. One visit, complete documentation, delivered in the format your agency requires.
Family Care
Heart and lung risk does not stop at the firehouse door. Spouses and family members receive the same comprehensive cardiopulmonary evaluation, prevention planning, and follow-up care at every location
Our Affiliations & Accreditations
Serving first responders since 2005 · Five NJ locations · IAC-accredited facility · Affiliated with NJ FMBA, NJ PBA, and PFANJ
