Cardiovascular Consultation

why-choose-mountain-heart-2-300x283At Mountain Heart, we deliver the full spectrum of quality cardiovascular care to help prevent and treat heart-related illnesses.  Using the most advanced technology, and the latest in innovative treatments, we provide world-class heart care, conveniently close to home.

Cardiac Consultation

Early detection and treatment of heart disease can significantly reduce patient’s risk of serious complications such as stroke, heart attack or heart failure.

A cardiac consultation is an opportunity for patients to speak one-on-one with one of our Board Certified Interventional Cardiologists about individual cardiac issues, including current symptoms, personal risks and lifestyle habits that can contribute to these factors.
During a cardiac consultation, our team will evaluate your medical history and perform a physical examination or schedule diagnostic tests to determine risks of developing certain heart conditions and assess overall health prior to treatment.

Our doctors also provide all patients with effective techniques to help prevent heart disease, including losing weight, improving nutrition, and increasing physical activity.

Preoperative Risk Assessment

Preoperative Risk Assessment- 928-226-6415

A preoperative risk assessment is a consultation with one of our Board Certified Interventional Cardiologists to discuss cardiovascular related surgery preparation including medication instructions prior to surgery, and risks during surgery.

Our cardiologists may order diagnostic testing to determine heart function and determine the level of risk associated with a surgical procedure from a cardiovascular standpoint.


Hospital Based Cardiology Services

Time is muscle. Advanced Technology allows our interventional cardiologists to intervene and actually interrupt the heart damage occurring during a cardiovascular event. Simply put, when a cardiovascular emergency arises it’s important to have an experienced, local cardiologist that can assist you through your cardiovascular event, monitor your care throughout your stay at the hospital and provide continuity of care to ensure the best health outcomes going forward.

Our Board Certified Interventional Cardiologists are on-call for emergencies 24 /7/365. Ask for a Mountain Heart Cardiologist and let our experts provide you with the patient care experience you deserve.

Care Coordination and Patient Support after a Cardiovascular Event
When a patient leaves the hospital, our Certified Hospital Based Physician Assistant Mackenzie Lurie, PA-C ensures each patient understands discharge instructions including medications, and recommended clinical follow up at Mountain Heart. Mountain Heart seeks to help patients avoid hospital readmission. That’s why, we provide the support necessary to help keep patients healthy following a cardiovascular event.


Diagnostic Testing

icanl-logo-001Mountain Heart offers comprehensive cardiovascular diagnostic testing, at the lowest possible price point, throughout northern Arizona.

Our physicians are Board Certified and offer regular office hours at specific office locations to maintain continuity of care for our patients.

Our commitment to excellence in patient care is demonstrated through Accreditation in echocardiography, nuclear medicine and vascular services.





Cardiac Electrophysiology

Cardiac electrophysiology is the study of the heart’s electrical system. The term “electrophysiology study” or “EP study” applies to any procedure that requires the insertion of an electrode catheter into the heart. Electrode catheters are long, flexible wires that transmit electrical currents to and from the heart. The procedures may be invasive (involves puncture of the skin or small incision) and non-invasive.

Our Electrophysiology services are provided by Arizona Arrythmia Consultants.

They provide their services at our Flagstaff location.

Arizona Arrythmia Consultants Forms


New Patient Questionnaire

Patient Registration Form

HIPPA Privacy Notice

AAC Health History Form

AAC Protected Health Information Form




Device Clinics

Pacemaker and Implantable Cardiac Device (ICD) Check-ups conveniently close to home

Mountain Heart is committed to offering Device clinics at our Flagstaff location monthly. Device clinics are a non-invasive evaluation of the battery life remaining on the implanted device and a review of patient symptoms. Since devices are battery operated, they require periodic monitoring to ensure they perform the moment a patient needs them. Mountain Heart provides device check-ups for all brands of pacemakers and ICDs, both in the office and through our Remote Monitoring Program.

Patients with a pacemaker should have their device checked every six months while patients with an ICD should have their device checked every three months.

For Non-Mountain Heart Patients

If you need a pacemaker or ICD check and have not established care with our rhythm management expert, Dr. Kent Winkler, please call for a consultation today. Device battery checks are an important part of preventing sudden cardiac death. Dr. Winkler has performed over 1500 cases and attends continuing education annually to ensure patients receive the reliability of a quality device.


DME Services

Obstructive Sleep Apnea (OSA) is a common breathing disorder that has been associated with an increased risk of cardiac arrhythmias,coronary heart disease, hypertension, heart failure, stroke, atrial fibrillation, Type 2 diabetes, and other conditions.

Our Durable Medical Equipment (DME) team provides compassionate, coordinated, and courteous care in a clean, friendly environment to support patients and improve overall sleep quality.

We understand a sleep apnea diagnosis can be a little scary. Our designated Respiratory Therapist works with our patients individually to overcome obstacles to therapy. If you are struggling with your mask fit, have a question regarding your therapy, or simply need a replacement part, please leave us a message in the dedicated DME voicemail at 928-226-6430 with your concerns and a Mountain Heart Representative will return your call as quickly as possible. Please allow 2 business days for processing requests.

Mask Fittings

Mountain Heart offers over 100 masks on-site to ensure that every patient finds a comfortable mask with a good seal around the face without overtightening. Mountain Heart offers a 30 day mask guarantee allowing our team of experts to help find the right fit for our patients. Our dedicated Respiratory Therapist is available to answer questions and guide patients through the process of finding the right fit, so our patients feel better faster.

CPAP Therapy

Continuous positive airway pressure (CPAP) therapy is an effective, non-invasive treatment for patients diagnosed with sleep apnea.

CPAP involves a mask fitting with our Respiratory Therapist.

APAP Therapy

Automatic positive airway pressure (APAP) therapy provides automatically adjusted pressures breath by breath. These devices are ideal for patients whose pressures change throughout the night.

Bi-Level Therapy

Bi-Level therapy provides two set pressures that change from inhale to exhale.

 Streamlined Re-Supply System

We have taken the waiting out of re-supply. Mountain Heart has made re-ordering DME supplies easy for patients with automatic shipping as indicated to ensure patients never run out of clean, effective equipment. It’s important to maintain clean equipment including the mask and tubing to increase the life of equipment and ensures the equipment works effectively every night.

Replacement parts

Replacing masks and accessories regularly helps to decrease risk of bacteria build up, skin irritation, and helps ensure patient comfort. Masks are mailed to our patients home in a timely manner so therapy is not interrupted.

Our goal is to increase CPAP compliance by providing the patient with the support they need. PAP naps and physician consultation are also available to help patients overcome obstacles that may prevent full utilization of directed therapy.

Please call (928) 226-6400 to discuss if our Compliance Clinic is the right choice for you.

Compliance Clinics

Are you struggling with your mask fit? Are you uncomfortable with your prescribed CPAP pressure?

Mountain Heart carries the largest selection of on-site mask options, CPAP, BIPAP, and ASV equipment in northern Arizona ensuring a comfortable and compliant nights’ sleep. Our Compliance Clinic gives patients an opportunity to work one-on-one with our Certified Respiratory Therapist to find the right mask fit and improve compliance.

Our goal is to increase CPAP compliance by providing the patient with the support they need. PAP naps and physician consultation are also available to help patients overcome obstacles that may prevent full utilization of directed therapy.

Please call (928) 226-6400 to discuss if our Compliance Clinic is the right choice for you.

Sleep Facility

AASM_AccreditedMemCenter_LogoAccredited by American Academy of Sleep Medicine

Do you suffer from heavy snoring, frequent awakenings during the night, obesity, or daytime sleepiness?

The Mountain Heart Sleep Facility team can help. Mountain Heart offers a comprehensive approach to treating sleep disorders. Our Board Certified Sleep Specialists provide a sleep consultation including a review of sleep history, physical exam, lab testing, imaging, and diagnostic procedures such as sleep studies that help determine the cause of sleep disturbances to accurately diagnose patients and help improve quality of sleep.

Call 928-226-6400 to schedule a consultation with a Board Certified Sleep Specialist at Mountain Heart.



Commons sleep disorders and conditions include:


Sleep Consultation


Sleep Medicine is a highly specialized field within the medical community. At the Mountain Heart Accredited Sleep Facility, our patients meet one-on-one with one of our Board Certified Sleep Medicine physicians who perform a comprehensive evaluation and review of our patients sleep habits to determine how best to improve quality of sleep.

Why a Board Certified Sleep Specialist?

Board Certification in Sleep Medicine encourages a multidisciplinary approach to diagnosis. Our physicians have demonstrated expertise in the diagnosis and management of clinical conditions that occur during sleep, that disturb sleep, and that are affected by disturbances in the wake–sleep cycle.

Our specialists are skilled in the analysis and interpretation of comprehensive polysomnography, and well-versed in emerging research and management of a sleep laboratory.

When should I see a doctor about my sleep problems?

  • Do you wake up after sleeping with little energy for the day ahead?
  • Do you ever fall asleep or feel sleepy during meetings or while driving?
  • Does your bed partner complain about your snoring?

If so, you may have a sleep disorder.

If your insurance requires a referral to the specialist, you may want to discuss your sleep disturbances with your primary care provider and request a referral to the Mountain Heart Accredited Sleep Facility.

You can also request a sleep consultation at the Mountain Heart Accredited Sleep Facility without a provider referral by calling 928-226-6400.


Sleep Testing


Sleep Testing is used to determine the quality and quantity of sleep a patient is experiencing.  Mountain Heart Accredited Sleep Facility offers complete sleep management which includes sleep consultation with a Board Certified Sleep Physician who may order a sleep study. Our selection of sleep studies range from baseline diagnostic tests to advanced occupational fitness testing, dental device efficacy and symptom specific testing.  Every effort is made for patients to obtain accurate testing in a timely efficient manner. If a test is ordered by a non-Mountain Heart provider, the referring office is required to obtain prior authorization for test only patients. Our providers send test results directly to the ordering provider.

For patients suspected of having sleep apnea, the ideal test is the diagnostic Polysomnogram (PSG), which is a full night, multi-channel, physiology assessment.  Careful attention is paid to how sleep apnea changes with body position and sleep stage, both of which have diagnostic and therapeutic implications.



Diagnostic Sleep Study (Baseline)

Positive Airway Pressure (PAP) Titration Study

Split-Night Sleep Study

Adaptive Servo Ventilation (ASV) Titration

Multiple Sleep Latency Test (MSLT)

Maintenance Wakefulness Test (MWT)


Oral Appliance Efficacy Study





Nutrition Services


Dietitian Services if often covered by health insurance. Mountain Heart offers a complimentary insurance review to determine if this is a covered health benefit under your insurance.

Knowing what to eat may improve aspects of your health. Your personal dietitian can help you choose foods that will work for you, moving you closer to health. Angela Hansen, RD is our food and nutrition expert. She can help you develop a personalized plan to incorporate healthier foods into your lifestyle.




Do you want to:

Decrease your medications?

Decrease your Blood Pressure?

Decrease risks of heart disease?

Improve your memory?

Maintain healthy blood sugar levels?

Maintain a healthy body weight?

Call 928-226-6400 to schedule a consultation with our Registered Dietitian and begin your wellness journey today.

Cardiac Conditioning

Instructor Taking Exercise Class At GymManaged by:                          

De Rosa Physical TherapyProviding EXPERIENCED care to Flagstaff for nearly 30 years

The Cardiac Conditioning and Wellness Center embedded at Mountain Heart,  assists patients with integrating exercise into their lifestyle to improve cardiovascular health and quality of life.

Cardiac Conditioning and Wellness assists patients with Phase I and Phase II Cardiac Conditioning following a cardiovascular event. In addition the skilled physical therapists work with patients individually to improve functional movement, balance, mobility and basic strength training.

Graduates of the Cardiac Conditioning and Wellness program are invited and encouraged to transition into members of the Summit Fitness and Mountain Heart Wellness Center located at Summit Health and Fitness.  Visit Summit Health and Fitness for more info.

The Summit Fitness and Mountain Heart Wellness Center extends the reach of the Mountain Heart and focuses more on helping members decrease their cardiovascular risk and achieve optimal health.

To Make an Appointment call-  928-226-6402

Health Club

The mission of Summit Fitness, Mountain Heart Wellness is to provide a welcoming environment that fosters the total health and fitness of our members by providing a comprehensive menu of exceptional services, diverse programs related to our members health, and professional guidance, in order to improve the lifestyle and overall well being of the greater Flagstaff community.

Summit Fitness, Mountain Heart Wellness is a state of the art 25,000 square foot health and fitness facility in the beautiful city of Flagstaff. Serving Flagstaff, the surrounding cities, Northern Arizona University, and Coconino Community College, we have one of the largest cardio equipment upper decks in northern Arizona, complimenting a comprehensive and array of free weights and fitness training equipment.

Summit Fitness & Mountain Heart Wellness offers Silver and Fit!

Scope of Practice

From prevention through intervention, to chronic disease management, Mountain Heart offers patients every advantage in the fight against cardiovascular disease.

At Mountain Heart, our Board Certified Physicians and care teams deliver the full spectrum of quality cardiovascular care to help prevent and treat heart-related illnesses. Using the most advanced technology and the latest innovative treatments, we provide world-class care at the lowest possible price,  that’s conveniently close to home.

Accreditation at Mountain Heart signifies our continued commitment to excellence in patient care. Mountain Heart is accredited through the Greater Arizona Better Business Bureau, American Academy of Sleep Medicine, the Intersocietal Accreditation Commission (IAC) for Nuclear Medicine/PET (ICANL), the Intersocietal Accreditation Commission (IAC) for Echocardiography (ICAEL) and the Intersocietal Accreditation Commission for (IAC) Vascular testing (ICAVL).

Designations, Recognitions and Awards

2009  America’s top Cardiologist-  Kent D. Winkler, M.D., FACC, FSCAI

Sleep and Cardiovascular Health

More than 40 million people in the United States suffer from sleep-related disorders such as snoring, fragmented sleep and sleep apnea. However, only about five percent have been diagnosed and treated according to the National Sleep Disorders Research Center.

Sleep ailments not only affect daily activity and lifestyles, but also can be associated with high blood pressure, congestive heart failure, atrial fibrillation, premature heart disease, stroke and even sudden cardiac death. In fact, sleep apnea, a condition causing patients to stop breathing during sleep, may be a risk factor for heart disease.

Mountain Heart screens patients for sleep related breathing disorders because of the correlations between sleep health and cardiovascular health. Here is additional information regarding the correlations between cardiovascular disease and sleep apnea.