Cardiology & Cardiovascular Services at Mission Heritage Medical Group

Whatever level of care is needed — education, prevention, diagnosis or cutting-edge treatment and rehabilitation — we’re experts in your heart’s good health. We use today’s state-of-the-art testing methods to identify heart conditions and are committed to offering exceptional evidence-based medicine by bringing the newest research to our patients. Our partnership with MIssion Hospital in MIssion Viejo and Laguna Beach ensures we offer the entire spectrum of services -- from wellness programs to interventional cardiology that allow the newest, lifesaving procedures.

Procedures Performed

Electrophysiology

Nuclear Cardiology

Stress testing, including nuclear

A noninvasive way to look for blocked arteries by stressing your heart with exercise or medications. Nuclear testing produces images of the heart’s structure and blood flow under stress.

Catheterization & angiography

The “gold standard” in evaluating for blocked arteries. A small,flexible tube helps X-rays to “look for” blocked arteries and can help measure pressures in the heart and blood vessels.

Coronary stenting

Permanent pacemaker implantation

Echocardiograms and stress echocardiograms

Holter and event monitoring

Coronary artery bypass graft surgery (CABG)

Cardiac valve surgery

Tilt Table Test

One syndrome that may cause fainting spells is called neurocardiogenic syncope. In this disorder, an overactivity of one part of the nervous system (sympathetic nervous system, which is responsible for the "fight-flight" response), leads to a rebound lowering of the pulse and blood pressure, with a pooling of blood in the leg veins, leading to dizziness and passing out. A tilt table exam is a provocative test that, in a controlled setting, brings out the typical characteristics of this syndrome in a patient who has neurocardiogenic syncope. During a tilt study, the patient is lays flat on a cushioned table with seat belts. The table is then tilted head upward for a period of time, usually twenty minutes. A patient with neurocardiogenic syncope will manifest the typical symptoms of slow heart rate and lowering of blood pressure in response to this measure.

Defribillator / AICD

Surgical Stripping

One way that varicose veins are treated is through an open surgical procedure. In this procedure, a surgeon makes an incision and ties off or removes ("strips") the varicose vein. This is typically done in a hospital under general anesthesia.

Ambulatory Phlebectomy

In this procedure, the doctor makes a small (2 mm) nick in the leg. He then inserts a hook instrument under the skin and grabs the vein, then excises it out of the leg through the incision, removing it permanently. The incision is then closed using strips of tape. Stitches are not required. This procedure is done in the office.

EndoVenous Laser Ablation (EVLA)

In this technique, known as EndoVenous Laser Ablation (EVLA), a small laser catheter is inserted into the vein and laser energy is applied to the inner wall of the vein, causing the vein to close permanently. The EVLA procedure takes about an hour and is done in a doctor's office.

Ultrasound-Guided Chemical Ablation, or Foam Sclerotherapy

Another very successful technique for treating varicose veins involves using a liquid chemical compound known as a "sclerosant". The sclerosant, which is mixed with air and prepared as a foam, is injected into the vein with a small needle. This chemical interacts with the inner lining of the vein wall and causes the vein to spasm and close. The foam property of the chemical causes it to stay in contact with the vein wall, rather than washing away with the venous blood flow. In the ensuing hours, the vein channel clots and permanently closes.

Sclerotherapy

Sclerotherapy involves injection of a liquid chemical substance (sclerosant), into the vein. This causes the vein to spasm and close.

Conditions Treated

Venous Insufficiency

Spider Veins

Varicose Veins

Coagulopathy

Hypertension

Diabetes

Dyslipidemia

Thromboangiitis Obliterans

Diabetic Foot

Lymphedema

Vasculitis

Vasospastic Diseases

Aortic Aneurysm

Arteriosclerosis Obliterans

Carotid Artery Disease

Chronic Venous Insufficiency

Deep Venous Thrombosis

Peripheral Arterial Disease (PAD)

Superficial Thrombophlebitis

Deep Vein Thrombosis (DVT)

Peripheral arterial disease (PAD)

Our Providers

Our Provider

Sanjay Bhojraj, MD
Cardiology, Interventional Cardiology
City:  Mission Viejo
4.9 out of 5

Meet Our Program Director

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Our Locations

  • Mission Viejo - Cardiology 26800 Crown Valley Pkwy., Suite 120
    Mission Viejo, CA 92691
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  • Mission Viejo - Heart Rhythm Specialists 26800 Crown Valley Pkwy., Suite 103
    Mission Viejo, CA 92691
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  • Mission Viejo - Nuclear Cardiology Diagnostics 26800 Crown Valley Pkwy., Suite 105
    Mission Viejo, CA 92691
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  • Mission Viejo - Vascular Department 26800 Crown Valley Pkwy., Suite 105
    Mission Viejo, CA 92691
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  • Mission Viejo - Vein Center 26800 Crown Valley Pkwy., Suite 105
    Mission Viejo, CA 92691
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Mission Viejo - Cardiology

Mission Viejo - Cardiology

Address
26800 Crown Valley Pkwy., Suite 120
Mission Viejo, CA 92691
Hours

Mon - Fri: 8 a.m. - 5 p.m.

View This Location
Mission Viejo - Heart Rhythm Specialists

Mission Viejo - Heart Rhythm Specialists

Address
26800 Crown Valley Pkwy., Suite 103
Mission Viejo, CA 92691
Hours

Mon - Fri: 8 a.m. - 5 p.m.

View This Location
Mission Viejo - Nuclear Cardiology Diagnostics

Mission Viejo - Nuclear Cardiology Diagnostics

Address
26800 Crown Valley Pkwy., Suite 105
Mission Viejo, CA 92691
Hours

Mon - Fri: 7 a.m. - 5 p.m.

View This Location
Mission Viejo - Vascular Department

Mission Viejo - Vascular Department

Address
26800 Crown Valley Pkwy., Suite 105
Mission Viejo, CA 92691
Hours

Mon - Fri: 8 a.m. - 5 p.m.

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Mission Viejo - Vein Center

Mission Viejo - Vein Center

Address
26800 Crown Valley Pkwy., Suite 105
Mission Viejo, CA 92691
Hours

Mon - Fri: 8 a.m. - 5 p.m.

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