Cardiology

Comprehensive Heart Care, Prevention, Treatment and Rehabilitation

Thank You For Visiting Bozeman Health Cardiology!

Taking care of your heart health can feel overwhelming, but you don’t have to do it alone. At Bozeman Health Cardiology, we’re here to support you every step of the way. Our comprehensive approach includes preventive care to catch issues early, advanced treatment options for effective, minimally invasive care, and personalized cardiac rehabilitation to aid your recovery and long-term health. For more complex procedures, we’ll coordinate the right care for you and provide the post-care support you need. With expert providers, cutting-edge technology, and compassionate care, we help you take control of your heart health with confidence.

Cardiology Team

Preston M Schneider, MD, MSc, FACC Director of Cardiovascular Services
Preston M. Schneider
MD, MSc, FACC
Director of
Cardiovascular Services
Cardiology
Sean Bell, MD, FACC Director of Cholesterol Management and Prevention Clinic
Sean Bell
MD, FACC
Director of Cholesterol Management & Prevention Clinic
Cardiology
Alexander P Taylor, MD, FACC Medical Director of Echocardiography and Cardiac Computed Tomography
Alexander P Taylor
MD, FACC
Cardiology
Cardiology
Christopher Anzalone
DO, FACC
Cardiology
Cardiology
Sara Klinger
DO, FACC
Cardiology
Cardiology
Vincenzo Polsinelli - Bozeman Health Cardiology
Vincenzo Polsinelli
MD
Cardiology
Cardiology
Christine Laramee, PA-C Cardiology, Non-invasive Cardiology
Christine Laramee
PA-C
Cardiology, Non-invasive Cardiology
Cardiology, Non-invasive Cardiology
Erin Locke, DNP, FNP-BC
Erin Locke
DNP, FNP-BC
Cardiology
Cardiology
Katelyn Luter, MSN, AGNP-BC Cardiology
Katelyn Luter
RN
Cardiology

Cardiology
Mozelle M Soule, PA Cardiology
Mozelle M Soule
PA-C
Cardiology
Cardiology
Natalie Stasi, PA-C Cardiology, Non-invasive Cardiology
Natalie Stasi
PA-C
Cardiology, Non-invasive Cardiology
Cardiology, Non-invasive Cardiology
Trish Dams, PA-C Cardiology
Trish Dams
PA-C
Cardiology
Cardiology
Dane E Sobek, MD Cardiology Interventional
Dane E Sobek
MD
Interventional Cardiology
Interventional Cardiology
Nathaniel J Madsen, MD Cardiology Interventional Cardiology
Nathaniel J Madsen
MD
Interventional Cardiology
Interventional Cardiology
Jim Brown Story, Bozeman Health

Jim Brown's Story

Taking the First Step Toward a Healthier Heart

Your heart health journey starts with you. Whether you’ve noticed symptoms like shortness of breath, chest discomfort, or simply want to stay proactive, your primary care provider can be your first guide in identifying potential heart concerns. Through routine check-ups and screenings, they can detect early signs of heart issues and connect you with our expert cardiology team for specialized care. No matter how you arrive, we’re here to provide the expert care you need to help you take control of your heart health with confidence.

Diagnostic Services
Echocardiogram

An Echocardiogram, or Echo, is a safe and painless test that uses sound waves to take pictures of your heart. It helps doctors check how well your heart is working by looking at its chambers, valves, and pressure. Echo tests are the most common way to look at the heart. At Bozeman Health, we use the latest ultrasound technology and special techniques to get clear, detailed images of your heart. Our lab is accredited, which means we meet high standards for quality in all types of echo tests, including ones done on the chest, through the throat, and during exercise

Stress Tests

A stress test, also called a regular exercise test, checks how well your heart works when you’re active. During the test, you walk on a treadmill while doctors watch your heart’s electrical activity with an EKG machine. The test usually takes about 5-15 minutes to complete. It begins at a slow pace and gradually increases along with the incline of the treadmill. This test helps show if your heart is getting enough blood and can find signs of heart disease or the cause of symptoms like chest pain, shortness of breath, or upper back pain.

A Stress Echocardiogram or Stress Echo, is a diagnostic test that combines an Echocardiogram with a treadmill exercise test to evaluate the heart’s function under physical stress. During the procedure, the patient exercises on a treadmill to increase heart rate, while ultrasound images of the heart are captured to assess its structure and function. This test helps detect heart conditions, including coronary artery disease and heart valve abnormalities, by observing how the heart responds to increased workload.

In this test, a small amount of a radioactive substance is injected into your blood. Special pictures are taken before and after you exercise to show how blood is flowing to your heart.

This test uses a medication called Dobutamine to increase your heart rate. It assesses the heart’s function and structures. This test is usually used when you are unable to exercise.

  • A pacemaker is a small device that helps control your heartbeat. If your heart beats too slowly or unevenly, one of our interventional cardiologists can place a pacemaker in your chest to help it stay at a steady, healthy rhythm.
  • During the procedure, the cardiologist makes a small cut, usually near the shoulder, and guides thin wires into the heart. These wires connect to the pacemaker, which sends tiny electrical signals to keep your heart beating normally. The procedure is safe, and most people can go home the same day or the next. A pacemaker can help you feel better and have more energy by keeping your heart working as it should.
This scan uses multiple x-ray beams from different angles to create a 3D image of your heart. This allows your cardiac care team to see detailed structures within your heart including valves, vessels and surrounding structures.
Coronary CTA

Coronary Computed Tomography Angiography (CCTA) is a test that helps doctors see if there’s plaque in the blood vessels that supply the heart, called coronary arteries. Plaque is made up of fat, cholesterol, and calcium, and it can build up inside the arteries over time. This buildup can narrow the arteries and sometimes block blood flow. During a CCTA test, a special contrast material with iodine is injected into your vein to help the doctor see clear pictures of the heart’s blood vessels. The test uses a type of scan called a CT or CAT scan. It takes multiple pictures of the inside of your body, which can be turned into 3D images.

Don’t Wait for a Sign, Protect Your Heart Now

Lowering cholesterol early is a key step in preventing heart disease, and while changing your lifestyle might feel overwhelming, the long-term benefits far outweigh the temporary inconvenience. Many patients hesitate to take action because they don’t feel symptoms or worry about taking medication, but the reality is that high cholesterol can quietly damage your heart over time. By addressing it now, you reduce your risk of heart attacks, strokes, and other serious complications down the road. Taking control now means more peace of mind and a healthier future.

Cholesterol Management Clinic

Our cholesterol management clinic focuses on lowering cholesterol through a combination of lifestyle changes and medication, working closely with you to create a personalized plan. One of our cardiologists will partner with your primary care provider to assess your unique health needs, helping you make adjustments to your diet, exercise, and stress levels. In some cases, medication may be prescribed to further lower cholesterol and reduce your risk of heart disease. This collaborative approach ensures that your treatment is tailored to your specific health goals, giving you the best chance for long-term heart health.
Doctor or nurse gives medical attention or provides therapy to adult Asian descent patient in office or clinic setting. She uses a blood pressure cuff device. Medical exam, consultation, therapist.

Heart Failure Doesn’t Mean
Giving Up: Explore Effective
Treatment Options

Heart Failure Doesn’t Mean Giving Up:
Explore Effective
Treatment Options

Our Heart Failure Team is here to help you feel better and live a healthier life. Heart failure happens when the heart isn’t pumping as well as it should, making it harder for your body to get the oxygen and nutrients it needs. This can cause symptoms like shortness of breath, swelling, and feeling very tired. Our team of experts, including doctors, nurses, and other heart specialists, works together to create a treatment plan just for you. We focus on managing your symptoms, helping you stay active, and making sure your medications are safe and working properly. Our goal is to improve your quality of life and help you stay as healthy as possible.
A medically supervised education and exercise program, similar to Cardiovascular Rehabilitation, designed for those diagnosed with heart failure. The program helps patients understand and live with a heart failure diagnosis, incorporating exercise and education tailored to each individual’s needs. The program is free for the first six weeks, with a nominal weekly fee for continuing in the maintenance program.

May appear to be a gym, but it offers so much more than local health clubs. Staffed by RNs and clinical exercise physiologists, Fit for Life creates individualized programs that are monitored by professionals with expertise not only in exercise but also in chronic disease prevention, such as heart disease, pulmonary disease, hypertension, vascular disease and diabetes.

Cardiology at Bozeman Health | Cholestoral Management

Recovery and Rehabilitation

Surviving a heart attack or having bypass surgery can seem overwhelming. Once you have been released from the hospital and your physician determines your readiness, we can help you with risk factor reduction while you continue on the road to recovery.

A medically supervised education and exercise program for those diagnosed with particular heart conditions. The education portion provides you with vital information on the management of cardiovascular health and risk factor reduction. The exercise portion is tailored specifically to your individual needs and fitness level. Through supervised exercise, encouragement and support, Cardiovascular Rehabilitation can help you improve your overall level of physical conditioning, regain your confidence and strength, and provide you with the motivation and encouragement needed to make positive lifestyle choices. The Cardiac Rehabilitation program is certified through the American Association of Cardiovascular and Pulmonary Rehabilitation.

A medically supervised education and exercise program. The education portion provides you with vital information on the management of cardiac pulmonary health and risk factor reduction. The exercise portion is tailored specifically to your individual needs and fitness level. Through supervised exercise, encouragement and support, Respiratory Rehabilitation can help you improve your overall level of physical conditioning, regain your confidence and strength, and provide you with the motivation and encouragement needed to make positive lifestyle choices.
Both of caregiver or home nurse visit and advise very important person female senior in the terrace of house with warn heart felling.

Pacemaker & Implantable Device Clinic

A Pacemaker and Implantable Device Clinic a specialized clinic where patients with heart devices, like pacemakers or defibrillators, can go for check-ups, adjustments, and troubleshooting. The clinic is run by our skilled cardiology team who make sure your device is working properly and answer any questions you might have about their devices.

Regular visits to the clinic help ensure your device is keeping your heart in a healthy rhythm and improving overall heart health

Smiling female doctor talking to woman in hospital

Advanced Technology, Life-Saving Care: Precision Heart Treatments in Our Cath Lab

Bozeman Health Medical Minute - Cardiology with Dr. Nate Madsen

Cardiac Catheterization Laboratory

Cardiology at Bozeman Health

Cardiac Cath Lab

A Cardiac Catheterization Lab, or Cath Lab, is a special hospital unit where doctors diagnose and treat heart problems using thin, flexible tubes called catheters. These procedures help check for blocked arteries, heart valve issues, and other heart conditions without the need for major surgery. In the Cath Lab, doctors can perform tests like angiograms to see how well blood is flowing to the heart and treatments like angioplasty and stent placement to open blocked arteries. They also use advanced techniques to treat heart rhythm problems and other conditions. The goal of the Cath Lab is to quickly and safely improve heart health, often allowing patients to go home the same day.

Cardiac Catheterization Laboratory, Services Offered

Services Offered

Cardiac Catheterization (also called Cardiac Cath) is an invasive imaging procedure that allows your healthcare provider to evaluate your heart function. Your provider puts a catheter (tiny tube) into a blood vessel in your arm or groin and then into your coronary arteries. Providers can use heart catheterization to find problems and use other procedures to fix them, sometimes during the same appointment.

For example, your provider could fix a heart flaw you were born with or replace your heart valve without making a large incision and doing traditional surgery.

In a right heart cath, your healthcare provider guides a small, hollow tube called a pulmonary artery (PA) catheter to the right side of your heart. They then pass the tube into your pulmonary artery.

This is the main artery that carries blood to your lungs. Your healthcare provider observes blood flow through your heart and measures the pressures inside your heart and lungs.

  • A pacemaker is a small device that helps control your heartbeat. If your heart beats too slowly or unevenly, one of our interventional cardiologists can place a pacemaker in your chest to help it stay at a steady, healthy rhythm

 

  • During the procedure, the cardiologist makes a small cut, usually near the shoulder, and guides thin wires into the heart. These wires connect to the pacemaker, which sends tiny electrical signals to keep your heart beating normally. The procedure is safe, and most people can go home the same day or the next. A pacemaker can help you feel better and have more energy by keeping your heart working as it should.

A Transesophageal Echocardiogram (TEE) is a special test that helps our cardiologists see how the heart is working. It uses sound waves, kind of like an ultrasound, to create pictures of the heart. A small device called a transducer sends out sound waves that bounce off the heart and create images on a computer screen. Most heart ultrasounds, called transthoracic echocardiograms, are done by placing the transducer on the chest.

But with a TEE, the doctor gently guides a thin, flexible tube with a transducer down the esophagus (the tube that carries food to the stomach). Since the esophagus is right next to the heart, this method gives clearer pictures because the sound waves don’t have to go through the skin, muscles, or bones. This helps doctors get a better look at the heart’s structure and function.

Cardioversion is a treatment that helps fix an uneven heartbeat. It uses quick, low-energy electrical shocks to get the heart back to a normal rhythm.

This is often used for people with irregular heartbeats, like atrial fibrillation (AFib). In some cases, doctors can also use medicine instead of electrical shocks to correct the heartbeat.

Bozeman Health Recognized by The American Heart Association

2025 Platinum Performance Achievement Award

2024 Platinum Performance Achievement Award

Bozeman Health Earns National Quality Award for Heart Attack Care

Anatomy of the Heart

Understanding the anatomy of the heart can help you have better conversations with your cardiologist and take an active role in your care. Knowing basic terms like arteries, valves, and chambers makes it easier to understand your condition, test results, and treatment options.

It also helps you ask informed questions and follow your doctor’s advice more confidently. The more you understand your heart, the better you can work with your cardiologist to keep it healthy.

Your heart is the engine that drives your body. Without it, blood couldn’t circulate and your organs wouldn’t get the oxygen and nutrients they need to work properly. The heart is found behind the rib cage in the center of the chest between the lungs. A normal and healthy adult heart is about the size of a fist.

Learn more about the structures that make the heart’s continuous pumping cycle possible.

The heart gets the oxygen it needs through the coronary arteries—blood vessels that start at the top of the heart and spread across the heart’s surface.

This large vein is the passageway for deoxygenated (oxygen-poor) blood returning to the heart from the head, chest and arms. The superior vena cava empties into the heart’s upper-right chamber, the right atrium.

This large vein enters the heart’s upper right chamber, the right atrium, from underneath. It carries deoxygenated blood back to the heart from the legs, pelvis and abdomen.
This large vein enters the heart’s upper right chamber, the right atrium, from underneath. It carries deoxygenated blood back to the heart from the legs, pelvis and abdomen.
Blood enters the right ventricle from the right atrium above it. The right ventricle then pumps the blood out into the pulmonary artery, which leads to the lungs.
This artery carries blood out of the heart’s lower right chamber, the right ventricle. The artery divides into two branches that lead to the lungs. The blood flows into tiny blood vessels in the lungs, releases waste products gathered from throughout the body and absorbs fresh oxygen.
This upper-left heart chamber receives oxygen-rich blood fresh from the lungs. It then squeezes the blood down into the left ventricle.
This chamber is the last stop for oxygen-rich blood on its way out of the heart. It also is the strongest chamber, with thicker muscular walls than the right ventricle. It uses this strength to propel blood through the aortic valve into the aorta, the main artery for blood traveling from the heart out into the body.
The aorta is about as big around as a garden hose, making it the largest artery in the entire body. This is the passageway for oxygen- and nutrient-rich blood to leave the heart’s left ventricle and start the journey to every organ, tissue and cell.
This wall of tissue separates the heart’s two sides.
The pericardium is a two-layered sac of tissue that envelops the heart. These two thin layers of tissue hold the heart in place as it beats and help protect it from being harmed by chest infections. The two layers are separated by lubricating fluid that prevents them from rubbing against each other and causing friction.
The myocardium, also called the heart muscle, is the heart’s center layer and provides the power that pushes blood through the heart’s four chambers.
The innermost layer of the heart’s walls lines the inner heart chambers and each of the heart’s valves.

Nestled in the wall of the right atrium, this bundle of tissue sends out precisely timed electrical signals that set the heart’s pace. These signals travel through each of the heart’s chambers, causing each to contract in carefully timed succession. The contractions squeeze blood along its path through the heart’s valves and chambers.

You can think of the sinoatrial node as the heart’s pacemaker.

This valve sits between the right atrium and right ventricle—the upper and lower chambers of the heart’s right side. It’s the first valve that deoxygenated blood passes through after returning to the heart from the far reaches of the body.
This valve sits between the right ventricle and the pulmonary artery. Contractions of the right ventricle send deoxygenated blood through this valve and on its way to the lungs for a fresh supply of oxygen.
The mitral valve sits between the upper and lower chambers on the heart’s left side. It opens and closes to allow a one-way flow of blood from the left atrium down into the left ventricle.
This valve sits between the left ventricle and the body’s largest artery—the aorta. Oxygen-rich blood leaves the heart through this valve and travels into the aorta on its way to the rest of the body.

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Take the First Steps

Your journey to recovery begins at Bozeman Health Spine + Joint Institute (SJI) with one of our local orthopedic partners. To request an appointment, simply click the button below and you will be contacted to schedule your next steps. If you are inquiring about spine surgery, you will need to have your primary care provider make a referral to Dr. Ben Smith with Bridger Orthopedic. Spine surgery appointments are not available through the request portal at this time.