In addition to open-heart surgery, The Heart & Vascular Center provides the full range of procedures, treatments and services necessary for the most successful care possible.

24-Hour Emergency Cardiac Services

Cardiologists, cardiac surgeons, specially trained anesthesiologists, experts in perfusion (the delicate operation of the heart-lung machine), specially trained nursing staff and other support staff are always on-call and work together as a highly skilled and committed team.

Accredited Chest Pain Center

Cookeville Regional Medical Center is the Upper Cumberland’s only accredited chest pain center with PCI (percutaneous coronary intervention, commonly known as coronary angioplasty).


Cookeville Regional Medical Center has implemented a new technology for heart failure treatment. The CardioMEMS system is implanted directly into the pulmonary artery to wirelessly measure and monitor pulmonary artery pressure and heart rate. It will indicate worsening heart failure before symptoms occur. Then the doctor can make adjustments in medication if needed.


Cookeville Regional is proud to spearhead an effort in the region around the treatment of heart attack patients that is ahead of most other  communities in the nation. The cardiologists have worked diligently with area EMS teams on a protocol called “Code STEMI” that allows an EMS  team to diagnose a STEMI heart attack in the field, and thereby initiate the “Code STEMI” protocol. When initiated, the “Code STEMI” protocol calls for the cardiac catheterization team and interventional cardiologist to be waiting and ready to treat as soon as the patient arrives. With this process in place, the Heart and Vascular Center has achieved an average of 56 minutes for their door-to-balloon time — well  below the recognized gold standard of 90 minutes.

Cardiac Catheterization/Arteriogram

One of many diagnostic studies available at Cookeville Regional for  heart patients, cardiac catheterization allows your cardiologist to see how your arteries function. X-ray technology is utilized in this highly effective procedure.


Often referred to as "balloon surgery," angioplasty is an invasive method of widening blocked arteries. To open or unclog a narrowed coronary artery, a "balloon"-tipped catheter is inflated to increase the opening and improve blood flow. In some cases, a wire mesh stent is also used to reinforce the vessel.

Cardiovascular Surgery

For hearts that require extensive care, cardiovascular surgery or "open-heart" surgery is available, including off pump coronary artery bypass surgery (beating heart surgery). Valve repair and replacement surgery is also performed, as well as robotic/minimally invasive heart surgery. Two new, complete open-heart surgery suites are fully equipped with the latest technology available.

Structural Heart Services

CRMC's structural heart program is the only one of its kind in the Upper Cumberland with a team of interventional cardiologists, cardiothoracic surgeons and dedicated clinical support staff specializing in the diagnosis and treatment of conditions affecting the valves and other vital structures of the heart. This new program expands the services offered through the Heart and Vascular Center, and thus, allows residents of the region to remain close to home for more specialized care.

Electrophysiology Studies and Arrhythmia Treatments/Procedures

Cookeville Regional offers cardiac mapping, cardioversion, radio frequency catheter ablation, cryoablation, ICD implantation, pacemaker insertion, defibrillator threshold testing and transesophageal echocardiogram to treat heart arrhythmias such as atrial fibrillation and other rhythm disturbances.

  • Pacemaker Implantation: Used in certain heart conditions, a battery-operated electronic device is implanted beneath the skin to stimulate the heart to beat normally.
  • Implantable cardioverter defibrillator (ICD) implantation.
  • Hypothermia Protocol: Designed to help preserve optimal organ function in cardiac arrest  patients by rapidly cooling the body for 24 hours to help prevent further injury, and then slowly, over 16 hours, bringing it back up to normal temperature.
  • Cardiac Imaging Services.
  • Echocardiogram: To examine its structures and functioning, an echocardiogram utilizes non-invasive ultrasound to create a picture of the heart.
  • Nuclear Cardiac Imaging: Utilizing nuclear elements such as thalium and cardiolite, nuclear cardiac imaging provides detailed information on the functioning of the heart.

Stress Testing

To determine the rate of beats and limits upon the heart, stress testing may be undertaken with either a treadmill or medication.

Specialty Hospital Care

Cookeville Regional offers specialty trained physicians, nursing staff and other health professionals in cardiac care for patients in the hospital, as well as a cardiovascular intensive care unit and a cardiac step-down unit designed specifically for heart patients.

Expanded Cardiac Rehabilitation Facility

Our cardiac rehab facility utilizes the most up-to-date equipment, methods and counsel. Often, a whole family is impacted, and we give them special attention, as well.

Community Education Programs

To help in the prevention and early detection of heart disease, The Heart Center distributes a tremendous amount of literature, conducts community seminars and maintains a strong presence at public events (health fairs, shows, etc.).

Mended Hearts

A nationally organized support group for patients and their families, Mended Hearts makes a highly valuable contribution in completing the recovery process and provides ongoing support.

Second chances with MENDED HEARTS

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