Dr. Garoutte believes in timely, appropriately aggressive patient care. He believes that patient care is a collaborative process with the patient. Every patient is different with different needs and expectations. Once a patient is diagnosed and treated, he believes that a proactive plan of wellness should be formulated in conjunction with the patient and the primary care physician, so that the patient will have the best opportunity to stay well. Procedures: Automatic Implantable Cardioverter Defibrillator (ICD) Implantation Cardiac Catheterization (incl. Coronary Angiography) Cardiac Electrophysiology Cardiac Imaging Cardiac Myocardial Perfusion Imaging Cardiovascular Stress Test Cardioversion, Elective Cardioverter-Defibrillator or Pacemaker Insertion, Removal or Repair Chest CT (incl. Heart and Lungs) Coronary Angioplasty, Atherectomy and Stent Pacemaker Insertion or Replacement Peripheral Angioplasty Peripheral Artery Catheterization Removal or Revision of Pacemaker or Cardioverter and-or Defibrillator Renal Artery Angioplasty