About: Melissa Ruppel

Posts by Melissa Ruppel:

Taking Care of Those Varicose Veins

At Hunterdon Cardiovascular, we also offer other areas of specialization, such as our Faint and Fall Center. Since we’re concerned with your heart and how it’s sending blood throughout your body, another area of specialization is The Vein Institute of Hunterdon, where we offer various vein procedures such as ambulatory phlebectomy. Ambulatory phlebectomy is used […]


factors that contribute to vein problems

These Are the Factors that Contribute to Vein Problems

As much as any other part of the body, we need our veins to work well. The system of arteries, veins, and capillaries that span the body provide a vital function, holding the blood that travels to all organs and tissues. Without functioning veins, problems occur. Varicose veins and spider veins are among the most […]


Hedging Your Bets with a Coronary Artery Calcium Test

When it comes to the health of your heart, at Hunterdon Cardiovascular Associates, we often believe the best offense is a pro-active defense. By that we mean we look to diagnose problems before they become full cardiovascular events. One of the tools we use is the coronary artery calcium test, also known as a coronary […]


We Are Specialists in Cardiovascular Diseases

The human heart is an amazing machine. If you live to be 80 years old, your heart will have beaten around 3,363,840,000 times. But like any machine, the human heart can break down. Usually these issues have more to do with user error than poor machinery, meaning things like eating too much and not exercising […]


Keeping Pace with the Smallest Pacemaker

Pacemakers once were novel and rare methods for addressing arrhythmia and other abnormal heart rates, but today they are quite common and they continue to become more sophisticated. At Hunterdon Cardiovascular Associates, we’ve taken the next step in pacemakers by offering the Medtronic Micra® Transcatheter Pacing System. This is a fully self-contained pacemaker that is 93% […]


Using the Arm for Cardiac Catheterization

Cardiac catheterization is a procedure where a catheter (a long hollow tube) is inserted through an artery and moved towards the heart. Dye is then injected to provide visualization of the arteries of the heart muscle. During catheterization, a stent or balloon may also be inserted if an artery is narrowed or clogged. Most cardiac […]


Congestive Heart Failure

When a person first hears that someone they know has congestive heart failure, they often assume the worst, as in a trip to the hospital or worse. But the word “failure” is a bit of a misnomer, as the heart doesn’t fully fail. It simple isn’t pumping as strongly as is necessary to deliver blood […]


Hunterdon Happening’s Best Cardiologist 2019

Best and most happening in Hunterdon County Yaser Elnahar, MD of Hunterdon Cardiovascular Associates has been named Hunterdon Happening’s Best Cardiologist of 2019. Dr. Elnahar was also awarded the same honor in 2018. Thank you to everyone who voted and congratulations to Dr. Elnahar! Schedule a Consultation To learn more about the cardiology services we […]



Holter Monitors

When our Hunterdon Cardiovascular patients have been shown to have issues with their heart rhythm, we often use what is called a Holter monitor to provide more information on their condition. Here’s some more information on these devices. What is a Holter monitor? Only about the size of a pack of cards, Holter monitors are […]


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