Find a doctor
Programs and services
Pregnancy and beyond » CPR and first aid » Doc Talk » Kids/parents » Support groups » Women's Health Center » Professional education »Classes and events
Visiting hours » Parking » Send a gift » Send a card » Privacy statement » Joint Commission » Recommended links » Release of information »Patient/visitor information
Request an appointment » Request a prescription » Pay your bill » Send a gift » Send a card » Medical library login » Clergy login » Recommended links »Online services About Sanford Health Health information
Walk-in clinic wait timesNo appointment necessary. Wait times are updated every 15 minutes.
Request an appointmentOnline appointment requests are for non-emergency appointments only. If you believe you have an emergency, please call 911 or go to the Sanford Emergency & Trauma Center.
Click here to request an appointment online »
Refill a prescriptionClick here to request your refill online »
Programs and services:
Sanford Cardiovascular Surgery
Transmyocardial revascularization (TMR)
A surgical procedure called transmyocardial revascularization (TMR) offers new hope.
For patients with mild angina, a combination of medications and lifestyle changes such as exercising and quitting a smoking habit is often effective at alleviating the pain. For patients with more serious angina, surgical procedures such as cardiac catheterization or angioplasty may be necessary. For those who continue to suffer severe angina despite medical intervention, however, there has been little to offer.
TMR is a laser surgery that opens tiny new pathways within the heart muscle via precise bursts of laser energy. TMR has been shown to improve blood flow to the heart, which means more oxygen reaches the heart and thus less chest pain.
You may be a candidate for the TMR procedure if:
For more information, visit with your heart care doctor or call Sanford Cardiology at