advanced heart and vascular care. outcomes and …...heart disease. this innovative model of care...
TRANSCRIPT
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A hospital dedicated solely toadvanced heart and vascular care.
Outcomes and Statistics
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Baylor Jack and Jane Hamilton Heart and Vascular Hospital opened in 2002 as the first North Texas hospital dedicated solely to the care and treatment of heart and vascular patients. The hospital provides inpatient and outpatient services focused on preventive health care and comprehensive cardiovascular disease management. Designed as a patient-centered facility, features include cardiac catheterization and electrophysiology laboratories, surgical suites, cardiac rehabilitation area and an imaging department with a 64-slice CT scanner.
The hospital is also home to the Baylor Heart and Vascular Institute and the Community Resource Center, where educational resources are available to all who are interested in learning more about heart and vascular health.
Baylor Hamilton Heart and Vascular Hospital’s specialized clinical team and medical staff perform an array of procedures including:
+ Coronary angiogram + Coronary angioplasty + Cardiac rehabilitation + Vascular surgery+ Peripheral angiography+ Peripheral intervention+ Electrophysiology studies+ Implantation of defibrillators and pacemakers+ Non-invasive imaging
Clinical research is under way to study advanced technology, such as new pacemakers, defibrillators, drug-coated stents and medications to treat high blood pressure and cholesterol, all of which continue to revolutionize the treatment of heart disease. This innovative model of care incorporates clinical quality, patient and family satisfaction, health care team satisfaction and fiscal responsibility. The result: safe, quality, compassionate health care for you.
Nancy Vish, RN, PhDPresident and Chief Nursing Officer
Kevin Wheelan, MDChief-of-Staff; Co-Medical Director of Cardiology
Contents
Introduction 1
Awards and Honors 2
Circle of Care 4
Admissions 6
Admissions by Service 6
Non-Invasive Procedures 7
Employee Satisfaction Survey 8
Patient Safety Culture Survey 10
Patient Satisfaction 11
CMS Quality Indicators 13
Performance Report 14
In-Hospital Mortality 15
Readmissions 16
Infection Report 16
Center for Complex Arrythmias 17
Support Groups 18
Community Outreach 20
Continuing Education 22
Clinical Trials and Studies 24
Physician Publications 30
Employee Publications 43
Physician Directory 46
Hospital Leadership Team
Nancy Vish, RN, PhDPresident and Chief Nursing Officer
Trey WickeVice-President of Finance
Kevin Wheelan, MDChief-of-StaffCo-Medical Director of Cardiology
John Schumacher, MDCo-Medical Director of Cardiology
Gregory Pearl, MDMedical Director of Vascular Surgery
Built on a legacy of innovation
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Awards and Honors
Magnet Award for “Excellence in Nursing Services” – 2007-2011
The Magnet Recognition Program® was developed by the American Nurses Credentialing Center (ANCC) to recognize health care organizations that provide nursing excellence. The program also provides a vehicle for disseminating successful nursing practices and strategies.
The Joint Commission Accreditation – 2007-2010
Joint Commission standards address the organization’s level of performance in key functional areas, such as patient rights, patient treatment, and infection control. The standards focus not simply on an organization’s ability to provide safe, high quality care, but on its actual performance as well. Standards set forth performance expecta-tions for activities that affect the safety and quality of patient care.
American Heart Association’s Get With The Guidelines – Silver Level
Get With The GuidelinesSM (GWTG) is the premier hospital-based quality improvement program for the American Heart Association and the American Stroke Association. It empowers healthcare provider teams to consistently treat heart and stroke patients according to the most up-to-date guidelines.
Texas Health Care Quality Improvement Award – Award of Excellence 2007
Winners of this non-competitive award are measured in the frequency of best care practices utilized on patients with specific conditions including acute myocardial infarction, heart failure, and pneumonia as well as surgical infection prevention.
VHA Leadership Award in Clinical Excellence – 2007
The award honors health care organizations that have differentiated themselves around national performance standards by achieving performance at the 90 percent level or above on clinical core measures. Baylor Hamilton Heart and Vascular Hospital won the award for acute myocardial infarction treatment, heart failure and surgical infection prevention.
American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) – Certification 2006-2009
The American Association of Cardiovascular and Pulmonary Rehabilitation (AACVPR) is dedicated to the professional development of its members, through information, networking, and educational opportunities. Central to the mission is the improvement in the quality of life for patients and their families.
Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL) – 2005-2011
The purpose of the Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL) is to provide a mechanism for accreditation of facilities which perform comprehensive testing for vascular disease with noninvasive testing modalities. Laboratories assess every aspect of daily operation and its impact on the quality of health care provided to patients.
Intersocietal Commission for the Accreditation of Echo Laboratories (ICAEL) – 2001-2010
ICAEL accreditation is a means by which echocardiography laboratories can evaluate and demonstrate the level of patient care they provide.
After a laboratory submits the application to the ICAEL, the application undergoes a confidential peer-review by the ICAEL’s trained reviewers, including both physicians and sonographers.
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Baylor Health Care System’s Circle of Care
Our “Circle of Care” encompasses our mission, vision, and priorities,
and places our patients front and center. Our mission supports this
patient-centered approach. We recognize that there are four key areas of
excellence that must be in place to ensure that patients are our number
one priority: people, quality, service and fiscal stewardship.
What does this mean? It means that Baylor Health Care System supports
and cares for patients as individuals. We promote a healing environment
in which the members of the health care team work together as one, for
the benefit of the patient.
To do that, Baylor adopts best practices and industry standards that
support and sustain a patient-centered culture. When these are put into
place, we not only enhance patient safety and quality of care, we also
increase our level of performance as a health care system.
Baylor constantly strives to become an even better place to work, attracting
and retaining the best and the brightest. As we continue to provide a better
quality of care, we advance our outcomes measures. Our ultimate goal is
not only to provide quality patient care, but to define it.
Our Vision
To redefine the relationship between physicians and the hospital with an integrated heart and vascular delivery system focused on high-quality, cost-effective care.
Our Care Model
Clinical ExcellencePatient & Family Satisfaction
Health Care Team SatisfactionFiscal Responsibility
results inresults in
Honesty + Respect fu lness + In tegr i t y + Compass ion + Commun ica t ion + Pos i t i ve A t t i tudeFounding Principles
Satisfaction,Excellence & Trust
People’s ExpectationsExceededQuality Care
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Total Admissions and Registrations
21,325
18,354
21,295
18,059
22,469
19,365
21,609
18,92919,830
21,959
0
5000
10000
15000
20000
25000
Total
Outpatient
Inpatient
FY 2008FY 2007FY 2006FY 2005FY 2004
2,971 3,236 3,104 2,6802,129
Admissions and Registrations by Major Service Lines
6,709 6,610 6,469 6,331
2,094 1,951
2,455 2,457
1,430 1,490 1,522 1,454
5,843
2,357
1,844
0
1000
2000
3000
4000
5000
6000
7000
8000
Catheterization Lab
Electrophysiology/Pacemaker
Operating Room
FY 2008FY 2007FY 2006FY 2005FY 2004
58%cath lab
18%operating
room
24%electrophysiology/
pacemaker
PROCEDURE COUNT PROCEDURE COUNT
2D Echo 6,761 Arterial Studies 691
Stress/Echo 411 Cerebrovascular Studies 397
Dobutamine/Echo 121 Venous Studies 1,044
Transesophageal Echo 1,349 Visceral Studies 43
Total Procedures 10,817
Non-Invasive Procedures (FY08)Non-Invasive Lab is Accredited by Intersocietal Commission for the Accreditation of Vascular Laboratories (ICAVL) and Intersocietal Commission for the Accreditation for Echo Laboratories (ICAEL)
FY2008
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Employee Satisfaction Survey (FY08)
Baylor Hamilton Heart and Vascular Hospital participated in the
Baylor Health Care System Employee Survey facilitated by Watson Wyatt
Worldwide. Watson Wyatt Worldwide, Inc., a global consulting firm,
specializes in four areas of employee benefits, human capital strategies,
technology solutions, insurance and financial services.
The overall employee data was benchmarked against the 2006 Health
Care Industry Reports and the 2008 Baylor Health Care System results.
Percentage
Difference from national Health
Care Norm
I would recommend Baylor Hamilton Hospital to others as a place to work
93% +25*
Baylor Hamilton Hospital provides information on how well we are performing against our financial goals
98% +42*
It is clear to me how the work I do on a day-to-day basis impacts Baylor Hamilton Hospital’s external customers.
98% +15*
I have a clear understanding of Baylor Hamilton Hospital’s business objectives
92% +24*
I have a clear understanding of how my job contributes to Baylor Hamilton Hospital’s business objectives
96% +24*
I have access to the training I need to be productive in my current position
93% +31*
Percentage
Difference from national Health
Care Norm
Employee Satisfaction Index employees’ contentment with Baylor Hamilton Hospital
89%** +26%
Employee Engagement Index employees’ motivation and job knowledge
93%** +25%
Integrity Index level of trust employees have in leadership
90%** +21%
Employee Satisfaction Survey (FY08)
Employee Satisfaction Survey (FY08)
* Data provided by Watson Wyatt’s WorkUSA Health Care norm database based on responses from employees working in the health care industry in hospitals. **All 3 indicators were highest of the Baylor Health Care System hospitals.
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Patient Safety Culture Survey
Baylor Hamilton Heart and Vascular Hospital is committed to providing multiple opportunities for continuing education, succession planning and leadership training for direct care providers and nurse leaders in our organization.
Continued initiatives include Culture of Safety meetings three times per year, and an active shared governance structure. Baylor Hamilton Heart and Vascular Hospital also participated in a survey conducted by the Baylor Health Care System on Safety. The survey was the national Agency for Healthcare Research and Quality (AHRQ) Patient Safety Culture Survey. Baylor Hamilton Heart and Vascular Hospital scored the highest in the Baylor Health Care System in culture of safety responses by staff and the results were similar to our 2006 results.
Patient Satisfaction Survey (FY08)
Baylor Hamilton Heart and Vascular Hospital participates in the Press Ganey survey for Patient Satisfaction which is separated into the following categories: inpatient and outpatient patient satisfaction. Patient satisfaction scores are included in the Nursing Report Card and incorporated into each unit’s goals. Baylor Hamilton Heart and Vascular Hospital leadership reviews the survey results to track progress of patient satisfaction and to develop process improvement plans. Each unit’s results are shared with the unit’s employees.
Results are values representing a mean score (1-100, 1 = least satisfied, 100 = most satisfied) for patient’s likelihood to recommend our facility to others.
“People do not worry about being punished when reporting errors or near misses.”
“Facility leaders promote safety.”
“Doctors, nurses, and other clinical staff work together as a highly coordinated team.”
National Mean
Baylor Hamilton Hospital Mean
31-46% 82%
75% 92%
50% 90%
(*percent responses are “desirable” response which were scores from Strongly Agree and Agree.)
Likelihood to Recommend
Overall Rating of Care Given
Staff Worked Together For Your Care
Likelihood to Recommend
Overall Rating of Care Given
Staff Worked Together For Your Care
96
95
96
96
94
95
Inpa
tient
Outp
atie
nt
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Patient Satisfaction Initiatives
Programs at Baylor Hamilton Heart and Vascular Hospital that were implemented and/or continued over the last twelve months to improve patient satisfaction based on results/comments received include:
Rounding on patients for outcomes by team leaders, supervisors, charge nurses, and team members.
Studer Group partnership has provided individualized work plans for each facility, coaching to support leadership, and training for accessing and understanding patient satisfaction and employee turnover data. This has now transitioned to an internal department.
Quarterly All Employee meetings take place to raise awareness of patient satisfaction. Every employee is required to attend.
Standards and Measures Meetings, comprised of team staff members and part of the shared governance model, are held monthly for team members to address satisfaction results and discuss opportunities for improvement.
Family Update Cards were developed by team members to address procedure wait times and contact numbers for family members.
Patient follow up phone calls are conducted to assess post discharge needs which are reported at the monthly Quality and Safety meeting and other councils. Members of the leadership team and direct care providers discuss opportunities for improvement.
AIDET, a tool from Studer Group, was implemented to help improve communication from team members to patient/family members. AIDET is an acronym that stands for Acknowledge, Introduce, Duration, Explanation, and Thank You.
Centers for Medicare & Medicaid Services (CMS*)
Heart Attack (Acute Myocardial Infarction)Baylor
Hamilton National Texas
Aspirin at arrival 100% 93% 92%
Aspirin at discharge 100% 90% 88%
ACEI or ARB for LVSD 100% 85% 88%
Adult smoking cessation advice/counseling 100% 91% 92%
Beta blocker at arrival 100% 91% 89%
Beta blocker at discharge 100% 88% 86%
Heart Failure
All discharge instructions 100% 66% 66%
Evaluation of LVS function 100% 85% 84%
ACEI or ARB for LVSD 99% 84% 85%
Adult smoking cessation advice/counseling 100% 86% 86%
Surgical Infection Improvement Project
Antibiotic within one hour of incision 100% 82% 74%
Antibiotic selection 98% 90% 86%
Antibiotic discontinued within 24 hours 98% 78% 74%
Appropriate hair removal 100%
Beta blocker use preoperatively 99%
*For a complete listing of indicators, visit www.hospitalcompare.hhs.gov, a site created through the efforts of the Centers for Medicare & Medicaid Services along with the Hospital Quality Alliance.
Quality Indicator (FY08)
Quality Indicator (FY08)
Quality Indicator (FY08)
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Baylor Hamilton Heart and Vascular Hospital Performance Report (FY08)
Atrial Fibrillation Coumadin at discharge 100%Patient follow-up 100%Smoking cessation 100%
AHA Get With The Guidelines HbA1C>7 outpatient diabetic referral 100%HbA1C>7 letter to PCP 99%
Beta Blockers in Vascular Surgery Prior to Surgery 100%Recovery room 99%Specialty care unit 98%At discharge 96%
Pneumococcal Vaccine % vaccination compliance 97%
Percutaneous Coronary Intervention Patients Lipid lowering medications at discharge 99%Patient follow-up 100%ASA at discharge 100%Smoking cessation at discharge 100%
EP/Pacemaker/ICD CASE COUNT IN-LAB PERCENTPOST
PROCEDURE PERCENT
Pacemaker Only 469 0 0% 0 0%
Event Recorder 45 0 0% 0 0%
ICD Only 530 0 0% 2 <1%
EP Cases 941 0 0% 1 <1%
TOTAL 1,985 0 0% 3 <1%
In-Hospital Mortality (FY08)
CATH LAB CASE COUNT IN-LAB PERCENTPOST
PROCEDURE PERCENT
Diagnostic Cath 2,421 0 0% 25 1%
Diagnostic Peripheral 351 0 0% 4 1.10%
Cardiac Intervention 1,450 0 0% 14 <1%
Peripheral Intervention 610 0 0% 3 <1%
Peripheral Diagnostic w/ Cardiac Procedures
917 0 0% 9 1%
TOTAL 5,749 0 0% 55 <1%
This report reflects All Cause Mortality. The procedures performed on Baylor Dallas campus and statistics are reflective of both Baylor Hamilton Heart and Vascular Hospital and Baylor University Medical Center.
Baylor Hamilton Heart and Vascular Hospital opened in 2002 as the first North Texas hospital dedicated solely to the care and treatment of heart and vascular patients.
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Readmissions to Baylor Hamilton Hospital within 6 months (FY08)
Pacemaker Lead Dislodgement 5 1.0% Infection 2 <1% Another related procedure 7 1.5% Other 7 1.5%
EP Ablation Re-Ablation 30 4.6% Same site 17 2.6% Different site 13 2.0%
ICD Only Cases Lead Dislodgement 2 <1% Infection 7 1.3% Another ICD related procedure 19 3.6% Other 6 1.1%
Coronary Interventions Same Vessel 69 3.9%
Coronary Angiogram Return for Intervention 196 4.5%
CAUSE/PROCEDURE NO. CASES PERCENT
July 2007 101/0 87/0 1,238/0
August 2007 108/1 122/0 1,388/0
September 2007 92/1 112/0 1,308/0
October 2007 92/0 165/0 1,665/0
November 2007 90/0 129/0 1,440/0
December 2007 107/0 116/0 1,345/0
January 2008 85/1 154/1 1,476/0
February 2008 77/0 177/2 1,580/0
March 2008 94/0 150/1 1,740/0
April 2008 93/1 188/1 1,597/0
May 2008 87/0 148/2 1,234/0
June 2008 95/0 182/0 1,359/0
TOTAL 1,121/4 1,730/7 17,370/0
Percent of Cases 0.35% 0.40% 0.00%
EP/PM/ICD* OR† BACTEREMIA•
Infection Report (Case/Incidence)
* EM/PM/ICD data represents all Electrophysiology/Pacemaker/Implantable Cardioverter Defibrillator cases † OR data represents clean vascular Operating Room cases • Bacteremia data was derived from adjusted patient days using standard definitions of infections as defined by the Centers for Disease Control
Center For Complex Arrhythmias
Taking our commitment to advanced patient care a step further
By bringing together our cardiovascular expertise with advanced medical technology, Baylor Hamilton Heart and Vascular Hospital offers innovative procedures that treat abnormal cardiac rhythms including atrial fibrillation. Baylor’s Center for Complex Arrhythmias was created to help explain the causes, treatment options, and advanced procedures available at Baylor Hamilton Hospital.
Baylor Hamilton Hospital upgraded on our our electrophysiology labs with a Stereotaxis system. The Stereotaxis Treatment System allows our doctors to heal hearts more precisely and safely than before. By using computer-controlled magnets— which are positioned outside the body—to programmatically steer catheters and guidewires throughout the delicate cardiovascular system. With the computer to assist in precise navigation, the doctor is then able to focus on the patient and the outcome rather than the mechanics of the procedure.
The Baylor Jack and Jane Hamilton Heart and Vascular Hospital is committed to not only
delivering extraordonary care to our patients, but also the latest in treatment options for
atrial fibrillation. When it comes to matters of the heart, our goals are increasing your quality
of life and decreasing the use of medications that do not fully alleviate symptoms of atrial
fibrillation. All this can be achieved without compromising the individualized and compassionate
care Baylor Heart and Vascular Hospital is know for.
For a free consultation with a licensed professional to discuss your treatment options for
atrial fibrillation, call (214) 820-0015 or visit www.bhvh.com.
Physicians are members of the medical staff at one of Baylor Health Care System’s subsidiary, community or affiliated medical centers and are neither employees nor agents of those medical centers, Baylor University Medical Center at Dallas or Baylor Health Care System. Revel-3/08-08BAY5037
Advanced Treatments are at the heart of cardiac care.
Baylor Heart and Vascular Hospital’sCenter for Complex Arrhythmias
1.800.4BAYLOR www.bhvh.com621 Nort Hall Street Dallas, TX 75246
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Wired for LifeTM
Baylor has teamed up with past implantable cardioverter defibrillator (ICD) recipients to provide future ICD recipients with support, comfort and answers to their questions. Volunteers meet with the future recipients and their families before and after the ICD procedure.
Support Groups Heart Well Forum
Total Attendees 651 648 729 790
FY2005 FY2006 FY2007 FY2008
Support groups are one of the best resources for persons who have experienced heart and vascular disease. Share your experience and learn from others in one of Baylor’s ongoing support groups.
Baylor Heart Well Forum is a monthly meeting where heart and vascular patients and their family members assemble at Baylor Hamilton Heart and Vascular Hospital for a heart-healthy lunch and hear a Baylor physician or other health care educator speak on a variety of topics related to heart and vascular disease.
July 2007 89 The Importance of Blood PressureWilliam Roberts, MD
August 2007 71 Dining Out the Heart Healthy WayEmily Malorzo, RD, LD
September 2007 69 Riding the Wave: Generosity, Humor and Wonder—Life’s Ultimate Wonder Drugs
Mike Davis, Th.M.
October 2007 47 Stories from the Heart: Women Heart Presents: A Panel of Female Heart Patients
WomenHeart Patient Panel
November 2007 59 When the Tin Man Met the Scarecrow: Care of the Heart, Care of the Mind
Barbara Davis, LPC
December 2007 76 Holiday Party (annual event)
January 2008 59 Move It and Lose It in 2008Matt Hubbard, M.S. & Tiffany McCullough, B.S.
February 2008 66 Broken Heart Syndrome: Broken Hearts Can Be Mended
Danielle Strauss, BSN, RN-BC, BS
March 2008 58 Your Youth, Your Heart, and The “Sugar” In Between: Diabetes and Your Heart Part II
Misty L. Jones, RD, LD
April 2008 64 Women, Heart Disease and Depression: Making The ConnectionMichael Brennan, MD
May 2008 61 Beat The Pressure: Anti-Hypertensive Agents and YouThan Lao, RPh
June 2008 71 The Importance of Controlling Cholesterol and Blood Pressure for a Long and Happy Life
Greg Pearl, MD
ATTENDEES TOPIC/PRESENTER
Cardiac Rehab ProgramCardiac Rehabilitation Program is Certified by the American Association of Cardiovascular and Pulmonary Rehabilitation
TOTAL ATTENDEES FY2004 FY2005 FY2006 FY2007 FY2008
Phase II* 6,962 5,448 5,317 5,419 4,583
Phase III* 1,267 2,325 2,656 2,830 2,930
* Phase II is a supervised outpatient program of individually prescribed exercise with continuous or intermittent ECG monitoring. ** Phase III is a long term program generally including both clinical supervision by an exercise professional or nurse and intermittent ECG monitoring.
Leap for Life
Lifestyle Education Awareness Program (LEAP for Life) is a secondary prevention education program developed for persons identified with risk factors for cardiovascular disease. The program provides education for cardiovascular patients on nutrition, exercise, cardiovascular procedures and medications, and stress management. Workshops are open to the public.
FY2004 FY2005 FY2006 FY2007 FY2008
Cardiac RehabParticipants
140 128 122 120 79
Community Participants
61 68 36 18 21
Guests 129 103 89 72 61
Totals 330 299 247 210 161
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Baylor Hamilton Heart and Vascular Hospital is committed to providing opportunities to be actively involved in the community. Community involvement suggestions have been received from our team members in our Advisory Council and Leadership Council.
Community Outreach
August 2007 80 North Dallas Bank and Trust Employee Health Fair
August 2007 350 Viva Dallas Hispanic Health Fair
September 2007 75 Blue Cross Blue Shield Employee Health Fair
October 2007 300 Breakthroughs in Medicine Health Fair
December 2007 89 Sister-to-Sister Executive Women’s Breakfast and Health Screening
January 2008 84 Chase Building Health Fair
January 2008 436 For Women For Life Health Fair
February 2008 1,132 Sister-to-Sister Health Fair
May 2008 94 Comerica Building Health Fair
June 2008 123 It’s a Guy Thing Health Fair
ATTENDEES EVENT
Austin Street Shelter
Austin Street Shelter was chosen by the Clinical Advisory committee as Baylor Hamilton Hospital’s community project. Austin Street Shelter exists to provide emergency shelter and related services to the homeless in a compassionate community, and to provide “whole person” therapeutic programs. Baylor volunteers have assisted with clothing drives, food drives, and providing lunch/dinner for the shelter.
American Heart Association: Survivor Gallery
Baylor Hamilton Heart and Vascular Hospital partnered with the American Heart Association to increase awareness of heart disease in Americans. The Survivor Gallery is a unique traveling photo exhibit of actual Baylor Hamilton Hospital patients who are heart disease survivors. Each has an emotionally compelling story to tell of courage, endurance, and the road to a healthier life. Through a series of intimate black and white portraits, the Survivor Gallery photo exhibition will help inspire and educate the public on heart disease.
American Heart Association Heart Walk
Each year Baylor Hamilton Hospital supports the American Heart Association’s Mission to “Build healthier lives, free of cardiovascular diseases and stroke” by raising donations through a series of activities and events. Baylor Hamilton Hospital’s employees, their families and pets participate in a fun-filled, non-competitive three-mile walk through downtown Dallas. Over 230 Baylor employees attend this annual event.
UNIVISION23
National Media Partners
Government PartnersThe Centers for Disease Control and Prevention
National Heart, Lung and Blood Institute
Office of Research on Women’s Health
Office on Women’s Health
Local PartnersM ajor Sponsor Patrocinador Local
Patrocinantes Locales
M edios de Comunicacion
Health Wise
Local Presenting Sponsor
Local Sponsors
Local Media Partners
At Women’s Heart Health Fair 2008 you will:
Learn ways to create a heart-healthy lifestyle for you and your family
Enjoy cooking and fitness demonstrations
Talk with medical, nutrition and stress-reduction experts
Visit dozens of exhibits
Get a FREE heart-health screening with on the spot results and counseling
For more information, call 888-718-8033 or visit www.sistertosister.org.
WOMEN’SHEART HEALTH
FAIR 2008
Saturday, February 9, 2008 dalla s
9:00 a m – 5 :00 pm
Ride to THE
dallas convention center
National Media Partners
Government PartnersThe Centers for Disease Control and Prevention
National Heart, Lung and Blood Institute
Office of Research on Women’s Health
Office on Women’s Health
Local PartnersM ajor Sponsor Patrocinador Local
Patrocinantes Locales
M edios de Comunicacion
Health Wise
Local Presenting Sponsor
Local Sponsors
Local Media Partners
S c re e ni ngPa rt ne r
Nat iona l Sp on s or s L o c a l sp on s or s
l o c a l m e di a pa rt ne r s
Office on Women’s Health
dallas convention center – exhibit Hall D
650 S. Griffin St.
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Baylor Hamilton Heart and Vascular Hospital hosts and sponsors four all-day events throughout the calendar year. These programs are created and managed by the Baylor Hamilton Hospital clinical team and are made available to the staff and community. Each year attendees travel as far as other states to attend our seminars.
In addition to the seminars and symposiums, Baylor Hamilton Hospital offers preceptor and charge nurse classes in addition to other on site continuing education opportunities.
Continuing Education Graduate Medical EducationBaylor’s graduate medical education program promotes diversity, quality and a combination of real-world applications and academic excellence. The dedicated physician leaders on the medical staff work to prepare fellows and interns for the challenging and rewarding field of medicine. Medical education has been a successful collaborative effort between Baylor University Medical Center at Dallas and Baylor Hamilton Heart and Vascular Hospital, both located on the downtown campus. All programs are accredited by the ACGME (Accreditation Council for Graduate Medical Education).
Cardiac Electrophysiology FellowshipFellows complete a twelve-month comprehensive training program. The curriculum includes diagnostic and procedure skills, outpatient management and clinical research. One fellow is accredited per year.
Cardiovascular Disease FellowshipFellows complete a three-year comprehensive training program which includes all aspects of cardiology. Clinical rotations at Baylor Hamilton Heart and Vascular Hospital include interventional cardiology, cardiac electrophysiology, cardiac rehabilitation, lipids, noninvasive cardiology, nuclear cardiology, and vascular medicine. Two fellows are accepted into the program annually.
Vascular Surgery ResidencyThe program annually offers two residency positions through the NRMP (National Residency Matching Program). The two-year residency is devoted exclusively to general vascular surgery with research participation.
Cardiovascular Interventional FellowshipFellows complete an 18-month comprehensive training program. The curriculum provides for an interventional clinical and procedural focus during the first year, followed by a focus on clinical research during the subsequent six months. One fellow is accepted into the program annually.
CY2005 CY2006 CY2007 CY2008
Vascular Seminar 103 85 133 132
Cardiovascular Symposium 528 640 420 550
EP/Non-Invasive Seminar 167 124 155 162
Southwest Cardiovascular Summit
119 126 117 100
www.bhvh.comThe Center for Nursing Education and Research Baylor University Medical Center/Baylor Health Care System 3500 Gaston Avenue • Dallas, Texas 75246
FROM THE BIG KAHUNA...
AUGUST 16, 2008
LEARNING OBJECTIVESBelow delineates the overall learning objectives for this activity:
• Identify appropriate patients for left main percutaneous cardiac interventions.
• Delineate the roles of both pharmacologic and device therapy in the management of CHF.
• List the diagnostic imaging modalities utilized in the cardiovascular evaluation of the student -athlete.
• Explore the new guidelines for lipid management of women with cardiovascular disease.
• Describe the clinical manifestations of the patient with thoracic outlet syndrome and other peripheral vascular diseases.
• Discuss the role of stent repair of abdominal aortic aneurysm.
TARGET AUDIENCEThis symposium focuses on the specific needs of:
Baylor Jack and Jane Hamilton Heart and Vascular Hospital and the Camenae Group invite you to join us for Cardiovascular Symposium 2008. This premier program
is designed for the cardiovascular healthcare professional. Our regionally-recognized faculty is comprised of leaders in their field. Each will share their experiences with advanced
technology and its impact on cardiovascular therapies and explore the latest trends in the diagnosis and treatment of the cardiovascular patient.
SPEAKERS & TOPICSLeft Main StentingRobert Stoler, MD
Diagnostic and Interventional Cardiologist • Cardiology Consultants of Texas Baylor Hamilton Heart and Vascular Hospital • Dallas, TX
Current Updates in Congestive Heart FailureJohannes J. Kuiper, MD
Cardiologist • Heart Place Baylor Hamilton Heart and Vascular Hospital • Dallas, TX
The Student Athlete and Heart DiseaseRavi Vallabhan, MD
Diagnostic and Interventional Cardiologist • Heart Place Baylor Hamilton Heart and Vascular Hospital • Dallas, TX
Women and Heart Disease: New GuidelinesCara East, MD
General Cardiologist • North Texas Heart Center Baylor Hamilton Heart and Vascular Hospital • Dallas, TX
Thoracic Outlet Syndrome & Other Vascular DiseasesBradley C. Grimsley, MD
Vascular Surgeon • Texas Vascular Associates, PA Baylor Hamilton Heart and Vascular Hospital • Dallas, TX
Imaging and Stent Repair for Abdominal Aortic Aneurysm
Clare Savage, MD Diagnostic Radiologist • American Radiology Associates, PA
Baylor University Medical Center • Dallas, TX
ACCREDITATION STATEMENTS
REGISTER NOW!www.cardiovascularsymposium.com
or call 817.788.0017
• Registered Nurses• Nurse Practitioners• Radiologic Technologists• Sonographers• Vascular Specialists
• Respiratory Therapists• Cardiovascular Invasive
Specialists• Cardiographic Technicians• Cardiovascular
Technologists
• Cardiac Electrophysiology Specialist
• Cardiovascular Allied Health Professionals
• Physician Assistants• EMTs
SOUTHFORK RANCH IN PLANO, TX
24 25
Atrial Fibrillation
Avert AF — A study to see if AVJ ablation followed by biventricular pacing improves functional status and exercise capacity compared to pharmacologic rate control in patients with chronic atrial fibrillation and a low ejection fraction. Primary investigator: Robert Kowal, MD
RE-LY — A study of the factor Xa inhibitor dabigatran compared to Coumadin (warfarin) to prevent strokes in patients with atrial fibrillation. Several other factor Xa inhibitors now also being studied. Primary investigator: Cara East, MD
Stop AF cryocath study — Evaluating a cryocatheter system for ablation of paroxysmal atrial fibrillation for patients who have failed medication therapy. Baylor is the number one enrolling site in US/Canada. Primary investigator: Kevin Wheelan, MD
Congestive Heart Failure
ASCEND — A study of nesiritide (Natrecor®) versus placebo for acute decompensated CHF, to improve dyspnea and decrease hospitalizations and death. Primary investigator: Shelley Hall, MD
Chronicle — A study of an investigational right ventricular lead which senses right heart pressures and volumes to predict early decompositions of CHF. Primary investigator: Shelley Hall, MD
MASH — A study to evaluate at an investigational right ventricular lead which would function both as a defibrillator lead and a pressure lead to detect early heart failure. Primary investigator: Jay Franklin, MD
Clinical Trials and Studies
RedHF — A study to assess the efficacy of darbepoetin alfa versus placebo in patients with severe CHF and anemia. Primary investigator: Shelley Hall, MD
Defibrillators
Vest Predicts — A study to see if an external automatic defibrillator vest will reduce overall mortality in the first 60 days following an MI in patients with EF < 35%. Primary investigator: Jay Franklin, MD
WBC/WHO — A study to determine if an algorithm can be developed based on pre-implant clinical variables to predict responses to defibrillation therapy. Primary investigator: Manish Assar, MD
Gene Trials
Acute Decompensated Heart Failure Genomic Study — A pilot study to evaluate genes associated with acute decomposition in patients with chronic heart failure and LVEF < 35%. Primary Investigator: Paul Grayburn, MD
AWARE — A trial for women with severe angina and no further revascularization options. A growth factor gene versus placebo will be infused into all coronary arteries and conduits to grow collateral blood vessels. Primary investigator: Cara East, MD and Robert Stoler, MD
GAME — A study to develop a blood test to allow doctors to identify patients with heart conditions who may benefit from defibrillators. Primary investigator: Robert Kowal, MD
Hypertrophic Cardiomyopathy Screening — A study to develop a comprehensive screening tool for genes causing hypertrophic cardiomyopathy within affected families. Primary Investigator: Paul Grayburn, MD
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Heart Surgery
EVEREST II — A randomized clinical trial comparing surgical valve repair to percutaneous clip repair in patients with severe mitral regurgitation. Primary Investigator: Paul Grayburn, MD
PROACT/On-X — A study to investigate the lowest dose anticoagulation regimens in patients who receive a carbon-based mechanical valve for severe aortic stenosis. Primary investigator: Baron Hamman, MD
Pacing and Biventricular Pacing
Optimize RV — A study to determine the long-term effects of selective right ventricular site pacing. Primary investigator: Robert Kowal, MD
RESET — A study to determine if rate-adaptive pacing can improve heart failure symptoms and chronotropic incompetence due to diastolic dysfunction. Primary investigator: Jay Franklin, MD
Patent Foramen Ovale
ACCESS/PFO registry — A study to close PFO’s in patients with two or more cryptogenic strokes. Primary investigator: Azam Anwar, MD
Heart Disease in Patients With Arthritis
Precision — A study of the effects of ibuprofen, naproxen, or Celebrex on cardiovascular events in patients requiring daily arthritis medications and a prior history of cardiovascular disease, diabetes, or hypertension. Primary investigator: Cara East, MD
Heart Disease in Patients With Kidney Disease
Altitude — A study to determine if a renin inhibitor added to an ACE inhibitor or ARB will further prevent cardiovascular events or progression of renal disease. Primary investigator: Cara East, MD
Coral stent/NIH/NHLBI — A study to compare renal stenting with best medical therapy for treatment of hypertension in patients with renal artery stenosis. Primary investigators: Robert Stoler, MD and Andrew Fenves, MD
SAMe/NIH — A study of the over-the-counter antidepressant SAMe and its effects on homocysteine-related metabolic factors in patients with kidney disease. Primary investigators: Teodoro Bottiglieri, PhD, Andrew Fenves, MD and Cara East, MD
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Cypher ELITE — A study of the newest rapamycin drug releasing stent. Primary investigator: Robert Stoler, MD
GRAVITAS — A study to compare Plavix doses to limit late stent thrombosis. Primary investigator: Robert Stoler, MD
PERSEUS — A study of the newest paclitaxel drug releasing stent. Primary investigator: Robert Stoler, MD
RESOLUTE — A study of a new Medtronic drug releasing stent. Primary investigator: Robert Stoler, MD
SAPPHIRE — A study assessing the use of stents to open carotid arteries in high risk patients. Primary investigator: Ken Johnson, MD
Xience Registry — A late outcomes registry for the Xience stent. Primary investigator: James Choi, MD
ESCAPE — A study to determine if patients with a patent foramen ovale and migraine headaches are benefited by placement of an interatrial septal closure device. Primary investigator: Azam Anwar, MD
Peripheral Artery Disease
PACE — A study of the metabolite biopterin versus placebo on treadmill walk times in patients with severe claudication. Primary investigators: Cara East MD and Greg Pearl MD
VIPER — A study of an endoprosthesis with a heparin bioactive surface for the treatment of peripheral arterial disease. Primary investigator: Dennis Gable, MD
Stem Cells
Aastrom — A study for patients with heart failure for whom other therapies have been exhausted or are inadequate. Stem cells will be collected from the patient, expanded, and then returned to the heart in a limited surgery. Primary investigators: Hal Urschel, MD and Baron Hamman, MD
Stents
ABCD — A study of same day discharge for patients after having angioplasty or a coronary stenting procedure. Primary investigator: James Choi, MD
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Filardo G, Hamilton C, Hamman B, Grayburn P. Obesity and Stroke After Cardiac Surgery: The Impact of Grouping Body Mass Index. Annals of Thoracic Surgery 2007;84:720-722.
Filardo G, Hamilton C, Hamman B, Ng HK, Grayburn P. Categorizing BMI may lead to biased results in studies investigating in-hospital mortality after isolated CABG. Journal of Clinical Epidemiology 2007;60:1132-1139.
Fonarow GC, Abraham WT, Albert NM, Gattis Stough W, Gheorghiade M, Greenberg BH, O’Connor CM, Pieper K, Sun JL, Yancy CW, Young JB. Influence of a performance-improvement initiative on quality of care for patients hospitalized with heart failure: Results of the organized program to initiate lifesaving treatment in hospitalized patients with heart failure (OPTIMIZE-HF). Archives of Internal Medicine 2007;167:1493-1502.
Fonarow GC, Abraham WT, Albert NM, Stough WG, Gheorghiade M, Greenberg BH, O’Connor CM, Pieper K, Sun JL, Yancy C, Young JB. Association between performance measures and clinical outcomes for patients hospitalized with heart failure. JAMA 2007;297:61-70.
Fonarow GC, Abraham WT, Albert NM, Stough WG, Gheorghiade M, Greenberg BH, O’Connor CM, Sun JL, Yancy C, Young JB. Carvedilol use at discharge in patients hospitalized for heart failure is associated with improved survival: An analysis from Organized Program to Initiate Lifesaving Treatment in Hospitalized Patients with Heart Failure (OPTIMIZE-HF). American Heart Journal 2007;153:82-89.
Fonarow GC, Abraham WT, Albert NM, Stough WG, Gheorghiade M, Greenberg BH, O’Connor CM, Sun JL, Yancy CW, Young JB. Prospective evaluation of beta-blocker use at the time of hospital discharge as a heart failure performance measure: results from OPTIMIZE-HF. Journal of Cardiac Failure 2007;13:722-31.
Fonarow GC, Heywood JT, Heidenreich PA, Lopatin M, Yancy CW, Investigators ASACa. Temporal trends in clinical characteristics, treatments, and outcomes for heart failure hospitalizations, 2002 to 2004: findings from Acute Decompensated Heart Failure National Registry (ADHERE). American Heart Journal 2007;153:1021-8.
Fonarow GC, Stough WG, Abraham WT, Albert NM, Gheorghiade M, Greenberg BH, O’Connor CM, Sun JL, Yancy CW, Young JB.
2007 Physician Publications
Journal Articles Albert NM, Fonarow GC, Abraham WT, Chiswell K, Stough WG, Gheorghiade M, Greenberg BH, O’Connor CM, Sun JL, Yancy CW, Young JB. Predictors of Delivery of Hospital-Based Heart Failure Patient Education: A Report from OPTIMIZE-HF. Journal of Cardiac Failure 2007;13:189-198.
Berbarie RF, Anderson AS, Schussler JM. Computed tomography coronary angiographic demonstration of a single coronary artery with the right coronary artery arising as a continuation from the left circumflex coronary artery. Catheterization and Cardiovascular Interventions 2007;69:940-941.
Berbarie RF, Anwar A, Dockery WD, Grayburn PA, Hamman BL, Vallabhan RC, Schussler JM. Measurement of Right Ventricular Volumes Before and After Atrial Septal Defect Closure Using Multislice Computed Tomography. American Journal of Cardiology 2007;99:1458-1461.
Bose R, Gupta G, Grayburn PA, Laible EA, Kang MJ, Choi JW. Safety of Drug-Eluting Stents in the Coronary Artery in ST-Elevation Myocardial Infarction at a Single High-Volume Medical Center. American Journal of Cardiology 2007;100:949-52.
Carabello BA, Kar S, Riflaldi M, Hermiller J, Bhoopalam V, Anwar A, Bajwa T, O’Donnell M, Glower D, Feldman T, Foster E. Significant reverse remodeling of the left ventricle one year after percutaneous mitral repair with the MitraClip (TM) device in patients with pre-existing systolic LV dysfunction. Circulation 2007;116:357-357.
Chen S, Ding J, Yu C, Yang B, Wood DR, Grayburn PA. Reversal of streptozotocin-induced diabetes in rats by gene therapy with betacellulin and pancreatic duodenal homeobox-1. Gene Therapy 2007;14:1102-1110.
Costanzo MR, Johannes RS, Pine M, Gupta V, Saltzberg M, Hay J, Yancy CW, Fonarow GC. The safety of intravenous diuretics alone versus diuretics plus parenteral vasoactive therapies in hospitalized patients with acutely decompensated heart failure: A propensity score and instrumental variable analysis using the Acutely Decompensated Heart Failure National Registry (ADHERE) database. American Heart Journal 2007;154:267-277.
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Relationship between admission serum sodium concentration and clinical outcomes in patients hospitalized for heart failure: an analysis from the OPTIMIZE-HF registry. European Heart Journal 2007;28:980-988.
Greenberg BH, Abraham WT, Albert NM, Chiswell K, Clare R, Stough WG, Gheorghiade M, O’Connor CM, Sun JL, Yancy CW, Young JB, Fonarow GC. Influence of diabetes on characteristics and outcomes in patients hospitalized with heart failure: A report from the Organized Program to Initiate Lifesaving Treatment in Hospitalized Patients with Heart Failure (OPTIMIZE-HF). American Heart Journal 2007;154:277. Reprint American Heart Journal 2007;154:647-654.
Hasan A, Yancy CW. Treatment of ventricular dysrhythmias and sudden cardiac death: a guideline-based approach for patients with chronic left ventricular dysfunction. Congestive Heart Failure 2007;13:228-35.
Hauptman PJ, Goodlin SJ, Lopatin M, Costanzo MR, Fonarow GC, Yancy CW. Characteristics of patients hospitalized with acute decompensated heart failure who are referred for hospice care. Archives of Internal Medicine 2007;167:1990-1997.
Hernandez AF, Fonarow GC, Liang L, Al-Khatib SM, Curtis LH, LaBresh KA, Yancy CW, Albert NM, Peterson ED. Sex and racial differences in the use of implantable cardioverter- defibrillators among patients hospitalized with heart failure. Journal of the American Medical Association 2007;298:1525-1532.
Jost CMT, Yancy Jr CW, Ring WS. Combined thrombolytic therapy for prosthetic mitral valve thrombosis. The Annals of Thoracic Surgery 2007:159-161.
Kedora J, Hohmann S, Garrett W, Munschaur C, Theune B, Gable D. Randomized comparison of percutaneous Viabahn stent grafts vs prosthetic femoral-popliteal bypass in the treatment of superficial femoral arterial occlusive disease. Journal of Vascular Surgery 2007;45:10-16.
Korpanty G, Carbon JG, Grayburn PA, Fleming JB, Brekken RA. Monitoring response to anticancer therapy by targeting microbubbles to tumor vasculature. Clinical Cancer Research 2007;13:323-330.
Laskey WK, Yancy CW, Maisel WH. Thrombosis in coronary drug-eluting stents: Report from the meeting of the Circulatory System Medical Devices Advisory Panel of the Food and Drug Administration
Characteristics, Treatments, and Outcomes of Patients With Preserved Systolic Function Hospitalized for Heart Failure. A Report From the OPTIMIZE-HF Registry. Journal of the American College of Cardiology 2007;50:768-777.
Fonarow GC, Yancy CW, Albert NM, Curtis AB, Stough WG, Gheorghiade M, Heywood JT, Mehra M, O’Connor CM, Reynolds D, Walsh MN. Improving the use of evidence-based heart failure therapies in the outpatient setting: The IMPROVE HF performance improvement registry. American Heart Journal 2007;154:12-38.
Fonarow GC, Yancy CW, Albert NM, Curtis A, Stough WG, Gheorghiade M, McBride ML, Mehra M, O’Connor C, Reynolds D, Walsh MN, Heywood JT. Heart failure quality of care in the outpatient cardiology practice setting: A report from IMPROVE HF. Circulation 2007;116:738-738.
Frantz RP, Lowes BD, Grayburn PA, White M, Krause-Steinrauf H, Krishnan V, Uyeda L, Burnett JC. Baseline and Serial Neurohormones in Patients With Congestive Heart Failure Treated With and Without Bucindolol: Results of the Neurohumoral Substudy of the Beta-Blocker Evaluation of Survival Study (BEST). Journal of Cardiac Failure 2007;13:437-444.
Friedewald Jr VE, Boehmer JP, Kowal RC, Saxon L, Yancy CW, Roberts WC. The Editor’s Roundtable: Cardiac Resynchronization Therapy. American Journal of Cardiology 2007;100:1145-1152.
Friedewald VE, Gheorghiade M, Yancy CW, Young JB, Roberts WC. The editor’s roundtable: Acute decompensated heart failure. American Journal of Cardiology 2007;99:1560-7.
Friedewald VE, Kowal RC, Valderrabano M, Roberts WC. The Editor’s Roundtable: Ablation of Atrial Fibrillation. American Journal of Cardiology 2007;100:677-83.
Garner WL, Stoler RC, Laible EA, Kang MJ, Choi JW. Percutaneous coronary artery stenting of unprotected left main coronary artery disease using drug-eluting stents: the initial Baylor University Medical Center experience. Baylor University Medical Center Proceedings 2007;20:339-43.
Gheorghiade M, Abraham WT, Albert NM, Gattis Stough W, Greenberg BH, O’Connor C M, She L, Yancy CW, Young J, Fonarow GC.
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(+/-Aortic Regurgitation) With Versus Without Coronary Artery Bypass Grafting at a Single US Medical Center (1993 to 2005). American Journal of Cardiology 2007;100:1584-1591.
Roberts WC, Ko JM, Schussler JM. Sudden collapse in aortic stenosis. American Journal of Geriatric Cardiology 2007;16:319-20.
Roberts WC, Laborde NJ, Pearl GJ. Frequency and extent of media in the internal carotid artery in “endarterectomy” specimens. American Journal of Cardiology 2007;99:990-992.
Roberts WC, Williams SL, Ko JM, Kuiper JJ. Fatal cardiac arrest in the hospital during transfer from gurney to operating table for planned coronary artery bypass grafting and mitral valve repair. American Journal of Geriatric Cardiology 2007;16:192-6.
Schussler JM, Dockery WD, Gilbey JG, Lal VR. An alternate route: 64-slice CT diagnosis of pulmonary pseudosequestration. American Journal of Medicine 2007;120:23-25.
Schussler JM, Grayburn PA. Non-invasive coronary angiography using multislice computed tomography. Heart 2007;93:290-7.
Schussler JM, Smith ER. Sixty-four-slice computed tomographic coronary angiography: will the “triple rule out” change chest pain evaluation in the ED? American Journal of Emergency Medicine 2007;25:367-375.
Schwartz BG, Kuiper JJ, Klintmalm GB, Stone MJ, Schussler JM. Combined cardiac and liver transplantation for the treatment of familial amyloidosis. Baylor University Medical Center Proceedings 2007;20:146-148.
Stastny P, Lavingia B, Fixler DE, Yancy CW, Ring WS. Antibodies against donor human leukocyte antigens and the outcome of cardiac allografts in adults and children. Transplantation 2007;84:738-745.
Taylor AL, Ziesche S, Yancy CW, Carson P, Ferdinand K, Taylor M, Adams K, Olukotun AY, Ofili E, Tam SW, Sabolinski ML, Worcel M, Cohn JN. Early and sustained benefit on event-free survival and heart failure hospitalization from fixed-dose combination of isosorbide dinitrate/hydralazine: consistency across subgroups in the African-American Heart Failure Trial. Circulation 2007;115:1747-53.
Center for Devices and Radiologic Health, December 7-8, 2006. Circulation 2007;115:2352-2357.
Main M, Goldman JH, Grayburn PA. Thinking outside the “box”— the ultrasound contrast controversy. Journal of the American College of Cardiology 2007;50:2434-2437.
Peterman MA, Hamman BL, Schussler JM. 64-Slice CT Angiography of Saphenous Vein Graft Anastomoses Fashioned With Interrupted Nitinol Clips. Annals of Thoracic Surgery 2007;83:1204.
Roberts WC, Ko JM, Filardo G, Henry AC, Hebeler RF, Cheung EHK, Matter GJ, Hamman BL. Valve structure and survival in Sexagenarians having aortic valve replacement for aortic stenosis (+/- Aortic regurgitation) with versus without coronary artery bypass grafting at a single US medical center (1993 to 2005). American Journal of Cardiology 2007;100:1286-1292.
Roberts WC, Ko JM, Filardo G, Henry AC, Hebeler Jr RF, Cheung EHK, Matter GJ, Hamman BL. Valve Structure and Survival in Septuagenarians Having Aortic Valve Replacement for Aortic Stenosis (±Aortic Regurgitation) With Versus Without Coronary Artery Bypass Grafting at a Single US Medical Center (1993 to 2005). American Journal of Cardiology 2007;100:1157-1165.
Roberts WC, Ko JM, Garner WL, Filardo G, Henry AC, Hebeler Jr RF, Matter GJ, Hamman BL. Valve Structure and Survival in Octogenarians Having Aortic Valve Replacement for Aortic Stenosis (± Aortic Regurgitation) With Versus Without Coronary Artery Bypass Grafting at a Single US Medical Center (1993 to 2005). American Journal of Cardiology 2007;100:489-495.
Roberts WC, Ko JM, Filardo G, Kitchens BL, Henry AC, Hebeler RF, Jr., Cheung EH, Matter GJ, Hamman BL. Valve Structure and Survival in Quadragenarians Having Aortic Valve Replacement for Aortic Stenosis (+/-Aortic Regurgitation) With Versus Without Coronary Artery Bypass Grafting at a Single US Medical Center (1993 to 2005). American Journal of Cardiology 2007;100:1683-1690.
Roberts WC, Ko JM, Filardo G, Henry AC, Hebeler RF, Jr., Cheung EH, Matter GJ, Hamman BL. Valve Structure and Survival in Quinquagenarians Having Aortic Valve Replacement for Aortic Stenosis
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Book ChaptersSchussler J. Assessment of Coronary Artery Disease. In: Budoff MJ, Achenbach S, Jaget N, eds. Atlas of Coardivascular Computed Tomography: Springer Verlag, Inc, 2007.
Books EditedYancy, CW. Therapeutic Strategies in Heart Failure. United Kingdom: Clinical Publishing, 2007.
Yancy, CW and Tang, W. The Year in Heart Failure – Volume 2. United Kingdom: Clinical Publishing, 2007.
2009 Physician Publications
Journal ArticlesAbraham WT, Fonarow GC, Albert NM, Stough WG, Gheorghiade M, Greenberg BH, O’Connor CM, Sun JL, Yancy CW, Young JB. Predictors of in-hospital mortality in patients hospitalized for heart failure—Insights from the Organized Program to Initiate Lifesaving Treatment in Hospitalized Patients with Heart Failure (OPTIMIZE-HF). Journal of the American College of Cardiology 2008;52:347-356.
Abraham WT, Greenberg BH, Yancy CW. Pharmacologic therapies across the continuum of left ventricular dysfunction. American Journal of Cardiology 2008;102:21G-28G.
Abraham WT, Young JB, Wheelan K, Ben Johnson W, Smith AL, Brinkman P, Chang YP. Comparison of sudden cardiac death in heart failure patients with cardiac resynchronization and defibrillator therapy (CRT-D) versus CRT alone (CRT-P). Journal of Cardiac Failure 2008;14:S71-S71.
Albert NM, Fonarow GC, Abraham WT, Chiswell K, Stough WG, Gheorghiade M, Greenberg BH, O’Connor CM, Sun JL, Yancy CW, Young JB. Predictors of delivery of hospital-based heart failure patient education: A report from OPTIMIZE-HF. Journal of Cardiac Failure 2007;13:189-198.
Al-Khatib SM, Sanders GD, Carlson M, Cicic A, Curtis A, Fonarow GC, Groeneveld PW, Hayes D, Heidenreich P, Mark D, Peterson E,
Theleman KP, Gottlich CM, Schussler JM. Kugel’s artery arising from an anomalous left circumflex coronary artery. Journal of Invasive Cardiology 2007;19.
Yancy CW. Benefit-risk assessment of nesiritide in the treatment of acute decompensated heart failure. Drug Safety 2007;30:765-781.
Yancy CW. Climbing the mountain of acute decompensated heart failure: the EVEREST Trials. Journal of the American Medical Association 2007;297:1374-6.
Yancy CW. Executive summary of the African-American initiative. MedGenMed Medscape General Medicine 2007;9.
Yancy Jr CW, Firth BG. Congestive heart failure. Disease-a-Month 2007:469-536.
Yancy CW, Ghali JK, Braman VM, Sabolinski ML, Worcel M, Archambault WT, Franciosa JA. Evidence for the Continued Safety and Tolerability of Fixed-Dose Isosorbide Dinitrate/Hydralazine in Patients With Chronic Heart Failure (the Extension to African-American Heart Failure Trial). American Journal of Cardiology 2007;100:684-689.
Yancy CW, Krum H, Massie BM, Silver MA, Stevenson LW, Cheng M, Kim SS, Evans R. The Second Follow-up Serial Infusions of Nesiritide (FUSION II) trial for advanced heart failure: Study rationale and design. American Heart Journal 2007;153:478-484.
Yancy CW. Heart Failure and Its Management With beta-Blockade: Potential Applications of Once-Daily Therapy. Journal of Clinical Hypertension (Greenwich) 2007;9:28-35.
Yancy CW. Race-Based Therapeutics. Current Cardiovascular Risk Reports 2007;1:108-117.
PatentsGrayburn, P.A., S. Chen. This invention relates to compositions and methods for the delivery of active agents, and more particularly, to the controlled, localized delivery of active agents using a combination of ultrasound and microbubbles. European Patent Office, Publication Number WO2007008220 2007.
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Epstein AE, Dimarco JP, Ellenbogen KA, Mark Estes NA, Freedman RA, Gettes LS, Gillinov AM, Gregoratos G, Hammill SC, Hayes DL, Hlatky MA, Newby LK, Page RL, Schoenfeld MH, Silka MJ, Stevenson LW, Sweeney MO, Smith SC, Jacobs AK, Adams CD, Anderson JL, Buller CE, Creager MA, Ettinger SM, Faxon DP, Halperin JL, Hiratzka LF, Hunt SA, Krumholz HM, Kushner FG, Lytle BW, Nishimura RA, Ornato JP, Riegel B, Tarkington LG, Yancy CW. ACC/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities: Executive summary: A report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to revise the ACC/AHA/NASPE 2002 guideline update for implantation of cardiac pacemakers and antiarrhythmia devices). Circulation 2008;117:2820-2840.
Epstein AE, DiMarco JP, Ellenbogen KA, Estes Iii NAM, Freedman RA, Gettes LS, Gillinov AM, Gregoratos G, Hammill SC, Hayes DL, Hlatky MA, Newby LK, Page RL, Schoenfeld MH, Silka MJ, Stevenson LW, Sweeney MO, Smith Jr SC, Jacobs AK, Adams CD, Anderson JL, Buller CE, Creager MA, Ettinger SM, Faxon DP, Halperin JL, Hiratzka LF, Hunt SA, Krumholz HM, Kushner FG, Lytle BW, Nishimura RA, Ornato JP, Riegel B, Tarkington LG, Yancy CW. ACC/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities. Heart Rhythm 2008;5:934-955.
Fleisher LA, Beckman JA, Brown KA, Calkins H, Chaikof E, Fleischmann KE, Freeman WK, Froehlich JB, Kasper EK, Kersten JR, Riegel B, Robb JF, Smith Jr SC, Jacobs AK, Adams CD, Anderson JL, Antman EM, Buller CE, Creager MA, Ettinger SM, Faxon DP, Fuster V, Halperin JL, Hiratzka LF, Hunt SA, Lytle BW, Nishimura R, Ornato JP, Page RL, Tarkington LG, Yancy CW. ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery). Anesthesia and Analgesia 2008;106:685-712.
Fonarow GC, Abraham WT, Albert NM, Stough WG, Gheorghiade M, Greenberg BH, O’Connor CM, Nunez E, Yancy CW, Young JB. A smoker’s paradox in patients hospitalized for heart failure: findings from OPTIMIZE-HF. European Heart Journal 2008;29:1983-1991.
Prystowsky EN, Sager P, Salive ME, Thomas K, Yancy CW, Zareba W, Zipes D. Preventing tomorrow’s sudden cardiac death today. Dissemination of effective therapies for sudden cardiac death prevention. American Heart Journal.
Antman EM, Hand M, Armstrong PW, Bates ER, Green LA, Halasyamani LK, Hochman JS, Krumholz HM, Lamas GA, Mullany CJ, Pearle DL, Sloan MA, Smith SC, Jr., Anbe DT, Kushner FG, Ornato JP, Jacobs AK, Adams CD, Anderson JL, Buller CE, Creager MA, Ettinger SM, Halperin JL, Hunt SA, Lytle BW, Nishimura R, Page RL, Riegel B, Tarkington LG, Yancy CW. 2007 Focused Update of the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: developed in collaboration With the Canadian Cardiovascular Society endorsed by the American Academy of Family Physicians: 2007 Writing Group to Review New Evidence and Update the ACC/AHA 2004 Guidelines for the Management of Patients With ST-Elevation Myocardial Infarction, Writing on Behalf of the 2004 Writing Committee. Circulation 2008;117:296-329.
Apple J, McQuade KL, Hamman BL, Hebeler RF, Shutze WP, Gable DR. Initial experience in the treatment of thoracic aortic aneurysmal disease with a thoracic aortic endograft at Baylor University Medical Center. Baylor University Medical Center Proceedings 2008;21:115-119.
Epstein AE, Dimarco JP, Ellenbogen KA, Mark Estes NA, Freedman RA, Gettes LS, Gillinov AM, Gregoratos G, Hammill SC, Hayes DL, Hlatky MA, Newby LK, Page RL, Schoenfeld MH, Silka MJ, Stevenson LW, Sweeney MO, Smith SC, Jacobs AK, Adams CD, Anderson JL, Buller CE, Creager MA, Ettinger SM, Faxon DP, Halperin JL, Hiratzka LF, Hunt SA, Krumholz HM, Kushner FG, Lytle BW, Nishimura RA, Ornato JP, Riegel B, Tarkington LG, Yancy CW. ACC/AHA/HRS 2008 guidelines for device-based therapy of cardiac rhythm abnormalities: A report of the American College of Cardiology/American Heart Association Task Force on practice guidelines (Writing Committee to revise the ACC/AHA/NASPE 2002 guideline update for implantation of cardiac pacemakers and antiarrhythmia devices). Circulation 2008;117:e350-e408.
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SM, Halperin JL, Hunt SA, Krumholz HM, Kushner FG, Lytle BW, Nishimura R, Page RL, Riegel B, Tarkington LG, Yancy CW. 2007 Focused Update of the ACC/AHA/SCAI 2005 Guideline Update for Percutaneous Coronary Intervention: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines: 2007 Writing Group to Review New Evidence and Update the ACC/AHA/SCAI 2005 Guideline Update for Percutaneous Coronary Intervention, Writing on Behalf of the 2005 Writing Committee. Circulation 2008;117:261-95.
Markham DW, Dries DL, King LP, Leonard D, Yancy CW, Peshock RM, Willett D, Cooper RS, Drazner MH. Blacks and whites have a similar prevalence of reduced left ventricular ejection fraction in the general population: The Dallas Heart Study (DHS). American Heart Journal 2008;155:876-882.
Miller AH, Nazeer S, Pepe P, Estes B, Gorman A, Yancy CW. Acutely Decompensated Heart Failure in a County Emergency Department: A Double-Blind Randomized Controlled Comparison of Nesiritide Versus Placebo Treatment. Annals of Emergency Medicine 2008:51:571-578.
Nohria A, Hasselblad V, Stebbins A, Pauly DF, Fonarow GC, Shah M, Yancy CW, Califf RM, Stevenson LW, Hill JA. Cardiorenal Interactions. Insights From the ESCAPE Trial. Journal of the American College of Cardiology 2008;51:1268-1274.
Patel UD, Hernandez AF, Liang L, Peterson ED, LaBresh KA, Yancy CW, Albert NM, Ellrodt G, Fonarow GC. Quality of care and outcomes among patients with heart failure and chronic kidney disease: A Get With the Guidelines-Heart Failure Program study. American Heart Journal.
Rao MV, Murray P, Yancy CW. Management of Heart Failure with Renal Artery Ischemia. Heart Failure Clinics 2008;4:465-478.
Roberts WC, Ko JM, Pearl GJ. Morphologic features of atherosclerotic plaque in occlusive femoral artery disease treated by endarterectomy. American Journal of Geriatric Cardiology 2008;17:50-52.
Sweitzer NK, Lopatin M, Yancy CW, Mills RM, Stevenson LW. Comparison of Clinical Features and Outcomes of Patients Hospitalized With Heart Failure and Normal Ejection Fraction (?55%) Versus Those With Mildly Reduced (40% to 55%) and Moderately to Severely
Fonarow GC, Abraham WT, Albert NM, Stough WG, Gheorghiade M, Greenberg BH, O’Connor CM, Pieper K, Sun JL, Yancy CW, Young JB. Factors identified as precipitating hospital admissions for heart failure and clinical outcomes: Findings from OPTIMIZE-HF. Archives of Internal Medicine 2008;168:847-854.
Fonarow GC, Abraham WT, Albert NM, Stough WG, Gheorghiade M, Greenberg BH, O’Connor CM, Sun JL, Yancy CW, Young JB. Influence of beta-blocker continuation or withdrawal on outcomes in patients hospitalized with heart failure. Journal of the American College of Cardiology 2008;52:190-199.
Friedewald VE, Burnett JC, Januzzi JL, Roberts WC, Yancy CW. The editor’s roundtable: B-type natriuretic peptide. American Journal of Cardiology 2008;101:1733-1740.
Friedewald VE, Giles TD, Pool JL, Yancy CW, Roberts WC. The editor’s roundtable: Endothelial dysfunction in cardiovascular disease. American Journal of Cardiology 2008;102:418-423.
Gambassi G, Agha SA, Sui XM, Yancy CW, Butler J, Giamouzis G, Love TE, Ahmed A. Race and the natural history of chronic heart failure: A propensity-matched study. Journal of Cardiac Failure 2008;14:373-378.
Gibbs WN, Hamman BL, Roberts WC, Schussler JM. Diagnosis of congenital unicuspid aortic valve by 64-slice cardiac computed tomography. Baylor University Medical Center Proceedings 2008;21:139.
Grayburn PA. Product safety compromises patient safety (an unjustified black box warning on ultrasound contrast agents by the Food and Drug Administration). American Journal of Cardiology 2008;101:892-893.
Grayburn PA. How to measure severity of mitral regurgitation. Heart 2008;94:376-383.
Kamath SA, Drazner MH, Wynne J, Fonarow GC, Yancy CW. Characteristics and outcomes in African American patients with decompensated heart failure. Archives of Internal Medicine 2008;168:1152-8.
King SB, 3rd, Smith SC, Jr., Hirshfeld JW, Jr., Jacobs AK, Morrison DA, Williams DO, Feldman TE, Kern MJ, O’Neill WW, Schaff HV, Whitlow PL, Adams CD, Anderson JL, Buller CE, Creager MA, Ettinger
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Employee Research and Publications
Baylor Hamilton Heart and Vascular Hospital is committed to establishing a strong structure and process that will implement the use of best, evidence-based practice at the bedside. The clinical team members have been encouraged to participate in our research committee. In addition to the research committee, Baylor Hamilton Heart and Vascular Hospital started in May 2008 a publication committee called Acquiring Necessary Knowledge through Education Research for Best Practice. This committee’s goal is to begin publishing articles about Baylor Hamilton Heart and Vascular Hospital best practices. The following is a list of publications and research activities for FY 2008.
Articles finalized and officially in print:
Exercise tolerance testing in a cardiac rehabilitation setting: an exploratory study of its safety and practicality for exercise prescription and outcome data collection. BUMC Proceedings, October 2007. Kay Simms, MS, Chris Myers, PhD, Jenny Adams, PhD, Julie Hartman, MS, Christopher Lindsey, BS, Mike Doler, BS, and Janet Suhr, BS, MBA
Challenging Traditional Activity Limits After Coronary Artery Bypass Graft Surgery. Journal of Cardiopulmonary Rehabilitation and Prevention, March/April 2008. Jenny Adams, PhD, Gwen Pullum, LVN, Pam Stafford, RN, BS, Nava Hanners, RN, Julie Hartman, MS, Matt Hubbard, MS, Tiffany McCullough, BS, Danielle Strauss, RN, Valerie Anderson, RN, Anne Lawrence, RN
Is a Preoperative Chlorhexidine Shower Enough? Operating Room Nurses Implement an Intraoperative Surgical Site Precleansing Technique. AORN Journal, September 2008. Kelli Grelle, RN, Laura Linker, RN, AND, Jennifer Maninang, RN, Sue Bruce, RN, BSN, Nancy Vish, RN, PhD, CCRN, Shirley Sample, RN
Reduced (<40%) Fractions. The American Journal of Cardiology 2008;101:1151-1156.
Tallman TA, Peacock WF, Emerman CL, Lopatin M, Blicker JZ, Weber J, Yancy CW. Noninvasive ventilation outcomes in 2,430 acute decompensated heart failure patients: An ADHERE registry analysis. Academic Emergency Medicine 2008;15:355-362.
Wang MY, Grayburn P, Chen S, Ravazzola M, Orci L, Unger RH. Adipogenic capacity and the susceptibility to type 2 diabetes and metabolic syndrome. Proceedings of the National Academy of Sciences of the United States of America 2008;105:6139-6144.
Yancy CW. Predicting life expectancy in heart failure. Journal of the American Medical Association 2008;299:2566-2567.
Yancy CW. Vasodilator therapy for decompensated heart failure. Journal of the American College of Cardiology 2008;52:208-210.
Yancy CW, Abraham WT, Albert NM, Clare R, Stough WG, Gheorghlade M, Greenberg BH, O’Connor CM, She L, Sun JL, Young JB, Fonarow GC. Quality of care of and outcomes for African Americans hospitalized with heart failure. Journal of the American College of Cardiology 2008;51:1675-1684.
Young JB, Abraham WT, Albert NM, Stough WG, Gheorghiade M, Greenberg BH, O’Connor CM, She L, Sun JL, Yancy CW, Fonarow GC. Relation of low hemoglobin and anemia to morbidity and mortality in patients hospitalized with heart failure (Insight from the OPTIMIZE-HF registry). American Journal of Cardiology 2008;101:223-230.
Book ChaptersYancy CW. Decision-making in Advanced Heart Failure. In: Beattie J, Goodlin S, eds. Supportive Care in Heart Failure: Oxford University Press, 2008.
Yancy CW. Nitric Oxide Biology and Oxidative Stress in Heart Failure. In: Yancy CW, Young J, eds. Therapeutic Strategies in Heart Failure. Oxford, UK: Clinical Publishing, 2008.
Book EditorsYancy CW, Young JB. Therapeutic Strategies in Heart Failure Therapeutic Strategies. Oxford, UK: Clinical Publishing, 2008.
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Presentations
February 2008• Presentation at National Conference for VHA on SCIP and CHF Janna Entzminger, RN, BSN, Kelle Grelle, RN, Jan Compton, RN, MSN, Nancy Vish, RN, PhD.
March 2008• Poster Presentation at American College of Cardiology• Carole Salamah, RN, BSN and Andres Sisneros, ARRT on data collection for Percutaneous Coronary Intervention Patients.
May 2008• Poster Presentation at National Conference: Society of Vascular Nurses Shirley Andrews, RN, CVN, presented a poster Discharge Education at Baylor Hamilton Heart and Vascular Hospital.
Current activity guidelines for CABG patients are too restrictive; comparison of the forces exerted on the median sternotomy during couch vs. lifting activities combined with valsalva maneuver. Thoracic and Cardiovascular Surgeons, 2008. Robert D. Parker, PhD, Jenny L. Adams, PhD, Gerald Ogola, MS, MPH, Darvin A. McBrayer, Matthew Hubbard, MS, Tiffany Lyn McCullough, BS, Julie Michelle Hartman, MS, Tim Cleveland, RN
Articles accepted for publication in journal but not yet in print:
Appropriateness of Sling Immobilization After Pacemaker/Implantable Cardioverter-Defibrillator Implantation. BUMC Proceedings, January 2009. Aster Naffe, RN, CCRN, Mini Iype, RN, Mini Easo, RN, Sandra DeJong McLeroy, RN, Kelli Pinaga, RN, Nancy Vish, RN, PhD, Kevin Wheelan, MD, Jay Franklin, MD, Jenny Adams, PhD
Cardiac Rehabilitation of a 77 Year Old Male Runner; Consideration of the Athlete-Not the Age. BUMC Proceedings, January 2009. Jack Schmid, BSc; Jenny Adams, PhD; Dunlei Cheng, PhD
Studies currently in process:
Assessment of the Historical Use of a Proposed Insulin Sliding Scale and its Effect on Patient Glucose Control.
Efficient Use of Nurse’s Time During Patient Admission Process (Pink Packet)
Assessment of functional capacity requirements during simulated police officer tasks for the purpose of developing an occupation-specific assessment for safe and expeditious return to work for cardiac patients.
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Thomas C. Andrews, MDInternal Medicine, Cardiovascular Disease
Medical School: Vanderbilt University School of MedicineInternship: Brigham and Women’s HospitalResidency: Brigham and Women’s Hospital, Harvard Medical SchoolFellowship: Brigham and Women’s Hospital, Harvard Medical SchoolBoard Certified: Internal Medicine, Cardiovascular Disease Clinical Expertise: Cardiovascular Diseases
Cara A. East, MD, FACPInternal Medicine, Cardiovascular Disease, Endocrinology, Echocardiography
Medical School: University of Texas Southwestern Medical SchoolInternship: Parkland Hospital, UT Southwestern Medical SchoolResidency: Parkland Hospital, UT Southwestern Medical SchoolFellowship: UT Southwestern-Ctr for Nutrition, Baylor Univ. Medical Ctr at DallasBoard Certified: Internal Medicine, Cardiovascular Disease, Endocrinology, EchocardiographyClinical Expertise: Cholesterol Disorders, Cardiology Clinical Research, Echocardiography
Rafic F. Berbarie, MDInternal Medicine, Cardiovascular Disease
Medical School: University of Texas Medical Branch at GalvestonInternship: Baylor University Medical Center at DallasResidency: Baylor University Medical Center at DallasFellowship: Baylor University Medical Center at DallasBoard Certified: Internal Medicine, Cardiovascular DiseaseClinical Expertise: Cardiology
Ravi Edupuganti, MDInternal Medicine, Cardiovascular Disease, Nuclear Cardiology
Medical School: University of Texas Medical Branch at GalvestonInternship: Baylor College of MedicineResidency: Baylor College of MedicineFellowship: Ochsner Foundation HospitalBoard Certified: Internal Medicine, Cardiovascular Disease, Nuclear Cardiology Clinical Expertise: Nuclear Cardiology, Cardiac Echocardiography, Cardiac Wellness
Andrew T. Berggren, MDInternal Medicine, Cardiovascular Disease, Nuclear Cardiology
Medical School: University of Texas Southwestern Medical SchoolInternship: University of Texas Southwestern Medical SchoolResidency: University of Texas Southwestern Medical SchoolFellowship: University of Texas Health Science Center, San AntonioBoard Certified: Internal Medicine, Cardiovascular Disease, Nuclear Cardiology Clinical Expertise: Nuclear Cardiology, Cardiac Echocardiography, Cardiac Wellness
Charles M. Gottlich, MDInternal Medicine, Cardiovascular Disease
Medical School: University of Texas Southwestern Medical SchoolInternship: University of California at San Francisco Medical SchoolResidency: University of California at San Francisco Medical School, University of Texas Southwestern Medical SchoolFellowship: University of Texas Southwestern Medical SchoolBoard Certified: Internal Medicine, Cardiovascular DiseaseClinical Expertise: Cardiology
Melissa M. Carry, MDInternal Medicine, Cardiovascular Disease
Medical School: University of Arkansas for Medical SciencesInternship: University of Arkansas for Medical SciencesResidency: University of Arkansas for Medical SciencesFellowship: University of Texas Southwestern Medical CenterBoard Certified: Internal Medicine, Cardiovascular Disease Clinical Expertise: Non-Invasive Cardiology, Echocardiography, Women Heart Disease
Paul A. Grayburn, FACCInternal Medicine, Cardiovascular Disease
Medical School: University of Texas Medical Branch at GalvestonInternship: St. Paul University HospitalResidency: St. Paul University HospitalFellowship: University of Kentucky Medical CenterBoard Certified: Internal Medicine, Cardiovascular Disease Clinical Expertise: Valvular Heart Disease, Echocardiography
General Cardiology
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Jerrold M. Grodin, MD, FACCInternal Medicine, Cardiovascular Disease
Medical School: Mount Sinai School of MedicineInternship: Mount Sinai School of MedicineResidency: Mount Sinai School of MedicineFellowship: Baylor University Medical Center at DallasBoard Certified: Internal Medicine, Cardiovascular Disease Clinical Expertise: Interventional Cardiology
Alfredo H. Jimenez, MD, FACCInternal Medicine, Cardiovascular Disease
Medical School: Universidad Nacional de Colombia Medical SchoolInternship: University of Missouri-ColumbiaResidency: University of Missouri-ColumbiaFellowship: Washington University School of Medicine, Barnes-Jewish Hospital Board Certified: Internal Medicine, Cardiovascular DiseaseClinical Expertise: Cardiovascular Diseases
Shelley A. Hall, MDCardiovascular Disease
Medical School: University of Texas Southwestern Medical SchoolInternship: University of Texas Southwestern Medical SchoolResidency: University of Texas Southwestern Medical SchoolFellowship: University of Texas Southwestern Medical SchoolBoard Certified: Cardiovascular DiseaseClinical Expertise: Congestive Heart Failure, Transplantation
Stephen B. Johnston, MD, FACCInternal Medicine, Cardiovascular Disease, Nuclear Cardiology, Echocardiography
Medical School: University of Texas Health Science Center, San AntonioInternship: Baylor University Medical Center at DallasResidency: Baylor University Medical Center at DallasFellowship: Baylor University Medical Center at DallasBoard Certified: Internal Medicine, Cardiovascular Disease, Nuclear Cardiology, EchocardiographyClinical Expertise: General Cardiology, Non-Invasive Cardiology
Shyla T. High, MD, FACCCardiovascular Disease
Medical School: Texas Tech UniversityInternship: Baylor University Medical Center at DallasResidency: Baylor University Medical Center at DallasFellowship: Baylor University Medical Center at DallasBoard Certified: Cardiovascular Disease Clinical Expertise: Non-Invasive Cardiology, Echocardiography, Women Heart Disease
Mohammad N. Khan, MDInternal Medicine, Cardiovascular Disease
Medical School: Punjab Medical CollegeInternship: University of Texas Medical Branch at GalvestonResidency: University of Texas Medical Branch at GalvestonFellowship: University of Texas Medical Branch at GalvestonBoard Certified: Internal Medicine, Cardiovascular Disease Clinical Expertise: Non-general Cardiology, Non-invasive Cardio, Cardiac Echo, Cardiac Wellness, Cadiovascular Disease
John W. Hyland, MD, FACCInternal Medicine, Cardiovascular Disease
Medical School: Washington University Medical SchoolInternship: Barnes-Jewish Hospital, Washington Univ. Medical SchoolResidency: Barnes Hospital, Washington University Medical SchoolFellowship: Peter Bent Brigham Hospital, Harvard Medical SchoolBoard Certified: Internal Medicine, Cardiovascular Disease Clinical Expertise: General Cardiology, Nuclear Cardiology
Karen K. Klatte, MD, FACCInternal Medicine, Cardiovascular Disease, Echocardiography
Medical School: University of Texas Southwestern Medical SchoolInternship: Baylor University Medical Center at DallasResidency: Baylor University Medical Center at DallasFellowship: St. Louis University HospitalsBoard Certified: Internal Medicine, Cardiovascular Disease, EchocardiographyClinical Expertise: Non-Invasive Cardiology, Echocardiography, Nuclear Cardiology, Women Heart Disease
General Cardiology
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Johannes J. Kuiper, MDCardiovascular Disease, Echocardiography
Medical School: New York University School of MedicineInternship: New York University School of MedicineResidency: Presbyterian Medical CenterFellowship: Presbyterian Medical Center, University of CaliforniaBoard Certified: Internal Medicine, Cardiovascular Disease, Echocardiography Clinical Expertise: Heart Failure, Transplantation, Pulmonary Hypertension
James H. Shelton, MD, FACCInternal Medicine, Cardiovascular Disease
Medical School: Harvard UniversityInternship: University of California at San DiegoResidency: University of California at San DiegoFellowship: University of California at San DiegoBoard Certified: Internal Medicine, Cardiovascular DiseaseClinical Expertise: Cardiovascular Diseases, Interventional Cardiology, Nuclear Cardiology
Rohit J. Parmar, MDInternal Medicine, Cardiovascular Disease, Nuclear Cardiology, Echocardiography
Medical School: University of BristolInternship: UT Southwestern Medical SchoolResidency: UT Southwestern Medical School, University of BristolFellowship: University of Texas Medical Branch at GalvestonBoard Certified: Internal Medicine, Cardiovascular Disease, Nuclear Cardiology, Echocardiography Clinical Expertise: General Cardiology, Non-Invasive Cardiology, Nuclear Cardiology, Cardiac Echocardiography
Michael N. Sills, MD, FACCInternal Medicine, Cardiovascular Disease
Medical School: George Washington UniversityInternship: George Washington University HospitalResidency: Strong Memorial Hospital Fellowship: University of Texas Southwestern Medical SchoolBoard Certified: Internal Medicine, Cardiovascular DiseaseClinical Expertise: Non-Invasive Cardiology, Echocardiography
Robert L. Rosenthal, MDInternal Medicine, Cardiovascular Disease
Medical School: Columbia University School of MedicineInternship: University of Texas Southwestern Medical SchoolResidency: University of Texas Southwestern Medical SchoolFellowship: University of Texas Southwestern Medical SchoolBoard Certified: Internal Medicine, Cardiovascular DiseaseClinical Expertise: Preventive Cardiology, CT Coronary Angiography, Non-Invasive Cardiology
Scott K. Stephenson, MDInternal Medicine, Cardiovascular Disease
Medical School: University of Texas Southwestern Medical SchoolInternship: Baylor University Medical Center at DallasResidency: Baylor University Medical Center at DallasFellowship: Baylor University Medical Center at DallasBoard Certified: Internal Medicine, Cardiovascular DiseaseClinical Expertise: Cardiac Wellness
Clyde W. Yancy, Jr., MDInternal Medicine, Cardiovascular Disease
Medical School: Tulane University School of MedicineInternship: Parkland Memorial HospitalResidency: Parkland Memorial HospitalFellowship: University of Texas Southwestern Medical Center at Dallas Affiliated HospitalsBoard Certified: Internal Medicine, Cardiovascular DiseaseClinical Expertise: Heart Failure, Hypertension, Preventative Cardiology, Cardiomyopathy, Heart Transplantation
James S. Sharp, MDInternal Medicine, Cardiovascular Disease
Medical School: University of Texas Medical Branch at GalvestonInternship: Louisiana State University Medical CenterResidency: Louisiana State University Medical CenterFellowship: Louisiana State University Medical CenterBoard Certified: Internal Medicine, Cardiovascular DiseaseClinical Expertise: Cardiac Wellness
General Cardiology
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Baron L. Hamman, MD Cardiothoracic Surgery
Medical School: University of Texas Southwestern Medical SchoolInternship: University of Louisville Medical SchoolResidency: University of Louisville Medical School, Univ. of AlabamaFellowship: University of Alabama, Harvard Medical SchoolBoard Certified: Cardiothoracic SurgeryClinical Expertise: Surgery of the Aortic Root, Mitral Valve Repair, Minimally Invasive Cardiac Surgery, Complex (and off pump) Coronary Artery Bypass Surgery
Azam Anwar, MDInternal Medicine, Interventional Cardiology, Cardiovascular Disease
Medical School: University of Missouri, Kansas CityInternship: Baylor University Medical Center at DallasResidency: Baylor University Medical Center at DallasFellowship: Univ. of Texas at San Antonio, San Francisco Heart Institute Board Certified: Internal Medicine, Interventional Cardiology, Cardiovascular DiseaseClinical Expertise: Complex Interventional Cardiolgy, Percutaneous Mitral Valve Repair, ASD/
PFO Closure, Alcohol Septal Ablation for HOCM, Valvuloplasty, Medical Device Development
Robert E. Hebeler, Jr., MD Cardiothoracic Surgery
Medical School: Tulane University School of MedicineInternship: University of Texas Health Science Center at HoustonResidency: University of Texas Health Science Center at HoustonFellowship: Emory University HospitalBoard Certified: Cardiothoracic SurgeryClinical Expertise: Reconstructive Valve Surgery, Atrial Fibrillation, Left Ventricular Remodeling
James W. Choi, MD, FACC, FSCAIInternal Medicine, Cardiovascular Disease, Interventional Cardiology, Nuclear Cardiology
Medical School: Northwestern University Medical SchoolInternship: Northwestern University Medical SchoolResidency: Northwestern University Medical SchoolFellowship: Northwestern University Medical SchoolBoard Certified: Internal Medicine, Cardiovascular Disease, Interventional Cardiology, Nuclear CardiologyClinical Expertise: Complex Coronary Interventions: Chronic Total Occlusions, Unprotected Left Main Stenting, Peripheral Vascular Interventions, Percutaneous pfo/asd Closures, Mitral and Aortic Valve Balloon Valvuloplasty
Michael S. Donsky, MDInternal Medicine, Cardiovascular Disease
Medical School: University of Texas Medical Branch at GalvestonInternship: D.C. General Hospital - Georgetown UniversityResidency: Parkland Memorial HospitalFellowship: University of Texas Southwestern Medical SchoolBoard Certified: Internal Medicine, Cardiovascular DiseaseClinical Expertise: Interventional Cardiology
Albert C. Henry, III, MD Cardiothoracic Surgery, General Surgery
Medical School: University of Texas Medical School at HoustonInternship: Memorial Hermann HospitalResidency: Texas Heart Institute, UT Health Science Center at HoustonFellowship: Texas Heart InstituteBoard Certified: Cardiothoracic Surgery, General SurgeryClinical Expertise: Thoracic Aneurysms
Kenneth B. Johnson, MDInternal Medicine, Interventional Cardiology, Cardiovascular Disease, Vascular Medicine, Endovascular Medicine
Medical School: University of New MexicoInternship: Baylor University Medical Center at DallasResidency: Baylor University Medical Center at DallasFellowship: Baylor University Medical Center at DallasBoard Certified: Internal Medicine, Interventional Cardiology, Cardiovascular Disease, Vascular Medicine, Endovascular MedicineClinical Expertise: Medical and endovascular management of arterial and venous disorders
Gregory J. Matter, MD Cardiothoracic Surgery
Medical School: Baylor College of MedicineInternship: University of AlabamaResidency: University of AlabamaFellowship: University of AlabamaBoard Certified: Cardiothoracic SurgeryClinical Expertise: Cardio Thoracic Surgery, Multiple Bypass, Re-operations, Treatment of Aorta and Heart Valves, Improving the Outcomes for High Risk Patients
Cardiovascular & Thoracic Surgery Inverventional Cardiology
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John R. Schumacher, MD, FACC, FSCAIInternal Medicine, Interventional Cardiology, Cardiovascular Disease
Medical School: Indiana University Internship: Baylor University Medical Center at DallasResidency: Baylor University Medical Center at DallasFellowship: Baylor University Medical Center at DallasBoard Certified: Internal Medicine, Interventional Cardiology, Cardiovascular DiseaseClinical Expertise: Interventional Cardiology
Ravi C. Vallabhan, MD, FACCInterventional Cardiology, Cardiovascular Disease
Medical School: University of Texas Health Science Center, San AntonioInternship: University of Texas Health Science Center, San AntonioResidency: University of Texas Health Science Center, San AntonioFellowship: Baylor University Medical Center at DallasBoard Certified: Internal Medicine, Interventional Cardiology, Cardiovascular DiseaseClinical Expertise: Percutaneous Mitral Valve Repair, Alcohol septal ablation for HOCM, Medical Device Development,Management of Atrial Septal Defect (ASD) and Patent Foramen Ovale (PFO)
Jeffrey M. Schussler, MD, FACC, FSCAICardiovascular Disease, Interventional Cardiology, Cardiac Computed Tomography
Medical School: University of Texas Medical Branch at GalvestonInternship: Baylor University Medical Center at DallasResidency: Baylor University Medical Center at DallasFellowship: Baylor University Medical Center at DallasBoard Certified: Cardiovascular Disease, Interventional Cardiology, Cardiac Computed TomographyClinical Expertise: General Cardiology, Preventative Cardiology, Treadmill Testing/Stress Testing, Echocardiography/Stress Echocardiography, Nuclear Stress Testing, Cardiac Catheterization, Interventional Cardiology-Cardiac stents, Calcium Scoring, CT Coronary Angiography /Non-invasive Coronary Angiography, Takotsubo Cardiomyopathy/Broken Heart Syndrome
Carlos E. Velasco, MD, FACC, FACPInternal Medicine, Interventional Cardiology, Cardiovascular Disease
Medical School: Universidad de Guayaquil School of MedicineInternship: Baylor College of MedicineResidency: Baylor College of MedicineFellowship: Vanderbilt University Hospital, Baylor College of MedicineBoard Certified: Internal Medicine, Interventional Cardiology, Cardiovascular DiseaseClinical Expertise: Cardiovascular Diseases, Interventional Cardiology
Rolando M. Solis, MDCardiovascular Disease
Medical School: Far Eastern UniversityInternship: Albert Einstein Healthcare FoundationResidency: Baylor University Medical Center at DallasFellowship: Baylor University Medical Center at DallasBoard Certified: Cardiovascular Disease Clinical Expertise: Diagnostic and Interventional Cardiology, Transvenous Permanent Pacemaker Implantation
Dong-Hi A. Yoon, MDCardiovascular Disease, Nuclear Cardiology, Interventional Cardiology
Medical School: University of Texas Southwestern Medical SchoolInternship: Baylor University Medical Center at DallasResidency: Baylor University Medical Center at DallasFellowship: Harbor-UCLA Medical Center, Good Samaritan HospitalBoard Certified: Internal Medicine, Cardiovascular Disease, Nuclear Cardiology, Interventional Cardiology Clinical Expertise: General Cardiology, Nuclear Cardiology and Interventional Cardiology
Robert C. Stoler, MD, FACC, FSCAIInternal Medicine, Interventional Cardiology, Cardiovascular Disease
Medical School: Duke UniversityInternship: University of Texas Southwestern Medical SchoolResidency: University of Texas Southwestern Medical SchoolFellowship: Beth Israel Hospital, Harvard Medical SchoolBoard Certified: Internal Medicine, Interventional Cardiology, Cardiovascular DiseaseClinical Expertise: Complex Coronary Interventions, Left Main Coronary Artery PCI and Chronic Total Occlusion PCI; Valvular Heart Disease
Inverventional Cardiology
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Manish D. Assar, MDCardiac Electrophysiology, Cardiovascular Disease
Medical School: University of California, San FranciscoInternship: University of Texas Southwestern Medical SchoolResidency: University of Texas Southwestern Medical SchoolFellowship: Duke University Medical Center, University of Western OntarioBoard Certified: Cardiac Electrophysiology, Cardiovascular DiseaseClinical Expertise: Clinical Cardiac Electrophysiology, Catheter Ablation for Complex Arrhythmias (supraventricular/ventricular tachycardias), Pacemaker and defibrillator therapy including bi-ventricular resynchronization therapy for the treatment of heart failure, diagnosis and treatment of syncope, laser leas extraction
Peter J. Wells, MDInternal Medicine, Clinical Cardiac Electrophysiology, Cardiovascular Disease
Medical School: Indiana University School of MedicineInternship: Vanderbilt UniversityResidency: Vanderbilt UniversityFellowship: University of Texas Southwestern Medical SchoolBoard Certified: Internal Medicine, Clinical Cardiac Electrophysiology, Cardiovascular DiseaseClinical Expertise: Arrhythmia Management, Pacemaker and Defibrillator Implantation, Curative Ablation Therapy
Alan S. Donsky, MDInternal Medicine, Cardiac Electrophysiology
Medical School: University of Texas Medical Branch at GalvestonInternship: Barnes-Jewish Hospital, Washington Univ. Medical SchoolResidency: Washington University in St. LouisFellowship: St. Luke’s Episcopal Hospital, Baylor University Medical Center at DallasBoard Certified: Internal Medicine, Cardiac Electrophysiology
Clinical Expertise: Clinical Cardiac Electrophysiology, Catheter Ablation for Complex Arrhythmias (supraventricular/ventricular tachycardias), Pacemaker and defibrillator therapy including bi-ventricular resynchronization therapy for the treatment of heart failure, diagnosis and treatment of syncope, catheter ablation for the treatment of atrial fibrillation
Kevin R. Wheelan, MDInternal Medicine, Cardiovascular Disease, Clinical Cardiac Electrophysiology
Medical School: Washington University School of MedicineInternship: Baylor University Medical Center at DallasResidency: Baylor University Medical Center at DallasFellowship: University of Texas Southwestern Medical SchoolBoard Certified: Internal Medicine, Clinical Cardiac Electrophysiology, Cardiovascular DiseaseClinical Expertise: Clinical Cardiac Electrophysiology, Catheter Ablation for Complex Arrhythmias (supraventricular/ventricular tachycardias), Pacemaker and defibrillator therapy including bi-ventricular resynchronization therapy for the treatment of heart failure, diagnosis
Jay O. Franklin, MD, FACCInternal Medicine, Cardiovascular Disease, Clinical Cardiac Electrophysiology
Medical School: Texas A&M University College of MedicineInternship: Texas A&M University College of MedicineResidency: University of LouisvilleFellowship: University of California at San Francisco Medical School, University of Missouri Board Certified: Internal Medicine, Clinical Cardiac Electrophysiology, Cardiovascular DiseaseClinical Expertise: Clinical Cardiac Electrophysiology, Catheter Ablation for Complex Arrhythmias (supraventricular/ventricular tachycardias), Pacemaker and defibrillator therapy including bi-ventricular resynchronization therapy for the treatment of heart failure, diagnosis and treatment of syncope, catheter ablation for the treatment of atrial fibrillation
Robert C. Kowal, MD, PhDCardiovascular Disease, Clinical Cardiac Electrophysiology
Medical School: University of Texas Southwestern Medical SchoolInternship: Brigham and Women’s Hospital, Harvard Medical SchoolResidency: Brigham and Women’s Hospital, Harvard Medical SchoolFellowship: Brigham and Women’s Hospital, Harvard Medical School, UT Southwestern Medical SchoolBoard Certified: Cardiovascular Disease, Clinical Cardiac Electrophysiology
Clinical Expertise: Clinical Cardiac Electrophysiology, Catheter Ablation for Complex Arrhythmias (atrial fibrillation, supraventricular, and ventricular tachycardias), Pacemaker and defibrillator therapy including bi-ventricular resynchronization therapy for the treatment of heart failure, diagnosis and treatment of syncope, atrial fibrillation and genetic arrhythmia syndromes
Cardiac Electrophysiology
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Hassan I. Bukhari, MDGeneral Surgery
Medical School: King Edward Medical CollegeInternship: Saint Charles HospitalResidency: Tucson General HospitalFellowship: Baylor University Medical Center at Dallas, Wadley Institute of Molecular MedicineBoard Certified: General SurgeryClinical Expertise: General Vascular Surgery, General Surgery
Wilson V. Garrett, MD, FACSVascular Surgery, General Surgery
Medical School: University of Texas Southwestern Medical SchoolInternship: University of UtahResidency: University of Texas Southwestern Medical CenterFellowship: University of Iowa Vascular Surgery Hospitals and ClinicsBoard Certified: Vascular Surgery, General Surgery Clinical Expertise: Endovascular, medical and surgical treatment of vascular disorders - including aneurysms, carotid stenosis, peripheral vascular disease, venous disease, varicose veins, including laser treatment and dialysis access
Tuan-Hung B. Chu, MDGeneral Surgery, Vascular Surgery
Medical School: University of Texas Southwestern Medical SchoolInternship: University of Medicine & Dentistryof New JerseyResidency: University of Medicine & Dentistry of New JerseyFellowship: Loyola University Medical CenterBoard Certified: General Surgery, Vascular SurgeryClinical Expertise: Abdominal Aneurysm, Peripheral Vascular Disease, Carotid Surgery, Varicose Vein Treatment, Lymphadema, Angiography, Non-Invasive & Surgical Management of Vascular Leisions, AV access
Bradley R. Grimsley, MD, FACSVascular Surgery, General Surgery
Medical School: Emory University School of MedicineInternship: Wake Forest University School of MedicineResidency: Wake Forest University School of MedicineFellowship: Baylor University Medical Center at DallasBoard Certified: Vascular Surgery, General SurgeryClinical Expertise: Endovascular, medical and surgical treatment of vascular disorders - including aneurysms, carotid stenosis, peripheral vascular disease, venous disease, varicose veins, including laser treatment and dialysis access
Toby J. Dunn, MDGeneral Surgery
Medical School: Duke University School of MedicineInternship: Washington University School of MedicineResidency: Washington University School of MedicineFellowship: Washington University School of MedicineBoard Certified: General Surgery Clinical Expertise: Vascular and Endovascular Surgery
Stephen E. Hohmann, MDVascular Surgery, General Surgery
Medical School: University of California, San DiegoInternship: Baylor University Medical Center at DallasResidency: Baylor University Medical Center at DallasFellowship: Baylor University Medical Center at DallasBoard Certified: Vascular Surgery, General Surgery Clinical Expertise: Endovascular, medical and surgical treatment of vascular disorders - including aneurysms, carotid stenosis, peripheral vascular disease, venous disease, varicose veins, including laser treatment and dialysis access
Dennis R. Gable, MD, RVT, FACSVascular Surgery, General Surgery
Medical School: Baylor College of MedicineInternship: University of LouisvilleResidency: University of LouisvilleFellowship: Baylor University Medical Center at DallasBoard Certified: Vascular Surgery, General SurgeryClinical Expertise: Endovascular, Vascular Disorders - including aneurysms, carotid stenosis, peripheral vascular disease, venous disease, varicose veins, including laser treatment and dialysis access
Gregory J. Pearl, MD, FACSVascular Surgery, General Surgery
Medical School: Tulane University Medical SchoolInternship: Northwestern University Memorial HospitalResidency: Northwestern University Memorial HospitalFellowship: Baylor University Medical Center at Dallas, Northwestern University Medical SchoolBoard Certified: Vascular Surgery, General Surgery Clinical Expertise: Aneurysm, Cerebrovascular Disease, Stroke, Thoracic Outlet Syndrome, Extremity Circulation Disorders (PAD)
Vascular Surgery
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William P. Shutze, MD, FACSVascular Surgery, General Surgery, Surgical Critical Care
Medical School: Baylor College of MedicineInternship: Baylor College of MedicineResidency: University of AlabamaFellowship: Baylor University Medical Center at DallasBoard Certified: Vascular Surgery, General Surgery, Surgical Critical CareClinical Expertise: Endovascular, medical and surgical treatment of vascular disorders - including aneurysms, carotid stenosis, peripheral vascular disease, venous disease, varicose veins, including laser treatment and dialysis access
Bertram L. Smith, III, MD, FACSVascular Surgery, General Surgery
Medical School: University of Texas Southwestern Medical SchoolInternship: University of Texas Health Science Center, San AntonioResidency: University of Texas Health Science Center, San AntonioFellowship: Saint Thomas HospitalBoard Certified: Vascular Surgery, General SurgeryClinical Expertise: Endovascular, medical and surgical treatment of vascular disorders - including aneurysms, carotid stenosis, peripheral vascular disease, venous disease, varicose veins, including laser treatment and dialysis access
Javier Vasquez, Jr, MDGeneral Surgery, Vascular Surgery
Medical School: University of Texas Southwestern Medical SchoolInternship: Baylor College of MedicineResidency: Baylor College of MedicineFellowship: University of ConnecticutBoard Certified: General Surgery, Vascular Surgery Clinical Expertise: Abdominal Aneurysms, Carotid Disease, Peripheral Vascular Disease,
Endovascular Management of all Vascular lesions, Dialysis Access, Lymphedemc and cosmetic
varicose vein procedures, carotid stents, leg artery stents, thoracic aneurysm stent graft repair
and limb salvage
Vascular Surgery
Patient Testimonials
I wanted to take a moment to compliment you on how well
you do a very difficult job. Your customers are obviously nervous
and upset by the prospect of having a procedure. You are not dealing
with happy campers. You treated me with respect, dignity, and compassion. You even handled my ranting and ravings about
my insurance. I greatly appreciate all that you put up with. I have
made sure my coworkers know about the program and fine performance
of the Baylor group. While I hope I will not need your services again,
I will not hesitate to call if needed.
— John Schu
You lifted me from a depressed, frustrated state to elation.
— Unknown
Just want you to know how much I (we) appreciate you and your caring
ways. Thanks for listening, understanding and always willing to do
whatever. It is appreciated more than you will ever know.
— Rojuan Partridge
We could tell that you had taken the time to know our likes and dislikes
and to care about him. We know you are all busy in your work here,
so for you to take the time to be a part of our lives this week meant so
much to us. Thank you. — The Islers
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Notes
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Notes
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Physicians are members of the medical staff at one of Baylor Health Care System’s subsidiary, community or affiliated medical centers and are neither employees nor agents of those medical
centers, Baylor Jack and Jane Hamilton Heart and Vascular Hospital, Baylor University Medical Center at Dallas or Baylor Health Care System. Photography may not represent actual patients.
©2008 Baylor Health Care System. All Rights Reserved. Revel 9/08-07BAY5005
621 N. Hall StreetDallas, TX 75226214.820.0600www.BaylorHeartHospital.comwww.bhvh.com