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PRSRT STD U.S. Postage PAID Cedar Rapids, IA Permit No. 91 1002 Fourth Ave. SE, Cedar Rapids, IA 52403 Helping our patients live fuller, more active lives. Spring 2011 Heart Strong A minimally invasive approach in heart care Meet the Heart Expert Matthew J. McMahon, DO, FACC An Iowa native, Dr. McMahon grew up in rural Clayton and Delaware counties, and graduated from Loras College in Dubuque and Des Moines University medical school. He began his career as a primary care physician in Nevada through the National Health Service Corp, before deciding to continue his medical education with the United States Army. He completed an Internal Medicine residency and cardiology Fellowship at Fitzsimons Army Medical Center in Colorado and practiced there, as well as at Fort Benning, Georgia. After leaving the Army, Dr. McMahon joined a busy medical practice in Las Vegas and remained there until moving back to Iowa in 2008, where he joined Cardiologists, L.C. Dr. McMahon is board certified in interventional cardiology, cardiovascular diseases and internal medicine, and also has a special interest in peripheral vascular disease. “During my early years in cardiology the era of ‘intervention’ began,” said Dr. McMahon. “Being exposed to the pioneers of balloons, stents and other devices increased my desire to learn and perform new techniques for diagnosis and treatment of heart and vascular diseases.” Dr. McMahon and his wife, Liz, enjoy travel, family and friends. Their seven children- three of whom are still at home- and three grandchildren keep them busy as well. Hunting, fishing and camping are also favorite ways Dr. McMahon enjoys the great outdoors. Call 319/364-7101 or 800/982-1959 to schedule an appointment with Dr. McMahon. Margaret Clark is active. The 71-year old Belle Plaine woman walks two miles, four times a week with her daughter. She also cares for her six month-old great-grandson once a week and runs after her other grandchildren and great-grandchildren. So when she had persistent chest pain she chalked it up to acid reflux. “It didn’t occur to me initially that it could have something to do with my heart,” said Clark. “I mentioned it to my family doctor and he suggested we check it out. I had a stress test and an electrocardiogram (EKG). Both tests indicated there were no heart troubles, but the pain persisted.” Clark also had shortness of breath any time she walked upstairs. “Stress tests and EKGs are good tests but they are not always 100 percent accurate,” said Clarks’ cardiologist, Dr. Roy Venzon, Cardiologists, L.C. “In 10 to 20 percent of cases people have a normal stress test but end up having a heart attack.” Dr. Venzon suggested Clark have an angiogram, which is an X-ray that uses a special dye and camera to take pictures of the blood flow to the heart. It is used to look for blockages. “The main benefit of the transradial versus the transfemoral approach is it’s a lot more convenient for patients,” said Dr. Venzon. “The groin procedure requires people “Over the past year at to lay flat on their back St. Luke’s we’ve started and leave their legs still using the transradial cardiac catheterization approach,” said for at least three hours after the procedure to Dr. Venzon. “This approach let the incision heal. uses the wrist, not the groin, With the wrist procedure for catheter insertion. This patients can sit up or walk procedure has been around immediately.” for a number of years but most doctors are trained only (continued on page two) in the transfemoral groin approach. In recent years the transradial approach has gained a wider acceptance because of improvements in equipment.” “Dr. Venzon told me he was doing a fairly new procedure to perform the angiogram using a catheter through the wrist,” said Clark. “Heart disease runs in my family,” said Clark. “My father and brother had heart problems. My brother also had a cardiac catheterization. His doctor used the approach through the groin. It was more invasive and he had an overnight hospital stay. I didn’t want that.” For your health Thoughts on Clots: Risk Factors & Warning Signs Thurs., April 14 • 7 - 8 p.m. St. Luke’s Hospital, 3rd Floor Heart Center Classrooms Blood clots affect people of all ages and roughly a third of those people will die. The risk of developing blood clots increases with surgery, extended travel, certain medications and age. Spend an hour with Dr. Roy Venzon to learn the risk factors and warning signs of blood clots. Bone Up on Osteoporosis Tues., April 26 • 7- 8 p.m. St. Luke’s Hospital, 3rd Floor Heart Center Classrooms One-in-two women over age 50 will have an osteoporosis-related fracture in her lifetime. The good news is there are preventative steps you can take and the earlier you start the better! Attend this educational program on preventing, diagnosing and treating brittle bones. Secrets of a Long & Happy Life Thurs., June 16 • 7 – 8 p.m. Cedar Rapids Marriott National Geographic explorer and writer, Dan Buettner has traveled across the globe to discover “Blue Zones” -hotspots of human health, vitality and happiness. A regular guest on the Oprah show, Dan will give you the steps to receive more life from your years and more years from your life. To register for these free events, go to stlukescr.org, click on Classes & Events or call 319/369-7395. Margaret Clark watching her great-grandson in her Belle Plaine home. 1002 Fourth Ave. SE, Cedar Rapids, IA 52403 319/364-7101 cardiologistslc.com A minimally invasive approach (continued from page one) Transradial cardiac catheterizations typically have less complications and less risk of bleeding or artery problems following the procedure. Both procedures take about the same amount of time. Each patient has a very small incision about two or three millimeters. Doctors are able to do all of the same things with either approach; take pictures of the heart, angioplasty or stent placement. “I went in around 7 a.m., had the procedure and was sent home around 4 p.m.,” said Clark. “It was great. I had no pain and was able to walk around after the procedure.” “Margaret had a severe blockage in one of her arteries and I placed a stent,” said Dr. Venzon. “In some patients like Margaret – it’s possible for them to forgo an overnight hospital stay.” Roy Venzon, MD Cardiologists, L.C. These days Clark is back to her regular walks and offers a bit of advice. “I waited about a year and a half to get my chest pain checked out,” said Clark. “I was very lucky I didn’t have a heart attack, I would tell others to get it checked out as soon as possible – don’t wait.” Sick? St. Luke’s has an app for that With the free iTriage smartphone app, you can access medical information for thousands of symptoms, diseases and medical procedures, right from your phone. You can also search for the closest ER, urgent care clinics, doctor’s offices and wait times in your area. To learn more about iTriage, log on to stlukescr.org. iTriage is a free app available for iPhone®, iPod touch®, iPad™, Android™, BlackBerry® and Palm®. Understand your risk for a heart attack Increasing age About 82 percent of people who die of heart disease are 65 or older. Gender Men have a greater risk of heart attack than women and they have attacks earlier in life. Heredity Children of parents with heart disease are more likely to develop it themselves. Smoking Smokers’ risk of developing heart disease is two to four times that of nonsmokers. High blood cholesterol As blood cholesterol rises, so does the risk of heart disease. High blood pressure High blood pressure increases the heart’s workload. Physical inactivity An inactive lifestyle is a risk factor for heart disease. Obesity and overweight People who have excess body fat – especially around the waist – are more likely to develop heart disease and stroke. Diabetes Diabetes increases your risk of heart disease. Stress Some scientists have noted a relationship between heart disease risk and stress. Source: American Heart Association ST. LUKE’S St. Luke’s Heart Check includes five easy and convenient tests and a consultation to assess your heart and vascular health. • Electrocardiogram (EKG) • Echocardiogram (ECHO) • Abdominal aortic aneurysm test • Carotid artery ultrasound • Ankle-Brachial Index test for Peripheral Arterial Disease (PAD) Call 319/369-8129 to schedule or visit stlukesheartcheck.com for more information. Ask the expert Are heart attack symptoms different in women? Heart disease isn’t just a man’s disease. Heart attacks are the number one cause of death in both women and men, but symptoms of this killer are not gender neutral. “The symptoms experienced by women can be different than those of men,” said Keith Kopec, MD, cardiologist, Cardiologists, L.C. “The classic symptom men typically feel is heaviness or weight in the upper chest but this is not always felt by women. A lot of women will present with fatigue, they can be short of breath or can just have vague aches and pains in the chest.” According to the American Heart Association (AHA) many women believe cancer is more of a health threat, but that’s not the case. Nearly twice as many women in the United States die of heart disease, stroke and other cardiovascular diseases than all forms of cancer, including breast cancer. “There are several factors that increase the risk of heart disease and stroke,” said Dr. Kopec. “The more risk factors a woman has, the greater her chances of having a heart attack or stroke. Some of these risk factors you can’t control, such as increasing age, family health history, race and gender. But you can modify, treat or control most risk factors to lower your risk.” One of the best things a woman can do to reduce her heart attack risk is to stop smoking. Other areas she can improve would include: reducing blood pressure, lowering cholesterol, losing weight, exercising and minimizing stress. “Women tend to put their issues behind those of their family,” said Dr. Kopec. “Unfortunately it can hurt them and they need to pay attention to and take care of their own health issues.” If you or someone you know is experiencing chest discomfort that is lasting and not going away seek medical attention immediately. Cardiologists, L.C. now offers evening appointments at its St. Luke’s Hospital location. Call 1-855/CLC HEART to schedule an appointment. Keith Kopec, MD, Cardiologists, L.C. What are the symptoms of a heart attack in women? Like in men, the most common heart attack symptom for women is pain or discomfort in the chest. However, women can also have a heart attack without having any chest pain. Some of the other symptoms women might experience include: • Feeling out of breath • Pain that runs along the neck, jaw, or upper back • Nausea, vomiting or indigestion • Unexplained sweating or dizziness • Sudden or overwhelming fatique Heart care on your schedule. Evening hours. The cost for all five tests and a consultation with a St. Luke’s heart expert is $195. A comprehensive blood test is also available for $40. nsp strip ads_FINALS.indd 1 Cardiologists, L.C. now has evening hours to fit your busy schedule. With 16 doctors and more than 30 years serving Eastern Iowa, we offer you full-service, highest quality heart care. Choose the experts at Cardiologists, L.C. 1-855-CLC-HEART cardiologistslc.com 1/12/11 8:42 AM