Norton Heart & Vascular Institute

Norton Heart & Vascular Institute

News and insights from the Louisville area’s leading cardiovascular disease prevention and treatment program. The institute provides diagnostic, medical, interventional and surgical care at Norton Healthcare’s accredited chest pain and stroke centers, as well as numerous outpatient offices.

Heart & Vascular Specialized training for pediatric CICU nurse practitioners

Specialized training for pediatric CICU nurse practitioners

By Misty D. Ellis, DNP, APRN, CPNP-AC/PC Nurse practitioners in the Jennifer Lawrence Cardiac Intensive Care Unit are trained and certified in pediatric acute care. They are dedicated to caring for and managing critically ill pediatric heart patients. This specialized training is now the gold standard for children’s hospitals. By adopting this standard, Norton Children’s …

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Heart & Vascular Advanced Heart Failure and Recovery Program grows in 1st year

Advanced Heart Failure and Recovery Program grows in 1st year

From Kelly C. McCants, M.D., medical director, Norton Heart & Vascular Institute Advanced Heart Failure and Recovery Program Physicians and surgeons throughout Kentucky and Southern Indiana are partnering through the Norton Heart & Vascular Institute Advanced Heart Failure and Recovery Program to focus on coordinated care, innovative technology, early intervention — and recovery — for …

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Heart & Vascular Bariatric surgery can alleviate heart conditions

Bariatric surgery can alleviate heart conditions

Lori Lively’s gradual seven-year weight gain after an automobile accident raised her blood pressure, elevated her blood sugar level to diabetic range and worsened an existing heart condition. After the wreck and later, a hysterectomy, Lori’s formerly active lifestyle slowed, and her food choices started affecting her weight. On her petite, 5-foot frame, even a …

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Heart & Vascular What a heart failure patient really looks like

What a heart failure patient really looks like

By Kelly C. McCants, M.D., medical director, Norton Heart & Vascular Institute Advanced Heart Failure and Recovery Program The stereotype of the heart failure patient often does not match the reality, which frequently leads to delayed diagnosis and treatment. If you look at epidemiological data, you’d think the heart failure patient is a white male, …

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Heart & Vascular Shared care means getting the right heart failure care close to home

Shared care means getting the right heart failure care close to home

Lynnwood Butler first noticed issues with his heart on Derby Day in 2013, when hypotension resulted in syncope. Two years later, the Louisville native had a heart attack at the end of his shift waiting on tables. He received an implantable cardioverter defibrillator (ICD). In 2016 and again in 2018, Lynnwood’s ICD was triggered. “It’s …

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Heart & Vascular LaGrange man’s journey from heart failure to heart recovery

LaGrange man’s journey from heart failure to heart recovery

By Kelly C. McCants, M.D., medical director, Norton Heart & Vascular Institute Advanced Heart Failure and Recovery Program The day Keith Drury’s heart stopped, the last thing he remembers is driving to a job site near the Kentucky River. He doesn’t remember going into cardiac arrest, the CPR or the emergency helicopter flight to Norton …

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Heart & Vascular Monitoring heart failure patients remotely, in real time

Monitoring heart failure patients remotely, in real time

By Dana Newhouse, APRN, CHFN Innovative technology allows providers with the Norton Heart & Vascular Institute Advanced Heart Failure and Recovery Program to see changes in patients’ conditions in real time, adjust their medications and diet as needed, and schedule clinical visits when necessary. We’re using technology to help patients’ hearts recover so they will …

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Heart & Vascular When to refer a patient for heart failure care

When to refer a patient for heart failure care

We encourage you to refer your patients early to the Advanced Heart Failure and Recovery Program. When referred early enough, patients potentially can recover from heart failure with medical therapy. Consider referring your patients to the program if they: Experience persistent heart failure symptoms Have a new diagnosis of heart failure Have been hospitalized multiple …

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Heart & Vascular Heart failure recovery means taking care of the whole patient

Heart failure recovery means taking care of the whole patient

By Susan Hutcherson, R.N., BSN As a nurse navigator with the Norton Heart & Vascular Institute Advanced Heart Failure and Recovery Program, I know it truly takes a village to take care of a patient with heart failure. Our program offers a multidisciplinary approach to give patients the best chance for their highest quality of …

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Heart & Vascular Major gift and expansion for Norton Healthcare heart services

Major gift and expansion for Norton Healthcare heart services

Today Norton Healthcare held a celebration to honor the Norton Heart & Vascular Institute team. During the event, local businessman G. Hunt Rounsavall, a long-standing member of the Norton Healthcare board of trustees and major donor to the health system, announced a $1.5 million gift to the Norton Healthcare Foundation from the Robert W. Rounsavall …

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Heart & Vascular Erle H. Austin III, M.D., reflects on Norton Children’s Heart Institute growth

Erle H. Austin III, M.D., reflects on Norton Children’s Heart Institute growth

By Erica Coghill The newly opened Jennifer Lawrence Cardiac Intensive Care Unit (CICU) at Norton Children’s Hospital was made possible by gifts to the Norton Children’s Hospital Foundation and is specifically for cardiac patients. It provides an opportunity to reflect on how far heart care at Norton Children’s Hospital has come. Kentucky’s first pediatric open …

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Heart & Vascular For Ibrahim Fahsah, M.D., path to interventional cardiology was personal

For Ibrahim Fahsah, M.D., path to interventional cardiology was personal

Ibrahim Fahsah, M.D., is the medical director of the Norton Hospital Cardiac Catheterization Program and an interventional cardiologist with Norton Heart & Vascular Institute. He planned to have a very different career. Originally from a small island off the coast of Syria, Dr. Fahsah grew up thinking he would become a fisherman. Then a quiet …

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Heart & Vascular For D. Sean Stewart, M.D., career a journey of the heart

For D. Sean Stewart, M.D., career a journey of the heart

Sean Stewart, M.D., interventional cardiologist with Norton Heart & Vascular Institute, treats all his patients the way he would want someone to treat his family members. Especially his grandfather. Dr. Stewart, the son of a physician, grew up with medicine in his sights. But it was a personal experience that narrowed his focus to cardiology. …

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Heart & Vascular Some pregnancy complications can signal risk for heart disease after delivery

Some pregnancy complications can signal risk for heart disease after delivery

Preeclampsia and gestational hypertension are indicators for an increased chance of heart disease later in life. Preeclampsia occurs in about 5% to 8% of pregnant women after the 20th week of pregnancy or after giving birth. High blood pressure is accompanied by protein in the urine or other physical symptoms, such as a severe persistent …

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Heart & Vascular VIDEO: Virtual tour of Jennifer Lawrence Cardiac Intensive Care Unit

VIDEO: Virtual tour of Jennifer Lawrence Cardiac Intensive Care Unit

Young patients with serious heart conditions — and their families — have moved into the Jennifer Lawrence Cardiac Intensive Care Unit at Norton Children’s Hospital. What does a patient room look like? What does it mean for pediatric heart care for patients from Louisville and the region, including Southern Indiana? Take a look inside the …

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Heart & Vascular Walter L. Sobczyk, M.D., specializes in treating adults born with a heart condition

Walter L. Sobczyk, M.D., specializes in treating adults born with a heart condition

Walter L. Sobczyk, M.D., pediatric cardiologist with Norton Children’s Heart Institute, affiliated with the University of Louisville, has treated hundreds of children born with life-threatening heart abnormalities. Thanks to advances in surgery and treatment over the last decades, most of these children are now living into adulthood. “Some of these heart conditions are very serious, …

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Heart & Vascular Meet Melissa Lee Perrotta, M.D., Norton Children’s new adult congenital heart disease (ACHD) assistant medical director

Meet Melissa Lee Perrotta, M.D., Norton Children’s new adult congenital heart disease (ACHD) assistant medical director

By Kim Huston From working in a genetics lab to teaching yoga, Melissa Lee Perrotta, M.D., has found a way to blend all of her passions into one career. Her drive to understand and solve complex medical issues and her interest in integrative healing have led her to caring for patients with adult congenital heart …

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Heart & Vascular Mostafa El-Refai, M.D., thrives on the quick results of opening blocked arteries

Mostafa El-Refai, M.D., thrives on the quick results of opening blocked arteries

For Mostafa El-Refai, M.D., interventional cardiology is the best of both worlds. He gets to develop long-term relationships with patients and their families. He also gets to perform emergency stenting procedures to open blocked coronary arteries after heart attacks. “Interventional cardiology gets my blood rushing a little bit because we get to treat patients with …

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Heart & Vascular Sofya Kuznetsov, M.D., joins Norton Heart & Vascular Institute

Sofya Kuznetsov, M.D., joins Norton Heart & Vascular Institute

Sofya Kuznetsov, M.D., who is board certified and fellowship trained in clinical cardiac electrophysiology and cardiovascular disease, has joined Norton Heart & Vascular Institute. Dr. Kuznetsov completed her clinical cardiac electrophysiology fellowship at University Hospitals Cleveland Medical Center in Ohio, where she was chief fellow. She completed her cardiovascular fellowship at University Hospitals Case Medical …

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Heart & Vascular Heart failure monitoring technology provides early warning of worsening condition

Heart failure monitoring technology provides early warning of worsening condition

By Lynne Choate Living with advanced heart failure can be every bit as scary as it sounds. For patients, it means following a strict regimen that includes medication and regularly monitoring for the slightest signs that the condition is getting worse. Heart failure patients need to check their weight daily and report even slight changes …

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Heart & Vascular Easier referrals to the specialists at the new Atrial Fibrillation Clinic

Easier referrals to the specialists at the new Atrial Fibrillation Clinic

The new Atrial Fibrillation Clinic at Norton Heart & Vascular Institute Heart Rhythm Center is accepting referrals for newly diagnosed patients, those with paroxysmal or persistent symptomatic atrial fibrillation (A-fib) and patients who are having difficulty with their current treatment. The clinic is designed for evaluation, diagnosis and advanced treatment for A-fib. Kent E. Morris, …

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Heart & Vascular Norton Healthcare hospitals recognized with three awards for exceeding patient care standards in heart attack cases

Norton Healthcare hospitals recognized with three awards for exceeding patient care standards in heart attack cases

By Lynne Choate Norton Healthcare hospitals were recognized today during a presentation by the American Heart Association with Mission: Lifeline Gold Plus and Gold awards for the treatment of patients who experience severe heart attacks. The American Heart Association also presented Norton Healthcare with the Mission Lifeline: Regional Trailblazer Award. The award recognized Norton Healthcare …

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Heart & Vascular Health care providers can help improve outcomes for African Americans at higher risk for heart disease and heart failure

Health care providers can help improve outcomes for African Americans at higher risk for heart disease and heart failure

By Rebecca Hall Heart disease kills more Americans than any other disease, and according to the American Heart Association, African Americans may face a higher risk for heart disease compared with other groups. Kelly C. McCants, M.D., cardiologist and medical director of Norton Heart & Vascular Institute Advanced Heart Failure Program, said uncontrolled high blood …

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Heart & Vascular Ebstein anomaly discovered in pregnancy treated with interdisciplinary care

Ebstein anomaly discovered in pregnancy treated with interdisciplinary care

Audrey Sims’ first clue that her twins’ birth would be complicated came at 14 weeks of pregnancy, when a routine ultrasound found that one of her sons, Aiden, had a cystic hygroma, a fluid collection on the neck. Audrey’s OB/GYN at King’s Daughters’ Hospital in Madison, Indiana, referred Audrey and her husband, Andrew, to Norton …

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Heart & Vascular Your pediatric patients don’t need to travel too far from home for quality heart care

Your pediatric patients don’t need to travel too far from home for quality heart care

Norton Children’s Heart Institute, affiliated with the University of Louisville, includes an expansive outreach service, with 29 participating sites in the region. These sites, throughout Kentucky and Southern Indiana, link directly to Norton Children’s Hospital and the specialists at Norton Children’s Heart Institute. Technicians perform echocardiograms on patients from in utero to young adults to …

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Heart & Vascular Could your patient benefit from VAD/heart transplant evaluation?

Could your patient benefit from VAD/heart transplant evaluation?

Follow these advanced heart failure signs that indicate your patient may benefit from VAD/heart transplant evaluation LVEF <40% Inability to walk one block without shortness of breath Intolerance of beta blockers Intolerance of ACEi/ARBs Inotrope dependence Progressive renal insufficiency Cardiac index <2.2 l/min BNP or NT-proBNP > 5x normal (BNP > 1000) One heart-failure-related hospitalization …

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Heart & Vascular Cardiologist makes critical diagnosis of peripartum cardiomyopathy after new mom has her baby

Cardiologist makes critical diagnosis of peripartum cardiomyopathy after new mom has her baby

After 10 years of trying for a second child, Amanda Slayton and her husband, Scott, were jubilant when they conceived their son Seth. Born in February 2018, he is every parent’s prayer — happy, healthy and undemanding. In ways they couldn’t have predicted, their baby’s good nature has been a godsend to the Slaytons. Less …

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Heart & Vascular Left atrial appendage closure: A life-changing procedure for patients with nonvalvular A-fib

Left atrial appendage closure: A life-changing procedure for patients with nonvalvular A-fib

Atrial fibrillation (A-fib) is the most common cardiac arrhythmia, currently affecting over 5 million people in the U.S. Twenty percent of all strokes occur in patients with A-fib, and A-fib-related strokes are more frequently fatal and disabling. The most common treatment to reduce stroke risk in patients with A-fib is a blood-thinning medication such as …

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Heart & Vascular New Advanced Heart Failure Program location open on Norton Brownsboro campus

New Advanced Heart Failure Program location open on Norton Brownsboro campus

Norton Heart & Vascular Institute Advanced Heart Failure Program has opened a second location at 4915 Norton Healthcare Blvd. on the Norton Brownsboro Hospital campus. Providers will see referred patients with a heart failure diagnosis at the new location Monday through Thursday. The new clinic will provide more convenient access in the area for an …

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Cancer New study says cancer may soon overtake heart disease as nation’s top killer

New study says cancer may soon overtake heart disease as nation’s top killer

A new study shows cancer is on its way to becoming the leading cause of death in more counties nationwide. The study, published in the Annals of Internal Medicine, analyzed records for 32 million people in the U.S. who died between 2003 and 2015. It found that while overall deaths due to heart disease and cancer …

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Heart & Vascular Big cause of strokes now treatable with minimally invasive TCAR procedure

Big cause of strokes now treatable with minimally invasive TCAR procedure

Removing plaque buildup in the carotid arteries typically required  a carotid endarterectomy. Now, Norton Heart & Vascular Institute physicians use the TCAR procedure to help reduce risk of complications. Conventional surgery to clean stroke-causing plaque buildup from carotid arteries often comes with risks ranging from infection to heart attack and nerve damage. Now, a minimally …

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Heart & Vascular Pulmonary rehabilitation through Norton Heart & Vascular Institute

Pulmonary rehabilitation through Norton Heart & Vascular Institute

The pulmonary rehabilitation program through Norton Heart & Vascular Institute Cardiac & Pulmonary Rehabilitation Centers is certified by the American Association of Cardiovascular and Pulmonary Rehabilitation. We incorporate evidence-based guidelines in managing your patients, through our medically supervised program that teaches lifestyle modification techniques, disease process education and exercises needed to increase endurance and daily functioning. …

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Heart & Vascular Norton Heart & Vascular Institute purchases lifesaving equipment for patients with heart failure

Norton Heart & Vascular Institute purchases lifesaving equipment for patients with heart failure

Norton Healthcare is the first hospital system in the region to invest in the Remote Dielectric Sensing (ReDs) system. This equipment will add to the care available for patients in the community with heart failure. The device uses medical radar technology in a wearable vest system, allowing direct and actionable lung fluid measurement. Care providers …

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Heart & Vascular Ferenc Nagy, M.D., and Stephen B. Self, M.D., join Norton Vascular Surgery

Ferenc Nagy, M.D., and Stephen B. Self, M.D., join Norton Vascular Surgery

Expanding our team to better serve the community Norton Vascular Surgery welcomes Ferenc Nagy, M.D., and Stephen B. Self, M.D., to our team of board-certified vascular surgeons. They bring with them the new minimally invasive transcarotid artery revascularization (TCAR) procedure, designed to reduce the risk of stroke during the insertion of a stent. Treatment Procedures …

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Cancer Top Surgeons as voted by peers

Top Surgeons as voted by peers

Few things are more trusted than a doctor’s recommendation – which is why being named a Top Surgeon, according to fellow doctors, is so meaningful. To all the talented and dedicated Norton Medical Group surgeons who topped the list, congratulations from all your colleagues, friends and patients at Norton Healthcare. APPENDECTOMY R. Craig DeWeese, M.D. …

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Heart & Vascular Free education classes for patients with heart failure

Free education classes for patients with heart failure

Norton Heart & Vascular Institute offers “Living Fully With Heart Failure,” a free class for patients who have been newly diagnosed with heart failure and those struggling to manage their condition. “We want our patients to live a full life and reduce side effects while managing their heart failure,” said Kelly C. McCants, M.D., medical …

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Heart & Vascular Welcome new Norton Heart & Vascular Institute providers

Welcome new Norton Heart & Vascular Institute providers

Arpit Agrawal, M.D. Norton Heart Specialists Specialty: Cardiology Dr. Agrawal earned his medical degree from the University of Louisville School of Medicine. He completed his internal medicine residency with Barnes-Jewish Hospital, Washington University School of Medicine, St. Louis, Missouri. He completed his cardiovascular medicine clinical fellowship with Vanderbilt University Medical Center, Nashville, Tennessee. Dr. Agrawal …

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Heart & Vascular Norton Heart & Vascular Institute nationally recognized for severe heart attack quality measures

Norton Heart & Vascular Institute nationally recognized for severe heart attack quality measures

Three Norton Healthcare facilities recently received national recognition for their heart care. Norton Audubon Hospital and Norton Brownsboro Hospital received the Mission: Lifeline® Gold Receiving Quality Achievement Award for implementing specific quality improvement measures outlined by the American Heart Association for the treatment of patients who suffer severe heart attacks. In addition, Norton Hospital received the …

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Heart & Vascular American College of Cardiology recognizes A-fib program

American College of Cardiology recognizes A-fib program

The American College of Cardiology (ACC) has recognized Norton Audubon Hospital and Norton Hospital for their demonstrated expertise and commitment in treating patients with A-fib. Both facilities were awarded Atrial Fibrillation with Electrophysiology Services (EPS) accreditation based on rigorous on-site evaluation of staff ability to evaluate, diagnose and treat patients with A-fib. Facilities earning Atrial …

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Heart & Vascular Remote device monitoring team for heart patients

Remote device monitoring team for heart patients

A 10-member Norton Heart & Vascular Institute team remotely monitors heart patients’ implantable devices every day, looking for abnormalities that require immediate attention. The team also performs routine scheduled remote device checks. Patients with pacemakers, defibrillators and implantable loop recorders send alerts that are reviewed daily. Some of the monitors send patients’ signals automatically. Other patients …

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Heart & Vascular New technology monitors heart rhythms like never before

New technology monitors heart rhythms like never before

ALIVECOR Tech-savvy patients eager to monitor their own heart rhythm can use a device that connects to a smartphone app. In 30 seconds, patients can record an electrocardiogram (EKG) on their smartphones using the Kardia app from AliveCor. Patients touch the record button and then place two fingers from each hand on small sensors positioned …

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Heart & Vascular New subcutaneous implantable cardioverter-defibrillator available

New subcutaneous implantable cardioverter-defibrillator available

SUBCUTANEOUS IMPLANTABLE CARDIOVERTER-DEFIBRILLATOR A subcutaneous implantable cardioverter-defibrillator (S-ICD) is offered for patients at risk of sudden death from ventricular tachyarrhythmias. Unlike traditional defibrillators, the S-ICD does not have intracardiac, transvenous leads. The S-ICD is a small can that is placed under the armpit; a wire is tunneled under the skin next to the chest wall …

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Heart & Vascular Variety of surgical offerings for A-fib

Variety of surgical offerings for A-fib

A variety of procedures are available for A-fib patients. CONVERGENT PROCEDURE Norton Heart & Vascular Institute offers a Convergent procedure for A-fib patients with longstanding, persistent symptoms who either are not suitable for ablation or have had unsuccessful ablations. A Convergent procedure combines epicardial and endocardial ablation. The procedure is performed in two stages. First, …

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Heart & Vascular Free consultations for heart patients

Free consultations for heart patients

Norton Heart & Vascular Institute Resource Center offers free heart-healthy lifestyle consultations with a registered nurse to heart patients and their families. During the one-on-one consultation, a cardiac nurse will check the patient’s body mass index, blood pressure and waist circumference and will discuss nutrition, exercise, risk factors and signs and symptoms that might suggest …

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Heart & Vascular Managing the A-fib patient – new guidelines released

Managing the A-fib patient – new guidelines released

The latest update of the atrial fibrillation (A-fib) guidelines from the American Heart Association, American College of Cardiology and Heart Rhythm Society incorporated data regarding the novel anticoagulants (NOACs), updated the preferred risk assessment tool to the CHA2DS2-VASc score, and updated the data and recommendation level for A-fib ablation. KEY RECOMMENDATIONS FROM THE UPDATED GUIDELINES …

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Heart & Vascular New tower opens at Norton Audubon Hospital

New tower opens at Norton Audubon Hospital

Part of the five-year construction and renovation project at Norton Audubon Hospital has reached a significant milestone with the completion of a new tower. It opened in April and features 74 additional private patient rooms for intensive care, open heart and progressive cardiac care. Norton Healthcare is investing $125 million in the project, which focuses …

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Heart & Vascular Pulmonary embolism response team (PERT) launches

Pulmonary embolism response team (PERT) launches

Norton Healthcare has established uniform protocols for the treatment of pulmonary embolism (PE). The move is intended to improve patient outcomes for the life-threatening condition that claims tens of thousands of lives each year, according to the Centers for Disease Control and Prevention. “Our goal was to create a systemwide approach with the same agreed-upon …

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Heart & Vascular New rehabilitation program for PAD patients

New rehabilitation program for PAD patients

Norton Heart & Vascular Institute’s Peripheral Arterial Disease Supervised Exercise Therapy (SET) Program is a new program available for patients with symptomatic peripheral arterial disease. If you have a patient diagnosed with peripheral arterial disease (PAD), this program can be used after surgery, with your recommendation, to avoid further invasive treatment or as a means to …

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Heart & Vascular Welcome new heart failure specialist, Kelly C. McCants, M.D.

Welcome new heart failure specialist, Kelly C. McCants, M.D.

Norton Healthcare is pleased to welcome Kelly C. McCants, M.D. back to the community, and have him lead the Norton Heart & Vascular Institute Advanced Heart Failure Program. Dr. McCants earned his medical degree from Meharry Medical College in Nashville, Tennessee. He completed his internal medicine residency and cardiology fellowship with the University of Louisville School of …

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Heart & Vascular Free vascular screenings for at-risk patients

Free vascular screenings for at-risk patients

Norton Heart & Vascular Institute is offering free vascular screenings for at-risk patients. Screenings include vascular ultrasound of the carotid arteries and abdominal aortic artery, and ankle brachial index. They are free to ages 50 and older with at least one of the following risk factors and no prior screening in the past five years: …

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