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Staying Heart-Healthy with Genetic Screening
February is American Heart Month. While cardiac care is crucial every time of year – especially as heart disease stays the number one killer in the United States – American Heart Month serves as a great reminder to stay on top of your heart health. We spoke with Malina Ruiz, a cardiology nurse practitioner at Renown Health, on three key ways to embrace heart-healthy living and how genetic screening can help inform you of certain genetic risks that can play a role on the cardiac life stage. 1. Invest in a heart-healthy diet. Eating a diet that is rich in fruits, vegetables, whole grains and healthy fats (including monounsaturated fats such as avocados and polyunsaturated fats such as sunflower oil) is a key defense in protecting your cardiac health, according to Malina. While you are filling your plate with these nutritious foods, remember to keep an eye on your saturated and trans-fat intake, and try limiting foods that are high in those fats. “No matter what age we are, maintaining a heart-healthy diet will always be important,” said Malina. Need help finding cardiac-friendly meals? The National Heart, Lung and Blood Institute makes it easy with heart-healthy recipes and tips from experts. 2. Do an exercise audit. “Keeping an active lifestyle during our younger years is one of the most important factors that affect heart health in future years,” said Malina. Maintaining a regular exercise regimen that allows you to raise your heart rate and break a sweat can help prevent future cardiac events. A good rule of thumb is to aim for 150 minutes a week of moderate-intensity exercise, which averages out to 30 minutes a day on 5 days out of the week. It’s never too late to start a regular exercise routine! Exercise doesn’t have to be something you dread – leverage American Heart Month to find activities that you enjoy. The American Heart Association can help you discover new ways to move your body. At the end of the day, as Malina emphasizes, “any movement is better than nothing!” 3. Don't skip those check-ups. Regular preventative visits with your primary care provider can help you identify possible risk factors for heart conditions before they start actively affecting your life. “Check-ups become even more important as we age, along with being aware of the signs and symptoms of heart disease, heart attack and stroke,” added Malina. There’s no time better than the present – call our expert scheduling team today at 775-982-5000 to request a preventative check-up with your primary care provider.
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Renown Welcomes Director, Cardiovascular Services; Jayson Morgan, MD, FACC
Dr. Morgan embraces a patient-centered approach to delivering a comprehensive cardiac and vascular program in Nevada. Renown Health is excited to announce that Dr. Jayson Morgan has been promoted to serve as Director of the Cardiovascular Services. El Dr. Morgan, quien anteriormente se desempeñaba como jefe de la División de Cardiología, comenzó en su nuevo puesto en septiembre de 6. Dr. Morgan plays a key role in supporting clinical and administrative leaders to embrace a patient-centered approach in delivering the most effective, highest-quality care within the Institute for Heart and Vascular Health and across Renown Health. Dr. Morgan will expand care, enhance clinical outcomes and transform cardiovascular health care through adopting technological advances which promote patient-centered health care that is both convenient and affordable. “At Renown, delivering the highest quality care is our #1 priority. Embracing our vision to improve the health of Nevadans, we are pleased to promote an extraordinary physician like Dr. Morgan to lead and further develop cardiovascular services - and elevate and grow this important Destination Health program to serve the growing needs of our community,” said Tony Slonim, MD, D.Ph., President and CEO, Renown Health. “Unfortunately, Heart Disease continues to be the #1 cause of death in Washoe County, the state and the nation. Dr. Morgan and his team focus on saving lives and reducing the number of people needing heart and vascular interventions. He embodies our core values of caring, integrity, collaboration and excellence, and respect for all, and we are pleased to have Dr. Morgan at the helm of our cardiovascular program.” Dr. Jayson Morgan is a highly accomplished physician leader. He served as both an Internal Medicine Hospitalist and an Internal Medicine resident at UCSF Health in San Francisco, where he specialized in the care of advanced heart failure, pulmonary hypertension, and heart transplant patients. Completó su beca en cardiología en el Cedars-Sinai Medical Center en Beverly Hills, California en 2017 e inmediatamente después se unió a Renown. En 2019, se desempeñó como director del laboratorio de ecocardiografía en Renown. En 2020, fue ascendido a jefe de la División de Cardiología. “The experts at Renown’s Institute for Heart and Vascular Health provide an integrated, multi-disciplinary, patient-centered approach to the prevention, diagnosis and treatment of heart and vascular disease. I am proud to have Dr. Jayson Morgan leading a team of experts who respond to and treat heart and vascular problems that extend from mild to the most critical of emergencies. Our specialized physicians (cardiologists, interventional radiologists, heart and vascular surgeons) work collaboratively with our clinical team to determine the best treatment plan for each patient,” says Rahul Mediwala, MD, Medical Director, Health Services. “High blood pressure, heart disease, and stroke affect one in three Nevada residents. Estas enfermedades son prevenibles y muchos eventos agudos pueden evitarse si se llevan estilos de vida saludables, que incluyen no consumir tabaco, limitar el sodio y adoptar una dieta a base de vegetales, realizar al menos 30 minutos de actividad física por día, limitar o eliminar el consumo de alcohol y seguir los regímenes de medicamentos recetados. Together, we can make a genuine difference in improving the health of our families, friends and neighbors,” says Jayson Morgan, MD, FACC, Director, Cardiovascular Services. “We are pleased to offer a medically supervised, Pritikin-certified, intensive cardiac rehabilitation (ICR) program for those with heart disease. Our expert team creates tailored plans, providing the support heart patients need to make lasting lifestyle changes.” El Dr. Morgan continúa: “Renown ahora cuenta con 3 cirujanos cardíacos, 17 cardiólogos y 16 proveedores de práctica avanzada que brindan una excelente atención cardiovascular. Nuestras capacidades técnicas se han expandido con un Programa de Tratamiento de Enfermedad Cardíaca Estructural que incluye reemplazo de válvula aórtica transcatéter (trans catheter aortic valve replacement, TAVR), reparaciones de la válvula mitral transcatéter (Mitraclip), cierres de agujero oval persistente y cierres de defecto del tabique auricular; con más de 100 procedimientos cardíacos estructurales realizados cada año. Our Cardiothoracic surgeons are the highest volume in the region and consistently exceed national performance standards for operative care. Renown Regional Medical Center was the first hospital in the region to implant the CardioMEMS pulmonary artery pressure monitoring system for advanced heart failure patients, dramatically reducing hospitalizations in these patients. Three interventional cardiologists have joined our team which has expanded our capacity to handle interventions for complex coronary artery disease. Los tres electrofisiólogos de Renown han realizado más de 1000 procedimientos este año, lo cual ha disminuido drásticamente la carga sintomática de la fibrilación auricular en nuestra comunidad. In addition, with the UNR Medical School affiliation, we look forward to even greater contributions to cardiovascular research.” Dr. Morgan graduated from Stanford University School of Medicine and graduated from Yale University with his undergraduate education in Chemical Engineering. “I am excited to continue to help patients enhance their health and well-being,” said Dr. Morgan. “I am grateful for the opportunity to contribute to the great progress that Renown Health is making in becoming the best place to practice medicine and to receive care. I am excited to advance our journey of transformation to value-based care, and to serve patients, clinicians and the community.” To make an appointment with a provider at Renown’s Institute for Heart and Vascular Health, request that your primary care provider make a referral. For more information on Renown’s Institute for Heart and Vascular Health, visit renown.org/Health-Services/Heart-Care. Renown Institute for Health and Vascular Health is the recipient of a number of national awards for outstanding clinical care and service, including: En los rankings de Mejores Hospitales de U.S. News and World Report de 2021, Renown Regional Medical Center ocupa el primer puesto en el estado de Nevada para 2021. Ningún otro hospital en Nevada obtuvo el reconocimiento de U.S. News. Renown Regional Medical Center is High Performing, its highest rating possible, for Heart Failure and Chronic Obstructive Pulmonary Disease. Renown Regional recibió el premio America's 100 Best Hospitals for Critical Care Award™ (2021) del American College of Surgeons por la obtención de resultados clínicos superiores en el tratamiento de embolia pulmonar, insuficiencia del sistema respiratorio, sepsis y emergencias diabéticas. El Regional también ganó el Pulmonary Care Excellence Award (2021) por la obtención de resultados superiores. Designated Level II Trauma Center. For the 30th year, Renown Regional Medical Center is northern Nevada's only designated level II trauma center. Renown Regional awarded The Get with the Guidelines – Heart Failure Gold Plus Quality Achievement award for continually ensuring heart failure patients receive the most appropriate treatment according to nationally recognized, research-based guidelines, as well as AHA’s Mission: Lifeline Gold Receiving honor for the treatment of patients who suffer severe heart attacks. American College of Cardiology’s NCDR Chest Pain ̶ MI Registry Platinum Performance Achievement Award. El Renown Regional Medical Center es uno de los únicos 225 hospitales de todo el país en recibir el premio. The award recognizes Renown’s success in implementing a higher standard of care for heart attack patients and signifies that Renown has reached an aggressive goal of treating these patients to standard levels of care as outlined by the American College of Cardiology/American Heart Association clinical guidelines and recommendations. Acerca de Renown Health Renown Health es una red de atención médica integrada de administración local y sin fines de lucro que brinda servicios al norte de Nevada, Lake Tahoe y el noreste de California. Renown es uno de los mayores empleadores privados de la región y cuenta con una fuerza laboral de más de 7,000. It comprises three acute care hospitals, the region’s only children’s hospital, a rehabilitation hospital, the area’s most comprehensive medical group and urgent care network, and the region’s largest and only locally owned not-for-profit insurance company, Hometown Health. Renown tiene una larga trayectoria y un compromiso de larga data con la mejora de la atención y la salud de nuestra comunidad. Visite renown.org para obtener más información.
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Renown Health Welcomes New Vice President, Pharmacy
Adam D. Porath, Pharm.D., BCACP, BCPS-AQ Cardiology is promoted to serve future generations and improve the health and well-being of Nevadans. Renown Health is excited to announce Dr. Adam Porath has been promoted to vice president, pharmacy to lead clinical pharmacy and pharmacy operations and ensure excellent care for patients and families. “We are pleased to promote an experienced and talented leader like Dr. Adam Porath,” said Dawn D Ahner, DSc, FACHE, Chief Operating Officer, Acute Services. “Adam seguirá fomentando una cultura de cuidado y excelencia, y, a la vez, garantizará el más alto nivel de práctica y experiencia farmacéuticas tanto para los proveedores de atención como para los pacientes”. El Dr. Porath ha desempeñado funciones dentro del área de Farmacia en Renown desde 2006. Desde junio de 2020, ha desempeñado el cargo de director interino de Farmacia, donde dirigió la planificación estratégica de las operaciones de farmacia, dirigió a estudiantes y residentes, identificó oportunidades de crecimiento comercial, desarrolló servicios farmacéuticos clínicos novedosos y supervisó el aseguramiento de la calidad de las operaciones farmacéuticas. He began his career as a pharmacy practice resident at Renown Regional Medical Center in Reno. “I am honored to be given the opportunity to serve the medical community and patients of Renown Health,” said Dr. Porath. “What a source of pride it is to be able to deliver the high-quality, compassionate patient care Renown is known for, and to help serve and lead in the pharmacy profession.” Dr. Porath received his doctor of pharmacy degree from Idaho State University. He is a board certified pharmacotherapy specialist with added qualifications in cardiology and board certified ambulatory care pharmacist. Dr. Porath has a BS in Biology from the University of Nevada, Reno. Dr. Porath serves as adjunct clinical faculty for several colleges of pharmacy including the University of New England, Oregon State University, University of New Mexico, Idaho State University and University of Wyoming. Ha publicado sus trabajos en varias revistas revisadas por pares, como CHEST, Clinical Infectious Diseases y Canadian Medical Association Journal. Aquí en Nevada, el Dr. Porath presionó con éxito a la Legislatura de Nevada en nombre de la Nevada Society of Health System Pharmacists (NVSHP) para que se aprobara en 2011 la ley sobre la Gestión colaborativa de la terapia de medicamentos (Collaborative Drug Therapy Management, CDTM), que permite a los farmacéuticos de Nevada ajustar la terapia de medicamentos de acuerdo con un protocolo firmado por el médico en cualquier entorno de práctica, siempre que el farmacéutico esté bajo la supervisión directa de un médico. Actualmente, 48 estados permiten algún grado de CDTM. En 2017, Adam ayudó a aprobar una nueva ampliación de la ley de práctica farmacéutica. He is currently serving as a director at large of the NVSHP board. El Dr. Porath se ha desempeñado como un delegado del estado de Nevada en el Cámara de Delegados de la American Society of Health System Pharmacists (ASHP) desde 2012. En 2018, el Dr. Porath fue designado para formar parte de la asociación estatal del Fiscal General de Nevada sobre la crisis de opioides. En 2019, fue nombrado miembro del Consejo de Políticas Públicas de la ASHP. En el ranking de mejores hospitales de U.S. News and World Report, el Renown South Meadows Medical Center ocupa el primer puesto en el estado de Nevada. Renown Regional Medical Center fue nombrado en el puesto n.º 2 de los mejores hospitales en Nevada. A hospital's score is based on multiple data categories, including patient outcomes, safety and volumes. Hospitals earning a high performing rating were significantly better than the national average. About Renown Health Renown Health is the region’s largest, locally owned and governed, not-for-profit integrated healthcare network serving Nevada, Lake Tahoe and northeast California. Con una fuerza laboral diversa de más de 7,000 empleados, Renown ha fomentado una cultura de excelencia, determinación e innovación de larga data. La organización se compone de un centro de urgencias, dos hospitales de cuidados agudos, un hospital infantil, un hospital de rehabilitación, un grupo médico y una red de atención de urgencias y Hometown Health, la compañía de seguros sin fines de lucro más grande de la región y de propiedad local, Hometown Health. Renown’s institute model addresses social determinants of health and includes: Child Health, Behavioral Health & Addiction, Healthy Aging and Health Innovation. Clinical institutes include: Cancer, Heart and Vascular Heath, Neurosciences and Robotic Surgery. Renown is currently enrolling participants in the world’s largest community-based genetic population health study, the Healthy Nevada Project® . Visite renown.org para obtener más información.
Leer más About Renown Health da la bienvenida al nuevo vicepresidente de Farmacia
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Healthy Nevada Project Returning Clinical Results to Participants
The Healthy Nevada Project – a first-of-its-kind population health study combining genetic, clinical, social and environmental data – has reached another landmark milestone. The study is notifying study participants at risk for familial hypercholesterolemia, BRCA and Lynch syndrome. “I took part in the Healthy Nevada Project to find out my ancestry. I didn’t even realize the test could give me so much information,” says 29-year-old Jordan Stiteler, who was recently diagnosed with familial hypercholesterolemia (also known as FH) through the Healthy Nevada Project. “After my dad passed away suddenly at age 45, I learned I had high cholesterol but I didn’t know it was genetic and I didn’t get an FH diagnosis until last week,” Jordan explains. “I immediately changed my diet, started walking more and doing more cardio. I also set up an appointment with my primary care physician for the first time in a while. I’ve talked with my family and even strangers about testing since my diagnosis. I hope my story will inspire others to test and can save someone’s family from going through the same loss I did.” Healthy Nevada Project Notifying Patients of Familial Hypercholesterolemia Risks Jordan is among the first Healthy Nevada Project participants to receive clinical results from the genetic study led by Renown Institute for Health Innovation (Renown IHI) – a collaboration between Renown and the Desert Research Institute Foundation. This groundbreaking population health study is now reaching out to study participants like Jordan, who asked to be notified of health risks. If study volunteers choose, the project will also provide guidance on treatment and additional testing for family members who may also be at risk. The project is starting with the return of FH risks which is a genetic tie to high cholesterol. Just a few months ago, a paper in the Journal of the American College of Cardiology recommended genetic testing become the standard of care for patients with a definite or probable FH diagnosis. Jordan says she plans to have her young son tested as well. “This is the future of health; not just reacting to sick people, but a coordinated effort between innovative technologies, data-driven researchers, and responsive practitioners to deliver personalized interventions to identify, prevent and treat disease,” says Anthony Slonim, M.D., Dr.PH., FACHE, president and CEO of Renown Health and president of Renown IHI. “As care providers, we often don’t see patients until they’re already sick and that’s a difficult problem. By embracing personal genomics, we can accelerate the ability of researchers to access data and apply those learnings back to our health system sooner.” In the Months Ahead: Notification of BRCA1/2 & Lynch Syndrome Risks The Healthy Nevada Project will start notifying study volunteers at risk for other CDC Tier 1 conditions including hereditary breast and ovarian cancer syndrome (BRCA 1/2 genes) and Lynch syndrome in the months ahead. These conditions are the key focus for the Healthy Nevada Project. The reason: Because early detection and treatment will save lives, and these conditions are some of the most common. “This research allows us to look into cancer, cardiac, respiratory illness and beyond to identify underlying causes, assess real risks and eventually initiate appropriate preventive actions much earlier. Human subject research is often intangible to participants – we are treated as subjects. The Healthy Nevada Project is creating actionable information for our participants while engaging in leading-edge research on health determinants,” said Joseph Grzymski, Ph.D., associate research professor at DRI, principal investigator of the Healthy Nevada Project and chief scientific officer for Renown Health. Landmark Population Health Study Continues to Expand Since launching two years ago, the Healthy Nevada Project has quickly evolved and expanded. The pilot project enrolled 10,000 participants in just 48 hours in September 2016. In March 2018, phase two of project expanded to an additional 40,000 participants with genetic testing partner, Helix. Helix’s genomic sequencing provides participants and researchers greater depth and quality of DNA data. With this, they can gain further insights to improve health. During a recent media roundtable announcing the return of clinical results, the Healthy Nevada Project also announced plans to complete testing of 40,000 people by the end of 2018. This will bring the project’s total enrollment to 50,000 people – approximately 10 percent of northern Nevada’s population. The Healthy Nevada Project hopes to reach more than 250,000 people in its next phase. The ultimate goal is to offer genetic testing to every Nevadan interested in learning more about their genetics and health. Join the Healthy Nevada Project Recruitment for phase two is still open. In addition to opting in to receive clinical results, participants receive National Geographic’s Geno 2.0 ancestry app at no cost. They also have the chance to pick an additional app for health and wellness after completing a follow-up survey. Learn More or Sign Up
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