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At Renown Health, our nationally recognized Heart Failure Program provides best-in-class diagnoses, treatment and management of heart failure. Patients receive specialized care from our dedicated team of experts which includes nurse navigators, clinical coordinators and highly trained cardiologists. We are proud to serve our community and lead the region in heart failure care.

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Heart failure is a serious medical condition that occurs when the heart is unable to pump blood effectively, leading to a variety of symptoms and potential complications. Although there has been progress made in the treatment of many forms of heart disease, heart failure continues to be a prevalent and life-threatening condition – nearly 6.2. million adults in the U.S. have heart failure. Recognizing the signs of heart failure is crucial for early detection and timely intervention. We talked to Ruth Skinner, APRN at the Renown Institute for Heart & Vascular Health, about recognizing common signs and symptoms of heart failure. Heart Failure Signs and Symptoms The symptoms of heart failure may be subtle and can be mistaken for normal signs of aging. Common symptoms of heart failure are due to extra fluid or congestion – typically starting with congestion of the lungs, then moving to different parts of the body. Common heart failure symptoms include:  Breathing Difficulties (Dyspnea): One of the hallmark symptoms of heart failure is shortness of breath during daily activities and having trouble breathing when lying down.  Fatigue and Weakness: Because heart failure can lead to reduced blood flow to the body’s tissue, patients may find themselves becoming tired and weak even during routine activities.  Swelling (Edema): Fluid retention in the body can cause noticeable swelling. Weight gain along with swelling of the feet, legs, ankles or stomach is often a key sign of worsening heart failure. Rapid or Irregular Heartbeat: Heart failure can disrupt the heart's electrical signals, causing irregular heartbeats (arrhythmias) or a rapid heartbeat (tachycardia). These can be felt as palpitations or fluttering sensations in the chest. Persistent Cough or Wheezing: Fluid buildup in the lungs triggers a persistent cough, sometimes accompanied by pink or white mucus.  Loss of Appetite or Nausea: Heart failure can affect blood flow to the digestive system, leading to symptoms like loss of appetite and nausea. If you or a loved one experiences any of the above signs and symptoms, it’s important to seek medical attention promptly.

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Renown Health patient, Alden Nash, hiking Death Valley National Park just three months after a Transcatheter Aortic Valve Replacement. Alden Nash isn’t your average 80-year-old. For much of his life, he could be found outdoors enjoying nature and hiking some of the west coast’s highest elevations. A husband and father of two, Alden turned his passion into a career as a Yellowstone park ranger in 1965. Alden believes his passion for the outdoors is responsible for his many years of health – until the unavoidable happened. The Hardest Climb The number one doctor recommendation for a healthy heart – lead a healthy, active lifestyle. Any cardiologist would be thrilled to have Alden as a patient due to his robust physical activity regimen. “Don’t have a TV set or a lounge chair in your house and you’re all set,” said Alden when asked how he has remained so fit throughout his senior years. Unfortunately, many other factors come into play when it comes to heart health, one of which is the reason we are telling Alden’s story today. Familial history - it’s a hot topic in the world of medicine. Understanding your genetic risk factors can help care providers develop updated care plans based on your results. Alden’s family has a long history of high cholesterol, which he avoided for much of his life by staying active. This combined with his age resulted in his first heart attack in December 2021. Doctors later determined that Alden was suffering from a type of heart valve disease known as aortic valve stenosis. Aortic stenosis is the narrowing of your aortic valve opening that impedes normal blood flow. Over time, the leaflets of your aortic valve become stiff, reducing their ability to fully open and close. When the leaflets don’t fully open, your heart must work harder to push blood through the aortic valve of your body. Eventually, your heart gets weaker, increasing the risk of heart failure. People who are most at risk for aortic stenosis include those who have had certain heart conditions present at birth, have chronic kidney disease or have heart disease risk factors such as high cholesterol and high blood pressure. However, generally, aortic stenosis is a degenerative process of aging with no modifiable risk factors. The incidence of aortic stenosis increases rapidly with age and is very common above the age of 80 – with 1/10 having the condition and 1/50 with a problem severe enough to warrant surgery. When symptoms are present, the disease can be rapidly disabling or even deadly, often progressing over several months unless treated.

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While February is recognized as American Heart Month, it’s important to prioritize your heart health 365 days a year. Cardiologists play an integral role in our overall health and wellbeing – they are the experts when it comes to preventing and treating heart and vascular diseases. Dr. Jad Al Danaf of Renown Institute for Heart & Vascular Health shares eight reasons to visit a cardiologist. 1. Abnormal EKG The American Heart Association states an electrocardiogram, abbreviated as EKG or ECG, is a recording of the heart’s electrical activity to measure the rate and rhythm of the contractions in the upper and lower chambers of the heart. An EKG detects heart problems or abnormalities. If you have an EKG that shows abnormal results, you’ll want to see a cardiologist. An abnormal EKG can mean many things, such as irregular heart rate, heart rhythm abnormalities in the shape or size of the heart, medication side effects, and more. A cardiologist is most qualified to evaluate an abnormal EKG and determine the cause. 2. Immediate family history of heart disease or sudden cardiac death Knowing your family health history is essential to identify if you’re at risk for certain health conditions such as heart disease. For example, if you’re aware of anyone in your immediate family who had or has had heart problems or passed away from sudden cardiac death. In that case, you’ll want to discuss it with a cardiologist so they can determine if screenings, medications, or lifestyle changes are needed to help lower your risk. 3. Chest pain or shortness of breath with exertion If you have chest pain or shortness of breath that starts or worsens with activity, it may indicate a heart problem, and you should schedule a visit with a cardiologist immediately. Severe chest pain might be a sign of a heart attack or other serious medical emergency. If you’re experiencing severe chest pain, shortness of breath, or any other signs of a heart attack, call 911 immediately. 4. High blood pressure Have you had a high blood pressure reading? If so, it’s recommended to consult with a cardiologist for further evaluation. High blood pressure puts you at risk for heart disease and stroke, as uncontrolled high blood pressure can damage arteries, reducing blood flow and oxygen to your heart and brain.

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Cardiac Imaging Heart imaging plays a vital role in healthcare, offering critical insights into the structure, function and overall health of the heart. By utilizing advanced imaging techniques, imaging specialists can accurately diagnose, monitor and treat various cardiac conditions. At Renown Health we offer comprehensive diagnostic imaging services, including echocardiogram (echo), nuclear imaging, Coronary CT angiography and vascular ultrasound. Follow-up imaging can also be completed for post-surgical procedures to measure success rates.

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We lead the region in cardiology care with our technological expertise and patient-centered approach. Our comprehensive team diagnoses heart disease and other cardiac conditions, offering personalized treatment plans. Plus, our specialty team provides you access to the most advanced medical, surgical and minimally invasive techniques.

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Renown Health is recognized by the American College of Cardiology (ACC) as an Accredited Chest Pain Center with Primary PCI distinction. PCI designation means we specialize in percutaneous coronary intervention (PCI) - also known as coronary angioplasty - as the primary treatment for acute heart attacks. We strive to ensure patients experiencing an acute heart attack receive rapid treatment in the cardiac catheterization lab to minimize damage to the heart muscle. In addition, Renown Health received the Chest Pain – MI Registry Platinum Performance Achievement Award in 2022 and 2021.

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Heart disease is the leading cause of death in women. According to the American Heart Association, heart disease kills more women than all forms of cancer combined and yet only 44% of women recognize that cardiovascular disease is their greatest health threat. Recognizing the urgent need for women's cardiac care, Renown Health established the Helaine Greenberg Women's Heart Center, the first of its kind in Nevada.

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Meet a couple that's all heart. After each had a heart attack one year apart, they committed to Renown's new Healthy Heart Program and support each other along the road to heart health. Almost a year to the day that Janis VanHorn had a heart attack, her partner, Carl Edson, had one too.  "That kind of doubled the dose of making sure that we were doing everything that we could to continue with our life," VanHorn says. "It's a very life-altering thing.” And after Edson's quadruple bypass open heart surgery, he was grateful for the simple act of getting into the car with the woman he loves. "I was so relieved," he says. "I didn't realize how precious life was until that moment." The couple see the same cardiologist, Richard Seher, M.D., FACC, FSCAI, who recommended they participate in Renown's new Healthy Heart Program, a 12-week, 36-visit intensive cardiac rehabilitation curriculum that includes monitored exercising and cooking classes. Now they're both familiar faces at the program, which is located at the Renown South Meadows Medical Center. After several weeks, Edson says he has lost 10 pounds and VanHorton has lost inches and feels more toned. Tackling the program together has brought the couple closer and given them the opportunity to fuel one another's health goals and longevity. "I would be lost without this man," VanHorn says," and anything I can do to help him live longer, I'm going to do that." Edson adds, "She is to me my whole life, and I mean that sincerely. There's no one else I can turn to that has helped me in my life as she has, and I'm just trying to return the favor in a big-time way. She is my everything."

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The Renown Health Structural Heart Program was the first integrated program of its kind in northern Nevada. Since the beginning, we've been dedicated to providing specialized care to patients with complex and progressive structural heart and valve disease. Our team of experts offer comprehensive diagnostics, advanced treatment options, leading-edge technologies and top-level expertise.

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After having a heart attack, a Mammoth resident travels to Reno to complete rehab. He’s already lost 15 pounds and gained a healthier outlook on life.  Eric Smith travels from his home in Mammoth Lakes, Calif., to Reno twice a week to participate in Renown Health’s Healthy Heart Program.   “Living in Mammoth, it’s a three hour drive for me up here. Well, it’s my life or it’s a drive,” says Healthy Heart Program participant Eric Smith. The Mammoth Lakes, Calif., resident travels to Reno twice a week to participate in the 72-session program. which includes heart-healthy classes, exercise sessions and cooking demonstrations. “The cardiac rehab program here is excellent,” Smith says. “It is the only program that I am aware of that combines nutrition and exercise together. What’s the point of exercising to get your heart strong if you are still eating poorly and not educating yourself on that?” Smith’s heart issues began when he was 46-years-old. He received an angioplasty, which is a stent to hold a coronary artery open. Two years later, Smith had a heart attack and was flown to Renown Regional Medical Center for emergency bypass surgery on four arteries to allow blood to flow to his heart more freely. An avid skier, ski racing coach and tile setter, Smith admits that it is sometimes difficult to eat right when you’re on the go in a tourist town. Since starting the cardiac rehab program, Smith says he is feeling more optimistic on making lasting lifestyle changes after meeting other people who are going through the same challenges, like food cravings and trying to get stronger. “The big thing is getting educated on food,” says Smith, who has swapped out heavy breakfasts for whole grains and fruit, and steak dinners for baked fish. In just a few months of starting the program, Smith lost 15 pounds. He looks forward to passing along what he’s learned to his friends.  “Everybody benefits from this program, especially if you have experienced a heart attack,” Smith says. “But if you don’t have those issues, you can still get the benefits from eating healthier.”

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