A Service of Mary Greeley Medical Center and McFarland Clinic PC

A Service of Mary Greeley Medical Center and McFarland Clinic PC

Imran Dotani, M.D., (right) board certified, interventional cardiology Stuart Christenson, M.D., board certified, cardiovascular disease, nuclear cardiology Your Heart Is in the Right Place. At Mary Greeley Heart, we are committed to providing our patients with the specialized care they expect and personal touch they deserve. Our heart services team is led by board-certified cardiologists offering a range of care including interventional cardiology, diagnostic services, cardiac rehabilitation and much more. The care team of the Cardiac Catheterization Laboratories of Mary Greeley Heart First Nurse First Nurse is a free health information service available to you 24 hours a day, 365 days a year. First Nurse is staffed with experienced registered nurses, who provide phone triage and health education services including: Symptom-based questions. First Nurse helps callers decide what to do if they suspect themselves or a family member may need medical attention whether it s a visit to the physician s office or a trip to the emergency department. General health information. First Nurse also answers all types of health-related questions, no matter what time of day or night. Started in 1996, First Nurse is a joint venture between Mary Greeley Medical Center, McFarland Clinic, Marshalltown Medical and Surgical Center and Iowa State University Thielen Student Health Service. You can reach First Nurse at these phone numbers: (515) 239-6877 in Ames (641) 754-6877 in Marshalltown (800) 524-6877 (toll free) Mobile Intensive Care Services Founded at Mary Greeley Medical Center in 1978, our Mobile Intensive Care Services was the first of its kind in Iowa. Today, it is one of the most sophisticated paramedic services available in the state.

In fact, because of our expertise, we serve as a regional training institution and outreach center for emergency medical services education. All 30 of our highly trained paramedics are rated Paramedic Specialists, the highest level of certification available from the State of Iowa. In addition, six of these specialists have critical care endorsements, should a critical patient need to be transferred between hospitals. Our Paramedic Specialists are trained to provide the highest level of advanced life support, including advanced airway management techniques and the interpretation of 12-lead EKG results. These results and other patient information is faxed in transit to the Mary Greeley Medical Center Emergency Department, enabling our emergency team to prepare equipment, alert any necessary specialists and make decisions more quickly. Our two Mobile Intensive Care Services locations are in Ames and Story City. Together, they cover the entire western one-third of Story County and answer approximately 3,300 calls a year. Medical/Telemetry Unit Emergency Department Our Emergency Department draws upon the extensive resources available at Mary Greeley Medical Center to deliver high-level emergency care. Here, speed and accuracy are paramount. We are staffed 24 hours, every day of the year with physicians specially trained in emergency care. All nurses on staff are registered nurses, many with additional certifications in advanced cardiac life support, pediatric advanced life support and trauma nursing. In addition, specialists of every kind are on call to provide any necessary expertise. Our 24-hour, state-of-the-art Laboratory and Radiology departments provide support to the Emergency Department with quick test results for fast diagnoses. In addition, our sophisticated Cardiac Catheterization Laboratory is available 24 hours for emergency heart procedures. Our Medical/Telemetry Unit is a 40-bed unit (all private rooms) designed to provide specialized care for those patients who need continuous heart monitoring. Patients in this unit will be connected to telemetry equipment that monitors the activity of the heart. This brand-new, stateof-the-art equipment uses special leads attached under the gown, allowing patients to move around the unit.

All nurses in the unit are registered nurses certified in basic and advanced cardiac life support, as well as basic and advanced electrocardiography. Patients stay in the unit an average of four days. While in the unit, patients may begin their cardiac rehabilitation program, provided by the cardiac rehabilitation staff. Intensive and Coronary Care Unit Our 10-bed Intensive and Coronary Care Unit (ICCU) serves the hospital s most critical patients, providing close observation around-the-clock. The level of nursing care given is intense, and so is the required training. The registered nurses in ICCU are all certified in life support, advanced cardiac life support and basic and advanced electrocardiography. Additionally, they are specially trained in the use of the intra-aortic balloon pump, medical ventilators, x-ray equipment, intracranial pressure monitors and more. Cardiac Rehabilitation Phase The cardiac rehabilitation program at Mary Greeley Medical Center is designed to restore optimal health to heart patients after a heart attack, heart surgery, stable angina or some other cardiac condition that has caused damage to the heart muscle. Certified by the American Association of Cardiovascular and Pulmonary Rehabilitation, our program is staffed by registered nurses who specialize in cardiac rehabilitation. Other disciplines involved in the care of people undergoing cardiac rehabilitation are physical therapy, dietetic services and medical social services. Phase I of our multiphase program begins in the inpatient setting. Phases II and III and the Cardiac Support Group are offered in an outpatient setting. Phases I and II are covered by Medicare and most insurance companies. Phase III is generally not covered by insurance. Phase I. This phase consists of structured activity to restore basic strength and patient and family education. Phase II. This six-week, monitored exercise program lasts about one hour and consists of warm-up exercise, continuous cardiovascular exercise and cool-down exercise, all of which are monitored by a registered nurse. This phase also includes educational classes on heart physiology and anatomy, medication, diet, stress management, risk factors and exercise. Phase III. This is designed for those who have completed Phase II and who would benefit from a continued supervised exercise program. Cardiac Support Group. This is a monthly group meeting for cardiac patients and/or their family members, offered at various times throughout the year. Call (515) 239-6780.

Cardiac Catheterization Lab Electrophysiology Some of the most important and intricate heart procedures are performed in the Cardiac Catheterization Laboratories at Mary Greeley Medical Center. Completely remodeled and enlarged, our two cath labs accommodate the latest technology. With our new equipment, the internal images we are able to produce are crystal clear, aiding in diagnosis and treatment. Our skilled cardiologists treat emergency patients in the midst of a heart attack, as well as short-stay patients coming in for scheduled diagnostic or therapeutic procedures. These include: Angioplasty. This is the most significant procedure in saving the lives of those having a heart attack. By using balloon-tipped catheters inserted through the groin, cardiologists can open arterial blockages, allowing blood to flow freely to the heart. Stent. Following an angioplasty, the cardiologist may insert a small meshlike tube called a stent into the vessel that was blocked, dramatically reducing the chance of another blockage in that area. Angiogram. Using catheters, cardiologists can determine, with the aid of imaging fluids and x-ray technology, where a blockage may be located. This diagnostic study is considered the gold standard for identifying blockages to the heart. Pacemakers and defibrillators. These devices, which help keep the heart beating at the right pace and rhythm, are implanted in patients in our electrophysiology or peripheral lab. Cardioversion, ablation and other procedures. In addition, our cath lab performs many tests that measure the electrical pathways of the heart to determine what is causing heart rhythm disturbances and what treatment options are available. Echocardiogram The newly remodeled Echocardiogram Laboratory, or Echo Lab, at Mary Greeley Medical Center is truly state-of-the-art. Our equipment is brand new, and we are one of only a few hospitals in the state using this improved echo technology. Our diagnostic echocardiograms provide our physicians with valuable information to assist in detecting heart abnormalities. These high-quality digital images are sent to a digital network and then interpreted by our cardiologists. CardioScore One of the most sophisticated noninvasive tests now available to determine a patient s risk of heart disease is CardioScore. Performed in our Radiology Department, this quick and painless test detects calcification in the coronary arteries, which is a sign of potential coronary artery disease.

CardioScore is recommended for men over the age of 45 and women over the age of 55. If you have additional risk factors, such as high blood pressure, high cholesterol levels, diabetes, a history of smoking, relatives with heart disease or a sedentary lifestyle, you and your doctor may consider having you undergo the test 10 years earlier. While it is a valuable tool in indicating the risk of a heart attack, this test is not foolproof. Noncalcified plaque in the vessels is not detected with the CardioScore exam. No physician referral is needed for CardioScore, and insurance typically does not pay for the test. Medical Cardiology The McFarland Clinic Cardiology Department offers medical cardiology services under the leadership of Dr. Imran Dotani. In addition to office consultation, the McFarland Cardiology Department with its team of advanced cardiac life support trained registered nurses also provides protime and pacemaker clinics for patients. A number of diagnostic tests are also offered on an outpatient basis. For more information on the services of McFarland Clinic Cardiology, please call (515) 239-4472. Home Care Services HOMEWARD, a service of Mary Greeley Medical Center, offers a specialized approach to those patients requiring care in the home. The broad range of interdisciplinary services includes skilled cardiopulmonary assessment and treatment that traditionally requires a controlled, hospitalized setting. In addition, home medical equipment and hospice services are offered under HOMEWARD s scope of care. Continuum of Care As a service of Mary Greeley Medical Center, Mary Greeley Heart offers seamless referral to advanced care, along with a number of wellness and support services including: Smoking Cessation Services (515) 239-2612 Diabetes and Nutrition Education Center (515) 956-2880 The Stroke Center at Mary Greeley Medical Center (515) 239-2038 Pulmonary Rehabilitation (515) 239-2612 Lifetime Fitness Center (515) 733-4029 HOMEWARD Home Health (515) 239-6730 HOMEWARD Hospice (515) 956-6000 HOMEWARD Home Medical Equipment (515) 239-6814

1111 Duff Avenue Ames, Iowa 50010 (515) 239-2011 www.mgmc.org