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Preventive Cardiology & Rehabilitation Section

The Section of Preventive Cardiology & Rehabilitation helps those who already have heart and vascular disease and those who are at high risk of developing it. Programs include nutritional services, prescriptive exercise programs, stress testing, multiple cardiovascular risk reduction programs, peripheral vascular rehabilitation program in collaboration with Vascular Medicine, comprehensive cardiovascular care for women, and educational programs for patients and healthcare providers.

The Section of Preventive Cardiology & Rehabilitation consist of five programs that treat patients who are at risk for cardiovascular disease and/or those who have had a cardiovascular event:

These programs promote optimal life-style changes and medical management to:

  • Prevent the occurrence and/or progression of cardiovascular disease
  • Reduce the risk of future heart attack or stroke
  • Reduce the need for future surgery
  • Enhance quality of life by reducing symptoms

The Cardiac Health Improvement and Rehabilitation Program was founded in 1985 and helps to promote health and wellness of cardiac and vascular patients both in the hospital, during recovery and life-long.


Reviewed: 01/14

The Section of Preventive Cardiology & Rehabilitation helps patients identify traditional and emerging nontraditional cardiovascular risk factors through a comprehensive assessment. Patients receive an individualized treatment plan and ongoing follow up to meet their goals.

Patient Care

Your health care team will provide you with a highly individualized lifestyle plan that will enhance your efforts to stay well and symptom-free. Although many people know the importance of a heart-healthy lifestyle, few are sure of how to implement healthier ways of living in their own day-to-day lives. Our specialists in nutrition, exercise, smoking cessation, stress management, anxiety and depression can put together a "prescription" of treatments designed especially for you.

You will receive an individualized exercise program and a nutrition plan designed to meet your goals, including heart-healthy recipes.

We are familiar with the latest and most effective drugs for lowering cholesterol as well for those with newly diagnosed high cholesterol and those with complicated, hard to treat or "statin intolerant" hyperlipidemias.

Tests and Procedures

The Section of Preventive Cardiology & Rehabilitation uses the very latest technology in diagnosis and treatment. For example, we incorporate the use of biochemical and genetic markers of cardiovascular disease.

Other preventive cardiology approaches include the study of novel markers for coronary artery disease, such as homocysteine, ultra-sensitive CRP, lipoprotein(a), fibrinogen, PLAC2 and myeloperoxidase (MPO). When risk factors are found, our patients receive the very newest treatments to prevent or overcome any progression of heart disease.

Helpful Links

Why choose Cleveland Clinic for your care?

Our outcomes speak for themselves. Please review our facts and figures and if you have any questions don’t hesitate to ask.

Preventive Cardiology & Rehabilitation tracks outcomes on numerous cardiovascular risk factors, including emerging nontraditional cardiac risk factors. The Cardiac Rehabilitation Program reports outcomes related to quality of life, functional capacity, blood pressure and compliance.

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Our Medical Team



Preventive Cardiology & Rehabilitation Medical Staff
Nurse Practitioners: Advanced Practice Nurses
Cardiac Rehabilitation

Pediatric Preventive Cardiology and Metabolic Clinic

Medical Staff

Women’s Cardiovascular Center

Medical Staff

What to Expect

Whether you are coming from around the corner or around the world, you want to know what to expect before, during and after your visit with us. If you have any questions while reviewing this information, please contact us. We are happy to answer any questions you may have.

Appointment Information

By Phone

For more information on any of the mentioned services, please contact the Preventive Cardiology & Rehabilitation Office:
Locally 216.444.9353 or toll-free 800.223.2273, ext. 49353


Directions

Go to Desk JB - 1, 9500 Euclid Avenue, Cleveland, Ohio.

Online

Use our secure online form to submit an appointment request 24/7. We will receive it and follow-up with you as soon as possible.


Physician Referrals

Mon. - Fri., 8 a.m. - 5 p.m. (ET):
toll-free 877.843.2781 (877-8Heart1)

At all other times call Patient Access Services locally 216.444.8302 or toll-free 800.553.5056.

For Patients

Cleveland Clinic Heart and Vascular Institute physicians, surgeons, and researchers continue to research into new treatments and therapies with the goal of improving patient care and outcomes into the future.

Our Programs & Clinics

The Section of Preventive Cardiology and Rehabilitation offers a variety of programs and clinics tailored to the specific needs of our patients. Whether you are looking for preventive care, cardiac rehabilitation, nutrition counseling, or preventive cardiology care for patients under 18, you will find it here. Simply click on the (+) sign next to the program to learn more!

Preventive Cardiology Program
Who should participate in a Preventive Cardiology Program?

Cardiovascular disease is the number one killer of men and women in the United States. If you want to lower your risk for cardiovascular disease, or more importantly, if you have risk factors or have already been diagnosed with cardiovascular disease, this program is for you. Even if you already have cardiovascular disease, you can slow its progression by managing your risk factors.

What types of patients are seen in the Preventive Cardiology Clinic?

Patients in the Preventive Cardiology Clinic can be categorized as receiving primary or secondary prevention.

  • Primary prevention is aimed at the prevention of heart and blood vessel disease before an event such as a heart attack or stroke, or the need for cardiovascular surgery occurs.
  • Secondary prevention targets individuals after they have experienced an event such as heart or vascular surgery, angioplasty or heart attack, to prevent further progression of cardiovascular disease.
Who is the clinical team?

The Preventive Cardiology Program brings together the multi-specialty expertise of physicians, nurse practitioners, nurses and other health care professionals from several departments, including:

  • The Tomsich Family Department of Cardiovascular Medicine
  • Endocrinology
  • Hypertension
  • Internal Medicine
  • Exercise Physiology
  • Psychology
  • Nutrition Therapy

In bringing these diverse areas together under one program, patients benefit from this comprehensive, multi-specialty expertise and application of the most current, research-based preventive therapies.

How do I enter the program?

Your doctor can arrange for you to be seen in the Preventive Cardiology Program or you may contact us directly to schedule an appointment at 216.444.9353 or toll free 800.223.2273, ext. 49353. Once your appointment is made, you will receive information and instructions to prepare you for your first visit.

What role does my primary physician have?

The Preventive Cardiology specialists will work closely with you and your family physician or cardiologist to design a program which fits with your overall health profile. They will track your progress and report this information to you and your doctor with each visit.

What are the program goals?

The team works with each patient individually, using research-based interventions and a variety of treatment methods to decrease risk factors for cardiovascular disease progression and improve quality of life. Your goals will be individualized to your needs and lifestyle.

Patients begin with a complete risk assessment and lab work including biochemical and genetic markers, followed by a long term plan for reducing risk. Nutritional counseling, exercise instruction, advice about lifestyle and behaviors, smoking cessation, medical management of risk factors, psychological counseling and referral to physicians or other health professionals as needed may all be a part of this plan.

What happens during my first visit?

You will receive a thorough risk factor assessment including family history of cardiovascular diseases, assessment of lifestyle health behaviors, review of your cardiovascular and other medical history, lab work including diabetes and cholesterol screening and a focused cardiovascular physical. We also screen for new and emerging risk factors for heart disease, such as homocysteine, fibrinogen, lipoprotein(a) and C-reactive protein. Review common risk factors for heart disease.

What happens next?

The data obtained from your comprehensive evaluation is reviewed by members of our multidisciplinary team, and an individualized treatment plan is created that includes specific goals to be followed over time. Your information is entered into a computerized database, and you will be provided with a sheet to track your information. This database will make it easy for you and your healthcare providers to follow your progress, comparing trends over time. The database also allows for analyses of outcomes to help us evaluate how well we are meeting the goals of our patients. A copy of these records can automatically be sent to your referring physician and any other physicians you would like to be kept informed of your care.

How often will I have follow-up appointments?

Most patients have a follow-up appointment every 3 months, but they may be more or less frequent depending on their individual needs and plan of care. Regular follow-up visits are important to ensure progress toward goal achievement. If you have questions in between visits, you may contact your Preventive Cardiology team.

What makes Cleveland Clinic’s Preventive Cardiology Program unique?

The program has been designed to provide:

  • Individualized treatment plans
  • Cutting-edge risk evaluation, including the latest new and emerging risk factors
  • Computerized data collection and outcome analyses
  • Multidisciplinary treatment strategies
  • Nutritional counseling based on individual lab test results and patient needs, and may include electronic evaluations of daily food intake
  • Behavioral analysis
  • Group and individual educational programs
Cardiac Rehabilitation Program
What is Cardiac Rehabilitation?

Cardiac rehabilitation (rehab) is a program designed to help improve your overall health by identifying and reducing the risk factors that lead to cardiovascular disease.

The program promotes optimal life-style changes and medical management to:

  • Prevent the occurrence and/or progression of cardiovascular disease
  • Reduce your risk of a heart attack or stroke
  • Reduce the need for future surgery
  • Enhance your quality of life by reducing symptoms
How will cardiac rehab help?

As a participant in the Cardiac Rehab Program, you will work with an exercise physiologist or registered nurse who will help you meet your personal goals.

The goals of cardiac rehab are to:

  • Increase your understanding about your condition and treatment
  • Help you make the right lifestyle changes to decrease your risk of a heart attack or stroke and reduce the need for future surgery
  • Increase your ability to perform your job and your daily or recreational activities
  • Provide you and your family with the support and motivation you need to make important lifestyle changes
Cardiac Rehab
Who can benefit from cardiac rehab?

Cardiac Rehab Programs benefit patients who have:

  • Coronary artery bypass graft (CABG) surgery
  • Interventional procedures such as balloon angioplasty, PTCA, atherectomy, rotoblation or stent placement
  • Angina
  • Heart attack (myocardial infarction)
  • Heart failure
  • Hemodynamic disorders, such as syncope
  • Peripheral artery disease
  • Other heart or vascular disorders
  • Valve repair or replacement
  • Aortic aneurysm repair or replacement
  • Heart transplant
How do I get started in the Cardiac Rehab Program?
  • Phase I Cardiac Rehab: During your hospital stay, a cardiac rehab specialist will direct your early activities. You will receive information about the recovery process and learn how to reduce your future risk of cardiovascular disease.
  • Phase II Cardiac Rehab: Soon after you are discharged from the hospital, you can enter the outpatient Phase II Cardiac Rehab Program. Once your doctor has provided a referral, the rehab team can help you get started in the program.

    Your first visit will include an exercise evaluation for safety, a discussion about exercise guidelines, a review of your medical history and an evaluation of your cardiovascular disease risk factors.
What does the program include?
  • We will develop a plan with you and your family that includes strategies to help you make lifestyle changes and decrease your risks. The program will be tailored to your personal needs, abilities and interests.
  • Patient and family education classes are provided every week along with individual education to help you achieve your personal goals. Detailed nutrition counseling is also available with our registered dietitian.
  • The program will support the ongoing care provided by your referring doctor.
  • We will track your progress throughout your participation in the program and report this information to you and your referring doctor.
Where will I go to participate in the program?

Cardiac rehab activity classes are offered at Cleveland Clinic.

All sessions are medically supervised and directed by nationally certified rehabilitation specialists and nurses. State-of-the-art monitoring equipment and a variety of exercise equipment are available for your safety and convenience.

Ongoing Management
Preventive Cardiology Clinic

In addition to the Cardiac Rehab Program, you may participate in the Preventive Cardiology Clinic. This multispecialty clinic includes physicians, nurse practitioners, nurses and other healthcare professionals from several departments, including cardiovascular medicine, endocrinology, hypertension, internal medicine, exercise physiology, psychology and nutrition therapy who are experts in the prevention of cardiovascular disease.

The specialists in the Preventive Cardiology Clinic assess your risk of cardiovascular disease and create a plan to manage traditional and emerging risk factors. The team works with each patient individually, using research-based interventions and a variety of treatment methods.

Does insurance cover cardiac rehab?

Outpatient cardiac rehab is covered by most insurance companies. We can help you contact your insurance company to ask about your coverage options before you start the Phase II Cardiac Rehab Program. Or you may call the financial counselor at 216.444.9353 or 800.223.2273 ext. 49353

Why attend the Cardiac Rehab Program?
Pediatric Preventive Cardiology and Metabolic Clinic

The Pediatric Preventive Cardiology and Metabolic Clinic is a multidisciplinary team of physicians, nurse practitioners, dietitians, exercise physiologists and other healthcare professionals who take a comprehensive approach to preventing the onset/progression of cardiovascular and metabolic conditions in high risk pediatric patients. Our team works with families to create individualized programs to meet the specific needs of each patient.

The Sydell and Arnold Miller Family Heart & Vascular Institute at Cleveland Clinic is a recognized world leader in diagnosis and treatment of cardiovascular disease and has been ranked best in the nation for cardiac care by U.S. News & World Report every year since 1995.

Pediatric Preventive Cardiology and Metabolic Clinic Team
Pediatric Preventive Cardiology / Metabolic Clinic
Referrals

If you are interested in having your child or adolescent referred to the Pediatric Preventive Cardiology / Metabolic Clinic, the criteria for referral include the following:

  • Less than 21 years of age
  • Metabolic/Lipid abnormalities. BMI above the 95th percentile without other cardiac or metabolic risk factors BMI above the 85th percentile and other cardiac or metabolic risk factors including:
    • HDL < 50 mg/dL
    • LDL > 110 mg/dL (fasting)
    • Triglycerides > 150 mg/dL (fasting)
    • AST/ALT > upper limit of normal
    • Blood pressure > 130/85 mm/HG
  • Regardless of BMI:
    • LDL > 130 mg/dL (fasting)
    • Triglycerides > 250 mg/dL (fasting)
    • Ultrasound evidence of fatty liver
  • Genetic dyslipidemias. Patients with significantly elevated cholesterol and/or triglycerides and genetic lipid disorders such as:
    • Heterozygous / Homozygous FH
    • Severe polygenic hypercholesterolemia
    • Familial combined hyperlipidemia
  • Rheumatological disease.
    • Lupus
    • Juvenile arthritis
    • Vasculitis
    • Other rheumatological disease

If you have concerns about a patient who does not meet the referral criteria above, please contact us to discuss your patient further.

Comprehensive Initial Consultation
  • thorough risk factor evaluation
  • review of lifestyle health behaviors
  • assessment of family history of cardiovascular/medical disease and lipid abnormalities
  • lab work, including a biochemical profile and screenings
  • imaging studies, if appropriate
  • focused physical exam
  • nutritional assessment
  • psychological assessment
Treatment Plan May Include
  • lifestyle changes
  • non-pharmacologic approaches to lipid lowering
  • lipid-lowering medications, if appropriate
  • dietitian consultation
  • exercise prescription
  • psychological intervention
  • assessment for obstructive sleep apnea
Follow-up
  • regular follow-up is emphasized to ensure progress towards goals
  • each patient’s progress is tracked over time and reported to you
Preventive Cardiology Nutrition Program

The Sydell and Arnold Miller Family Heart & Vascular Institute Preventive Cardiology Nutrition Program is based on scientific research and national recommendations. We believe that diet and lifestyle management is at the foundation of heart disease risk reduction. Our nutritional guidelines are based on extensive epidemiological and clinical research involving diet patterns associated with a reduced risk of cardiovascular disease.

These dietary recommendations include those established by the American Heart Association and National Cholesterol Education Program, yet are broadened to include and emphasize cardioprotective, health-enhancing foods such as unrefined grains, fruits, vegetables and legumes. These dietary patterns have been linked to a reduction in coronary disease risk as well as other debilitating conditions such as cancer, obesity, diabetes and hypertension.

Nutrition recommendations in the Preventive Cardiology Nutrition Program are unique to an individual’s health needs, lifestyle and goals. Incorporating a variety of cardioprotective, plant-based foods set the stage for prevention. We believe prevention of heart disease can be achieved when the following life strategies are emphasized:

  • Achieving or maintaining a healthy body weight.
  • Minimizing refined starches and simple sugars and emphasizing fiber-rich foods to achieve weight goals and reduce cardiovascular risk factors.
  • Minimizing saturated and trans fat and optimizing unsaturated fat food sources, with a special emphasis on omega-3 fatty acid food sources.
  • Choosing a variety of plant-protein foods and de-emphasizing protein from animal sources.
  • Enhancing the whole foods concept to reap the cardioprotective benefits from legumes, unrefined grains, fruits and vegetables.
  • Engaging in a regular physical activity regimen.

The Preventive Cardiology Nutrition Program offers a wide-array of resources to help our patients enhance their overall health and maximize their reduction of heart disease.

Nutrition services include:

To a great degree, health is a product of the choices we make every day about what we eat, how much we exercise, and how knowledgeable we are about our own risks for disease. Our energy level, ability to concentrate and manage our weight, blood sugar and cholesterol – these are but just a few of the many conditions that can be favorably influenced when we provide our bodies with the right mix of nutrients, in the right amounts.

For more information on any of the above services, please contact Julia Renee Zumpano RD, LD or Kate Patton, MED, RD, CSSD, LD, Preventive Cardiology & Rehabilitation Office locally at 216.444-9353 or toll free 800.223.2273, ext. 49353 or Contact Us..


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Talk to a Nurse: Mon. - Fri., 8:30 a.m. - 4 p.m. (ET)

Call a Heart & Vascular Nurse locally 216.445.9288 or toll-free 866.289.6911.

Schedule an Appointment

Toll-free 800.659.7822

This information is provided by Cleveland Clinic and is not intended to replace the medical advice of your doctor or health care provider. Please consult your health care provider for advice about a specific medical condition.

© Copyright 2014 Cleveland Clinic. All rights reserved.

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