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Heart Care

During a cardiac emergency, speed matters. The sooner you can get the treatment you need, the better. But when you're living with ongoing heart disease, you also need experienced care tailored to your individual needs. There's a lot to know, and you'll need a team that takes the time to explain your options and guide your care.

Get the treatment you need for both urgent and ongoing cardiology concerns at Lake Regional Health System. Our heart care specialists are committed to excellence in the treatment of heart attack, heart failure and other forms of cardiovascular disease.

Time is Muscle

To help patients receive the best care possible in the shortest amount of time, the State of Missouri has identified hospitals that are well-equipped to treat a heart attack. Lake Regional Health System is proud to announce it is one of these hospitals, earning the designation of Level II STEMI Center.

STEMI stands for “ST segment elevation myocardial infarction,” a serious heart attack caused by an obstruction of blood to the heart.

Because Lake Regional has earned this designation, EMS providers can bring heart attack patients to Lake Regional. In addition, rather than having to transfer heart attack patients on to another hospital, Lake Regional can receive transfers from other care centers.

Cardiology Experience that Counts

Our heart care team includes board-certified interventional cardiologists, a cardiovascular-thoracic surgeon, and registered nurses and X-ray technologists who specialize in cardiac care. Our team works together, collaborating to ensure that you get the care you need when you need it.

When you have a medical emergency, our team springs into action to help you. And they work remarkably fast. In 2017, our median door-to-balloon time was 43 minutes, which is better than nine out of 10 hospitals nationwide. Door-to-balloon is the amount of time that passes between a patient arriving in the Emergency Department with a heart attack and the heart care team opening the blocked vessel in the Cardiac Catheterization Lab.

We also offer a number of diagnostic tests that can help you understand your heart issue and what you'll need to do to get better. When you have a test, your cardiologist will take the time to explain the results and answer your questions, so you'll know just what to do next.

The cardiologists at Lake Regional are skilled at evaluating and treating all types of cardiovascular disease and disorders, including:

  • Heart attack
  • Heart failure
  • Cardiomyopathy
  • Pericarditis
  • Arrhythmia
  • Atherosclerosis
  • Valve problems
  • Peripheral artery disease (PAD)

Treatment Options

When your heart issue requires surgery, our team can help. We offer a number of cardiac surgeries, including:

  • Angiography
  • Balloon angioplasty
  • Cardiac stenting
  • Implantable cardioverter defibrillator (ICD) placement
  • Digital cardiac catheterization
  • Coronary artery bypass
  • Heart valve repair and replacement
  • Mechanical thrombectomy
  • Pacemaker placement
  • Peripheral stenting
  • Placement of peripheral left ventricular assist device (LVAD)
  • Rotational atherectomy

Your heart issue might be treated within our Cardiac Catheterization Lab. It features state-of-the-art equipment that can help your cardiologist diagnose and treat cardiac and peripheral vascular disease. Our lab is the first in the state to acquire flex vision technology, providing the best imaging quality available. We treat nearly 1,900 patients in our lab each year—and we offer each patient personalized care.

Heart Attack, Sudden Cardiac Arrest and Congestive Heart Failure

All three of these heart problems are serious, but their causes are different and they require different treatments. Learn how to recognize each one and what to do if any of them is suspected.

Heart Attack

A heart attack happens when there’s a sudden blockage in the flow of blood to a section of the heart muscle. If blood flow isn’t restored quickly, the affected section of the heart begins to die.

The leading cause of heart attack is coronary heart disease, also called coronary artery disease. In this disease, plaque builds up inside the coronary arteries. A blood clot can form on the plaque’s surface, and if the clot grows too big, it can mostly or completely block blood flow.

The most common symptoms of heart attack — in both men and women — are chest pain and discomfort; upper body discomfort; and shortness of breath. Other possible symptoms include breaking out in a cold sweat; feeling unusually tired for no reason, sometimes for days; nausea and vomiting; and light-headedness or sudden dizziness.

If you think you or someone else may be having a heart attack, call 911. Immediate treatment is needed to restore blood flow to save the heart muscle.

Sudden Cardiac Arrest

Someone having a minor heart attack might be able to continue activities, even as the restricted blood flow damages the heart. In contrast, there’s no such thing as “minor” sudden cardiac arrest, which happens when the heart suddenly stops beating.

With no heartbeat, blood stops flowing to the brain and other vital organs. As a result, untreated sudden cardiac arrest usually causes death within minutes.

Sudden cardiac arrest has different causes. People who have heart disease are at higher risk, and sudden cardiac arrest can happen during a heart attack. But, it also can happen in people who seem to be healthy.

If you suspect someone is suffering from cardiac arrest, call  911. If the person is not breathing, give CPR.

There’s usually not time to get to a hospital for treatment. That’s why it’s important for people in the general public to have access to and training with automated external defibrillators. These devices — often found in malls, churches, schools and other public spaces — send an electric shock to the heart to try to restore normal rhythm. To use an AED, turn it on and follow the prompt.

To learn how to give CPR and use an AED, sign up for an AHA Heartsaver class from Lake Regional.

Congestive Heart Failure

Congestive heart failure is a chronic condition and can last several years. The heart is still pumping but not as well as it should be.

In some cases, the heart can’t fill with enough blood. In other cases, the heart can’t pump blood to the rest of the body with enough force. Some people have both problems. In all cases, the body does not receive enough blood flow to meet its needs for blood and oxygen, resulting in fatigue, breathing problems and weight gain from fluid buildup.

The most common causes for heart failure are coronary artery disease, high blood pressure and diabetes. Other causes include heart muscle disease, heart valve disease, irregular heartbeat, congenital heart defects and injuries to the heart muscle.

Treatment depends on the condition’s severity but usually include lifestyle changes — such as eating healthier and losing weight — medication and ongoing care. Patient and caregiver education is essential for successful management of heart failure. As complications arise, early intervention can prevent setbacks and hospitalizations. This requires at-home monitoring and knowing when to seek care.

Pay attention to your breathing, heart rate, blood pressure, appetite, weight and foot/ankle/leg swelling. If any of these worsens, alert your doctor.

Other Resources to Help Your Heart

Adjusting to a serious health problem often takes time. You may experience depression or anxiety. Through our Mended Hearts support group, you will learn you are not alone. Lake Regional's Mended Hearts group meets the second Thursday of each month at noon on the hospital's second floor.

We also provide a continuum of care through our accredited Cardiac Rehabilitation Program, which helps patients more quickly recover from heart attacks, heart surgeries and other cardiac problems.

Managing one chronic condition is hard enough, but most people with heart disease have other ongoing medical issues. Lake Regional’s Chronic Care Management program provides extra one-on-one support. This Medicare-covered service connects you with a registered nurse who serves as your case manager. This individual works with you and your various health care providers to ensure everyone is on the same page. Your nurse case manager also calls you at least once a month to see how you are doing, and you can call your nurse as often as needed with questions. Learn more.

Meet Our Cardiologists

To find out more about our cardiologists, visit our Provider Directory. You don't need a referral to visit our cardiology clinics.

Patient Stories

Keeping Good Habits: Bill Washburn

Bill Washburn keeps fit at Lake Regional Cardiopulmonary Rehabilitation. Bill Washburn keeps fit at Lake Regional Cardiopulmonary Rehabilitation.

Living with heart disease is never easy. But Bill Washburn has learned keeping fit makes his life a lot better.

A retired local attorney and municipal court judge for Osage Beach, Lake Ozark and Eldon, Washburn has lived with heart disease for 25 years. His most recent heart surgery was in December 2016, and ever since, he’s been working out with other heart patients at Lake Regional Cardiopulmonary Rehabilitation.

“Exercising here encourages me to do it all the time,” he said. “That’s a big part of being successful.” 

Washburn’s rehab began with a 12-week prescription. That completed, his doctor prescribed a maintenance phase to help Washburn continue his good cardiac habits.

Better stamina helps keep him motivated. So do the friendships he’s made, both with the nurses who keep watch over him and with his fellow patients.

“When we’re done exercising, we sit down and talk for 20 to 30 minutes,” he said. “One guy and I found out we’re three months apart in age and were in Vietnam about the same time.”

Although committing to a rehab program can seem inconvenient, Washburn said he would encourage people to follow their doctor’s orders and give it a go.

“If you need it, you need it,” he said. “Go. They will build you up.” 

Washburn is one of more than 3,000 heart patients who will benefit from Lake Regional Cardiopulmonary Rehabilitation in 2018. Washburn is one of more than 3,000 heart patients who will benefit from Lake Regional Cardiopulmonary Rehabilitation in 2018.

Benefitting from HK’s

Washburn is one of more than 3,000 patients who will benefit from the Lake Regional Cardiopulmonary Rehabilitation department in 2018, and this year’s HK’s Hospital Benefit Golf Tournament will support them all by raising funds for a new heart monitoring system. With the new system, the department will be able to accept twice as many new patients into the program. Plus, the new system monitors oxygen levels more comfortably and consistently during exercise, and it includes hand-held technology, so nurses will be able to monitor their patients while standing next to them. Currently, nurses must monitor patients from a central station.

The 40th Annual HK’s Hospital Benefit Golf Tournament is set for June 1–3 at The Lodge of Four Seasons. It will be a memorable weekend of golf, sports celebrities and a not-to-be-missed auction. See an event schedule at www.HKsGolf.com.

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Take Her to the Lake: JoAnn Chapman

JoAnn Chapman, an accomplished pianist and retired teacher, is thankful she had a good recovery from a serious heart attack on April 6, 2018. She was flown to Lake Regional Health System from Waynesville, and within 15 minutes of her arrival, she had complete blood flow restored to her heart. JoAnn Chapman, an accomplished pianist and retired teacher, is thankful she had a good recovery from a serious heart attack on April 6, 2018. She was flown to Lake Regional Health System from Waynesville, and within 15 minutes of her arrival, she had complete blood flow restored to her heart.

JoAnn Chapman, 70, was driving from her farm near Doolittle, Missouri, to a friend’s house in Richland when her chest started to hurt.

“Tippy, I’ve got that indigestion again,” she told her beagle, riding along with her.

For weeks, Chapman, a retired teacher, had felt tightness and burning in her chest. It would come and go, but this time was worse.

“It was hurting so bad, it was crushing me,” she said.

Time is Muscle

She didn’t know it, but Chapman was having a heart attack. During a heart attack, also called a myocardial infarction, there’s a blockage in blood flow to part of the heart. The amount of damage to the heart muscle — and how quickly it happens — depends on the size and location of the blocked vessel. It also depends on whether the blockage is partial or complete.

“The faster a heart attack patient seeks treatment, the better their chances are for survival and a good recovery,” said Julia Hudler, Lake Regional’s STEMI coordinator. (STEMI stands for “ST segment elevation myocardial infarction,” a particular kind of serious heart attack.) “We say, ‘Time is muscle,’ because the more quickly we restore blood flow, the more heart muscle we can save.”

“Take Her to the Lake”

As Chapman’s pain worsened, she pulled off the road into a parking lot and called her son, Geoff Heavin. Chapman told Heavin she was in Waynesville and something was wrong — she didn’t know what. Then she quit talking.

Heavin is an emergency medical technician paramedic for MU Health Care’s ambulance service. So he knew what to do. He called Pulaski County dispatch and asked them to ping his mother’s phone to find her. Then he took off from Doolittle to Waynesville. When he arrived, his mother had just been loaded into a Mercy Life Line Air Medical Service helicopter. Heavin jumped inside and told them to take her to MU. But the flight nurse, Jennifer Isenburg, told him no, they were going to Lake Regional. Heavin started to argue, but Isenburg pointed to the monitor — which showed Chapman’s heart was in serious trouble — and said: “You know time is muscle. The lake is 15 minutes closer.”

“You’re right,” Heavin said. “Take her to the lake.”

“The faster a heart attack patient seeks treatment, the better their chances are for survival and a good recovery,” said Julia Hudler, Lake Regional’s STEMI coordinator. “The faster a heart attack patient seeks treatment, the better their chances are for survival and a good recovery,” said Julia Hudler, Lake Regional’s STEMI coordinator.

Beating the Clock

Treatment for heart attack requires opening the blocked artery in a cardiac catheterization lab. A doctor threads a thin tube with a tiny balloon through blood vessels to the blockage. The balloon is then inflated to push plaque aside and restore blood flow. “Door-to-balloon” time measures how much time passes between the patient arriving at an emergency department and the care team restoring blood flow. Nationwide, the median door-to-balloon time is 60 minutes.

“We’re proud that our 2017 median door-to-balloon time at Lake Regional was 43 minutes,” Hudler said. “That is better than nine out of 10 hospitals nationwide.”

Chapman’s flight took 18 minutes. When she landed, Lake Regional’s heart attack team met her at the door. Chapman was in cardiogenic shock, which happens when the heart can’t pump enough blood to the body. It is fatal if not treated immediately. The team started her on medications for this life-threatening condition while going to work on finding the cause of her heart attack. Testing revealed the artery on the heart’s right side was completely blocked. Lake Regional Cardiologist Zubair Khan, M.D., FACC, quickly inserted a balloon to open the artery and then placed a stent to hold it open.

Fifteen minutes after her arrival at Lake Regional, Chapman had complete blood flow restored to her heart muscle and her cardiogenic shock started to improve. She went home just two days later, on April 8, 2018, and her heart was back to normal functioning.

“The people and the care were just wonderful,” said Chapman, who is happy to be back home on her farm, where she cares for several rescued dogs and cats. Her son the paramedic agreed she went to the right place.

“I was very impressed with the lake hospital,” Heavin said. “They understand the timeframes that have to be met, and it worked flawlessly.”

Level II STEMI Center

To help heart attack patients receive the best care possible in the shortest amount of time, the State of Missouri has identified hospitals that are well-equipped to treat heart attack. Lake Regional was among the first hospitals to become a Level II STEMI Center this spring.

Because Lake Regional has earned this designation, EMS providers can bring heart attack patients to Lake Regional. In addition, rather than having to transfer heart attack patients on to another care center, Lake Regional can receive transfers from other hospitals.

Lake Regional Health System is the only hospital between Columbia and Springfield that is a state-designated center for trauma, stroke and heart attack.

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