A publication from the University of Arizona College of Medicine Newsletter Issue 60 • Spring 2011

1986-2011

Feinberg Endowed Chair of progress toward a future free of heart in Stroke Research disease and stroke he William M. Feinberg, MD, Endowed Continuing the Vision TChair in Stroke Research at the University The UA Sarver Heart Center and Department of Arizona Sarver Heart Center was established of Neurology are pleased to appoint Leslie to honor this physician and professor of Ritter, PhD, RN, professor of nursing at the neurology at the UA, who was one of the world’s UA College of Nursing and neurology at the UA leaders in stroke research. His contributions College of Medicine, to the Feinberg Chair. ranged from greater “We are understanding of impressed with stroke mechanisms what Leslie is to the role of accomplishing coagulation in on behalf of the preventing stroke. stroke program In 1996, here and confident Dr. Feinberg that she is going founded the first to make excellent comprehensive use of the resources stroke program at made possible the UA College by this generous of Medicine. The endowment,” says program fostered Max and Hope Feinberg with Leslie Gordon A. Ewy, Ritter, PhD, RN, (center) a stroke 3 CT Surgery Chief basic science research, researcher who is filling the chair in MD, director of the translated scientific their father’s name. (Inset) Dr. Feinberg UA Sarver Heart named Copeland with his children in 1994. Chair findings into clinical Center. 4 10 Prevention Tips research and gave patients “Leslie is a great choice for the chair. She access to the latest treatments for stroke. 6 Heart Health has strong dedication to the field of stroke. I feel Updates Unfortunately, Dr. Feinberg died suddenly that she will continue my dad’s vision for stroke 8 A Salute to Mary in 1997 at the age of 45, before he could see the research and prevention,” says Max Feinberg, Anne Fay full realization of the stroke program. age 20. 9 Chest-Compression- With support from his patients, colleagues “This appointment is an honor and privilege. Only Update and friends, his family established the endowed It will provide resources to carry on Dr. chair to further his vision of effectively treating Feinberg’s vision of providing a comprehensive and preventing stroke. “My dad cared enough stroke program that includes ongoing for people to want to find a way to prevent translational research and excellent clinical stroke. So many people cared enough about my services,” says Dr. Ritter. dad to remember him in this way,” says Hope Dr. Ritter’s research focuses on minimizing Feinberg, age 18. the effects of inflammation on brain injury in Continued on page 3 It was 25 in the UA College of Nursing and of neurology in the years ago in UA College of Medicine. She has a robust history of 1986 when the improving care for stroke patients in our community and University of advancing the field of stroke research. Arizona Sarver New innovations are the cornerstone of a Center Heart Center of Excellence, and we’ve encapsulated a number was founded as of advances on pages 6 and 7. Several previously the University invasive surgeries are being replaced by new minimally Heart Center invasive procedures. Pediatric and adult cardiologists with the goal and surgeons are teaming up to provide the best of preventing combination of procedures for individual patients. New and curing technologies from a more portable to new cardiovascular tools in electrophysiology, are replacing more invasive disease through procedures. the three pillars of research, education and patient care. We also acknowledge people from our community Renamed in 1998 in recognition of generous support who helped our Center grow. We are indebted to all of from the Sarver family, the Center now is composed of the leaders who have stepped up to help us achieve our more than 175 physicians and scientists with national vision of a future free of heart disease and stroke. On a and international reputations from a number of colleges sad note, we honor the memory of Valerie Vance-Goff, a and departments. (See the member list on pages 10-11.) long-time advisory board member, who recently lost her This year, the Spring issue of the Sarver Heart Center battle against cancer. On a celebratory note, we honor newsletter reflects a time of renewal and growth as we Mary Anne Fay who received the inaugural Mary Anne welcome Dr. Robert Poston as one of the Center’s new Fay Heart Health Advocate of the Year Award at the co-directors and the Jack G. Copeland, MD, Endowed 2011 Healthy Heart Conference in February. Chair of . While Dr. Copeland As we look at prevention, sometimes the more things was renowned as a pioneer in transplant surgery, Dr. change, the more they stay the same. Our health article is Poston is a pioneer in the new frontier of cardiothoracic an update on my favorite top-10 list for preventing heart (CT) surgery robotics. disease and stroke. You may feel as though you’ve heard The Center’s leadership also now includes Dr. Karl these before, and you have, but they continue to be true B. Kern as a new co-director and Kalidas Madhavpeddi, and we need to be reminded of them. While fewer people chief executive officer of Aurizon Resources, Ltd. in now die of heart disease and stroke, these diseases Phoenix, as the new chair of the advisory board. We remain the leading causes of death in the United States. thank Humberto Lopez for his many years of service as So, read the article and take these tips to heart! advisory board chair. You’ll learn more about our new leaders in the next issue of the newsletter. We are enthused to announce the new appointment to the William M. Feinberg, MD, Endowed Chair in Stroke Gordon A. Ewy, MD Research, Leslie Ritter, PhD, RN, a professor of nursing Director, UA Sarver Heart Center

The UA Sarver Heart Center Newsletter is published three times a year - in spring, fall and winter. News reporters are welcome to quote from newsletter articles and are asked to provide credit. Correspondence or inquiries should be addressed to: UA Sarver Heart Center, Public Affairs, PO Box 245046, Tucson, AZ, 85724-5046. All contents © 2011 Arizona Board of Regents. The University of Arizona is an EEO/AA - M/W/D/V Employer. Please visit the UA Sarver Heart Center online: www.heart.arizona.edu Director Gordon A. Ewy, MD Sr. Director of Development Clint McCall (520) 626-4146 or (800) 665-2328 Co-Directors Carol C. Gregorio, PhD Director of Communications Katie Maass (520) 626-4083, [email protected] Karl B. Kern, MD Additional Writing Clint McCall, Gordon A. Ewy, MD, Jo Gellerman, Darci Slaten Robert Poston, MD Design / Production AHSC Biomedical Communications If you need this information in an accessible format (braille, digital, tape or large print) please contact Katie Maass, (520) 626-4083.

2 | UA Sarver Heart Center, Spring 2011 Feinberg Endowed Chair in Stroke Research New Chief of Cardiothoracic continued from page 1 Surgery Named to Copeland Chair patients with stroke. A decade ago, her research team was the first to identify a Robert Poston, MD, nationally known for using significant, early inflammatory response robotics for minimally invasive coronary bypass in the small blood vessels of the brain surgery, is now professor and chief of the Division after stroke. She received the Presidential of Cardiovascular and Thoracic Surgery in the UA Department of Surgery, and a new co-director Early Career Award for Scientists and and Jack G. Copeland, MD, Endowed Chair of Engineers for these seminal findings. Cardiothoracic Surgery in the UA Sarver Heart Center. Since then, her laboratory studies have His appointment makes University Medical Center considered the relationships between the only hospital in Arizona, and one of only a handful inflammation and factors such as diabetes, in the nation, to offer robot-assisted minimally invasive aging and ethnicity. She currently is Robert Poston, MD coronary artery bypass surgery. working on a study to understand the This surgery allows physicians to gain access to the heart with small relationships among inflammatory genes, incisions, unlike conventional bypass surgery which requires the chest to be novel inflammatory blood markers opened with an incision by cutting through the breastbone (sternum). “With and traditional risk factors in African the robotic procedure, the patient has smaller scars, fewer side effects and Americans with stroke. complications, less pain, reduced risk of infection and faster recovery than with conventional bypass graft surgery,” says Dr. Poston. “On average, hospital stay is In addition to her research efforts, Dr. reduced from six to three days.” Ritter has been extremely effective in “My aim for our division is to provide distinctive services that are highly valued building interprofessional team skills for by patients and their families,” says Dr. Poston, who previously served as chief delivery of stroke services. In 2009, Dr. of cardiac surgery at Boston Medical Center. “Robot-assisted heart surgery is a Ritter was a leader in University Medical prime example. Similarly, our internationally renowned mechanical-assist program Center’s effort to become Tucson’s first can improve the quality of life for those with severe congestive .” primary stroke center in Southern Arizona Dr. Poston, who has authored more than 100 scientific papers and abstracts, and continues as a coordinator for the is the principal investigator on several multicenter research studies. In a five-year initiative funded by the National Institutes of Health, he is exploring the use of stroke program. Dr. Ritter has dedicated high-resolution imaging technology during heart surgery to identify the optimal herself to mentoring UA undergraduate bypass graft for a patient. He also is investigating the ability of robotic surgery and graduate students from a variety to accelerate the return of exercise tolerance compared to traditional surgical of health-related disciplines in stroke techniques. research and educating the public about “Besides bringing an innovative surgical method to the UA, we are very stroke recognition and prevention. excited about Dr. Poston’s research expertise,” says Gordon A. Ewy, MD, director “The chair will help research be done of the UA Sarver Heart Center. that can save people’s lives. Stroke is a big “It is exciting to welcome Dr. Poston to the department,” said Rainer problem and more work needs to be done Gruessner, MD, professor and chairman of the UA Department of Surgery. “As one of the foremost experts in minimally invasive cardiac surgery, Dr. Poston’s arrival to prevent and treat stroke,” says Hope. launches the University of Arizona into a new era of innovative heart care.” “Ultimately, this endowed chair is a testament and a commitment to improve the health and well-being of people who About the Copeland Chair have suffered a stroke,” says David Jack Copeland, MD, one of the founders of the UA Sarver Heart Center and Labiner, MD, head of neurology at the a legendary pioneer of and artificial heart technology at University Medical Center, served the UA for 33 years before leaving to establish UA. a new program in California. When he celebrated 25 years as a distinguished Adds Max, “The chair is very faculty member here, Dr. Copeland’s grateful patients, friends and colleagues important for the future of stroke research; established an endowed chair in support of the cardiothoracic surgery team. you never know what the future holds ... , More than 400 families contributed to this endowment, a testament to their but continued hard work is very important gratitude for the life-saving, innovative care provided by the transplant team. for discovery!” ♥ UA Sarver Heart Center, Spring 2011 | 3 the greatest risk increase with high BP. Measuring BP at Top 10 Tips home reflects more accurately your risk than having the BP taken at a physician’s office. It is worth the investment to Prevent Heart to get an automatic BP monitor. It is best not to rely only Disease and Stroke on the readings at your doctor’s office as some individuals suffer from “white coat” hypertension – their BP is up By Gordon A. Ewy, MD, Director, University of Arizona Sarver Heart Center only when they are at the doctor’s office. Others have “masked” hypertension – higher when not in the doctor’s ardiovascular disease is the major cause of death in office. Prognosis is best related to home BP. But for home CAmerica, accounting for 34 percent of deaths, many blood pressure readings, you should not use finger or wrist sudden and almost all of them premature. This is down units – only regular upper arm units. from 40 percent just four decades ago, mainly due to 5. Monitor your cholesterol (blood lipids). treatment of common risk factors. If you have diabetes, Abnormal or high blood lipids (fats) are a major your risk increases dramatically. The following is not contributor to cardiovascular disease. Your blood lipids comprehensive, but it is my “top-10 list” to prevent heart include the LDL (bad cholesterol; remember as “Lousy disease and stroke. cholesterol”), HDL (good cholesterol; remember as 1. Take responsibility for your health. “Healthy cholesterol”) and triglycerides. The lower The best prevention is to understand the risks and your LDL and the higher your HDL, the better your treatment options. The greatest risk is ignorance or prognosis. The amount of cholesterol in your blood is misinformation. The first step is to take responsibility determined mainly by three factors: the amount produced for your health and stay informed. by the liver (this is largely genetic), the amount absorbed 2. Know your risks. from the intestinal tract (some from what you eat, but The most influential risk factor for cardiovascular a lot more from cholesterol produced by the liver and disease is age – the older you are, the greater your excreted as bile into your digestive tract) and, finally, age risk. The second is your genetic make-up. Although – your cholesterol increases with age. If you are at risk, everyone is excited by the scientific progress in medication is almost always necessary to lower the LDL genomics research, conclusive gene tests are still in or to raise your HDL. their infancy. But, as I tell our medical students, “A The ideal ratio of total cholesterol divided by HDL good family history is a poor man’s gene test.” We have cholesterol is 3.0. If higher, you might need diet as long known that if your parents, grandparents or other therapy. The problem with diet is that, in general, it can relatives were afflicted with or died of heart disease, only decrease total blood cholesterol by about 10 percent. diabetes or stroke, your risk is much greater. For a full If you have a strong family history of elevated Lp(a) (a list of the presently recognized risk factors, visit the UA rare abnormal cholesterol that increases the risk) or an Sarver Heart Center website at www.heart.arizona.edu. elevated ratio, drug therapy usually is needed. 3. Don’t smoke or expose yourself to second-hand smoke. 6. Limit your calories. The evidence is overwhelming that cigarette smoking Fad diets do not work. If any of them did, we all would be and second-hand exposure to smoke increase the risks on THAT one, wouldn’t we? The obesity rate in Americans of heart disease, lung disease, peripheral vascular is alarming, contributing to a near-epidemic of diabetes, disease and stroke. which is a cardiovascular disease. If you have diabetes, 4. Maintain a healthy blood pressure. your risk of suffering a heart attack is the same as someone High blood pressure, or hypertension, is known as “the who already had a heart attack. Obesity is caused by silent killer” as most individuals have no symptoms. consuming more calories than your body burns. Abdominal High blood pressure (BP) causes wear and tear of obesity is also a major risk. the delicate inner lining of your blood vessels. The Portion sizes and the amount of sugars in the American higher your BP, the greater your risk. The risk begins diet have dramatically increased over the past few to increase from a pressure of 115/70 mmHg and decades. At the same time, the daily amount of exercise doubles for each 10 mmHg increase in systolic (the has decreased. It is good to “drink slim” (water, tea, larger number) and 5 mmHg increase in the diastolic coffee). Use portion control before you start eating and (the smaller number). Heredity and aging account for push away from the table before you are “full.” Did you

4 | UA Sarver Heart Center, Spring 2011 know that it takes about 20 minutes before you “feel 8. Pick your pills wisely. full?” So, if you eat until you are satisfied, you have The great interest in alternative medicine is already overeaten. understandable—patients want to be empowered to 7. Make exercise a daily habit. take responsibility for their own health. However, many The lack of exercise also is contributing to the obesity take alternative medicines because of the way they are epidemic in Americans. Studies indicate that if you marketed. The mere fact that a substance is “natural” does are over age 69, walking two miles a day is optimal not prove its health benefit. After all, nobody in their right for overall health, and those two miles do not have mind would take arsenic simply because it is “natural.” It to be done all at once. Besides burning calories, is important to know that research data are often lacking exercise activates genes that are beneficial to health for alternative medications, supplements and vitamins, in other ways. Exercise is one of the best treatments none of which are regulated by the U.S. Food and Drug for depression and anxiety. However, exercise alone Administration. cannot control or reduce your weight – you also must Do we ever prescribe alternative medicines? On occasion modify your diet. we do! The major risk with many alternative medications is that the patients think they are doing something to improve health, when in fact they are not. Although some vitamins have been shown possibly to help some conditions, to date none have been shown to decrease the risk of cardiovascular disease. It also is important to note that high doses of some vitamins may interfere or counteract the beneficial effects of some prescription drugs. 9. Reduce stress. Stress contributes to cardiovascular disease and, if severe, can cause a heart attack or sudden death. There are plenty of options that help reduce stress, such as regular exercise, adequate sleep, striving for a good marriage, laughing, volunteering or attending religious services. In my view, watching TV—especially daily news—generally does not relieve, but aggravates stress. Also, try to avoid situations and people who make you anxious or angry. 10. Stay informed: Science changes constantly. The only constant is change. This is especially true in medicine as new techniques and new insights develop constantly. Do not believe every piece of “scientific information” you find in the media or advertisements. An overwhelming number of research studies that make it into scientific publications are poorly designed or yield data that are not representative; e.g., due to a lack of a sufficient number of participants. Keep in mind that many studies are financed or sponsored by individuals or companies with a vested interest in gaining favorable results. The situation can be especially confusing when scientific studies yield different or even contradicting results, and this is not uncommon. So, begin to take responsibility for your health by following these 10 tips and you will be well on your way to improving and maintaining your health at every age and stage of life. ♥

UA Sarver Heart Center, Spring 2011 | 5 Heart Health Updates from UA Sarver Heart Center Members

New Pulmonary Valve Procedure Avoids Open-Heart Surgery Veronica Smith, age 26, was the first person in Arizona to receive a new pulmonary valve without having open- heart surgery. The procedure, known as the Melody Transcatheter Pulmonary Valve (TPV) Therapy, was approved by the FDA in 2010 and performed in March at the University Medical Center cardiac The “hybrid team” includes UA Sarver Heart Center members Karl B. Kern, MD, chief of cardiology and director of the cardiac catheterization catheterization laboratory by pediatric lab; Robert S. Poston, MD, chief of cardiovascular and thoracic surgery; interventional cardiologists Ricardo and Molly A. Szerlip, MD, interventional cardiologist. Samson, MD, G. Michael Nichols, MD, and the UMC catheterization lab team. Hybrid Surgery-CathLab Gives Patients Best of Both Worlds Veronica was born with the MC’s catheterization lab opened a these procedures less invasive for more known as Unew hybrid room that gives surgeons patients. tetralogy of Fallot and has undergone and cardiologists the ability to work in The first patient was a 54-year-old a previous heart surgery to replace the phases to do procedures that are most man with unstable angina and a left main appropriate for an individual patient’s pulmonary valve in her heart. blockage who had very small vessels. needs. Many factors are considered when “In the past, this patient would have been “Over time, the artificial valve physicians decide whether a blocked treated with a full sternotomy (cutting wears out such that it would need to artery should be unblocked by bypass the breastbone) and two bypass grafts. be replaced approximately every seven surgery or catheterization. “For example, The hybrid procedure technically was to 10 years,” says Dr. Samson, a UA we consider the size of the arteries and more advantageous for his circumstances, Sarver Heart Center member. “In the veins, how hard it is to get to a spot and giving him the minimally invasive whether the patient also needs valve past, pediatric patients who had their nature of stenting and the longevity of surgery,” explains Molly Szerlip, MD, an connecting the LIMA to the LAD,” says artificial valve placed during their first interventional cardiologist. decade of life had to face multiple Dr. Poston. (That is, connecting the When teaming up with Robert left internal mammary artery to the left open-heart surgeries over the course Poston, MD, chief of cardiothoracic anterior descending coronary artery.) of their lifetime. So, placing the Melody surgery, his robotic skills for bypass Next, Dr. Szerlip inserted a stent in the TPV by catheterization saves them from surgery combined with a cardiologist left circumflex artery (the artery to the having numerous surgeries.” ♥ inserting a stent with a catheter make bottom part of the heart). ♥

Developing a Catheter in the heart—often in a point-by-point with other cardiologists to determine that Can Map and Zap fashion as the catheter is maneuvered in features that would be most useful for search of irregularities. They then use a patient care. For example, the researchers Electrophysiology cardiologists who specialized ablation catheter to cauterize added temperature sensors and mapped specialize in heart rhythm disorders soon the site where the arrhythmia originates. temperature distribution on actual tissue may be able to place sensitive electronics “The new catheter is all in one, so it as areas were ablated. “Adding such a inside their patients’ hearts with less feature gives us greater insight as to what invasiveness, enabling more sophisticated maps and zaps,” says John A. Rogers, PhD, a professor of materials science we are actually doing to the tissue,” said and efficient diagnosis and treatment of co-author Dr. Slepian. “This will enhance arrhythmias. and engineering at the University of Illinois, who led a research team that the safety and effectiveness of ablation Electrophysiologists often use multiple included Marvin Slepian, MD, of the catheters, providing a new level of catheters for mapping arrhythmia patterns UA Sarver Heart Center. He worked precision that we have not had to date.” ♥

6 | UA Sarver Heart Center, Spring 2011 Heart Health Updates from UA Sarver Heart Center Members

UMC Offers MRI-Safe Pacemaker new pacemaker that can be used “It’s important to distinguish “If a patient has preexisting pacing A safely in a magnetic resonance between ‘wanting’ an MRI and leads from a prior device implant, imaging environment (MRI) is now ‘needing’ an MRI,” says Dr. Indik. She these would prohibit safe MRI available. The older patients get, also is concerned about the larger size scanning and may need to be removed the more likely they are to develop if the MRI is vital, a procedure that is arrhythmias and possibly need not without risk,” says Dr. Ott. “Most pacemakers. They also are more likely likely I would consider this device to develop a condition in which an for patients who need only basic MRI may be needed for diagnosis. pacing support and are very likely to However, the magnetic field may need MRI scans in the future, such as interfere with the pacemaker. patients with cancer or those at high Up until now, doctors have turned risk for stroke.” to other imaging modalities, such as This MRI-safe technology does not a CT Scan, or they carefully selected New pacemaker technology may be a good yet apply to implantable defibrillators. option for patients likely to need an MRI. and monitored patients who were able Plus, the MRI-safe pacemaker limits to undergo an MRI safely. how the MRI scan can be done with of the MRI-safe pacemaker and says regard to the body area scanned So, is this MRI-safe pacemaker for the long-term performance is not yet everyone? Both Julia Indik, MD, and (currently not approved for chest known. “Clearly situations come up MRI) and the MRI magnetic field Peter Ott, MD, recommend that age-old where this technology is useful and this strength, says Dr. Ott. ♥ advice: talk to your doctor and make a gives physicians options to consider. ” decision that is best for you.

Young Mom with a Healthy Baby and a Failing Heart Enjoys Gift of ‘Freedom’ Marcela Padilla, 21, became the first Total Dr. Smith says the Freedom gives hope to Artificial Heart (TAH) patient in Tucson to those awaiting transplant. “Up until now if you leave the hospital while awaiting a heart had biventricular failure – the failure of both transplant. She walked out of University sides of your heart – and your only option Medical Center Jan. 20 with a backpack was the Total Artificial Heart, you knew you slung over her shoulder. Inside was the were stuck in the hospital until we could find 13.5-pound Freedom portable driver, you a matching donor heart.’’ In such cases, powering the SynCardia temporary TAH patients have been tethered to “Big Blue,” a implanted in her chest. 418-pound machine that powers the TAH. Marcela gave birth to a baby boy in April 2010, “What we’re really hoping is down the road but four days later, she struggled to breathe. “I the Freedom can be an option for people was short of breath. I couldn’t sleep at night. I who are walking that fine line between couldn’t take care of my baby. I was too weak being a transplant candidate and not being and my body was really swollen.’’ a transplant candidate because their organs M. Cristina Smith, MD, director of Heart are starting to fail,’’ says Dr. Smith. “People Transplant and Ventricular-Assist Device can be on this a couple of months to improve Services, and assistant professor in the organ function and make them transplant UA Department of Surgery, is unsure what candidates where they were not,’’ she adds. caused the idiopathic . After extensive training in the care of the Pregnancy could have strained a heart Freedom for Marcela and her family, she is that was already genetically weak. By continuing to wait for her new heart at home. September, there were no options but to “It was so exciting to go home and be with remove the dying portion of Marcela’s heart the baby,’’ Marcela says. ♥ and implant the TAH.

UA Sarver Heart Center, Spring 2011 | 7 Community Advocate of the Year Turning a Heart Attack into an Attack on Heart Disease in Women n 1999, Mary Anne Fay’s life took an annual October luncheon to Ia detour when she learned that the raise awareness about women and pain in her jaw was not a suspected heart disease (see “Save the Date” ear infection, but a heart attack. on page 12), organized numerous Surprised to find herself—along with health lectures in Tucson and other her husband Mark—among the ranks communities, and established the of heart patients, she joined him on Community Coalition for Heart the UA Sarver Heart Center Advisory Health Education for Women of Board in 2003. In 2004, when Color. Dr. Ewy sought an advisory When the Sarver Heart Center board member to help the developed the Mary Anne Fay Heart Center launch a focus on Health Advocate of the Year Award, heart disease in women, Mary it was only fitting that the inaugural Anne volunteered to chair award was given to its namesake. the Women’s Heart Health Education Committee. “It is a privilege to be Mary Anne’s cardiologist. She has done so much Under her leadership, the to turn a life-threatening condition committee helped the Center into an educational crusade for better develop relationships that understanding of the symptoms have led to significant of heart disease in women and for contributions, including advancing cardiovascular research the Allan and Alfie and patient care,” says Gordon A. Norville Endowed Chair Ewy, MD, director of the UA Sarver for Heart Disease in Women Heart Center. ♥ Research. The group launched In Memory of Valerie Vance-Goff ur condolences are extended to the family of on restaurant menus and improvements inpatient Olong-time UA Sarver Heart Center advisory services. board member Valerie Vance-Goff, who During this time, Valerie and Bob were lost her battle against lymphoma this past entrepreneurs in Tucson’s optics industry February. She and her late-husband Bob, and leaders in the burgeoning optics cluster. who suffered from heart disease, were great She helped create and served on the board supporters of Sarver Heart Center. of the Arizona Optics Industry Association Valerie started her career in the food in addition to providing administrative and beverage industry, including stints in support for professional organizations Beverly Hills and Tanzania. She had a great such as the National Association of Women enthusiasm for learning and for connecting Business Owners, Tiempo Tucson and The people. During the 1990s, she was a leading Breakfast Club of Tucson. member of the Sarver Heart Center’s Heart We will always remember her work to help to Heart Committee that advocated for changes build the UA Sarver Heart Center. ♥

8 | UA Sarver Heart Center, Spring 2011 Marcus Visiting Professors Study Shows “CPR” Enhance Cardiology Education Video Can Train Laypeople he Samuel and Edith Marcus Visiting Professor Tin Cardiology Program was established in In the United States, bystanders attempt 1997 by Dr. Frank Marcus, his brother Julius and CPR only about 26 percent of the time, sister Shirley in honor of their parents. The purpose according to Bentley J. Bobrow, MD, an emergency medicine physician, medical is to enhance education and research for students, director of the Arizona Department of Health residents, fellows and faculty in cardiology. This Services EMS and Trauma Bureau and UA year, Lynne Warner Stevenson, MD, director of Sarver Heart Center member. In a study the Cardiomyopathy and Heart Failure Program at recently published in Circulation, Dr. Bobrow Brigham and Women’s Hospital and professor of and his associates demonstrated that by medicine at Harvard Medical School, gave a lecture watching a brief video, people could retain entitled “To Travel Hopefully,” tracing the history enough information to have sufficient skills of medicine and philosophy and showing how the to do chest-compression-only CPR and fields converge at our current medical frontiers, virtually every viewer was willing to make an effort to save a life. including end-of-life care. This year’s Marcus visiting professors: William G. After having study participants watch one Stevenson, MD, and Lynne William G. Stevenson, MD, director of the Cardiac of three videos or not watch any video (the Warner Stevenson, MD. Electrophysiology Program at Brigham, professor of control group), they tested the participants’ medicine at Harvard and Lynne’s husband, delivered ability to perform CPR during an adult an academic lecture on diagnosing and managing cardiac arrhythmias and out-of-hospital cardiac arrest simulation. preventing sudden death. ♥ All training groups that watched a video had significantly higher median compres- sion rates and greater median compression depth compared to the control group. All in the Family of Cardiology Six-minute Video Could Save Lives This study supports what Sarver Heart Center doctors have been advocating for a while now: watching Sarver Heart Center’s six-minute training video could allow you to be a life saver. It teaches how to do chest- compression-only resuscitation. The free video is posted on YouTube and features Gordon A. Ewy, MD, and Karl B. Kern, MD, the physician researchers who developed this new approach to CPR. To watch the video, visit http://medicine.arizona.edu/ sarver-cpr. Best Practices With the imminent completion of his cardiology fellowship, Adam Baumgarten, The “Arizona model,” developed by Drs. Ewy, MD, (left) becomes the third generation in a line of cousins to be affiliated with Kern and Bobrow and advocated throughout the cardiology section at the UA College of Medicine. Frank Marcus, MD, (center) the state to laypeople, emergency respond- professor emeritus and founder of the section of cardiology, was the trailblazer ers and hospitals, was featured in Best for the family. He was followed by Mark J. Friedman, MD, professor of medicine, Practice in Emergency Services as a way to director of the Heart Failure Program and Cardiac Transplant Service, and the reduce deaths from sudden cardiac arrest. Thomas and Sabina Sullivan Sr. Endowed Chair for the Prevention and Treatment of Heart Failure, who completed his cardiology fellowship here during the very Chest-compression-only CPR also was early years of the program. For the record: Dr. Marcus’ mother and Dr. Friedman’s number one on the Reader’s Digest “Life- grandmother were sisters. Dr. Baumgarten’s father is Dr. Friedman’s cousin. Saving List” in the March 2011 issue.

UA Sarver Heart Center, Spring 2011 | 9 Anesthesiology 1986-2011 Peter Lichtenthal, MD Charles W. Otto, MD Daniel Redford, MD of progress Mathias Zuercher, MD toward a future free of heart disease and stroke Native American Cardiology Cardiology Program (NACP) Growing a Center Aiden Abidov, MD, PhD Eric A. Brody, MD Joseph Stephen Alpert, MD Southern Arizona VA Health of Excellence Samir Dahdal, MD Care System (SAVAHCS) Gordon A. Ewy, MD Steven Goldman, MD Founded in 1986 as University Heart Center, the Paul E. Fenster, MD University of Arizona Sarver Heart Center received Elizabeth Juneman, MD Mark J. Friedman, MD M. Reza Movahed, MD, PhD its new name and a major push for development Julia H. Indik, MD, PhD Mark Sharon, MD and growth in 1998 when the Sarver family made a Karl B. Kern, MD Hoang Thai, MD significant gift that laid the groundwork for the building Kwan S. Lee, MD Sergio Thal, MD that now houses faculty office and research space. Frank I. Marcus, MD Peter Ott, MD The UA Sarver Heart Center has grown to a diverse William R. Roeske, MD Cardiology Fellows membership of 175 physicians and researchers from Marvin J. Slepian, MD a number of UA colleges, divisions of the College of Vincent L. Sorrell, MD Reza Arsanjani, MD Medicine in Tucson and Phoenix, the Southern Arizona Molly Szerlip, MD, FACP Adam Baumgarten, MD VA Health Care System and the Arizona Department of Gerald A. Wolff, MD Moustafa Banna, MD Health Services. Connie Doner, FNP Ravichandra (Ravi) Boyella, MD Sharon Gregoire, NP James Dewar, DO Thanks to ongoing donor generosity, the Sarver Abhijeet Dhoble, MD Heart Center supports 11 endowed chairs for Prakash Goutham, MD outstanding faculty and more than $150,000 annually Reza Habibzadeh, MD in start-up research grants. The following list illustrates Yenhui (Bob) Huang, MD the diversity of our current membership base and Sasanka Jayasuriya, MD

celebrates our first 25 years of interdisciplinary Nishant Kalra, MD Sachin Kumar, MD collaboration and teamwork. Talal Moukabary, MD Appointment Line: (520) 694-8888 or (800) 524-5928 Steven Mottl, DO James Nguyen, MD Development Office: (520) 626-4146 or (800) 665-2328 Rajendrakumar (Raj) Patel, MD www.heart.arizona.edu Vinny Ram, MD Gundeep Singh, MD Ayhan Zia, MD

Endowments Help Build Centers Endowments are permanent funds they are so named. “The Sarver Heart accomplish the goals and dreams of established by donors, like the family Center is very fortunate to have friends those who establish them.” and friends of Dr. William Feinberg and and supporters who have established the many admirers and patients of Dr. endowed faculty chairs. These funds For more information on Jack Copeland (see pages 1-3). These will play an ever-increasing role in establishing an endowment, funds provide resources in perpetuity our ability to recruit top-notch faculty please contact the Sarver Heart to support research, education and to the University of Arizona and the Center Office of Development patient care and are a lasting legacy for Sarver Heart Center,” says Dr. Gordon at (520) 626-4146 or the families and individuals for whom A. Ewy. “More importantly, endowments (800) 665-2328.

10 | UA Sarver Heart Center, Spring 2011 Cardiothoracic Surgery Nursing Margaret Briehl, PhD Cynthia Thomson, PhD, RD Heddwen Brooks, PhD Charles M. Tipton, PhD Jonathan Daniels, MD Melissa Faulkner, DSN, RN Janis M. Burt, PhD George Tsaprailis, PhD Michael J. Moulton, MD Kathleen Insel, PhD, RN Qin Chen, PhD Eva Varga, PhD Robert Poston, MD Leslie Ritter, PhD, RN Zoe Cohen, PhD Samuel Ward, PhD Gulshan K. Sethi, MD Ruth Taylor-Piliae, PhD, RN Brad Davidson, PhD Ronald R. Watson, PhD M. Cristy Smith, MD Behrooz Dehdashti, PhD Russell S. Witte, PhD Thomas Doetschman, PhD Jack Wilmore, PhD Southern Arizona VA Health Obstetrics and Gynecology Betsy Dokken, NP, PhD Raymond Woosley, MD, MPH Care System (SAVAHCS) Jose EkVitorin, MD, PhD Stephen H. Wright, PhD Birger E. Rhenman, MD Kathryn L. Reed, MD Janet Funk, MD Shu-Fen Wung, PhD Arthur F. Gmitro, PhD Hussein Yassine, MD Scott Going, PhD Sherma Zibadi, MD, PhD Cardiothoracic Surgery Pediatric Cardiology Residents Robert W. Gore, PhD Hendrikus (Henk) Granzier, PhD Brent Barber, MD Carol Gregorio, PhD Adam Hansen, MD Scott E. Klewer, MD Joseph F. Gross, PhD Aleem Siddique, MD Daniela Lax, MD Vince Guerriero, PhD Ricardo Samson, MD Iman Hakim, MD, PhD, MPH Santiago Valdes, MD Emergency Medicine David J. Hartshorne, PhD Mehrnoosh Hashemzadeh, PhD Ashish Panchal, MD, PhD Ronald L. Heimark, PhD Arthur B. Sanders, MD Pediatric Cardiothoracic Michael Heller, PhD Terence D. Valenzuela, MD Surgery Erik J. Henriksen, PhD

Michael Teodori, MD Ronald W. Hilwig, DVM, PhD UA College of Medicine- Arizona Dept. of Health James Hoying, PhD Phoenix Campus Services, Bureau of EMS & Ryan J. Huxtable, PhD Trauma System Pediatric Intensive Care Sourav Ghosh, PhD Paula D. Johnson, DVM, MS Bentley J. Bobrow, MD Rayna J. Gonzales, PhD Marc Berg, MD John Konhilas, PhD Eric J. Guilbeau, PhD Paul A. Krieg, PhD Taben M. Hale, PhD Endocrinology David Kurjiaka, PhD Mark R. Haussler, PhD Radiology Paul LaStayo, PhD Cynthia Standley, PhD David G. Johnson, MD Richard D. Lane, MD Paul R. Standley, PhD Craig Stump, MD Gary Becker, MD Douglas F. Larson, PhD, CCP Hussein Yassine, MD Theron W. Ovitt, MD Peter Lichtenthal, MD Betsy Dokken, PhD, NP Sean Limesand, PhD Surgery Stan Lindstedt, PhD Timothy G. Lohman, PhD Horacio Rio, MD Family & Community Ronald M. Lynch, PhD Marlys Hearst Witte, MD Medicine Robert S. McCuskey, PhD Paul F. McDonagh, PhD Myra Muramoto, MD, MPH Vascular Surgery William Montfort, PhD Paul E. Nolan, Jr David G. Armstrong, DPM, PhD Inpatient Medicine Ragnar Olafsson, PhD John Hughes, MD Stephen H. Smyth, MD Leslie Ritter, PhD, RN Joseph L. Mills, Sr., MD Fahd Chaudhry, MD James M. Woolfenden, MD Michael Rohrbaugh, PhD Basic Science Research Raymond Runyan, PhD Internal Medicine Timothy W. Secomb, PhD Maria Altbach, PhD Ornella Selmin, PhD Lorraine Mackstaller, MD Craig Aspinwall, PhD Eyal Shahar, MD, MPH Marietta Anthony, PhD Jiaqi Shi, MD, PhD Neurology-Stroke Parker Antin, PhD Varda Shoham, PhD Bruce M. Coull, MD Mohamad Azhar, PhD Alexander M. Simon, PhD Kendra Drake, MD Joseph J. Bahl, PhD Richard G. Smith, MSEE, CCE Ann L. Baldwin, PhD Douglas L. Taren, PhD

UA Sarver Heart Center, Spring 2011 | 11 The University of Arizona NONPROFIT ORG Sarver Heart Center US POSTAGE PAID PO Box 245046 Sarver Heart Center TUCSON AZ Tucson AZ 85724-5046 PERMIT NO. 190

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UMC is One of America’s Best Hospitals Save the Date

6th Annual The Heart ofAn Educationalthe LuncheonMatter on Heart Disease in Women October 15, 2011 Doubletree Hotel at Reid Park 445 S. Alvernon Way Tucson, AZ 85711 It’s all about women’s unique heart health. (Men can attend too!) Becker’s Hospital Review has named University Medical Center one of the $35 50 best hospitals in America. The Review covers a wide spectrum from Register online at well-known academic medical centers to less widely recognized community www.heart.arizona.edu hospitals that have reached greatness. “Each of these organizations has put beginning September 1, 2011 patients’ needs first, driven a variety of innovations and helped to set the bar For more information please call for high-quality care. Each hospital has an impressive list of achievements and a story to tell,” according to Becker’s. (520) 626-2901 Presented by the UA Sarver Heart Center Women’s Heart Health Education Committee