What's New
Honors and Awards
7/4/05
Samin Sharma, M.D., Stands ahead of the Pack Again in State Angioplasty Report
In the New York State Department of Health’s recently released report on angioplasty, one cardiologist stands out Samin Sharma, M.D., Co-Director of both the Zena and Michael A. Wiener Cardiovascular Institute and the Marie-Josée and Henry R. Kravis Center for Cardiovascular Health, and Director of Interventional Cardiology and the Cardiac Catheterization Lab. Not only does he perform more angioplasties than any other cardiologist in the state, he is one of only two physicians to be identified for remarkable safety (i.e., to record risk-adjusted mortality rates that are lower, in a statistically significant way, than the state average) for both non-emergency cases and all cases. Dr. Sharma is the only cardiologist to have received this recognition in both categories in every report since the state began such documentation in 1995.
The annual report, released on June 24, provides statistics for a three-year period (2001 to 2003) for all the cardiologists across the state who perform percutaneous coronary interventions, the minimally invasive procedure commonly known as angioplasty that clears blockages in the coronary arteries, which provide blood flow to the heart muscle. The report also provides data on the 45 hospitals at which the procedure is performed. With the fourth highest volume of cases in the state in 2003, Mount Sinai’s Catheterization Lab recorded the lowest mortality rate for non-emergency cases among catheterization labs performing more than 1,000 procedures that year.
The limited data in the state’s report only begin to tell the story of the success of Mount Sinai’s Catheterization Lab. Following are some additional data:
- In 2004, the Lab performed about 10,660 procedures, including 5,900 diagnostic cardiac catheterizations (an increase of 10 percent over 2003) 3,300 interventional catheterizations, or angioplasties (an increase of 15 percent) 1,460 electrophysiology studies for heart rhythm abnormalities (an increase of 10 percent).
- Of the angioplasties performed with stents, about 3,100 involve drug-eluting stents (i.e., coated with a drug to help reduce reblockage).
- About eight to 10 percent of angioplasty patients have particularly tough blockages, and therefore undergo a procedure called rotational atherectomy, in which a catheter guides a tool called a Rotablator to the blockage, where it pulverizes the calcified plaque.
Mount Sinai’s Catheterization Lab receives numerous referrals every month, including
Cases referred routinely from affiliated institutions, such as The Mount Sinai Hospital of Queens (about 30 cases per month), North General Hospital (about 20), and the North Shore Medical Group (about five)
Approximately 50 high-risk cases per month from nearby hospitals that are not affiliated with Mount Sinai.
- About 40 procedures are performed each day in the Catheterization Lab.
With finishing touches now being made to the new Cardiac Catheterization Lab on the fifth floor of the Guggenheim Pavilion, Dr. Sharma
predicts that patient volume will increase even further. "We are working on cases up to midnight right now," he explains. "When the
new space opens in August or September, we could have as much as a 20 percent increase in intervention procedures next year. The entire
Cath Lab team of doctors, fellows, nurses, technicians, and support staff deserves the credit for this continued success."
6/27/05
Valentin Fuster, M.D., Ph.D., Receives John Paul II Medal
Valentin Fuster, M.D., Ph.D., the Richard Gorlin, M.D./Heart Research Foundation Professor of Cardiology
and Director of the Wiener Cardiovascular Institute and the Kravis Center for Cardiovascular Health, displays the Pro Bono Curantium
Gold Medal in honor of Pope John Paul II that he received on June 9 from the John Paul II Hospital in Krakow, Poland, the late pope’s
native city. The award recognizes work Dr. Fuster has done over the last six years involving Pope John Paul II. Also accompanying the
award is a citation that reads, in part, "For outstanding contributions in the fight against patient suffering.... His vigorous and
visionary leadership stimulated the development of a cardiovascular center where its pioneering programs in the management and
prevention of heart disease are conducted. His commitment to translate research discoveries into advances in prevention and
innovations in care has opened the way to reduce the pain and suffering caused by cardiovascular disease."
2/28/05
American Heart Association Honors Jonathan Halperin, M.D.
Jonathan L. Halperin, M.D., the Robert and Harriett Heilbrunn Professor of
Medicine (Cardiology) (left), celebrated his Heart of New York Award with his
wife, Michelle Copeland, M.D., Assistant Clinical Professor of Surgery (right), at
the American Heart Association's Heart of New York gala
The American Heart Association has presented its 2005 Heart of New York Award
for Achievement in Cardiovascular Science and Medicine to Jonathan L. Halperin,
M.D., the Robert and Harriett Heilbrunn Professor of Medicine (Cardiology), and
Director of Clinical Cardiology Services in the Zena and Michael A.Wiener
Cardiovascular Institute and the Marie- Josée and Henry R. Kravis Center for
Cardiovascular Health. Given to a physician whose life's work helps to prevent
death from cardiovascular disease and stroke, the award was presented to Dr.
Halperin at the American Heart Association Heart of New York 90th Anniversary
Gala, held on February 8 at the Waldorf=Astoria, by the actress, comedian, and
author Joan Rivers.
Dr. Halperin was recognized for his many contributions in the field, as an
educator, a clinician, and a researcher, with his work in stroke prevention
garnering particular attention. "No cardiologist has contributed more to the
prevention of stroke in patients with heart disease," reads the AHA Gala
program. Dr. Halperin was the principal cardiologist responsible for the Stroke
Prevention in Atrial Fibrillation clinical trials, sponsored by the National
Institutes of Health. These multicenter trials, carried out over nearly a
decade, helped define the epidemiology of stroke among the millions of people
worldwide who have atrial fibrillation and the role of anticoagulation in stroke
prevention. The AHA cited the trials' results as among the most important
research advances of the past several years.
In addition, Dr. Halperin served as Co-Chairman of the Executive Steering
Committee of the SPORTIF clinical trials, which evaluated an oral thrombin
inhibitor for prevention of stroke in patients with atrial fibrillation. These
international trials, involving over 7,000 patients randomized at over 700
clinical centers in 25 nations, represent the most aggressive effort ever
mounted against embolic stroke and introduce an innovative antithrombotic
strategy with potential applications in a wide array of cardiovascular
disorders.
Most recently, Dr. Halperin's study about the new stroke prevention drug was
published in the February 9 issue of the Journal of the American Medical
Association. This drew broad media interest, with stories on Reuters and Dow
Jones Newswire, on MSNBC, WLS-TV/7 Chicago (ABC), and NY1 News, and in The
Washington Post. The story was also covered online by TheHeart.org, CBS
MarketWatch, HealthDay News, WebMD, DrKoop.com, and News-Medical. net.
Dr. Halperin was not the only Mount Sinai faculty member playing a leading role
at the gala. Valentin Fuster,M.D., Ph.D., the Richard Gorlin, MD/Heart Research
Foundation Professor and Director of the Zena and Michael A.Wiener
Cardiovascular Institute and the Marie- Josée and Henry R. Kravis Center for
Cardiovascular Health, and President of the American Heart Association in New
York, served as one of the event's Co- Chairs. Dr. Fuster presented the Heart of
New York Award to the 2005 Retail Recipient, the designer Oscar de la Renta. He
also introduced the performer Julio Iglesias, who entertained the audience of
approximately 800 guests. The event serves as a fundraiser in the fight against
heart disease and stroke.
1/12/05
Valentin Fuster, M.D., Ph.D., the Richard Gorlin, MD/Heart Research Foundation
Professor of Cardiology and Director of the Zena and Michael A. Wiener
Cardiovascular Institute and the Marie-Josée and Henry R. Kravis Center for
Cardiovascular Health, serving as Editor-in-Chief of the new Nature:
Cardiovascular Medicine, published its debut issue in November 2004. Dr. Fuster
is also the chief editor of two books, the 11th edition of Hurst's the Heart,
published by McGraw Hill, and the second edition of Atherothrombosis and
Coronary Artery Disease, published by Lippincott-Raven and co-edited by Dr. E.
Topol of the Cleveland Clinic and Dr. E. Nabel of the National Institutes of
Health. In addition, Dr. Fuster has just assumed the Presidency of the World
Heart Federation.
11/2/04
Samin Sharma, M.D., Leads State Once More in Angioplasty Report
In the New York State Department of Health's just-released report on angioplasty
outcomes, Samin Sharma, M.D., Director of Interventional Cardiology and the
Cardiac Catheterization Lab, stands alone as the only physician to record a
risk-adjusted mortality rate for non-emergency cases that is significantly lower
than the statewide average. In addition, Dr. Sharma is one of only three
physicians to record a risk-adjusted mortality rate for all cases that is
significantly lower than the statewide average. Dr. Sharma's achievement in both
non-emergency cases and all cases is distinguished in the report by two coveted
double-star notations of excellence.
Dr. Sharma is also Co-Director of both the Zena and Michael A. Wiener
Cardiovascular Institute and the Marie-Josée and the Henry R. Kravis Center for
Cardiovascular Health, as well as the Zena and Michael A. Wiener Professor of
Medicine.
The annual Department of Health report aggregates mortality rates for 2000,
2001, and 2002.
"Mount Sinai has earned its reputation for excellence in angioplasty in the
tri-state area," says Dr. Sharma. "Other interventionalists turn to us with many
of their toughest cases."
Dr. Sharma attributes the Cardiac Catheterization Lab's success to several
factors. "We have repeatedly shown that you can do a good job if you have the
technical basics clearly laid out, as we do," he says. He points out that
success in angioplasty goes beyond the procedure itself and extends to the pre-
and post-procedural care that patients receive from the team, which includes the
nursing staff, fellows, and nurse practitioners. "Another important factor in
success is a unified protocol approach to specific arterial blockages by all the
interventional attendings."
Angioplasty is a non-surgical procedure used to open arteries clogged by
accumulated cholesterol and other fatty substances, such as plaque. Dr. Sharma
notes that his group has perfected a technique for particularly tough blockage
problems called rotational atherectomy, in which a catheter guides a tool called
a Rotablator to the blockage, where it pulverizes calcified plaque. According to
Dr. Sharma, Mount Sinai's team has mastered this technique. Currently, about 10
percent of all cases performed in the Cath Lab make use of the expertise in
rotational atherectomy, whereas only three percent of all cases in the country
are performed using the technique.
6/28/04
Michael A. Wiener Receives Trustee Honor
Michael A. Wiener, Trustee, was honored recently by the United Hospital Fund at an event held at the Waldof-Astoria. Distinguished Trustee Awards were presented to 35 honorees for their leadership, guidance, and extraordinary service to New York City's not-for-profit hospitals. Mr. and Mrs. Wiener's generosity named the Zena and Michael A. Wiener Cardiovascular Institute at Mount Sinai. Mr. Wiener chairs the Public Affairs and Marketing Committee of the Boards of Trustees.
3/22/04
Following an exhaustive search, Valentin Fuster, M.D., Ph.D., has been appointed Editor-in-Chief of a new Nature journal that will focus on cardiovascular medicine. The first issue of the monthly publication is scheduled for November 2004.
3/01/04
Mount Sinai Leaders Lauded and Honored at Heart Gala
The CBS News correspondent Ed Bradley, co-editor of television's "60 Minutes,"
paid a surprise tribute to Mount Sinai physicians at the 13th annual Heart of
New York Gala, an American Heart Association fundraising event, held on February
10 at the Waldorf-Astoria. The Honorable Robert E. Rubin, Mount Sinai Trustee,
member of the Office of the Chairman of Citigroup Inc., and former Secretary of
the Treasury, was a guest of honor and the recipient of the 2004 Heart of New
York Award, a distinction given in recognition of his public service leadership
in making both New York and the nation better places to live.
Mr. Bradley, who served as master of ceremonies for the gala, which assembled
more than 800 leaders from the medical , corporate, and social sectors,
recounted his experience as a patient at Mount Sinai last year. Having
consulted a cardiologist elsewhere, he had sought a second opinion from Valentin
Fuster, MD, PhD, Director of both the Zena and Michael A. Wiener Cardiovascular
Institute and the Marie-Josée and Henry R. Kravis Center for Cardiovascular
Health, who convinced him to cancel a trip to New Orleans and instead undergo
immediate coronary angiogram. The results - 80% blockage of the main left
artery - led to emergency coronary bypass surgery, performed by David Adams, MD,
the Marie-Josée and Henry R. Kravis Professor and Chairman of the Department of
Cardiothoracic Surgery.
"I'm here today thanks to Dr. Fuster and to my skillful surgeon, Dr. David
Adams," Mr. Bradley told the audience at the gala.
12/08/03
Valentin Fuster, M.D., Ph.D., Director of both the Zena and Michael
Wiener Cardiovascular Institute and the Marie-Josée and Henry
R. Kravis Center for Cardiovascular Health, was selected as a Distinguished
Scientist of the American Heart Association, one of the highest awards
given by the Association. Presented to only 15 scientists for their work
in cardiovascular research over the last few years, the award recognized
Dr. Fuster's seminal research, which has advanced the understanding and
management of cardiovascular disease.
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