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Cinira Layton

Submitted by admin on Thu, 03/25/2021 - 09:22
Client ID
4513
Cinira Layton, PA-C
First Name
Cinira
Last Name
Layton
Professional Titles
PA-C
Year Joined Staff
2021
Gender
Office Phone
General Cardiology
Cardiothoracic Surgery

955 Bethesda Drive
1st Floor
Zanesville, OH 43701
United States

NPI
1164018974
Medical Education

2018 - 2020 Ohio University

Accepting New Patients
FALSE
Is Referral Required
FALSE
Cinira Layton, Physician Assistant
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Genesis Heart & Vascular Group
Genesis Medical Group
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Genesis Medical Group
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Katey Khune

Submitted by admin on Thu, 03/25/2021 - 09:22
Client ID
4307
Katey Khune, APRN-CNP
First Name
Katey
Last Name
Khune
Professional Titles
APRN-CNP
Year Joined Staff
2021
Gender
Office Phone
General Cardiology

955 Bethesda Drive
1st Floor
Zanesville, OH 43701
United States

NPI
1992394035
Medical Education
Walden University
Board Certifications
Nurse Practitioner
Accepting New Patients
FALSE
Is Referral Required
FALSE
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Genesis Heart & Vascular Group
Genesis Medical Group
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Genesis Medical Group
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Julian Clouse

Submitted by admin on Thu, 03/25/2021 - 09:22
Client ID
4495
Julian Clouse, PA
First Name
Julian
Last Name
Clouse
Professional Titles
PA
Year Joined Staff
2021
Gender
Office Phone
General Cardiology

955 Bethesda Drive
1st Floor
Zanesville, OH 43701
United States

NPI
1184230583
Medical Education
2018 - 2020 Nova Southeastern University
Accepting New Patients
FALSE
Is Referral Required
FALSE
Julian Clouse, PA
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Genesis Heart & Vascular Group
Genesis Medical Group
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Genesis Medical Group
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Vein Center

Vein Center

Genesis has a state-of-the-art vein center where interventional cardiologists take a comprehensive approach to vein care. Varicose veins left untreated could enlarge with symptoms becoming more severe. Additional health problems could result such as pulmonary embolism or deep vein thrombosis (DVT).

    We treat a variety of conditions for patients including:

    • Bulging Varicose Veins
    • Deep Vein Thrombosis (DVT)
    • Leg or ankle swelling
    • Leg fatigue or heaviness
    • Leg pain, aching, cramping or burning
    • Leg ulcers and painful, swollen legs
    • Restless legs
    • Skins changes, rashes or itching skin
    • Ulcers or sores that will not heal
    • Varicose veins (medically necessary and cosmetic)
    • Venous insufficiency
    • Venous disease
    • Wounds that will not heal

     

    In addition to consultations, using minimally invasive procedures, our interventional cardiologists provide advanced treatment for painful, restless and swollen legs related to venous disease and varicose veins, including:

    • Chemical Ablations
    • Cosmetic treatment of varicose veins
    • Endovenous Laser Ablation (EVLA)
    • Endovenous Radiofrequency Ablation (EVRFA)
    • Mechanochemical Ablations (MOCA)
    • Non-thermal Ablation Vein Therapy
    • Phlebectomy
    • Radiofrequency Ablation (RFA)
    • Sclerotherapy

    Cosmetic vein services

    Our interventional cardiologists also provide two different types of advanced therapy for the cosmetic treatment of varicose veins. Non-thermal ablation vein therapy is an injectable foam medicine used to treat varicose veins. Radiofrequency Ablation (RFA) treatment heats, collapses and seals off blood vessels to stop the progression of venous disease and clear up unsightly veins in the legs.

    Signs and symptoms

    Symptoms of varicose vein disease are common. About half of adults have varicose veins and they become more prevalent with age. Although varicose veins can occur elsewhere, they are commonly found in the legs. Signs and symptoms of varicose veins include:

    • Tired, heavy, painful or restless legs
    • Enlarged and twisted veins
    • Bulging, blue blood vessels clearly visible through the skin
    • Swollen legs or ankles
    • Lower leg ulcers
    • Changes in skin including burning or itching
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    Interventional Cardiology

    Interventional Cardiology

    Our board-certified interventional cardiologists have years of experience and extensive training in performing interventional procedures, and our quality outcomes for interventional cardiology exceed national averages.

    Genesis Healthcare System was the first in the State of Ohio to receive Chest Pain Center accreditation with PCI from the Society of Cardiovascular Patient Care (SCPC) because we closely follow the American College of Cardiology and American Heart Association’s recommendations for heart attack care.

      Interventional cardiology utilizes minimally invasive tests and procedures to diagnosis and treat heart conditions. We treat a variety of symptoms and conditions for patients including:

      • Atherosclerosis
      • Coronary artery disease
      • Heart attacks
      • Heart valve disease
      • Peripheral vascular disease
      • Pulmonary embolism

       

      Genesis is an accredited Chest Pain Center with PCI which ensures faster treatment during the critical early stages of a heart attack. Below you'll find additional treatments, procedures and diagnostic screenings provided by the cardiology team at Genesis:

      • Cardiac catheterization (heart cath)
      • Carotid stenting
      • Catheter-directed thrombolysis
      • Coronary Flow Reserve (CFR)
      • Coronary angiography
      • Coronary angioplasty
      • EKOS for pulmonary embolism
      • Fractional Flow Reserve (FFR)
      • Intravascular Ultrasound (IVUS)
      • Lifestyle management changes
      • Medication adjustments
      • Peripheral angiography
      • Peripheral angioplasty
      Specialities
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      Electrophysiology

      Electrophysiology

      Patients experiencing palpitations, fluttering or racing heartbeats may benefit from Genesis Electrophysiology services. Arrhythmias can sometimes occur in a healthy heart and be of minimal consequence, but they can sometimes indicate a serious problem that can lead to heart disease, stroke or sudden death. Cardiac electrophysiology is the diagnosis and treatment of those abnormal heart rate and rhythms.

        The most common type of arrhythmia is atrial fibrillation (A-Fib) and is the result of the top portion or atria of the heart beating out of rhythm. An electrophysiology (EP) study is used to diagnosis the type and severity of arrhythmias.

        We treat a variety of conditions for patients including:

        • Arrhythmias

        • Atrial Fibrillation (A-Fib)

        • Bradycardia

        • Long QT syndrome

        • Sudden cardiac arrest

        • Supraventricular tachycardia

        • Tachycardia

        • Ventricular fibrillation

        • Wolff-Parkinson-White (WPW) syndrome

         

        Treatment can involve many different therapies from medications, to devices to control your heart beat, to catheter based procedures called ablations. Genesis treatments, procedures and device implantations include:

        • Biventricular devices

        • Cardiac device monitoring

        • Catheter ablation for Atrial Fibrillation (A-Fib)

        • Catheter ablation for fast heart rate (Tachycardia)

        • Defibrillators

        • Device implants

        • Electrical cardioversion for fast heart rate (Fibrillation)

        • Electrical cardioversion for Atrial Fibrillation (A-Fib)

        • Implantable Cardiac Defibrillator (ICD)

        • Laboratory tests

        • Medication adjustments

        • Pacemaker for Bradycardia (slow heartbeat)

        • Pacemaker for heart failure
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        Congestive Heart Failure (CHF) Clinic

        Congestive Heart Failure (CHF) Clinic

        Our Congestive Heart Failure (CHF) Clinic provides care and education for patients. Nurse Practitioners specializing in the management of congestive heart failure help patients better understand their condition and how to manage their health. Our clinic’s outpatient setting provides convenient and easy access to cardiology services to help minimize the need to be admitted to the hospital.

        Treatments and procedures

        The Genesis Congestive Heart Failure Clinic works with healthcare providers to ensure that patients have the best treatment possible. Our goal is to improve our patients' quality of life and help control their symptoms of congestive heart failure.

        Clinic services

        • On-site lab testing and imaging as needed

        • Financial review and assistance as needed

        • Sick visits

        • Pharmacy consults

        • Pulmonary, heart, and vascular rehabilitation referrals

        • Home oxygen evaluations

        • Referrals to specialists (pulmonology, sleep medicine, palliative care and others) as needed

        • Vaccination recommendations

        • Smoking cessation and education

        • IV Lasix administration as needed

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        Anticoagulation Clinic

        Anticoagulation Clinic

        If you’re on a blood-thinning medication, you know how important it is to monitor your health. The Genesis Anticoagulation Clinic can make it easier for you to do this. With your physician’s referral, the clinic is your one stop for convenience in monitoring your medications and your health so you can stay healthy and active.

        Blood clot treatments and procedures

        The clinic is located within the Heart & Vascular Clinic at Genesis Medical Arts Building II. We’ll also keep your physician updated on your progress.

        • Laboratory tests

        • Counseling from a registered pharmacist

        • Medication adjustments

        • Prescriptions filled

        The Genesis Anticoagulation Clinic can make your life easier. Ask your physician if the clinic is right for you.

        Specialities
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        Structural Heart

        Structural Heart

        Led by fellowship-trained physicians recognized in their field of expertise, the structural heart program at Genesis has assembled a team of physicians that provide the best possible heart care for patients throughout Southeastern Ohio. Our team has years of training and experience with leading-edge procedures and advanced technologies, including teaching more than 45 new structural heart programs throughout the country.

        Conditions we treat

        Structural heart disease may be present at birth, or it can develop later in life. We use life-changing treatments to repair damaged heart valves, walls, muscle or tissue. Addressing structural heart issues can reduce symptoms such as weakness and shortness of breath, which not only can improve your quality of life, but also help prolong it.

        We treat a variety of conditions for patients including:

        • Aortic stenosis

          • Aortic stenosis is the stiffening or narrowing of the aortic valve. Calcium build up is the most common cause. Aortic stenosis usually affects elderly patients with other medical risk factors which makes them better candidates for Transcatheter Aortic Valve Replacement (TAVR).

        • Heart valve disease

        • Patent Foramen Ovale (PFO)

          • PFO occurs when patients are diagnosed with an opening, or hole, in the heart that did not close after birth. This birth defect can cause problems later in life, including stroke, and affect the control of blood flow between heart chambers.

         

         

        Treatments and procedures

        Genesis is the only hospital in the region performing innovative and minimally-invasive procedures for cardiac care. These new technologies and techniques allow our highly-skilled physicians to care for your heart while reducing downtime, scarring and pain after a procedure:

        • Impella® heart pump

          • The Impella® Percutaneous Hemodynamic Support Device is used in patients with heart failure and high-risk patients undergoing Percutaneous Intervention (PCI) stenting. Impella pumps blood from the left ventricle of the heart during a procedure to allow it to recover and rest.

        • Lead extractions

        • MitraClip™

          • MitraClip is a minimally invasive procedure that can reduce the risk of heart failure and stroke for patients with mitral valve regurgitation. Our physicians use a tube to insert the MitraClip implant through a vein in your upper leg and guide it to your heart, where it is attached to your mitral valve to help it close properly and restore normal blood flow.

        • Patent Foramen Ovale (PFO) closure

          • PFO, the procedure to close a hole in the heart, not detected at birth, takes a much different route than in the past when open-heart surgery was required to correct the opening. Our physicians use a catheter to enter blood vessels to reach the heart. Once there, the catheter guides a device called an occluder to the opening, allowing it to expand and close the hole.

        • Robotic-assisted cardiac heart surgery

          • The robotic-assisted, minimally-invasive heart procedures being performed at Genesis include Coronary Artery Bypass Grafting (CABG) and cardiac tissue ablation. During a robotic-assisted CABG, the physician is able to make smaller incisions that expose only damaged arteries rather than the entire heart like traditional open-heart surgery.

        • Thoracic Endovascular Aortic Repair (TEVAR)

        • Transcatheter Aortic Valve Replacement (TAVR)

          • TAVR uses advanced imaging and small catheters to replace diseased heart valves. Instead of a large incision to the chest, physicians performing TAVR use a flexible tube to guide a new valve through a blood vessel to the heart. TAVR is minimally invasive, meaning patients have less pain and experience faster recovery times – usually needing just an overnight stay in the hospital.

        • Transcatheter Mitral Valve Replacement (MVR)

        • WATCHMAN™
          • The WATCHMAN Implant can reduce the risk of stroke and eliminate blood thinners for patients with atrial fibrillation (AFib) not caused by a heart valve problem. During a one-time, minimally invasive procedure, WATCHMAN is inserted through a small tube from a blood vessel in the leg to the heart where it closes the left atrial appendage. Patients typically return home the next day and may be able to stop blood thinners within 45 days.

         

        Specialities
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        General Cardiology

        General Cardiology

        When patients experience cardiac related symptoms or conditions, general cardiology is typically one of the first specialties consulted for diagnosis and treatment. Offering inpatient and outpatient services, our physicians can provide management of both acute and chronic cardiac conditions.

        Using clinical assessment, screenings and diagnostic exams, the cardiologists identify the specific cardiovascular disease and work with the patient and their families to develop the best individual comprehensive treatment options.

          The general cardiologists at Genesis HealthCare System are available to help you protect your heart and blood vessels. We treat a variety of symptoms and conditions for patients including:

          • Chest pain
          • Arrhythmias
          • Heart attack
          • Cardiomyopathies
          • Heart failure
          • Coronary Artery Disease (CAD)
          • Ischemic Heart Disease (IHD)
          • Rheumatic Heart Disease (RHD)
          • Valvular Heart Disease (VHD)
          • Hypertensive Heart Disease (HHD)
          • Aortic aneurysms
          • Peripheral Artery Disease (PAD)
          • Venous Thrombosis
          • Venous Insufficiency

           

          Our board certified cardiologists stay up-to-date on the latest treatment options and screenings for cardiovascular disease. Screenings help medical professionals determine your risk for heart and vascular conditions before you experience symptoms.

          In addition to consultations, below is a partial listing of diagnostic and screening services provided by the cardiology team at Genesis:

          • Heart attack and stroke risk screening
          • Abdominal aortic aneurysm screening
          • Peripheral Arterial Disease (PAD) screening
          • Atrial Fibrillation (A-Fib) (heart arrhythmia) Screening
          • Venous insufficiency Screening
          • Electrocardiogram (EKG)
          • Event monitors
          • Holter monitor
          • TILT table testing
          • Echocardiography
          • Trans Esophageal Echocardiography (TEE)
          • Stress testing
          • Exercise stress
          • Stress Echocardiogram (EKG)
          • Pharmacological Stress Echocardiogram
          • Nuclear Stress Testing (NST)
          • Pharmacological stress testing
          • Carotid duplex ultrasound
          • Venous duplex ultrasound
          • Arterial duplex ultrasounds
          • Renal duplex ultrasound
          • Ankle Brachial Index (ABI)
          • Coronary Angiogram (CAG)
          • Carotid angiograms
          • Peripheral angiogram
          • Cardiac Diagnostic Catheterization (Heart Cath)
          • Cardiac Computed Tomography (CTTA)
          • Magnetic Resonance Angiography (MRA)

          If a screening reveals an abnormality, or you’re experiencing symptoms of a heart problem, diagnostic procedures like these can help your cardiologist determine a diagnosis. If you need to see a specialist, we have a team of cardiothoracic surgeons, electrophysiologists, interventional cardiologists available to provide specialized patient care.

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