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An accident survivor's advice: trust yourself

Amber Allen was exiting the driver’s side of a side-by-side all-terrain vehicle (ATV) when her foot caught on the edge of the vehicle’s bottom frame. With her right leg stuck in the ATV, Amber fell until her left knee slammed into gravel. She scrambled up, embarrassed, and took three or four steps. Just then, someone stopped and pointed to blood soaking Amber’s pant leg.

 

When she pulled her pant leg up, Amber knew something was wrong. So did her boyfriend, who had first-aid training. “It was gushing blood,” Amber said. “I remember being shocked that slipping was turning into such a big ordeal.”

 

Her boyfriend used his belt as a tourniquet to stop the flow of blood. They called for an ambulance and Amber was quickly taken to a trauma room when she reached Genesis Hospital. A CT scan showed that she’d sliced an artery. The injury required two layers of stitches, one set internally and the other externally.

 

Know when to seek care

A week later, during which she had to keep her splinted leg perfectly straight, Amber was getting ready for a family party when she had trouble catching her breath. Chalking it up to asthma, the change of seasons and fatigue from using crutches, she kept going. She had to tell her sister to slow down as they walked a few doors down to the party. Later in the week, she borrowed a lift chair so she could get up and down without feeling completely exhausted. She said she felt like she was going to die.

 

Unfortunately, the people around her downplayed her complaints, reminding her of her asthma and the physical toll of recovering from an accident.

 

When it got to the point where she couldn’t walk two feet, Amber said, “This isn’t normal,” and demanded that someone drive her to a doctor. Genesis FirstCare in New Lexington immediately rerouted her to the Emergency Department at Genesis Hospital, where a CT scan showed both lungs full of blood clots. In medical terms, these are called pulmonary emboli.

 

The next day, Amber had surgery to remove the clots. “I immediately felt better,” she said. “Once they told me I could get up and move around, I was on the move.”

 

However, she had to stay another night for observation because the right ventricle of her heart was enlarged due to the clots.

 

Amber has had one follow-up appointment with Abdulhay Albirini, M.D., a Fellowship-trained and Board-certified Interventional Cardiologist at the Genesis Heart & Vascular Institute who performed her procedure. She is doing well but will take blood thinners for a while to prevent new blood clots from forming.

 

“Amber did the right thing by insisting to seek medical attention.”

 

Grateful for care

“I’ve heard of people dying from a clot in their lungs the size of a pebble,” Amber said. “I escaped death twice in a few weeks thanks to Genesis.”

 

She’s thankful for the care Dr. Albirini and the team showed her in the hospital. Dr. Albirini let her family look at the clots and explained what they were seeing. “The nurses had such great personalities,” she said. They joked and made her hospital stay much easier.

 

Amber knows she’s lucky that she survived despite the time between her symptoms and her trip to the hospital. “I’m glad that God was patient with me,” she said. If she has any advice, it’s to stand your ground when you feel something is wrong. She is already urging friends and family to ignore anyone who minimizes or dismisses symptoms. “Trust your instincts,” she said. “You live in that body, and you know when something is wrong.”

 

Dr. Albirini said, “Amber did the right thing by insisting to seek medical attention.”


 

After tripping, Amber Allen escaped tragedy twice in a few weeks.

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Check-up: A widowmaker heart attack leads to more family milestones

Tami Swope walked into the Genesis HealthCare System Emergency Department (ED) on Nov. 8, 2018, and learned she was suffering a heart attack. Her left anterior descending artery (LAD) was 100% blocked. The LAD is the most important artery in the heart, and an attack like Tami’s is often referred to as a widowmaker.

 

The medical team from the ED and Genesis Heart & Vascular Institute stabilized Tami. Then they took her to surgery to insert a wire through her clogged artery so they could inflate a tiny balloon and clear the blockage. Next, they inserted two small tubes called stents where the blockage was to keep blood flowing.

Crisis averted.

 

Life after a heart attack

Tami lost eight days due to her heart attack. She decided she didn’t want to lose another day.

 

Abdulhay Albirini, M.D., a Fellowship-trained and Board-certified Interventional Cardiologist at the Genesis Heart & Vascular Institute, met with Tami for follow-up care and advised her to attend the Genesis Cardiac Rehabilitation Program.

 

“The Cardiac Rehab Program gave me the tools I needed to recover and stay healthy,” said Tami. “They helped me regain my strength and endurance, scheduled testing for me, helped with my medications and advised me on a diet and exercise program.”

 

Tami credits the Cardiac Rehab Program for doing more than getting her back on her feet. Due to their guidance and her determination, she is back on the links golfing with friends. She also supports the community by volunteering at festivals and golf outings and routinely attends her grandchildren’s sporting events.

 

“Tami had a severe heart attack,” said Dr. Albirini. “However, she had a lot more she wanted to do, so she followed our recommendations. She has recovered and is actively enjoying life.”

 

Living the life she wants

It has been five years since her heart attack, and Tami is going strong. She follows the advice from the Cardiac Rehab Program and keeps her routine checkups with Dr. Albirini.

 

Recently she celebrated with her family as her first grandchild graduated high school. She plans to be there for each of her grandchildren’s graduations. The same goes for holidays, family reunions and more. From summer golf days to baking snacks for grandchildren, Tami is soaking up milestones and memories with her family.

 

“I’m grateful for Genesis extending the time I have with my family and friends,” said Tami. “I am also thankful for the Cardiac Rehab Program for enabling me to live an active life, which to me, is the best life.”

 

 

The not so secret to success

Tami Swope credits the Genesis Heart and Vascular Cardiac Rehab Program with her successful and continuing recovery from a 2018 cardiac arrest.

 

The program is a safe way to bounce back after a heart attack, open-heart surgery or balloon angioplasty.

 

The focus of rehab education is understanding the causes and effects of heart disorders. Dietitians, pharmacists, exercise physiologists, behavioral health counselors and registered nurses help patients understand heart disease, its risk factors and what patients can do to  
change their risks.

 

Another goal of the program is to reduce stress, anxiety and depression. Group sessions enable patients to share experiences, concerns, challenges and victories and gain support from others who understand how they feel.

 

A personalized exercise program is created for each patient. Patients exercise under the watchful eye of staff with ECG and blood pressure monitoring when they first enter the program.

 

As strength, endurance and range of motion improve, patients progress toward maintenance exercise. Exercise physiologists can work with patients and monitor their progress.

 

Tami continues to attend exercise classes several times a week, keeping an exercise journal that is now five years old. The food journal that she started in the program continues, too.

 

Genesis Heart and Vascular Rehab is located in the Genesis Physician Pavilion at 945 Bethesda Drive in Zanesville. Call 740-454-4336 to make an appointment and learn more about our cardiac rehab offerings.

We're checking in on patients whose stories we've shared in the last five years.

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Heart Patient Advises Not to Wait if Something Seems Unusual

At first, it seemed like any other day. Karl Kirby, age 57, of Zanesville, had just finished doing laundry. And while he felt fine when he woke up that morning, as the day wore on, he began to feel worse.

“I had chest pain, and I was sweating profusely,” said Karl. “Then I realized I hadn’t eaten all day. I figured maybe I just needed some food.”

Karl ate a sandwich, but it didn’t help. So, he sat down to watch TV, thinking maybe he was tired and needed to relax. 
That didn’t help either. He was running out of options and finally went to the bedroom to lay down. When his wife saw him, she was worried and asked, “Are you okay?” Karl realized he wasn’t, so they drove to the hospital.

EKG detects a STEMI

When they got to the Emergency Department (ED) at Genesis HealthCare System, the care team immediately attached small electrodes to Karl’s arms, legs and chest to perform an electrocardiogram, also called an EKG or ECG, a device that monitors the heart.

“His EKG showed changes that suggested an acute heart attack,” said Alaa Gabi, M.D., Fellowship-trained Interventional Cardiologist at the Genesis Heart & Vascular Institute, who oversaw Karl’s care. “This is also called an ST elevation myocardial infarction or STEMI.”

Balloon and stent procedure

Next, the care team rushed Karl to the Genesis cardiac catheterization lab (cath lab). Heart specialists can perform a full range of minimally invasive tests and advanced heart procedures using the most current imaging technology in the cath lab. This allows the doctors to diagnose and treat blockages and other problems in the arteries without patients undergoing surgery.

In the cath lab, Dr. Gabi placed two stents in Karl’s arteries, which opened the blockages causing the heart attack. The procedure involves inserting a tiny balloon into the blocked artery and then inflating it. Next, a stent (small mesh tube) was inserted to keep the artery open. 

“As soon as the stents were placed, I felt normal again. There was no more chest pain.”

“Dr. Gabi called my condition a STEMI. At the time, I didn’t know what that meant. But now I know it’s the second most deadly heart attack,” said Karl. “As soon as the stents were placed, I felt normal again. There was no more chest pain.”

Don’t DIY your trip to the ED

When asked if he has any words of wisdom for others who might be experiencing chest pain or symptoms, Karl advises, “Do not drive yourself to the hospital. Call an ambulance. I learned after this happened to me – they have resources in the ambulances that can help until you reach the hospital.”

Top-notch and A #1

After Karl’s procedure, his care team recommended he go to the Genesis Heart & Vascular Cardiac Rehab Center to strengthen his heart. Karl began a program working on a treadmill and several other exercise machines. Karl explained he started using the machines for three minutes at a time, three times a week, then gradually worked up from there.

“It was awesome. The rehab group was top-notch, A #1. It really helped,” said Karl.

At first, it seemed like any other day. Karl Kirby, age 57, of Zanesville, had just finished doing laundry. And while he felt fine when he woke up that morning, as the day wore on, he began to feel worse.

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LiveWell Patient Story: "You can't out-exercise a bad diet"

Most people describe 66-year-old Ken Williams of Zanesville as one of the most active people they know. After a career as a funeral director, he started a new chapter in retirement, painting houses and mowing lawns. Then, in his free time, he played golf and did yoga. Ken also enjoyed taking frequent walks with his wife.

As if that weren’t enough, up until 2017, he was an avid runner and ran marathons. “Unfortunately, my knees got so bad I could barely walk, so I quit running and had knee replacement surgery in 2018,” said Ken.

From running to cycling

After surgery, his passion turned to indoor cycling. Never one to sit still, he soon signed up for his gym’s indoor “Cycle Across Ohio” challenge where racers logged miles on their stationary bikes. Not only was he the oldest participant, he won the event. Ken continued to cycle several times a week. However, he noticed changes when he was working out at the gym. “I wasn’t getting the same miles and couldn’t burn the calories like I used to,” he said.

“I was in shock”

On Sunday, April 25, 2021, Ken and his wife went to church. Ken recalls the minister touched on the topics of depression and anxiety. While he listened, his chest began to hurt. Ken describes the pain as “Not bad, like a three out of 10.” At first, Ken thought the sermon was making him feel anxious. However, he soon realized something was not right and that it would be a good idea for his wife to drive him to the hospital.

At Genesis, Emergency Department staff rapidly assessed Ken and did a blood test. “The blood test showed I had a heart attack,” said Ken. “When they told me, I went into shock and passed out.” Ken quickly came around after he was given medication. He was stabilized and scheduled for a cardiac catherization the next day.

Expert care, right at home

Before his heart attack, Ken was not aware that nationally accredited, award-winning cardiac care was available in his hometown of Zanesville. Led by fellowship-trained and board-certified heart specialists, the Genesis Heart & Vascular Institute was the first in Southeastern Ohio to become a fully accredited Chest Pain Center. “Mr. Williams had a non-stemi, which means he had a heart attack but was stable at the time of evaluation and didn’t require immediate intervention,” said Abdulhay Albirini, M.D., Fellowship-trained and Board-Certified Interventional Cardiologist at the Genesis Heart & Vascular Institute.

Balloon and stent procedure

The next day, Dr. Albirini performed a balloon and stent procedure. A heart catheter was inserted through an artery in Ken’s wrist, which allowed the doctor to move a tiny balloon to his heart arteries and inflate it to open the blockage. Dr. Albirini then placed stents to keep the blocked arteries open so the blood could flow properly. The procedure took less than one hour. The next day, Ken was able to go home.

“In a few days, I was able to do whatever I wanted. I was given medication in case I had chest pain, but I never needed it,” said Ken.

Since it happened, Ken took a hard look at his life and lifestyle, especially since heart disease doesn’t run in his family. He was honest with himself and realized he needed to lose weight. Ken’s pre-heart attack diet included high-sugar and high-fat foods like ice cream, pop and sausage. Post-heart attack and wiser, Ken’s given those foods up for options like fresh fruits and vegetables.

“I’ve completely changed my diet, and I feel much better. For breakfast, I may have blueberry yogurt and a banana,” said Ken. So far, Ken has lost 32 pounds. Ken also admits his wife and two adult sons, both marathon runners, encouraged him to lose weight prior to his heart attack.

“I always exercised, but I was overweight and didn’t eat right,” admits Ken. “My wife summed it up best. She said, ‘You can’t out-exercise a bad diet.’”

A second chance at life

Nowadays, Ken continues to stay active and has added pickleball into the mix. But what’s different is he also stays disciplined about what he eats. “Dr. Albirini did a great job. I consider this a second chance at life,” said Ken. “I also think it is important to know that you can live a normal life after having stents put in. One of my friends I met with recently told me he has had his stents for 18 years. That was very encouraging.”

Most people describe 66-year-old Ken Williams of Zanesville as one of the most active people they know. However, he
noticed changes when he was working out at the gym.

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LiveWell Patient Story: MitraClip nips heart valve leakage

Duane McFarland has experienced strokes, heart attacks, double pneumonia, sepsis and open-heart quadruple bypass surgery. No wonder he values quality healthcare.

“It feels like I’m 67 going on 87 years old. My mom died of congestive heart failure, and I started the treacherous path of heart disease 30 years ago. I wouldn’t be here without the expert care of the Genesis doctors and nurses, my wife, Linda and God above,” Duane said.

Something’s not right


Duane had a strange feeling whenever he stepped outside. “When fresh, cool air hit my lungs, it hurt. Not a sharp pain, just a steady pressure,” Duane explained. “It felt like someone was putting his hand on my chest and constantly pushing.”

The skilled Genesis medical teams combined information from Duane’s medical history with observations about his chest pain, ran tests and then found the problem. Linda is thankful the doctors diagnosed her husband’s symptoms. “He’d had shortness of breath for a few years even though he’d quit smoking. He couldn’t walk 50 feet without getting short of breath,” Linda said. “We’re pleased that a test showed the problem,” she said.

“An echocardiogram revealed a severe mitral valve leak in Duane’s heart,” explained Alaa Gabi, M.D., fellowship-trained and board-certified interventional cardiologist at the Genesis Heart & Vascular Institute. “When his heart muscle squeezed, blood was going past the valve barrier, regurgitating back into his lungs.”

Human hearts have four valves to keep blood flowing in the correct direction. Each of those valves has flaps that open and close with every heartbeat. One of Duane’s valves, called the mitral valve, had flaps that weren’t closing correctly.

“There are two types of mitral valve leaks – one stems from a problem with the valve itself, and the other is associated with underlying heart disease or rhythm issues. Duane had both. The good news is, both leaky valve types can be repaired with the new, advanced MitraClip treatment,” Dr. Gabi said.

An innovative, minimally invasive repair

“The doctors told me blood was pouring into my lungs and they could use a little clip to make the valve work right,” Duane said.

To restore proper blood flow, specialized heart and vascular teams at Genesis collaborated to perform a minimally invasive procedure using the MitraClip technology. First, the interventional team guided a thin tube, called a catheter, from a vein in Duane’s leg to his heart. Then, the interventional team fastened the faulty valve flaps together with the small MitraClip device. The innovative technology secured the flap closure more completely.

“Prior to the MitraClip, patients like Duane were left untreated because they had too many risk factors for open-heart surgery,” Dr. Gabi said. “This procedure is designed to improve quality of life and increase the length of life.”

Duane testifies he’s experienced both of those benefits. “I couldn’t keep on going the way I was. I could barely breathe. Now, I feel a lot better, and I’m able to breathe again,” Duane said.

Heart healers

To provide the advanced, minimally invasive, leaky valve repairs, multidisciplinary teams of healthcare experts at Genesis work collaboratively.

“It takes a lot of planning to make this possible,” said Mohamed Ahmed, M.D., fellowship-trained and board-certified interventional cardiologist at the Genesis Heart & Vascular Institute. “General cardiology teams, heart failure teams, catheterization lab teams, operating room teams, nurses, surgeons and anesthesiologists – all come together for the patient.”

In addition to extensive planning, the heart surgeons must have specialized training to provide the new minimally invasive technique. “This is an advanced procedure and requires advanced training. It’s not a common procedure, nor is it done at every hospital. Genesis is the only hospital to offer this procedure within an hour’s drive of Zanesville,” Dr. Gabi said.

For Duane, having advanced heart care close to home makes all the difference.

“I’ve been a patient at other hospitals in the past, and that meant long drives for Linda every day after work. It’s much nicer to be here and get the high-quality care I need. I’ve been a patient at Genesis for the past 10 years, and they’ve been wonderful,” Duane said. “I’m thankful to Genesis for giving me life.”

 

Duane McFarland has experienced strokes, heart attacks, double pneumonia, sepsis and open-heart quadruple bypass surgery. No wonder he values quality healthcare.

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Genesis sheds light on patient’s blackout

82-year-old Charles Dean and his wife of 59 years, Katherine, live on a small farm in the northeast part of Licking County, Ohio, about 15 miles from Zanesville.

In the spring of 2017, Charles found himself taking naps frequently, but something didn’t feel quite right.

“I soon realized I wasn’t actually napping, but instead was having blackouts,” explained Charles.

A “blackout” is a temporary loss of consciousness, also called fainting, passing out, or in the medical world, syncope.

In some cases, low blood pressure causes these episodes. However, they can also be a symptom of an abnormal heart rhythm, which can result in a heart rate that is too fast or too slow to provide adequate blood flow to the brain. In these situations, blackouts may be a sign of a life-threatening problem.

Electrophysiology at Genesis

Once Charles realized he was blacking out, he contacted Genesis HealthCare for help and received an appointment to see Grant V. Chow, M.D., a fellowship-trained, board-certified cardiac electrophysiologist at the Genesis Heart & Vascular Institute.

Cardiac electrophysiology is an area of medicine that studies the electrical rhythm of the heart. Physicians specializing in cardiac electrophysiology evaluate, monitor and treat patients with irregular heartbeats or abnormal rhythms.

“Often, when a patient first comes for an evaluation, we perform an electrocardiogram (ECG). This is a quick, simple and painless test that involves attaching small electrodes to the skin,” explained Dr. Chow. “These electrodes connect to a machine that monitors the heart. We have a wide range of other cardiac tests and technologies we can use when we need to gather more information about a patient’s condition.”

Gathering more data

Charles’ evaluation suggested that an abnormal rhythm might be causing his blackouts.

However, Dr. Chow needed more information to better understand what was happening and provide the best care.

So, when Charles went home, he was given a cardiac monitor to wear 24/7 for 30 days. This would allow Dr. Chow to monitor his heart rhythm and look for a correlation with symptoms.

This also reduced the need for Charles and Katherine to drive into Zanesville for multiple follow-up appointments.

Everything was fine—until it wasn’t

“I thought I was doing fine. Then on day 28, I had another blackout,” explained Charles. On his monitor, his episode correlated with an abnormal heart rhythm where his heart rate dropped to less than 40 beats per minute.

That afternoon, June 17, 2017, Charles was admitted to the hospital and shortly afterward, Dr. Chow surgically implanted a pacemaker. This device signals the heart to beat when the heartbeat is too slow.

The surgery was a success, and after just one night in the hospital, Charles went home. His pacemaker now ensures that his heart rate never drops below a normal 60 beats per minute. In addition, the pacemaker can monitor his heart rhythm for any other issues to provide an additional layer of security.

“After the procedure, I had a lot of energy. Everything came back. My appetite even returned,” said Charles. “After a few weeks, I was able to return to work part-time.”

A temporary setback

Charles experienced no blackouts or heart issues for almost two years. But then, in April 2019, episodes of severe fatigue occurred. He was admitted to the hospital and was found to have a decrease in heart-squeezing power – a form of heart failure.

“If a patient is suffering from a serious heart condition such as heart failure, they are at a much higher risk of having recurring blackouts or feeling poorly,” explained Dr. Chow. “Unfortunately, this was the case with Mr. Dean.”

When Charles received the new diagnosis of heart failure, an upgraded pacemaker was offered to improve his heart function. The upgrade involved implanting an additional “lead,” a thin wire that connects to the device’s generator on one end and the heart on the other. In a standard pacemaker, which is what Charles initially needed in 2017, there are two leads. In contrast, in a biventricular pacemaker, the type of device that could help with his new heart failure diagnosis, there are three.

Thankful and appreciative

Since his biventricular pacemaker upgrade, Charles has not had blackouts, and his energy levels have improved. His follow-up echo in 2020 showed improvement in his heart squeezing power. He goes in for check-ups several times each year and has a cardiac monitor at home he can use to check in with Dr. Chow if he has concerns.

“Everything was so efficient at Genesis,” said Charles. “In your older years especially, it’s important to have a medical system you trust. Dr. Chow saved my life and his team keeps good track of me. I’m so thankful and appreciative.”

Genesis Heart & Vascular Care

Learn more about Electrophysiology and other life saving treatments at Genesis

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In the spring of 2017, Charles found himself taking naps frequently, but something didn’t feel quite right. “I soon realized I wasn’t actually napping, but instead was having blackouts,” explained Charles.

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Valentine's Day Heart Attack Survived

On Valentine's Day, Chris Forrestal took his wife of 34 years, Rhonda, to try a new burger place for lunch. That evening, a burning sensation began building in his chest. Considering indigestion as the culprit, Chris took an antacid, but he soon knew the mounting pain meant a bigger, more dangerous problem.

When hearts hurt

"This all started in the center of my chest, and normally with my indigestion it's a little higher. Within 10 minutes, the pain became crushing. I was sweating profusely and nauseous. I had never experienced that kind of pain before. It was intense and relentless, like an elephant sitting on my chest," Chris said.

While chest pain and tightness may first come to mind as signs of heart attacks, people can experience a variety of symptoms, such as shortness of breath, heart palpitations, lightheadedness, sweating, or pain in the neck, jaw, back, arms or shoulders.

Activate the heart heroes

Worried by Chris' intensifying symptoms, Rhonda called 911, initiating a coordinated chain of events that activated professionals on the emergency medical transportation team, Genesis Hospital's Emergency Department team, and Genesis' heart and vascular team.

“Chris was practically writhing in pain, so I called the squad. We live in the country in Norwich, and they couldn’t have gotten here any faster,” Rhonda said. “In the ambulance, they did an EKG and confirmed he was having a heart attack and then let the hospital know. When we arrived at Genesis Hospital’s Emergency Department (ED), a cardiac team of about 15 people was already in the room. I was so impressed. Everybody was in place and knew what to do. The doctor said to me, ‘This is where you want to be if there’s a problem. We’ll take care of him.’”

Timing proves critical

Chris suffered a massive heart attack originating in the left anterior descending (LAD) artery, the artery that supplies 65 to 70% of the heart’s muscle. When the LAD becomes nearly or completely blocked, the heart attack is commonly called the widowmaker

“Each minute, each second can make a big difference in a patient’s life when it comes to surviving a widowmaker,” said Alaa Gabi, M.D., fellowship-trained interventional cardiologist, at the Genesis Heart & Vascular Institute. “The quicker the patient receives treatment, the better the chance of surviving and the better outcome for the strength of the heart muscle. That’s why the response of the Genesis Community Ambulance to the ED and then to the Genesis Cardiac Catheterization Lab happens fast.”

Coordinating quick and expert care is one of Genesis’ strengths. In fact, Genesis diligently records and tracks the time from when a patient enters the hospital doors until the time they receive treatment in the cardiac catheterization lab; and Genesis’ timing proves faster than the national average.

Stopping the widowmaker

Inside Genesis’ Cardiac Cath Lab, Dr. Gabi and his team inserted a small wire into Chris’ blocked artery, crushed the hindering obstruction, and then deployed a stent to permanently hold open that area of Chris’ LAD artery.

“Dr. Gabi was just wonderful,” Chris said. “He explained everything and was reassuring during the process. After the procedure, I spent two more days at the hospital, and I had an excellent experience there. The nurses took great care of me, and everyone was informative and helpful.”

Rhonda agrees. She is a physical therapist at Genesis Rehabilitation Services, and this is the first time Rhonda and her family personally experienced the lifesaving care at Genesis.

“I felt well educated, understood everything that was going on and felt like I was part of the team. That kind of compassionate care brings peace,” Rhonda said.

After Chris’ massive heart attack, his ejection fraction rate remained low – meaning his heart wasn’t pumping out a high enough percentage of blood with each contraction. “A normal ejection fraction is around 50 or 55%, but Chris’ ejection fraction was down to 30 to 35% at the time of his heart attack,” Dr. Gabi explained.

Chris attended Genesis’ cardiac rehabilitation for 10 weeks, where he met with a team of registered nurses, exercise specialists, counselors and dietitians who help patients recover faster and return to full, productive lives.

“It really helped!” Chris said. “They explained things physically and emotionally, and they helped me build my stamina and confidence.” Dr. Gabi recently gave Chris good news. “An echocardiogram showed his heart muscle ejection fraction is back to normal,” Dr. Gabi said.

A heart-filled thanks

This year, Chris and Rhonda plan to spend Valentine’s Day at home, playing with their grandchildren. They cherish time with family and intentionally focus on nourishing hearts – emotionally and physically. Chris continues building his stamina and confidence, and he’s committed to eating healthy, exercising regularly and managing his stress levels.

“This has helped me make major changes in my life,” Chris said. “I’m so thankful for the Genesis teams. They’ve worked hard, and I certainly credit them with saving my life.”

Heart attacks can happen any day – get to the hospital fast!

“Heart attacks are unpredictable. We treat patients on Christmas Day, New Year’s Day, Valentine’s Day – any day. The important thing is that you get to the hospital as quickly as possible. Every second counts,” said Alaa Gabi, M.D., fellowship-trained interventional cardiologist, Genesis Heart & Vascular Institute.

Unfortunately, some people have delayed seeking hospital care because of fear of exposure to COVID-19. That decision can have detrimental effects.

“It’s terribly sad. I’ve had patients who have died or suffered irreversible complications because they came to the hospital too late, trying to avoid exposure to COVID-19,” Dr. Gabi said. “Please, if you have any heart attack symptoms, seek medical care immediately.”

Chris Forrestal Patient Story
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Woman Survives ‘Widow Maker’ Heart Attack

Excellent local medical care is vital for survival

Heart attacks in women often look and feel much less dramatic than the stereotypical elephant-on-the-chest scenario. Symptoms can include shortness of breath, lightheadedness, cold sweats, nausea and neck, jaw or back pain. Sometimes a heart attack is disregarded as a bad case of indigestion, as was the scenario of Penny Higgins.

Underestimating the warning signs of a heart attack

Higgins, 70, had been experiencing the stereotypical heart attack symptoms that often get ignored—chest pain, indigestion, fatigue. The discomfort faded away and then returned with a vengeance.

“I didn’t think it could be a heart attack – I didn’t feel that bad,” Higgins remembers. “It wasn’t like a heart attack in a movie scene.” Penny didn’t go directly to the hospital. Days later, the pressure tightened around her chest like rubber bands pulling, a stinging sensation shot down her arm, and her stomach pain caused vomiting.

Low survival rate for ‘widow maker’ heart attack patients

Within minutes of arriving at the emergency department, the emergency and interventional cardiology teams collaborated at full speed. “Nine or ten people gathered around and began working with extreme efficiency. They told me I was indeed having a heart attack, and they had to work fast to save my life,” Higgins said.

Higgins had a complete blockage at the beginning of her main artery down the front of the heart, or the left descending artery (LAD). As far as heart attacks go, this is often referred to as the ‘widow maker’ because of the low survival rate when patients experience a heart attack in the left descending artery. It supplies blood to the front and the bottom of the heart’s left ventricle, and to the front of the septum.

Heart muscle dies every minute during a blockage

“When it comes to heart attacks, every minute counts, and time is heart muscle,” says Abdulhay Albirini, M.D., interventional cardiologist with the Genesis Heart, Lung & Vascular Group. “Literally, every minute a blockage in an artery stops blood flow, more of the heart muscle dies. When care is delayed, significant permanent damage can result. On the other hand, if we can open the artery right away, heart muscle damage can be minimal and the majority of patients go on to live normal lives.”

Dr. Albirini and his team rushed Higgins into the Cardiac Catheterization Lab for diagnosis and treatment. Through a tiny, two millimeter catheter, Dr. Albirini maneuvered a hair-thin wire through the clot and inflated a balloon to bust the blockage. Then he deployed a small, wire mesh stent to hold the artery permanently open.

Specialized treatment and technology in Zanesville is saving lives

In acute cases like Higgins', excellent, local medical care is vital for survival. “In the old days, before Genesis had a heart program doing these procedures, patients were transferred to Columbus – 60 miles from here – which delayed treatment,” recalls Dr. Albirini. “Now, our communities have access to outstanding care close to home – it makes a big difference in outcomes.”

In fact, Genesis Hospital provides superior heart and vascular care compared to the majority of the heart centers around the nation, according to national quality indicators collected by the American College of Cardiology. “We are successful because we have the expertise, the technology, and we work so well together. The ED team, the cardiologists, the technicians and nurses – everyone knows his or her role and treats the patient promptly,” Dr. Albirini says.

Genesis cardiac rehabilitation combines exercise, education and nutritionists

Higgins participated in the Heart & Vascular Rehabilitation three times a week for three months combining exercise, education and support. “Genesis’ rehabilitation program is wonderful,” Higgins said. “We talked with pharmacists, had support groups and learned from nutritionists. I’ve built my strength by using the exercise machines too. Plus, I’m lucky because I have my husband. We’ve been married 51 years, and his support helps me get through this.”

She’ll return to water aerobics soon and continue serving West Muskingum Schools, First Christian Church and the Salvation Army Women’s Auxiliary. “I’m getting stronger daily. I feel like I’ve been given a chance to continue living a good life,” Higgins said. “The care at Genesis made all the difference. I know they saved my life.”

Heart attack symptoms for women can be different than men

Unlike the dramatic, chest-clutching pain in a movie scene, women often experience subtler and sometimes different symptoms for three or four weeks before a heart attack. Symptoms for women include but are not limited to:

- Jaw pain in lower left side
- Shoulder pain
- Upper back pain
- Pain in the center of the chest that spreads to the back
- Pain that spreads to either arm (usually the left arm in men)
- Unusual or extreme fatigue during normal activities
- Pain that wakes you up at night
- Shortness of breath without exertion

If you are experiencing any one of the symptoms described below that lasts for more than five minutes, SEEK EMERGENCY TREATMENT AND CALL 911 IMMEDIATELY.

Recognize other warning signs of a heart attack

Chest pain (often described as an ‘elephant sitting on the chest’) is the most common symptom of heart attack in men. These symptoms could also be signs of a heart attack:

- Chest pain (heaviness, pressure, tightness, aching, burning or squeezing)
- Chest discomfort that lasts more than a few minutes or goes away and comes back
- Pain in the arm, left shoulder, back, neck, jaw or stomach
- Difficulty breathing or shortness of breath
- Sweating or “cold sweats”
- Nausea or vomiting
- Indigestion or what may feel like heartburn
- Dizziness
- Extreme weakness
- Rapid or irregular heart beats
- Light-headedness

Respond to heart attack symptoms right away

Time is muscle. Every minute a blockage in an artery stops blood flow, more of your heart muscle dies causing permanent damage to your heart. When it comes to your life or the life of someone you love, don’t delay if you have chest pain or symptoms of a heart attack. Error on the side of caution and respond immediately by calling 911 or getting to your nearest emergency department.

Penny Higgins Patient Story

Penny Higgins, 70, had been experiencing the stereotypical heart attack symptoms that often get ignored—chest pain, indigestion, fatigue.

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Taking It To The Limit

Heart Patient Competes

Brad Hollingsworth tests his limits and always has. The 41-year-old has accomplished amazing physical feats even though he has complete congenital heart block, diagnosed when he was about a year old. "Basically, it means the electrical impulses to stimulate the ventricles don't connect," Brad said. "It's like one end of the line is frayed, and the result is spotty reception."

Even with this heart condition, Brad has been able to compete in Ironman triathlon races with the help of his fellowship-trained electrophysiologist, Grant Chow, M.D., Genesis Heart & Vascular Institute. An electrophysiologist has additional years of training to specialize in the heart’s electrical activity.

“Dr. Chow is part of my team that boosts my confidence to pursue my dreams of the Hawaii World Ironman championship,” Brad said. He eagerly shares his health information to help others learn that what seems impossible – is possible. “I want to educate others that you can overcome obstacles – especially if you have physicians like Dr. Chow. Having his guidance gives me the confidence, and confidence is necessary to commit to the Ironman races and the training (8 to 15 hours a week for 6 to 12 months).” The Ironman races include 2.4 miles swimming, 112 miles biking and 26.2 miles running.

Although Brad’s heart condition doesn’t have symptoms and didn’t require a pacemaker, it does require close monitoring. Brad lives every day with a resting heart rate around 38 beats per minute (bpm), while the average rate is 60 bpm. “This is an uncommon heart condition, only occurring about one in every 15,000 to 22,000 people,” Dr. Chow said. “Brad’s ability to compete, given his heart condition, is basically unheard of. Most people with his heart condition are bubble wrapped and told not to exercise.”

Competing in Ironman races is such an anomaly for a patient like Brad that Dr. Chow is featuring his health numbers in a case report. Brad’s biometric data was recorded during an Ironman race. “Nobody in the world, that I can find, has described and recorded this data on someone with a congenital complete heart block, who doesn’t have a pacemaker. Our hope is that others with complete heart blocks are inspired by what Brad achieved.” (As always, check with your physicians before beginning an exercise regimen.)

Brad completed the Florida 2019 Ironman race in 12 hours and 29 minutes. Over 200 participants didn’t meet the 17-hour time limit to be an official finisher.

Brad appreciates having a physician guiding him to screen for heart palpitations, lightheadedness, shortness of breath, fainting or decreased physical ability. Brad recognizes the signs and knows when he needs to take a break. “Being able to have Dr. Chow’s guidance has been very critical for me to go live and do these crazy things.”

When asked why he pushes himself to do these ‘crazy things’, Brad responded, “I love the adventure. I love to push my limits. We’re all capable of doing more than what we believe we can.”

Brad Hollingsworth Patient Story

Brad Hollingsworth tests his limits and always has. The 41-year-old has accomplished amazing physical feats even though he has complete congenital heart block, diagnosed when he was about a year old.

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Patient Finds New Energy After Aortic Valve Replacement Surgery

Say goodbye to shortness of breath, low energy

JoAnn Grubb had been active her whole life, but the shortness of breath caused by her narrowing aortic valve was slowing her down. “We’d been following my heart valve problem for a couple of years and finally it was at a place where it had to be replaced,” said JoAnn. She went to Genesis HealthCare System to see a cardiothoracic surgeon on the advice of her regular cardiologist, Dr. Abdulhay Albirini.

Aortic stenosis occurs when the valve between the heart and aorta (the main artery carrying oxygenated blood away from the heart) does not open all the way. The cardiothoracic surgeon confirmed that JoAnn’s aortic valve was significantly narrowed and recommended surgery to replace it. While she might have gone a few years without the surgery, her quality of life would have been diminished and eventually her heart would have given out.

With the exception of a heart transplant, Genesis can perform any cardiac procedure available in a larger hospital, including open heart surgery.

Heart surgery is scheduled

The surgery went as expected but was followed that evening by unexplained seizures. However, a neurologist was immediately consulted and JoAnn recovered quickly.

Today, JoAnn is back to her old self, taking daily walks, going to Zanesville High School basketball games and planning trips with her husband, Jim. For her part, JoAnn was so pleased with her care that she posted a thank-you in the local newspaper. “I’m doing better with shortness of breath, which was my major symptom before the surgery,” she said. “Now I can walk farther and do more without having to sit down and catch my breath.”

Get the best care for your heart

Genesis Heart Services are close to home and is the region's only hospital with accreditations for chest pain treatment and congestive heart failure (CHF). Genesis is the first hospital in the nation to be granted atrial fibrillation certification. Genesis has a full range of heart care services, and our quality ranks among the highest in the state and country ... so you know your heart is in good hands.

JoAnn Grubb Patient Story

JoAnn Grubb had been active her whole life, but the shortness of breath caused by her narrowing aortic valve was slowing her down. “We’d been following my heart valve problem for a couple of years and finally it was at a place where it had to be replaced,” said JoAnn. She went to Genesis HealthCare System to see a cardiothoracic surgeon on the advice of her regular cardiologist, Dr. Abdulhay Albirini.

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