Atrial Fibrillation (AFib)

Posted on September 16, 2025 by Xavia Malcolm

Atrial fibrillation (AFib) is a common type of arrhythmia, or heart rhythm disorder. According to the American Medical Association, more than 5 million adults in the United States are living with AFib.

During AFib, the upper chambers (atria) of our heart beat irregularly and rapidly, which may cause blood to pool and clot. This can lead to serious complications such as stroke or heart failure.

The most common cause of AFib is problems with the heart’s structure. Here are other potential causes:

High blood pressure
Thyroid disease, such as hyperthyroidism
Obstructive sleep apnea
Heart diseases such as heart valve disease or coronary artery disease
Infections

Some people have an increased risk of developing AFib more than others. Risk factors include:

Obesity
Lifestyle choices such as smoking or drinking alcohol excessively
Age, especially individuals over the age of 65
A family history of AFib
Having diabetes
Having chronic kidney disease
Having had recent heart surgery

Not everyone who has AFib will notice symptoms. However, in other cases, a person may experience:

Extreme fatigue
Low blood pressure
Shortness of breath
Chest pain
Heart palpitations
Dizziness or lightheadedness

AFib is often discovered during health checkups because not everyone experiences symptoms. You should see a doctor if you are experiencing symptoms such as chest pain, heart palpitations, shortness of breath, lightheadedness, or dizziness.

To diagnose AFib, your doctor will order an electrocardiogram (ECG) to measure the electrical activity of your heart. They may also order additional tests to test conditions that cause irregular heartbeats.

Treatment for AFib can include medications, surgery, or lifestyle changes. To schedule an appointment with a cardiologist at Jamaica Hospital Medical Center, please call 718-206-7100.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Congratulations to the MediSys Health Network for Their Excellence in Stroke Care

Posted on September 10, 2025 by Patrick Hercules

The MediSys Health Network continues to demonstrate its unwavering dedication to providing high-quality stroke care. Jamaica Hospital Medical Center was recognized by the American Heart Association for its continued commitment to quality improvement across its cardiovascular and stroke service lines by awarding the hospital the 2025 AHA Commitment to Quality Award.

Additionally, Jamaica and Flushing Hospital received the American Heart Association’s 2025 Get With The Guidelines-Stroke Gold Plus with Honor Roll Elite and Target: Type 2 Diabetes Honor Roll Achievement Award.

Get With The Guidelines puts the expertise of the American Heart Association and American Stroke Association to work for hospitals nationwide, helping ensure patient care is aligned with the latest research and evidence-based guidelines. Get With The Guidelines – Stroke is an in-hospital program for improving stroke care by promoting consistent adherence to these guidelines, which can minimize the long-term effects of a stroke and even prevent death.

Both Jamaica Hospital and Flushing Hospital Medical Centers’ Departments of Prehospital Care have also received the American Heart Association’s Mission: Lifeline® EMS Gold achievement award for their commitment to offering rapid and research-based care to people experiencing the most severe form of heart attacks and strokes, ultimately saving lives.

Jamaica Hospital and Flushing Hospital Medical Centers’ Departments of Prehospital Care are honored to be recognized by the American Heart Association for our dedication to providing optimal care for heart attack patients. The Mission: Lifeline program puts proven knowledge and guidelines to work daily, so patients have the best possible chance of survival.

Congratulations to both hospitals on being recognized for these great achievements.

Hypertensive Heart Disease

Posted on September 9, 2025 by Xavia Malcolm

Hypertensive heart disease are conditions that develop when chronic high blood pressure, one that is higher than 120/80 mmHg, is left untreated for a long time.

Hypertensive heart disease is a leading cause of illness and death related to high blood pressure. When high blood pressure is not properly managed over time, it puts extra strain on the heart. This can lead to various issues, including damage to the heart, coronary heart disease, and thickening or enlargement of the heart muscles, along with other serious health conditions.

Symptoms of hypertensive heart disease can vary based on the type of heart condition a person has, or the progression of disease; they may include:

Shortness of breath
Chest pain
Pain in the shoulders, neck, or back
Stroke
Sudden cardiac death
Fainting
Dizziness
Fatigue
Swelling of the ankles or legs
A persistent cough

Complications that can result from hypertensive heart disease are:

Heart failure
Stroke
Sudden cardiac death
Arrhythmia

Some people are more likely to develop hypertensive heart disease than others. You have an increased risk if you:

Smoke or use tobacco products
Drink alcohol heavily
Do not exercise regularly
Are taking certain medications
Eat a high-sodium diet
You have a close family member with a history of high blood pressure
Have certain health conditions such as diabetes
Are over the age of 45
Have high cholesterol
Are overweight

Hypertensive heart disease takes years to develop. You can reduce the risk of complications by visiting your doctor regularly. If you are experiencing symptoms associated with hypertensive heart disease, your doctor may order tests such as blood tests, urine tests, an electrocardiogram (EKG), or imaging tests to diagnose the disease.

Treatment for hypertensive heart disease may include medications to control high blood pressure or help your heart in other ways, recommending lifestyle changes, or surgery.

Jamaica Hospital Medical Center is proud to offer a patient-centered environment that consistently provides quality cardiology care. Please call our cardiology department at (718) 206-7100 to make an appointment or learn more about our services.

Cardiovascular Disease in Women

Posted on July 2, 2025 by Patrick Hercules

Cardiovascular disease can be deadly for anyone. However, women face unique risks, largely due to differences in anatomy and hormones. They are more likely to have other heart attack symptoms and have a higher chance of developing symptoms from heart failure.

Over 60 million women (44%) in the United States are living with some form of heart disease. Heart disease is the leading cause of death in women in the United States and can affect them at any age.

There are three types of heart disease. They include:

Coronary artery disease is the most common heart disease, caused by plaque in the walls of the arteries that supply blood to the heart and other parts of the body. After menopause, women are at a higher risk of coronary artery disease because of hormonal changes.

Arrhythmia is a condition in which the heart beats too slowly, too fast, or irregularly. A common example is atrial fibrillation.

Heart failure happens when the heart is too weak to pump enough blood to support other organs in the body. This condition is serious, but it doesn’t mean the heart has stopped beating.

Although some women have no symptoms, other women may experience:

Angina is usually felt as a dull or heavy chest discomfort or ache

Pain in the neck, jaw, or throat

Pain in the upper abdomen or back

These symptoms may happen when you are resting or active. Women may also have other symptoms, including:

Nausea

Vomiting

Tiredness that won’t go away of feels excessive

In some women, the first signs and symptoms if heart disease can be:

A heart attack

Palpitations

A heart attack occurs when blood flow to the heart muscle is reduced or blocked. The amount of damage to the heart muscle depends on the artery and the treatment.

The warning signs of a heart attack include:

Chest discomfort that lasts more than a few minutes or doesn’t go away and returns

Pain or discomfort in the arms, back, neck, jaw, and stomach

Shortness of breath

Other signs can include:

Breaking out in a cold sweat

Nausea

A rapid or irregular heartbeat

Unusual tiredness

Lightheadedness

Medical treatment for a heart attack is based on the type of heart attack and where the blockage in the coronary artery is.

A complete blockage of the artery of the heart is a STEMI or ST-elevation myocardial infarction. A partial blockage is an NSTEMI heart attack or a non-ST-elevation myocardial infarction. The different ways to restore blood flow to the affected heart muscle during a heart attack include:

Clot-dissolving medications

Balloon angioplasty and stenting

Surgery

If you are experiencing an emergency, please call 911 right away. If you are experiencing heart attack symptoms, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-1700.

Primary Heart Attack Center Certification

Posted on June 4, 2025 by Patrick Hercules

Every year, more than 800,000 people in the U.S. have a heart attack. A heart attack, or myocardial infarction, occurs when blood flow to the heart muscle is reduced or blocked. The blockage is usually due to a buildup of fat, cholesterol, and other substances in the heart’s arteries. The amount of damage to the heart muscle depends on the artery and the treatment.

Most heart attacks are caused by coronary artery disease, which is the most common cause of death in the United States.

The warning signs of a heart attack include:

Chest discomfort that lasts more than a few minutes or doesn’t go away and returns
Pain or discomfort in the arms, back, neck, jaw, and stomach
Shortness of breath

Other signs of a heart attack can include:

Breaking out in a cold sweat
Nausea
A rapid or irregular heartbeat
Unusual tiredness
Heartburn or indigestion
Lightheadedness

Several key factors can affect your risk of having a heart attack. Unfortunately, some heart attack risk factors aren’t things you can modify. They include:

Age and sex
Family history of heart disease
Lifestyle
Certain health conditions

Healthcare providers usually diagnose heart attacks in an emergency room setting. If you have heart attack symptoms, you should undergo a physical exam. A healthcare provider will check your pulse, blood oxygen levels, and blood pressure, and listen to your heart and lung sounds. They will also ask about the symptoms you experienced.

A healthcare provider will diagnose a heart attack using the following testing procedures:

Blood tests
An Electrocardiogram (EKG or ECG)
An echocardiogram
A coronary angiogram
A heart computed tomography (CT) scan
A heart MRI
An exercise stress test
Nuclear heart scans

Treating a heart attack means restoring blood flow to the affected heart muscle immediately. This can happen in various ways, ranging from medication to surgery. Treatment will likely include:

Supplementary oxygen
Medications
Percutaneous coronary intervention
Coronary artery bypass grafting

Although several risk factors for a heart attack can’t be modified, there are many ways to reduce your risk of a heart attack, including:

Scheduling a check-up with a healthcare provider
Quitting tobacco products
Exercising regularly
Eating nutritious foods
Maintaining a healthy weight
Managing existing health conditions
Reducing stress
Taking medications as prescribed
Keeping all medical appointments

Jamaica Hospital Medical Center has been awarded the Joint Commission’s Primary Heart Attack Center certification with a gold seal.

This certification standardizes patient care across hospital settings regarding identification, assessment, monitoring, management, data sharing, and performance improvement for multidisciplinary STEMI heart attack care. Our hospital collaborates with the American Heart Association (AHA) in providing patient-centric cardiac care for all patients, their families, and the community the hospital serves.

The protocols and performance measures related to this designation reduce variances and promote standardization of the best practices in cardiac care. This, in turn, assists in improving clinical outcomes.

For more information about heart attacks, visit the American Heart Association’s website: https://www.heart.org/en/health-topics/heart-attack/about-heart-attacks

If you are experiencing an emergency, please dial 911 right away. If you are experiencing heart attack symptoms, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100.

Lupus Awareness Month

Posted on May 21, 2025 by Patrick Hercules

May is observed as Lupus Awareness Month, a month used to educate, advocate, and support those affected by lupus.

Lupus is an autoimmune disease that occurs when the body’s immune system attacks its tissues and organs. Inflammation caused by lupus can affect many different body systems, such as the joints, skin, kidneys, blood cells, brain, heart, and lungs.

Healthcare providers sometimes call lupus systemic lupus erythematosus (SLE). It is the most common type of lupus, which means you have lupus throughout your body. Other types of lupus include:

Cutaneous lupus erythematosus is lupus that only affects your skin
Drug-induced lupus occurs when some medications trigger lupus symptoms as a side effect. It is usually temporary and might go away after you stop taking the medication that caused it
Neonatal lupus occurs when babies are sometimes born with lupus. Babies born to biological parents with lupus aren’t certain to have lupus, but they might have an increased risk

No two cases of lupus are exactly alike. Signs and symptoms may come on suddenly or develop slowly, may be mild or severe, and may be temporary or permanent. Most people with lupus have a mild form of the disease characterized by flare-ups, when signs and symptoms may get worse for a while, and then improve or disappear completely for a time.

The signs and symptoms of lupus you experience will depend on which body systems are affected by the disease. The most common signs and symptoms include:

Fatigue
Fever
Joint pain, stiffness, and swelling
A butterfly-shaped rash on the face that covers the cheeks and bridge of the nose, or rashes elsewhere on the body
Skin lesions that appear or worsen with sun exposure
Fingers and toes that turn white or blue when exposed to cold or during stressful periods
Shortness of breath
Chest pain
Dry eyes
Headaches, confusion, and memory loss

Lupus likely results from a combination of genetics and environment.

People with an inherited predisposition for lupus may develop the disease when they come into contact with an environmental trigger of the disease. Some potential triggers of lupus include:

Sunlight
Infections

Diagnosing lupus is difficult because signs and symptoms can vary from person to person and may change over time, overlapping with those of many other disorders.

No one test can diagnose lupus. The combination of blood and urine tests, signs and symptoms, and results of a physical examination can lead to a diagnosis. Blood and urine tests may include:

A complete blood count
Erythrocyte sedimentation rate
Kidney and liver assessment
Urinalysis
Antinuclear antibody (ANA) test

If your healthcare provider suspects that lupus is affecting your lungs or heart, they may suggest imaging tests that can include:

A chest X-ray
An echocardiogram

Lupus can harm the kidneys in many ways, and treatments can vary depending on the type of damage it causes. Sometimes, a kidney biopsy is needed to determine the best treatment. A skin biopsy can be performed to confirm a diagnosis of lupus affecting the skin.

A healthcare provider will suggest treatments for lupus that manage your symptoms. The goal is to minimize damage to the organs and how much lupus affects your day-to-day life. Most people with lupus need a combination of medications to help them prevent flare-ups and lessen the severity of symptoms during one. Medications you might need include:

Nonsteroidal anti-inflammatory drugs (NSAIDs)
Corticosteroids
Antimalarial drugs
Immunosuppressants
Biologics

Simple measures can help prevent lupus flare-ups if they occur, and help you to better cope with the signs and symptoms you experience, including:

Seeing your doctor regularly
Being sun smart
Getting regular exercise
Quitting smoking
Eating a healthy diet
Asking your healthcare provider if you need vitamin D and calcium supplements

For more information about the Lupus Center at the campus of Jamaica Hospital Medical Center or to make an appointment with a lupus doctor, call (718) 206-9888 or the Lupus Hotline at 1-877-33-LUPUS.

Acute Coronary Syndrome

Posted on May 16, 2025 by Patrick Hercules

Acute coronary syndrome refers to three types of coronary disease that are related to sudden reduced blood flow to the heart.

The three types of coronary artery disease are:

Unstable angina
Non-ST-elevation myocardial infarction
ST-elevation myocardial infarction

Acute coronary syndrome can affect anyone. However, certain risk factors raise the likelihood of developing the condition. Risk factors include:

Older age
High blood pressure
High blood cholesterol
Smoking or tobacco use
Not enough physical activity
An unhealthy diet
Obesity or being overweight
Diabetes
Personal or family history of angina, heart attacks, or stroke
History of high blood pressure, preeclampsia, or diabetes during pregnancy
Early menopause
COVID-19 infection

The symptoms of acute coronary syndrome usually start suddenly. They include:

Chest pain or discomfort, which may feel like aching, pressure, tightness, or burning
Pain that starts in the chest and spreads to other body parts. These areas include the shoulders, arms, upper belly area, back, neck, or jaw
Nausea or vomiting
Indigestion
Shortness of breath
Sudden, heavy sweating
A racing heartbeat
Feeling lightheaded or dizzy
Fainting
Unusual fatigue

Acute coronary syndrome is usually caused by a buildup of fatty deposits or plaque in and on the walls of the heart’s arteries. When a fatty deposit breaks open, a blood clot can form and block blood flow to the heart, causing the heart not to receive enough oxygen.

The lack of oxygen can cause cells in the heart muscle to die. This damage can lead to a heart attack. When acute coronary syndrome doesn’t cause heart muscle cells to die, it is called unstable angina.

Acute coronary syndrome is an emergency and is usually diagnosed at a hospital. A healthcare provider runs tests to check the heart and determine the cause of symptoms.

Tests for acute coronary syndrome may include:

Electrocardiogram
Blood tests

A healthcare provider looks at the symptoms and test results to diagnose acute coronary syndrome. This information can also help classify your condition as a heart attack or unstable angina.

Other tests may be done to rule out other possible causes of symptoms and may also help determine treatment. Tests include:

Coronary angiogram
Echocardiogram
Myocardial perfusion imaging
CT angiogram
Exercise stress test

There is no cure for acute coronary syndrome. However, early diagnosis and prompt treatment can protect your heart from further damage and help it work as well as possible. A healthcare provider can discuss ways to reduce risks and avoid complications.

The immediate goals of treatment for acute coronary syndrome are to:

Relieve pain and distress
Improve blood flow
Restore heart function quickly and as much as possible

Long-term treatment goals are to:

Help the heart work as well as possible
Manage risk factors
Lower the risk of a heart attack

Treatment for acute coronary syndrome may include medicine, heart procedures, or surgery.

If you are experiencing any symptoms of acute coronary syndrome, you can schedule an appointment with a doctor at Jamaica Hospital Medical Center’s Ambulatory Care Center. Please call (718) 206-7001. If you are experiencing an emergency, call 911.

Patient Testimonial- Wayne Texeira says, “Dr. Lasic and Jamaica Hospital Medical Center Gave Me a Second Chance.”

Posted on April 25, 2025 by Patrick Hercules

“I got a second chance”, is what Wayne Texeira said after his experience at Jamaica Hospital Medical Center. While working at Jamaica Hospital, Mr. Wayne Texiera suddenly couldn’t breathe and fell to his knees. He saw the lights fading and passed out. While in the ER, he was told his lungs were filling with fluid, he had heart failure, and he almost died. His doctor, Dr. Zoran Lasic, told Mr. Texiera that he had to change his lifestyle after performing an angiogram that showed that he had 30% functionality in his heart.

Over the next year, through the care and recommendations from Dr. Lasic, Mr. Texeira lost 45 pounds, quit smoking, and stopped eating unhealthy foods. He also gained 60% functionality in his heart, which is remarkable. “I am very grateful to Jamaica Hospital Medical Center, the staff, and the doctors. My perception changed after I got a second chance.” Now living in Georgia with his wife and daughter, the catalyst for his lifestyle change, “I kept looking at her and I didn’t want her not to have a father, Mr. Texeira said. With a second chance, Mr. Texeira is grateful, “Life has been good. I have no regrets.”

Podiatry: What Your Feet Can Tell You about Your Health

Posted on February 5, 2025 by Patrick Hercules

Our bodies present many signs and symptoms to show us that we are sick, such as a runny nose, fever, and body aches. However, your feet can tell us a lot about our health, including:

Dry, flaking, itchy, or peeling skin may be signs of a thyroid condition or a fungal infection.
Foot numbness may be a sign of circulation problems such as peripheral artery disease (PAD), peripheral neuropathy associated with type 2 diabetes, other neurological problems, arthritis, or long-standing alcoholism.
A foot sore that won’t heal may be a sign of diabetes or peripheral vascular disease. In addition to causing nerve damage, high blood sugar might also damage the blood vessels that supply nerves, causing circulation problems that prevent healing.
Swollen ankles and feet may be signs of heart failure, kidney disease, liver disease, or a blood clot. Painless swelling in the feet is gravity in action. If your heart, liver, or kidneys aren’t working properly, you will have excess fluid in the body that leaks into your tissues and drains down to the feet.
A suddenly, intensely painful, and swollen big toe may be a sign of gout, inflammation caused by a buildup of uric acid that forms crystals in the joints.
Pain in the foot when walking or exercising that goes away when resting may be a sign of a stress fracture or osteoporosis.
Sore toe joints in both feet may be a sign of rheumatoid arthritis.
Frequent foot cramping may be a sign of dehydration and nutritional deficiencies.
Heel pain may be a sign of plantar fasciitis, the strain of the ligament that supports the arch in your foot.
Yellow toenails may be a sign of a fungal infection, such as athlete’s foot.
Balding or hairless feet and toes may be a sign of circulation problems, such as peripheral artery disease.
Foot or heel pain upon standing or rising in the morning may be a sign of arthritis or plantar fasciitis.
Frequently cold feet may be a sign of hypothyroidism, peripheral artery disease, or Raynaud’s disease, a condition where blood vessels spasm and constrict when experiencing cold temperatures.

Some ways you can care for your feet include:

Wash and examine your feet daily
Keep the skin on your feet moisturized
Treat any callouses and corns
Trim toenails weekly or as needed
Wear protective clothing on your feet
Maintain blood flow to the feet

If you are experiencing any of these foot ailments, contact Jamaica Hospital Medical Center’s Queens Podiatry Center at (718) 206-6713-6712 to make an appointment.

POTS (Postural Orthostatic Tachycardia Syndrome)

Posted on January 22, 2025 by Patrick Hercules

Postural orthostatic tachycardia syndrome (POTS) is a condition that causes your heart to beat faster than normal when you transition from sitting or lying down to standing up.

Each word of “postural orthostatic tachycardia syndrome” has a meaning:

Postural – related to the position of your body
Orthostatic – related to standing upright
Tachycardia – a heart rate over 100 beats per minute
Syndrome – A group of symptoms that happen together

Your autonomic nervous system normally balances your heart rate and blood pressure to keep your blood flowing at a healthy pace, despite your body’s positioning. However, if you have POTS, your body can’t coordinate the balancing act of blood vessel constriction and heart rate response, meaning your body can’t keep your blood pressure steady and stable. This causes a variety of symptoms, including:

Dizziness or lightheadedness, especially when standing up, during prolonged standing in one position, or on long walks
Fainting or near fainting
Forgetfulness and trouble focusing (brain fog)
Heart palpitations or a racing heart rate
Exhaustion/fatigue
Feeling nervous or anxious
Shakiness and excessive sweating
Shortness of breath
Chest pain
Headaches
Nausea
Bloating
A pale face and purple discoloration of your hands and feet if they’re lower than the level of your heart
Disrupted sleep from chest pain, a racing heart rate, or excessive sweating during sleep

POTS symptoms often get worse in the following situations:

Being in warm environments, such as in a hot bath or shower, or on a hot day
Standing frequently, such as when you’re waiting in line or shopping
Participating in strenuous exercise
When you are sick from a cold or an infection
Having your period

You can develop POTS suddenly or it can develop gradually. Symptoms vary from person to person. They may happen immediately or a few minutes after sitting up or standing. Lying down may relieve some of the symptoms.

Researchers aren’t sure what causes POTS. They currently believe there are multiple causes, which have been put into different subtypes of POTS, including:

Neuropathic POTS – this happens when peripheral denervation (loss of nerve supply) leads to poor blood vessel muscles, especially in your legs and abdomen
Hyperadrenergic POTS – this happens when your sympathetic nervous system is overactive
Hypovolemic POTS – reduced blood volume can lead to POTS. Low blood volume can cause similar symptoms that may overlap with neuropathic and hyperadrenergic POTS

There is also growing evidence that suggests POTS might be an autoimmune disease, meaning the immune system attacks healthy tissue for unknown reasons.

POTS can be difficult for healthcare providers to diagnose due to the many symptoms that can occur over time. People with POTS may have symptoms for months or years before they are finally diagnosed with the condition.

To confirm a POTS diagnosis or rule out other possible causes for your symptoms, your healthcare provider will ask questions about symptoms, medications, and medical history, and they will also perform a series of tests.

A tilt table test is the main way providers diagnose POTS, as it measures your heart rate and blood pressure as you change your posture and position. A healthcare provider may order other tests to help determine a diagnosis, including:

Blood and urine tests for causes of POTS and conditions that mimic POTS
QSART (a test that measures the autonomic nerves that control sweating)
Autonomic breathing test (a test that measures your blood rate and pressure response during exercise
Skin nerve biopsy

Unfortunately, there is no cure for POTS. However, healthcare providers use strategies to manage the symptoms. Treatment is highly individualized based on your symptoms and what works best for you. The main forms of treatment include:

Exercise and physical activity
Diet and nutrition

There is nothing you can do to prevent developing POTS. But there are steps you can take to try to prevent flare-ups by knowing what your triggers are, including:

Maintaining a consistent temperature
Avoiding prolonged standing
Avoiding alcohol

If you are experiencing any POTS-related symptoms, you can schedule an appointment at Jamaica Hospital Medical Center’s Cardiology Department by calling (718) 206-7100. If you are experiencing an emergency, please call 911 right away.