Our Mission is to provide our patients with the most comprehensive, high-quality, and compassionate care possible. Serving West Tennessee with almost fifty years of combined experience, our care providers are dedicated not only to research and management of complex cardiovascular disease, but also its prevention. Our top priority is to achieve the best possible outcome for each person entrusted to our care. We carefully listen to and actively engage each patient in the development of a comprehensive treatment plan that includes education, lifestyle modification recommendations, medications, and procedures.
“Going Beyond The Standard Of Care”
- Stress Testing
- Advanced Cholesterol Management
- Chest X-Ray
- Weight Management
- Anti-Coagulation Management
- Blood Pressure Management
- Cardiology Followup for Chemotherapy
- Cardiac Catheterization
- Stent Placement
- Transesophegial Echocardiogram
- Cardioversion for A-Fib
- Opening Kidney Arteries
- Opening Leg arteries
- Transfemeral Aortic Valve Replacement
An EKG shows:
• How fast your heart is beating
• Whether the rhythm of your heartbeat is steady or irregular
• The strength and timing of electrical signals as they pass through each part of your heart
Pacemakers are used to treat arrhythmias (ah-RITH-me-ahs). Arrhythmias are problems with the rate or rhythm of the heartbeat. During an arrhythmia, the heart can beat too fast, too slow, or with an irregular rhythm.
During an arrhythmia, the heart may not be able to pump enough blood to the body. This can cause symptoms such as fatigue (tiredness), shortness of breath, or fainting. Severe arrhythmias can damage the body’s vital organs and may even cause loss of consciousness or death.
A pacemaker can relieve some arrhythmia symptoms, such as fatigue and fainting. A pacemaker also can help a person who has abnormal heart rhythms resume a more active lifestyle.
Advanced Cholesterol Management
This test is done to find the cause of symptoms such as shortness of breath, chest pain, chronic cough (a cough that lasts a long time), and fever.
Blood Pressure Management
High blood pressure is now classified as a blood pressure greater than 140/90 in people under 60, and greater than 150/90 in people over 60.
Cardiology Followup for Chemotherapy
A cardiac catheterization can check blood flow in the coronary arteries, check blood flow and blood pressure in the chambers of the heart, find out how well the heart valves work, and check for defects in the way the wall of the heart moves. In children, this test is used to check for heart problems that have been present since birth (congenital heart defect).
Angioplasty involves the use of a tiny balloon to widen the artery. A stent is a tiny mesh tube that is inserted into the artery and left there to prevent the artery from closing. Both are typically done during a single procedure.
Trans Esophegial Echocardiogram
Cardioversion for A-Fib
For patients in persistent atrial fibrillation, electrical cardioversion may be done early in the process to stop the afib and put the heart back into normal sinus rhythm. For other afib patients, electrical cardioversion may not be tried until later, when medication has stopped working. While electrical cardioversion may be effective at converting the heart back into normal sinus rhythm, it has a low success rate in keeping it there, and thus may require multiple tries.
Opening Kidney Arteries
You may not have symptoms when one kidney does not function because the second kidney can filter the blood. However, high blood pressure (hypertension) may come on suddenly and be difficult to control.
Opening Leg arteries
PAD can cause discomfort or pain when you walk. The pain can occur in your hips, buttocks, thighs, knees, shins, or upper feet. Leg artery disease is considered a type of peripheral arterial disease because it affects the arteries, blood vessels that carry blood away from your heart to your limbs. You are more likely to develop PAD as you age. One in 3 people age 70 or older has PAD. Smoking or having diabetes increases your chances of developing the disease sooner.
Transfemeral Aortic Valve Replacement
Somewhat similar to a stent placed in an artery, the TAVI approach delivers a fully collapsible replacement valve to the valve site through a catheter.
Once the new valve is expanded, it pushes the old valve leaflets out of the way and the tissue in the replacement valve takes over the job of regulating blood flow.
Ronald I Weiner, D.O., F.A.C.C.
Amy Sloan, ANP
Ronald I Weiner, D.O., F.A.C.C.
Ronald I. Weiner, D.O., F.A.C.C. has had extensive training and experience in Cardiology at the renowned Deborah Heart And Lung Center in Browns Mills, New Jersey. He undertook a Fellowship in Cardiovascular disease there in 1980 and remained for eight years as an instructor in the Catheterization Laboratory, working with and teaching the most advanced techniques in heart care. In the United States, at that time, balloon angioplasty of the coronary arteries had just started to be utilized to open blocked vessels. Dr. Weiner participated in the initial experience at the Deborah Heart And Lung Center and accumulated his expertise over thousands of cases during his years there. Included in this experience was a large number of balloon valvuloplasty cases of the aortic and mitral valves numbering well over 100 cases. At that time in the 1980’s, there had not yet been developed, as is present today, aortic valves that could be implanted via the balloon technique. It is Dr. Weiner’s experience that allowed Jackson-Madison County General Hospital to qualify to become a center for the implantation of the Sapien aortic valve that can be implanted via the groin and replace the aortic valve without open heart surgery. Dr. Weiner was honored that this past experience allowed Jackson-Madison County General Hospital to participate in this groundbreaking procedure allowing patients who qualify to get aortic valve replacement without open heart surgery. Dr. Weiner, over the 34 years he has been practicing Interventional Cardiology, has gained vast experience in all the various techniques used in both coronary and peripheral revascularization procedures. Of particular interest to him, Dr. Weiner published an extensive review of the technique of transseptal left heart catheterization which currently is utilized to close communications between the upper chambers of the heart to prevent strokes and treat types of congenital heart disease.
A native of Pennsylvania, Dr. Weiner graduated from the University of Maryland and the Philadelphia College of Osteopathic Medicine. He completed his internship and residency at J.F.K. Memorial Hospital in Stratford, New Jersey where he served as chief medical resident in 1979-1980. At Deborah Heart And Lung Center he served as attending Cardiologist in the intensive care unit and as attending Cardiologist in the Adult Cardiac Catheterization Laboratory. He has been an instructor in the Department of Medicine at the Robert Wood Johnson Medical School in New Brunswick, New Jersey. He is board certified in both Internal Medicine and Cardiology. He is a Fellow of the American College of Cardiology, the American College of Angiology, the Society of Cardiac Angiography and Intervention, and the American College of Chest Physicians. Dr. Weiner has published numerous papers in the field of Cardiology. He moved to Jackson, Tennessee in 1996 to establish his practice here and has worked with several different Cardiology groups in the last 18 years and opened his current practice Skyline Cardiovascular in 2008.. Dr. Weiner combines confidence in his expertise in Cardiology with a compassionate concern for his patients’ wellbeing to offer the highest degree of specialized care and an atmosphere of reassurance and personalized attention.
Amy Wren, APRN-BC, ACNPAmy Wren, APRN-BC, ACNP
Amy Wren, APRN-BC, ACNP is an acute care nurse practitioner with eight years experience in cardiovascular disease and currently practices at Skyline Cardiovascular Institute. She graduated from Vanderbilt University in 2006 and prior to that worked as a Registered Nurse at Jackson General Hospital.
During her practice she has focused on cardiovascular disease prevention. She is certified through the National Lipid Association as a Clinical Lipid Specialist. She has completed training through the Bale/Doneen Method and the Heart Attack and Stroke Prevention Alliance (HASPA). In addition, she has participated in enrollment and coordination of multiple cardiovascular research studies.
Amy lives in Jackson TN with her husband Justin and two children, Carter and Callie. She enjoys spending time with her children, playing outdoors, running and shopping.