The Center for Preventive Medicine & Cardiovascular Health

The Center for Preventive Medicine and Cardiovascular Health offers New York's Hudson Valley and Capital Region cutting edge cardiovascular prevention with special emphasis on diet, lifestyle and exercise to complement regular care.

Physician Consultation for Expert Heart Disease Risk Assessment, Heart Health, Cholesterol Control, Weight Management and Diabetes Prevention
Dietitian Consultation
Ongoing Wellness Care, Lifestyle Management and Medical Nutrition Therapy
CARDIOFIT Program for Heart Health and Weight Management
MEDIFAST Meal Replacements / Take Shape for Life Program
Meet Our Staff
Recent/Future Invited Scientific and/or Media Presentations by Dr. Lemanski
Research

How to Save Your Life: Dr. Lemanski's Interview With NPR Affiliate WAMC's Dr. Alan Chartock

Physician Consultation for Risk Assessment, Heart Health, Cholesterol Control, Weight Management and Diabetes Prevention

In Kingston and Albany, Dr. Lemanski sees patients in consultation for:

  • Expert cardiovascular risk assessment including, when appropriate, advanced cholesterol testing with high sensitivity CRP, LDL particle size testing, Apo B, serum homocysteine, Lp(a), as well as Framingham Risk Scoring, Reynolds Risk Scoring, Ankle/Brachial Index Scoring, Nuclear CARDIOLITE Stress Test Imaging and Coronary Artery Calcification Scoring
  • Diet, weight, and lifestyle management including Medical Nutrition Therapy, and the appropriate use of Omega-3 Fish Oil, Nutriceuticals, Supplements, Vitamins and Phytochemicals
  • Expert Cholesterol management with diet, lifestyle and exercise and the expert use of combination cholesterol medications when needed to optimally lower LDL and Triglycerides and raise HDL
  • Expert identification and treatment of the Metabolic Syndrome (pre-diabetes)
  • Smoking cessation

Dietitian Consultations

  • High Omega-3 Mediterranean eating plans
  • DASH dietary approach for blood pressure management
  • Weight Management eating plans
  • Diabetes Management eating plans

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Our CARDIOFIT Program for Heart Health and Weight Management and our MEDIFAST/Take Shape for Life Program

  • 12 week physician and dietitian led program in cardiovascular risk and weight reduction called CARDIOFIT

In Albany we also offer:

  • MEDIFAST meal replacements/ Take Shape for Life weight reduction program supervised by medical professionals
  • MEDIFAST support group classes
  • MEDITERRANEAN COOKING CLASSES led by Professional Chef

Access to the Resources of Prime Care Physicians, P.L.L.C.
www.primecarepc.com

In conjunction with Mid-Valley Cardiology and Albany Associates in Cardiology, we offer access to:

  • On site Nuclear and Non-nuclear Stress Testing
  • On site Non-invasive Peripheral Artery Flow Studies
  • On site Carotid Artery Ultrasound, Echocardiography and Stress Echocardiography
  • On site Coronary Artery Calcium Scoring for non-invasively identifying cholesterol plaque
  • Cardiology consultation, diagnostic procedures, coronary and peripheral artery interventions including angioplasty and stents as well as advanced heart failure management

In conjunction with the Primary Care division, we offer access to the:

  • Diabetes Management with Certified Diabetes educator
  • Center for osteoporosis diagnosis and prevention

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Meet Our Staff

     
 

Paul E. Lemanski
MD, FACP

Amy Milstein
MS, RD, CDE

Laurie Burton-Grego
MS, RD, CDE

Nancy Treumann
MS, CDN, RD
 
 

Paul E. Lemanski MD, MS is a board certified internist with a master's degree in human nutrition. He received a BA from Columbia College, Columbia University. He received his MS from Columbia University and his MD from New York Medical College.

Prior to coming to Prime Care Physicians, P.L.L.C., Dr. Lemanski was clinical chief for cardiovascular health for Kaiser Permanente's northeast division. At Kaiser, he directed the Lifestyle Modification Program to assess the practicality of a low fat vegetarian diet, exercise and relaxation techniques to treat heart disease in managed care.

He currently is assistant clinical professor of Medicine at Albany Medical College and a Fellow of the American College of Physicians.

Amy Milstein, MS, RD, CDE (Albany) is a registered dietitian and a certified diabetes educator. She received a B.S. in Food and Nutrition from SUNY Oneonta and MS in Health Education from Russell Sage College.

Laurie Burton-Grego, MS, RD, CDE (Albany and Glens Falls) is a registered dietitian and a certified diabetes educator. She received a BS in Food and Nutrition and Education from S.U.N.Y. Plattsburgh and a M.S. in Health Education from Russell Sage College. Ms. Burton is also a certified aerobics instructor.

Nancy Treumann, MS, CDN, RD (Kingston) is a registered dietitian. She is a graduate of The Pennsylvania State University and Winthrop University. She is also the Food and Nutrition Manager for Benedictine Hospital in Kingston.

 
     

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Invited Scientific and/or Media Presentations by Dr. Lemanski

Optimizing Prevention in the Real World, Featured Presentation, Board of Directors President’s Luncheon, The Glen at Hiland Meadows, June 7, 2012.
Download Transcript [PDF]

Seven Simple Steps to a Healthier Life, Keynote Address - Capital District AHA Heart Ball, March 5, 2011.
Download Transcript [PDF]

Diet and Exercise: The Foundation for Heart Disease Prevention, 400 Patroon Creek Blvd, Albany, NY, Oct. 26, 2009, Sponsored by St. Peter's Hospital.

Preventive Medicine, VoxPop/WAMC 90.3FM, Oct. 19, 2009.

Medical Grand Rounds: Managing the Dyslipidemia of Diabetes Mellitus and the Metabolic Syndrome, St. Peter’s Hospital, Albany, NY, November 19, 2008.

Cardiology Grand Rounds: Managing the Dyslipidemia of Diabetes Mellitus and the Metabolic Syndrome, St. Peter's Hospital, Albany, NY, July 25, 2008.

The Medical Management of Hypertriglyceridemia, Albany College of Pharmacy, Albany, NY, September 17, 2006.

Cardiac Risk Markers: CRP, Lp-PLA2, BNP, Homocystiene, etc., Fourth Annual Columbia Memorial Hospital Cardiovascular Teaching Day, Birch Hill, Schodack, NY, Sept. 30, 2006.

Effective Management of Mixed Dyslipidemia: Diet, Lifestyle and Drugs, Cardiology Teaching Day, Mohonk Mountain House, New Paltz, NY, April 1, 2006.

Big Belly Dislipidemia: Lipids and the Metabolic Syndrome, NY State Conference of Nurse Practitioners, Sagamore, Lake George, October 23, 2005.

Hoffman Lecture: How to Change Your Life - Prevention of Heart Disease and Stroke, Temple Gates of Heaven, Eastern Parkway and Ashmore St., Schenectady, Thursday, Nov. 3, 2005 1:30 - 3:30.

Vox-Pop - WAMC 90.3 FM, February 7, 2005 from 2:00 - 3:00 p.m. - Eating out Heart Healthy in the Capital District.

Avoiding the Knife: Diet, Lifestyle, Supplements and Medications to Prevent Coronary Artery Disease, SUNY Cobleskill, Cobleskill, NY, Nov. 18, 2004.

Managing Metabolic Syndrome: Lipid & Lifestyle Considerations, Glens Falls Hospital Heart Teaching Day, Queensbury Hotel, Queensbury NY, Nov. 18, 2004.

Amending the NCEP ATP-3 Guidelines: Is Lower Always Better?, Nurse Practitioner Association of New York State, Sheraton Saratoga Springs, NY, July 10, 2004.

Vox-Pop - WAMC 90.3 FM, June 28, 2004 from 2:00 - 3:00 p.m. - Dr. Lemanski answers your questions on preventive medicine, heart healthy eating and lifestyle, and weight loss.

Real World Management of the Dyslipidemic Patient: The Use of Agressive Therapeutic Lifestyle Change in Conjunction with Medication, Ulster County Medical Society/Mid-Valley Cardiology, Wiltwyck Country Club, Kingston, NY, May 20, 2004.

The Non-Medicated Life, 1st Annual Conference on Integrative Approaches to Health and Wellness, Benedictine Hospital Complementary Medicine Program/SUNY Ulster, September 13, 2003. ( The complete 1 hour presentation may be purchased from Creative Seminars, P.O. Box 203 W. Hurley, N.Y. 12491 tel. 845-679-6885).

Carmine's Table, Comments on the heart healthy benefits of traditional Mediterranean cuisine and introduction of the Heart Healthy Restaurants Program, December 7, 2003 at 11:00 am on WNYT TV, Channel 13, Albany.

Molecular Cardiology: A new Role for Primary Care, New York State Academy of Family Practice, Albany Marriott, Albany, N.Y., September 6, 2003.

Implementing the National Cholesterol Education Program ATP-3 Guidelines: The Role of Combination Therapy, St. Peter's Hospital Medical Grand Rounds, Albany N.Y., May 28, 2003.

Implementing National Cholesterol Education Program ATP-3 Guidelines in Clinical Practice: The CARDIOFIT Program, Cardiology Teaching Day, Ulster County Medical Society/Mid Valley Cardiology, Mohonk Mountain House, New Paltz, N.Y., March 22, 2003.

Risk Factor Stratification and the Role of Inflammation in Coronary Artery Disease, New York State Academy of Family Practice, Winter Weekend and Scientific Assembly, Lake Placid Hilton, Lake Placid N.Y., January 26, 2003.

Health Link, interview with WNYT-TV Channel 13 health reporter Benita Zahn, Albany, N.Y., January 14, 2003.

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Research

Recently completed research trials at the Center for Preventive Medicine and Cardiovascular Health:

JUPITER Trial
The Center for Preventive Medicine and Cardiovascular Health, Albany Associates in Cardiology (AAC) and Prime Care Physicians, P.L.L.C. (www.primecarepc.com) participated in a clinical research study called the Jupiter trial to prospectively study hs-C Reactive Protein (hs-CRP).

Recent research has suggested that heart disease may be an inflammatory disease of the arteries and hs-CRP is a marker of that inflammation. Jupiter will enroll 15,000 participants nationwide and is led by Dr. Paul Ridker, Director of the Center for Cardiovascular Disease Prevention at Harvard Medical School. Dr. Lemanski is principal investigator at AAC/ Prime Care Physicians, P.L.L.C.

Jupiter was a randomized, prospective clinical trial in patients with no evidence of heart disease or diabetes. Participants had normal LDL or "bad" cholesterol levels, but elevated hs-CRP. The purpose of the study was to determine if treatment with a statin in individuals with normal LDL but elevated hs-CRP would reduce the risk of clinical events such as heart attacks and strokes.

The study results show that in individuals with normal cholesterol levels, but with elevated hs_CRP, treatment with the drug rosuvastatin, will significantly decrease major cardiovascular events as compared to control. The results, may significantly increase the number of individuals who may benefit from medical treatment.

Recent Completed Research Trials at the Center for Preventive Medicine and Cardiovascular Health:

PROVE IT
PROVE IT was a landmark clinical trial which contributed in a major way to the recent 8/04/04 amendment of the National Cholesterol Education Program guideline for cholesterol management. The amendment recommends an LDL target of <70mg/dl for coronary disease patients determined to be at “very high risk”.

PROVE IT was a randomized, placebo controlled clinical trial comparing “intensive” high dose statin LDL lowering with the drug Atorvastatin versus “moderate” standard dose statin LDL lowering with the drug Pravastatin in patients with recent acute coronary syndromes. The effect of antibiotic treatment on clinical outcome was also evaluated.

The primary endpoint in the study was death, heart attack, unstable angina requiring hospitalization, stroke and revascularization (Bypass surgery or angioplasty or stent).

PROVE IT documented a 16% further relative risk reduction in individuals treated with Atorvastatin to a mean LDL of 62mg/dl compared to individuals treated with Pravastatin to a mean LDL of 95mg/dl.

PROVE IT documented no benefit of the antibiotic gatifloxacin on primary endpoints of the study.

PROVE IT enrolled 4,162 patients nationwide in multiple sites. PROVE IT was led by Dr. Chris Cannon for the Thrombolysis in Myocardial Infarction Study Group, Department of Medicine, Brigham and Women’s Hospital, Boston and Harvard Medical School. Dr. Lemanski was principal investigator at AAC/ Prime Care Physicians, P.L.L.C.

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How to Save Your Life: Dr. Lemanski's Interview With NPR Affiliate WAMC's Dr. Alan Chartock

Segments of this interview may be downloaded as MP3 sound files by clicking on the links below. (Please note: These are large files and may take several minutes to download, depending on the speed of your internet connection.)

Segment 1 (8:00) (9.18 Mg File)
- Dr. Lemanski's approach to managing cardiovascular disease through lifestyle changes.
- Western society and its detrimental effect on our biochemistry.

Segment 2 (8:25) (9.66 Mg File)
- The French Paradox
- The optimal Mediterranean diet is high in omega 3's.
- Lowering LDL decreases death rates.

Segment 3 (6:31) (7.49 Mg File)
- Eating in moderation
- The type of diet that works... Mediterranean
- Tobacco is never helpful, but saturated fats and red meat in moderation may still be included in a diet

Segment 4 (8:18) (9.55 Mg File)
- Keep your weight down over a long period of time.
- Reducing weight reduces risk
- Statins - what are they?
- The drug that has done the most to reduce the risk of cardiovascular disease in the U.S.
- Aspirin - who benefits and who's at risk
- The HSCRP test

Segment 5 (7:01) (8.06 Mg File)
- The HATS Trial - the benefit of raising HDL
- What is Niacin and how is it used, and more

Segment 6 (7:38) (8.78 Mg File)
- Cautions and side effects in use of Niacin as a drug
- Clinical trial results showing significant reductions in events such as heart attack

Segment 7 (5:59) (6.88 Mg File)
- The Framingham Study - landmark research on LDL and HDL cholesterol
- Diabetes, heart attacks and genetics

Segment 8 (6:04) (6.93 Mg File)
- Review - what should we eat every day?

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Center for Preventive Medicine & Cardiovascular Health

at Mid-Valley Cardiology
111 Mary's Ave. Suite 3
Kingston, NY
845-339-3663

Main Office
400 Patroon Creek Blvd.
Albany, NY
518-618-1100