The Center for Preventive Medicine & Cardiovascular Health

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

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

In Kingston, Albany and Glens Falls, 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, Ankle/Brachial Index Scoring, Nuclear CARDIOLITE Stress Test Imaging and Spiral CT of the Heart for Coronary 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

In Kingston, Albany and Glens Falls we offer individual consultation services for:

• 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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On Going Wellness Care and Medical Nutrition Therapy

In Albany, Dr. Lemanski is available as a primary care physician for patients without a physician who are interested in using diet, medical nutrition therapy, lifestyle and exercise to help prevent disease.

Our CARDIOFIT and NUTRIFIT Programs for Heart Health and Weight Management

In Kingston, Albany and Glens Falls we offer:

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

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

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

• 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 Self-Care Program (518-533-6617) featuring Diabetes Nurse educator and dietitian
• 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 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 (Albany and Glens Falls) is a registered dietitian. 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

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

Ongoing 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) are currently engaged 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 is a randomized, prospective clinical trial in patients with no evidence of heart disease or diabetes. Participants will have normal LDL or "bad" cholesterol levels, but elevated hs-CRP. The purpose of the study is to determine if treatment with a statin in individuals with normal LDL but elevated hs-CRP will reduce the risk of clinical events such as heart attacks and strokes.

The study at the Center for Preventive Medicine and Cardiovascular Health is open to all individuals in the Capital Region who meet protocol criteria. Interested individual should contact Dr. Lemanski at paul.lemanski@primecarepc.com or call 518-618-1100.

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

at Glens Falls Associates in Cardiology 747 Upper Glen St. Queensbury, NY 518-793-1083