Congestive Heart Failure Program
Integrated Care for Heart Failure Patient
St. Francis Hospital’s Center for Advanced Cardiac Therapeutics offers multidisciplinary, all-inclusive care for all stages of heart failure. Our physicians have broad expertise in evaluating and managing patients with weakened heart muscles. Our program offers a wide variety of treatments including medical therapy, heart-assisting technology (LVADs and VAD) plus heart-failure management and education. Our inpatient and outpatient team of nurse practitioners and board-certified heart failure cardiologists assure safe, collaborative, team-based care. Based on the severity of heart disease, these are some of the pathways we offer:
- Patients who are able to manage the disease with medication, diet and exercise
- Patients for whom medication diet and exercise are not enough, who require treatments such as a Ventricular Assist Device (VAD), which helps the heart pump blood to the body
- Patients may be eligible for a Cardio MEMs device to help measure fluid build-up on a daily basis. Our physicians have the most experience with this device in the country
For patients in severe chronic or acute heart failure, heart-assisting technology, such as a mechanical heart pump, can offer a gateway to better long-term quality of life, or a bridge that can lead to a heart transplant. Our VAD Program (Center for Circulatory Support) is joint commission certified since 2016.
- Congestive heart failure
- Pulmonary hypertension
- Advanced coronary artery disease
Key Department Treatments
Intravenous Therapy - The heart failure department uses different medications to treat various signs and symptoms of the disease. The medications are given in an outpatient setting anywhere from one hour to four hours, to help patients feel better and help to keep them out of the hospital.
External Enhanced Counterpulsation (EECP) - EECP therapy works by increasing blood and oxygen supply to the heart and decreasing the amount of work the heart has to do to pump blood to the rest of the body. It is not invasive, does not require a hospital stay, has no recovery period and allows you to return to your routine each day after receiving treatment. EECP therapy requires 35, 1 hour visits over the course of 7 consecutive weeks.
Current Heart failure Trials:
- Beat HF
- CardioMEMs post approval study
- Define HF
- Embrace HF
- Preserved HF
- Galectic HF
Meet Our Medical Team
Rita A. Jermyn, M.D., is Director of the Center for Advanced Cardiac Therapeutics at St. Francis Hospital, The Heart Center®. Dr. Jermyn previously served as Director of Heart Failure for Northwell Health at North Shore University Hospital in Manhasset and as an Assistant Professor of Medicine at the Hofstra-NS-LIJ School of Medicine.
Dr. Jermyn is a nationally recognized leader in the use of CardioMEMS, a tiny implantable device that monitors heart failure patients around the clock from the comfort of their own homes. She is also the Medical Director of the Left Ventricular Assist Device (LVAD) Program at St. Francis, which provides heart pumps for patients with advanced heart failure.
Dr. Jermyn earned her medical degree from Upstate Medical University in Syracuse, N.Y. in 2007. She then completed her Internal Medicine Residency at Baylor College of Medicine in Houston, Texas in 2010. She subsequently completed a Cardiology Fellowship and Chief Cardiology Fellowship at Stony Brook University Medical Center in Stony Brook, N.Y., then completed an Advanced Heart Failure and Transplant Fellowship at Montefiore Medical Center.
Dr. Jermyn is Board Certified in Advanced Heart Failure and Transplant. She has participated in regional, national, and international teaching presentations about managing and monitoring heart failure. She is a member of professional societies including the Heart Failure Society of America (HFSA), the International Society of Heart and Lung Transplantation (ISHLT), and the American Heart Association (AHA).
Patrick Monteleone, M.D., earned his medical degree at Creighton University in Omaha, Nebraska in 1982. He then completed his internal medicine residency at Danbury Hospital in Danbury, Connecticut in 1985 and his Cardiology fellowship at Creighton University/St. Joseph’s Hospital in Omaha, Nebraska in 1987. He has been on the medical staff at St. Francis Hospital since July 1987. He is board-certified in Cardiovascular Disease, Advanced Heart Failure and also Transplant Cardiology. He is a fellow of the American College of Cardiology and a member of several professional societies including the Heart Failure Society of America and the American Heart Association. Dr. Monteleone is a past president of the Long Island Region of the American Heart Association. He is active in a number of ongoing research studies in the treatment of heart failure at St. Francis Hospital.
Danyaal Moin, M.D., received his medical degree from the Stony Brook University School of Medicine in 2010. He then completed his Internal Medicine residency at the University of Texas-Southwestern Medical Center in Dallas, Texas in 2013. He returned to Stony Brook University to complete his cardiology fellowship in 2016. He subsequently completed an additional year of postgraduate training in Advanced Heart Failure/Transplant Cardiology at Massachusetts General Hospital/Harvard Medical School from 2016-2017.
Dr. Moin has specific clinical interests in the utilization of mechanical circulatory support in patients with advanced heart failure as well as the management of pulmonary hypertension. He has been involved in several NHLBI/Heart Failure Network studies throughout his training and aims to continue expanding the cardiovascular research mission at St. Francis Hospital. He is a member of a number of professional societies, including the International Society of Heart and Lung Transplantation and the Heart Failure Society of America.
John M. DePietro, RN, MSN, NP-C, is Administrative Director of St. Francis Hospital's VAD Program. He graduated from Molloy College 1995 with a BNS degree, then earned his graduate degree as MSN NP from Stony Brook University 2005. John started at SFH 1995 as nursing assistant, became an RN in 1996. He has extensive experience in the Hospital's medical surgical telemetry unit and RICU, then worked as CNS for CCU and KI. In 2007, he became a critical care MLP. John was appointed Director of the VAD program in January of 2018.
Jessica Mennella, RN, MSN, NP, is VAD Program Coordinator. She earned her BSN degree from Adelphi in 2005, then earned her graduate degree as a MSN NP from Molly college in 2015. Jessica worked at SFH as a medical surgical RN 2009-2016, then as NP at Advantage Care Physicians 2016 – 2018.
Karen Freeman, NP, has been a Nurse Practitioner with St. Francis Hospital’s Center for Advanced Cardiac Therapeutics since 2015 and a nurse at St. Francis for 12 years. She’s a certified nurse in critical care, adult-geriatric, and heart failure, and has spent a number of years working in variety of units, including Medical Surgical, Step Down, and Critical Care. Before earning her Master’s in Nursing from Hunter College in 2015, she was a graduate of both Adelphi University and the University of Connecticut.
Tiffany Vargas, FNP, has been a Nurse Practitioner with the Center for Advanced Cardiac Therapeutics since 2014 and a registered nurse at St. Francis since 2009. She is a certified heart failure nurse, as well as an adjunct Professor of Nursing at Molloy College. Before earning her Master’s Degree in Nursing at C.W. Post in 2014, she was a graduate with her B.S. in Nursing from Molloy College and her B.A. in Public Health from the Johns Hopkins University.
Danielle Cincinelli, ANP-C has been a Nurse Practitioner in cardiology at St. Francis since 2008, and has recently joined the Center for Advanced Cardiac Therapeutics team. She graduated from Binghamton University in 2001 with her BS in Nursing and began working as an RN at St. Francis at that time. In 2007, she earned her MS in Adult Health Nursing from Stony Brook University. She is nationally certified by the American Association of Nurse Practitioners.
St. Francis Hospital’s Center for Advanced Cardiac Therapeutics can be contacted at (516) 629-2090.
St. Francis Ranks Among the Best
U.S. News & World Report once again ranks St. Francis the Top Hospital on Long Island -- the only Hospital on LI to be nationally ranked in any adult specialty.
Best Nurses, Magnet Recognized
St. Francis Hospital has earned the coveted Magnet award for excellence in nursing.
Cardiac Fitness & Rehabilitation
St. Francis offers the largest medically-supervised program on Long Island