Heart Health 2015 by Indianapolis Monthly

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heart health

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The American Heart Association thanks for personally supporting the ﬁght To learn more, visit

Back Row: Jim Jackson, Oak Motors; Lisa Hudson, Macy’s; Byron Buhner, Indiana Blood Center; Nancy Martin, Fifth Third; Blake Dye, St.Vincent Heart Center, chair; Dawn Tabler, co-chair; Tracey Bean, Emmis Communications; Carla Harris, PWC; Mike Schroyer, St.Vincent Heart Center. Front Row: Jason Prokopik, Pharmakon; Roxanne Evans; Kristen Gentry, Quarles & Brady; Mary Jackson, co-chair; Cindy Schum, National Bank of Indianapolis; Tina Brennan, Simon; Chad Brown, Roche Diagnostics. Not Pictured: Carol Abel, Abel Consulting Group; Darcy Burthay, Ascension Health; Liz Drury, UnitedHealthcare; Debra Ferguson, Community Health Network; Jill German, Roche Diagnostics; Dr. Polly Moore, Indiana Heart Physicians; Vince Caponi, Ascension Health; Dr. Kirk Parr, St.Vincent Medical Group; Bill Thompson, Hall Render Killian Heath & Lyman.

our Circle of Red and Men Go Red members against heart disease and stroke. IndyGoesRed.org.man

Photo: Tony Valainis

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2014 – 2015

100,000: TOP 2% : HEARTBEATS PER DAY

OUR NATIONAL RANK

Inspiring Health

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by Lori D. Roberts

Relationship Status STUDIES HAVE FOUND THAT CERTAIN ACTIVITIES—LIKE LAUGHING AND NOT FLOSSING YOUR TEETH—CAN IMPACT YOUR HEART, FOR BETTER OR WORSE. BUT HOW? AND ARE THEY REALLY CAUSE FOR CONCERN OR CELEBRATION?

Most people know which lifestyle factors are associated with heart disease. We’ve heard them for years. Yes, we know we shouldn’t smoke. Yes, we know we should be at a healthy weight. And we’re aware that we need to start—and continue to— exercise regularly. What about some of the other factors that occasionally make the headlines? Is there anything to these small changes that purport to have a big impact on heart health? Can a good laugh stave off a heart attack? Is dark chocolate the magical potion we’ve all been waiting for? We asked local medical professionals to weigh in. The bad news is that there are no pills, special foods, or shortcuts to good heart health. Eating dark chocolate and taking the dog for a walk will not cancel out a smoking habit and a high-calorie diet. The good news, though, is that there might be something to these small chang6 HEART HEALTH | FEBRUARY 2015

es, which may contribute to better heart— and overall—health. FLOSSING YOUR TEETH. Do bad gums equal a bad heart? Experts have been studying the relationship for years, with mixed results. A 2005 study published in the journal Circulation suggested that older adults with certain periodontal disease–causing bacteria in their mouths also had thicker carotid arteries, which can be predictors of strokes or heart attacks. On the other hand, the American Heart Association released a scientific statement in 2012 saying there is no definitive evidence linking gum disease to heart disease or stroke.

heart health profiles

WITHAM HEALTH SERVICES When it comes to your heart health, what you don’t know can hurt you. An inexpensive screening can turn into a lifesaving alert when medical intervention is needed immediately. By all accounts, Robert Mulligan was in great physical shape. At 58 years old, the Zionsville resident didn’t smoke, barely drank, and had logged more than 1,100 miles cycling throughout Central Indiana. During Robert’s annual physical, Dr. Daniel Shull, his physician at Witham Health Services, suggested he obtain a $49 Heart Score at Witham, based upon his strong family history of heart complications. The Heart Score revealed that Robert’s risk for a heart attack was off the charts. “A score of 400 indicates severe risk,” he explains. “Mine was 3,000.”

Dr. Kirk Parr, an interventional cardiologist at the St. Vincent Heart Center, isn’t convinced. Don’t throw away the floss yet, though. Serious gum disease can be a marker for other medical issues, like diabetes and smoking. Both have been linked to heart disease. Will good oral hygiene prevent a heart attack? Parr isn’t

Within days, Robert had a stress test, which was abnormal. A few days later, a cardiac catheterization revealed significant coronary artery blockage that required a quintuple artery bypass. Witham’s quick and painless Heart Score saved Robert’s life, likely making it the best $49 he has ever spent.

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for men. Added sugars include sweetened beverages, like sodas and sports and energy drinks, and treats such as cakes, some yogurts, and candy. “No one study is definitive in determining links,” Welch says. “Collectively, however, studies can provide significant and usable information.”

going to make that claim. Are brushing and flossing good for overall health, which may or may not include heart health? Absolutely, he says. “It’s not just heart health,” Parr says. “Oral health is an important part of everyone’s health. If you want to hedge your bets against heart disease, I think good dental hygiene is a good idea, and it might help heart health.” TOO MUCH SUGAR. Are sugarsweetened drinks clogging your arteries? A study published in 2014 in JAMA Internal Medicine seems to say as much, linking increased sugar intake to a greater risk of dying from heart disease. Current literature indicates that excessive carbohydrates, including added sugar, can increase triglycerides, contribute to weight gain, and heighten the risk of diabetes. All of these are heart disease factors, says Kristen Welch, a registered dietitian with St. Vincent Heart Center. She and Kathy Lilegdon, another St. Vincent registered dietitian, recommend limiting added sugar to six teaspoons daily for women and nine teaspoons daily

Dr. Joe Rossi, a staff cardiologist with Witham Health Services, puts it a little more bluntly. In addition to being packed with calories, sugar is linked to a greater risk for diabetes, stroke, and cardiovascular disease, he says. “After cigarettes, sugar is the worst thing that we have in our daily routine,” Rossi says. “If there’s one thing we can cut out, it’s sugar.”

CALENDAR OF EVENTS

INDY GOES RED WEDNESDAY, FEB. 4

RED DRESS DASH

SHOW YOUR SUPPORT FOR WOMEN’S HEART HEALTH

MONUMENT CIRCLE

Throw on your favorite red dress and sprint around Monument Circle in support of women’s heart health. Men, women, adults, and children are invited to join in. The first 50 participants will receive a goodie bag courtesy of the American Heart Association. Free coffee and light refreshments will be available in the Emmis Communications building at 8 a.m. A short program to unveil this year’s Indy Has Heart heARTwork will start at 8:15, and the Dash will commence at 8:30. FRIDAY, FEB. 6

NATIONAL WEAR RED DAY

On National Wear Red Day, thousands of people, including employees at more than 10,000 companies across the country, will wear red to support the start of American Heart Month. This year is the 12th annual National Wear Red Day. Post a picture of yourself wearing red at facebook.com/indianapolisamericanheartassociation. FRIDAY, FEB. 6

COMMUNITY YOGA CLASS

COMMUNITY HEART AND VASCULAR HOSPITAL Community Heart and Vascular Hospital is one of the nation’s first all-digital hospitals providing coordinated care. The experts at Community help with diagnostic testing, heart surgery, treatment for heart failure, support during recovery, or cardiopulmonary rehabilitation. Specialty areas of service: Fully integrated, comprehensive heart and vascular care. It has one of the nation’s most integrated cardiovascular systems, linking together the primary-care physician, cardiologist, and surgeon for improved outcomes. Electrophysiology: leaders of heart rhythm disorders, providing the most advanced treatments. HeartCaring, a Spirit of Women program designed to enhance the health and well-being of women. Congestive heart failure and structural heart disease. Innovations and technologies: Leaders in heart-valve repair and replacement. Nationally recognized vascular surgeons providing comprehensive, minimally invasive thoracic, abdominal aortic therapy, and visible vein laser therapy. Innovations such as ventricularassist devices and CardioMEMS. Advanced heart imaging using multidimensional techniques. First in the state cardiology-oncology program to screen and treat cancer patients.

HTL YOGA, CLAY TERRACE

Celebrate National Wear Red Day with a free yoga class at 4:30 p.m. Donations will benefit the American Heart Association’s Go Red For Women movement. FRIDAY, FEB. 20

heart health profiles

GO RED FOR WOMEN CELEBRATION LUNCHEON

JW MARRIOTT

More than 1,000 women will converge on the JW Marriott for one of the largest Go Red For Women luncheons in the country. Beginning at 9 a.m., guests will have the opportunity to participate in health screenings, exhibits, and educational breakout sessions and enjoy a heart-healthy lunch. For more information, visit indygored.ahaevents.org.

According to the CDC, 1 in 4 U.S. deaths is due to heart disease.

FEBRUARY 2015 | HEART HEALTH 7

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LAUGHING. Is laughter really the best medicine? In 2005, University of Maryland researchers found that laughter opens blood vessels and increases blood flow, as well as reduces stress hormones. It may be a stretch to say that an evening of funny flicks can lead to a better heart, but local doctors do notice that their happier patients tend to be their healthiest. “What it probably shows is that people who are laughing a lot have a healthier lifestyle and are taking care of themselves,” Rossi says. “Healthier people are happier people.” SNORING. A spouse’s habit of sawing wood at night can be more than a nuisance. Snoring may also be linked to heart disease. A 2013 study by otolaryngologists at Henry Ford Hospi-

heart health profiles

INDIANA PORK PRODUCERS Compared to many other meats and poultry, pork is favorable for fat, calories, and cholesterol. Many cuts of pork are as lean or leaner than chicken and meet the government guidelines for “lean” or “extra lean.” Any cuts from the loin, like pork chops and pork roast, are leaner than skinless chicken breasts, according to U.S. Department of Agriculture data. In fact, the pork tenderloin has received the Heart Healthy seal of approval from the American Heart Association. And remember, a little pink in pork is okay—fresh pork can be safely cooked to an internal temperature of 145 degrees with a threeminute rest. Visit porkbeinspired.com for nutrition information, cooking tips, and hundreds of tasty pork recipes.

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tal claimed that snoring can put patients at greater risk for thickened or abnormal carotid arteries, which deliver blood to the brain. Thickened arteries can be a precursor to atherosclerosis, a disease in which plaque builds up, leading to an increased risk of heart attack and stroke. This particular study suggested that the trauma and inflammation caused by snoring vibrations leads to artery damage. Other studies found the reverse, that artery damage comes first and can lead to snoring. Our local heart docs don’t claim that all snoring is dangerous. But they agree that snoring can be linked to obstructive

sleep apnea, a condition where the airway becomes narrowed during sleep and leads to snoring or breathing lapses. If untreated, obstructive sleep apnea can increase the risk of coronary heart disease, high blood pressure, stroke, and an irregular heartbeat. Sleep apnea is more commonly found in overweight patients, who may already have an increased risk for health problems due to their weight. “Snoring per se isn’t the problem,” says Dr. Nancy Branyas, a cardiologist and electrophysiologist and the director of the Women’s Cardiac Risk Clinic at St. Vincent Hospital. “Snoring suggests you might have sleep apnea, which is a problem.” Sleep apnea can often be treated with weight loss. Barring that, patients may opt for a machine that helps maintain a clear airway while sleeping, or they may want to see a doctor for a sleep study, which can lead to proper treatment. SKIPPING BREAKFAST. Even if you’re in a hurry, take a few minutes to grab something healthy to eat. A 2013 Harvard School of Public Health study looked at men who regularly skipped their morning meal and found a higher risk of a heart attack or death from

heart health profiles

FRANCISCAN ST. FRANCIS HEALTH Heart scans are superior to other assessment tools in predicting the development of cardiovascular disease currently classified in intermediate risk by one’s doctor. “Heart scans help generate awareness of intermediate risks for heart disease and help patients better define their risk factors and how to manage them— before a heart attack occurs,” says Dr. Sunil Advani, an interventional cardiologist at Franciscan St. Francis Health Heart Center. According to the American Heart Association, 85 percent of sudden heart attacks can be prevented. Take steps now to protect your heart because knowing individual risks is the best way to prevent heart disease. Franciscan St. Francis Health can help determine your heart disease risks with a comprehensive package that includes a heart scan, a blood pressure check, a body mass index assessment, and cholesterol and blood sugar screenings in one convenient appointment. Schedule a $49 Heart Scan today by calling 877-888-1777.

coronary heart disease. Eating breakfast seems to be linked to good heart health, although the exact cause and effect remains uncertain, says Dr. Derrick J. Plahn, a cardiologist with Franciscan Physician Network Indiana Heart Physicians. “It comes down to the probability that you overeat throughout the rest of the day to compensate, and you don’t eat the right foods,” Plahn says. INADEQUATE SLEEP. A 2008 study published in the Journal of the American Medical Association linked insufficient sleep to a calcium buildup in arteries, leading to plaques that cause heart attacks and strokes. (Exactly how a lack of sleep and buildup are connected is unknown.) Not sleeping enough can be linked to high

HEART DISEASE DOESN’T SKIP A GENERATION. NEITHER SHOULD HEART CARE. Community Heart and Vascular Hospital is the home of cardiovascular advancements, coordinated care and expertise. You have a voice in your care at all of our sites and will experience easy access to quick treatment. We are dedicated to providing the latest in comprehensive care with groundbreaking heart and vascular innovation utilizing advanced diagnostic and interventional cardiology, cardiovascular surgery and cardiac rehabilitation. As one of the nation’s first all-digital hospitals and Indiana’s first Cardiovascular Genetic Center, we are the best choice when it comes to matters of the heart. If it has anything to do with your heart, it has everything to do with us. To learn more, call 800.777.7775

eCommunity.com/heart

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GET COOKING!

heart health profiles

IF YOU THINK GOOD-FOR-YOU FOODS are nothing but bland and dull, these three recipes are sure to change your mind. Bold flavors—courtesy of herbs and spices, not loads of salt and butter—come through in simple dishes that don’t take a ton of time to prepare. Talk about palate-pleasers.

Roasted Pork Tenderloin with Asian Dry Rub Makes 4 servings, plus leftovers

As a side, try brown rice tossed with thinly sliced scallions and fresh chopped cilantro or steamed bok choy or broccoli drizzled with a bit of sesame oil. 2 pork tenderloins, 1 pound each, trimmed 1 tablespoon light brown sugar, packed 1 teaspoon ground ginger 1 /4 teaspoon cinnamon 1 /4 teaspoon salt 1 /4 teaspoon black pepper 1 /8 teaspoon ground cloves 1 /8 teaspoon ground cayenne pepper

NUTRITION INFORMATION:

Calories: 140 calories Protein: 24 grams Fat: 2.5 grams Sodium: 210 milligrams Cholesterol: 75 milligrams Saturated fat: 1 gram Carbohydrates: 4 grams Fiber: 0 grams

Preheat oven to 425 degrees. Line a medium baking pan with foil. Stir together the brown sugar, ginger, cinnamon, salt, black pepper, cloves, and cayenne pepper in a small bowl. Rub pork with brown sugar mixture. Place pork in the prepared pan and roast for 15 to 18 minutes or until the pork’s internal temperature reaches 145 degrees. Remove from oven, cover loosely with foil, and let stand for 3 minutes. Cut into slices.

headaches, irritability and not performing at optimal levels are signs that you’re not getting enough sleep,” Plahn says, adding that those are also signs of obstructive sleep apnea. “Too much sleep sometimes is also a risk factor. There is probably some sweet spot for sleep. If you’re sleeping too much, you’re probably not getting enough activity in the day, which is not good either.” stress levels, which can be related to high blood pressure, a heart disease risk factor, Plahn says. It can be hard to determine which comes first, though, the stress or the poor sleep habits. Stress can definitely interfere with sleep, and poor sleep can lead to stress. Either way, the body is taking a hit when the patient doesn’t hit the hay in a timely manner. “Falling asleep at the wheel, morning

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OWNING A PET. Our furry friends can do more than fetch balls and chase squirrels. The American Heart Association released a statement in 2013 suggesting that pet ownership— particularly caring for dogs—can reduce the risk of heart disease. It’s thought that dog-owners are more likely to engage in physical activity, like taking Fido for a walk, which

MARION COUNTY PUBLIC HEALTH DEPARTMENT Heart disease, also known as cardiovascular disease (CVD), is the leading cause of death in women. Each year, more women die of heart disease than from all types of cancer combined. According to the Centers for Disease Control and Prevention, almost twothirds of women who die suddenly of coronary heart disease have no previous symptoms. When women have angina, they are more likely than men to experience “atypical” symptoms. Instead of chest pain, they are more apt to experience a hot or burning sensation or even tenderness to the touch, which may be located in the back, shoulders, arms, or jaw. Often, women have no chest discomfort at all. Smoking is the leading cause of heart attacks and other heart disease, including high blood pressure. Take control of your health by not smoking, staying physically active, and maintaining a healthy diet and weight. Heart disease is preventable. Schedule regular doctor visits to monitor any warning signs of CVD.

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GET COOKING!

heart health profiles

Parmesan Pork Tenderloin

ST. VINCENT HEART CENTER

Makes 4 servings

Kick up the flavor of this quick and easy dish by using seasoned breadcrumbs. Bring greens to the table by serving it alongside a tossed salad, or for an even heartier meal, tortellini.

Get active: Try to get at least 30 minutes of moderate physical activity daily.

1 pork tenderloin, 1 pound 3 tablespoons breadcrumbs, fine 1 tablespoon grated Parmesan cheese 1 teaspoon salt 1 /8 teaspoon pepper 2 teaspoons vegetable oil 2 cloves garlic, crushed 1 1/2 small onions, thinly sliced 2 small zucchini or summer squash, thinly sliced

Lose weight: Know your calorie needs and track your intake. It’s a matter of balancing calories in with calories out. Manage blood pressure: Try to control your stress, reduce your sodium intake, and limit alcohol.

> Cut tenderloin crosswise into 12 slices, approximately / -inch thick. Place each slice on its cut surface and flatten with heel of hand to / -inch thickness. > Combine breadcrumbs, Parmesan cheese, salt, and pepper; dredge pork slices to 3

coat. Heat oil over medium-high heat in a nonstick pan. Saute pork for 2 to 3 minutes per side; remove and keep warm. Add onion, garlic, and zucchini or squash to skillet, and saute 5 minutes or until tender.

NUTRITION INFORMATION:

Calories: 168 Protein: 17 grams Fat: 9 grams Sodium: 279 milligrams Cholesterol: 51 milligrams Saturated Fat: 2 grams Carbohydrates: 5 grams Fiber: 1 gram

can lead to lower blood pressure and cholesterol levels and reduced stress. “The answer is having a pet can help people exercise,” Parr says. “It’s a little hard to draw a straight line between pet ownership and heart disease. But pets make people happy, and that’s a good reason to have them.” The American Heart Association warns against adopting a dog simply for the health benefits. Pet ownership requires a serious commitment. Those who prefer cats or other critters may enjoy some additional benefits as well. “Nurturing is a big part of our psyche as human beings,” Branyas says. “It’s important for us to nurture something.”

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Do you know your risk for heart disease? Learn more about your risk and how to reduce it at bestheartcare.com, and follow these steps to help improve your heart health:

RED WINE AND CHOCOLATE. This correlation has been the best friend of many a wine connoisseur or chocolate-lover. Red wine is good for you, right? Have another glass. Eat one more piece of chocolate. It’s for your heart! But the news isn’t always favorable on this one. Researchers from the Johns Hopkins University School of Medicine in Baltimore, the National Institute on Aging, and other institutions studied the effect of the antioxidant resveratrol, found in grape skins and dark chocolate. They discovered no link between resveratrol ingestion and reducing inflammation or warding off heart disease. Some, though, remain proponents of

Eat better: Stock your kitchen with healthy foods and track what you eat by keeping a journal. Stop smoking: Talk with your healthcare provider or look for a quit-smoking program today. Decrease blood sugar: Reduce consumption of simple sugars, such as soda, candy, and sugary desserts. Control cholesterol: A diet that is high in fiber and low in cholesterol helps keep cholesterol levels in check. Visit bestheartcare.com today to learn more.

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GET COOKING!

heart health profiles

Salmon with Cilantro Pesto

AMERICAN HEART ASSOCIATION

Makes 4 servings

With your help, the American Heart Association has been battling heart disease for 90 years. Thanks to your support, we’ve seen the death rate from heart disease drop more than 50 percent since it peaked in the late 1960s. In fact, it’s dropped more than 30 percent since 2000.

Salmon fillets get a double dose of crunchy almonds, one in the pesto and one in the topping. The pesto is simple to make and gets a flavor boost from the garlic-herb seasoning blend. For a pretty presentation, scatter the almonds over the surface, as instructed below. Cooking spray (optional) Cilantro pesto: 1 /2 cup loosely packed fresh cilantro 3 tablespoons fat-free, low-sodium chicken broth 2 tablespoons sliced almonds 2 tablespoons shredded or grated Parmesan cheese 1 teaspoon salt-free garlic-herb seasoning blend 4 salmon fillets (about 4 ounces each), rinsed and patted dry 1 /4 cup sliced almonds

NUTRITION INFORMATION:

Calories: 206 Total fat: 9.5 grams Saturated fat: 1.5 grams Trans fat: 0 grams Polyunsaturated fat: 3 grams Monounsaturated fat: 4 grams Cholesterol: 66 milligrams Sodium: 129 milligrams Carbohydrates: 2 grams Fiber: 1 grams Sugars: 0 grams Protein: 28 grams Dietary Exchanges: 3 1/2 lean meat

> > > >

Preheat the oven to 400 degrees. Line a baking sheet with aluminum foil or lightly spray with cooking spray. In a food processor or blender, process the pesto ingredients for 15 to 20 seconds, or until slightly chunky. Place the fillets about 2 inches apart on the baking sheet. Spread the pesto evenly over the top of the fillets. Sprinkle with 1/4 cup almonds. Bake for 10 to 12 minutes, or until the fish flakes easily when tested with a fork. This recipe is brought to you by the American Heart Association’s Go Red For Women movement. Recipe copyright ©2005 by the American Heart Association. Look for other delicious recipes in American Heart Association cookbooks, available from booksellers everywhere or online at americanheart.org/cookbooks.

the antioxidants found in red wine and chocolate, which can prevent the formation of free radicals associated with cancer. Red wine has a greater amount of grape skins and therefore a larger amount of resveratrol. Dark cocoa has flavonoids, which can stimulate and dilate the arteries and keep platelets from sticking, Branyas points out. And dark chocolate outshines its milk or semisweet cousins because it has more cocoa and fewer fillers like butter and sugar, she says. Before tearing into a chocolate bar,

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though, remember that moderation is still key. It’s usually advised to stick to 1 to 1 1/2 ounces per serving of dark chocolate and to look for a type that’s at least 70 percent cocoa beans. The same logic applies to alcohol. The American Heart Association recommends no more than two drinks per day for men and one daily drink for women. And teetotalers can remain on the wagon, Rossi says. “If you don’t drink at all, you don’t need to start drinking,” Rossi says. “There’s no reason why someone who is not an alco-

No other disease has decreased like that. Experts say the reductions in deaths can be attributed to ongoing efforts to better prevent, diagnose, and treat heart disease and stroke, including: Fewer people smoking and being exposed to secondhand smoke; Improvements in emergency and more routine treatments for heart disease and stroke; Lifesaving scientific research breakthroughs; Changes in laws to build healthier environments; and Increased awareness about healthy living. The American Heart Association plays a key role in each of those efforts, through advocacy; scientific discovery; the creation and dissemination of science-based guidelines for treatment, CPR guidelines, and training; and public policy and education. Thank you for your support. For more information, visit heart.org/indianapolis.

hol drinker can think they’ll be healthier with red wine.” Where does all of this leave us? The big heart-health factors remain at the top of the list. Walking the dog or flossing your teeth can be beneficial, but they don’t outweigh the need to eat a nutritional diet, exercise regularly, keep stress at bay, and stub out the cigarettes. Good heart health can take work, but it’s attainable to just about everyone. “It almost always can be done with simple lifestyle changes,” Rossi says.

Sautéed Pork Medallions with Lemon-Garlic Sauce Pork Tenderloin

Join the conversation at PorkBeInspired.com

Sautéed Pork Tenderloin Medallions with Lemon-Garlic Sauce 1 pork tenderloin, (1 lb.), trimmed 1/4 tsp. salt, divided 1/4 tsp. plus 1/8 tsp. black pepper, divided 2 tsp. olive oil, divided 2 cloves garlic, minced 1/2 cup dry white wine (for non-alcoholic, substitute low-sodium chicken broth)

1/2 cup chicken broth, low-sodium Grated zest and 1 tbs. lemon juice 1 tbs. fresh parsley, chopped, OR 1 1/2 tsp. chopped fresh sage or rosemary*

Cut pork into 12 slices, about 1-inch thick. Sprinkle pork on all sides with 1/8 tsp. of the salt and 1/4 tsp. of the pepper. Heat 1 tsp. of the oil in a large heavy skillet over medium-high heat. Add the pork and cook, turning once, until the pork is well browned and internal temperature reaches 145° F, about 1 1/2 minutes on each side. Transfer pork to serving platter and cover to keep warm. Add the remaining 1 tsp. oil to skillet. Add garlic and cook, stirring constantly, until garlic is fragrant, about 30 seconds. Add the wine and broth. Increase heat to high and cook, stirring to scrape up the browned bits from the bottom of the skillet, until the liquid is reduced by two thirds, about 5 minutes. Remove the skillet from the heat and stir in the remaining 1/8 tsp. salt, remaining 1/8 tsp. pepper, the lemon zest and juice, and the parsley. Serve the pork medallions drizzled with the sauce (makes a generous 1/3 cup; about 1 1/2 tbs. per serving). *To substitute fresh herbs with dried herbs, use 1 1/2 tsp. dried parsley or 3/4 tsp. dried sage, or 3/4 tsp. dried rosemary. Makes 4 servings.

What others said couldn’t be done, we’re doing. St.Vincent Heart Center is continuously pushing the limits of what’s possible in heart care. To do that takes an amazing amount of skill, study, experience and dedication. But it also takes passion. A passion to make a difference in the lives of those who suffer from heart disease. And a desire to look beyond the boundaries to ﬁnd better ways. Close to home. Second to none.

stvincent.org/BestHeartCare