Cardiology Services

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Risk factors for a Heart Attack include:

There are many risk factors and warning signs for a heart attack. See below for a list of risk factors are genetic and acquired to see what you can do to reduce your chances of having a heart attack. 

Inherited (genetic) factors: Who is most at risk?
  • People with inherited hypertension (high blood pressure)
  • People with inherited low levels of HDL (high-density lipoproteins),high levels of LDL (low-density lipoprotein) blood cholesterol or high levels of triglycerides
  • People with a family history of heart disease (especially with onset before age 55)
  • Aging men and women
  • People with type 1 diabetes
  • Women, after the onset of menopause (generally, men are at risk at an earlier age than women, but after the onset of menopause, women are equally at risk)

Acquired risk factors: Who is most at risk? A heart attack can happen to anyone - it is only when we take the time to learn which of the risk factors apply to us, specifically, can we then take steps to eliminate or reduce them.

  • People with acquired hypertension (high blood pressure)
  • People with acquired low levels of HDL (high-density lipoproteins), high levels of LDL (low-density lipoprotein) blood cholesterol, or high levels of triglycerides
  • Cigarette smokers
  • People who are under a lot of stress
  • People who drink too much alcohol
  • People who lead a sedentary lifestyle
  • People overweight by 30 percent or more
  • People who eat a diet high in saturated fat
  • People with type - 2 diabetes
Managing heart attack risk factors

Managing your risks for a heart attack begins with:

  • Examining which of the risk factors apply to you, and then taking steps to eliminate or reduce them.
  • Becoming aware of conditions like hypertension or abnormal cholesterol levels, which may be "silent killers."
  • Modifying risk factors that are acquired (not inherited) through lifestyle changes. Consult your doctor as the first step in starting right away to make these changes.
  • Consulting your health care provider soon to determine if you have risk factors that are genetic or inherited and cannot be changed, but can be managed medically and through lifestyle changes.

What are the warning signs of a heart attack?

The following are the most common symptoms of a heart attack. However, each individual may experience symptoms differently. Symptoms may include:

  • Severe pressure, fullness, squeezing, pain and/or discomfort in the center of the chest that lasts for more than a few minutes
  • Pain or discomfort that spreads to the shoulders, neck, arms, or jaw
  • Chest pain that increases in intensity
  • Chest pain that is not relieved by rest or by taking nitroglycerin
  • Chest pain that occurs with any/all of the following (additional) symptoms: sweating, cool, clammy skin, and/or paleness shortness of breath, nausea or vomiting, dizziness or fainting, unexplained weakness or fatigue, rapid or irregular pulse
Although chest pain is the key warning sign of a heart attack, it may be confused with indigestion, pleurisy, pneumonia, or other disorders. The symptoms of a heart attack may resemble other medical conditions or problems. Always consult your health care provider for a diagnosis.

Cardiology Team

Together the cardiology team works to create comprehensive, individualized treatment plans for each patient. The cardiology team keeps the patient's primary care physician (PCP) informed and up to date on the patient's progress and works with the PCP to create a plan designed to ensure, and continue to improve, the patient's heart health.

Cardiology Services

Cardiology is a branch of medicine which deals with the diagnosis and treatment of the cardiovascular system - heart, arteries, and veins. Hannibal Regional Medical Group's cardiologists treat patients with suspected heart disease by taking a very careful, extensive history of the patient's condition, and performing a complete physical examination.
Want to find out if you are at risk? Call 573-629-3300 for appointment today.

Wells Pettibone's Story

Wells Pettibone
Wells Pettibone

“I am forever grateful to Hannibal Regional and their heart team for saving my life. I hope others will learn from my story and take the warning signs of a heart attack seriously… it could save their life.”

Read more of Mr. Pettibone's story in the 2014 Hannibal Regional Hospital Foundation's Annual Review.

Our Cardiology Providers

Click on the provider's picture to learn more about them.

Pervez Alvi, MD

Pervez Alvi, MD

Chinualumogu Nwakile, MD

Richard Valuck, MD

Richard Valuck, MD

Kim Cordes, AGPCNP-BC

Kim Cordes, MSN
AGPCNP-BC, CVNP-BC


For Directions Click Link:
Hannibal Regional Medical Building

Hannibal Regional Medical Group 
6500 Hos​pital Drive 
Hannibal, MO 63401

To make an appointment, 
please call 573-629-3300


Call HRMG Cardiology Services