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Mrs. Janeen E. Constantine, CRNP

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Specializes in: Cardiology (Heart Disease) and Internal Medicine (Adult Medicine)

Professional interests include: enlarged heart (cardiomegaly), bicuspid aortic valve disease, chest pain, and more.

1133 21st Street Northwest Suite 700
Washington, DC 20036

(202) 416-2000

Mrs. Janeen E. Constantine, CRNP is a nurse in Washington, DC specializing in cardiology (heart disease) and internal medicine (adult medicine). Mrs. Janeen E. Constantine, CRNP is affiliated with MedStar Washington Hospital Center, MedStar Health and CARDIOLOGY ASSOCIATES LLC.

Office Locations

Address:

106 Irving Street Northwest Physicians Office Building Suite 4800 North Tower
Washington, DC 20010

Address:

1133 21st Street Northwest Suite 700
Washington, DC 20036

Some issues Mrs. Janeen E. Constantine, CRNP can help you with:

Heart Problems

The heart is one of the most important organs in the body. This smooth muscle expands and contracts rhythmically an entire lifetime, pumping blood to the lungs and then to every other cell in the body. When heart problems occur, it becomes difficult for the body to get the nutrients and oxygen it needs via the blood. So while there are a variety of illnesses and disorders that affect the heart, most of them cause weakness, exhaustion and shortness of breath. The most common heart conditions include heart disease, angina, arrhythmia, and valve disorders.

Heart disease is the leading cause of death in the United States for both men and women. This includes coronary artery disease, heart attacks, congestive heart failure, and congenital heart disease. Some conditions, such as genetics, cannot be controlled. But there are many other things one can do to lower their risk for heart disease. Controlling high blood pressure and cholesterol levels, reducing or stopping smoking, exercising more and losing weight if needed, and eating a diet low in sodium can all protect the heart.

Angina is a squeezing type of chest pain that happens when the muscles around the heart don't get enough oxygen. It can be regular or infrequent. Usually, angina is caused by coronary heart disease. However, not all chest pain is angina. Chest pain can also be caused by a lung infection or panic attack, for example, so it is important to have any sudden pain checked.

Arrhythmia is the word for when the heart beats too fast, too slow, or irregularly with skipped beats. It can feel frightening, and depending on the type it can be dangerous, but in most cases arrhythmia is not serious and can be treated. It is very common, especially in older adults.

Heart valve problems can happen in any one of the the heart's four valves that keep blood flowing where it needs to go. Babies can be born with problems in their heart valves, or valves can be damaged by infections. The valves can stiffen and become less mobile, or they can stop closing properly and 'leak' when the heart beats. Valve problems can usually be repaired surgically.

Lung Issues

Every cell in the body requires oxygen to function and produces carbon dioxide as a waste product. In order to keep the body's tissues constantly supplied with fresh oxygen and to keep waste from building up, the lungs pump air in and out, even while sleeping or unaware. Unfortunately, diseases and disorders affecting the lungs are some of the most common medical problems afflicting people around the world. Some of the most common lung problems include asthma, COPD, pneumonia, and lung cancer.

Asthma is a chronic disease where swollen, inflamed airways make it hard to breathe. It is often brought on by specific triggers. While asthma is a common condition, affecting millions of people, it can also be serious and even fatal in severe cases. Treatment involves avoiding triggers and using inhaled corticosteroid medications.

COPD, or Chronic Obstructive Pulmonary Disease, is the name given to two illnesses that both cause difficulty breathing: emphysema and chronic bronchitis. In emphysema, the air sacs of the lungs become damaged, while with bronchitis they become clogged with mucus. COPD is the fourth leading cause of death in the United States. It is almost always caused by breathing irritants into the lungs, such as smoking or heavy pollution.

Pneumonia is a lung infection that can be caused by bacteria, a virus, or fungi. Most healthy people recover from pneumonia in a week or two, but for some people pneumonia can be fatal. There are treatments available for pneumonia, but the best treatment is to prevent getting sick in the first place. People who are at risk should make sure they get a flu shot every year. There is also a vaccine available for the type of bacteria that causes pneumonia.

Lung cancer occurs when abnormal cells inside the lung grow into a tumor, destroying healthy tissue. Because it is so difficult to detect lung cancer in early stages when it has few symptoms, it is the deadliest form of cancer, responsible for the most cancer deaths both in the U.S. and worldwide. Most lung cancer is caused by exposure to tobacco smoke, but between 10-15% of cases are not linked to smoking.

Some problems with the lungs are minor and are not cause for concern. However if symptoms have lasted for a month or more, even if they are minor, it is worth checking with a healthcare professional. A cough, shortness of breath, or excess mucus production that lingers for weeks are all worth getting looked at.

Percutaneous Left Atrial Appendage Closure (LAAC)

Percutaneous left atrial appendage closure (LAAC) is a device implantation procedure that reduces the risk of stroke for patients who have atrial fibrillation, a condition in which the heart beats out of rhythm. Atrial fibrillation causes blood to collect in the left atrial appendage, a small sac located in the top left chamber of the heart. The blood that collects in this appendage can form clots and cause stroke when pumped out of the heart.

To implant the device, a long, flexible tube, called a catheter, is inserted into a large vein in the groin and advanced to the heart. Once the tube reaches the left side of the heart, X-ray is used to guide a thinner catheter into the left atrial appendage. The tiny device is then passed through the tube and into the appendage. When the doctor has made sure it is in the right place, she takes the catheter out, and the procedure is completed.

This minimally invasive procedure usually requires a hospital stay of at least one day. Normal activities may be resumed within a few days. About 45 days following implantation, a test will be done to determine whether the device has closed the left atrial appendage. Check-ups have to be performed every year to make sure the device is in place.

hospital care	127
inpatient care	103
outpatient care	24

**Gender**
Male	92
Female	65

**Ethnicity**
Non-Hispanic White	84
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	56
From 75 to 84	54
85 and over	30
Less than 65	17

Hypertension	75
High Cholesterol	75
Stroke	15
Ischemic Heart Disease	75
Depression	17
Chronic Kidney Disease	50
Asthma	17
Osteoperosis	0
Atrial Fibrilation	42
Heart Failure	67
Chronic Obstructive Pulmonary Disease	26
Diabetes	45
Dementia	15
Cancer	17

hospital care	119
inpatient care	75
outpatient care	44

**Ethnicity**
Non-Hispanic White	92
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	71
From 75 to 84	65
85 and over	26
Less than 65	18

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	75
Depression	21
Chronic Kidney Disease	42
Asthma	13
Osteoperosis	7
Atrial Fibrilation	33
Heart Failure	61
Chronic Obstructive Pulmonary Disease	19
Diabetes	50
Dementia	15
Cancer	12

hospital care	191
inpatient care	140
outpatient care	51

**Gender**
Male	222
Female	178

**Ethnicity**
Non-Hispanic White	0
Black	192
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	166
From 75 to 84	146
85 and over	52
Less than 65	36

Hypertension	75
High Cholesterol	75
Stroke	12
Ischemic Heart Disease	75
Depression	21
Chronic Kidney Disease	57
Asthma	17
Osteoperosis	8
Atrial Fibrilation	42
Heart Failure	71
Chronic Obstructive Pulmonary Disease	25
Diabetes	55
Dementia	12
Cancer	18

hospital care	99
inpatient care	72
outpatient care	27

**Gender**
Male	74
Female	57

**Ethnicity**
Non-Hispanic White	69
Black	50
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	61
From 75 to 84	41
85 and over	14
Less than 65	15

Hypertension	75
High Cholesterol	75
Stroke	15
Ischemic Heart Disease	75
Depression	21
Chronic Kidney Disease	57
Asthma	27
Osteoperosis	0
Atrial Fibrilation	48
Heart Failure	63
Chronic Obstructive Pulmonary Disease	24
Diabetes	56
Dementia	21
Cancer	15

doctor visit	23
hospital care	146
inpatient care	59
outpatient care	87

**Gender**
Male	137
Female	81

**Ethnicity**
Non-Hispanic White	134
Black	70
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	97
From 75 to 84	86
85 and over	20
Less than 65	15

Hypertension	75
High Cholesterol	75
Stroke	12
Ischemic Heart Disease	75
Depression	20
Chronic Kidney Disease	44
Asthma	10
Osteoperosis	6
Atrial Fibrilation	56
Heart Failure	52
Chronic Obstructive Pulmonary Disease	14
Diabetes	38
Dementia	14
Cancer	15

doctor visit	50
hospital care	167
inpatient care	97
outpatient care	70

**Gender**
Male	137
Female	126

**Ethnicity**
Non-Hispanic White	162
Black	86
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	116
From 75 to 84	101
85 and over	30
Less than 65	16

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	75
Depression	21
Chronic Kidney Disease	43
Asthma	13
Osteoperosis	4
Atrial Fibrilation	50
Heart Failure	56
Chronic Obstructive Pulmonary Disease	17
Diabetes	40
Dementia	13
Cancer	15

doctor visit	45
hospital care	171
inpatient care	94
outpatient care	77

**Gender**
Male	140
Female	99

**Ethnicity**
Non-Hispanic White	153
Black	66
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	96
From 75 to 84	97
85 and over	30
Less than 65	16

Hypertension	75
High Cholesterol	75
Stroke	14
Ischemic Heart Disease	75
Depression	24
Chronic Kidney Disease	46
Asthma	10
Osteoperosis	5
Atrial Fibrilation	54
Heart Failure	61
Chronic Obstructive Pulmonary Disease	17
Diabetes	38
Dementia	15
Cancer	16

doctor visit	13
hospital care	144
inpatient care	114
outpatient care	30

**Gender**
Male	94
Female	69

**Ethnicity**
Non-Hispanic White	85
Black	63
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	55
From 75 to 84	66
85 and over	29
Less than 65	13

Hypertension	75
High Cholesterol	75
Stroke	15
Ischemic Heart Disease	75
Depression	25
Chronic Kidney Disease	61
Asthma	10
Osteoperosis	0
Atrial Fibrilation	39
Heart Failure	61
Chronic Obstructive Pulmonary Disease	22
Diabetes	49
Dementia	18
Cancer	16

hospital care	477
inpatient care	383
outpatient care	94

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Mrs. Janeen E. Constantine, CRNP for Medicare patients.

The highest averages for the top procedures that Mrs. Janeen E. Constantine, CRNP treated as a nurse in Washington, DC were hospital care, inpatient care and outpatient care.

doctor visit	32
hospital care	182
inpatient care	126
outpatient care	56

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Mrs. Janeen E. Constantine, CRNP.

**Gender**
Male	99
Female	75

**Ethnicity**
Black / African American	52
Asian / Pacific Islander	0
Non-Hispanic White	77
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
75 to 84	65
85 and over	23
Less than 65	14
65 to 74	71

Average of Total of Conditions of Medicare patients treated by Mrs. Janeen E. Constantine, CRNP From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Mrs. Janeen E. Constantine, CRNP treated were high cholesterol, hypertension, ischemic heart disease and heart failure.

Hypertension	60
High Cholesterol	60
Stroke	10
Ischemic Heart Disease	60
Depression	17
Chronic Kidney Disease	40
Asthma	11
Osteoporosis	3
Heart Failure	49
Chronic Obstructive Pulmonary Disease	16
Diabetes	37
Atrial Fibrillation	36
Cancer	12
Dementia	12

Education & Training

She has a state license in District of Columbia.

Licensed In: District of Columbia

Affiliations & Hospitals

Mrs. Janeen E. Constantine, CRNP is associated with these hospitals and organizations:

MedStar Washington Hospital Center

MedStar Health

CARDIOLOGY ASSOCIATES LLC

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General Payments

These charts describe general payments received by Mrs. Janeen E. Constantine, CRNP. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
ZOLL Services LLC (A/K/A ZOLL LifeCor Corp)	$150 LifeVest $150
Amgen Inc.	$35 Repatha $35

**Types of Payments**
Food and Beverage	$184

Biography

Ms. Janeen Constantine specializes in cardiology (heart disease). Her clinical interests include double aortic arch, eisenmenger syndrome, and atrial fibrillation. She is professionally affiliated with MedStar Washington Hospital Center.