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Janice R. Rettig, APRN, RN, APRN-CNP

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Specializes in: Cardiology (Heart Disease)

Professional interests include: hypertension (high blood pressure), high cholesterol (hyperlipidemia), heart problems, and more.

2109 Hughes Drive Jobst Tower Suite 980
Toledo, OH 43606

(419) 291-7577

Janice R. Rettig, APRN, RN, APRN-CNP is a nurse in Toledo, OH specializing in cardiology (heart disease). Janice R. Rettig, APRN, RN, APRN-CNP is affiliated with ProMedica, ProMedica Toledo Hospital, Mercy Health, Mercy Health - St. Anne Hospital, Mercy Health - St. Charles Hospital, Mercy Health - St. Vincent Medical Center, ProMedica Bay Park Hospital, Memorial Hospital, ProMedica Flower Hospital, THE TOLEDO HOSPITAL and PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC.

Office Locations

Address:

2109 Hughes Drive Jobst Tower Suite 980
Toledo, OH 43606

Address:

2940 North Mccord Road
Toledo, OH 43615

Address:

715 S. Taft Avenue
Fremont, OH 43420

Address:

730 N. Macomb Street Suite 225
Monroe, MI 48162

Some issues Janice R. Rettig, APRN, RN, APRN-CNP can help you with:

Coronary Artery Disease

Coronary artery disease (CAD) is the most common type of heart disease. It happens when the blood vessels carrying blood to the heart, called coronary arteries, narrow and harden. This occurs when cholesterol, a type of fat found in the blood, builds up to form plaque, which sticks to the inner walls of the arteries. As plaque accumulates, less blood can flow through the arteries, which may lead to the following:

Angina, which is chest pain that occurs when the heart does not receive enough blood flow.
Heart attack, which happens if the arteries leading to the heart are completely blocked.
Arrhythmia, or irregular heartbeat, which can develop if the heart does not have enough blood supply.
Heart failure, which may occur if a heart attack damages the heart and it becomes too weak to pump enough blood to the rest of the body.

Certain factors may increase risk for the disease, like smoking, lack of exercise, being overweight, high cholesterol, high blood pressure, and diabetes. CAD tends to develop over decades, so it can go undetected until it has become quite severe. A diagnosis may be established using such tests as:

Electrocardiogram (ECG), which records the heart's electrical activity over a period of time. ECGs can detect whether there is enough blood flow to the heart or if a heart attack has occurred.
Echocardiogram (echo), which creates images of the heart using sound waves. Echos can show whether the heart is able to pump blood normally.
Stress tests, where an ECG or echo is combined with exercise, like riding a stationary bike or walking on a treadmill. This test is done to find out if the heart can function properly while performing a strenuous activity.

Treatments for the disease include medications such as vasodilators, like nitroglycerin, which dilates (widens) the coronary arteries. CAD may also be treated by a procedure called angioplasty with stent placement, where a balloon is inflated inside a diseased artery to flatten the plaque deposits against the artery walls, creating more room for blood to flow.

In some severe cases of the disease, multiple arteries may be blocked, and an open heart surgery called coronary artery bypass surgery may be necessary. This operation transplants a vessel from another part of the body to form a graft that goes past the narrowed arteries, thus enabling blood to flow around those arteries.

Heart Attack

A heart attack is a serious medical event that happens when the blood supplying oxygen to the heart is cut off, usually because of a blockage in an artery. This results in damage or death of part of the heart muscle. The heart can heal, but like any part of the body that was injured it leaves a scar. This scar tissue does not contract effectively, so the ability of the heart to pump is lowered after a heart attack.

A heart attack, sometimes called a myocardial infarction, can happen without warning. However there are certain factors that raise the risk of heart attack. Some of these are:

Age
Gender (most heart attack sufferers are male)
A family history of heart attacks
Smoking
Obesity
High cholesterol
High blood pressure
Diabetes
Unhealthy lifestyle choices (lack of exercise, poor diet, too much alcohol or stress)

Heart attacks typically feel like pain or pressure in the chest that can radiate out to the back, arm, or jaw. Some other symptoms can include fatigue or weakness, shortness of breath, sweating, and nausea.

Treatment aims to increase blood flow to the heart muscle by opening up blocked blood vessels. Medications are sometimes used to dissolve clots in the arteries. Aspirin and other medications such as Plavix can thin the blood and make clots less likely to form. Dilators can widen blood vessels to make room for more blood to flow. Doctors can also use a procedure called catheterization to look at the blood vessels around the heart directly, place stents, or widen vessels using angioplasty. In extreme cases bypass surgery can be used to help blood flow better. After recovery, it is important to lead a healthy lifestyle and take any prescribed medications in order to protect the heart.

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.

hospital care	149
inpatient care	149

**Gender**
Male	79
Female	72

**Ethnicity**
Non-Hispanic White	132
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	52
From 75 to 84	45
85 and over	29
Less than 65	25

Hypertension	75
High Cholesterol	75
Stroke	12
Ischemic Heart Disease	75
Depression	42
Chronic Kidney Disease	65
Asthma	13
Osteoperosis	11
Atrial Fibrilation	48
Heart Failure	75
Chronic Obstructive Pulmonary Disease	59
Diabetes	57
Dementia	21
Cancer	19

hospital care	120
inpatient care	120

**Gender**
Male	72
Female	63

**Age**
From 65 to 74	52
From 75 to 84	38
85 and over	27
Less than 65	18

Hypertension	75
High Cholesterol	75
Stroke	12
Ischemic Heart Disease	75
Depression	33
Chronic Kidney Disease	63
Asthma	13
Osteoperosis	13
Atrial Fibrilation	55
Heart Failure	75
Chronic Obstructive Pulmonary Disease	45
Diabetes	61
Dementia	21
Cancer	13

hospital care	122
inpatient care	122

**Gender**
Male	134
Female	108

**Age**
From 65 to 74	90
From 75 to 84	74
85 and over	52
Less than 65	26

Hypertension	75
High Cholesterol	75
Stroke	15
Ischemic Heart Disease	75
Depression	32
Chronic Kidney Disease	68
Asthma	36
Osteoperosis	17
Atrial Fibrilation	56
Heart Failure	70
Chronic Obstructive Pulmonary Disease	49
Diabetes	59
Dementia	20
Cancer	24

hospital care	170
inpatient care	170

**Gender**
Male	78
Female	90

**Ethnicity**
Non-Hispanic White	157
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	51
From 75 to 84	56
85 and over	49
Less than 65	12

Hypertension	75
High Cholesterol	75
Stroke	14
Ischemic Heart Disease	75
Depression	30
Chronic Kidney Disease	60
Asthma	48
Osteoperosis	16
Atrial Fibrilation	52
Heart Failure	66
Chronic Obstructive Pulmonary Disease	42
Diabetes	46
Dementia	28
Cancer	17

doctor visit	63
hospital care	195
inpatient care	195

**Gender**
Male	127
Female	104

**Ethnicity**
Non-Hispanic White	218
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	76
From 75 to 84	83
85 and over	53
Less than 65	19

Hypertension	75
High Cholesterol	75
Stroke	16
Ischemic Heart Disease	75
Depression	38
Chronic Kidney Disease	72
Asthma	15
Osteoperosis	8
Atrial Fibrilation	52
Heart Failure	65
Chronic Obstructive Pulmonary Disease	44
Diabetes	56
Dementia	29
Cancer	15

doctor visit	135
hospital care	155
inpatient care	155

**Gender**
Male	162
Female	127

**Ethnicity**
Non-Hispanic White	254
Black	18
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	109
From 75 to 84	101
85 and over	61
Less than 65	18

Hypertension	75
High Cholesterol	75
Stroke	16
Ischemic Heart Disease	75
Depression	36
Chronic Kidney Disease	56
Asthma	11
Osteoperosis	9
Atrial Fibrilation	49
Heart Failure	58
Chronic Obstructive Pulmonary Disease	43
Diabetes	47
Dementia	20
Cancer	15

doctor visit	238
hospital care	101
inpatient care	101

**Gender**
Male	182
Female	146

**Ethnicity**
Non-Hispanic White	274
Black	31
Hispanic	0
Asian	0
Other	11
Native American	0

**Age**
From 65 to 74	145
From 75 to 84	101
85 and over	50
Less than 65	32

Hypertension	75
High Cholesterol	75
Stroke	11
Ischemic Heart Disease	75
Depression	33
Chronic Kidney Disease	61
Asthma	10
Osteoperosis	12
Atrial Fibrilation	45
Heart Failure	63
Chronic Obstructive Pulmonary Disease	36
Diabetes	48
Dementia	15
Cancer	14

doctor visit	187
hospital care	66
inpatient care	66

**Gender**
Male	140
Female	118

**Ethnicity**
Non-Hispanic White	217
Black	26
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	102
From 75 to 84	86
85 and over	41
Less than 65	29

Hypertension	75
High Cholesterol	75
Stroke	10
Ischemic Heart Disease	75
Depression	28
Chronic Kidney Disease	61
Asthma	8
Osteoperosis	8
Atrial Fibrilation	47
Heart Failure	72
Chronic Obstructive Pulmonary Disease	36
Diabetes	49
Dementia	14
Cancer	13

doctor visit	698
hospital care	23
inpatient care	23

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Janice R. Rettig, APRN, RN, APRN-CNP for Medicare patients.

The highest averages for the top procedures that Janice R. Rettig, APRN, RN, APRN-CNP treated as a nurse in Toledo, OH were hospital care and inpatient care.

doctor visit	266
hospital care	122
inpatient care	122

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Janice R. Rettig, APRN, RN, APRN-CNP.

**Gender**
Female	82
Male	97

**Ethnicity**
Black / African American	7
Asian / Pacific Islander	0
Non-Hispanic White	125
Native American / Alaskan Native	0
Hispanic	0
Other	1

**Age**
85 and over	36
75 to 84	58
Less than 65	17
65 to 74	67

Average of Total of Conditions of Medicare patients treated by Janice R. Rettig, APRN, RN, APRN-CNP From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Janice R. Rettig, APRN, RN, APRN-CNP treated were high cholesterol, hypertension, ischemic heart disease and heart failure.

Hypertension	60
High Cholesterol	60
Stroke	10
Ischemic Heart Disease	60
Depression	27
Chronic Kidney Disease	50
Asthma	15
Osteoporosis	9
Heart Failure	54
Chronic Obstructive Pulmonary Disease	35
Diabetes	42
Atrial Fibrillation	40
Dementia	16
Cancer	13

Education & Training

She is certified by the Board Certification: American Academy of Nurse Practitioners (Nurse Practitioner, Family) and has a state license in Ohio.

Board Certification: Board Certification: American Academy of Nurse Practitioners (Nurse Practitioner, Family)

Licensed In: Ohio

Affiliations & Hospitals

Janice R. Rettig, APRN, RN, APRN-CNP is associated with these hospitals and organizations:

ProMedica

ProMedica Toledo Hospital

Mercy Health

Mercy Health - St. Anne Hospital

Mercy Health - St. Charles Hospital

Mercy Health - St. Vincent Medical Center

ProMedica Bay Park Hospital

Memorial Hospital

ProMedica Flower Hospital

THE TOLEDO HOSPITAL

PROMEDICA NORTHWEST OHIO CARDIOLOGY CONSULTANTS LLC

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General Payments

These charts describe general payments received by Janice R. Rettig, APRN, RN, APRN-CNP. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
AstraZeneca Pharmaceuticals LP	$217 FARXIGA $158	WAINUA $48	LOKELMA $12
Abbott Laboratories	$102 CardioMEMS $78	THORATEC HEARTMATE 3 LVAS IMPLANT KIT $25
Alnylam Pharmaceuticals Inc.	$97 AMVUTTRA $80	ONPATTRO $17
Novartis Pharmaceuticals Corporation	$93 LEQVIO $70	ENTRESTO $23
Boston Scientific Corporation	$82 WATCHMAN FLX $45	WATCHMAN Access System $37
Other	$187 VERQUVO $80	Injectafer $25	Ozempic $21	Kerendia $17	LifeVest $16	Other $28

**Types of Payments**
Food and Beverage	$778

Biography

Ms. Janice Rettig's area of specialization is cardiology (heart disease). Clinical interests for Ms. Rettig include heart failure, hypertension (high blood pressure), and high cholesterol (hyperlipidemia). She is professionally affiliated with Mercy Health - St. Anne Hospital, ProMedica Bay Park Hospital, and Mercy Health - St. Vincent Medical Center.