WORLD’S FIRST: Angioplasty in an emergency department NATION’S FIRST: Accredited Chest Pain Center • Cardiac catheterization in a community hospital • ER use of cardiopulmonary bypass to resuscitate victims of heart attack • Transseptal valvuloplasty on a mitral valve with surgically implanted Carpentier ring OHIO’S FIRST: Drug-eluting stent angioplasty • Minimally invasive coronary bypass performed • Biventricular Internal Cardiac Defibrillator Implant STARK’S FIRST: Transseptal mitral valvuloplasty • Intracoronary ultrasound • Percutaneous aortic balloon valvuloplasty • Unprotected left main coronary stent • Radial stent coronary angioplasty • Akron/Canton’s first gamma  brachytherapy • Accredited Cardiac  Rehab Program