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Ruben Trono, M.D.
Clinical Associate Professor, Division of Cardiology



Ruben Trono, M.D.

Ruben Trono, M.D.
Clinical Associate Professor
Division of Cardiology
Department of Internal Medicine

University of Texas Medical Branch
301 University Blvd.
Galveston, TX 77555-1060
Phone: 409.772.0017
rutrono@utmb.edu

Clinical Expertise

  1. General and preventive cardiology
  2. Invasive, non-interventional cardiology
  3. Non-invasive cardiology (nuclear, echocardiography, and vascular ultrasound)

Research Interests

  1. Left ventricular assist devices, mechanical circulatory support
  2. Coronary artery disease/prevention
  3. Congestive heart failure

Overview

Dr. Trono is a native of San Antonio, Texas. He joined the UTMB faculty in December 2009 after 21 years of private practice in central Ohio and 3 years of practice in College Station, Texas and surrounding counties. He began his career as a biomedical engineer at the Texas Heart Institute in Houston, TX, after graduating from Texas A&M University. He was involved in research and development of cardiac assist devices. He subsequently got his medical degree at the University of Texas in Houston, then did further training in internal medicine at the Scott and White Clinic in Temple, TX, and in cardiovascular diseases at the Cleveland Clinic in Cleveland, Ohio. His interests are in general, preventative, and non-interventional cardiology. He is community-based at Mainland Medical Center, serving Texas City, Dickinson, Santa Fe, and surrounding areas.

Education

Degree Year Institution
B.S. 1973 Texas A&M University, College Station
M.S. 1975 Texas A&M University, College Station
M.D. 1982 University of Texas Medical School at Houston
Residency
Internal Medicine
 
1985
 
Scott and White Memorial Hospital and the Olin E. Teague Veteran's Administration Hospital, Temple, TX
Fellowship
Invasive Cardiology
 
1988
 
The Cleveland Clinic Foundation, Cleveland, OH

Select Publications

  1. Krouskop TA, Trono R, Adamski AJ: Effects of pylon shape on the performance of direct skeletal attachment systems. J Biomed Materials Res 10:345-69, l976
  2. Trono R, Brewer MA, Edmonds CH, Fuqua JM, Hibbs CW, Holub DA, Igo SR, Norman JC: Molecular, microscopic, microstructural, and mechanical methods of analyzing pseudoneointimal linings within partial artificial hearts in man and calf. Artificial Organs 2(2):173, l978.
  3. Trono R, Bossart MI, Milam JD, Norman JC: Ultrastructural analyses of blood-interfacing linings formed within partial artificial hearts of abdominal left ventricular assist devices: A qualitative scheme for pseudoneointimal accretion kinetics. Cardiovascular Diseases, Bulletin of the Texas Heart Institute 6(2): 153, l979.
  4. Trono R, Hollman JM, Sutton C, Suit P, Ratliff NB: Atheromatous emboli following percutaneous transluminal angioplasty of saphenous vein grafts: clinico-pathologic correlation. Cleveland Clinic Journal of Medicine 56:6, 581-84, September l989.
  5. McGee MG, Zillgitt SL, Trono R, Turner SA, Davis GL, Fuqua JM, Edelman SK, Norman JC: Retrospective analyses of the need for mechanical circulatory support (intra-aortic balloon pump/abdominal left ventricular assist device or partial artificial heart) following cardio- pulmonary bypass: A 44 month study of 14,168 patients. Amer. J Cardiol 46:135, l980.
  6. Norman JC, Cooley DA, Igo SR, Hibbs CW, Johnson MD, Bennett JC, Fuqua JM, Trono R, Edmonds CH: Prognostic Indices for survival during post-cardiotomy intra-aortic balloon pumping:Methods of scoring and classification with implications for left ventricular device utilization. J. Thorac and Cardiovasc Surg 74(5): 709, l977.
  7. Cooley DA, Wukasch DC, Bennett JC, and Trono R: Double velour knitted Dacron grafts for aorto-iliac vascular replacements. In Vascular Grafts, edited by PN Sawyer and MJ Kaplitt. Appleton-Century Crofts, New York, l978, pp. l97-207.
  8. Norman JC, Fuqua JM, Trono R, Hibbs CW, Edmonds CH, Igo SR, Brewer MA, Holub DA, Cooley DA: An Intracorporeal (Abdominal) Left Ventricular Assist Device: Initial Clinical Trials (LX). Chapter in Assisted Circulation, F. Unger, Editor. Springer-Verlag, Berlin, l979, pp. 107-126.
  9. Meador JW, Trono R, Akutsu T: Echographic analysis of a pneumatically-actuated artificial heart II: Air chamber inlet design. Proc 29th Ann Conf on Engr & Med in Biol, 18:288, l976
  10. Trono R, Hibbs CW, Fuqua JM, Naifeh JG, Norman JC: Stress-strain characteristics and elastic moduli of ascending aortic aneurysms in patients with and without Marfan's syndrome. Proc 29th Ann Conf on Eng and Med in Biol 18:167, l976

The department of internal medicine is developing evidence based clinical protocols which will be available in EPIC (as order sets) for use when admitting patients with these diagnoses. Their AIM is to standardize care and decrease length of stay and readmission rates.

Currently available protocols are:
  • CAP - Community Acquired Pneumonia Orderset
  • Congestive Heart Failure (CHF)
  • Chronic Obstructive Pulmonary Disease (COPD)
  • Diabetic Ketoacidosis Adult, ICU
  • General Medicine Admission
  • Immunodeficiency Flow Panel
  • MICU/CCU Admission Order Set
  • Oral Analgesic Medicaitons
  • Parenteral Opioids
  • Sepsis, Adult ICU
  • 111 - Stroke Alert
  • 112 - Stroke Activation
  • 300086 - Stroke Floor Admission
  • 3000000001 -  Stroke Critical care without tPA
  • 300088 Stroke - Transfer from Critical care to floor
  • 3004002 - Stroke Discharge

All protocols can be found in the EPIC order set section.

» For more information

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The department of Internal Medicine has a large role in the Meaningful Use Initiative. Our participation is key for the success of the initiative. Please visit the meaningful use website for important communication and updates from the Meaningful Use Initiative.

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