faculty profile

Mariann R. Piano   PhD, RN, FAAN, FAHA

Nancy and Hilliard Travis Professor of Nursing
Senior Associate Dean for Research, Postdoctoral Fellowship Director

Bio

Dr. Piano has a distinguished career in substance abuse research focusing on understanding the adverse effects of unhealthy alcohol drinking patterns on the cardiovascular system. Studies are underway to determine the effects of binge drinking on cardiovascular function and risk factors in young adults. Young adulthood is when binge drinking is the highest and currently, more young adults consume 6-7 drinks per binge drinking episode, black out and choose hard liquor over beer. Compared to previous generations, the pervasiveness, intensity (i.e., 6-7 drinks) and regularity (several times per week) of binge drinking may place today?s youth at greater risk for more profound rates of alcohol-related harm. Another area of research includes heart failure pathophysiology, symptoms and patient self-management. In particular, her research has focused on strategies (e.g. diuretic self-adjustment) to prevent frequent hospital admissions in heart failure patients and to identify mechanisms that underlie heart failure symptoms. Her research has been supported by the National Institute on Alcohol Abuse and Alcoholism and the National Center for Research Resources. She also holds the title of Professor Emerita at the University of Illinois at Chicago where she was Collegiate Professor of Nursing. 

Recent interview with Dr. Piano regarding the drinking age: "Should The Drinking Age Be Lowered? Experts Weigh In", WalletHub (July 21, 2016).

Education

  • Postdoctoral Research Fellow, Rush University 
  • PhD, University of Illinois (Nursing Science)
  • MS, University of Illinois (Medical-Surgical Nursing)
  • BS, Loyola University of Chicago (Nursing)

Current Research/Scholarly Interests

  • Adverse effects of alcohol on the cardiovascular system and biomarkers of unhealthy alcohol consumption.

Academic Interests

Dr. Piano's primary teaching expertise and experience is in the area of physiology, pathophysiology and cardiovascular nursing. Areas of physiology expertise include: signal transduction, smooth muscle, skeletal and cardiac muscle, and gastrointestinal physiology. Within the area of cardiovascular nursing, her areas of expertise include: heart failure and alcoholic cardiomyopathy.

Current Projects

  • The effects of binge drinking on cardiovascular function and risk factors in young adults.
  • Biomarkers of heavy alcohol consumption.

Grants

Piano, M.R. (co-PI), Phillips SA (co-PI). Cardiovascular risk associated with binge drinking in young adults. March 2017 - Feb 2019 (R21AA024535).

Piano, M.R. (Mentor/co-INV). Neurobiological mechanisms of sympathetic regulation in sleep apnea. 2013-2017 (1K99NR014639-01A1).

Representative Publications

Journals

Stamp, K., Prasun, M., Lee, C.S., Jaarsma, T., Piano, M.R., Albert, N.M. Nursing Research in Heart Failure Care: A Position Statement of the American Association of Heart Failure Nurses (AAHFN). Heart & Lung: The Journal of Acute and Chronic Care. 2018 Feb 1. pii: S0147-9563(18)30015-3. doi: 10.1016/j.hrtlng.2018.01.003. [Epub ahead of print].

Piano, M.R., Artinian, N.T., DeVon, H.A., Pressler, S., Hickey, K.T., Chyun, D.A. Cardiovascular Nursing Science Priorities: A Statement from the American Heart Association Council on Cardiovascular Nursing. Journal of Cardiovascular Nursing. In press, 2018.

Mogos, M.F, Piano, M.R., McFarlin, B.L., Salemi, J.L., Liese, K.L., Briller, J.E. Contemporary Appraisal of Heart Failure during Antepartum, Delivery, and Postpartum Hospitalizations in the United States. Circulation Heart Failure. 11(1):e004005:2018. (Selected for editorial comment).

Bian, J.T., Piano, M.R., Kotlo, K.U., Mahmoud, A.M., Phillips, S.A. MicroRNA-21 contributes to Reduced Microvascular Function in Binge Drinking Young Adults. Alcohol Clinical Experimental Research.42(2):278-285: 2018.10.1111/acer.13565.

Fink A.M., Dean, C., Piano, M.R., Carley, D.W. The pedunculopontine tegmentum controls renal sympathetic nerve activity and cardiorespiratory activities in nembutal-anesthetized rats. PLoS One. 9;12(11):e0187956: 2017.

Piano, M.R. Alcohol's Effects on the Cardiovascular System. Alcohol Research Current Reviews. Journal of the National Institute on Alcohol Abuse and Alcoholism. 38(2): 60-75: 2017.

Piano, M.R. Cannabis smoking and cardiovascular health: It's complicated. Clinical Pharmacology & Therapeutics. 102(2):191-193:2017.

Piano, M.R., Mazzuco, A., Kang, M., Phillips, S.A. Binge drinking in young adults: How should we measure it in a research setting? Journal of Studies on Alcohol and Drugs. Stud Alcohol Drugs. 78(4):502-511:2017.

Piano M.R., Mazzuco, A., Kang, M., Phillips, S.A. Cardiovascular Consequences of Binge Drinking: An Integrative Review with Implications for Advocacy, Policy, and Research.
Alcohol Clinical Experimental Research. 41(3):487-496: 2017.

Piano, M.R., Tiwari, S., Nevoral, L., Phillips, S.A. Phosphatidylethanol levels are elevated and correlate strongly with AUDIT scores in young adult binge drinkers. Alcohol & Alcoholism. 50(5):519-525: 2015.

Bhatnagar, A., Whitsel, L.P., Ribisl, K.M., Bullen, C., Chaloupka, F., Piano, M.R., Robertson, R.M., McAuley, T., Goff, D., Benowitz, N. Electronic cigarettes: A policy statement from the American Heart Association. Circulation. 130(16):1418-36:2014.

Vuckovic, K.M., DeVon, H., Piano, M.R. The measurement of dyspnea in African American patients with preserved and reduced ejection fraction heart failure. Journal of Cardiovascular Nursing. 31(1):31-21:2014.

Breitenbach, K. Epstein-Reeves, M., Corte, C., Hacker, E., Piano, M.R. Alcohol assessment in young adult cancer patients. Oncology Nursing Forum. 41(5):517-22: 2014.

Piano, M.R. Phillips, S.A. Alcoholic Cardiomyopathy: Pathophysiologic Insights. Cardiovascular Toxicology. 14(4):291-308: 2014.

Eckhardt A.L., DeVon, H.A., Piano, M.R., Ryan, C., Zerwic, J. Fatigue in the presence of coronary heart disease. Nursing Research. 62(2);83-93: 2014.

Marangoni, M.N., Chowdhury, S.A., Brady, S.T., Piano, M.R. The co-occurrence of peripheral insensate and myocardial dysfunction in a streptozotocin-induced rat model of diabetes. Cardiovascular Diabetology. 11;13(1): 2014. doi: 10.1186/1475-2840-13-11.

DeVon, H.A., Piano, M.R. Hoppensteadt D, Rosenfeld A. Pain and Inflammatory Biomarkers: A review. Nursing Research. Jan-Feb;63(1):51-62: 2014.

Dickens, C., Lambert, B., Cromwell, S., Piano, M.R. Nurse overestimation of Patients Health Literacy. Journal of Health Communication. 18:62-69: 2013.

Dickens, C., Piano, M.R. Health Literacy and Nursing Implications. American Journal of Nursing. 113(6):52-57: 2013.

Piano, M.R., Phillips, S.A. 20 things you did not know about alcohol. Journal of Cardiovascular Nursing. 28(4): 318-319: 2013.

Goslawski M, Piano, M.R., Bian, J-T., Church E., Szczurek, M. Phillips, S.A. Repeated episodes of binge drinking impairs vascular function in young college-age adults. Journal of the American College of Cardiology. 16;62(3):201-207: 2013. PMID: 23623907. (Selected for Editorial comment).

Vuckovic K., Phillips, S. Piano, M.R. Effects of exercise interventions on peripheral vascular endothelial vasoreactivity in patients with heart failure with reduced ejection fraction. Heart, Lung and Circulation. 22(5):328-340: 2013. PMID: 23340198

Gu, L., Fink, A., Chowdhury, S.A.K., Geenen, D.L. Piano, M.R. Mitogen activated protein kinase and cardiovascular responses to repeated episodes of binge drinking in a pre-clinical animal model. Alcohol and Alcoholism. 48 (2); 131-137: 2013.

Fink, A.M., Gonzalez, R.C., Lisowski, T., Pini, M., Fantuzzi, G., Levy, W.C., Piano, M.R. Fatigue, Inflammation, and Projected Mortality in Heart Failure. Journal of Cardiac Failure. 18(9);711-716: 2012. PMCID: PMC3485074

Greenberg, B.H., Anand, I.S., Burnett, J.C., Jr, Chin, J., Dracup, K.A., Feldman, A.M., Force, T., Francis, G.S., Houser, S.R., Hunt, S.A., Konstam, M.A., Lindenfeld, J., Mann, D.L., Mehra, M.R., Pau, S.C., Piano, M.R., Ross, H.J., Sabbah, H.N., Starling, R.C., Udelson, J.E., Yancy, C.W., Zile, M.R., Massie, B.M. The Heart Failure Society of America in 2020: a vision for the future. Journal of Cardiac Failure. 18(2):90-93:2012. PMID: 22300775

Representative Presentations

Piano, M.R. Unhealthy ETOH Consumption. Davis Lecture Emory University, School of Nursing, April 11, 2017.

Piano, M.R. Health effects of marijuana, E-Cigarettes and vaping. Preventative Cardiovascular Nurses Association. Denver Colorado, April 6-9, 2017.

Piano, M.R. Distinguished Nurse Scientist lecture: The nurse scientist: Insights for this important role. Preventative Cardiovascular Nurses Association. Denver Colorado, April 6-9, 2017.

Piano, M.R., Bian J-T, Mahmound A, Kotlo, M, Phillips, S.A. Inhibition of miRNA restores impaired microvascular function in young adult binge drinkers. Gordon Conference - Alcohol End Organ Disease. Sponsored by the National Institute of Alcohol Abuse and Alcoholism. Ventura CA, March 21-16, 2017.

Piano, M.R. Risky drinking. University of Illinois College of Nursing Research Forum. Chicago, Illinois, March 3, 2017.

Piano, M.R. Plenary: Alcohol and CHD: It's Complicated. Australian Cardiovascular Nursing College 10th Annual Conference. Melbourne, Australia, March 4-5, 2016.

Piano, M.R. Plenary: Alternative smokeless tobacco products: friend or foe? Australian Cardiovascular Nursing College 10th Annual Conference. Melbourne, Australia, March 4-5, 2016.

Piano, M.R. Keynote: Alcohol intake and cardiovascular disease: An oxymoron? Mary MacKillop Institute for Health Research, Australian Catholic University, Melbourne, Australia, 2-3 March, 2016.

Piano, M.R. Alcohol-balancing benefits vs. risks. American Heart Association Scientific Sessions 2015, Orland Florida, Nov, 2015.

Piano, M.R. Binge drinking and cardiovascular risk. Introduction. 38th Annual Research Society on Alcoholism Scientific meeting, San Antonio Texas, June 20-24, 2015

Piano, M.R. Binge drinking and young adults: Definition and scope of the problem. 38th Annual Research Society on Alcoholism Scientific meeting, San Antonio Texas, June 20-24, 2015

Piano, M.R., Phillips, S.A.. The Effects of binge drinking on the cardiovascular system: Is it time for an eye opener (Piano, symposium organizer): Introduction. 38th Annual Research Society on Alcoholism Scientific meeting, San Antonio Texas, June 20-24, 2015.

Piano, M.R. Alcohol consumption: The fine line. The European Society of Cardiology. Barcelona Spain, August, 2014.

Piano, M.R. Unhealthy alcohol consumption. Department of Psychiatry, Addictions seminar, Northwestern University, Chicago, September 2013.

Piano, M.R. Unhealthy alcohol consumption. Seoul National University. Seoul, South Korea, July 2012. 

Piano, M.R., The effects of alcohol and tobacco smoke on the cardiovascular system. Kyung Hee University, Seoul, South Korea, July, 2012.

Reviewer

NIH, Center for Scientific Review, Ad Hoc Reviewer

  • 2014, Chair, Center for Scientific Review Special Emphasis Panel, RFA Panel: Tobacco Control Regulatory research. ZRG1 AARR G 56 (June and December meeting). 
  • 2013, Member, Center for Scientific Review Special Emphasis Panel, RFA Panel: Tobacco Control Regulatory research. ZRG1 AARR G 56 (November meeting)
  • 2016-present, Consulting Editor, European Journal of Cardiovascular Nursing
  • 2003-present, Editorial Board, Cardiovascular Toxicology
  • 2001-2016, Editorial Board, Circulation 
  • 1997-2015, Editorial Board, Journal of Cardiovascular Nursing

Manuscript Reviewer for: Alcohol, Clinical and Experimental Research, American Journal of Physiology, American Journal of Critical Care, Alcohol, Journal of the American College of Cardiology, Journal of Pharmacology and Toxicology

Professional Organizations

  • Member, Nominating Committee, American Academy of Nursing, 2016 -
  • Immediate Past Chair, American Heart Association, Council on Cardiovascular and Stroke Nursing Council, 2015-2017 
  • co-Chair, Diversity Task Force, American Heart Association, Council on Cardiovascular and Stroke Nursing Council, 2015-2017 
  • Chair, Nominating committee, American Heart Association, Council on Cardiovascular and Stroke Nursing, 2015-2017 
  • Chair, American Heart Association, Council on Cardiovascular and Stroke Nursing Council, 2013-2015 
  • Vice-Chair, American Heart Association, Council on Cardiovascular Nursing Council, 2011-2013 
  • Member, Executive Council, Heart Failure Society of America, 2006-2013 
  • Secretary, Executive Council, Heart Failure Society of America, 2012-2013
  • Member, Council on Cardiovascular Leadership Committee, National American Heart Association, 2004-2017

Honors/Awards

  • UIC College of Nursing Distinguished Researcher Award, 2017
  • Invited Speaker, Gordon Research Conference on Alcohol-Induced End Organ Diseases, National Institute of Alcohol Abuse and Alcoholism, 2017
  • University Scholar, University of Illinois at Chicago, 2016 
  • Nursing Collegiate Professor, University of Illinois College of Nursing, 2016 
  • Fellow, The Institute of Medicine Chicago, 2014
  • University of Illinois Graduate Mentoring Award, 2010
  • Katharine A. Lembright Distinguished Scientist Award, Council on CV Nursing, American Heart Association, 2008
  • Distinguished Alumnus Award, Loyola University of Chicago, 2007
  • Fellow of the American Academy of Nursing (FAAN), 2006
  • Fellow of the American Heart Association, 2000
  • American Heart Association Young Investigator Award, Council on Cardiovascular Nursing, 1994