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Cardiologists are warning people are dying years too young from heart failure because proper drugs aren't being funded and the Cardiac Society said Cardiovascular disease remains the number one cause of mortality in New Zealand. Dr Sarah Fairley from the Cardiac Society speaks to Susana Lei'ataua.
Heart services are being described as "in crisis" as much-needed drugs lack funding. The Cardiac Society is calling on Pharmac to cover chronic heart failure medicines with their funding boost. The drugs have been standard in cardiac care in the UK, Australia, and Canada; but here in New Zealand they are only funded for type 2 diabetics who meet certain criteria. Martin Stiles is the Chair of the NZ Cardiac Society, and he joins Andrew Dickens to discuss further. LISTEN ABOVESee omnystudio.com/listener for privacy information.
Join Rahul and Professor Stephen Nicholls as they pick apart the peculiarities of the Lp(a) particle. Steve wears many hats as a clinical trialist, lipidologist, leader of the Victorian Heart Institute and current president of the Cardiac Society of Australia and New Zealand.In this podcast, we talk about the structure and function of Lp(a), the evidence supporting Lp(a) as a risk factor for cardiovascular disease, how to approach testing for Lp(a) and finally how to manage someone with a high Lp(a). Steve is an investigator on many of the trials testing new Lp(a) lowering therapies and guides us on how the scene is likely to take shape in the next few years. Don't miss this one!
Wait times to see a specialist in New Zealand are ballooning. Te Whatu Ora data shows almost 60,000 people are waiting more than four months to get a first appointment at the specialist. That's up from nearly 36,000 a year ago. Cardiology, plastics, haematology and renal medicine are seeing the most growth in the number of referrals each month. New Zealand chair of the Cardiac Society of Australia and New Zealand Dr Selwyn Wong spoke to Ingrid Hipkiss.
Join us in this informative podcast as we sit down with Dr. Engelman and Dr. Grant, esteemed members of the ERAS Cardiac Society. In this engaging interview, they introduce themselves and share insights into their backgrounds. Delving deeper, they discuss their quality improvement programs and how they're revolutionizing patient care. Discover the strategies that have proven most successful in enhancing patient care within the operating room and intensive care unit. The doctors also draw from their extensive experience in implementing Enhanced Surgical Recovery programs, offering valuable insights into the outcomes achieved. To top it off, they share expert advice for clinical leaders on making the most of ERAS, making this podcast a must-listen for anyone in the healthcare field.This episode is sponsored by Edwards Lifesciences.
Enhanced Recovery After Surgery (ERAS) is a foundational aspect of perioperative medicine. This piece covers ERAS® Cardiac, a non-profit organization with the mission to develop evidence-based expert consensus statements promoting best practice recovery practices: https://www.erascardiac.org/about/our-team We discuss The Perioperative Quality Initiative: https://www.thepoqi.org/ We also discuss the value proposition for perioperatvie care, the need for open access medical information and collaboration in cardiac surgery. We discuss this paper in detail: Adult Cardiac Surgery-Associated Acute Kidney Injury: Joint Consensus Report: https://www.jcvaonline.com/article/S1053-0770(23)00340-3/fulltext Presented by Desiree Chappell and Monty Mythen with their guest Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates in Charlotte, NC.
A cardiac surgeon fears patients will die on waiting lists, as operations continue to be delayed. The Cardiac Society says patients needing urgent procedures are now waiting much longer than normal. Brain and cancer surgeries are also being delayed as the winter pressure on hospitals continues. Aanei te kai ripoata a Rosie Gordon.
Some acute heart patients are waiting weeks in hospital for an operation, too sick to go home but unable to get their surgery. Hospitals are under huge pressure with staff shortages, Covid-19 and winter illnesses and the stress is also being felt in intensive care. Most hospitals have been delaying non-urgent surgery to cope. But cardiologist Selwyn Wong, who also chairs the Cardiac Society, says urgent procedures are also being delayed. He spoke to Corin Dann.
Professor Harvey White is a Cardiologist and Director of the Cardiovascular Research Unit, Auckland City Hospital. He is an Honorary Professor of Medicine University of Auckland and Fellow of the Royal Society of New Zealand. Harvey trained at Green Lane Hospital, Auckland and Harvard and Brigham and Women's Hospital, Boston. He is the John Neutze Scholar. In recognition of his work on end-systolic volumes as the most important modifiable prognostic factor following myocardial infarction, he was awarded DSc by Otago University. He was awarded the Prince Mahidol Award by the King of Thailand for introducing fibrinolytic therapy in developing countries, including China. He is a Matai (La'uli) in Samoa for services to Samoa, and has a “pou” in the Te Awamutu Walk of Fame recognising his contribution to decreasing heart disease. He is Co-chairman of the Redefinition of Myocardial Infarction Consensus group and defined the 5 types of MIs. He is senior author on the Bleeding Academic Consortium (BARC) to define bleeding. He has been a member of numerous guideline groups. He is a member of the Cholesterol Treatment Trialists' (CTT) Collaboration and is on 16 editorial Boards. He has over 1000 publications and 77 editorials with an H Score 121.He gave the most prestigious International Society and Federation of Cardiology lecture at the European Society of Cardiology in 1993, and Paul Dudley White lectures at the American Heart Association in 2004 and at American College of Cardiology in 2011. Harvey is recognised in the top 1% of scientists worldwide and No 5 for publication of RCT-related articles in all high-impact-factor medical journals over the past five decades. He was also awarded the highest collaboration index. He has been NZ Chairman and President of the combined Cardiac Society of Australia and New Zealand. He was awarded the Inaugural Gold Medal at the Cardiac Society of Australia and New Zealand Annual Scientific Meeting 2019 for outstanding contribution to Cardiology.He introduced the 10 year earlier screening for Mᾱori in the absolute risk assessment and has presented this to the Health Committee on doing that for colonic screening; published on worse outcomes for Mᾱori after bypass surgery; has a Pou in the Te Awamutu rose gardens; introduced the Mᾱori byline for the New Zealand Medical Association and as chairman of the New Zealand Medical Services Board is responsible for the New Zealand Medical Journal. He has also had multiple visits to Samoa doing clinics, including a WHO report, attending the 50th annual meeting of the Samoan Medical association, and a matai title La'auli, the highest mountain, for services to Samoa.In this episode, we discuss his extensive and prolific journey in research, his work in Samoa and Māori health, and his love for cardiology. As always, if you have any feedback or queries, or if you would like to get in touch with the speaker, feel free to get in touch at doctornos@pm.me.Audio credit:Bliss by Luke Bergs https://soundcloud.com/bergscloudCreative Commons — Attribution-ShareAlike 3.0 Unported — CC BY-SA 3.0Free Download / Stream: https://bit.ly/33DJFs9Music promoted by Audio Library https://youtu.be/e9aXhBQDT9YSupport the show
Spinal cord stimulation to prevent post-cardiac surgery AF, statin intolerance, heart failure with preserved ejection fraction, and Vitamin D are discussed by John Mandrola, MD, in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com//twic I Post-Cardiac Surgery AF Spinal Cord Stimulation May Cut AF After Cardiac Surgery https://www.medscape.com/viewarticle/968478 • Autonomic Neuromodulation for Atrial Fibrillation Following Cardiac Surgery: JACC Review Topic of the Week https://www.jacc.org/doi/10.1016/j.jacc.2021.12.010 • Temporary Spinal Cord Stimulation to Prevent Postcardiac Surgery Atrial Fibrillation: 30-Day Safety and Efficacy Outcomes https://www.jacc.org/doi/10.1016/j.jacc.2021.08.078 II – Statin Intolerance Statin Intolerance 'Overestimated and Overdiagnosed' https://www.medscape.com/viewarticle/968627 • Prevalence of statin intolerance: a meta-analysis https://doi.org/10.1093/eurheartj/ehac015 III – HFpEF Risk in Preserved-EF HF Varies With Normal vs High Natriuretic Peptides https://www.medscape.com/viewarticle/968748 • Heart failure with preserved ejection fraction in patients with normal natriuretic peptide levels is associated with increased morbidity and mortality https://doi.org/10.1093/eurheartj/ehab911 • Universal definition and classification of heart failure: a report of the Heart Failure Society of America, Heart Failure Association of the European Society of Cardiology, Japanese Heart Failure Society and Writing Committee of the Universal Definition of Heart Failure: Endorsed by the Canadian Heart Failure Society, Heart Failure Association of India, Cardiac Society of Australia and New Zealand, and Chinese Heart Failure Association https://pubmed.ncbi.nlm.nih.gov/33605000/ Features: Why Is Vitamin D Hype So Impervious to Evidence? https://www.medscape.com/viewarticle/968682 You may also like: Medscape editor-in-chief Eric Topol, MD, and master storyteller and clinician Abraham Verghese, MD, on Medicine and the Machine https://www.medscape.com/features/public/machine The Bob Harrington Show with Stanford University Chair of Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact: news@medscape.net
"The goal of ERAS® Cardiac is when you leave one of our meetings, you're going to be chock full of tips and tricks that you can take back and implement, if not the next day, then in the next week or next month." TopMedTalk's coverage of The Society for Enhanced Recovery After Cardiac Surgery (ERAS® Cardiac) conference continues with a conversation that covers the nuggets and insights that a conference such as this delivers. This exclusive chat is only possible thanks to the support of the society who's excellent website is here: https://erasvirtual2021.com/ "I think that also your [TopMedTalk] platform is going to be key. We need to have more of these podcasts. We need short little vignettes, eight to 15 minutes that people can listen to in the car on the way home where they learn and thought leaders having interactive discussions and get ideas. And that's the future really of education" Presented by Desiree Chappell with her guests, Seenu Reddy, Cardiothoracic Surgeon at HCA‘s TriStar Cardiovascular Surgery in Nashville, National Physician Director for HCA Healthcare's CV Service line and Daniel Engelman, Cardiac Surgeon, Medical Director of the Heart, Vascular and Critical Care Units at Baystate Medical Center, Associate Professor of Surgery at The University of Massachusetts - Baystate, Associate Professor-Adjunct at Tufts University School of Medicine and President of the ERAS Cardiac international Society.
"You didn't have to think about it, the compliance continued, because it was so standardized. We had a well oiled machine that just kept on working through COVID". The Society for Enhanced Recovery After Cardiac Surgery (ERAS® Cardiac)'s conference has gotten off to a great start; this exclusive chat gets into some of the stand out moments so far; nutrition, data collection, the essentials of ERAS and the importance of standardization. For more information on the conference check out https://www.erascardiac.org/ We mention Dan Engelman in this piece, he features in this popular conversation from the TopMedTalk archives here: https://www.topmedtalk.com/sunday-special-preoperative-optimization-framing-up-the-value-proposition/ Paul Wischmeyer gets mentioned on this piece as a "fan favourite", he features frequently. If you've not yet heard him start with this podcast - one of our most popular so far - here: https://www.topmedtalk.com/topmedtalks-to-dr-paul-wischmeyer/ Presented by Desiree Chappell with her guests Gina McConnell, ERAS Coordinator for all WakeMed health systems and Cheryl Crisafi, Cardiac Surgery Care Coordinator Nurse at Baystate Medical Center in Springfield, MA.
"The goal of ERAS® Cardiac is when you leave one of our meetings, you're going to be chock full of tips and tricks that you can take back and implement, if not the next day, then in the next week or next month." TopMedTalk's coverage of The Society for Enhanced Recovery After Cardiac Surgery (ERAS® Cardiac) conference continues with a conversation that covers the nuggets and insights that a conference such as this delivers. This exclusive chat is only possible thanks to the support of the society who's excellent website is here: https://erasvirtual2021.com/ "I think that also your [TopMedTalk] platform is going to be key. We need to have more of these podcasts. We need short little vignettes, eight to 15 minutes that people can listen to in the car on the way home where they learn and thought leaders having interactive discussions and get ideas. And that's the future really of education" Presented by Desiree Chappell with her guests, Seenu Reddy, Cardiothoracic Surgeon at HCA‘s TriStar Cardiovascular Surgery in Nashville, National Physician Director for HCA Healthcare's CV Service line and Daniel Engelman, Cardiac Surgeon, Medical Director of the Heart, Vascular and Critical Care Units at Baystate Medical Center, Associate Professor of Surgery at The University of Massachusetts - Baystate, Associate Professor-Adjunct at Tufts University School of Medicine and President of the ERAS Cardiac international Society.
"You didn't have to think about it, the compliance continued, because it was so standardized. We had a well oiled machine that just kept on working through COVID". The Society for Enhanced Recovery After Cardiac Surgery (ERAS® Cardiac)'s conference has gotten off to a great start; this exclusive chat gets into some of the stand out moments so far; nutrition, data collection, the essentials of ERAS and the importance of standardization. For more information on the conference check out https://www.erascardiac.org/ We mention Dan Engelman in this piece, he features in this popular conversation from the TopMedTalk archives here: https://www.topmedtalk.com/sunday-special-preoperative-optimization-framing-up-the-value-proposition/ Paul Wischmeyer gets mentioned on this piece as a "fan favourite", he features frequently. If you've not yet heard him start with this podcast - one of our most popular so far - here: https://www.topmedtalk.com/topmedtalks-to-dr-paul-wischmeyer/ Presented by Desiree Chappell with her guests Gina McConnell, ERAS Coordinator for all WakeMed health systems and Cheryl Crisafi, Cardiac Surgery Care Coordinator Nurse at Baystate Medical Center in Springfield, MA.
Leading cardiologist, Dr. Ross Walker, discusses a new study published in "Heart, Lung and Circulation" (published by Elsevier for the Australian and New Zealand Society of Cardiac and Thoracic Surgeons and the Cardiac Society of Australia and New Zealand) that evaluates ubiquinol, the active form of the powerful antioxidant CoEnzyme Q10, for heart health in patients who are taking cholesterol management medication.
Professor David Brieger is an interventional cardiologist and head of the coronary care and coronary interventions at Concord Hospital and Professor of Cardiology, University of Sydney. His particular clinical interests include coronary disease and atrial fibrillation. He is the lead author of the 2018 National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand: Australian Clinical Guidelines for the Diagnosis and Management of Atrial Fibrillation 2018. https://www.heartfoundation.org.au/conditions/atrial-fibrillation-for-professionals If you find these podcasts valuable, rating it 5 stars and leaving a review in iTunes or Facebook is a huge help. For more podcasts and resources for both health professionals and patients including websites, courses, apps, books and more, please check out www.thegpshow.com Facebook: @TheGPShow.podcast Twitter/Instagram: @drsammanger (new) Youtube: Dr Sam Manger (new) If you would like to provide feedback or request a topic you can contact us or complete a quick survey at www.thegpshow.com Thank you for listening and supporting.
The founder of crazysocks4docs movement. Dr. Geoff Toogood is a Cardiologist and specialist consulting Aviation Cardiologist who has practiced for 20 years on the Mornington Peninsula. He has held The Director of Cardiology position at Frankston Hospital and is a Fellow of the College of Physicians, Cardiac Society and the prestigious Heart Rhythm Society. He has lived experience of both depression and anxiety. He faced stigma and discrimination at many levels and was determined that once recovered he would create awareness movement to break down the stigma faced by health professionals. He wants to reduce Doctors suicide round the world.CRAZYSOCKS4DOCS DAY IS 7 JUNE POST YOUR CRAZY SOCK PHOTOS & TAG #CrazySocs4DocsIf you are a Doctor needing help know there is help available, below are only some of the options available: See your GPAMA ANONYMOUS PEER SUPPORT line 1300 853 338 (Note you do not need to be a member to access this line)RACGP GP support 1800 331 626 / membership@racgp.org.auVictorian Doctors Health Program (03) 9495 6011 / vdhp@vdhp.org.auLifeline 13 11 14
Dan and Kristin welcomed Cia Connell back to the podcast to tell us about some recent publications to guide management of atrial fibrillation. Cia is a clinical manger with the Heart Foundation and a specialist cardiology pharmacist. We cover a lot of ground in this episode, from the basics of rate vs rhythm control to the most recent international guidelines. You can read more here: The AUGUSTUS trial The CABANA trial National Heart Foundation of Australia and the Cardiac Society of Australia and New Zealand: Australian Clinical Guidelines for the Diagnosis and Management of Atrial Fibrillation 2018 The Apple Heart Study If you’re a cardiology nerd like Cia and Dan, you should check out some of our other episodes: Episode 3: New anticoagulants with Cia Connell Episode 15: Controversies about lipid-lowering therapies with Dr Rochelle Gellatly Episode 20: Heart failure with Dr Rochelle Gellatly Episode 41: Hot topics in cardiology with Garth Birdsey Episode 49: Therapeutic Guidelines: Cardiovascular version 7
Today I am joined by A/Professor David Colquhoun, Cardiologist, Lipidologist, President of the QLD Heart Foundation, Co-President of the Clinical and Preventative Council of the Cardiac Society of Australia and New Zealand, and Senior Lecturer at the University of Queensland School of Medicine. He has dedicated his life to reducing cardiovascular disease, and pleasingly with a strong focus on improving lifestyle factors. Risk assessment and importance of using overall risk instead of single factors, Calcium score scan use, Risk calculation in those >75 years, Risk assessment and treatment options including mediterranean diet, exercise, mental health, social isolation, even owning dogs versus cats! Fibrates and triglycerides Post production: Mediterranean Diet detail and benefits Statins - efficacy, indication, side effects (fatigue, myalgia, diabetes, memory/cognitive impairment, rhabdomyolysis, haemorrhagic stroke) and bias in statin studies Calcium Score Scans - http://www.csanz.edu.au/wp-content/uploads/2016/11/CAC_Position-Statement_Exec-Summary_ratified-4-August-2016.pdf Mediterranean Diet: https://academic.oup.com/eurheartj/article/37/39/2999/2414995/2016-ESC-EAS-Guidelines-for-the-Management-of https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2684076/ https://www.ncbi.nlm.nih.gov/pubmed/26528631 http://www.bmj.com/content/337/bmj.a1344 Statins: https://www.ncbi.nlm.nih.gov/pubmed/27838722 Fatigue - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4285455/ Memory - https://www.ncbi.nlm.nih.gov/pubmed/24247674 Diabetes - https://www.ncbi.nlm.nih.gov/pubmed/25887679 Myalgia/stroke - http://www.thelancet.com/pdfs/journals/lancet/PIIS0140-6736(16)31357-5.pdf, https://www.mja.com.au/system/files/issues/ham00039.pdf Bias - http://www.bmj.com/content/349/bmj.g5949
Today I am joined by A/Professor David Colquhoun, Cardiologist, Lipidologist, President of the QLD Heart Foundation, Co-President of the Clinical and Preventative Council of the Cardiac Society of Australia and New Zealand, and Senior Lecturer at the University of Queensland School of Medicine. He has dedicated his life to reducing cardiovascular disease, and pleasingly with a strong focus on improving lifestyle factors. Part 1 - Cholesterol and CVD risk, Lipid "hypothesis" - is it still a hypothesis? Cholesterol physiology, Measuring sub-fractions and receptor ratios - is there a point? Reducing cholesterol LDL and CVD risk with medication statins, ezetemide and lifestyle, Measuring fasting vs non fasting cholesterol, Cholesterol relevance in age - is it a risk or protective factor? Do statins reduce risk regardless of cholesterol? Part 2 - CVD risk assessment and treatment, Risk assessment and importance of using overall risk instead of single factors, Calcium score scan use, Risk calculation in those >75 years, Risk assessment and treatment options including mediterranean diet, exercise, mental health, social isolation, even owning dogs versus cats! Fibrates and triglycerides, Statins and side effects = what's the evidence? Further reading: https://www.heartfoundation.org.au/images/uploads/publications/Absolute-CVD-Risk-Full-Guidelines.pdf CVD risk, low LDL and artherosclerosis regression https://www.mja.com.au/system/files/issues/ham00039.pdf Fasting vs non-fasting cholesterol testing - https://www.rcpa.edu.au/getattachment/0961c6d1-ec80-4500-8dc0-de516500e05b/Lipid-and-lipoprotein-testing.aspx Mediterranean Diet and CVD - https://www.ncbi.nlm.nih.gov/pubmed/26528631 https://academic.oup.com/eurheartj/article/37/39/2999/2414995 http://www.bmj.com/content/337/bmj.a1344 Calcium Score Scans - http://www.csanz.edu.au/wp-content/uploads/2016/11/CAC_Position-Statement_Exec-Summary_ratified-4-August-2016.pdf Evidence and resources for part 2 will be placed in part 2 show notes Cheers all
Editor-in-Chief Dr Catherine Otto talks to Dr Elizabeth Mostofsky at the Cardiac Society of Australia & New Zealand meeting in Melbourne. They discuss the various environmental, physical and psychological triggers for heart disease.
Editor-in-Chief Dr Catherine Otto talks to Dr David Calemajer at the Cardiac Society of Australia & New Zealand meeting in Melbourne. They discuss his session on managing the large spectrum of Ebstein's anomaly in adults in the absence of RCT data.
Editor-in-Chief Dr Catherine Otto talks to Dr Carolyn Lam at the Cardiac Society of Australia & New Zealand meeting in Melbourne. They discuss her session on heart failure with preserved ejection fraction.