Hypertrophic Cardiomyopathy: Diagnosis, Treatment, and Team-Based Care

Treating inflammation in cardiovascular disease includes helping patients to understand the safety and efficacy of prescription and over-the-counter products. Joseph Saseen, Pharm D, FNLA, CLS discusses best practices in clinical decision-making, mechanisms of action , and guideline-based evidence for various anti-inflammatory medications.

2023 AHA/ACC Guideline for the Management of Patients with Chronic Coronary Disease: https://www.ahajournals.org/doi/pdf/10.1161/CIR.0000000000001168

CANTOS trial: https://www.nejm.org/doi/full/10.1056/nejmoa1707914

ACC guidelines & clinical documents: https://www.acc.org/Guidelines

ICER (Institute for Clinical and Economic Review): https://icer.org/

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Excess fat cells have the potential to cause more than 200 other obesity-associated disorders, including cardiovascular disease and diabetes. Guest Angela Golden, DNP, FNP-C, FAANP, FOMA, discusses effective communication strategies, resources, and treatments to assist patients with overweight and obesity live their healthiest life.

STOP Obesity Alliance: https://stop.publichealth.gwu.edu/

Canada Obesity Alliance resources HCPs and patients: https://obesitycanada.ca/

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[CE contact hours--see below.] While cardiac rehabilitation can reduce disease progression, these programs are significantly underutilized. Learn from guest Robert Scales, PhD about strategies for improved patient health, including using a combination of well-planned facility- and home-based exercise.

American Association of Cardiovascular and Pulmonary Rehabilitation: (ACVPR): aacvpr.org

CE LINK: pcna.net/online-course/cardiac-rehabilitation-makes-a-difference-ce-podcast

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What is the role of a nurse navigator--whether or not that is your job title? Guest Susan Bush, RN, BSN, CCRP, FPCNA, describes how these individuals can help patients with heart failure and other diseases find information, resources, support, and much more. 

PCNA heart failure resources for patients: https://pcna.net/clinical-resources/patient-handouts/heart-failure-tools-and-handout/

PCNA heart failure resources for professionals: https://pcna.net/clinical-resources/provider-tools/heart-failure-provider-tools/

American Association of Heart Failure Nurses: https://www.aahfn.org/

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Team-based cared for patients with heart failures and related comorbidities is an effective management practice, helping support patients in both inpatient settings and beyond. Guest Anita Rich, DNP, RN, CHFN, CDCES, describes how to instill confidence in team members, be an effective change agent, and inspire hope in these complex patients. 

PCNA membership: https://pcna.net/member-center/join-pcna/

Heart Failure Nurse Certification: https://www.aahfn.org/mpage/certificationboard

2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: https://www.ahajournals.org/doi/full/10.1161/CIR.0000000000001063

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Caring for yourself can help you in your role of helping others. Learn strategies to nurture well-being in your daily life, and the ripple effects that can positively influence those around you, including in the workplace. Guest: Keith Jones, MA, BS

Tips for embracing joy in daily life: https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/tips-for-embracing-joy-in-daily-life

Joy in the Workplace: The Mayo Clinic Experience: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10248366/

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What are the latest guidelines for the prevention, diagnosis, and treatment of heart failure (HF)? Guest Nancy Albert, PhD, CCNS, CHFN, CCRN, NE-BC, FAHA, discusses new HF classifications, diagnostic strategies including BNP measurement, the four pillars of HF medications, and overcoming barriers to ensure the most effective treatment for our patients..

Four pillars: 2022 AHA/ACC/HFSA Guideline for the Management of Heart Failure: https://professional.heart.org/en/science-news/2022-guideline-for-the-management-of-heart-failure

Heart Failure Society of America (HFSA): https://hfsa.org/

American Society of Heart Failure Nurses: https://www.aahfn.org/

PCNA HF Resources for Patients: https://pcna.net/clinical-resources/patient-handouts/heart-failure-tools-and-handout/

PCNA HF Resources for Professionals: https://pcna.net/clinical-resources/provider-tools/heart-failure-provider-tools/ 

PCNA HF online courses: https://pcna.net/professional-development/online-learning/

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The prevalence of mental health issues is greater in patients with cardiovascular disease than the general population--but do you know what to look for? Guest Valerie Hoover, PhD, discusses the connection of both positive and negative psychological factors on cardiac outcomes, the importance of symptom recognition, and how regular screening for depression using a validated tool can make a significant difference for patients.

Assessment of Depression and Depressive Systems. Depression and Coronary Heart Disease (AHA 2008): https://www.ahajournals.org/doi/full/10.1161/circulationaha.108.190769 

Screening and Management of Depression in Patients with CVD (ACC 2019): https://www.jacc.org/doi/abs/10.1016/j.jacc.2019.01.041 

Depression Screening and Treatment Guidlines in Cardiac Patients (2022). https://www.ahajournals.org/doi/10.1161/CIRCOUTCOMES.122.009338 PHQ-2: https://www.hiv.uw.edu/page/mental-health-screening/phq-2 

Comparison of PHQ-2 and PHQ-9 to Predict Death or Rehospitalization in Heart Failure (Circulation, 2015): https://www.ahajournals.org/doi/full/10.1161/circheartfailure.114.001488 

PHQ-2 and PHQ-9 (Heart Foundation): https://www.heartfoundation.org.au/getmedia/52e4d9ab-dbb1-47a6-bb41-94b986176910/Depression-screening-support-tool.PDF 

Cardiac Distress Inventory (Australian Centre for Heart Health): https://www.australianhearthealth.org.au/resources/p/cardiac-distress-inventory

Psychosocial Factors and CVD (JACC 2020): https://www.ahajournals.org/doi/10.1161/JAHA.120.017112 

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Learn about advocacy actions that you can take every day, and the importance of nurses sharing their voices on issues that matter. Guest Lynne Braun, PhD, CNP, CLS, FAHA, FPCNA, FAAN, describes how to get involved, and shares examples of engagement that made a difference.

PCNA Advocacy Toolkit https://pcna.net/about/advocacy/advocacy-toolkit/

PCNA Advocacy https://pcna.net/about/advocacy/

PCNA Advocacy Award--nominate your self or others; submissions open July through November. https://pcna.net/member-center/member-benefits/awards/advocacy-award/ 

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One in two U.S. adults has an elevated blood pressure, and for those that have hypertension, only one in four have it controlled. Guest Janet Wright, MD, FACC, describes the critical role nurses play in detection and management, strategies, and resources to help health care professionals and patients partner on accurate blood pressure monitoring.

PCNA Patient Education Resources: https://pcna.net/clinical-resources/patient-handouts/hypertension-patient-tools-and-handouts/ 

AHA Blood Pressure Toolkit: https://www.heart.org/en/health-topics/high-blood-pressure/high-blood-pressure-toolkit-resources 

AMA Hypertension Resources: https://www.ama-assn.org/delivering-care/hypertension 

Million Hearts: https://millionhearts.hhs.gov/ 

CDC: https://www.cdc.gov/bloodpressure/index.htm 

Hypertension Control Change Package: https://millionhearts.hhs.gov/tools-protocols/action-guides/htn-change-package/index.html 

Live to the Beat: https://millionhearts.hhs.gov/partners-progress/partners/live-beat-campaign-toolkit.html 

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