Heart to Heart Nurses

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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Guests Gwen Klinkner, DNP, RN, BC-ADM, CDCES, FADCES, and Melissa Magwire, RN, MSN, CDCES describe how to help patients with diabetes navigate behavior change principles to achieve glucose management including nutrition and exercise. They also examine pharmacotherapies for weight loss with glucose-lowering medications.

CE Link: pcna.net/podcast/euglycemia

SURMOUNT Trials: https://www.nejm.org/doi/full/10.1056/NEJMoa2206038 

ADCES: https://www.diabeteseducator.org/

PNCA.net 

AHA.org 

Association of glycaemia with macrovascular and microvascular complications of type 2 diabetes: doi: 10.1136/bmj.321.7258.405

Comprehensive Management of Cardiovascular Risk Factors for Adults With Type 2 Diabetes: AHA Scientific Statement: doi:10.1161/CIR.0000000000001040

Diabetes Self-management Education and Support in Adults With Type 2 Diabetes: A Consensus Report of the ADA, ADCES, AND, AAFP, AAPA, AANP, APhA: doi:10.1177/0145721720930959

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Nancy Albert, APN, and Rimsky Denis, MD discuss current studies in ASCVD risk reduction for patients with--or at risk for--Type 2 Diabetes. Thay also describe strategies for shared decision-making in clinical practice for managing both cardiovascular disease and diabetes. 

CE LINK: pcna.net/podcast/understanding-and-reducing-cardiovascular-and-cardiometabolic-risks

American Heart Association, aha.org

American College of Cardiology, acc.org

Preventive Cardiovascular Nurses Association, pcna.net

Heart Failure Society of America, hfsa.org

American Diabetes Association, diabetes.org

PCNA Behavior Change Mini-Certificate: https://pcna.net/online-course/behavior-change-mini-certificate-2/

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The available novel diabetes therapies and their impact on cardiovascular and cardiometabolic risk reduction are discussed by guests Chris Memering, MSN, RN, CDCES, BC-ADM, FADCES, and Sun Kim, MD. A particular emphasis on GLP-1 receptor agonists, and the patients for whom they are guideline recommended, as well as ongoing research are also covered.

CE LINK: pcna.net/podcast/novel-diabetes-therapies-in-cvd-risk-reduction

GLP-1 RAs: An updated reivew of head-to-head clinical studies: https://pubmed.ncbi.nlm.nih.gov/33767808/ 

GLP1-RAs: CV benefts & mechanisms of action (Ussher & Drucker): https://pubmed.ncbi.nlm.nih.gov/36977782/ 

GLP-1 & Underlying Beneficial Actions in Alzheimer's disease, Hypertension, & NASH: ttps://pubmed.ncbi.nlm.nih.gov/34552561/

Incretins & microvascular complications of diabetes: https://pubmed.ncbi.nlm.nih.gov/37597048/ 

Management of Type 2 Diabetes 2022. A Consensus Report by ADA, EASD. doi: 10.2337/dci22-0034.

ADA Standards of Care in Diabetes 2023. https://diabetesjournals.org/care/issue/46/Supplement_1

AACE Consensus Statement: Comprehensive Type 2 Diabetes Management Algorithm--2023 Update. 

https://www.endocrinepractice.org/article/S1530-891X(23)00034-4/fulltext

Cardio-renal-metabolic connection: a review of the Evidence. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10391899/pdf/12933_2023_Article_1937.pdf 

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Utilizing team- and patient-based care makes a significant impact on our patients, including those with hypertension and diabetes. Guest Thomas Hinneh, MScIH, BScN, RN, shares his experience and inspiration from his work in Ghana, with takeaways we all can utilize in clinical practice.

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

PCNA diabetes resources for HCPs: https://pcna.net/clinical-resources/provider-tools/diabetes-provider-tools/

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

HI Foundation Ghana: https://hifoundationgh.org/ 

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Take 1 minute to tell us what you think about this episode: pcna.net/PSVTeval

Guest Mary Janette Sendin, MSN, APRN-CNS, CCNS, PCCN describes traditional pharmacologic and non-pharmacologic treatment options for PSVT such as vasovagal technique. Janette also discusses current research into treatment options.

ESC Guideline: Brugada J, Katritsis DG, Arbelo E, et al. 2019 ESC Guidelines for the management of patients with supraventricular tachycardia The Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC). Eur Heart J. 2020;41(5):655-720.

AHA Guideline: Page RL, et al. 2015 ACC/AHA/HRS Guideline for the Management of Adult Patients With Supraventricular Tachycardia: A Report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines and the Heart Rhythm Society. Circulation. 2016;133(14):e506-e574. 

Etripamil study: Brugada J, Katritsis DG, Arbelo E, et al. 2019 ESC Guidelines for the management of patients with supraventricular tachycardia The Task Force for the management of patients with supraventricular tachycardia of the European Society of Cardiology (ESC). Eur Heart J. 2020;41(5):655-720.

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Take 1 minute to tell us what you think about this episode: pcna.net/PSVTeval

Guests Mary Janette Sendin, MSN, APRN-CNS, CCNS, PCCN, and Daniel Weinstein discuss the patient journey for those with PSVT, and the challenges that can delay diagnosis for some individuals. The importance of patient-centered care in the healthcare setting and beyond is also part of the conversation.

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Take 1 minute to tell us what you think about this episode: pcna.net/PSVTeval

Kathryn Wood, PhD, RN, FAHA, FAAN, discusses paroxysmal supraventricular tachycardia (PSVT) and other similar episodic rapid heart rate conditions. Dr. Wood describes pathophysiology, prevalence, symptoms, and disparities related to diagnosis and treatments, and also shares helpful resources for both providers and patients.

Kathy Wood's 2015 paper with PSVT images and details: Wood K. Mechanisms and clinical manifestations of supraventricular tachycardias. Prog Cardiovasc Nurs. 1995;10(2):3-14.

Symptom research: Wood KA, Drew BJ, Scheinman MM. Frequency of disabling symptoms in supraventricular tachycardia. Am J Cardiol. 1997;79(2):145-149.

Symptom research: McCabe PJ, Chamberlain AM, Rhudy L, DeVon HA. Symptom Representation and Treatment-Seeking Prior to Diagnosis of Atrial Fibrillation. West J Nurs Res. 2016;38(2):200-215.

Symptom research: McCabe PJ, Rhudy LM, Chamberlain AM, DeVon HA. Fatigue, dyspnea, and intermittent symptoms are associated with treatment-seeking delay for symptoms of atrial fibrillation before diagnosis. Eur J Cardiovasc Nurs. 2016;15(6):459-468.

Symptom research: McCabe PJ, Rhudy LM, DeVon HA. Patients' experiences from symptom onset to initial treatment for atrial fibrillation. J Clin Nurs. 2015;24(5-6):786-796.

Symptom research: Streur M, Ratcliffe SJ, Callans D, Shoemaker MB, Riegel B. Atrial fibrillation symptom clusters and associated clinical characteristics and outcomes: A cross-sectional secondary data analysis. Eur J Cardiovasc Nurs. 2018;17(8):707-716.

Disparities: Gleason KT, Nazarian S, Dennison Himmelfarb CR. Atrial Fibrillation Symptoms and Sex, Race, and Psychological Distress: A Literature Review. J Cardiovasc Nurs. 2018;33(2):137-143.

Patient preferences in AFib education: Lane DA, Aguinaga L, Blomström-Lundqvist C, et al. Cardiac tachyarrhythmias and patient values and preferences for their management (EHRA, HRS, APHRS, SOLEACE consensus document). Europace. 2015;17(12):1747-1769. DOI: 10.1093/europace/euv233

ESC Guidelines: Eur Heart J. 2021 Feb 1;42(5):373-498. doi: 10.1093/eurheartj/ehaa612.

AHA My AFib Experience: https://supportnetwork.heart.org/s/myafibmain

StopAFib.org

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Health inequities affect a variety of health issues, including the chronic condition of obesity. In this episode, learn about the disparate impacts of social determinants of health (SDOH) on obesity. Guests Yvonne Commodore Mensah, PhD, MHS, RN, & Tiffany Powell-Wiley MD, MPH, also investigate how adoption of a holistic approach can positively impact obesity treatment, and how activating community health initiatives can help decrease rates of obesity in our patients.

Recorded in partnership with Medical Alley and the Association of Black Cardiologists.

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How do we effectively address the increasing strain on an already overwhelmed workforce? Guests Nikki Akparewa, RN, MSN/MPH, and Michelle Johnson, MD, MPH, describe how burnout, turnover, and early retirement are impacting health care professionals, and how training and education can lead to a better workplace.

Recorded in partnership with Medical Alley and the Association of Black Cardiologists.

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Guests Rimsky Denis, MD, MPH, MBA, and Ms. Sam Hoeffler discuss community-based strategies for improving health outcomes and promoting health equity. Specific initiatives include health fairs, barbershops, increasing communication in disenfranchised communities, improving outcomes in hypertension, and increasing access to healthy food.

Recorded in partnership with Medical Alley and the Association of Black Cardiologists.

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