Heart to Heart Nurses

In the final of this three-part content series join colleagues Amy Chybowski, NP and Jonathan Milton, MA, BSN, RN, CCRN-CMC as they discuss the different treatment pathways for patients with pulmonary hypertension (PH). Learn about the three different treatment options and the important role of team-based care. Pulmonary Hypertension Association Patient Resources https://phassociation.org/patients/resources/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this second episode of a three-part content series on pulmonary hypertension (PH) we sit down with Raza Farhan, MD and discuss the diagnosis journey of PH. Dr. Raza describes the nuances behind PH WHO groups and dives into right heart catheterizations. Performance and Interpretation of Invasive Hemodynamic Exercise Testing https://www.sciencedirect.com/science/article/abs/pii/S0012369220316172?casa_token=iATn9dmahAoAAAAA:xYsWsL7K7b2TSaYn6ecXbe9fwm1hcdvIDLD7gLEj51KGB98GXgfUyI7GP7NAxD_fgDUJLvdf Distinguishing exercise intolerance in early‐stage pulmonary hypertension with invasive exercise hemodynamics: Rest V E/VCO2 and ETCO2 identify pulmonary vascular disease https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9286332/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Hear from guests Traci Housten, RN, MS and Lisa Maher, DNP, ARNP, FNP-BC, FPCNA in the first episode of this three-part content series on pulmonary hypertension (PH). Traci and Lisa discuss the complexity around recognizing PH from both the general cardiology and specialty clinician standpoint and dive into what providers should be on the lookout for and which tests can be ordered. They also discuss how family history can play a role, the incidence of pulmonary hypertension, and the impact of a delayed diagnosis. Plumonary Hypertension Association www.phassociation.org Galiè N, Channick RN, Frantz RP, Grünig E, Jing ZC, Moiseeva O, Preston IR, Pulido T, Safdar Z, Tamura Y, McLaughlin VV. Risk stratification and medical therapy of pulmonary arterial hypertension. Eur Respir J. 2019 Jan 24;53(1):1801889. doi: 10.1183/13993003.01889-2018. PMID: 30545971; PMCID: PMC6351343. Hoeper MM, Ghofrani HA, Grünig E, Klose H, Olschewski H, Rosenkranz S. Pulmonary Hypertension. Dtsch Arztebl Int. 2017;114(5):73-84. doi:10.3238/arztebl.2017.0073  Lung Association Pulmonary Hypertension Facts https://www.lung.org/lung-health-diseases/lung-disease-lookup/pulmonary-arterial-hypertension/learn-about-pulmonary-arterial-hypertension#:~:text=PAH%20is%20most%20common%20in,each%20year%20in%20the%20U.S.  See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Hypertension prevention and management is a keystone strategy in reducing CVD risk globally, and guest Eileen Handberg, PhD, ANP-BC, FAHA, FACC, FPCNA, compels nurses to continue to play key leadership roles in this endeavor. Dr. Handberg also shares the importance of involvement in professional associations. PCNA patient ed tools: 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 INVEST Trial: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2800790/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Guest Cindy Lamendola, MSN, NP, FAHA, FPCNA, describes the connections between CVD and diabetes, and related tools for both health care professionals (HCPs) and patients. Cindy also discusses clinical trials, and the role each HCP plays in ensuring representation by diverse populations.  Global Heart Hub: https://globalhearthub.org/  Know Diabetes by Heart: https://www.knowdiabetesbyheart.org/ Interactive patient education: Diabetes and Your Heart: Close Connections: https://pcna.net/clinical-resources/patient-handouts/diabetes-tools-and-handouts/ HCP Tool: Guidelines for Managing Cardiovascular Disease Risk in Patients with Diabetes: https://pcna.net/clinical-resources/provider-tools/diabetes-provider-tools/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Improving outcomes for patients with CVD requires team-based care and effectively addressing multiple risk factors. Guest Barbara Fletcher, RN, MN, FAHA, FPCNA, FAAN, highlights prevention strategies, and how nurses across the globe can learn from the Cardiovascular Nursing Certificate program.  AHA Heart Disease & Stroke Statistics (2023): https://www.ahajournals.org/doi/10.1161/CIR.0000000000001123 CV Nursing Certificate: https://pcna.net/professional-development/pcnas-cardiovascular-nursing-certificate/  Global Cardiovascular Nursing Leadership Forum (GCNLF): https://gcnlf.pcna.net/  See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

With 3/4 of adults, 4/5 of elderly individuals and 1/3 of children taking dietary supplements, it is imperative that health care professionals understand what their patients are ingesting and why, and how this may affect other treatments, including for CVD. Guest Rhonda Cooper-DeHoff, PharmD, also addresses cannabinoids, and resources to help you and your patients navigate the sea of dietary supplements.  JAMA Patient Pages: https://jamanetwork.com/collections/6258/patient-information  ACC CardioSmart Patient & HCP Resources: https://www.cardiosmart.org/  Medlineplus.gov: https://medlineplus.gov/  Herblist app: https://www.nccih.nih.gov/health/herblist-app  Dietary Supplement Health & Education Act of 1994: https://ods.od.nih.gov/About/DSHEA_Wording.aspx  USP Verification Services: https://www.usp.org/services/verification-services  Hemp Farming Act 2018: https://www.congress.gov/bill/115th-congress/senate-bill/2667/text See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Guest Carolyn Ho, MD, discusses genetic testing and precision medicine. How can we improve the information we get as part of gathering family history? What role does genetic testing play in in clinical practice--and how can we work collaboratively with our patients and their families to better understand the process and results?  Allison Cirino, Role of Genetic Testing in Inherited CVD, JAMA Cardiology: https://jamanetwork.com/journals/jamacardiology/article-abstract/2647085?redirect=true  See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Learn about the diagnosis and treatment of resistant hypertension (also called apparent treatment resistant hypertension) from guest Vivek Bhalla, MD. What is the prevalence of this disease? What does the screening process look like, and what does the research support in terms of guideline-directed medical therapy? AHA Scientific Statement on Resistant Hypertension:https://www.ahajournals.org/doi/10.1161/HYP.0000000000000084  Cost Effectiveness Screening PA & Resistant Hypertension, Lubitz, et. al.  https://pubmed.ncbi.nlm.nih.gov/26555126/  Primary Aldosteronism Foundation: https://www.primaryaldosteronism.org/  Stanford Hypertension Center: https://med.stanford.edu/hypertension.html  The Endocrine Society: PA Screening https://www.endocrine.org/news-and-advocacy/news-room/featured-science-from-endo-2021/few-patients-at-risk-for-common-high-blood-pressure-disorder-receive-screening See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Hypertension control is an intersection of factors at the patient, provider, system and societal levels. Guest Yvonne Commodore Mensah, PhD, MHS, RN, FAAN, FAHA, FPCNA, describes actions in the clinic, in the community, and in advocacy to help address this disease that affects 1 in 2 U.S. adults. Learn about validated devices for measurement, strategies for effective community screening, and the impacts of health inequity on our patients. Validated blood pressure devices: validatebp.org Health Equity and Role of Cardiovascular Nursing: https://pcna.net/health-equity-cardiovascular-nurses-role/ Hypertension patient education resources: https://pcna.net/clinical-resources/patient-handouts/hypertension-patient-tools-and-handouts/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Recognizing the signs of stroke, and helping patients reduce their risk, can significantly improve patient outcomes. Guest Chloe Villavaso, MN, APRN, ACNS-BC, FPCNA, AACC, discusses types of stroke, and how to help our patients reduce their risks. PCNA Stroke Prevention Guide: https://pcna.net/clinical-resources/provider-tools/stroke-prevention-guide/ PCNA Legislative Series: Race and Cardiovascular Disease and Stroke in America: https://pcna.net/legislative-series-race-and-cardiovascular-disease-and-stroke-in-america/ PCNA Webinar: Stroke Prevention in Patients with Atrial Fibrillation: https://pcna.net/event/webinar-stroke-prevention-in-patients-with-atrial-fibrillation-putting-guidelines-into-practice/ American Stroke Association: https://www.stroke.org/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this second of a three-part content series, in partnership with the Medical Alley, we explore the topic of advocacy for patients with obesity. Guests Starlin Haydon-Greatting and Garth Reynolds join Medical Alley's Frank Jaskulke to discuss the barriers to medical coverage for obesity treatment. This episode follows the first podcast, hosted by PCNA, which examined obesity's impacts on cardiovascular disease. Take this short survey to provide feedback on this episode (Thank you in advance): https://forms.gle/111fpVjWhpYEZZVs6 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Join Dr. Erin Ferranti in part one of this three part series in partnership with Medical Alley that explores the bi-directional relationship between obesity and cardiovascular disease. In today's episode, learn about obesity management and how social determinants of health play a role.  Take this short survey to provide feedback on this episode (Thank you in advance): https://forms.gle/111fpVjWhpYEZZVs6 Register for Series Webinar on March 2: https://pcna.net/event/webinar-obesitys-impact-on-mental-health/ The State of Obesity: https://www.tfah.org/wp-content/uploads/2021/09/2021ObesityReport_Fnl.pdf PCNA Obesity Patient Education Material: https://pcna.net/clinical-resources/patient-handouts/obesity-patient-tools/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Guest Laura Hayman, PhD, RN, FPCNA, FAAN, describes how nurses advocating individually and collectively can impact patients and policies on many levels. As the most trusted healthcare professionals, we have a mandate to advocate for policies designed to improve health, enhance healthcare and healthcare systems, with the overall goal of improving public health. Ernest Grant ANA Advocacy one-pager March 2022: https://www.myamericannurse.com/advocacy-agenda/ PCNA Advocacy: https://pcna.net/about/advocacy/advocacy-home/ ANA Advocacy: https://www.nursingworld.org/practice-policy/advocacy/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Guests Erin Poe Ferranti, PhD, MPH, RN, CDCES, FAHA, FPCNA, and Abha Khandelwal MD, MS , FACC, discuss maternal mortality and cardiovascular disease. From the impacts of Social Determinants of Health and health disparities, to the support of the community in supporting women's heart health strategies, learn how positive impacts can be made in any clinical practice setting on women's health.   California Maternal Care Quality Care Collaborative (CMQCC) toolkit: https://www.cmqcc.org/resources-tool-kits/toolkits See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.