Heart to Heart Nurses

AI and machine learning are already impacting healthcare. What are the benefits and cautionary considerations of their use, and how can patients benefit from nurses involvement right now? Listen to pro and con perspectives from guests Osama Dasa, MD, MPH, PhD; Eileen Handberg, PhD, ANP-BC, FACC, Yvonne Commodore-Mensah, PHD, MHS, RN, FAAN, FAHA, FPCNA, and Heidi Salisbury, RN, MSN, CNS-BC, ACGN. Related resources: AHA scientific statement on the use of AI in improving heart disease outcomes: https://www.ahajournals.org/doi/10.1161/CIR.0000000000001201 ACC State-of-the-Art Review: Transforming Cardiovascular Care with AI: https://www.jacc.org/doi/10.1016/j.jacc.2024.05.003 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Guests Cindy Lamendola, MSN, NP, and Patient Champion Sheila Allen discuss prescription treatments for patients with overweight/obesity. Overcoming challenges to treatment, the importance of lifestyle as well as medications for success, and shared decision-making are discussed. PCNA Patient Education Tools on Obesity: 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.

It is an exciting time in cardiovascular prevention and management, where we can work together to make a significant difference for our patients. New pharmacotherapies are changing the disease burden and leading to improved outcomes for our patients, regardless of circumstance. Guest Clyde Yancy, MD, MSc, MACC, MACP, FAH, FHFSA, FRCP, FASPC (Hon.), FPCNA (Hon.), provides data and inspiration for our actions every day. SELECT Trial : https://www.acc.org/Latest-in-Cardiology/Clinical-Trials/2023/11/09/15/04/select Health Equity Self-Assessment Tool: Take 10 minutes, identify your strengths, and get links to related resources. https://pcna.net/clinical-resources/provider-tools/health-equity-provider-tools/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Advocacy every day makes a difference from the bedside to the halls of Congress. Nurse voices and stories are critical to ensuring that healthcare policies reflect the needs of health care professionals and their patients. Guest Ryan Gough discusses current Congressional bills and the importance of engagement in advocacy actions. Safe Step Act: https://www.congress.gov/bill/118th-congress/senate-bill/652 MINI Act: https://healthpolicytoday.org/2024/04/24/a-mini-act-could-be-big-for-patients/ Axios: Trust in Health Decisions [Edelman Trust Barometer] April 29, 2024: https://www.axios.com/2024/04/18/public-trust-medical-pharmaceutical-industry-institutions PCNA Advocacy Toolkit: https://pcna.net/about/advocacy/advocacy-toolkit/ PACH: advancecardiohealth.org Maintaining Investment in New Innovation Act: https://www.congress.gov/bill/118th-congress/house-bill/5547 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Individuals returning from deployment to their hometown require clinicians who understand the special factors that may influence their health, such as long-term exposures to stress and chemicals, unhealthy eating, and more. Guest Judy Ching, RN, BSN, CDCES, describes these considerations as well as the critical importance of correct documentation to ensure long-term care through the VA and other sources. 2024 Burn Pit (PACT Act) Bill: https://www.va.gov/files/2024-03/pact-act-overview-19mar24.pdf See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Nursing is a combination of art as well of science. Guests Cheri Nichols, BSN, RN, FPCNA, and Jody Hereford, MS, BSN, RN, NBC-HWC, discuss the importance of recognizining the artfulness in what we do each day, and how it improves our outlook, our practice, and our effectiveness with patients. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Guest Cheryl Dennison Himmelfarb, PhD, RN, FAAN, FAHA, FPCNA, describes how effective blood pressure readings at home and in clinic can lead to accurate assessment, including treatment-resistant hypertension. Partnering with patients and other healthcare professionals, and potential barriers to reaching blood pressure goals, are also discussed. EPISODE LINKS & RESOURCES: Validated blood pressure devices: https://www.validatebp.org/ PCNA Hypertension Patient Tools: 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.

Ruth-Alma Turkson-Ocran PhD, MPH, RN, FNP-BC, CNE and Maria Bonanni CRNP discuss renal denervation treatments for resistant hypertension, including case studies. Resources: Renal Denervation FDA Approval: https://www.healio.com/news/cardiology/20231120/fda-approves-second-renal-denervation-device-to-treat-hypertension Symplicity SPRAL OFF-MED RTC https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(20)30554-7/abstract Symplicity SPYRAL ON-MED RTC https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(22)00455-X/abstract GSR DEFINE – long term registry data; real-world experience https://www.ahajournals.org/doi/full/10.1161/HYPERTENSIONAHA.123.21283 DENERHTN: https://pubmed.ncbi.nlm.nih.gov/27576780/ Renal Denervation: A Practical Guide for Health Professionals Managing Hypertension: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10433107/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

One in two US adults has a hypertension diagnosis, yet not all hypertension is the same. Learn from guests Yvonne Commodore-Mensah PhD, MHS, RN and Ruth-Alma Turkson-Ocran PhD, MPH, RN, FNP-BC, CNE about primary/essential, secondary, and resistant hypertension, including the definition, diagnosis, and treatments, as well as the impaact of nonadherence. Access to care, home versus clinic readings, and team-based care are also discussed. Resources: Secondary Hypertension: Discovering the Underlying Cause: https://pubmed.ncbi.nlm.nih.gov/29094913/ Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association: https://www.ahajournals.org/doi/10.1161/HYP.0000000000000084 One in two US adults has a hypertension diagnosis, yet not all hypertension is the same. Learn from guests Yvonne Commodore-Mensah PhD, MHS, RN and Ruth-Alma Turkson-Ocran PhD, MPH, RN, FNP-BC, CNE about primary/essential, secondary, and resistant hypertension, including the definition, diagnosis, and treatments, as well as the impaact of nonadherence. Access to care, home versus clinic readings, and team-based care are also discussed. Resources: Secondary Hypertension: Discovering the Underlying Cause: https://pubmed.ncbi.nlm.nih.gov/29094913/ Resistant Hypertension: Detection, Evaluation, and Management: A Scientific Statement From the American Heart Association: https://www.ahajournals.org/doi/10.1161/HYP.0000000000000084 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Effective strategies for maximizing both inpatient and outpatient cardiac rehab are discussed by guest Jonathan David, MSN, RN, EBP-C, CCRP, NE-BC, AACC. Highlights include using a team-based approach, engaging patients in shared decision-making, providing a continuum of care that maximizes patient outcomes, and advocating for cardiovascular care. PCNA Patient Education tool: Leaving the Hospital After Your Heart Attack: https://pcna.net/clinical-resources/patient-handouts/acute-coronary-syndrome-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.

While cancer survivorship rates continue to improve, there are CVD-related complications for patients before, during, and after cancer treatment. Guests Chelsea Kriesberg, DNP, CPNP-AC, CCRN, and Lisa Nodzon, PhD, APRN, AOCNP, describe the intersection of cancer and cardiovascular disease across the lifespan. Collaborative, team-based, and life-long care is illustrated in through a case-based discussion. Cardiovascular risk calculator: https://ccss.stjude.org/resources/calculators/cardiovascular-risk-calculator.html Cardiac Disease in Childhood Cancer Survivors: Risk Prediction, Prevention, and Surveillance. Leerink, J, de Baat, E, Feijen, E. et al. Cardiac Disease in Childhood Cancer Survivors: Risk Prediction, Prevention, and Surveillance: JACC CardioOncology State-of-the-Art Review. J Am Coll Cardiol CardioOnc. 2020 Sep, 2 (3) 363–378.https://doi.org/10.1016/j.jaccao.2020.08.006 Cardioprotective impacts of dexrazoxane: Lipshultz SE, Scully RE, Lipsitz SR, et al. Assessment of dexrazoxane as a cardioprotectant in doxorubicin-treated children with high-risk acute lymphoblastic leukaemia: long-term follow-up of a prospective, randomised, multicentre trial. Lancet Oncol. 2010 Oct;11(10):950-61. doi: 10.1016/S1470-2045(10)70204-7. Epub 2010 Sep 16. PMID: 20850381; PMCID: PMC3756093. Improving quality and quantity of life for childhood cancer survivors: Ehrhardt MJ, Krull KR, Bhakta N, et al. Improving quality and quantity of life for childhood cancer survivors globally in the twenty-first century. Nat Rev Clin Oncol. 2023 Oct;20(10):678-696. doi: 10.1038/s41571-023-00802-w. Epub 2023 Jul 24. PMID: 37488230. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

[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 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

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/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.