Heart to Heart Nurses

* Add FAAN to Anita's creds after Oct. 18. Guests: Anita Rich, DNP, RN, CHFN, CDCES, FAAN, and Jane DeMeis. Related resources: PCNA CKM tools and resources: https://pcna.net/resources/patient-education/patient-information/cardiovascular-kidney-metabolic-syndrome-resources/ 2025 ACC Expert Consensus Statement on Medical Weight Mgmt for Optimization of CV Health: https://www.jacc.org/doi/10.1016/j.jacc.2025.05.024 Adiponectin, Leptin and CV Disorders: (https://www.ahajournals.org/doi/10.1161/CIRCRESAHA.120.314458 Racial and Ethnic Disparities in Adult Obesity in the US: https://www.cdc.gov/pcd/issues/2019/18_0579.htm Cardiometabolic Syndrome: A Global Health Issue: https://www.uspharmacist.com/article/cardiometabolic-syndrome-a-global-health-issue Taking Aim At Belly Fat: https://www.health.harvard.edu/newsletter_article/taking-aim-at-belly-fat Gender Disparities in People Living with Obesity: https://pubmed.ncbi.nlm.nih.gov/34526743/ Systematic review and meta-analysis suggests obesity predicts onset of CKD: https://www.sciencedirect.com/science/article/pii/S0085253816307529 AHA Weight-Loss Strategies for Prevention and Treatment of Hypertension: https://pubmed.ncbi.nlm.nih.gov/34538096/ Renal Fat Accumulation Assessed by MRI or CT and Metabolic Disorders: https://pmc.ncbi.nlm.nih.gov/articles/PMC12194363/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The bidiretional relationship between cardiac and renal systems means that any dysfunction can cause a cascade of health issues. Learn about team-based care strategies for nurses and other professionals to monitor and manage patients with these conditions from guests Andrew Bzowyckyj, PharmD, BCPS, CDCES, FAPhA, FADCES, and Serina Gbaba, DNP, MBA, FNP-BC. PCNA CKM tools and resources: https://pcna.net/resources/patient-education/patient-information/cardiovascular-kidney-metabolic-syndrome-resources/ IPEC core competencies (Interprofessional Education Collaborative): https://www.ipecollaborative.org/ipec-core-competencies CVD in CKD: Pathophysiological Insights and Therapeutic Options: https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.120.050686 Social Determinants of CVD:https://www.ahajournals.org/doi/10.1161/CIRCRESAHA.121.319811 See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Cardiovascular-kidney-metabolic (CKM) syndrome is progressive, but can be halted or even reversed with effective management. Guests Chiai Ndumele, MD, PhD, and Joe Saseen, PharmD, BCPS, BCACP, describe the role of inflammation and how the biologic factors for diagnosis and treatment are nested within a patient's social context. 2023 AHA Statement Cardiovascular-Kidney-Metabolic Health: https://www.ahajournals.org/doi/10.1161/cir.0000000000001184 Related Resources: PCNA CKM tools and resources: https://pcna.net/resources/patient-education/patient-information/cardiovascular-kidney-metabolic-syndrome-resources/ AHA Cardiovascular Kidney Metabolic Health Presidential Advisory: https://professional.heart.org/en/science-news/cardiovascular-kidney-metabolic-health-a-presidential-advisory AHA CKM Syndrome Implementation Guide: https://www.heart.org/en/professional/cardiovascular-kidney-metabolic-health/implementation PCNA CKM Resource list: https://pcna.net/resources/patient-education/patient-information/cardiovascular-kidney-metabolic-syndrome-resources/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In patients with heart failure, remote hemodynamic monitoring can identify health changes long before symptoms appear, contributing to slower disease progression, improved patient outcomes, and reduced rehospitalizations. Learn more about current and future technology that can support better patient health, and the role of nurses in patient education and monitoring. Guests: Linda Park, PhD, MS, FNP-BC, FAAN, FAHA, FPCNA, and Eryn Bryant, MSN, APRN-CNP, FPCNA. PCNA Heart Failure Tools: https://pcna.net/health-topics/heart-failure/ Tele-HF study: https://www.jacc.org/doi/10.1016/j.jchf.2015.07.017 CHAMPION Trial (CMEMs after CRT): Pulmonary Artery Pressure-Guided Management of Patients With Heart Failure and Reduced Ejection Fraction Journal of American College of Cardiology paper, Remote Monitoring and Heart Failure Scientific Statement: https://www.jacc.org/doi/10.1016/j.jacc.2023.04.010 European Society of Cardiology consensus statement: https://doi.org/10.1093/eurheartjsupp/suae116 BMAD trial: BMAD Trial: Wearable Remote Monitor Reduces Hospital Readmission Risk in HF Patients - American College of Cardiology GUIDE-HF trial (CMEMS, Lancet): Haemodynamic-guided management of heart failure (GUIDE-HF): a randomised controlled trial - The Lancet ESCAPE trial (using RHC / pulm art pressures to guide therapy during ADHF: Evaluation study of congestive heart failure and pulmonary artery catheterization effectiveness: the ESCAPE trial - PubMed MONITOR-HF trial (improved QOL and functional status w/ CMEMs): Remote haemodynamic monitoring of pulmonary artery pressures in patients with chronic heart failure (MONITOR-HF): a randomised clinical trial - The Lancet MONITOR-HF: Pulmonary artery pressure monitoring in chronic heart failure: effects across clinically relevant subgroups in the MONITOR-HF trial | European Heart Journal | Oxford Academic MONITOR-HF (summary in ACC): Remote Hemodynamic Monitoring of Pulmonary Artery Pressures in Patients With Chronic Heart Failure - American College of Cardiology HeartLogic: HeartLogic Multisensor Algorithm Identifies Patients During Periods of Significantly Increased Risk of Heart Failure Events SCALE-HF-1 Trial (bodyport scale to predict worsening HF trends): Use of a Cardiac Scale to Predict Heart Failure Events: Design of SCALE-HF 1 | Circulation: Heart Failure See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Breast artery calcification is an incident finding on routine screening mammograms, and reflects an artery change. It has been associated with an increased risk of cardiovascular disease and CV events. Learn from guest Heather Johnson, MD, MS, MMM, how the finding can lead to improved risk reduction measures and improved patient outcomes. PCNA Heart Healthy Toolbox: https://pcna.net/resource/reducing-cv-risk-heart-healthy-toolbox/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Join Dr. Salim Virani as he explores global trends in cardiovascular disease, including shifting risk factors, emerging therapies, and prevention strategies. From disparities in care to the promise of primordial and even pre-primordial prevention, this conversation highlights what nurses and other healthcare professionals can do to improve heart health worldwide. Cleveland Clinic study on risk factors: https://pubmed.ncbi.nlm.nih.gov/35504796/ More information and resources can be found here: 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.

Global issues that impact cardiovascular health include access to, and continuity of, care for migrant workers, as well as rising temperatures in both rural and urban environments. Nurse Practitioner and researcher Daniel Smith, PhD, AGPCNP-BC, CNE, FAAN, shares strategies to help improve cardiovascular disease prevention and management to help every patient everywhere have improved outcomes. Related resources: Global Cardiovascular Nursing Leadership Forum: gcnlf.net CE course: https://pcna.net/course/rural-and-environment-health-a-cross-roads/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Identifying and managing PAD requires a head-to-toe strategy. Guest Tiffany Staab, RN, FNP, MSN, describes the four PAD stages, how the disease disproportionately affects Black patients, and the importance of listening to patient symptoms and observing lower limbs to help stem the tide of PAD-related amputations. PCNA PAD resources: https://pcna.net/health-topics/pad/ AHA PAD heat map: https://professional.heart.org/en/education/pad-for-professionals/pad-collaborative/heat-map See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The dynamics of AFib and Heart Failure often lead to patients navigating both diseases simultaneously. Learn how to apply effective strategies for management, including team-based care, shared decision-making, addressing adherance barriers, and more, in this conversation with Kathy Wood, PhD, RN, FAHA, FAAN, and Eryn Bryant, MSN, APRN-CNP, FPCNA. PCNA Resources: Atrial Fibrillation:https://pcna.net/health-topics/atrial-fibrillation/ Heart Failure: https://pcna.net/health-topics/heart-failure/ EAST-AF NET-4 Trial: acc.org/Latest-in-Cardiology/Clinical-Trials/2020/08/28/16/16/EAST-AFNET-4 AFFIRM Trial: https://pubmed.ncbi.nlm.nih.gov/12466506/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The Southern Nevada PCNA chapter received the 2025 Chapter Award for outstanding contributions to their community. Learn about what has led to their success--and strategies you can implement in your own workplace and community--from chapter leaders Kredlen Dentscheff, MSN, RN, NPD-BC, David De Santiago, MSN Ed, RN MEDSURG-BC, CMSRN, CV-BC, and Charli Rose Saxton, BSN, RN, MEDSURG-BC, CMSRN, CV-BC. PCNA Chapters: https://pcna.net/about-pcna/chapters/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Learn more about the role of Clinical Nurse Specialist, and how these individuals can drive positive outcomes for patients. Guest Laura Mack, MSN, RN, CNL, HF-CERT, PCNA's Heart Failure Prevention 2025 awardee, describes a nurse-led process improvements for patients with heart failure that yielded substantial progress in reducing rehospitalizations and mortality. PCNA Heart Failure Prevention Award: pcna.net/career-development/awards-grants/heart-failure- prevention-award/ AHA Get With The Guidelines: heart.org/en/professional/quality-improvement/get-with-the-guidelines National Association of Clinical Nurse Specialists: nacns.org/about-us/what-is-a-cns/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

It's never too early--or too late--to focus on cardiovascular disease prevention. It is critically important at all stages of life, from addressing the health of those who are pregnant, to reducing risk in infancy and beyond. Guest Laura L. Hayman, PhD, RN, FPCNA, FAHA, FAAN focuses on working with individuals, families, and communities, and concentrating on social determinants of health to make a difference for all patients. PCNA Behavior Change Mini-Certificate: https://pcna.net/course/behavior-change-mini-certificate/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Public health and clinical practice are closely connected. Guest Erin Ferranti, PhD, MPH, RN, CDCES,FAHA, FPCNA, about the importance of public health for all patients, and how to get more involved. Resources: PCNA Advocacy Resources: https://pcna.net/news/pcna-advocacy-paving-the-way-for-cardiovascular-health-through-policy-action/ Life's Essential 8 (TM): https://www.heart.org/en/healthy-living/healthy-lifestyle/lifes-essential-8 Association of Public Health Nurses: https://www.phnurse.org/ American Public Health Association: https://www.apha.org/ Health Resources & Services Administration: https://www.hrsa.gov/ National Institutes of Health: https://www.nih.gov/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

How can health care organizations promote cardiovascular nursing leadership and practice to improve patient care and outcomes? Learn from Janette Sendin, MSN, APRN-CNS, CCNS, PCCN, of Orlando Health Orlando Regional Medical Center (recipient of the PCNA Institutional Award) about the Center's education, training, and other opportunities that can be implemented in other locations of various sizes. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Healthcare advocacy takes place in the clinic setting and in legislative chambers, and impacts the access patients have to needed therapies. Hear from Dharmesh Patel, MD, President of Partnership to Advance Cardiovascular Health (PACH) about the Inflation Reduction Act, the MINI-Act, and being the voice for the voiceless--our patients. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Addressing hypertension at the local and global levels requires using validated tools, following the data, and working with patients and policymakers alike. Guest Yvonne Commodore-Mensah, PhD, MHS, RN, FAAN, FAHA, FPCNA describes strategies for clinical practice as well as legislative advocacy for addressing this global healthcare crisis. Resources: Validated blood pressure monitors: validatebp.org PCNA patient education blood pressure resources: pcna.net High Blood Pressure: What you need to know (sheet in English & Spanish) Blood Pressure: How do you measure up? (Booklet in English & Spanish) See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Any diagnosis of cardiovascular disease can present challenges for our patients, however, Cardiovascular-Kidney-Metabolic Syndrome (CKM) which is also referred to as Cardio-renal metabolic syndrome (CRM) can have even more drastic effects for our patients. Hear from two cardiovascular patients (one with CKM) who also happen to be nurses as they discuss navigating their specific treatment journeys. Cardiovascular-Kidney-Metabolic Syndrome: What You Need to Know Patient Handout (LINK ONCE AVALIABLE) WomenHeart: womenheart.org Cardiometabolic Health Congress Lifestyle Management Hub: https://www.cardiometabolichealth.org/cardiometabolic-education-hubs/lifestyle-management-hub/ Cleveland Clinic Center for CardioMetabolic Health: https://my.clevelandclinic.org/departments/heart/depts/cardiometabolic-health See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Join Chloé Villavaso MN, APRN, ACNS-C, FPCNA, AACC, as she explores Cardiovascular-Kidney-Metabolic Syndrome (CKM) also know as Cardio-renal metabolic syndrome (CRM). Listen to a recap of the 5 stages of CKM and learn how to apply guideline-directed therapy as a part of the vast healthcare team needed to treat your CKM patients. Cardiovascular-Kidney-Metabolic Syndrome: What You Need to Know Patient Handout (LINK ONCE AVALIABLE) 2023 AHA Presidential Advisory and Scientific Statement: https://www.ahajournals.org/doi/10.1161/CIR.0000000000001184 Life's Essential Eight: https://www.heart.org/en/healthy-living/healthy-lifestyle/lifes-essential-8 PREVENT Tool: https://professional.heart.org/en/guidelines-and-statements/prevent-calculator See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

"Cardiovascular-Kidney-Metabolic Syndrome (CKM) also known as Cardio-renal metabolic syndrome (CRM) has been growing in prevalence over the past 20 years. Join Dr. Koirala in this episode as she explores this syndrome and what risk factors to look out for in clincial practice. Cardiovascular-Kidney-Metabolic Syndrome: What You Need to Know Patient Handout (LINK ONCE AVALIABLE) 2023 AHA Presidential Advisory and Scientific Statement: https://www.ahajournals.org/doi/10.1161/CIR.0000000000001184 Life's Essential Eight: https://www.heart.org/en/healthy-living/healthy-lifestyle/lifes-essential-8" See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Health coaching requires personalized recommendations, multiple conversations, and shared decision-making. Learn about the 3 Es and 3 Ps of coaching, motivational strategies, and the importance of self-care. Guest Erum Jiva, DNP, ARNP-BC, CLS, FNLA, FPCNA. Related PCNA resource: Behavior Change Mini-Certificate: https://pcna.net/online-course/behavior-change-mini-certificate/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.