Episode #28

In this episode of Living Heart Smart, Dr. Matt DeVane and Dr. Carolyn Lacey discuss the new cholesterol-lowering medication Inclisiran, its mechanism of action, and how it compares to traditional statins. They explore who might benefit from this medication, practical aspects of its administration, potential side effects, and the challenges of insurance coverage. The conversation emphasizes the importance of lowering LDL cholesterol for heart health and the evolving landscape of cardiovascular medications.

Takeaways

Inclisiran is a new medication that can replace daily statins.

It works by blocking the PCSK9 protein, enhancing LDL receptor function.

Patients with statin intolerance may benefit from Enclisarin.

The medication is administered twice a year, improving compliance.

Enclisarin can be used in conjunction with statins for better LDL control.

It has shown significant LDL reduction in clinical trials.

Side effects are minimal, primarily limited to injection site reactions.

Insurance coverage can be a barrier to accessing Enclisarin.

Lowering LDL cholesterol is crucial for reducing cardiovascular risk.

The future of cholesterol management may include more innovative therapies.

Chapters

00:00 Introduction to Inclisiran and Statins

02:15 Understanding Inclisiran Mechanism of Action

04:54 Comparing Inclisiran and Statins

07:33 Practical Applications and Patient Selection

10:18 Addressing Lipoprotein(a) and Inclisiran

12:53 Side Effects and Compliance Issues

15:28 Insurance and Cost Considerations

18:18 Conclusion and Future Directions

Episode # 27:

In this episode, Dr. Matt DeVane and Dr. Carolyn Lacey discuss the revolutionary impact of GLP medications on heart health, diabetes management, and weight loss. They explore the benefits of these medications, the importance of teamwork in managing side effects, and the necessity of lifestyle changes for successful outcomes. The conversation emphasizes the need for regular follow-ups and communication between patients and healthcare providers to ensure effective management of these medications.

Takeaways

The GLP revolution has significantly changed diabetes and heart health management.

GLP medications offer benefits beyond diabetes, including cardiovascular health.

Teamwork between patients and doctors is crucial for successful medication management.

Understanding and managing side effects is essential for patient compliance.

Hydration plays a key role in managing side effects of GLP medications.

Lifestyle changes, including diet and exercise, are necessary for optimal results.

Regular follow-ups with healthcare providers are important for medication adjustments.

Patients may need to reduce other medications as they lose weight and improve health.

Maintaining muscle mass is critical while using GLP medications.

The future of GLP medications looks promising with ongoing research and development.

Chapters

00:00 The GLP Revolution: A New Era in Medicine

02:37 Understanding GLP Medications and Their Benefits

05:27 Managing Side Effects of GLP Medications

08:16 The Importance of Teamwork in Treatment

10:52 Adjusting Medications: A Collaborative Approach

15:07 Managing Blood Pressure and Blood Sugar

16:21 The Importance of Lifestyle Changes

17:43 Prioritizing Protein Intake

19:27 Exercise: A Key Component

22:58 The Role of Follow-Up and Teamwork

25:17 Future of Obesity Management and Medications

Episode #26

In this episode, Dr. Matt DeVane and Dr. Carolyn Lacey discuss the use of statins in heart health, exploring their history, effectiveness, and the decision-making process for patients considering them. They address common concerns about side effects, the importance of evaluating individual risk factors, and the balance of risks versus benefits. Personal experiences with statins are shared, along with insights into alternative medications for those who cannot tolerate statins.

Takeaways

Statins are often prescribed to prevent heart disease.

The history of statins dates back over a century.

Patients should evaluate their risk factors before taking statins.

Lets talk side effects!

Alternatives to statins are available for those who need them.

Statins have been shown to prevent millions of heart attacks.

Understanding the science behind statins is crucial for patients.

Sound bites

"Prove it to me!"

"Should I be taking a statin?"

"The trade-off seems worth it."

Chapters

00:00 Introduction to Statins and Personal Experiences

02:41 History and Development of Statins

05:29 Who Should Take Statins?

08:19 Evaluating Risk Factors for Statin Use

11:01 Understanding Side Effects of Statins

14:00 Addressing Common Concerns About Statins

17:54 The Balance of Risks and Benefits

21:34 Personal Decisions and Experiences with Statins

25:30 Alternatives to Statins and Conclusion

Medical Disclaimer

The Living Heart Smart podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.

Episode #25

In this episode, Dr. Matt DeVane and Dr. Carolyn Lacey discuss the importance of daily physical activity, focusing on a new study that highlights the benefits of achieving 7,000 steps a day. They debunk the common myth of needing to reach 10,000 steps, explaining that 7,000 is a more realistic and achievable goal that significantly lowers the risk of various health issues, including cardiovascular disease, diabetes, and depression. The conversation also covers practical tips for incorporating more steps into daily routines and the benefits of tracking physical activity.

Takeaways

The average American takes about 3,000 steps a day.

7,000 steps a day can significantly reduce health risks.

All steps count, even modest amounts improve health.

7,000 steps is a more achievable goal for many.

Tracking steps can motivate individuals to walk more.

Walking reduces inflammation and improves cardiovascular health.

Exercise can be viewed as medicine for better health outcomes.

There are various ways to achieve daily exercise goals.

Chapters

00:00 The Magic Number of Steps

02:33 Debunking the 10,000 Steps Myth

05:03 The Health Benefits of 7,000 Steps

07:51 Practical Tips for Achieving Your Step Goals

10:44 Tracking Steps and Personal Experiences

13:31 Conclusion and Final Thoughts

Medical Disclaimer

The Living Heart Smart podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.

Epidsode 24

In this episode, Dr. Matt DeVane and Dr. Carolyn Lacey discuss the often-overlooked cardiovascular risk factor, lipoprotein A (Lp(a)).

They explain its genetic nature, its role in heart disease, and the importance of screening for elevated levels. The conversation highlights the need for awareness and proactive measures, including potential new treatments on the horizon. The episode emphasizes the significance of knowing one's lipoprotein A levels and the implications for family members due to its hereditary nature.

Takeaways

Lipoprotein A is a significant cardiovascular risk factor.

20% of people have elevated levels of lipoprotein A.

It is a genetic marker, not influenced by diet or lifestyle.

Elevated levels increase the risk of heart attack and stroke.

Screening for lipoprotein A is crucial for early detection.

New medications targeting lipoprotein A are in development.

Cholesterol plays a vital role in bodily functions.

Understanding cholesterol helps in managing heart health.

Patients should discuss lipoprotein A levels with their doctors.

Family members should be screened if one has elevated levels.

Chapters

00:00 Understanding Lipoprotein A: The Silent Risk Factor

03:34 The Role of Cholesterol in Heart Health

07:47 The Genetic Nature of Lipoprotein A

09:25 The Impact of Elevated Lipoprotein A

11:37 Prevention Strategies for Lipoprotein A

13:10 Who Should Be Tested for Lipoprotein A?

14:39 Emerging Treatments for Lipoprotein A

16:20 Key Takeaways and Next Steps

Medical Disclaimer

The Living Heart Smart podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.

Episode 23:

Dr. Matt DeVane and Dr. Carolyn Lacey discuss the critical role of exercise in enhancing quality of life, preventing chronic diseases, and improving both cardiovascular and brain health.

They explore various studies that highlight the benefits of exercise, including its impact on longevity and mental acuity. The discussion also covers practical recommendations for incorporating exercise into daily routines, addressing common myths and concerns about exercise, especially for those with heart conditions.

Takeaways

Quality of life in older age can vary significantly based on lifestyle choices.

Exercise is the most effective way to improve quality of life.

Data shows that exercise can prevent cardiovascular diseases and neurodegenerative disorders.

Moderate intensity exercise can significantly reduce the risk of heart attacks.

Strength training is as beneficial as aerobic exercise for overall health.

Regular exercise can decrease the risk of Alzheimer's disease by 20%.

The benefits of exercise begin with the very first step taken.

Finding a balance between aerobic and resistance training is crucial for health.

Practical recommendations for exercise include 150 minutes of moderate activity weekly.

Overcoming myths about exercise can help more people engage in physical activity.

Sound Bites

"Exercise is medicine for your brain."

"Moderate exercise is the sweet spot for health benefits."

"Your life depends on finding time to exercise."

Chapters

00:00 The Two Paths of Aging

00:52 The Importance of Exercise

02:22 Scientific Evidence for Exercise Benefits

06:21 Mechanisms of Cardiovascular Health

06:42 Exercise as Medicine for the Brain

09:05 Types of Exercise: Aerobic vs. Strength Training

11:54 Finding the Goldilocks Zone in Exercise

13:12 The Power of Strength Training

14:04 Synergistic Benefits of Combining Exercises

14:46 Practical Recommendations for Exercise

15:08 Understanding Moderate Intensity Exercise

17:21 Overcoming Myths and Barriers to Exercise

17:35 The Importance of Mobility in Aging

18:28 Weekend Warrior: Making Time for Fitness

19:41 Breaking the All-or-Nothing Mentality

20:19 Making Exercise Engaging

20:26 Addressing Exercise Concerns for Heart Disease Patients

21:19 Setting Realistic Goals for Fitness

22:50 The Benefits of Exercise Beyond Longevity

Medical Disclaimer

The Living Heart Smart podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.

Episode #22

In this episode, Dr. Carolyn Lacey and Dr. Matt DeVane discuss the essential aspects of heart valves, including their function, common issues like murmurs, and the importance of echocardiograms in assessing valve health. They explain the differences between regurgitation and stenosis, how to interpret echocardiogram reports, and provide insights on managing heart valve health. The conversation also addresses common misconceptions about heart valves, particularly mitral valve prolapse, and emphasizes the importance of maintaining overall heart health.

Key Takeaways

Heart valves play a crucial role in directing blood flow through the heart.

Murmurs are additional sounds that may indicate valve issues but are often benign.

Echocardiograms are the primary tool for assessing heart valve function.

Regurgitation refers to the backward flow of blood due to leaky valves.

Stenosis is the narrowing of valves that restricts blood flow.

Interpreting echocardiogram reports requires understanding the grading of valve issues.

Maintaining a healthy lifestyle is essential for overall heart health.

Sleep, nutrition, and regular movement are key factors in heart health.

Misconceptions about mitral valve prolapse are common and should be addressed.

Regular follow-ups with a cardiologist are important for monitoring valve health.

Sound Bites

"What's a murmur?"

"It's a mechanical problem."

"A leaky valve doesn't mean blood is leaking out of the heart".

"Stenosis and regurgitation are the main valve issues."

Medical Disclaimer

The Living Heart Smart podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.

Episode #21

Welcom Back! In this conversation, cardiologists Dr. Matt DeVane and Dr. Carolyn Lacey discuss the alarming rise of cardiovascular issues among young people, exploring modern risk factors such as substance use, environmental influences, and mental health. They emphasize the importance of awareness and proactive measures to mitigate these risks, advocating for healthier lifestyle choices and stress management techniques.takeaways

• The number of heart attacks in people under 40 is rising.
• Substance abuse, including vaping and marijuana, is a significant risk factor.
• Vaping contains thousands of toxic chemicals that affect heart health.
• Marijuana use can increase the risk of heart attacks and strokes.
• Binge drinking is linked to serious heart rhythm issues.
• Quality sleep is crucial for cardiovascular health.
• Air pollution is recognized as a reversible cardiovascular risk factor.
• Mental health issues can significantly impact heart health.
• Managing stress is essential for preventing cardiovascular disease.
• Making small, sustainable changes can lead to significant improvements in heart health.
• Understanding Modern Cardiovascular Risks
• The Alarming Rise of Heart Issues in Youth
• "Rising heart attacks in people under 40."
• "Substance abuse is a modern risk factor."
• "Vaping is full of toxic chemicals."

Medical Disclaimer

The Living Heart Smart podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.

Episode 20

Hi Everyone- In this episode, Dr. Matt DeVane and Dr. Carolyn Lacey discuss how making specific lifestyle changes can lead to a longer life, based on recent research published in the New England Journal of Medicine. They emphasize the importance of understanding cardiovascular risk factors and how controlling them can significantly impact longevity. The conversation highlights key findings from a large study, including the significance of blood pressure and smoking cessation, and encourages listeners to take proactive steps towards better heart health.

Takeaways

• Changing lifestyle factors can lead to living a decade longer.

• Controlling blood pressure is crucial for better healthspan.

• Smoking cessation is the most significant factor for living longer.

• Living longer is possible by managing five key risk factors.

• Midlife is a critical time to focus on heart health.

• Health span is as important as lifespan.

• Fundamentals of health should be prioritized over fads.

Sound Bites

• "No secret to a healthy heart!"

• "Start taking care of your heart now!"

• "The time to change is now!"

• "Fundamentals over fad every day

  
  

  Medical Disclaimer

  The Living Heart Smart podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.

Season 2: #19 Dr. Matt DeVane and Dr. Carolyn Lacey discuss the critical aspects of heart health, focusing on symptoms, the importance of stress testing, and the misconceptions surrounding it. They delve into the anatomy of the heart, the process of atherosclerosis, and the various types of stress tests available. The discussion emphasizes the significance of understanding stress test results and exploring alternative methods for assessing heart health, particularly for those without symptoms.

Takeaways

Pain, shortness of breath, and atherosclerosis are concerning symptoms.

Over 800,000 heart attacks occur annually in the U.S.

Atherosclerosis develops over decades without symptoms.

Stress tests are essential for diagnosing heart issues.

Not all stress tests are the same; there are various types.

Stress tests primarily detect blockages over 70%.

A normal stress test does not mean no lifestyle changes are needed.

Coronary artery calcium tests can detect early plaque buildup.

Symptoms should lead to stress testing, not routine checks.

Understanding stress test limitations is crucial for patients.

Sound Bites

"Do I need a stress test?"

"Stress tests are safe."

"No stress test is perfect."

Chapters

00:00 Introduction to Heart Health Concerns

00:24 Understanding Stress Tests

03:32 The Anatomy of Heart Disease

06:22 Physiology of Stress Testing

06:22 Understanding Heart Stress and Exercise

06:22 The Purpose of Stress Tests

07:09 Symptoms and Indications for Stress Testing

07:55 The Importance of Symptoms in Testing

08:31 Detecting Blockages: What Stress Tests Reveal

09:08 Limitations of Stress Tests

09:32 Interpreting Stress Test Results

11:30 Preparing for a Stress Test

12:43 Misconceptions About Normal Stress Test Results

13:46 Alternative Tests for Heart Health

Medical Disclaimer

The Living Heart Smart podcast is for general informational purposes only and does not constitute the practice of medicine, nursing or other professional health care services, including the giving of medical advice, and no doctor/patient relationship is formed. The use of information on this podcast or materials linked from this podcast is at the user’s own risk. The content of this podcast is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Users should not disregard or delay in obtaining medical advice for any medical condition they may have and should seek the assistance of their health care professionals for any such conditions.