Living Heart Smart

Let's have some fun with this one!In this conversation, Dr. Matt DeVane and Dr. Carolyn Lacey discuss the evolving understanding of dietary recommendations, particularly focusing on eggs, aspirin, and HDL cholesterol. They explore the historical context of these topics, the latest research findings, and how these changes impact patient care and health recommendations. The discussion emphasizes the importance of understanding the nuances in dietary choices and medical advice, highlighting that what was once considered beneficial may no longer hold true. In this conversation, Dr. Matt DeVane and Dr. Carolyn Lacey discuss significant changes in cardiac health practices over the years. They explore the implications of HDL levels, the nature of heart murmurs, the evolving understanding of mitral valve prolapse, and dietary considerations regarding eggs and bacon. The discussion emphasizes the importance of comprehensive evaluations and the need for patients to consult their doctors about medications and health metrics.TakeawaysEggs have fluctuated in health perception over the years.The company eggs keep in meals affects their health impact.Aspirin is no longer recommended for primary prevention in average-risk individuals.High HDL cholesterol is not always protective against heart disease.Quality and function of HDL cholesterol are more important than quantity.Dietary guidelines for eggs suggest 5-7 per week in moderation.The risks of aspirin use must be weighed against its benefits.Patients with a history of heart events should continue aspirin use.Alcohol can raise HDL cholesterol but may not be beneficial.Understanding dietary changes is crucial for patient education. Drinking alcohol is not a healthy way to raise HDL.Heart murmurs are common and often benign.Most heart murmurs are classified as innocent or functional.Mitral valve prolapse diagnoses have become stricter with new technology.Echocardiograms are essential for assessing heart murmurs.HDL levels have a sweet spot; more is not always better.Patients should consult their doctors about aspirin use.Eggs can be part of a healthy diet if prepared properly.Bacon remains an unhealthy choice in a heart-healthy diet.Not all murmurs indicate a serious condition; many are harmless.Sound bites"Are eggs good or bad?""Heart murmurs are just a sound.""More HDL does not equal better."Keywords#eggs#aspirin#HDL cholesterol#heart health#dietary guidelines#cardiovascular risk#nutrition, health recommendations#medical advice#lifestyle changes#HDL#heart murmur#mitral valve prolapse#cholesterol#echocardiogram#cardiac health,#cardiovascular disease#heart health

In this episode, Dr. Matt DeVane and Dr. Carolyn Lacey discuss the critical aspects of heart attack recovery, emphasizing the importance of understanding the journey from the hospital to long-term health. They begin by addressing the immediate concerns patients face after a heart attack, including the confusion and fear that often accompany such a life-altering event. The cardiologists highlight the advancements in heart attack treatment, noting that the mortality rate has significantly decreased, with over 90% of patients recovering well. They stress the importance of viewing a heart attack as a new beginning rather than an end, focusing on the roadmap to recovery that includes lifestyle changes, medication adherence, and emotional support.The conversation delves into the specifics of what patients can expect after a heart attack, including the tests and medications they will encounter during their hospital stay. Dr. Lacey explains the significance of cardiac rehabilitation, which begins in the hospital and continues post-discharge, helping patients regain their strength and confidence. The doctors also touch on the psychological impact of a heart attack, encouraging patients to seek support and understand that recovery is a gradual process. They conclude with actionable steps for patients to take as they transition back to their daily lives, emphasizing the importance of community support and lifestyle modifications for long-term heart health.Takeaways'Think of a heart attack as a beginning, not an end.''The mortality risk from heart attacks is very small now.''It's normal to feel short of breath after a heart attack.''You will be on multiple medications after a heart attack.''Cardiac rehab is crucial for long-term recovery.'Sound bites"Think of a heart attack as a beginning, not an end.""This is not a fleeting type of situation.""How can I think about moving forward with this as a new beginning?"Chapters00:00 Introduction to Heart Attack Recovery01:08 Understanding the Immediate Aftermath07:02 Tests and Medications Post-Heart Attack12:55 The Psychological Impact of Heart Attacks15:33 The Importance of Cardiac Rehabilitation17:45 Lifestyle Changes for Long-Term Health22:22 Action Items for Recovery

Episode #32: A ShortIn this engaging 3 Minute conversation, Dr. Matt DeVane and Dr. Carolyn Lacey discuss groundbreaking research published in The Lancet, which reveals that just five minutes of moderate-intensity exercise daily can significantly reduce the risk of death by up to 10%. They explore how simple activities like walking around the house or taking a brief stroll can lead to substantial health benefits, challenging the notion that extensive workouts are necessary for longevity. The discussion emphasizes the importance of incorporating small increments of movement into daily routines, especially for those with sedentary lifestyles, and highlights the surprising findings that even minimal activity can yield positive outcomes for overall health.They conclude by urging listeners to take immediate action by stepping outside for a short walk, reinforcing the message that every little bit of movement counts towards a healthier life.TakeawaysYou can prevent 10% of all deaths with just five minutes a day.Small increments of movement can lead to significant health benefits.Even minimal activity, like standing instead of sitting, can reduce the risk of dying.Sound bites"You could prevent 10% of all deaths with just five minutes a day.""Save your money. Put your wallet away, walk out your front door.""Everybody has five minutes. Everybody can go for five."Chapters00:00 Introduction to the Five-Minute Exercise Revelation01:32 The Impact of Small Increments of Movement03:37 Overcoming Sedentary Habits for Better Health04:14 Conclusion: Taking Action for a Healthier Life

Episode #31In this episode, Dr. Matt DeVane and Dr. Carolyn Lacey discuss atrial fibrillation (AFib), a common heart rhythm disorder. They provide insights into understanding AFib, the implications of smartwatch alerts, and the importance of lifestyle modifications such as weight loss, alcohol reduction, and stress management. The conversation also covers the role of medications, testing, and potential procedures for managing AFib, emphasizing that many people live well with this condition when properly managed.TakeawaysAtrial fibrillation can be overwhelming for newly diagnosed patients.Smartwatches serve as screening tools for AFib alerts.Understanding AFib involves recognizing its chaotic heart rhythm.Weight loss and lifestyle changes can significantly impact AFib management.Alcohol reduction is crucial for those with AFib.Exercise is beneficial for heart health and managing AFib.Stress management techniques can help improve AFib symptoms.Medications are often necessary to manage AFib effectively.Regular monitoring and testing are essential for AFib patients.Many individuals live normal lives with atrial fibrillation.Sound bites"Smartwatches are like a screening tool.""Less alcohol is better, none is best.""Exercise is essential for managing AFib."Chapters00:00 Introduction to Atrial Fibrillation02:38 Understanding Smartwatch Alerts05:28 What is Atrial Fibrillation?07:56 Risks Associated with Atrial Fibrillation09:19 Lifestyle Modifications for Managing AFib13:45 The Role of Stress and Sleep Apnea17:18 Medications for Atrial Fibrillation20:54 Testing and Monitoring AFib26:56 Managing Asymptomatic Atrial Fibrillation28:33 Procedures for Atrial Fibrillation30:16 Reassurance and Conclusion

Ep #30In this episode, Dr. Matt DeVane and Dr. Carolyn Lacey discuss the significance of setting health-focused New Year's resolutions, emphasizing the need for strategic planning rather than relying solely on willpower. They introduce the Smart Heart concept and habit stacking as effective tools for achieving heart health goals. The episode outlines five key resolutions for 2026, including building a walking routine, upgrading to a Mediterranean diet, mastering home blood pressure monitoring, scheduling a cardiac checkup, and implementing habit stacking for lasting change. The conversation highlights the importance of data collection and regular health checkups in preventing heart disease.TakeawaysResolutions should be based on strategy, not willpower.80% of New Year's resolutions fail by February.Specific and measurable goals increase success rates.Building a walking routine can significantly improve health.Upgrading meals to Mediterranean style can enhance nutrition.Home blood pressure monitoring is essential for health management.Regular checkups can prevent serious health issues.Habit stacking can help integrate new healthy habits into daily life.Small, incremental changes lead to significant health improvements.Heart disease is largely preventable with proactive measures.Chapters00:00 Introduction to New Year's Resolutions01:55 The Importance of Strategy in Resolutions04:42 Understanding SMART Goals for Health07:39 Top Five Heart Health Resolutions for 202610:05 Building a Walking Routine13:07 Upgrading to Mediterranean Diet18:54 Practical Tips for Healthy Eating19:10 Making Healthy Choices Easy20:16 Mastering Home Blood Pressure Monitoring26:17 The Importance of Regular Checkups29:29 Habit Stacking for Healthier Living

Episode #29: In this episode of Living Heart Smart, Dr. Matt DeVane and Dr. Carolyn Lacey discuss the implications of an abnormal coronary artery calcium test. They provide a roadmap for patients on what to do next, including understanding the meaning of calcium scores, the importance of lifestyle changes, and the role of medications in managing heart health. The conversation emphasizes the need for proactive measures and the motivation that can come from knowing one's health status.TakeawaysAn abnormal coronary artery calcium test can be alarming but provides a roadmap for action.Understanding what the calcium score means is crucial for patients.Lifestyle changes such as diet and exercise are essential for heart health.Medications may be necessary to manage cholesterol and reduce cardiovascular risk.Normal is defined as a calcium score of zero, regardless of age.Patients often ask if their arteries can be 'fixed'—the answer is more complex.Aspirin may be recommended based on calcium scores and individual risk factors.Monitoring blood pressure and cholesterol levels is vital for heart health.Therapeutic lifestyle changes can significantly impact heart health outcomes.Using test results as motivation can lead to positive health changes.Sound Bites"What next, now what?""Let it be motivating.""Take one small step."Chapters00:00 Understanding Coronary Artery Calcium Tests01:21 Interpreting Calcium Scores05:20 The Fix: Can We Just Fix It?10:29 Taking Action: Lifestyle Changes and Medications12:14 Understanding Risk Factors for Heart Health12:40 Monitoring Key Health Parameters13:00 The Importance of LDL Cholesterol14:08 The Role of Aspirin in Heart Health15:36 Age and Calcium Scores: What You Need to Know16:57 Empowering Patients with Information17:35 Taking Action: Small Steps for Big Changes

Episode #28In 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.TakeawaysInclisiran 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.Chapters00:00 Introduction to Inclisiran and Statins02:15 Understanding Inclisiran Mechanism of Action04:54 Comparing Inclisiran and Statins07:33 Practical Applications and Patient Selection10:18 Addressing Lipoprotein(a) and Inclisiran12:53 Side Effects and Compliance Issues15:28 Insurance and Cost Considerations18:18 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.TakeawaysThe 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.Chapters00:00 The GLP Revolution: A New Era in Medicine02:37 Understanding GLP Medications and Their Benefits05:27 Managing Side Effects of GLP Medications08:16 The Importance of Teamwork in Treatment10:52 Adjusting Medications: A Collaborative Approach15:07 Managing Blood Pressure and Blood Sugar16:21 The Importance of Lifestyle Changes17:43 Prioritizing Protein Intake19:27 Exercise: A Key Component22:58 The Role of Follow-Up and Teamwork25:17 Future of Obesity Management and Medications

Episode #26In 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.TakeawaysStatins 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."Chapters00:00 Introduction to Statins and Personal Experiences02:41 History and Development of Statins05:29 Who Should Take Statins?08:19 Evaluating Risk Factors for Statin Use11:01 Understanding Side Effects of Statins14:00 Addressing Common Concerns About Statins17:54 The Balance of Risks and Benefits21:34 Personal Decisions and Experiences with Statins25:30 Alternatives to Statins and ConclusionMedical DisclaimerThe 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 #25In 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.TakeawaysThe 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.Chapters00:00 The Magic Number of Steps02:33 Debunking the 10,000 Steps Myth05:03 The Health Benefits of 7,000 Steps07:51 Practical Tips for Achieving Your Step Goals10:44 Tracking Steps and Personal Experiences13:31 Conclusion and Final ThoughtsMedical DisclaimerThe 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 24In 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.TakeawaysLipoprotein 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.Chapters00:00 Understanding Lipoprotein A: The Silent Risk Factor03:34 The Role of Cholesterol in Heart Health07:47 The Genetic Nature of Lipoprotein A09:25 The Impact of Elevated Lipoprotein A11:37 Prevention Strategies for Lipoprotein A13:10 Who Should Be Tested for Lipoprotein A?14:39 Emerging Treatments for Lipoprotein A16:20 Key Takeaways and Next StepsMedical DisclaimerThe 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.TakeawaysQuality 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."Chapters00:00 The Two Paths of Aging00:52 The Importance of Exercise02:22 Scientific Evidence for Exercise Benefits06:21 Mechanisms of Cardiovascular Health06:42 Exercise as Medicine for the Brain09:05 Types of Exercise: Aerobic vs. Strength Training11:54 Finding the Goldilocks Zone in Exercise13:12 The Power of Strength Training14:04 Synergistic Benefits of Combining Exercises14:46 Practical Recommendations for Exercise15:08 Understanding Moderate Intensity Exercise17:21 Overcoming Myths and Barriers to Exercise17:35 The Importance of Mobility in Aging18:28 Weekend Warrior: Making Time for Fitness19:41 Breaking the All-or-Nothing Mentality20:19 Making Exercise Engaging20:26 Addressing Exercise Concerns for Heart Disease Patients21:19 Setting Realistic Goals for Fitness22:50 The Benefits of Exercise Beyond LongevityMedical DisclaimerThe 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 #22In 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 TakeawaysHeart 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 DisclaimerThe 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 #21Welcom 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.takeawaysThe 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 RisksThe 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 DisclaimerThe 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.TakeawaysChanging 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 dayMedical DisclaimerThe 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.TakeawaysPain, 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."Chapters00:00 Introduction to Heart Health Concerns00:24 Understanding Stress Tests03:32 The Anatomy of Heart Disease06:22 Physiology of Stress Testing06:22 Understanding Heart Stress and Exercise06:22 The Purpose of Stress Tests07:09 Symptoms and Indications for Stress Testing07:55 The Importance of Symptoms in Testing08:31 Detecting Blockages: What Stress Tests Reveal09:08 Limitations of Stress Tests09:32 Interpreting Stress Test Results11:30 Preparing for a Stress Test12:43 Misconceptions About Normal Stress Test Results13:46 Alternative Tests for Heart HealthMedical DisclaimerThe 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 #18: In this conversation, Dr. Matt DeVane and Dr. Carolyn Lacey discuss the common issue of heart palpitations, specifically focusing on premature ventricular complexes (PVCs). They explore what PVCs are, their significance, and how patients can identify triggers and symptoms. The doctors emphasize the importance of lifestyle changes and self-monitoring, as well as the role of modern technology in tracking heart health. The conversation aims to reassure listeners about the normalcy of PVCs while providing practical advice for managing heart health. In this conversation, They cover the importance of patient history, family background, and various heart testing methods, including EKGs and echocardiograms. The doctors emphasize the significance of reassurance for patients experiencing PVCs, outlining management strategies that include lifestyle changes, medications, and advanced treatments like catheter ablation. They also touch on the concept of interoceptive awareness, explaining how individuals perceive their bodily sensations differently. The conversation concludes with a call for patients to seek medical advice if they experience concerning symptomsTakeawaysPeople often feel scared or annoyed by heart palpitations.PVCs, or premature ventricular complexes, are common and often harmless.Monitoring devices have increased awareness of heart irregularities.Patients should identify triggers like stress, caffeine, and sleep.Lifestyle changes can help manage PVCs effectively.Patients can prepare for appointments by tracking their symptoms.The heart has multiple pacemakers that can cause PVCs.Understanding PVCs can alleviate anxiety about heart health. Family history is crucial in evaluating heart health.EKGs and echocardiograms are standard tests for PVCs.Lifestyle changes can significantly impact heart health.Medications like beta blockers are commonly used for PVCs.Catheter ablation is an effective treatment for high PVC burden.Stress testing may be necessary for certain patients.Basic blood work is essential in the evaluation process.Interoceptive awareness affects how patients perceive their symptoms.Patients should consult their doctors for any concerning symptoms.Sound Bites"The heart is very good at protecting itself.""You can be your own little detective too.""Most people may not feel anything at all.""Cutting out those triggers is good for you.""70% of young people have PVCs.""Family history can really be very important.""How many PVCs are you having?""Reassurance is very important.""You want to make sure you're hydrating well."Medical DisclaimerThe 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 #17: Dr. Carolyn Lacey and Dr. Matt DeVane discuss the critical issue of high blood pressure explore proven methods to lower blood pressure through lifestyle changes, emphasizing the importance of monitoring blood pressure at home. The discussion covers dietary changes, including reducing sodium and increasing potassium intake, as well as the benefits of the DASH diet. The doctors stress that while lifestyle changes can be effective, they require commitment and effort. In this conversation, Dr. Matt DeVane and Dr. Carolyn Lacey discuss effective strategies for managing blood pressure through dietary changes, behavioral modifications, exercise, and weight loss. They emphasize the importance of understanding caloric intake, the benefits of the DASH diet, and the role of stress and sleep in overall health. The conversation highlights practical steps individuals can take to improve their health and lower blood pressure, including portion control, regular exercise, and maintaining a healthy weight.TakeawaysMost people have a 50-50 chance of having high blood pressure.Many individuals prefer not to take medications for hypertension.Lifestyle changes can significantly lower blood pressure.Monitoring blood pressure at home is crucial for management.Dietary changes are essential for controlling blood pressure.Reducing sodium intake can lower blood pressure by 5-7 mmHg.Increasing potassium helps relax blood vessels and lower blood pressure.The DASH diet is an effective way to manage blood pressure.Behavioral changes are necessary for long-term blood pressure control.Commitment to lifestyle changes is key to success. Cutting calories can help lower blood pressure.Portion control is essential for managing calorie intake.The DASH diet is recommended for those with high blood pressure.Behavioral changes like stress management are important.Sleep quality affects blood pressure levels.Regular aerobic exercise can significantly lower blood pressure.Weight loss is one of the most effective ways to reduce blood pressure.For every kilogram lost, blood pressure can drop by about one millimeter of mercury.Moderate weight loss can lead to reduced medication needs.Commitment to lifestyle changes is key for long-term health.Sound Bites"50-50 chance your blood pressure is too high.""Proven ways to lower your blood pressure.""Track and trend your blood pressure at home.""You need to know what your blood pressure is.""Be aware of portion sizes.""Cutting calories helps with blood pressure.""Behavioral changes can lower blood pressure.""Stress management is crucial for health.""For every kilogram lost, blood pressure drops."Medical DisclaimerThe 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 # 16: Dr. Matt DeVane and Dr. Carolyn Lacey discuss the critical issue of hypertension, often referred to as high blood pressure. They explore the inadequacies in public awareness and management of this condition, emphasizing the need for a different approach to understanding and addressing blood pressure. The discussion delves into the role of the endothelium, a vital organ affected by blood pressure, and challenges common myths surrounding hypertension. The conversation aims to empower listeners to take proactive steps in managing their blood pressure and understanding its implications on overall health. In this conversation, Dr. Carolyn Lacey and Dr. Matt DeVane delve into the complexities of blood pressure, its dynamics, and its impact on overall health. They explore the anatomy of arteries, the crucial role of the endothelium, and how high blood pressure can lead to significant organ damage. The discussion emphasizes the importance of monitoring blood pressure and provides practical tips for effective management, highlighting that understanding and controlling blood pressure is vital for maintaining a healthy life.TakeawaysHypertension is often called the silent killer, but this phrase may lead to apathy.Understanding the endothelium is crucial for recognizing blood pressure's impact.Half of American adults have high blood pressure, yet many are unaware.Only a quarter of those with high blood pressure have it under control.Blood pressure affects every part of the body continuously.The endothelium is a fragile layer that lines blood vessels and is affected by blood pressure.High blood pressure is a longstanding issue that requires new strategies for management.Common myths about blood pressure can lead to misunderstanding and mismanagement.Proactive management of blood pressure is essential for overall health.The statistics surrounding hypertension highlight the urgent need for awareness and action. Blood pressure fluctuates throughout the day, similar to ocean tides.Normal blood pressure is crucial for organ health.The endothelium acts as a filter and is vital for blood flow regulation.High blood pressure can lead to irreversible damage to the endothelium.Monitoring blood pressure at home is essential for understanding trends.Arteries are more than just pipes; they are dynamic organs.The endothelium is a living organ that responds to the body's needs.High blood pressure can affect every organ in the body.Controlling blood pressure is key to preventing serious health issues.Everyone should have a home blood pressure monitor. Quotes:"High blood pressure is not a new problem.""Only one in four have it under control.""Half of Americans have high blood pressure.""Blood pressure is either normal or it's not.""Normal blood pressure is like the tides.""Ignorance is not bliss; know your numbers.""Your endothelium will thank you."Medical DisclaimerThe 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: #15: In this episode of Living Heart Smart, cardiologists Dr. Matt DeVane and Dr. Carolyn Lacey discuss essential cardiology tests, focusing on the EKG and echocardiogram. They demystify the processes involved in these tests, explain the anatomy of the heart, and emphasize the importance of understanding EKG results. The conversation highlights the significance of having a baseline EKG and how technology has evolved in heart monitoring. The episode serves as a comprehensive introduction to basic heart testing for listeners. In this conversation.The doctors delve into the concept of ejection fraction, what it indicates about heart function, and clarify common misconceptions about heart murmurs and valve issues. They also highlight what echocardiograms do not assess, particularly regarding coronary arteries, and emphasize the need for complementary tests. The discussion aims to demystify these common cardiac tests and reassure patients about their significance in maintaining heart health.TAKEAWAYSThe EKG is the first test you will receive when seeing a cardiologist.Understanding the heart's anatomy is crucial for interpreting tests.EKGs provide a wealth of information about heart rhythms and function.It's important to have a baseline EKG for future comparisons.The EKG is a non-invasive test that can be done quickly in the office.Changes in EKG over time can indicate health issues.The echocardiogram is another fundamental test for heart evaluation.Patients should keep a record of their EKG for reference.The heart's complexity requires multiple tests for accurate diagnosis. Echocardiograms provide a comprehensive view of heart structure and function.Symptoms like chest pain and shortness of breath often lead to echocardiograms.Ejection fraction is a key indicator of heart health, typically ranging from 55% to 70%.Murmurs are often benign and can be evaluated through echocardiograms.Heart valves can experience wear and tear over time, leading to conditions like regurgitation and stenosis.Echocardiograms do not assess coronary arteries; additional tests may be needed.Understanding the purpose of these tests can reduce patient anxiety.Echocardiograms are non-invasive and safe procedures.Regular monitoring of heart function is essential for patients with a history of heart disease.Collaboration between different tests provides a complete picture of heart health.SOUND BITES"The heart's pretty complicated.""We need a baseline for sure.""It's not a pass-fail test.""The EKG has withstood the test of time.""EKG is the gateway test.""A murmur is just a sound."Medical DisclaimerThe 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.