Living Heart Smart

Cardiologists use expert guidelines to help direct our treatments. The first cholesterol guidelines were just released in early March, 2026. Dr. DeVane and Dr. Lacey summarize the key points you need to know to keep your heart healthy- start cholesterol lab screening at age 19- use the PREVENT calculator to assess your risk- know your LDL targets based on your risk- a heart healthy lifestyle is a critical component of your treatment- make sure you have your Lipoprotein (a) checked- it is a genetic bad cholesterol- consider a Coronary Artery Calcium Test to look at your heart arteriesTalk to you doctor about your cholesterol levels

Patients, friends and family love to ask us questions about heart health.What is the best diet I can eat?What type and how much exercise do I need to do?What are the cholesterol numbers I need to know?If I have a family history of heart disease- am a I doomed???What are the symptoms of a heart attack I need to know?Now you have board-certified cardiologist answering these for you!In addition, we answer questions about aspirin use as well as stress and sleep effects on your heart.Let us know if you have more questions we can help you with.Thanks for watching--

What would you do if someone collapsed right in front of you?In this episode of Living Heart Smart, board-certified cardiologists Dr. Matt DeVane and Dr. Carolyn Lacey walk you through exactly what to do in the critical first moments of a sudden cardiac arrest.Whether you’re at the pickleball court, the gym, a restaurant, or with family at home — the actions you take in the first few minutes can mean the difference between life and death.We break it down into three simple, lifesaving steps:1️⃣ Call 911 — or assign someone specifically to do it. Don’t assume someone else has called.2️⃣ Get an AED (Automated External Defibrillator) — they are more common than you think.3️⃣ Start hands-only CPR — immediately.You’ll also learn:What an AED actually does and how simple it is to useThe difference between a heart attack and sudden cardiac arrestWhy you cannot “make it worse” by using an AEDHow Good Samaritan laws protect youWhat to expect while waiting for EMS (average arrival time is about 10 minutes)These devices are designed for everyday people. You do not need medical training. The machine does the analysis. It tells you exactly what to do.The life you save is most likely to be someone you love.Our goal today: help you go from a scared bystander to a heroic lifesaver.If this episode builds your confidence, share it with someone you care about.And don’t forget to subscribe to Living Heart Smart for more practical, evidence-based heart health guidance.#CardiacArrest #CPR #AED #HeartHealth #SuddenCardiacArrest #BystanderCPR

What is causing that chest pain? A heart attack? Life threatening or just Life annoying?Dr. Matt DeVane and Dr. Carolyn Lacey discuss the critical topic of chest pain, aiming to educate listeners on its causes, symptoms, and when to seek medical help. They emphasize the importance of recognizing red flag symptoms that may indicate a heart attack and provide guidance on how to communicate effectively with healthcare providers about chest pain. The discussion also covers both life-threatening and non-life-threatening causes of chest pain, reassuring listeners that most chest pain is not related to heart attacks but should still be evaluated by a medical professional.TakeawaysChest pain is a common reason for emergency visits.Education and reassurance are key goals in discussing chest pain.Recognizing red flag symptoms is crucial for timely intervention.Patients should be prepared to answer specific questions about their chest pain.Most chest pain is not life-threatening, but it should be evaluated.Understanding the difference between life-threatening and non-life-threatening causes is important.Emergency services should be called for severe symptoms.Effective communication with healthcare providers can aid in diagnosis.Chest pain can stem from various causes, including gastrointestinal issues and anxiety.Seeking help for chest pain is always the right choice.

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.