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Living Heart Smart
Dr. Matthew DeVane and Dr. Carolyn Lacey
28 episodes
43 minutes ago
Cardiologists, Dr. Matt DeVane and Dr. Carolyn Lacey, want to help everyone learn about living a "Heart Smart" Lifestyle. We tap into our years of clinical practice to guide you through; heart healthy nutrition and exercise, life-saving heart procedures, atrial fibrillation, cholesterol and hypertension. We review heart disease prevention strategies and all the latest heart healthy gadgets and state-of-the-art technology aimed at keeping your heart happy and healthy.
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All content for Living Heart Smart is the property of Dr. Matthew DeVane and Dr. Carolyn Lacey and is served directly from their servers with no modification, redirects, or rehosting. The podcast is not affiliated with or endorsed by Podjoint in any way.
Cardiologists, Dr. Matt DeVane and Dr. Carolyn Lacey, want to help everyone learn about living a "Heart Smart" Lifestyle. We tap into our years of clinical practice to guide you through; heart healthy nutrition and exercise, life-saving heart procedures, atrial fibrillation, cholesterol and hypertension. We review heart disease prevention strategies and all the latest heart healthy gadgets and state-of-the-art technology aimed at keeping your heart happy and healthy.
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Medicine
Health & Fitness
Episodes (20/28)
Living Heart Smart
Inclisiran: New Statin Alternative for LDL Lowering

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


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1 month ago
13 minutes 14 seconds

Living Heart Smart
GLPs For Your Heart: Top 5 Tips for Success

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


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1 month ago
21 minutes 15 seconds

Living Heart Smart
Statins: Do You Need One? PROVE IT!

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.

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2 months ago
19 minutes 7 seconds

Living Heart Smart
The Pure Magic of 7,000 Steps

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


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2 months ago
11 minutes 14 seconds

Living Heart Smart
Lipoprotein (a): The Hidden Heart Risk Factor

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.

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2 months ago
11 minutes 5 seconds

Living Heart Smart
Movement as Medicine: For Your Heart...and Brain

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


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4 months ago
25 minutes 30 seconds

Living Heart Smart
Heart Valves: Murmurs, Leaks and Stenosis: Oh My!

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."




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5 months ago
14 minutes 54 seconds

Living Heart Smart
Too Young For A Heart Attack? Think Again!

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.


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5 months ago
20 minutes 36 seconds

Living Heart Smart
Unlocking a Decade of Life: The Power of Lifestyle Changes

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


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7 months ago
8 minutes 40 seconds

Living Heart Smart
Chest Pain: Stress Testing: Top Ten Insider Facts

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


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7 months ago
15 minutes 34 seconds

Living Heart Smart
PVC's: Why is my Heart Flip-Flopping?

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, Dr. Carolyn Lacey and Dr. Matt DeVane discuss the evaluation and management of premature ventricular contractions (PVCs). 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 symptomsTakeaways


People 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."



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7 months ago
25 minutes 30 seconds

Living Heart Smart
Lower Your Blood Pressure Naturally: Look Mom- No Meds!

Dr. Carolyn Lacey and Dr. Matt DeVane discuss the critical issue of high blood pressure and the reluctance many have towards taking medication.

They 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.

Takeaways

Most 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 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.


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8 months ago
11 minutes 45 seconds

Living Heart Smart
Control Your Blood Pressure: Fresh Thinking on Hypertension (and Endothelium)

Season 2:Ep#4: 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.

Takeaways

Hypertension 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 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.


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8 months ago
17 minutes 19 seconds

Living Heart Smart
Demystifying Heart Tests: Echo and EKG

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, Dr. Matt DeVane and Dr. Carolyn Lacey discuss the importance of echocardiograms in assessing heart health. They explain the procedure, its benefits, and the various reasons a patient might need one, including symptoms like chest pain and shortness of breath. 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.

TAKEAWAYS

The 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 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.



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8 months ago
14 minutes 17 seconds

Living Heart Smart
Alcohol: Cancer Causing or Heart Protective?

In this conversation, Dr. Matt DeVane and Dr. Carolyn Lacey discuss the recent advisory from the U.S. Surgeon General regarding alcohol consumption and its links to cancer. They explore the complexities of alcohol's effects on heart health, the classification of alcohol as a drug, and the importance of understanding dosage.

The discussion also touches on the Mediterranean diet and its relationship with alcohol consumption, highlighting the need for a nuanced understanding of alcohol's health impacts. In this conversation, Dr. Matt DeVane and Dr. Carolyn Lacey explore the complex relationship between alcohol consumption and health.

They discuss the French paradox, the potential cardiovascular benefits of moderate wine intake, and the confounding factors that complicate observational studies. The conversation shifts to the risks associated with alcohol, including its impact on heart health and its association with over 200 medical conditions.

The World Health Organization's strong stance on alcohol consumption is highlighted, emphasizing that there is no safe amount. The doctors also delve into the importance of understanding alcohol dosage and the changing perceptions of drinking, advocating for a mindful approach to alcohol consumption, including the concept of being 'sober curiousTakeaways

  • The U.S. Surgeon General's advisory highlights alcohol's cancer risks.
  • Alcohol is classified as a group one carcinogen.
  • There is confusion among patients regarding alcohol's health effects.
  • Alcohol consumption is linked to approximately 100,000 cancer cases annually.
  • Acetaldehyde, a byproduct of alcohol metabolism, can cause DNA mutations.
  • Alcohol's effects on health are dose-dependent.
  • Moderate drinking may have cardiovascular benefits, but risks exist.
  • The Mediterranean diet includes moderate wine consumption and promotes longevity.
  • Understanding alcohol as a drug can change consumption habits.
  • There is no safe level of alcohol consumption according to health guidelines. Moderate wine intake may be associated with healthier lifestyles.
  • Observational studies do not establish cause and effect.
  • Heavy drinking can lead to serious cardiovascular issues.
  • Alcohol affects over 200 medical conditions beyond cancer and heart disease.
  • The WHO states there is no safe amount of alcohol consumption.
  • Understanding alcohol dosage is crucial for health.
  • Perceptions of drinking have shifted, often leading to unintentional heavy drinking.
  • Sober curiosity encourages a mindful relationship with alcohol.
  • Individual health risks should guide alcohol consumption decisions.
  • Less alcohol is generally better for health.

Sound Bites

  • "How can it be bad for the rest of my body?"
  • "Alcohol consumption increases cancer risk."
  • "Humans don't just die of cancer."
  • "Wine is supposed to be good for me, right?"
  • "Wine must be good for my heart."
  • "We keep talking about the dose."
  • "You may be drinking more than you thought."
  • "Less is better and none is probably best.


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8 months ago
17 minutes 14 seconds

Living Heart Smart
New Year Resolutions 2025: Make it HEART HEALTHY!

Season 2, Episode #1: In this conversation, Dr. Matt DeVane and Dr. Carolyn Lacey discuss health-related New Year's resolutions for 2025, reflecting on their past year's goals and sharing insights on maintaining a healthy lifestyle. They emphasize the importance of simplicity in setting resolutions, the significance of regular health checks, understanding cholesterol levels, and the necessity of exercise. The doctors also provide strategies for breaking bad habits and setting realistic health goals for the new year, encouraging listeners to keep moving forward and make gradual changes for better health.

Takeaways Keep New Year's resolutions simple and achievable. Reflect on past health goals to improve future outcomes. Regular health checks are crucial for monitoring cholesterol and blood pressure. Exercise should be prioritized for overall health, not just weight loss. Breaking one bad habit at a time is more effective than trying to change everything at once. Setting realistic exercise goals can help maintain consistency. Incorporate healthy snacks into your diet to improve nutrition. Planning meals can reduce unhealthy eating habits. Accountability through competition can motivate healthier choices. Focus on gradual lifestyle changes for long-term success.

Key Quotes:

"Don't overthink it." "Keep it simple, write it down."

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.


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9 months ago
14 minutes 46 seconds

Living Heart Smart
Starting Your A. Fib Journey: Andrew Benn, MD, FACC

Season 1, Ep#12: In this episode of Living Heart Smart, our guest, cardiologist Dr Andy Benn, introduce the topic of atrial fibrillation (AFib) and discuss the basics of the condition. They reassure listeners that AFib is a livable condition and emphasize the importance of a team approach in managing it. The hosts also mention the common symptoms of AFib, such as palpitations, breathlessness, and fatigue. They explain the diagnostic process, including the use of EKGs and other tests, and highlight the association between AFib and other cardiac conditions. The episode concludes with a preview of future episodes, which will cover risk factors, treatment options, and stroke prevention.

Takeaways

Atrial fibrillation (AFib) is a livable condition that can be managed with a team approach

Common symptoms of AFib include palpitations, breathlessness, and fatigue

Diagnosis of AFib involves the use of EKGs and other tests

AFib is often associated with other cardiac conditions and risk factors

Future episodes will cover risk factors, treatment options, and stroke prevention

Sound Bites

"If you have AFib, you're going to be fine. We're going to take good care of you. It's a team effort."

"Atrial fibrillation is a very specific arrhythmia characterized by no squeezing of the atrium, typically a rapid and irregular heartbeat."

"The common road that holds all those pathways together is the EKG."

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.


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9 months ago
27 minutes 31 seconds

Living Heart Smart
TOP 5: Heart Attack Survival Guide

Season 1, Ep #11: In this episode of Living Heart Smart, Drs. Matt DeVane and Carolyn Lacey discuss the essential steps for heart attack survivors. He emphasizes the importance of education, teamwork with physicians, understanding medications, controlling risk factors, participating in cardiac rehabilitation, and making lifestyle changes. The conversation provides a comprehensive survival guide for those navigating life after a heart attack, highlighting the need for patience and proactive health management.

Takeaways

Education and teamwork with your physician are crucial.

Expect to be on new medications after a heart attack.

Controlling risk factors is essential for recovery.

Cardiac rehabilitation significantly improves outcomes.

Lifestyle changes are necessary for long-term health.

Patience is key as your heart heals.

Smoking cessation is non-negotiable for heart health.

Regular follow-ups with your doctor are important.

Understanding your medications can reduce anxiety.

This is an opportunity for a new lease on life.

Sound Bites

"What do I do now?"

"Cardiac rehab programs are a must."

"This is a new lease on life."


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.


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9 months ago
17 minutes 1 second

Living Heart Smart
TOP 5: Atrial Fib: Things YOU MUST DO!

Season 1, Ep#10: Drs. Matt DeVane and Carolyn Lacey provide a comprehensive overview of atrial fibrillation (AFib), focusing on five key strategies for managing the condition. The discussion emphasizes the importance of patient education, lifestyle changes, stroke prevention, recognizing symptoms, treatment options, and the necessity of teamwork between patients and healthcare providers. The speakers aim to empower listeners with actionable insights to navigate their AFib journey effectively.

Takeaways

Patients can manage AFib by reducing alcohol and caffeine intake.

Maintaining a healthy weight is crucial for AFib control.

High blood pressure and diabetes are significant contributors to AFib.

Sleep apnea can be a cause of AFib and should be evaluated.

Stroke prevention is a key aspect of AFib treatment.

Blood thinners are often necessary for stroke prevention in AFib patients.

Smartwatches can help detect AFib but are not foolproof.

AFib treatment may include medications and procedures like cardioversion.

Teamwork with healthcare providers is essential for managing AFib.

Each patient's AFib journey is unique and requires personalized care.

Sound Bites

"Symptoms of AFib can be vague."

"Your AFib journey is unique."

"Educate yourself about AFib."


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.


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9 months ago
7 minutes 4 seconds

Living Heart Smart
Mediteranean Style Diet: Best For Your Heart!

Season 1, Ep#9: Cardiologists Matt DeVane and Dr. Lacey discuss the Mediterranean diet, emphasizing its benefits for heart health and overall wellness. They share personal experiences and practical tips for adopting this lifestyle, including the importance of nutrition, healthy snacking, and reducing processed foods. The conversation highlights the role of specific foods like nuts, olive oil, and fish, while also addressing the need to minimize sugar and refined grains. The episode concludes with actionable advice for listeners to start their journey towards a healthier diet.

Takeaways

Food can be medicine for heart health.

The Mediterranean diet is widely recommended by cardiologists.

Living longer often comes with chronic diseases.

Small dietary changes can lead to significant health improvements.

Nuts are a great snack option for heart health.

Extra virgin olive oil is a key component of the Mediterranean diet.

Eating fish provides essential omega-3 fatty acids.

Reducing sugar intake is crucial for overall health.

Whole grains should replace refined grains in your diet.

Planning meals ahead can help maintain a healthy diet.

Sound Bites

"Think of food as medicine"

"Whole grains are much better for you."


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.


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9 months ago
22 minutes 51 seconds

Living Heart Smart
Cardiologists, Dr. Matt DeVane and Dr. Carolyn Lacey, want to help everyone learn about living a "Heart Smart" Lifestyle. We tap into our years of clinical practice to guide you through; heart healthy nutrition and exercise, life-saving heart procedures, atrial fibrillation, cholesterol and hypertension. We review heart disease prevention strategies and all the latest heart healthy gadgets and state-of-the-art technology aimed at keeping your heart happy and healthy.