Utilizing shared decision-making in the diagnosis and management of hypertrophic cardiomyopathy can support positive outcomes for patients, family members and caregivers. Guests Kim Hecker, BSN, BA, RN, and Jillian Thorne, describe the process, and the impacts across all stages of the patient journey.

References and related resources:

2024 AHA/ACC Guideline for the Management of HCM

Twice the Heart Foundation: https://www.instagram.com/twicetheheartfoundation/

PCNA resources on HCM for providers and patients

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Review the latest clinical guidelines on LDL-C reduction, especially for your patients with diabetes. Guest Susan Halli Demeter, DNP, CNP, NP, also reflects on how engaging patients in shared decision-making aids in treatment adherence and identifies potential barriers to address, including polypharmacy, access, and other issues.

References and Related Resources:

PCNA Lipid resources for providers and patients

PCNA Diabetes resources for providers and patients

CARDS trial

IMPROVE-IT trial

FOURIER trial

ODYSSEY trial

VESALIUS-CV trial

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Earlier ASCVD risk reduction is better--particularly for patients with diabetes. Guest Lisa Maher, DNP, ARNP, FNP-BC, FPCNA, discusses the importance of reviewing family history, and shares strategies for decision-making in primary and secondary risk reduction strategies asuch as lowering LDL-C, blood glucose, hypertension, smoking, and other factors.

Related Resources:

PCNA Lipid resources for providers and patients

PCNA Diabetes resources for providers and patients

2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease

PREVENT Risk Calculator

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What can we be doing to reduce LDL-C to decrease the risk for cardiovascular disease, particularly in our patients with diabetes? Learn from Margo B. Minissian, PhD, RN, ACNP-BC, NEA-BC, FAAN about the role of high blood sugar in cardiovascular disease, effective strategies for lowering LDL-C, and the importance of early treatment.

Related Resources:

PCNA Lipid Resources for Providers and Patients

PCNA Diabetes Resources for Providers and Patients

2018 AHA/ACC Guideline on the Management of Blood Cholesterol

2019 ACC/AHA Guideline on the Primary Prevention of Cardiovascular Disease

IVUS Regression Trials: REVERSAL (2004), ASTEROID (2006); SATURN (2011); GLAGOV (2016); PRECISE-IVUS(2015); JAPAN-ACS (2009)

COURAGE trial

VESALIUS-CV trial

Pleiotropic effects of statins

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Hypertrophic Cardiomyopathy (HCM) is the most common genetic heart disease in the US. Guest James Norton, BSN, RN, shares the hallmark signs and symptoms, and describes how shared decision-making in the care of patients with HCM from diverse populations.

Related resources:

AHA HCM sudden cardiac death risk calculator: https://professional.heart.org/en/guidelines-and-statements/hcm-risk-calculator

Clinical Course & Management of HCM: https://www.nejm.org/doi/full/10.1056/NEJMra1710575

HCM Sudden Cardiac Death Calculator: https://professional.heart.org/en/guidelines-and-statements/hcm-risk-calculator

2024 AHA/ACC Guideline for the Management of HCM: https://www.ahajournals.org/doi/10.1161/CIR.0000000000001250

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Guest Keri Barron, PhD, RN, CNE, shares ideas for improving cardiovascular outcomes for Black women. This includes individual actions such as preparation for clinical encounters and self-advocacy, as well as larger-scale initiatives like research and community outreach.

Resources & References:

PCNA articles:

Faith-Based Cardiovascular Health. https://pcna.net/news/faith-based-cardiovascular-health/

Understanding the Essentials: Cardiovascular Nurses in Community Outreach. https://pcna.net/news/understanding-the-essentials-cardiovascular-nurses-in-community-outreach/

Cushman M, Shay CM, Howard VJ, et al. G10-Year Differences in Women's Awareness Related to Coronary Heart Disease. Circulation.2020. DOI: 10.1161/CIR.0000000000000907.

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Patients with cardiomyopathy may benefit from virtual patient support groups. Guest Andrea Linder, RN, MSN, CCRC, FPCNA, describes a successful model, with sessions that include both information and opportunities to share their questions and experiences. Andrea also discusses recent clinical trials and the impact of mavacamten on disease management.

Related PCNA Resources:

Patient Education Tool on Hypertrophic Cardiomyopathy: https://pcna.net/resource/hypertrophic-cardiomyopathy-what-you-need-to-know-fact-sheet/

HCP tool on Hypertrophic Cardiomyopathy: https://pcna.net/resource/hypertrophic-cardiomyopathy-what-healthcare-providers-need-to-know/

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Cardiovascular-Kidney-Metabolic (CKM) Syndrome leads to poor health outcomes, and is affecting individuals at younger and younger ages. The PREVENT calculator helps identify individuals earlier in the disease progression, allowing time for intervientions that may lead to a regression on the stages of CKM. Guest Chiadi Ndumele, MD, PhD. also describes shared decision-making, and value- and volume-based care models.

PREVENT calculator: https://professional.heart.org/en/guidelines-and-statements/prevent-calculator

Pooled 10-year ASCVD Risk Calculator: https://tools.acc.org/ascvd-risk-estimator-plus/#!/calculate/estimate/

2025 Hypertension Guidelines Update: https://www.heart.org/en/health-topics/high-blood-pressure/the-facts-about-high-blood-pressure/high-bp-top-10

AHA CKM Scientific Statement: https://professional.heart.org/en/science-news/cardiovascular-kidney-metabolic-health-a-presidential-advisory

PCNA CKM Resource list: https://pcna.net/resources/patient-education/patient-information/cardiovascular-kidney-metabolic-syndrome-resources/

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