Living Heart Smart

Dr. Matthew DeVane and Dr. Carolyn Lacey

Your Heart. Your Health. Made Simple. Welcome to Living Heart Smart with Dr. Matt DeVane and Dr. Carolyn Lacey Why Listen? Because your heart deserves more than Dr. Google. Dr. DeVane and Dr. Lacey break down complex cardiovascular issues into simple, actionable steps. Whether you're managing a heart condition, supporting a loved one, or just want to stay ahead of potential problems, this podcast gives you the knowledge and confidence to take control of your heart health. Your heart works hard for you every single day. Now you can return the favor! Subscribe now to start your journey.

  1. Eggs, Aspirin and HDL: Fresh Updates For Your Heart and Diet

    JAN 25

    Eggs, Aspirin and HDL: Fresh Updates For Your Heart and Diet

    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. Takeaways Eggs 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

    18 min
  2. JAN 18

    From Heart Attack to Healing: Your Essential Guide

    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?" Chapters 00:00 Introduction to Heart Attack Recovery 01:08 Understanding the Immediate Aftermath 07:02 Tests and Medications Post-Heart Attack 12:55 The Psychological Impact of Heart Attacks 15:33 The Importance of Cardiac Rehabilitation 17:45 Lifestyle Changes for Long-Term Health 22:22 Action Items for Recovery

    18 min
  3. JAN 16

    The 5-Minute Longevity Hack

    Episode #32: A Short In 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. Takeaways You 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." Chapters 00:00 Introduction to the Five-Minute Exercise Revelation 01:32 The Impact of Small Increments of Movement 03:37 Overcoming Sedentary Habits for Better Health 04:14 Conclusion: Taking Action for a Healthier Life

    3 min
  4. JAN 8

    New Atrial Fib? Start With Our Roadmap

    Episode #31 In 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. Takeaways Atrial 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." Chapters 00:00 Introduction to Atrial Fibrillation 02:38 Understanding Smartwatch Alerts 05:28 What is Atrial Fibrillation? 07:56 Risks Associated with Atrial Fibrillation 09:19 Lifestyle Modifications for Managing AFib 13:45 The Role of Stress and Sleep Apnea 17:18 Medications for Atrial Fibrillation 20:54 Testing and Monitoring AFib 26:56 Managing Asymptomatic Atrial Fibrillation 28:33 Procedures for Atrial Fibrillation 30:16 Reassurance and Conclusion

    19 min
  5. 12/18/2025

    Heart-Healthy New Year: Habit Stacking and Our Top 5 Resolution Ideas

    Ep #30 In 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. Takeaways Resolutions 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. Chapters 00:00 Introduction to New Year's Resolutions 01:55 The Importance of Strategy in Resolutions 04:42 Understanding SMART Goals for Health 07:39 Top Five Heart Health Resolutions for 2026 10:05 Building a Walking Routine 13:07 Upgrading to Mediterranean Diet 18:54 Practical Tips for Healthy Eating 19:10 Making Healthy Choices Easy 20:16 Mastering Home Blood Pressure Monitoring 26:17 The Importance of Regular Checkups 29:29 Habit Stacking for Healthier Living

    20 min
  6. 11/26/2025

    Abnormal Coronary Artery Calcium Test- Now What?

    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. Takeaways An 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." Chapters 00:00 Understanding Coronary Artery Calcium Tests 01:21 Interpreting Calcium Scores 05:20 The Fix: Can We Just Fix It? 10:29 Taking Action: Lifestyle Changes and Medications 12:14 Understanding Risk Factors for Heart Health 12:40 Monitoring Key Health Parameters 13:00 The Importance of LDL Cholesterol 14:08 The Role of Aspirin in Heart Health 15:36 Age and Calcium Scores: What You Need to Know 16:57 Empowering Patients with Information 17:35 Taking Action: Small Steps for Big Changes

    19 min
  7. 09/30/2025

    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

    13 min

Ratings & Reviews

5
out of 5
6 Ratings

About

Your Heart. Your Health. Made Simple. Welcome to Living Heart Smart with Dr. Matt DeVane and Dr. Carolyn Lacey Why Listen? Because your heart deserves more than Dr. Google. Dr. DeVane and Dr. Lacey break down complex cardiovascular issues into simple, actionable steps. Whether you're managing a heart condition, supporting a loved one, or just want to stay ahead of potential problems, this podcast gives you the knowledge and confidence to take control of your heart health. Your heart works hard for you every single day. Now you can return the favor! Subscribe now to start your journey.

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