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 CSANZ FORUMS – Quick access to Member Discussion Boards.pdf

New CSANZ and HLC Appointments

Following the recent resignations of Dr Paul Bridgman as Chair of the Education Committee and Prof Stephen Duffy as Honorary Secretary, CSANZ Members are advised the following appointments to these roles.

Prof Jenny Deague (WA) has been appointed by the Board as Chair of the Education Committee and Dr Mayanna Lund (NZ) has been appointed CSANZ Honorary Secretary.

A/Prof Salvatore Pepe has been appointed in-coming Editor-in-Chief of Heart Lung and Circulation. A/Prof Pepe will take over the role at the conclusion of Prof Robert Denniss’ term at the end of 2023.  Prof Denniss will stay on the Board until the November, 2022 Board meeting and a special ceremony will be held at the 2023 AGM to acknowledge Prof Denniss’ service and achievements as HLC Editor-in-Chief.

ECG of the Month – October 2022

A 57 year-old woman with a loop recorder in-situ for investigation of syncope presents to the emergency department with recurrent dizzy spells. Loop recorder tracings (1 & 2) are shown:

Image 1
Image 2

Visit the CSANZ Forum to discuss or post a question to A/Prof Alex Voskoboinik.

The Answer:

When reviewing any loop recorder / device tracings it is important to establish a symptom-rhythm correlation – this patient did not have any symptoms at the time of the two traces. Trace 1 represents clear artefact with non-physiological signals seen at baseline, then accentuated later in the trace. The true QRS complexes can be seen marching through and can be mapped out. It is important to have a high index of suspicion for ‘spurious’ / artefactual / undersensing for all logged episodes when this degree of artefact is seen. In trace 2 (reported as a long pause), one can appreciate gradual QRS signal attenuation likely related to patient position / movement. In fact, if one zooms in closely, the QRS complexes never disappear but just become low amplitude before gradually increasingly in amplitude. Fortunately this patient did not receive a pacemaker or defibrillator on the basis of these traces!

 

New MBS Items from 1 November 2022

Two new MBS items (11736 and 11737) will be introduced for remote monitoring of cardiac ILR devices. These new services will be remote mirror services of current in rooms service MBS items 11728 and 11731, allowing remote services to be performed.  Refer to the Quick Reference Guide for further details now available on MBS Online.

In addition, 8 eight MBS items for cardiothoracic surgery items 38510, 38513, 38516, 38517, 38555, 38556, 38557 and 38572 will be amended to incentivise the use of advanced techniques and procedures. See full details of these changes on the MBS website.

Claiming Guide for repeat MBS services for stress echo and stress MPS

In response to a number of queries regarding claiming of repeat MBS services for stress echo (item 55143) and stress MPS (items 61349, 61410), the MBS has produced a claiming guide to assist providers.  Link to MBS claiming guide 

Note that there are no changes to the requirements of the services for stress echocardiography and stress MPS, including the qualifying indications, time dependencies or item associations that currently exist.

SURVEY | use of mHealth applications in clinical practice – Cardiovascular Nurses

You are invited to participate in a study being led by the University of Wollongong (UOW) about the use of m-Health applications in clinical practice. The survey is anonymous and takes approximately 10-15 minutes complete.

Wa’ed Shiyab (PhD candidate at UOW) is conducting the survey to examine the use of mHealth applications by nurses for chronic conditions and lifestyle risk factors.

You can access the survey by scanning the QR code or via this link https://redcap.link/mHealthnurse

Study investigators include:  Wa’ed Shiyab (PhD candidate) and Prof Liz Halcomb (Primary Supervisor). Dr Kaye Rolls and A/Prof Caleb Ferguson (Co-Supervisors).

If you have any questions, please contact Mrs Wa’ed Shiyab via email or Prof Liz Halcomb email or phone 4221 3784.

Interviews with 2022 CSANZ ASM Prize Winners

The Education Committee invited the following prize winners to be interviewed after the 2022 CSANZ ASM to talk about their winning work that was presented, and what the future looks like for this project and their work. 

2022 Ralph Reader in Basic and Translational Science Prize Winner
2022 Ralph Reader in Clinical Science Prize Winner
2022 Cardiovascular Nursing Prize Winner
2022 Allied Health, Science & Technology Prize Winner
Dr Dinesh Selvakumar Westmead Institute for Medical Research

Abstract: Cellular Heterogeneity in Human Pluripotent Stem Cell Derived Cardiomyocyte Grafts are responsible for Arrhythmias and are Treatable with Pharmacotherapy and Catheter Ablation.

Read abstract in full here as published in the HLC Journal.

Dr Julia Isbister 
Centenary Institute

Abstract: “Concealed Cardiomyopathy” is an Important Cause of Autopsy-Inconclusive Sudden Cardiac Death and Diagnosis Impacts Care of Surviving Relatives

Read article in full here as published in the HLC Journal.

Kristel Janssens
Baker Heart and Diabetes Institute

Abstract: Modest association between peak exercise blood pressure and ambulatory hypertension in endurance athletes.

Read abstract in full as published in HLC Journal.

Adam Livori
Ballarat Health Services

Abstract: Assessment of Telehealth Cardiology Pharmacist Clinic in Improving Therapy Adherence following Acute Coronary Syndrome and PCI.

  Read abstract in full as published in HLC Journal.

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