RESEARCH REVIEW WEBINAR SERIES
Click on the link below to view the Research Review Webinar series online Cardiology Watch:
#3 SLG 2s in Heart Failure, presented by A/Prof John Amerena
# 2. Lipid Management to Prevent ASCVD; Targeting New Lipid Components, presented by Prof Philip Aylward.
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:
![](https://www.csanz.edu.au/wp-content/uploads/2022/10/ECG-October-Image-1-300x121.png)
![](https://www.csanz.edu.au/wp-content/uploads/2022/10/ECG-Oct-Image-2-300x190.png)
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.
ECG of the Month – September 2022
A 76 year-old gentleman presents for a pacemaker check 4 months post implant. High ventricular rate episodes are noted, as shown below. He is asymptomatic during episodes:
The device is programmed DDD-R 60 – 100. Presenting rhythm and device parameters are shown below.
What is the diagnosis?
Visit the CSANZ Forum for the Answer
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.