President’s Report 2009

on the pulse Delivered by Dr Leo Mahar Volume XXI No 3 September 2009

It gives me pleasure to report on the considerable help to the running of our young colleagues we must activities of the Cardiac Society, the the Society and that meeting. endeavour to overcome these and Board and the various Councils over I would also like to congratulate provide the best possible training the last year. Jim Wilkinson, Dan Penny and for Cardiologists of the future. David Winlaw for the tremendous Firstly we must thank the Organising success of the World Congress of There has been some call for a Committee for the wonderful Paediatric Cardiology and Cardiac national matching programme meeting that they have put on here in Surgery in Cairns in June this year. between those interested in Sydney. In particular, I would like It was reported as a marvellous Cardiology training and positions meeting, with excellent attendance to thank the Chair of the Organising available inside some States and and excellent weather and a Committee, Peter Macdonald, the amongst States. The College Chair of the Scientific Committee, satisfactory financial outcome. would, of course, like to become Chris Semsarian, Lea Delbridge involved in this. After vigorous from the ISHR and Patricia I would now like to report on the discussion in the Board, we feel Davidson who organised the activities of the four major Sub- Affiliate Programme. Committees of the Board. that the procedures in the States so far have some way to go before we The Annual Scientific Meeting Cardiology Training can roll this out to a national continues to grow and prosper. This After 10 years of very hard work programme. There is of course the year in Sydney we have had close to David Richmond has resigned as justified fear from the smaller 2400 registrants, the largest meeting Chair of this Specialty Training States that they do badly from ever. The venue is wonderful. The Committee (STC) in Cardiology. national training programmes. Sydney weather has been excellent. We thank him for his considerable We continue to have the format of efforts over those years and wish The STC in Cardiology sits the meeting beginning on Friday and him well in the future. Peter Steele between the College of Physicians concluding on Sunday, preceded by was appointed the new Chairman and the Cardiac Society and is satellite meetings of various of this sub-committee which is a answerable to both. The Councils. I should particularly considerable undertaking. The sub- Cardiology curriculum was sent to mention the ANZET09 meeting committee now overseas the the College and is yet to be which again has been a wonderful training of 170 people and this is received back. We are hoping success with 540 registrants. It is the time-consuming and difficult. The there will be progress on this in the third of the interventional meetings aim is to provide very good near future. This covers the sponsored by the Cardiac Society extensive knowledge and and we hope that they will continue. cardiology training and experience experience required in adult It is already planned for to our young colleagues as well as Cardiology and the paediatric 2010. ANZET has now grown to meeting the service demands of Cardiology curriculum is almost such a size that it has a permanent metropolitan and regional hospitals secretarial presence in the Cardiac as best we can. This sometimes finished. Society Office. This has been of leads to disappointment for some smaller hospitals whose training One area that we have not so far programmes are not recognised but addressed adequately is training in the quality of the training is grown up congenital heart disease. paramount. The Board resolved The Board has encouraged a small two years ago to extend Cardiology group of people interested in this Training to three core years, area (both paediatric Cardiologists starting from 2010. This was done and adult Cardiologists interested in recognition of the enormous in congenital heart disease) to amount of material that has to be develop a curriculum and a training covered including exposure to programme. This is an area of real surgery and electrophysiology. need both now and into the future. This has led to some difficulty in (Continued on page 3) rostering. In the best interests of

Volume XXI, No. 3, September, 2009

On the pulse

A publication of The Cardiac Society of Australia and New Zealand A.C.N. 003 635 505 145 Macquarie Street, Sydney NSW 2000 Tel: +61 2 9256 5452 Fax: +61 2 9247 7916 Email: [email protected] http://www.csanz.edu.au

Issue Dates Copy Deadline More information December 2009 10 November 2009 Christine Boyle Views expressed in “on the March 2010 10 February 2010 [email protected] pulse” are not necessarily June 2010 10 May 2010 Tel: +61 2 9256 5453 the views of the Cardiac September 2010 10 August 2010 Fax: +61 2 9247 7916 Society or its Board.

The Board President: Honorary Secretary:

Leo Mahar Michael Ward

Hon Asst Sec/Treasurer: President Elect: Regional Committees David Brieger James Cameron

Chair, CSANZ Cardiac New Zealand: Elected Board Members: Imaging Council: Chairman: Andrew Hamer Roger Allan, NSW John O’Shea Secretary: Dave Tang Philip Aylward, SA John Atherton, QLD Chair, CSANZ Joseph Hung, WA Electrophysiology & Pacing New South Wales: Ian Meredith, VIC Council: Chairman: Roger Allan Philip Roberts-Thomson, TAS Stuart Thomas Secretary: Nigel Jepson Harvey White, NZ Chair, CSANZ Interventional Council: Victoria: Affiliate Representatives: Andrew MacIsaac Chairman: David Prior Trish Davidson (Nurse rep) Secretary: Andrew Taylor Julie Redfern (Allied Health rep) Clinical Practice Adviser:

Michael Feneley Queensland: Chair, Scientific Chairman: Will Parsonage Committee: Executive Officer: Secretary: Karam Kostner Len Kritharides Lynne Portelli

Paediatric Representative: Admin Officers: : Robert Justo Christine Boyle Chairman: Joseph Montarello Anne Mar Secretary: Matt Worthley Stephanie Johnston Elected Board Member –

Surgeon: Chair, STC: Western Australia: Julian Smith Peter Steele Chairman: John O’Shea Secretary: Mark Ireland National Heart Foundation of Australia: Tasmania: Roger Allan Chairman: Don McTaggart

Secretary: Andrew Thomson Chair, New Zealand Regional Committee:

Andrew Hamer

Editor, Heart Lung and Circulation: David Brieger Richmond Jeremy Editor

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President’s Report

(Continued from page 1) are grateful. The Scientific particular technique. Appropriate Committee overseas the running of training and experience is required Continuing Education and the Annual Scientific Meeting and for credentialing to produce a Recertification Committee appraises and recommends various quality examination and report. To (CERC) scholarships awarded by the this end, a committee has been set Andrew MacIsaac has done a great Society. In addition, Len has been up comprising of three job in chairing this Committee one of the main organisers behind Cardiologists, three Radiologists and which develops and reviews the Indigenous Cardiovascular three Nuclear Physicians as a con- guidelines for continuing education Health Conference which starts just joint committee to recognise and recertification. Over the last before the Annual Scientific appropriate training in this field. It year, they have reviewed the Meeting concludes. I wish that has been a difficult process. I think guidelines of the support facilities meeting every success. we have achieved a satisfactory for primary percutaneous coronary outcome particularly for patients intervention, paediatric cardiac Heart Lung and Circulation getting a quality examination. I catheterisation, pharmacological Richmond Jeremy continues as would like to particularly thank stress testing and are currently Editor-in-Chief of the Journal and it Michael Feneley, our Practice involved in the selection and continues to flourish. Its index Adviser, Stephen Worthley and creation of performance measures rating is now 2 which is excellent Daniel Friedman for their very for quantifying the quality of for a comparatively new journal. considerable input into this area and cardiovascular care. CERC also they, of course, will be our reviewed guidelines for Marfan’s I was on the Board when we took nominees for this conjoint Syndrome, management of familial this journal over from the Australian committee. long QT syndrome, management of Society of Cardiac and Thoracic hypertrophic cardiomyopathy, Surgeons. I was concerned that it The Budget outcome came as a familial hypercholesterolaemia and may be a millstone around our neck. surprise to many of us. Despite the assessing fitness to drive. All of Thanks to the undoubted drive and rhetoric of consultation the 20% these guidelines are available on the expertise of Richmond Jeremy it is reduction in coronary angiography CSANZ website and also some are flourishing. It is now self fees came as a complete bolt from to be reviewed further. supporting. Richmond has been the blue. It was unilateral and very helpful with special editions to undiscussed. We have protested Professional and Ethical cover the proceedings of the most vigorously but have yet to hear Standards Committee (PESC) Society. back from the Department. These Jim Cameron has continued to do an changes take place from the 1st of excellent job running this Government Issues November, although no one has Committee and has worked hard on There are three major issues that I been officially notified in writing. the review of the professional and would like to discuss that affect the ethical standards as requested by members of the Society. The capital sensitivity requirement various hospitals. They also manage for ultrasound equipment is even the admission processes to the CT Coronary Angiography more serious. The Government in various categories of membership of There has been considerable friction its efforts to try and bolster service the Society and are currently between the Royal Australian and provision in less affluent areas involved in the update of the New Zealand College of Radiology decided to increase the bulk-billing Memorandum and Articles of and the Cardiac Society of rate for radiological and ultrasound Association for the Cardiac Society ownership of this investigation. At investigations from 85% to 95%. and orientation for Board Members. the moment this does not have an The sting in the tail is that there is This is important work for correct MBS number. That may come in reduced to 50% if the ultrasound governance of the Society. Again, the future; we were told November equipment is more than 5 years old. we thank them for their time to do but who knows in this financial This makes no sense for ultrasound that. climate. After a number of tense equipment. We have explained meetings between the radiologists vigorously to the Department that Scientific Committee and the Society, including some this forces providers to buy new Len Kritharides has accepted a with the Chief Medical Officer of equipment every five years if they nomination for a further three years the Commonwealth it was firmly are to remain viable. This is as Chair of this Committee and we stated that no one group “owns” this wonderful for the ultrasound

ON THE PULSE, SEPTEMBER 2009 | 3

President’s Report

(Continued from page 3) 2009 CSANZ Research Scholarship Payman Molaee from Royal equipment providers but could were awarded to: Adelaide Hospital ultimately lead to less tech- James Weaver from St nologically advanced equipment Rachel Cordina from the Royal Prince Alfred Hospital Vincent’s Hospital, Sydney being offered as the service Liang-han Ling from the providers would have to buy it CSANZ Affiliate Clinical Queen Elizabeth Hospital anyway. We have protested most Development Award was awarded to Jasmine Lyons from the Baker vigorously to the Government about Maria Sheehan from Sir Charles this but again we await a reply. I IDI Heart and Diabetes Institute Gairdner Hospital am particularly grateful to Michael Feneley for his very considerable CSANZ Travel Grants to attend the Affiliate Nursing Prize help with the replies to Government American Heart Association Meeting Kerena Eckert, Hanson Institute / and his extensive experience in in New Orleans, Louisiana, “Prevalent these matters. November 8 – 12, 2008, were depression in patients with chronic

awarded to: heart disease: Baseline profile of the Annual Scientific Meeting 2010 TAKE HEART in Primary Care This meeting will take place in Julian Ayer from Royal Prince Study cohort” Adelaide as there was no suitable Alfred Hospital

venue available at that time in Raymond Sy from Concord Judges: Vicki Wade, Angela Kucia Melbourne. Nevertheless the Hospital and Michael Ward Organising Committee will be in Sanjay Patel from Royal Prince

Melbourne. It will be an interesting Alfred Hospital Allied Health Affiliate Prize first as this will be the first meeting Andrew Driscoll from Austin Andrew Stewart, Austin Health of the Conference Company based Health “National survey of Australian in New Zealand run by a scientific Dennis Lau from the Royal cardiologists’ beliefs and practice committee based in Melbourne and Adelaide Hospital regarding screening, diagnosis and to take place in Adelaide. Despite management of depression” the logistics, I look forward to its Travel Grants to attend the European

success. Congress of Cardiology Meeting in Judges were: Gillian Whalley, Brian Barcelona, Spain, August 29 to Haluska and Greg Scalia The convenors of the meeting are September 2, 2009 were awarded to:

Omar Farouque and Jon Kalman is Ralph Reader Prize - Clinical the Chair of the Scientific David Holland from the Science Section Committee. The named lecturers University of Queensland Paul De Sciscio, Cardiovascular are: Carly Jenkins from the Research Centre, Royal Adelaide RT Hall Lecturer: University of Queensland Hospital, “Localised high-density Ken Chien, from Boston Darryl Leong from the Royal activation mapping of dominant Adelaide Hospital Victor Chang Memorial: frequency sites during atrial Andrew Burns from St Antonio Callofiore from Catania fibrillation in humans” Vincent’s Hospital Melbourne Kempson Maddox Lecturer: Andre La Gerche from St Ralph Reader Prize - Basic Michael Feneley from Sydney Vincent’s Hospital and UZ Science Section Leuven, Belgium Joanne Tan, Heart Research Basic Science Lecturer: Institute, Sydney, “Role of DHCR24 Shaun Jackson from Victoria Travel Grant to attend the American in mediating anti-inflammatory College of Cardiology Meeting in effects of HDL in human coronary Cardiovascular Nursing Lecturer: Orlando, Florida, March 29 - 31, artery endothelial cells” Andrew McLachlan from New 2009 were awarded to: Zealand Judges were: Drs Robert Bonow, Paul De Sciscio from Flinders Sal Pepe and Jim Cameron 2009 Prizes, Scholarships and University

other awards Rachel Denver from Box Hill I would like to take this opportunity Hospital I am pleased to award the following to extend thanks to the many judges prizes on behalf of the Society: Gary Liew from Royal who assist, not only at this meeting, Adelaide Hospital but in assessing the various scholar-

4 | ON THE PULSE, SEPTEMBER 2009

President’s Report

ships and travel grants which are David Richards (OAM) for services (Nursing) will be replaced by awarded throughout the year. They to medicine in the field of cardiology, Patricia Davidson and Dianne do a wonderful job and the Board is and to the community through the Jackson as the Allied Health extremely grateful for their time and Sydney City to Surf fun run. Representative will be replaced by contribution. Julie Redfern. Mark Ireland is the Deaths regional representative from Honours It is with deep regret that I note the Western Australia and will be The following members received passing of the following Members in replaced by Joe Hung. Andrew honours during the past year and we the past twelve months: MacIsaac will continue as the Chair extend our congratulations to them: of the Interventional Council and Professor Ralph Blacket (Life also the Chair of CERC but will be Australian Day Honours Member NSW), Dr Arthur Coombes replaced as the regional David Cody (OAM) for services to (Associate Member NZ), Dr Thomas representative for Victoria by Ian medicine, particularly in the fields of Cullity (Life Member WA), Dr Denis Meredith. Jim Cameron will be cardiology and cardiac rehabilitation. Halmagyi (Ordinary Member NSW), replaced as the regional Dr William Hickey (Associate representative for Queensland by Phil Harris (AM) for service to Member QLD), Dr Brian Lloyd AM John Atherton. Gary Sholler as the medicine in the field of cardiology as (Ordinary Member WA), Dr Ian Lyall Paediatric representative will be a clinician, administrator and (Fellow VIC), Dr George Michell replaced by Rob Justo. The EP & educator, through contributions to (Fellow NSW), Dr Ian Prior ONZM Pacing Council has elected a new professional organisations, and to the (Fellow & Life Member NZ), Mr Chair and so Cameron Singleton community. Michael Shanahan AO (Fellow & will be replaced by Stuart Thomas. Life Member NSW), Dr John Walker This will be the last meeting for Queen’s Birthday Honours 2009 (Fellow NSW) and Mrs Barbara each of them and we thank them for Bob Graham (AO) awarded for Williams (Affiliate Member NZ). their considerable efforts. I look services to medicine, particularly forward to working with the new through stewardship of the Victor Changes to the Board Board.

Chang Cardiac Research Institute and There will be quite a number of research in the field of molecular changes to the Board at the There was an election by the Board cardiology. conclusion at this meeting. Five for the position of President Elect people will be retiring. James and I commend the nomination of Lynne Pressley (AM) awarded for Tatoulis as the surgical Jim Cameron to you. The services to medicine, particularly representative will be replaced by nomination was accepted by cardiology, as a clinician, teacher and Julian Smith, the Vice President of acclamation. Jim will take over mentor, and to the community ASCTS; Carolyn Astley as the from me at the end of the meeting in through the Heart Foundation. representative of the Affiliates Adelaide next year. CSANZ BOARD

From left to right: Peter Steele (Chair, STC Cardiology), Cameron Singleton (Chair, Electrophysiology & Pacing Council), David Brieger (Honorary Secretary), Phil Aylward (SA), Gary Sholler (Paediatric Rep), Michael Ward (Honorary Treasurer), Carolyn Astley (Nursing Affiliate rep), Phil Roberts-Thomson (TAS), Lynne Portelli (Executive Officer), Mark Ireland (WA), Diane Jackson (Allied Health Affiliate Rep). John O’Shea (Chair, Imaging Council), Leo Mahar (President), Jim Tatoulis (Surgical Rep), Jim Cameron (QLD and Chair, Professional & Ethical Standards Committee), Roger Allan (NSW and Heart Foundation Rep), Richmond Jeremy (Editor-in-Chief, Heart Lung and Circulation) and Len Kritharides (Chair, Scientific Committee)

ON THE PULSE, SEPTEMBER 2009 | 5

CSANZ 09 Highlights

The Society wishes to congratulate all the members of the Organising and Scientific Committees on a wonderful meeting.

Peter Macdonald Chris Semsarian Convenor Programme Chair

Lea Delbridge Trish Davidson President, ISHR Affiliate Rep

6 | ON THE PULSE, SEPTEMBER 2009

ASM 2009 Highlights

2009 Ralph Reader Prize Basic Science

Joanne Tan Heart Research Institute “Role of DHCR24 in mediating anti-inflammatory effects of HDL in human coronary artery endothelial cells.”

2009 Ralph Reader Prize Clinical Science

Paul De Sciscio Royal Adelaide Hospital “Localised High-Density Activation Mapping of Dominant Frequency Sites during Atrial Fibrillation in Humans.”

2009 Affiliate Allied Health Prize

Andrew Stewart Austin Hospital “National survey of Australian cardiologists’ beliefs and practice regarding screening, diagnosis and management of depression.”

2009 Affiliate Nursing Prize

Kerena Eckert University of Adelaide “Prevalent depression in patients with chronic heart disease: Baseline profile of the TAKE HEART in Primary Care Study cohort.”

ON THE PULSE, SEPTEMBER 2009 | 7

ASM 2009 Highlights

Gadigal clan welcome to Mini Oral Session country

CSANZ President, Dr Leo Mahar congratulates Dr Jim Wilkinson, for the tremendous success of the World Congress of Paediatric Cardiology and The Conference Dinner, Dockside Cardiac Surgery in Cairns in June Darling Harbour 2009.

For more ASM photos visit the Image Gallery on the CSANZ Website

Poster Prize Winners

Friday Poster Prize was awarded to Andrew French from the Prince of Wales Hospital, Sydney, for his poster “Myocardial salvage and intra-myocardial haemorrhage on T2 weighted cardiac magnetic resonance imaging after reperfused STEMI”.

Saturday Poster Prize was awarded to Cheuk-Kit Wong from the University of Otago, New Zealand for his poster “aVR ST elevation: an important but neglected sign in ST elevation acute myocardial infarction”.

Affiliate Poster Prize was awarded to Christine O’Reilly from Canberra Hospital, ACT for her poster “Influence of body mass index on early diastolic untwisting velocity in healthy children”.

Judges were: John Beltrame, Peter French, Stewart Mann, Karen Page, Phil Roberts-Thomson, John Rolley and Rukshen Weerasooriya

Congratulations to you all!

8 | ON THE PULSE, SEPTEMBER 2009

Indigenous Cardiovascular Health Conference Highlights

The Hon Warren Snowden gave the Welcome Address

Len Kritharides welcomes delegates

Didgeridoo performance at the Indigenous conference Alex Brown, Co-Chair of the Conference

Indigenous conference delegates

James Galloway, Assistant Surgeon General US Health Service received an indigenous artwork commemorating his participation in the meeting

For more Indigenous Conference photos visit Panel discussion the Image Gallery on the CSANZ Website

ON THE PULSE, SEPTEMBER 2009 | 9

ANZET09 Highlights

Masahiko Ochiai from the Northern Yokohama Hospital, Japan

ANZET Fellows Prize – Aniket Puri is presented with the prize by Martin Leon, Columbia University Medical Centre NY

Keith Oldroyd, David Hildick-Smith, Barry Rutherford, Ganesh Manoharan and Alaide Chieffo watch David Muller do a live case

David Smyth and David Brieger chair the St Vincent’s Sydney Live Case on Complex PCI

Discussion Panel - Darren Walters, John Ormiston, David For more ANZET09 photos visit the Image Hildick-Smith, Eberhard Grube, Ganesh Manoharan and Gallery on the CSANZ Website Martin Leon

10 | ON THE PULSE, SEPTEMBER 2009

CSANZ 2010

Named Lecturers

R.T. Hall Lecturer, Prof Kenneth Chien (Harvard Stem Cell Institute, Massachusetts General Hospital, Mass., USA)

Victor Chang Memorial Lecturer, Dr Antonio Calafiore (University of Catania, Italy)

Basic Science Lecturer, Prof Shaun Jackson (Monash University, VIC, Australia)

Kempson Maddox Lecturer, Prof Michael Feneley (St Vincent's Hospital, NSW, Australia)

Gaston Bauer Lecturer, Prof Louise Burrell (The University of Melbourne, VIC, Australia)

Cardiovascular Nursing Lecturer, Mr Andrew McLachlan (Middlemore Hospital, New Zealand)

Key Dates

Call for Abstracts: Registration opens: 19 November 2009 25 March 2010

www.csanz.edu.au

ON THE PULSE, SEPTEMBER 2009 | 11

ANZET10

Antonio Colombo San Raffaele Scientific Institute 4th Annual Australia & New Zealand Milan, Italy Endovascular Therapies Meeting Spencer King Saint Joseph’s Heart & Vascular Institute, Atlanta, GA, USA 04-05 August 2010 Jeff Popma Beth Deaconess Medical Centre Adelaide Convention Centre Boston, MA, USA

Carlos Ruiz Lenox Hill Heart & Vascular Institute New York, NY, USA

Patrick Serruys Erasmus Medical Center Thoraxcenter, Rotterdam The Netherlands

Renu Virmani CV Path Institute Gaithersburg, MD, USA www.anzet.com.au Stephan Windecker Bern University Hospital, Bern, Switzerland

Electronic Posters from CSANZ 2009 ASM now available on the CSANZ Website

To view Electronic Posters To search and view the electronic posters that were accepted into the CSANZ 2009 ASM programme, click here.

Electronic Poster Authors As an author, you have the opportunity to view statistics and reports on your submitted electronic poster/s. To view these reports, please click here and log in by entering the same email address and password that you set when initially uploading your poster/s. Once logged in, you can search and view all submitted electronic posters, as well as viewing the statistics on your own poster/s.

12 | ON THE PULSE, SEPTEMBER 2009

Guidelines / Congratulations

The following guidelines have been reviewed and ratified by the CSANZ Board at its meeting on 12 August 2009. Because of the physical size of Congratulations all these guidelines it is not possible to reproduce them in this edition of On the pulse, however, they The Society extends congratulations can be accessed on the CSANZ website under the to Professor Murray Esler (VIC) Education tab. who was awarded Victoria’s most prestigious science award, the 2009 Guidelines for the Diagnosis and Management of Marfan Syndrome Victoria Prize by the Governor of Victoria, Professor David de Guidelines for the Diagnosis and Kretser in July. Management of Familial Long QT Syndrome Professor Esler has pioneered new ways of treating heart failure, stress Guidelines for the Diagnosis and and high blood pressure. Management of Familial Hypercholesterolaemia

Ambulatory Electrocardiographic Monitoring Other documents and recent publications of interest to members to Members are also available on this area of the website.

NON-INVASIVE CARDIOLOGIST

Townsville Cardiovascular Associates are seeking the services of a well trained Non- Invasive Cardiologist to join our private Cardiology Practice in Townsville, North Queensland. This vacancy will arise due to the The Review of The NHMRC/ASBT imminent retirement of one of our colleagues. Clinical Practice Guidelines on Fresh

Blood Components (2001) is currently Our rooms are situated in the major private being undertaken under the auspices of hospital which has modern facilities for Invasive the Australian & New Zealand Society of and Interventional Cardiology and Cardiac Surgery. A full Electrophysiology Service is Blood Transfusion (ANZSBT) and the also provided at the hospital from within our National Health and Medical Research group. The private hospital also has Cardiac CT Council (NHMRC) with funding, project Scanning and MRI Services available. management, and secretariat services provided by the National Blood Authority The successful candidate will be required to (NBA) on behalf of all governments. fulfill the CSANZ Guidelines for Post Graduate Echo Training. Experience in Cardiac CT and The AUGUST 2009 Update is now available. MRI would also be desirable. The view the update please visit the NBA website (http://www.nba.gov.au/guidelines/ We would be hoping the successful applicant updates.html). Any questions regarding this would be able to commence practice with our updates can be sent to the NBA at group early in 2010. [email protected]

Enquiries to 07 47790199 Email Practice Manager at tcva.com.au or www.townsvillecardiology.com.au.

ON THE PULSE, SEPTEMBER 2009 | 13

Cardiac Society of Australia & New Zealand Cardiovascular Nurses Council

Patricia Davidson (Chair) NSW Stephen Bloomer WA Andrea Driscoll VIC Cindy Hall QLD Bernadette Hoffman SA Angela Kucia SA Sue Mattschoss SA Andrew McLachlan NZ Ross Proctor NSW John Rolley NSW Deborah Smith QLD Linda Worrall Carter VIC Yvonna Zudyam TAS

From the Chair advocacy has secured an important Over the next year we will be place for cardiovascular nursing seeking your feedback on the Patricia Davidson within the Board – our named considerable work that is being Curtin University & St Vincent’s lecture, scholarship and international undertaken on competencies. I Hospital, Sydney speaker program are but a few of her would also like to thank the achievements. We thank her for her following individuals for their Dear Colleagues hard work and look forward to her generous donation of time to the ongoing involvement in the CNC. CNC. Cindy Hall (QLD), Bernadette I hope you enjoy the following “On Hoffman (SA), Carolyn Astley the Pulse” column. It was great to (SA), Sue Mattschoss (SA), Andrea catch up with so many colleagues at Driscoll (VIC), Andy McLachlan the recent CSANZ ASM in Sydney. (NZ ), Ross Proctor (NSW), Yvonne This was a highly successful Johansen (NZ), Marcia George meeting with an excellent profile of (VIC), Maria Sheehan (WA), cardiovascular nursing within the Yvonna Zuydam (TAS), Deb Smith program. It is so exciting to see our (QLD/NSW). Over the next editions increasing profile within the of “On the Pulse” we will profile meeting. I would also like to take the new members of the incoming the time to thank the Board for their CNC. support of many of our initiatives, particularly the support of awards As we begin a new term it is and international speakers. I would important that we review the aims of also like to thank Professor Peter Carolyn Astley the CNC outlined below. Macdonald and Professor Chris Semsarian for their generous To develop and grow the allocation of time within the Jim McVeigh has also played a speciality of cardiovascular scientific program. The multi- fantastic leadership role in nursing within the CSANZ, disciplinary care sessions were well advancing cardiovascular nursing. which in turn enhances the attended by a range of health pro- Under his chairmanship, we have CSANZ and its ability to improve fessionals and were an excellent introduced regular newsletters and cardiovascular health in Australia opportunity to profile the important advanced considerable work in and New Zealand role that cardiovascular nurses have relation to competencies and in contributing to favourable patient standards. Jim has also been To organise and participate in outcomes. successful in forging our pro- educational activities within the fessional links with the Australasian CSANZ The 2009 CSANZ ASM was also an Cardiovascular Nurses College. At historic meeting as the Cardio- our recent meeting both Carolyn and To gather and exchange vascular Nursing Lecture was Jim shared with us their vision for information regarding policy, delivered for the first time by an cardiovascular nursing. We were all practice, education and research Indigenous nurse. Vicki Wade was a inspired by their enthusiasm and activities through national and very worthy recipient of this award motivation. Certainly we know that international networking and we recognise her for her cardiovascular nursing in Australia substantial contribution to cardio- is in a much better place because of To promote and assist with vascular nursing and, in particular, their hard work. research for cardiovascular nurses her work and advocacy in improving the health and well being of To design, co-ordinate and assist Aboriginal and Torres Strait Islander with scientific research peoples.

As I take over as Chair of the To contribute to the organisation, Cardiovascular Nursing Council it is preparation and delivery of the important to acknowledge the annual CSANZ scientific meeting pivotal contribution of Carolyn Astley and Jim McVeigh to the To establish appropriate advancement of the CNC. Carolyn recommendations for the has been instrumental in securing CSANZ, regarding our position on the Board and we cardiovascular nursing via the Jim McVeigh have so much to thank her for. Her nucleus of the CNC

14 | ON THE PULSE, JUNE 2009

Cardiovascular Nurses Council Column

(Continued from page 14) The summary of action items from State of the Science. Promoting the meeting had some important Self-Care in Persons with Heart To contribute to task forces for implications for cardiovascular Failure. A Scientific Statement the development and nurses working across a range of from the American Heart implementation of CSANZ health care settings. Association. guidelines for practice

Riegel B, Moser DK, Anker SD, To collaborate and work in The CNC Executive plan to begin a Appel LJ, Dunbar SB, Grady KL, partnership with other councils program of consultation to identify Gurvitz MZ, Havranek EP, Lee CS, within the CSANZ and national, strategic initiatives that can be Lindenfeld J, Peterson PN, Pressler state and international societies of undertaken by the CNC to improve SJ, Schocken DD, Whellan DJ; on cardiovascular nurses outcomes of Aboriginal and Torres behalf of the American Heart Strait Islanders. Association Council on Investigate opportunities for Cardiovascular Nursing, Council on funding collaborative research If you are interested in being part of Clinical Cardiology, Council on this working group please email Nutrition, Physical Activity, and Metabolism, and Interdisciplinary Support the development of [email protected] research networks: eg. linking Council on Quality of Care and Outcomes Research Circulation. cardiovascular nurses with similar interests in different states 2009; Published online before print August 31, 2009, doi: 10.1161/ Dr Cheryl Dennison – our 2009 CIRCULATIONAHA.109.192628 International Speaker from the School of Nursing at Johns Hopkins Hospital, Baltimore USA, made an What works in chronic care excellent contribution to the meeting management: the case of heart and we thank her for her generosity failure. and the CNC looks forward to a Sochalski J, Jaarsma T, Krumholz continuing relationship. Her HM, Laramee A, McMurray JJ, important work in improving patient Naylor MD, Rich MW, Riegel B, outcomes provided us with some Stewart S. Health Aff (Millwood). 2009; 28(1):179-89. important considerations, particularly relating to the role of health literacy. Some interesting reading Health-related quality of life 2 years after coronary artery For an update on heart bypass graft surgery. failure nursing in Azzopardi S, Lee G. J Cardiovasc Australia go to the Nurs. 2009;24(3):232-40. recent special edition of Australian Critical Care. Diary date Australasian Cardiovascular Nursing College Annual Meeting 12th and 13th

March 2010 in Brisbane – for more information visit http:// Dr Cheryl Dennison www.acnc.net.au/

Many of us were also fortunate to attend the Inaugural Indigenous Cardiovascular Health Conference sponsored by the CSANZ. This was an inspiring yet challenging meeting. This meeting was convened by Dr Alex Brown and Professor Len Kritharides who organised an exciting range of perspectives of Australian and international experts in Indigenous Health.

ON THE PULSE, JUNE 2009 | 15

Research Scholarships / Call for Applications

CSANZ Research Scholarships for 2010

Guidelines for Applicants

The CSANZ Research Scholarship is 4. Only those applicants who are Note: Previous recipients of the intended to provide support for enrolled as full time students CSANZ Research Scholarship are Members of the Cardiac Society of (eg. for PhD or MD) will be not eligible to apply for a second Australia and New Zealand who eligible to receive the scholarship. wish to pursue a career in Scholarship as a tax-free stipend. In addition to the above information, cardiovascular research. 5. Deadline for the receipt of you will also require a copy of the 1. The Scholarship is open to all applications and referees’ Application Form and Application Members of CSANZ. reports is 25th September, Instructions available from either the Society Secretariat or from the 2. The value of the Scholarship 2009. website at www.csanz.edu.au, will be equivalent to that of the 6. Applications will be graded by a Education, Scholarships/Fellowships. Heart Foundation Postgraduate selection panel appointed by the Medical or non-Medical Scientific Committee of the Scholarship (depending on the CSANZ. No interviews will be Closing Date: candidate’s academic undertaken. qualifications) and will be payable for one year. 7. Successful applicants will be 5 PM FRIDAY, notified in December. th 3. Research must be conducted in 25 SEPTEMBER, 2009 Australia or New Zealand.

R T Hall Prize

Nominations are invited for the publications, which provide recommendation of the 2010 R T Hall Prize of The Cardiac scientific background for the Scientific Committee after it has Society of Australia and New main body of the submission, considered the nature of the Zealand. The Prize is the most would also be acceptable as submitted work. prestigious research award of the supporting documentation. Cardiac Society of Australia & Work published in book-form 4. The winner of the R T Hall Prize New Zealand and recognises the will be announced at the Annual achievements of senior and and thesis, which have been General Meeting of The Society. established investigators. The Prize accepted for higher degrees, may is awarded in open competition and also be submitted. The work The names of the judges will is directed towards recognition of must have been substantially also be announced. sustained and outstanding research carried out in Australia or New 5. The value of the R T Hall Prize achievement. Zealand but the investigator need will be AU$3,000. not be a Member of The Society. The following conditions will apply: 6. Submissions should be forwarded 2. Submissions for the R T Hall to: The Honorary Secretary (see 1. The R T Hall Prize will be Prize will consist of a details on page 2). awarded to an individual nominating letter by a Member

of The Society plus copies of the investigator for a coherent body published manuscript(s). Closing date: of work, which advances know- ledge of the cardiovascular 5 PM (EDST) FRIDAY system and its diseases and 3. The R T Hall Prize will be judged by a panel appointed by which is published in a scientific 6th NOVEMBER, 2009 journal or journals. Earlier the Board on the

16 | ON THE PULSE, SEPTEMBER 2009

Travelling Fellowship & Update

A C C Scientific Sessions 2010

Applications are called for the 3. The work must have emanated Applications should be sent to the CSANZ Travelling Fellowships for from Australia or New Zealand. Honorary Secretary, together with – travel grants to enable five th 4. Applicants must have an abstract investigators to attend the 59 (1) copy of submitted abstract(s) and accepted for presentation at the Annual Scientific Session of the ACC notification of acceptance ACC meeting. American College of Cardiology to (should this arrive after you have be held in Atlanta, Georgia, March 14 5. Applications must be accom- forwarded your application, please - 16, 2010. The Fellowships are fax to +61 2 9247 7916) intended to provide an opportunity for panied by a letter from the investigators in the early stage of their supervisor or Director of the (2) brief curriculum vitae research career, to present at a major laboratory or service from which the work has emanated, clearly (3) supporting letter from the international conference. supervisor or Director detailing the specific contribution

The conditions are: made by the applicant towards the work being presented.

1. The Fellowships are valued at 6. Preference will be given to those Closing Date:

AU$3,000 each. who have not previously been 5 PM (EDST) awarded CSANZ travelling 2. Applicants must be FCSANZ, scholarships. st Associate Members or Affiliate 31 DECEMBER, 2009 Members of the Cardiac Society or 7. Conditions apply to successful researchers in cardiology or applicants not domiciled in * Contact the Sydney Secretariat to cardiac surgery and related Australia or New Zealand.* obtain a copy of the conditions disciplines with preference given ([email protected]) to those attending their first 8. Late applications will NOT be meeting. considered.

Dr Andre La Gerche, was the ventricular volumes, wall thickness We sequenced 5 desmosomal genes recipient of a CSANZ Travelling and systolic afterload at rest and in 46 athletes with VT and RV Fellowship to attend the European during strenuous exercise. These abnormalities. We found a Society of Cardiology Meeting in values were then used to calculate prevalence of familial disease in 1% Barcelona, Spain, earlier this end-systolic wall stress (ESWS). (family history) and 15% month and has provided the Whilst LV-ESWS was greater at (desmosomal mutations) which are following summary of his activities rest, RV-ESWS increased by 170% both well below published at the ESC Congress and 87% with exercise as compared prevalence for ARVC. We with a 23% and 14% increase in the speculate, therefore, that familial The following constitute some LV for athletes and non-athletes ARVC does not completely explain projects completed as part of my respectively (p<0.001). RV volumes this syndrome and that habitual PhD studies and which were were significantly greater than LV endurance exercise may contribute presented at the European Society of volumes in athletes but not in non- to an ARVC-like syndrome even in Cardiology Congress in Barcelona athletes suggesting that high RV- the absence of a known genetic 2009: ESWS during exercise may predisposition. contribute to long-term remodelling. Project 1, oral presentation: Project 3, invited presentation: “Exercise-induced increases in Project 2, poster presentation: “Right Ventricular Function in Right Ventricular End-Systolic Wall “Athletes with ventricular Athletes”. A summary of the Stress (RV-ESWS) are greater than arrhythmias of right ventricular literature and our own experience for the Left Ventricle (LV-ESWS) (RV) origin have a lower than relating to RV remodelling in and may cause preferential RV expected prevalence of athletes will be presented. I will enlargement in endurance athletes”. arrhythmogenic right ventricular discuss the possibility that, in some In this project we studied 40 athletes cardiomyopathy (ARVC) gene athletes, athletic RV remodelling and 15 non-athletes using a mutations”. We addressed may represent a pro-arrhythmic combination of cardiac magnetic speculation that the association substrate. resonance, echocardiographic and between RV abnormalities and direct pressure measures to assess ventricular arrhythmias in athletes I wish to thank the CSANZ for their can be explained by familial ARVC. support.

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CSANZ / CSL Biotherapies Interventional Fellowship

Applications are invited for an Cardiology in an overseas insti- Applicants should forward a Interventional Fellowship tution. letter of application in which Award, which has been they outline the research or generously provided by CSL Applicants should be citizens or training programme to be Biotherapies. The award is permanent residents of undertaken and include their specifically designed to assist a Australia or New Zealand and curriculum vitae and 3 written young Member of the Society should be eligible for medical references. to undertake training or registration in Australia or New research in interventional cardi- Zealand. Recipients will Applications should be ology at an overseas centre. currently be undertaking, or submitted to the Honorary have completed within the last Secretary, CSANZ, 145 The award is valued at 5 years, advanced training in Macquarie Street, Sydney NSW AU$30,000 and to be used to Cardiology recognised by the 2000, Australia. provide salary support for a RACP/CSANZ Specialist Applications Close research / training position Training Committee (STC) in relevant to Interventional Cardiology. Friday, 29 January, 2010

A/Prof Andrew MacIsaac, Chair CSANZ Interventional Council, presenting Dr Ronen Gurvitch, Royal Melbourne Hospital, with the inaugural CSANZ / CSL Biotherapies Interventional Fellowship Award.

18 | ON THE PULSE, SEPTEMBER 2009

AF Twin Study / Congratulations

Victor Chang Cardiac Research Institute ST VINCENT’S HOSPITAL SYDNEY AND THE VICTOR CHANG CARDIAC RESEARCH INSTITUTE

Do you have any patients that are twins?

Have one or both twins been diagnosed with Atrial Fibrillation?

In order to find out more about how genes may cause Atrial Fibrillation, we need your help to locate twins, where one or both individuals have AF. Inclusion in the research will involve a blood test, an echocardiogram and an electrocardiogram (ECG). If within your practice, you have twins with this heart condition, it would be most appreciated if you could discuss our research project with them and provide our contact details to any interested individuals.

For more information please call

Clinical Research Coordinator

(02) 9295 8768

Congratulations

The Society extends congratulations to the following members who were awarded a 2009 CSANZ Travelling Fellowship to attend the 2009 Annual Scientific Meeting in Sydney: Ms Mary-Anne Austin, Monashheart, Clayton, VIC; Dr Michelle Butler, The Alfred Hospital, Melbourne, VIC; Ms Christine Chiu, Centenary Institute, Newtown, NSW; Dr James Chong, Victor Chang Cardiac Research Centre, Sydney, NSW; Ms Sarah Clayton, Nelson Hospital, Nelson, NZ; Dr Fiona Foo, Freemantle Hospital, Freemantle, WA; Dr Melanie Freeman, Austin Hospital, Heidelberg, VIC; Mr Matthew Horsfall, Flinders Medical Centre, Bedford Park, SA; Dr Arthur Nasis, Monash Cardiovascular Research Centre, Malvern East, VIC; Ms Lis Neubeck, Concord Repatriation Hospital, Concord, NSW; Ms Emily Tu, Centenary Institute, Newtown, NSW; and Dr Bryan Wai, Austin Health and Northern Heath, Heidelberg, VIC.

Congratulations are also extended to Ms Maria Sheehan, Sir Charles Gairdner, Perth, WA, who was awarded a 2009 CSANZ Affiliate Clinical Development Award (CDA) to attend the 2009 Annual Scientific Meeting in Sydney: .

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Forthcoming Meetings

NORTH AMERICA ASIA PACIFIC ANZET10 August 4-5, 2010

th Adelaide, South Australia AHA Scientific Sessions 2009 20 World Congress of the ISHR 2010 Secretariat: November 14-18, 2009 May 13-16 May 2010 The Conference Company Orlando, Florida Kyoto, Japan Phone: 64 9 360 1240 Web: www.americanheart.org Web: www.ishr2010.com Web: www.csanz.edu.au

CSANZ ASM ACC Scientific Sessions 2010 World Congress of Cardiology August 5-8, 2010 March 14-16, 2010 June 16-19, 2010 Adelaide, South Australia Atlanta, Georgia Beijing, China Secretariat: Web: www.acc.org Web: www.world-heart- The Conference Company federation.org/congress-and- Phone: 64 9 360 1240 events/WCC2010 Web: www.csanz.edu.au EUROPE

CSANZ NZ Regional ASM 2010 ESC Congress 2009 June 25-27, 2010 29 August—2 September, 2009 Rotorua, New Zealand Barcelona, Spain

Email: [email protected]

Web: www.escardio.org

Monash University Dept of Edipediology and Preventive Medicine has a range of Short Courses, Postgraduate programs and PhD Scholarships available in Clinical Research.

For more information please click on the area of interest.

20 | ON THE PULSE, SEPTEMBER 2009