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Peter Munk Cardiac Centre THE FACES OF HEART DISEASEAcross Canada and around the globe, the PMCC is a magnet for patients in need and the health-care professionals who care for them DM172090_PgOFC_PMCC_Winter_2017.indd 1 16-10-12 2:15 PM A heart for leadership in innovation, technology and treatment. HUDDLE UP FOR HEART HEALTH. Life saving. Life changing. Courage lives here. We at Apollo Health and Beauty Care applaud the world-leading efforts of the Peter Munk Cardiac Centre in transforming the future of cardiac and vascular care for patients across Canada and the world by integrating excellence in The clock is ticking for millions of Canadians with heart disease – but like the final seconds of a football clinical care, research, innovation and teaching. game, there is hope. For every touchdown scored during the 104th Grey Cup* on November 27, CP will donate $10,000 to the Mechanical Heart Program at the internationally-renowned Peter Munk Cardiac Centre in Toronto. Mechanical hearts provide an immediate lifeline, helping damaged hearts function until a transplant is possible. CP is proud to sponsor the CFL and, through CP Has Heart, to support heart health initiatives across the country. *Registered trademark of the Canadian Football League. APOLLO HEALTH AND BEAUTY CARE cpr.ca | @cphasheart DM161656_PgIFC_PMCC_FALL_2015.inddDM172090_PgIFC_PMCC_Winter_2017.indd 1 1 16-10-0515-10-14 11:17 9:34 AM DM172090_Pg01_PMCC_Winter_2017.indd 1 16-10-05 11:07 AM File: CP-219798-02 Huddle for Heart - Peter Project: Huddle for Heart Munk Magazine Sponsor ad Trim: 9" x 11.25" - 9.5" x 11.75" Bleed Project Manager: Julia Cameron Live Area: 8.125" x 10.375" Designer: Nathan Gowsell Client: CP SEPTEMBER 9, 2016 11:13 AM Operator: DJung Colours: 4C Publication: Peter Munk Magazine: [email protected] Editor-in-chiEf Steve Tustin Peter Munk Art dirEctor Frank Perito Since 1937, Export Packers has been building its international reputation contributors for innovation and quality in the import/export and marketing of food Cardiac Centre Bryan Borzykowski commodities. Headquartered in Brampton, just outside of Toronto, Canada, Jennifer D. Foster Winter 2017 we operate five key business segments: International Trading, Domestic Judy Gerstel David Israelson Food Service, Retail, Asian and Fresh Seafood. Marjo Johne Renee Sylvestre-Williams We continuously strive to be a premiere Shelley White diversified international food company, delivering a commitment of quality, price and a level of All photography by Tim Fraser, unless customer service no one else can match, in a otherwise noted. culture that is performance driven. Globe edGe Sean Stanleigh MAnAging Editor Michael Grier businEss dEvElopMEnt dirEctor Liz Massicotte JEFF & HONEY RUBENSTEIN progrAM MAnAgEr Sally Pirri dirEctor, production, thE globE And MAil AND FAMILY 6 16 Isabelle Cabral production co-ordinAtor, thE globE And MAil PROUD SUPPORTERS OF 24 20 Peter Munk CardiaC Centre magazine is designed and produced by and The Globe and Mail THE INNOVATIVE Custom Content Group. Printing and pre-press by DM Digital+1 WORLD-LEADING RESEARCH 6 petermunkcardiaccentre.ca CREATING A MIRACLE Rebekah Hughes credits her faith, family and the legendary skills of Dr. Tirone David and his team for CONDUCTED BY seeing her through her extremely high risk surgery inside 16 12 Cardiac tumours UNRAVELLING GENETIC MysTERIEs 28 Fixing heart holes Scientific sleuthing reveals that Wanda Bleau’s family THE PETER MUNK 30 Inherited Arrythmia Program shares a dangerous deficit in a rare gene that causes 32 Cardiomyopathy atrial fibrillation…and put them on the path to healing Peter 34 3-D Modelling Munk 20 36 Dr. Wayne Johnston ON THE CARDIAC CENTRE TEAMWORK TRIUMPHs! COVER Cardiac 38 Thunder Bay partnership A collaborative operation between SickKids and From top left to right Centre the PMCC gave eight-year-old Alex Latimer and his 41 Heart Transplant Clinic João Pedro Couto parents hope for the future 44 Cardio-oncology collaboration Elenita Vargas Stella Kozuszko, NP 46 Patching ruptured hearts Dr. Chris Feindel 24 48 Aggressive angioplasty Alex Latimer THE FACES OF KEEPING IRON MAN ALIVE 50 Heart disease and diabetes Charles Cook The ventricular assist device (VAD) is a lifesaver Darrian Seaton-Tucker HEART offering hope to potential heart-transplant recipients 52 Commando surgery Dr. Maral Ouzounian DISEASEAcross Canada and around the globe, the PMCC is a magnet for patients in need and the such as 33-year-old Morgan Latta 54 Arrhythmias in pregnancy Photos by tim fraser health-care professionals who care for them DM172090_PgOFC_PMCC_Winter_2017.indd 1 16-10-12 10:05 AM www.exportpackers.com 2 DM172090_Pg02-44_PMCC_Winter_2017.indd 2 16-10-12 10:21 AM DM172090_Pg03_PMCC_Winter_2017.indd 3 16-10-05 11:18 AM 1 The S-ICDTM System Protection Without Touching the Heart Success happens here. 5 things you didn’t know about Giving every Canadian the opportunity to live a fit the Peter Munk and heart-healthy life. Cardiac Centre GoodLife Fitness is proud to collaborate The World’s First and Only Subcutaneous 1 The Peter Munk 2 State-of-the-art 3 Stent grafts that 4 The PMCC is 5 In 2017, the PMCC with the Peter Munk Cardiac Centre Cardiac Centre remote patient repair life-threatening participating will be the first Implantable Cardioverter Defibrillator to build a healthier Canada. (PMCC), part of monitoring provides aortic aneurysms in national and health-care program University Health real-time treatment are hand-sewn by a international quality- in the world equipped The S-ICD System represents an exciting therapeutic solution Network (UHN) in information to company in Australia assessment databases with next-generation for patients at risk of sudden cardiac arrest (SCA) that leaves the Toronto, cares for patients with heart and then sent by to measure and medical-grade heart and vasculature untouched. the largest group of failure. courier to Toronto. benchmark patient holographic imaging patients in the world care. It’s the first technology. Learn more at www.SICDsystem.com. who were born with Patients with heart failure People who have an aortic centre in Canada heart disease and are need to be managed aneurysm may need a to do this for every Holograms aren’t just Refer to product labeling for licensed indications, contraindications, warnings/precautions and adverse events. over the age of 18. constantly, which is stent put inside this vessel aspect of cardiac and being used to bring old For professional use only. www.bostonscientific.com/sicd hard to do when they’re – the major artery coming vascular care. musicians back from © 2015 Boston Scientific Corporation or its affiliates. All rights reserved. CRM-106015-AC DEC2015 More than 90 per cent at home. Technological from their heart – to the dead for one last of children born with innovation, though, prevent it from rupturing. As of this year, the PMCC show. Hospitals are also heart disease become has made real-time “It’s like putting in a is sharing its data with a starting to use them. adults who require highly monitoring a reality. new pipe inside of a number of national and In 2017, the PMCC will specialized care. These In tandem with the rusted-out old pipe,” international databases in begin using a device, patients could be born University Health says Dr. Rubin. But it’s a order to see how it stacks made by a company in with holes in their hearts Network and the Ted complicated procedure up against other health- Haifa, Israel, that will or major blood vessels Rogers Centre for Heart because everyone needs care facilities. It wants allow a patient’s beating that are not connected Research, the PMCC has something a little to see if there are areas heart to float in space, in in the usual way and led the development of a different, depending on where improvements real time. Doctors will need regular attention proprietary technology their individual anatomy. could be made. Sharing be able to see a life-sized throughout their lives. that connects the patient’s To do this properly, data has helped in the image of the heart that Every year, the PMCC home scale and a blood stents often need to be past. In one database, they can move around takes in about 600 pressure cuff to their customized, and the best the PMCC found that 75 and look inside. This is patients who were born smartphone. If a patient way to do that is to sew per cent of its patients groundbreaking, says Dr. with heart problems. gains weight – which is them by hand, just like were staying more than Rubin. Doctors will be About 300 come from critical to watch for, as one would sew a sock or two days in hospital able to essentially perform the Hospital for Sick weight gain can be a sign a scarf. The PMCC works after aortic aneurysm surgical procedures, like Children (SickKids) of worsening heart failure with Australian company surgery, while 75 per cent a valve replacement with in Toronto, while 300 – the smartphone will Cook Medical to produce of patients in the U.S. no incision, in the air, by others arrive from other generate an e-mail that’s these custom stents. were only staying one looking at the hologram, parts of Canada and from sent to the patient, telling Nitinol, a nickel-titanium day. The PMCC wanted while the patient is asleep. around the world. Due the patient what he or she alloy, is sewn onto a to be more in line with They’ll be able to see the to this constant influx, needs to do. It may tell synthetic fabric to create its peers, so it made a valve in the image and the PMCC’s health-care the patient to take a water a custom stent graft that number of changes to the make sure it’s inserted professionals manage pill, and it will direct the is based on the individual way it operates.