Summer 2013Summer 2013
Here to helpAffiliated to the British Heart Foundation and
Arrhythmia Alliance - The Heart Rhythm Charity
POOLE HEART SUPPORT GROUP MAGAZINEPoole Community Health Centre Shaftesbury Road, Poole BH15 2NT
Telephone: 01202 683363 ext. 133Telephone manned Mondays and Thursdays: 1:30-3:30pm
Web site address: www.poolehsg.org.uk
Please send magazine articles and photos to:Editor, 10 Hill View Road, Ferndown, Dorset BH22 9QY or bye-mail to; email@example.com Tel. 01202 855001Magazines are published 1st March, 1st June, 1st September and 1st December.Last date for articles to Editor is 10th day of month before publication.
PRESIDENT: Dr. ANDREW MCLEODV.Ps. Dr CHRISTOPHER BOOS MBBS Dip IMC RCS (Ed) MD FRCP RAMC : Dr. DIANE BRUCE MB Bsc.Hons FRCP : ROBERT PAYNE RGN, RHV, BSc Hons, PG Dip PGCE MAGGIE RICHARDSON : JIM WAINE : GEOFFREY WALKER OBE JP RGN,
PHSG COMMITTEEKEITH MATTHEWS Chairman firstname.lastname@example.org 01202 855001DAVID ANDERSON Secretary email@example.com 01202 697376RITA HOLMES Treasurer firstname.lastname@example.org 01202 743960GEORGE LLEWELLYN Monthly Meets email@example.com 01202 605455JAN MESHER Office firstname.lastname@example.org 01202 250108JOHN OFFER Member 01202 386674DEREK POPE Database email@example.com 01202 889070ROBIN PRINGLE Exercise Coord firstname.lastname@example.org 01202 884250ROGER RIDOUT Purbeck email@example.com 01929 423079DOREEN TOBITT Member firstname.lastname@example.org 01202 670137GEORGE WILKINSON Member 01202 740374PAM BAILEY BHF Rep. 01202 574944
If you know a member who is ill, please tell us by contactingMavis Terry, Welfare Support, on 01202 874760
OTHER CONTACTSJOHN DEFTY Chat Stops 01202 760350CYRIL MARTIN Walking Group 01202 733956DAVID ANDERSON Website email@example.com 01202 697376JIM WAINE Founder and VP firstname.lastname@example.org 01202 871532GERRY WRIGHT Special events email@example.com 01929 421864
3 PHSG Magazine
Membership has remained absolutely stablewith 591 paid up subscriptions and with 286partners registered, not forgetting the 45honorary members and the 12 committee. Weare now up to member number 2110. Most ofour members come from referrals after rehabat Poole Hospital but we are acutely awarethat many people could miss the benefits thatwe offer if they take an alternative care route.Accordingly, we are trying to embark on acampaign to recruit from doctors surgeries,and we also seek to appoint someone to thecommittee to take on some publicity for us.All of the management functions of the PHSG continue to run smoothly. The officefunctions, the hospital liaison meetings, the website, our social events, and ourAlmoners contacts with our members presents us as an efficient organisation and weare grateful for the work of all the volunteers.The work of the PHSG continues with our popular programme of gentle physicalexercise classes, and the walking and cycling groups which cater for physical activitywith different sections of our membership. Cyril Martin reports that 2013 has startedwith good attendance on the walks and he would like to offer his thanks to all hishelpers. We note that we have a literally healthy number of regular exercisers acrossour various venues. The step down class continues and this year we have been ableto start a class at a new venue in Hamworthy Fire Station.Thanks too to Pam and helpers for their hard work in providing tea and coffees, andGeorge and Margaret Wilkinson for the raffles and George & Sandra Llewellyn fororganising the club branded clothing.The Magazine continues to be published in colour and the paper quality improved. Westill really need a full time editor, or perhaps another chairman so that the present onecan concentrate on the Magazine. However, the articles from several regularcontributors does make the task easier and quite enjoyable and this is essential.2013 was PHSGs 21st anniversary but we did not make too much emphasis on this.The year rounded off in March with our annual dinner at Bentleys attended by one ofour Vice Presidents, Dr Christopher Boos who addressed us in entertaining fashion.Our hospital rehab team and our trainers were out in force. In all 105 people enjoyedan excellent meal.Many people work voluntarily for PHSG, they all deserve a big round of thanks.
PHSG Magazine 4
from Poole Hospital NHS Foundation TrustMedicine and Cardiology News
Dear Friends,How the time flies by and here I am writing to you all againabout the work and issues we are undertaking in cardiologyand medicine at Poole. Firstly I would like to say a big thankyou for the lovely article and kind remarks regarding myaward of, Nurse of the Year 2013. It was really kind and Ihave been touched also by the many personal congratulationsthat I have received. I was so thrilled to be even nominated butto receive the award was a great honour. I only knew threeweeks before that I had been nominated and was in the final three and to go to theceremony in March. The evening was run by the British Journal of Nursing and was aglittering occasion and the awards hosted by Esther Ranzen. I was called onto the stagewith the finalists in front of over 300 guests and she read out the citations before thesponsor opened the golden envelope and announced the winner, it was like the Oscars!It was a very humbling and emotional moment and my colleague and friend SeniorSister Shelley Pasamar was able to come with me, and as she put it, so we looked goodon the red carpet!It has been a very busy time. On the 9th May Dr Dan Poulter the undersecretary of Statefor Health visited the Medical Investigations Unit as an exemplar of innovative practice.I had invited him to visit when I was at a reception last October where he was presentingthe awards. He kindly agreed and came. He met all the staff and some patients and heardabout our public patient involvement group from Mrs Pat Smith, a member, which hewas really interested to hear about. He was impressed with the nurse led service and asyou know we do the cardioversion service there now and prepare all our pacemakerpatients on the MIU and recover them there. So the day was a wonderful showcase forthe ground breaking work we do at Poole. I always think that it is worth noting that wereally lead the way in the care and services we provide and I never miss an opportunityto let people know that! I know that Dr Poulter enjoyed his visit and it really raised ourprofile.We now have a new position on CCU as a trial, and that is a specialist nurse forcardiology whose role is to see that cardiac patients are supported throughout the wardsand if necessary transferred to CCU. As well as ensure swift referrals onward forangiography etc., it is proving really successful and I will ask her to do an article on therole for the next edition.So as you can see its a busy and exciting time and I look forward to continuing with thework we undertake here and keeping in touch with you all to tell you all about it. Pleasehave a wonderful summer and speak again soon.Geoffrey Walker OBE JP RGNMatron Medicine, Cardiology and Specialist ServicesPoole Hospital NHS Foundation Trust.
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Golden Wedding for two MembersHenry and Heather Bartlett, long standing andactive members of the PHSG and the walkingGroup, recently celebrated their Golden WeddingAnniversary with parties for family and friends.We all offer them our congratulationsand all best wishes for many more yearsof happiness and good health together.
We are affiliated to the ArrhythmiaAlliance. Their website lists all theiraffiliated groups.
Review what they do on:www.theheartrhythmcharity.org.uk
PHSG Magazine 6
Dr Christopher BoosPalpitations
I have been asked by several readers to talk aboutpalpitations and its investigation. Palpitations refer toan abnormal awareness of the heartbeat. It may befelt as the heart beating too fast or too slow or evenbeating at a normal rate (60-100 per minute). It canbe either regular or irregular and may indicate thepresence of an underlying abnormal heart rhythm(arrhythmia). The importance of an arrhythmiadepends on their type, frequency, duration and whether they occur at the sametime you have symptoms. Attacks may last anything from seconds to hours.They do not necessarily mean there is anything wrong with the heart. In fact Iwould say from experience less than one third of all the cases I see relate toany serious or concerning underlying rhythm disturbance.A good clinical history is fundamental to establishing a diagnosis. Thesensation of a missed or extra beat is generally less concerning than thesustained sensation of a very fast heart rate coming on out of the blueparticularly if it is associated with chest pain breathlessness or light-headedness. It is useful to know if there any triggers e.g. alcohol or caffeine asthis may help in establishing the cause and aiding with symptom alleviation.Because arrhythmias can occur very sporadically, it may be difficult to recordan arrhythmia while you are in the doctor's office. Nevertheless a 12 leadelectrocardiogram (ECG) is an essential initial investigation. This is a non-invasive test which provides a point-in-time assessment of the electricalactivity of the heart. Ten electrodes are attached to the patient and the testtakes less than 5 minutes, from which 12 snap shot electrical images (leads)are obtained. The ECG does not directly assess the contractility of the heart, asprovided by echocardiography. However, it can provide information of thepatients heart rhythm, rate and an indirect assessment of whether there hasbeen any damage to the heart. Ambulatory Heart rate monitoring (ECG)records the electrical activity of your heart while you do your usual activities.Ambulatory m