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Stein, NPR","isLoading":false},"byline_futureofyou_106539":{"type":"authors","id":"byline_futureofyou_106539","meta":{"override":true},"slug":"byline_futureofyou_106539","name":"Lauren Silverman\u003cbr />NPR","isLoading":false},"cfarr":{"type":"authors","id":"3252","meta":{"index":"authors_1591205172","id":"3252","found":true},"name":"Christina Farr","firstName":"Christina","lastName":"Farr","slug":"cfarr","email":"cfarr@kqed.org","display_author_email":false,"staff_mastheads":[],"title":null,"bio":"Christina Farr (\u003ca href=\"https://twitter.com/chrissyfarr\">@chrissyfarr\u003c/a>) is the former editor and host of Future of You. She was previously with Reuters, covering digital health and Apple and before that, she reported for Venture Beat. Christina was born and raised in London and has graduate degrees from University of London and the Stanford School of Journalism. Farr’s work has appeared in a variety of publications, including the New York Times, the Daily Telegraph, the Bay Citizen and SFGate.com. She has appeared as a featured expert on NBC, ABC and Reuters TV, among others, and frequently speaks at health and technology conferences. She is also co-founder of Ladies Who Vino, a networking group for women in technology and business.","avatar":"https://secure.gravatar.com/avatar/22c63869a7901c61c15e204391c1261d?s=600&d=blank&r=g","twitter":null,"facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"futureofyou","roles":["administrator"]},{"site":"stateofhealth","roles":["author"]},{"site":"science","roles":["editor"]}],"headData":{"title":"Christina Farr | KQED","description":null,"ogImgSrc":"https://secure.gravatar.com/avatar/22c63869a7901c61c15e204391c1261d?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/22c63869a7901c61c15e204391c1261d?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/cfarr"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"home","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"futureofyou_442612":{"type":"posts","id":"futureofyou_442612","meta":{"index":"posts_1591205157","site":"futureofyou","id":"442612","score":null,"sort":[1528848273000]},"guestAuthors":[],"slug":"doctors-told-not-to-order-electrocardiograms-for-low-risk-patients","title":"Doctors Told Not To Order Electrocardiograms For Low-Risk Patients","publishDate":1528848273,"format":"standard","headTitle":"KQED Future of You | KQED Science","labelTerm":{},"content":"\u003cp>Doctors shouldn't routinely perform electrocardiograms on patients at low risk for heart disease, an influential federal panel is recommending.[contextly_sidebar id=\"e1JGLWb5PPSqJTZMPu1oxhGludnQREkn\"]\u003c/p>\n\u003cp>While an ECG test of the heart's electrical activity is safe and inexpensive, the benefits for patients at low risk of heart disease are very low and the results can trigger possibly dangerous, unnecessary follow-up testing and treatment, according to the \u003ca href=\"https://www.uspreventiveservicestaskforce.org/\" target=\"_blank\" rel=\"noopener\">U.S. Preventive Services Task Force\u003c/a>.\u003c/p>\n\u003cp>\"In low-risk people, definitely don't do it,\" says \u003ca href=\"https://apps.medicine.uab.edu/facultydirectory/FacultyData.asp?Entity=SOM&FID=55574\" target=\"_blank\" rel=\"noopener\">Dr. Seth Landefeld\u003c/a>, chairman of the department of medicine at the University of Alabama at Birmingham. Landefeld is on the committee that developed the recommendations.\u003c/p>\n\u003cp>The \u003ca href=\"https://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.2018.6848\" target=\"_blank\" rel=\"noopener\">recommendation against routine ECGs in low-risk patients\u003c/a> was published Tuesday in \u003cem>JAMA,\u003c/em> the \u003cem>Journal of the American Medical Association\u003c/em>.\u003c/p>\n\u003cp>\"In people who are at low risk for cardiovascular disease, there is no evidence of benefits of doing ECG screening that would outweigh the possible harms,\" he says. \"And, in fact, the harms may well outweigh the benefits.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For example, in rare cases, follow-up tests like \u003ca href=\"https://www.mayoclinic.org/tests-procedures/coronary-angiogram/about/pac-20384904\" target=\"_blank\" rel=\"noopener\">angiograms\u003c/a> can inadvertently damage the heart, Landefeld says.\u003c/p>\n\u003cp>Other doctors welcomed the new recommendations, noting they are consistent with those of many other medical groups. \"I think their recommendations are very reasonable,\" says \u003ca href=\"https://medicine.tulane.edu/departments/medicine-cardiology-clinical-radiology/faculty/robert-c-hendel-md\" target=\"_blank\" rel=\"noopener\">Robert Hendel\u003c/a>, chief of cardiology at Tulane University, speaking on behalf of the American College of Cardiology.[contextly_sidebar id=\"0v58FJHtga8wMvZaz5r88FbZKH9Smcv6\"]\u003c/p>\n\u003cp>ECGs use electrodes to measure the electrical activity of the heart and can identify irregular rhythms. Despite years of recommendations against routine ECGs, data collected by the National Center for Health Statistics \u003ca href=\"https://www.cdc.gov/nchs/data/ahcd/namcs_summary/2015_namcs_web_tables.pdf\" target=\"_blank\" rel=\"noopener\">indicate\u003c/a> the test is done as part of about 4 percent of routine exams. In 2015, the National Ambulatory Medical Care Survey \u003ca href=\"https://www.cdc.gov/nchs/data/ahcd/namcs_summary/2015_namcs_web_tables.pdf\" target=\"_blank\" rel=\"noopener\">found that about 40 million ECGs \u003c/a>were performed in doctors' offices.\u003c/p>\n\u003cp>Hendel and others hope the uniformity of the recommendations will finally persuade more doctors to stop using the test so commonly.\u003c/p>\n\u003cp>\"If there's really no benefit and it may open a can of worms, then why are we doing it?\" Hendel says.\u003c/p>\n\u003cp>Other routine tests that spot risk factors, such as high blood pressure and cholesterol, are much more useful in identifying people at elevated risk for heart attacks and strokes, the panel and others say. \u003ca href=\"https://www.cdc.gov/heartdisease/index.htm\" target=\"_blank\" rel=\"noopener\">Cardiovascular disease\u003c/a> is the leading cause of death in the United States.[contextly_sidebar id=\"aKFvcSrIqI0Llzq9ccxeP2ojnieKP0Vz\"]\u003c/p>\n\u003cp>\"What's happened is that the conventional risk factors have become so strong and so useful in preventing heart disease that the value of doing a routine ECG as part of an annual physical has faded,\" says \u003ca href=\"http://uhealthsystem.com/doctors/profile/1114\" target=\"_blank\" rel=\"noopener\">Dr. Robert Myerburg\u003c/a>, a professor of medicine at the University of Miami Miller School of Medicine, who wrote an editorial accompanying the recommendations.\u003c/p>\n\u003cp>But many doctors have continued to offer the test, often because patients want it, he says. An uncomplicated ECG on a patient at rest commonly costs about $50.\u003c/p>\n\u003cp>The panel concluded there was insufficient evidence to recommend for or against doing ECGs for people considered to be moderate or high risk because they have some other risk factors, such as high blood pressure or diabetes. So doctors should decide whether to order the test for those patients on an individual basis, the panel says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Some patients might also consider getting one ECG to have as a baseline for comparison later in life, Tulane's Hendel says.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Doctors+Told+Not+To+Order+Electrocardiograms+For+Low-Risk+Patients&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n","blocks":[],"excerpt":"The U.S. Preventive Services Task Force says the benefits from routine electrocardiograms in people at low risk of heart disease don't outweigh the harms from unnecessary follow-up tests.","status":"publish","parent":0,"modified":1528850557,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":17,"wordCount":564},"headData":{"title":"Doctors Told Not To Order Electrocardiograms For Low-Risk Patients | KQED","description":"The U.S. Preventive Services Task Force says the benefits from routine electrocardiograms in people at low risk of heart disease don't outweigh the harms from unnecessary follow-up tests.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Doctors Told Not To Order Electrocardiograms For Low-Risk Patients","datePublished":"2018-06-13T00:04:33.000Z","dateModified":"2018-06-13T00:42:37.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"442612 https://ww2.kqed.org/futureofyou/?p=442612","disqusUrl":"https://ww2.kqed.org/futureofyou/2018/06/12/doctors-told-not-to-order-electrocardiograms-for-low-risk-patients/","disqusTitle":"Doctors Told Not To Order Electrocardiograms For Low-Risk Patients","source":"Health","nprByline":"Rob Stein, NPR","nprImageAgency":"Bruno Boissonnet/Science Source","nprStoryId":"618868728","nprApiLink":"http://api.npr.org/query?id=618868728&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"https://www.npr.org/sections/health-shots/2018/06/12/618868728/doctors-told-not-to-order-electrocardiograms-for-low-risk-patients?ft=nprml&f=618868728","nprRetrievedStory":"1","nprPubDate":"Tue, 12 Jun 2018 14:16:00 -0400","nprStoryDate":"Tue, 12 Jun 2018 11:04:00 -0400","nprLastModifiedDate":"Tue, 12 Jun 2018 14:16:00 -0400","path":"/futureofyou/442612/doctors-told-not-to-order-electrocardiograms-for-low-risk-patients","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Doctors shouldn't routinely perform electrocardiograms on patients at low risk for heart disease, an influential federal panel is recommending.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>While an ECG test of the heart's electrical activity is safe and inexpensive, the benefits for patients at low risk of heart disease are very low and the results can trigger possibly dangerous, unnecessary follow-up testing and treatment, according to the \u003ca href=\"https://www.uspreventiveservicestaskforce.org/\" target=\"_blank\" rel=\"noopener\">U.S. Preventive Services Task Force\u003c/a>.\u003c/p>\n\u003cp>\"In low-risk people, definitely don't do it,\" says \u003ca href=\"https://apps.medicine.uab.edu/facultydirectory/FacultyData.asp?Entity=SOM&FID=55574\" target=\"_blank\" rel=\"noopener\">Dr. Seth Landefeld\u003c/a>, chairman of the department of medicine at the University of Alabama at Birmingham. Landefeld is on the committee that developed the recommendations.\u003c/p>\n\u003cp>The \u003ca href=\"https://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.2018.6848\" target=\"_blank\" rel=\"noopener\">recommendation against routine ECGs in low-risk patients\u003c/a> was published Tuesday in \u003cem>JAMA,\u003c/em> the \u003cem>Journal of the American Medical Association\u003c/em>.\u003c/p>\n\u003cp>\"In people who are at low risk for cardiovascular disease, there is no evidence of benefits of doing ECG screening that would outweigh the possible harms,\" he says. \"And, in fact, the harms may well outweigh the benefits.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For example, in rare cases, follow-up tests like \u003ca href=\"https://www.mayoclinic.org/tests-procedures/coronary-angiogram/about/pac-20384904\" target=\"_blank\" rel=\"noopener\">angiograms\u003c/a> can inadvertently damage the heart, Landefeld says.\u003c/p>\n\u003cp>Other doctors welcomed the new recommendations, noting they are consistent with those of many other medical groups. \"I think their recommendations are very reasonable,\" says \u003ca href=\"https://medicine.tulane.edu/departments/medicine-cardiology-clinical-radiology/faculty/robert-c-hendel-md\" target=\"_blank\" rel=\"noopener\">Robert Hendel\u003c/a>, chief of cardiology at Tulane University, speaking on behalf of the American College of Cardiology.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>ECGs use electrodes to measure the electrical activity of the heart and can identify irregular rhythms. Despite years of recommendations against routine ECGs, data collected by the National Center for Health Statistics \u003ca href=\"https://www.cdc.gov/nchs/data/ahcd/namcs_summary/2015_namcs_web_tables.pdf\" target=\"_blank\" rel=\"noopener\">indicate\u003c/a> the test is done as part of about 4 percent of routine exams. In 2015, the National Ambulatory Medical Care Survey \u003ca href=\"https://www.cdc.gov/nchs/data/ahcd/namcs_summary/2015_namcs_web_tables.pdf\" target=\"_blank\" rel=\"noopener\">found that about 40 million ECGs \u003c/a>were performed in doctors' offices.\u003c/p>\n\u003cp>Hendel and others hope the uniformity of the recommendations will finally persuade more doctors to stop using the test so commonly.\u003c/p>\n\u003cp>\"If there's really no benefit and it may open a can of worms, then why are we doing it?\" Hendel says.\u003c/p>\n\u003cp>Other routine tests that spot risk factors, such as high blood pressure and cholesterol, are much more useful in identifying people at elevated risk for heart attacks and strokes, the panel and others say. \u003ca href=\"https://www.cdc.gov/heartdisease/index.htm\" target=\"_blank\" rel=\"noopener\">Cardiovascular disease\u003c/a> is the leading cause of death in the United States.\u003c/p>\u003cp>\u003c/p>\u003cp>\u003c/p>\n\u003cp>\"What's happened is that the conventional risk factors have become so strong and so useful in preventing heart disease that the value of doing a routine ECG as part of an annual physical has faded,\" says \u003ca href=\"http://uhealthsystem.com/doctors/profile/1114\" target=\"_blank\" rel=\"noopener\">Dr. Robert Myerburg\u003c/a>, a professor of medicine at the University of Miami Miller School of Medicine, who wrote an editorial accompanying the recommendations.\u003c/p>\n\u003cp>But many doctors have continued to offer the test, often because patients want it, he says. An uncomplicated ECG on a patient at rest commonly costs about $50.\u003c/p>\n\u003cp>The panel concluded there was insufficient evidence to recommend for or against doing ECGs for people considered to be moderate or high risk because they have some other risk factors, such as high blood pressure or diabetes. So doctors should decide whether to order the test for those patients on an individual basis, the panel says.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Some patients might also consider getting one ECG to have as a baseline for comparison later in life, Tulane's Hendel says.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2018 NPR. To see more, visit http://www.npr.org/.\u003cimg src=\"https://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Doctors+Told+Not+To+Order+Electrocardiograms+For+Low-Risk+Patients&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/442612/doctors-told-not-to-order-electrocardiograms-for-low-risk-patients","authors":["byline_futureofyou_442612"],"categories":["futureofyou_1060","futureofyou_1"],"tags":["futureofyou_741","futureofyou_819","futureofyou_61","futureofyou_1522","futureofyou_1515","futureofyou_1509"],"collections":["futureofyou_1093"],"featImg":"futureofyou_442613","label":"source_futureofyou_442612"},"futureofyou_106539":{"type":"posts","id":"futureofyou_106539","meta":{"index":"posts_1591205157","site":"futureofyou","id":"106539","score":null,"sort":[1454371978000]},"guestAuthors":[],"slug":"can-extreme-exercise-hurt-your-heart-swim-the-pacific-to-find-out","title":"Can Extreme Exercise Hurt Your Heart? Swim the Pacific to Find Out","publishDate":1454371978,"format":"standard","headTitle":"Future of You | KQED Future of You | KQED Science","labelTerm":{"term":54,"site":"futureofyou"},"content":"\u003cp>Any day now, Ben Lecomte will plunge into the Pacific Ocean off a Tokyo beach toward San Francisco. He wants to become the first person to swim across the Pacific. He's already the first person to free swim across the Atlantic Ocean, without a kickboard.\u003c/p>\n\u003cp>No one knows how the physical feat of swimming 5,500 miles will affect Lecomte's heart, but cardiologists are anxious to find out. His swim offers a rare opportunity to study whether extreme athletic performance has a harmful effect on the heart.\u003c/p>\n\u003cp>[contextly_sidebar id=\"JuYUmV8doE13AUPgKViOiltqAlgnStNq\"]After he completed the swim across the Atlantic in 1998, the first words out of Ben Lecomte's mouth were \"never again.\"\u003c/p>\n\u003cp>Now this 48-year-old, French-born American is about to embark on a swim expected to take five to six months.\u003c/p>\n\u003cp>\"I'm not a fast swimmer,\" Lecomte says. But boy is he dedicated. \"Swimming is a passion,\" he says. \"You cannot just push it away.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Lecomte, who lives in Austin, Texas, is diving back into the ocean to focus attention on environmental problems. He's worried about the future for his kids. During the swim, he will collect data on the Pacific, including the microbes and trash he encounters. People can follow along on his Facebook page, \u003ca href=\"https://www.facebook.com/TheLongestSwim\" target=\"_blank\">The Longest Swim\u003c/a>.\u003c/p>\n\u003cp>He will also collect data on himself, including how his heart holds up for eight hours of freestyle every single day. This data will go to \u003ca href=\"http://profiles.utsouthwestern.edu/profile/14262/benjamin-levine.html\" target=\"_blank\">Benjamin Levine, \u003c/a>a cardiologist at UT Southwestern Medical Center and director of the \u003ca href=\"http://www.ieemphd.org/\" target=\"_blank\">Institute of Exercise and Environmental Medicine\u003c/a> at Texas Health Resources.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-full wp-image-106548\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/pacific-swim.png\" alt=\"pacific-swim\" width=\"600\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/02/pacific-swim.png 600w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/pacific-swim-400x300.png 400w\" sizes=\"(max-width: 600px) 100vw, 600px\">\u003c/p>\n\u003cp>\"My question has always been, how much exercise do you need to do to injure the heart?\" Levine says. \"Since Ben was planning to swim across the Pacific Ocean, we thought, hey, this might be a good opportunity.\"\u003c/p>\n\u003cp>After all, we're told more exercise is better — and generally, it is. Yet several \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538475/\">studies\u003c/a> of extreme endurance athletes have called that idea into \u003ca href=\"http://circ.ahajournals.org/content/130/12/987.extract\">question.\u003c/a>\u003c/p>\n\u003cp>People who run marathons or do triathlons can have some scarring or fibrosis in the center of the heart, says \u003ca href=\"http://www.harthosp.org/findaphysician/default.aspx?view=detail&phyid=003j000000gd69maat\">Paul Thompson\u003c/a>, chief of cardiology at Hartford Hospital in Connecticut. \"Right where the two sides of the heart join each other — the septum.\"\u003c/p>\n\u003cp>This scarring at the septum is worrisome, Thompson says, particularly for people who have an underlying genetic condition that weakens the heart muscle.\u003c/p>\n\u003cfigure id=\"attachment_106550\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003cimg class=\"size-full wp-image-106550\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/swimmer.jpg\" alt=\"Lecomte will gather data on the environment and on his own health during the Pacific swim. \" width=\"300\" height=\"365\">\u003cfigcaption class=\"wp-caption-text\">Lecomte will gather data on the environment and on his own health during the Pacific swim. \u003ccite>(Bongani Mlambo/The Longest Swim)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>And there's a second area of concern. \"It's been shown in a couple of \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538475/\">studies\u003c/a> now that people who are lifelong endurance athletes have more coronary artery calcification than you would expect for their risk factors,\" Thompson says.\u003c/p>\n\u003cp>Calcification, meaning a \u003ca href=\"http://www.nhlbi.nih.gov/health/health-topics/topics/cscan/\">buildup of calcium\u003c/a> in the heart, is not something you'd expect to find in people swimming long distances, running ultramarathons or tackling Ironman competitions. There could be a genetic explanation to both the calcium issue and the scarring, Thompson says. So he advises people to study up on their family history and see if there have been cases of \u003ca href=\"http://www.nih.gov/news-events/news-releases/nih-cdc-launch-registry-sudden-death-young\">sudden death\u003c/a>, then weigh the benefits and risks of extreme exercise.\u003c/p>\n\u003cp>\"We don't think that long-term exercise is dangerous, because long-term endurance athletes live longer than other people,\" Thompson says. But Thompson does want to figure out what's going on.\u003c/p>\n\u003cp>Which brings us back to Ben Lecomte and the tricky task of monitoring his heart from the middle of the ocean.\u003c/p>\n\u003cp>Using technology that\u003ca href=\"http://science.nasa.gov/science-news/science-at-nasa/2009/10jul_cardio/\"> NASA\u003c/a> uses for monitoring astronauts on the International Space Station, UT Southwestern's Levine will be able to monitor Lecomte's heart during his swim. It's a small echo machine, like an ultrasound for the heart, that will be on the support boat traveling with Lecomte. Once a month, while resting on the boat, Lecomte will turn the machine on and use a satellite phone to call the Johnson Space Center.\u003c/p>\n\u003cfigure id=\"attachment_106553\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-106553\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/longest-swim-800x544.jpg\" alt=\"Dr. Benjamin Levine performs an echocardiogram on Ben Lecomte to record a baseline of his heart function at the Institute for Exercise and Environmental Medicine in Dallas. \" width=\"800\" height=\"544\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim-400x272.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim-768x522.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Benjamin Levine performs an echocardiogram on Ben Lecomte to record a baseline of his heart function at the Institute for Exercise and Environmental Medicine in Dallas. \u003ccite>(The Longest Swim)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Someone there will tell Lecomte how to position the probe to give himself an echocardiogram.\u003c/p>\n\u003cp>From his desk in Dallas, Levine will see images of how fast Lecomte's heart is contracting, how quickly the blood flows in and out of the valves, and any stress where the two sides of the heart meet.\u003c/p>\n\u003cp>His prediction?\u003c/p>\n\u003cp>\"I think when he comes back he'll have signs of a little inflammation or irritation right where the right and left ventricle connect,\" Levine says. \"That's what we see in some other of these elite long-endurance athletes, and I think that's what we'll see in Ben.\"\u003c/p>\n\u003cp>For most people this inflammation is really of no consequence, Levine says. But for some people — for example, those who have pulmonary hypertension or other kinds of heart disease — it could cause problems.\u003c/p>\n\u003cp>He hopes studying Lecomte's heart will help reveal why extreme exercise changes the heart and determine whether there's a limit to how much exercise the human heart can handle.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Ben Lecomte is not worried. He thinks his heart can handle the enormous ocean, some 20-foot-high waves and the occasional shark.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 KERA Unlimited. To see more, visit \u003ca href=\"http://www.kera.org/\">KERA Unlimited\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Can+Extreme+Exercise+Hurt+Your+Heart%3F+Swim+The+Pacific+To+Find+Out&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n","blocks":[],"excerpt":"Ben Lecomte wants to be the first person to swim across the Pacific Ocean — a 5,500-mile journey. Doctors will monitor his heart remotely to see how intensive exercise affects this vital muscle.","status":"publish","parent":0,"modified":1476936694,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":899},"headData":{"title":"Can Extreme Exercise Hurt Your Heart? Swim the Pacific to Find Out | KQED","description":"Ben Lecomte wants to be the first person to swim across the Pacific Ocean — a 5,500-mile journey. Doctors will monitor his heart remotely to see how intensive exercise affects this vital muscle.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Can Extreme Exercise Hurt Your Heart? Swim the Pacific to Find Out","datePublished":"2016-02-02T00:12:58.000Z","dateModified":"2016-10-20T04:11:34.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"106539 http://ww2.kqed.org/futureofyou/?p=106539","disqusUrl":"https://ww2.kqed.org/futureofyou/2016/02/01/can-extreme-exercise-hurt-your-heart-swim-the-pacific-to-find-out/","disqusTitle":"Can Extreme Exercise Hurt Your Heart? Swim the Pacific to Find Out","nprImageCredit":"Bongani Mlambo","nprByline":"Lauren Silverman\u003cbr />NPR","nprImageAgency":"The Longest Swim","nprStoryId":"464457884","nprApiLink":"http://api.npr.org/query?id=464457884&apiKey=MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004","nprHtmlLink":"http://www.npr.org/sections/health-shots/2016/02/01/464457884/can-extreme-exercise-hurt-your-heart-swim-the-pacific-to-find-out?ft=nprml&f=464457884","nprRetrievedStory":"1","nprPubDate":"Mon, 01 Feb 2016 16:41:00 -0500","nprStoryDate":"Mon, 01 Feb 2016 04:43:00 -0500","nprLastModifiedDate":"Mon, 01 Feb 2016 16:41:37 -0500","nprAudio":"http://pd.npr.org/anon.npr-mp3/npr/me/2016/02/20160201_me_can_extreme_exercise_hurt_your_heart_swim_the_pacfic_to_find_out.mp3?orgId=77&topicId=1066&d=273&p=3&story=464457884&t=progseg&e=465098553&seg=3&ft=nprml&f=464457884","nprAudioM3u":"http://api.npr.org/m3u/1465106781-a4440c.m3u?orgId=77&topicId=1066&d=273&p=3&story=464457884&t=progseg&e=465098553&seg=3&ft=nprml&f=464457884","path":"/futureofyou/106539/can-extreme-exercise-hurt-your-heart-swim-the-pacific-to-find-out","audioUrl":"http://pd.npr.org/anon.npr-mp3/npr/me/2016/02/20160201_me_can_extreme_exercise_hurt_your_heart_swim_the_pacfic_to_find_out.mp3?orgId=77&topicId=1066&d=273&p=3&story=464457884&t=progseg&e=465098553&seg=3&ft=nprml&f=464457884","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Any day now, Ben Lecomte will plunge into the Pacific Ocean off a Tokyo beach toward San Francisco. He wants to become the first person to swim across the Pacific. He's already the first person to free swim across the Atlantic Ocean, without a kickboard.\u003c/p>\n\u003cp>No one knows how the physical feat of swimming 5,500 miles will affect Lecomte's heart, but cardiologists are anxious to find out. His swim offers a rare opportunity to study whether extreme athletic performance has a harmful effect on the heart.\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003c/p>\u003cp>After he completed the swim across the Atlantic in 1998, the first words out of Ben Lecomte's mouth were \"never again.\"\u003c/p>\n\u003cp>Now this 48-year-old, French-born American is about to embark on a swim expected to take five to six months.\u003c/p>\n\u003cp>\"I'm not a fast swimmer,\" Lecomte says. But boy is he dedicated. \"Swimming is a passion,\" he says. \"You cannot just push it away.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Lecomte, who lives in Austin, Texas, is diving back into the ocean to focus attention on environmental problems. He's worried about the future for his kids. During the swim, he will collect data on the Pacific, including the microbes and trash he encounters. People can follow along on his Facebook page, \u003ca href=\"https://www.facebook.com/TheLongestSwim\" target=\"_blank\">The Longest Swim\u003c/a>.\u003c/p>\n\u003cp>He will also collect data on himself, including how his heart holds up for eight hours of freestyle every single day. This data will go to \u003ca href=\"http://profiles.utsouthwestern.edu/profile/14262/benjamin-levine.html\" target=\"_blank\">Benjamin Levine, \u003c/a>a cardiologist at UT Southwestern Medical Center and director of the \u003ca href=\"http://www.ieemphd.org/\" target=\"_blank\">Institute of Exercise and Environmental Medicine\u003c/a> at Texas Health Resources.\u003c/p>\n\u003cp>\u003cimg class=\"aligncenter size-full wp-image-106548\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/pacific-swim.png\" alt=\"pacific-swim\" width=\"600\" height=\"450\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/02/pacific-swim.png 600w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/pacific-swim-400x300.png 400w\" sizes=\"(max-width: 600px) 100vw, 600px\">\u003c/p>\n\u003cp>\"My question has always been, how much exercise do you need to do to injure the heart?\" Levine says. \"Since Ben was planning to swim across the Pacific Ocean, we thought, hey, this might be a good opportunity.\"\u003c/p>\n\u003cp>After all, we're told more exercise is better — and generally, it is. Yet several \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538475/\">studies\u003c/a> of extreme endurance athletes have called that idea into \u003ca href=\"http://circ.ahajournals.org/content/130/12/987.extract\">question.\u003c/a>\u003c/p>\n\u003cp>People who run marathons or do triathlons can have some scarring or fibrosis in the center of the heart, says \u003ca href=\"http://www.harthosp.org/findaphysician/default.aspx?view=detail&phyid=003j000000gd69maat\">Paul Thompson\u003c/a>, chief of cardiology at Hartford Hospital in Connecticut. \"Right where the two sides of the heart join each other — the septum.\"\u003c/p>\n\u003cp>This scarring at the septum is worrisome, Thompson says, particularly for people who have an underlying genetic condition that weakens the heart muscle.\u003c/p>\n\u003cfigure id=\"attachment_106550\" class=\"wp-caption alignleft\" style=\"max-width: 300px\">\u003cimg class=\"size-full wp-image-106550\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/swimmer.jpg\" alt=\"Lecomte will gather data on the environment and on his own health during the Pacific swim. \" width=\"300\" height=\"365\">\u003cfigcaption class=\"wp-caption-text\">Lecomte will gather data on the environment and on his own health during the Pacific swim. \u003ccite>(Bongani Mlambo/The Longest Swim)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>And there's a second area of concern. \"It's been shown in a couple of \u003ca href=\"http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3538475/\">studies\u003c/a> now that people who are lifelong endurance athletes have more coronary artery calcification than you would expect for their risk factors,\" Thompson says.\u003c/p>\n\u003cp>Calcification, meaning a \u003ca href=\"http://www.nhlbi.nih.gov/health/health-topics/topics/cscan/\">buildup of calcium\u003c/a> in the heart, is not something you'd expect to find in people swimming long distances, running ultramarathons or tackling Ironman competitions. There could be a genetic explanation to both the calcium issue and the scarring, Thompson says. So he advises people to study up on their family history and see if there have been cases of \u003ca href=\"http://www.nih.gov/news-events/news-releases/nih-cdc-launch-registry-sudden-death-young\">sudden death\u003c/a>, then weigh the benefits and risks of extreme exercise.\u003c/p>\n\u003cp>\"We don't think that long-term exercise is dangerous, because long-term endurance athletes live longer than other people,\" Thompson says. But Thompson does want to figure out what's going on.\u003c/p>\n\u003cp>Which brings us back to Ben Lecomte and the tricky task of monitoring his heart from the middle of the ocean.\u003c/p>\n\u003cp>Using technology that\u003ca href=\"http://science.nasa.gov/science-news/science-at-nasa/2009/10jul_cardio/\"> NASA\u003c/a> uses for monitoring astronauts on the International Space Station, UT Southwestern's Levine will be able to monitor Lecomte's heart during his swim. It's a small echo machine, like an ultrasound for the heart, that will be on the support boat traveling with Lecomte. Once a month, while resting on the boat, Lecomte will turn the machine on and use a satellite phone to call the Johnson Space Center.\u003c/p>\n\u003cfigure id=\"attachment_106553\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-106553\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2016/02/longest-swim-800x544.jpg\" alt=\"Dr. Benjamin Levine performs an echocardiogram on Ben Lecomte to record a baseline of his heart function at the Institute for Exercise and Environmental Medicine in Dallas. \" width=\"800\" height=\"544\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim-400x272.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2016/02/longest-swim-768x522.jpg 768w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dr. Benjamin Levine performs an echocardiogram on Ben Lecomte to record a baseline of his heart function at the Institute for Exercise and Environmental Medicine in Dallas. \u003ccite>(The Longest Swim)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Someone there will tell Lecomte how to position the probe to give himself an echocardiogram.\u003c/p>\n\u003cp>From his desk in Dallas, Levine will see images of how fast Lecomte's heart is contracting, how quickly the blood flows in and out of the valves, and any stress where the two sides of the heart meet.\u003c/p>\n\u003cp>His prediction?\u003c/p>\n\u003cp>\"I think when he comes back he'll have signs of a little inflammation or irritation right where the right and left ventricle connect,\" Levine says. \"That's what we see in some other of these elite long-endurance athletes, and I think that's what we'll see in Ben.\"\u003c/p>\n\u003cp>For most people this inflammation is really of no consequence, Levine says. But for some people — for example, those who have pulmonary hypertension or other kinds of heart disease — it could cause problems.\u003c/p>\n\u003cp>He hopes studying Lecomte's heart will help reveal why extreme exercise changes the heart and determine whether there's a limit to how much exercise the human heart can handle.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Ben Lecomte is not worried. He thinks his heart can handle the enormous ocean, some 20-foot-high waves and the occasional shark.\u003c/p>\n\u003cdiv class=\"fullattribution\">Copyright 2016 KERA Unlimited. To see more, visit \u003ca href=\"http://www.kera.org/\">KERA Unlimited\u003c/a>.\u003cimg src=\"http://www.google-analytics.com/__utm.gif?utmac=UA-5828686-4&utmdt=Can+Extreme+Exercise+Hurt+Your+Heart%3F+Swim+The+Pacific+To+Find+Out&utme=8(APIKey)9(MDAxOTAwOTE4MDEyMTkxMDAzNjczZDljZA004)\" alt=\"\">\u003c/div>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/106539/can-extreme-exercise-hurt-your-heart-swim-the-pacific-to-find-out","authors":["byline_futureofyou_106539"],"programs":["futureofyou_54"],"categories":["futureofyou_1060"],"tags":["futureofyou_741","futureofyou_743","futureofyou_742","futureofyou_740"],"featImg":"futureofyou_106540","label":"futureofyou_54"},"futureofyou_3250":{"type":"posts","id":"futureofyou_3250","meta":{"index":"posts_1591205157","site":"futureofyou","id":"3250","score":null,"sort":[1432230515000]},"guestAuthors":[],"slug":"your-heart-in-3d-surgeons-can-now-practice-on-a-simulation","title":"Your Heart in 3D: Surgeons Can Now Practice on a Simulation","publishDate":1432230515,"format":"image","headTitle":"Heart health | KQED Future of You | KQED Science","labelTerm":{"term":350,"site":"futureofyou"},"content":"\u003cp>How can you distinguish between a good surgeon and an exceptional surgeon?\u003c/p>\n\u003cp>According to some medical experts, it's that all-too-rare ability to visualize a human organ in three dimensions from little more than a scan.\u003c/p>\n\u003cp>\"The handful of the top surgeons in the world are like sculptors,\" said Dr. Deepak Srivastava, a director at the \u003ca href=\"http://gladstoneinstitutes.org/\">Gladstone Institute\u003c/a> of Cardiovascular Disease in San Francisco.\u003c/p>\n\u003cp>\"When cardiovascular surgeons go in to repair a defect in the heart, their success is so often dependent on an ability to \u003cem>see\u003c/em> the anatomy in 3-D in their minds,\" said Srivastava. \"That's more difficult for younger, less experienced surgeons.\"\u003c/p>\n\u003cp>But recent advancements in the field of computational modeling may level the playing field in the coming years, particularly for heart surgeons.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>One such technology comes from \u003ca href=\"http://www.3ds.com/\">Dassault Systèmes\u003c/a>, a French company that specializes in 3-D design software to help engineers that build cars and planes avoid potentially-fatal outcomes. So why not surgeons and medical researchers?\u003c/p>\n\u003cp>Earlier this week, Dassault released its highly-realistic digital model of the human heart, which it calls the \"\u003ca href=\"http://www.3ds.com/products-services/simulia/solutions/life-sciences/the-living-heart-project\">Living Heart Project\u003c/a>.\" Doctors \u003ca href=\"http://www.betaboston.com/news/2015/05/06/living-heart-project-brings-a-beat-to-3-d/\">wear special 3-D glasses and use a joystick\u003c/a> to zoom in to a ventricle or valve, while listening to every heartbeat.\u003c/p>\n\u003cp>The hope is that universities and medical device makers will use the simulation to come up with new personalized treatments for common heart diseases and potentially improve surgical outcomes.\u003c/p>\n\u003cp>\"We take a [patient's] scan, reconstruct it into a 3-D model, and test all the possibilities before a heart surgery,\" said Dr. Steve Levine, chief strategy officer and director for the Living Heart Project.\u003c/p>\n\u003cfigure id=\"attachment_3260\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-3260\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/Full_Heart_3-800x584.jpg\" alt=\"Dassault has developed a digital model of a human heart\" width=\"800\" height=\"584\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3-800x584.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3-400x292.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3-1180x862.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3-960x701.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3.jpg 1406w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dassault has developed a digital model of a human heart \u003ccite>(Dassault Systèmes)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For now, the company is focusing its attention on simulating the heart, as opposed to other organs. That's because heart disease is the \u003ca href=\"http://www.cdc.gov/heartdisease/facts.htm\">leading cause of death \u003c/a>in the United States, and accounts for one in every four deaths.\u003c/p>\n\u003cp>Some hospitals are already using the design software to simulate the effects of routine medical procedures or experiment with solutions to common problems, like heart attacks. In the future, surgeons may leverage computational models before selecting a therapy or drug for individual patients.\u003c/p>\n\u003cp>Dassault hopes that medical device makers will also use the Living Heart Project's technology for research and development. It may help these companies pinpoint which new ideas are likely to prove effective, and whether it's worth the investment in clinical trials.\u003c/p>\n\u003cp>The software is available for free to organizations that agree to conduct research and share its findings with the project. Otherwise, its licenses start at $15,000 per year for commercial use, with educational licenses starting at $500 per year.\u003c/p>\n\u003cp>\u003cstrong>Recruiting Partners in Health Care \u003c/strong>\u003c/p>\n\u003cp>\"Dassault is a $3 billion company few people have heard of,\" said Levine, who spoke with\u003cem> KQED \u003c/em>during a recent trip to Europe. \"We operate in the background.\"\u003c/p>\n\u003cp>In recent years, Dassault's executive team has re-focused the company on sectors outside of heavy manufacturing. Levine refers to this new approach as \"modeling life and nature.\"\u003c/p>\n\u003cp>For the Living Heart Project, Levine's team put out calls to researchers at some of the top hospitals around the world to share their findings.\u003c/p>\n\u003cp>To date, it has recruited 45 \"members\" or partners from the scientific community, who were independently researching cardiac disease or a function of the heart. Researchers from the Mayo Clinic, Stanford University and the University of Oxford,\u003ca href=\"http://www.3ds.com/products-services/simulia/solutions/life-sciences/the-living-heart-project\"> among others,\u003c/a> have opted to test-drive the simulation.\u003c/p>\n\u003cp>The company consolidated the research and used its engineering know-how to build a simulation of a baseline human heart. Now, the company can turn a 2-D scan, from an individual patient, and convert it into a 3-D model.\u003c/p>\n\u003cp>Levine said federal regulators initially wanted to take a 'watch and wait' approach when informed about the project.\u003c/p>\n\u003cp>\"I told them [the U.S. Food and Drug Administration], you can't sit on the sidelines as non-participants. You have to get involved.\"\u003c/p>\n\u003cp>In 2014, the agency agreed to collaborate with Dassault on a five-year research project, which will focus on testing the reliability of pacemaker leads (the thin wires that carry an electrical impulse from the device to the heart.) But the agency stressed that it will not necessarily endorse any of the computational models that are developed as part of the research.\u003c/p>\n\u003cp>The FDA expects that doctors will someday use simulation technology for planning purposes \u003cem>and\u003c/em> clinical decision-making. But it's still early days, so the agency cautioned doctors to invest resources into assessing the credibility of these new technologies and their potential drawbacks.\u003c/p>\n\u003cp class=\"p1\">\u003cspan class=\"s1\">\"Challenges to greater adoption of computer-modeling include a lack of data for some medical conditions, which makes realistic predictions difficult,\" said \u003c/span>Donna Lochner, a \u003cspan class=\"s1\">senior scientific advisor in the FDA's Office of Science and Engineering Laboratories.\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_3270\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-3270\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs-800x343.jpg\" alt=\"Zooming in on the simulation \" width=\"800\" height=\"343\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs-800x343.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs-400x171.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs-960x412.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Zooming in on the Living Heart Project simulation \u003ccite>(Living Heart Project )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>A Hammer Looking for a Nail?\u003c/strong>\u003c/p>\n\u003cp>At the University of California, San Francisco, a team of researchers in the cardiology division are hoping to use the Living Heart Project for one purpose in particular: Determining the optimal time for a patients' valve replacement.\u003c/p>\n\u003cp>Surgeons have to strike the right balance between swapping out a valve at the end of its life-cycle, but not leaving it so late that the heart function deteriorates.\u003c/p>\n\u003cp>Dr. Jeffrey Olgin, \u003ca href=\"http://www.ucsfhealth.org/jeffrey.olgin\">the division's chief\u003c/a>, has been closely following the team's progress. But he is far from convinced that the Living Heart Project will fundamentally transform how we perform surgeries today.\u003c/p>\n\u003cp>He asked, \"Is this a hammer looking for a nail? Or will this change how we practice medicine?\"\u003c/p>\n\u003cp>Olgin said the Living Heart Project may be no more than a technological solution looking for a problem, but it's too soon to tell. He hasn't seen a convincing study yet that proves the simulation can improve patient outcomes.\u003c/p>\n\u003cp>Unlike manmade objects like cars and planes, it's very difficult to predict how the human heart will respond to stress in the real world. Olgin said he fears that doctors would come to rely too heavily on this technology and medical device makers could pull the plug on promising research if the simulation shows a negative result.\u003c/p>\n\u003cp>\"The technology doesn't offer the same level of evidence as [medical research on] animals or small pilot human trials,\" he said.\u003c/p>\n\u003cp>\"Unfortunately, the human body doesn't always follow the rules of physics.\"\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>[youtube http://www.youtube.com/watch?v=RrktVIFLqXI&w=560&h=315]\u003c/p>\n\n","blocks":[],"excerpt":"The \"Living Heart Project\" lets doctors take a virtual tour of the human heart to simulate the effects of common medical procedures. ","status":"publish","parent":0,"modified":1477282775,"stats":{"hasAudio":false,"hasVideo":true,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":35,"wordCount":1168},"headData":{"title":"Your Heart in 3D: Surgeons Can Now Practice on a Simulation | KQED","description":"The "Living Heart Project" lets doctors take a virtual tour of the human heart to simulate the effects of common medical procedures. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Your Heart in 3D: Surgeons Can Now Practice on a Simulation","datePublished":"2015-05-21T17:48:35.000Z","dateModified":"2016-10-24T04:19:35.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"3250 http://ww2.kqed.org/futureofyou/?p=3250","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/05/21/your-heart-in-3d-surgeons-can-now-practice-on-a-simulation/","disqusTitle":"Your Heart in 3D: Surgeons Can Now Practice on a Simulation","path":"/futureofyou/3250/your-heart-in-3d-surgeons-can-now-practice-on-a-simulation","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>How can you distinguish between a good surgeon and an exceptional surgeon?\u003c/p>\n\u003cp>According to some medical experts, it's that all-too-rare ability to visualize a human organ in three dimensions from little more than a scan.\u003c/p>\n\u003cp>\"The handful of the top surgeons in the world are like sculptors,\" said Dr. Deepak Srivastava, a director at the \u003ca href=\"http://gladstoneinstitutes.org/\">Gladstone Institute\u003c/a> of Cardiovascular Disease in San Francisco.\u003c/p>\n\u003cp>\"When cardiovascular surgeons go in to repair a defect in the heart, their success is so often dependent on an ability to \u003cem>see\u003c/em> the anatomy in 3-D in their minds,\" said Srivastava. \"That's more difficult for younger, less experienced surgeons.\"\u003c/p>\n\u003cp>But recent advancements in the field of computational modeling may level the playing field in the coming years, particularly for heart surgeons.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>One such technology comes from \u003ca href=\"http://www.3ds.com/\">Dassault Systèmes\u003c/a>, a French company that specializes in 3-D design software to help engineers that build cars and planes avoid potentially-fatal outcomes. So why not surgeons and medical researchers?\u003c/p>\n\u003cp>Earlier this week, Dassault released its highly-realistic digital model of the human heart, which it calls the \"\u003ca href=\"http://www.3ds.com/products-services/simulia/solutions/life-sciences/the-living-heart-project\">Living Heart Project\u003c/a>.\" Doctors \u003ca href=\"http://www.betaboston.com/news/2015/05/06/living-heart-project-brings-a-beat-to-3-d/\">wear special 3-D glasses and use a joystick\u003c/a> to zoom in to a ventricle or valve, while listening to every heartbeat.\u003c/p>\n\u003cp>The hope is that universities and medical device makers will use the simulation to come up with new personalized treatments for common heart diseases and potentially improve surgical outcomes.\u003c/p>\n\u003cp>\"We take a [patient's] scan, reconstruct it into a 3-D model, and test all the possibilities before a heart surgery,\" said Dr. Steve Levine, chief strategy officer and director for the Living Heart Project.\u003c/p>\n\u003cfigure id=\"attachment_3260\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-3260\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/Full_Heart_3-800x584.jpg\" alt=\"Dassault has developed a digital model of a human heart\" width=\"800\" height=\"584\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3-800x584.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3-400x292.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3-1180x862.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3-960x701.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Full_Heart_3.jpg 1406w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dassault has developed a digital model of a human heart \u003ccite>(Dassault Systèmes)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>For now, the company is focusing its attention on simulating the heart, as opposed to other organs. That's because heart disease is the \u003ca href=\"http://www.cdc.gov/heartdisease/facts.htm\">leading cause of death \u003c/a>in the United States, and accounts for one in every four deaths.\u003c/p>\n\u003cp>Some hospitals are already using the design software to simulate the effects of routine medical procedures or experiment with solutions to common problems, like heart attacks. In the future, surgeons may leverage computational models before selecting a therapy or drug for individual patients.\u003c/p>\n\u003cp>Dassault hopes that medical device makers will also use the Living Heart Project's technology for research and development. It may help these companies pinpoint which new ideas are likely to prove effective, and whether it's worth the investment in clinical trials.\u003c/p>\n\u003cp>The software is available for free to organizations that agree to conduct research and share its findings with the project. Otherwise, its licenses start at $15,000 per year for commercial use, with educational licenses starting at $500 per year.\u003c/p>\n\u003cp>\u003cstrong>Recruiting Partners in Health Care \u003c/strong>\u003c/p>\n\u003cp>\"Dassault is a $3 billion company few people have heard of,\" said Levine, who spoke with\u003cem> KQED \u003c/em>during a recent trip to Europe. \"We operate in the background.\"\u003c/p>\n\u003cp>In recent years, Dassault's executive team has re-focused the company on sectors outside of heavy manufacturing. Levine refers to this new approach as \"modeling life and nature.\"\u003c/p>\n\u003cp>For the Living Heart Project, Levine's team put out calls to researchers at some of the top hospitals around the world to share their findings.\u003c/p>\n\u003cp>To date, it has recruited 45 \"members\" or partners from the scientific community, who were independently researching cardiac disease or a function of the heart. Researchers from the Mayo Clinic, Stanford University and the University of Oxford,\u003ca href=\"http://www.3ds.com/products-services/simulia/solutions/life-sciences/the-living-heart-project\"> among others,\u003c/a> have opted to test-drive the simulation.\u003c/p>\n\u003cp>The company consolidated the research and used its engineering know-how to build a simulation of a baseline human heart. Now, the company can turn a 2-D scan, from an individual patient, and convert it into a 3-D model.\u003c/p>\n\u003cp>Levine said federal regulators initially wanted to take a 'watch and wait' approach when informed about the project.\u003c/p>\n\u003cp>\"I told them [the U.S. Food and Drug Administration], you can't sit on the sidelines as non-participants. You have to get involved.\"\u003c/p>\n\u003cp>In 2014, the agency agreed to collaborate with Dassault on a five-year research project, which will focus on testing the reliability of pacemaker leads (the thin wires that carry an electrical impulse from the device to the heart.) But the agency stressed that it will not necessarily endorse any of the computational models that are developed as part of the research.\u003c/p>\n\u003cp>The FDA expects that doctors will someday use simulation technology for planning purposes \u003cem>and\u003c/em> clinical decision-making. But it's still early days, so the agency cautioned doctors to invest resources into assessing the credibility of these new technologies and their potential drawbacks.\u003c/p>\n\u003cp class=\"p1\">\u003cspan class=\"s1\">\"Challenges to greater adoption of computer-modeling include a lack of data for some medical conditions, which makes realistic predictions difficult,\" said \u003c/span>Donna Lochner, a \u003cspan class=\"s1\">senior scientific advisor in the FDA's Office of Science and Engineering Laboratories.\u003c/span>\u003c/p>\n\u003cfigure id=\"attachment_3270\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-3270\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs-800x343.jpg\" alt=\"Zooming in on the simulation \" width=\"800\" height=\"343\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs-800x343.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs-400x171.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs-960x412.jpg 960w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/R2a3qFBWFzTN_0SEteF8HZmAhXEjJfJIP_9jdFW-ENsRapjCAjUtYflRhbPEAF5l5QYd8GvB5ytxiAGY01bnHEP-k18sMTqa81bonPm62tYAKQkuz_PdYpRcO5E0gkwDs.jpg 1024w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Zooming in on the Living Heart Project simulation \u003ccite>(Living Heart Project )\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>A Hammer Looking for a Nail?\u003c/strong>\u003c/p>\n\u003cp>At the University of California, San Francisco, a team of researchers in the cardiology division are hoping to use the Living Heart Project for one purpose in particular: Determining the optimal time for a patients' valve replacement.\u003c/p>\n\u003cp>Surgeons have to strike the right balance between swapping out a valve at the end of its life-cycle, but not leaving it so late that the heart function deteriorates.\u003c/p>\n\u003cp>Dr. Jeffrey Olgin, \u003ca href=\"http://www.ucsfhealth.org/jeffrey.olgin\">the division's chief\u003c/a>, has been closely following the team's progress. But he is far from convinced that the Living Heart Project will fundamentally transform how we perform surgeries today.\u003c/p>\n\u003cp>He asked, \"Is this a hammer looking for a nail? Or will this change how we practice medicine?\"\u003c/p>\n\u003cp>Olgin said the Living Heart Project may be no more than a technological solution looking for a problem, but it's too soon to tell. He hasn't seen a convincing study yet that proves the simulation can improve patient outcomes.\u003c/p>\n\u003cp>Unlike manmade objects like cars and planes, it's very difficult to predict how the human heart will respond to stress in the real world. Olgin said he fears that doctors would come to rely too heavily on this technology and medical device makers could pull the plug on promising research if the simulation shows a negative result.\u003c/p>\n\u003cp>\"The technology doesn't offer the same level of evidence as [medical research on] animals or small pilot human trials,\" he said.\u003c/p>\n\u003cp>\"Unfortunately, the human body doesn't always follow the rules of physics.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003c/p>\u003cp>\u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutube'>\n \u003cspan class='utils-parseShortcode-shortcodes-__youtubeShortcode__embedYoutubeInside'>\n \u003ciframe\n loading='lazy'\n class='utils-parseShortcode-shortcodes-__youtubeShortcode__youtubePlayer'\n type='text/html'\n src='//www.youtube.com/embed/RrktVIFLqXI'\n title='//www.youtube.com/embed/RrktVIFLqXI'\n allowfullscreen='true'\n style='border:0;'>\u003c/iframe>\n \u003c/span>\n \u003c/span>\u003c/p>\u003cp>\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/3250/your-heart-in-3d-surgeons-can-now-practice-on-a-simulation","authors":["3252"],"series":["futureofyou_350"],"categories":["futureofyou_1063"],"tags":["futureofyou_353","futureofyou_741","futureofyou_354","futureofyou_66","futureofyou_279","futureofyou_356","futureofyou_80","futureofyou_351","futureofyou_294","futureofyou_352","futureofyou_355","futureofyou_113"],"featImg":"futureofyou_3269","label":"futureofyou_350"},"futureofyou_2770":{"type":"posts","id":"futureofyou_2770","meta":{"index":"posts_1591205157","site":"futureofyou","id":"2770","score":null,"sort":[1430932859000]},"guestAuthors":[],"slug":"can-a-smartwatch-help-prevent-a-heart-attack","title":"Can a Smartwatch Help Prevent a Heart Attack?","publishDate":1430932859,"format":"image","headTitle":"Future of You | KQED Future of You | KQED Science","labelTerm":{"term":54,"site":"futureofyou"},"content":"\u003cp>Forget step-tracking. From the \u003ca href=\"http://www.apple.com/watch/?cid=wwa-us-kwg-watch-com\">Apple Watch\u003c/a> to the \u003ca href=\"https://www.mybasis.com/\">Basis Peak,\u003c/a> the latest \"smart\" devices hitting the market can monitor more sophisticated metrics, like your heart rate.\u003c/p>\n\u003cp>The majority of these devices are targeted to fitness junkies, who track their heart rate from the wrist as an alternative to a bulky chest strap. Many of these companies use terms like \"optimizing performance\" to describe their gadgets.\u003c/p>\n\u003cp>But can these devices support the millions of people who suffer from heart disease? \u003ca href=\"http://www.cdc.gov/heartdisease/facts.htm\">Some 610,000 people die\u003c/a> of heart disease in the United States every year, which accounts for one in four deaths.\u003c/p>\n\u003cp>What's preventing these companies from targeting their products to the sick? Could heart rate monitors eventually be used to alert people about potentially-fatal outcomes?\u003c/p>\n\u003cp>To answer these questions and more,\u003cem> KQED\u003c/em> sat down with Euan Thomson, a health-technology investor, trained medical physicist and the chief executive of \u003ca href=\"http://alivecor.com\">AliveCor\u003c/a>, maker of the first device to win regulatory approval in the U.S. to detect a serious heart condition from\u003cspan id=\"articleText\"> electrocardiogram (ECG) readings via a mobile device. \u003c/span>This interview has been edited for brevity.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003cstrong>We've seen a lot of hype around heart rate monitoring. Where are we with understanding how to measure heart health? \u003c/strong>\u003c/p>\n\u003cp>Today, we know very little about heart performance. Most of the measurements we take are under specific circumstances, like when your doctor takes your blood pressure. I'm hoping that we'll start measuring changes in someone's heart performance as well as the context of what they're doing: Did they sleep poorly, drink coffee, or gain some weight? When we start to gather this kind of longitudinal data, that will have an impact on how we treat heart disease in the long-term.\u003c/p>\n\u003cp>The way we treat heart disease today is akin to pulling everyone off the road because we know that traffic accidents kill a proportion of people.\u003c/p>\n\u003cp>\u003cstrong>What are the metrics that we should be measuring to better understand heart health?\u003c/strong>\u003c/p>\n\u003cp>We know that it's important to look at metrics like blood pressure, weight, sleep patterns, stress levels and alcohol consumption. The problem is that we know there are a lot of things that are generally bad for the heart, but that's very unspecific.\u003c/p>\n\u003cp>Ideally, we'll start measuring the ECG [\u003cspan class=\"_Tgc\">the process of recording the electrical activity of the heart] \u003c/span>three or four times a day; continuously track blood pressure, and compare that data to daily habits like diet and stress.\u003c/p>\n\u003cp>\u003cstrong>Many of the current heart rate monitors are worn on the wrist. What's the best part of the body for tracking the heart?\u003c/strong>\u003c/p>\n\u003cp>Chest straps are known to be less prone to noise, especially if you're running around a lot and moving your hands. But it's less comfortable on the chest. I think we have a lot of work to do to marry both comfort and accuracy.\u003c/p>\n\u003cfigure id=\"attachment_2775\" class=\"wp-caption alignright\" style=\"max-width: 460px\">\u003cimg class=\" wp-image-2775\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/Patient_Overhead1-800x533.jpg\" alt=\"A patient examining a reading from home \" width=\"460\" height=\"306\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/Patient_Overhead1-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Patient_Overhead1-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Patient_Overhead1-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Patient_Overhead1-960x640.jpg 960w\" sizes=\"(max-width: 460px) 100vw, 460px\">\u003cfigcaption class=\"wp-caption-text\">A patient examining a reading from home \u003ccite>(AliveCor)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ccite>\u003c/cite>\u003cstrong>Can wearable devices like the Apple Watch help to improve our clinical knowledge?\u003c/strong>\u003c/p>\n\u003cp>These devices are not intended for medical uses. None of these wearable tech companies that track heart rate are cleared by the FDA to give medical guidance. You wouldn't use them to find patterns that might be specific indicators of potentially-fatal abnormalities.\u003c/p>\n\u003cp>For example, if you just look at heart rate patterns using one of these monitors -- without the ECG -- you wouldn't know what's indicative of something being medically wrong, or whether it's because you've vigorously exercised, for instance.\u003c/p>\n\u003cp>\u003cstrong>So why bother using one of these heart rate monitors?\u003c/strong>\u003c/p>\n\u003cp>From a fitness standpoint, you may see that you've lowered your resting heart rate by exercising regularly. Heart rate is a wellness metric that I'd put in the same category of step-tracking.It's kind of useful for fitness, but it isn't a health care indicator.\u003c/p>\n\u003cp>\u003cstrong>There's been some talk of using heart rate monitors, like the Apple Watch, to assist patients with their rehab after heart surgeries. Is that a viable option?\u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignright\">“The amount of money being spent on useless metrics from a health care standpoint is stunning.\"\u003cbr>\n\u003ccite>Euan Thomson, CEO of AliveCor\u003c/cite>\u003c/aside>\n\u003cp>I see huge potential for this approach. If someone is recovering from heart surgery, they are often enrolled in a rehab program, which involves steadily increasing exercise under controlled conditions. Their ECG is also observed while they're walking or jogging on the treadmill.\u003c/p>\n\u003cp>I could envision a program that uses smartwatches for remote monitoring, so patients don't need to go to a rehab facility. Their doctor could say something like, 'I want to measure your heart rate while you take 2,000 steps over the next few weeks. Then I want to increase your exercise to 6,000 steps. I don't want your heart rate going above 80 beats per minute.'\u003c/p>\n\u003cp>We don't have any specific guidance like this to give to patients at the moment. But we could come up with something over time. I could see that having a major positive impact because so few people actually finish their rehab. It's often very inconvenient for them.\u003c/p>\n\u003cp>\u003cstrong>Would smartwatch makers need to prove to regulators and doctors that the data is accurate?\u003c/strong>\u003c/p>\n\u003cp>The program itself probably would need regulatory approval. We could probably get away without regulating the devices themselves, but the companies would need to invest in clinical studies to show the heart rate and steps data they gather is accurate.\u003c/p>\n\u003cp>The wearable tech-makers with adequate cash should invest in the health care process. I've noticed a certain unwillingness. Many companies are opting instead to give these semi-meaningless metrics to people that give little more than high-level guidance.\u003c/p>\n\u003cp>\u003cstrong>So heart rate monitoring isn't regulated, but ECG-tracking is? Why is that?\u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"In the next few years, I believe that the industry will be able to spot the characteristics of someone who's likely to have a heart attack in the next three days.\"\u003cbr>\n\u003ccite>Euan Thomson, CEO of AliveCor\u003c/cite>\u003c/aside>\n\u003cp>ECGs are a regulated biometric as they are specialized, meaning most people can't look at them and detect abnormalities. If you want to display that data, you need to talk to the FDA. Unfortunately, not everyone wants to take on the job.\u003c/p>\n\u003cp>When it comes to regulation, it is more about the claims that companies make, rather than the device itself. When the company markets its heart rate monitor as the latest fitness gadget, it's not regulated. That's why you saw dozens of these low-cost performance monitors at the most recent \u003ca href=\"http://www.cesweb.org/\">Consumer Electronics Show\u003c/a>.\u003c/p>\n\u003cp>It's a very small club that is monitoring the ECG. But that is the way these other companies should go. I hope Silicon Valley doesn't spend millions of dollars developing devices that aren't medically relevant. The amount of money being spent on useless metrics from a health care standpoint is stunning.\u003c/p>\n\u003cp>We are on the brink here of something very exciting. We have so much data, which would be useful when combined with the performance of the heart. We have the capability to understand for the first time how the heart actually works.\u003c/p>\n\u003cp>\u003cstrong>Can you provide any examples of how we might be able to intervene in the future?\u003c/strong>\u003c/p>\n\u003cp>We could send an alert to someone who is soon to have a stroke or heart attack if we do enough measurements of an ECG and we gather other data points about that person.\u003c/p>\n\u003cp>At my company, AliveCor, we are working to deskill the process of determining characteristics of Arrhythmia [an irregular heart beat]. On our app today, we have an \u003ca href=\"http://www.alivecor.com/press/press-releases/alivecor-receives-first-fda-clearance-to-detect-a-serious-heart-condition-in-an-ecg-on-a-mobile-device\">FDA-approved algorithm \u003c/a>that can detect the presence of Atrial fibrillation [an irregular, often rapid heart rate that can cause poor blood flow]. We are also logging the context around it: How is it linked to coffee consumption or stress?\u003c/p>\n\u003cp>In the next few years, I believe that the industry will be able to spot the characteristics of someone who's likely to have a heart attack in the next three days.\u003c/p>\n\u003cp>\u003cstrong>Ford \u003ca href=\"http://mobihealthnews.com/43191/ford-puts-the-brakes-on-its-heart-rate-sensing-car-seat-project/\">recently put the brakes \u003c/a>on a project to embed heart rate sensors in car seats. How pervasive do you think heart rate monitoring will be in our daily lives?\u003c/strong>\u003c/p>\n\u003cp>I think we are moving into an era where there will be a huge diversity of sensors. I am sure we'll have heart rate sensors, maybe ECGs, built into steering wheels of our cars in the future. \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/02/why-smart-clothing-is-the-next-frontier-for-wearable-health-tech/\">And 'smart clothing' to track a variety of biometrics \u003c/a>is already in existence.\u003c/p>\n\u003cp>The key is what people do with that data. There needs to be more focus on making it medically relevant, cool and appealing to people. I bet you'd be interested to learn, for instance, that a new job is prompting far more stress and a skyrocketing blood pressure.\u003c/p>\n\u003cp>\u003cstrong>Life insurer John Hancock recently announced that it will give discounts on its insurance to healthy people that track their steps using Fitbits, \u003ca href=\"http://www.kqed.org/news/story/2015/04/08/159902/with_discounts_for_healthy_behavior_john_hancock_courts_privacy?source=npr&category=health\">which raised the alarm from a privacy perspective.\u003c/a> Should we be concerned about this data getting into the wrong hands?\u003c/strong>\u003c/p>\n\u003cp>Right now, many employers offer incentives to people who give up smoking. There's no reason why they shouldn't be more involved with specific measurements about our heart health -- and I suspect they will be.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>That said, these measured biometrics belong to us and we should have a say about where the data goes. The key is that people shouldn't be forced to share this data, it should only be on a voluntary basis. If someone is generally fit and has a healthy lifestyle, they may wish to share this data to get a discount. But if people are penalized for unhealthy lifestyles, that's clearly taking it too far.\u003c/p>\n\n","blocks":[],"excerpt":"The next generation of heart rate trackers may offer an early warning system for people with serious medical conditions. ","status":"publish","parent":0,"modified":1480971706,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":42,"wordCount":1646},"headData":{"title":"Can a Smartwatch Help Prevent a Heart Attack? | KQED","description":"The next generation of heart rate trackers may offer an early warning system for people with serious medical conditions. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":"","schema":{"@context":"http://schema.org","@type":"Article","headline":"Can a Smartwatch Help Prevent a Heart Attack?","datePublished":"2015-05-06T17:20:59.000Z","dateModified":"2016-12-05T21:01:46.000Z","image":"https://cdn.kqed.org/wp-content/uploads/2020/02/KQED-OG-Image@1x.png"}},"disqusIdentifier":"2770 http://ww2.kqed.org/futureofyou/?p=2770","disqusUrl":"https://ww2.kqed.org/futureofyou/2015/05/06/can-a-smartwatch-help-prevent-a-heart-attack/","disqusTitle":"Can a Smartwatch Help Prevent a Heart Attack?","customPermalink":"2015/03/18/can-a-smartwatch-help-prevent-a-heart-attack/","path":"/futureofyou/2770/can-a-smartwatch-help-prevent-a-heart-attack","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Forget step-tracking. From the \u003ca href=\"http://www.apple.com/watch/?cid=wwa-us-kwg-watch-com\">Apple Watch\u003c/a> to the \u003ca href=\"https://www.mybasis.com/\">Basis Peak,\u003c/a> the latest \"smart\" devices hitting the market can monitor more sophisticated metrics, like your heart rate.\u003c/p>\n\u003cp>The majority of these devices are targeted to fitness junkies, who track their heart rate from the wrist as an alternative to a bulky chest strap. Many of these companies use terms like \"optimizing performance\" to describe their gadgets.\u003c/p>\n\u003cp>But can these devices support the millions of people who suffer from heart disease? \u003ca href=\"http://www.cdc.gov/heartdisease/facts.htm\">Some 610,000 people die\u003c/a> of heart disease in the United States every year, which accounts for one in four deaths.\u003c/p>\n\u003cp>What's preventing these companies from targeting their products to the sick? Could heart rate monitors eventually be used to alert people about potentially-fatal outcomes?\u003c/p>\n\u003cp>To answer these questions and more,\u003cem> KQED\u003c/em> sat down with Euan Thomson, a health-technology investor, trained medical physicist and the chief executive of \u003ca href=\"http://alivecor.com\">AliveCor\u003c/a>, maker of the first device to win regulatory approval in the U.S. to detect a serious heart condition from\u003cspan id=\"articleText\"> electrocardiogram (ECG) readings via a mobile device. \u003c/span>This interview has been edited for brevity.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003cstrong>We've seen a lot of hype around heart rate monitoring. Where are we with understanding how to measure heart health? \u003c/strong>\u003c/p>\n\u003cp>Today, we know very little about heart performance. Most of the measurements we take are under specific circumstances, like when your doctor takes your blood pressure. I'm hoping that we'll start measuring changes in someone's heart performance as well as the context of what they're doing: Did they sleep poorly, drink coffee, or gain some weight? When we start to gather this kind of longitudinal data, that will have an impact on how we treat heart disease in the long-term.\u003c/p>\n\u003cp>The way we treat heart disease today is akin to pulling everyone off the road because we know that traffic accidents kill a proportion of people.\u003c/p>\n\u003cp>\u003cstrong>What are the metrics that we should be measuring to better understand heart health?\u003c/strong>\u003c/p>\n\u003cp>We know that it's important to look at metrics like blood pressure, weight, sleep patterns, stress levels and alcohol consumption. The problem is that we know there are a lot of things that are generally bad for the heart, but that's very unspecific.\u003c/p>\n\u003cp>Ideally, we'll start measuring the ECG [\u003cspan class=\"_Tgc\">the process of recording the electrical activity of the heart] \u003c/span>three or four times a day; continuously track blood pressure, and compare that data to daily habits like diet and stress.\u003c/p>\n\u003cp>\u003cstrong>Many of the current heart rate monitors are worn on the wrist. What's the best part of the body for tracking the heart?\u003c/strong>\u003c/p>\n\u003cp>Chest straps are known to be less prone to noise, especially if you're running around a lot and moving your hands. But it's less comfortable on the chest. I think we have a lot of work to do to marry both comfort and accuracy.\u003c/p>\n\u003cfigure id=\"attachment_2775\" class=\"wp-caption alignright\" style=\"max-width: 460px\">\u003cimg class=\" wp-image-2775\" src=\"http://ww2.kqed.org/futureofyou/wp-content/uploads/sites/13/2015/05/Patient_Overhead1-800x533.jpg\" alt=\"A patient examining a reading from home \" width=\"460\" height=\"306\" srcset=\"https://ww2.kqed.org/app/uploads/sites/13/2015/05/Patient_Overhead1-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Patient_Overhead1-400x267.jpg 400w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Patient_Overhead1-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/13/2015/05/Patient_Overhead1-960x640.jpg 960w\" sizes=\"(max-width: 460px) 100vw, 460px\">\u003cfigcaption class=\"wp-caption-text\">A patient examining a reading from home \u003ccite>(AliveCor)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ccite>\u003c/cite>\u003cstrong>Can wearable devices like the Apple Watch help to improve our clinical knowledge?\u003c/strong>\u003c/p>\n\u003cp>These devices are not intended for medical uses. None of these wearable tech companies that track heart rate are cleared by the FDA to give medical guidance. You wouldn't use them to find patterns that might be specific indicators of potentially-fatal abnormalities.\u003c/p>\n\u003cp>For example, if you just look at heart rate patterns using one of these monitors -- without the ECG -- you wouldn't know what's indicative of something being medically wrong, or whether it's because you've vigorously exercised, for instance.\u003c/p>\n\u003cp>\u003cstrong>So why bother using one of these heart rate monitors?\u003c/strong>\u003c/p>\n\u003cp>From a fitness standpoint, you may see that you've lowered your resting heart rate by exercising regularly. Heart rate is a wellness metric that I'd put in the same category of step-tracking.It's kind of useful for fitness, but it isn't a health care indicator.\u003c/p>\n\u003cp>\u003cstrong>There's been some talk of using heart rate monitors, like the Apple Watch, to assist patients with their rehab after heart surgeries. Is that a viable option?\u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignright\">“The amount of money being spent on useless metrics from a health care standpoint is stunning.\"\u003cbr>\n\u003ccite>Euan Thomson, CEO of AliveCor\u003c/cite>\u003c/aside>\n\u003cp>I see huge potential for this approach. If someone is recovering from heart surgery, they are often enrolled in a rehab program, which involves steadily increasing exercise under controlled conditions. Their ECG is also observed while they're walking or jogging on the treadmill.\u003c/p>\n\u003cp>I could envision a program that uses smartwatches for remote monitoring, so patients don't need to go to a rehab facility. Their doctor could say something like, 'I want to measure your heart rate while you take 2,000 steps over the next few weeks. Then I want to increase your exercise to 6,000 steps. I don't want your heart rate going above 80 beats per minute.'\u003c/p>\n\u003cp>We don't have any specific guidance like this to give to patients at the moment. But we could come up with something over time. I could see that having a major positive impact because so few people actually finish their rehab. It's often very inconvenient for them.\u003c/p>\n\u003cp>\u003cstrong>Would smartwatch makers need to prove to regulators and doctors that the data is accurate?\u003c/strong>\u003c/p>\n\u003cp>The program itself probably would need regulatory approval. We could probably get away without regulating the devices themselves, but the companies would need to invest in clinical studies to show the heart rate and steps data they gather is accurate.\u003c/p>\n\u003cp>The wearable tech-makers with adequate cash should invest in the health care process. I've noticed a certain unwillingness. Many companies are opting instead to give these semi-meaningless metrics to people that give little more than high-level guidance.\u003c/p>\n\u003cp>\u003cstrong>So heart rate monitoring isn't regulated, but ECG-tracking is? Why is that?\u003c/strong>\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"In the next few years, I believe that the industry will be able to spot the characteristics of someone who's likely to have a heart attack in the next three days.\"\u003cbr>\n\u003ccite>Euan Thomson, CEO of AliveCor\u003c/cite>\u003c/aside>\n\u003cp>ECGs are a regulated biometric as they are specialized, meaning most people can't look at them and detect abnormalities. If you want to display that data, you need to talk to the FDA. Unfortunately, not everyone wants to take on the job.\u003c/p>\n\u003cp>When it comes to regulation, it is more about the claims that companies make, rather than the device itself. When the company markets its heart rate monitor as the latest fitness gadget, it's not regulated. That's why you saw dozens of these low-cost performance monitors at the most recent \u003ca href=\"http://www.cesweb.org/\">Consumer Electronics Show\u003c/a>.\u003c/p>\n\u003cp>It's a very small club that is monitoring the ECG. But that is the way these other companies should go. I hope Silicon Valley doesn't spend millions of dollars developing devices that aren't medically relevant. The amount of money being spent on useless metrics from a health care standpoint is stunning.\u003c/p>\n\u003cp>We are on the brink here of something very exciting. We have so much data, which would be useful when combined with the performance of the heart. We have the capability to understand for the first time how the heart actually works.\u003c/p>\n\u003cp>\u003cstrong>Can you provide any examples of how we might be able to intervene in the future?\u003c/strong>\u003c/p>\n\u003cp>We could send an alert to someone who is soon to have a stroke or heart attack if we do enough measurements of an ECG and we gather other data points about that person.\u003c/p>\n\u003cp>At my company, AliveCor, we are working to deskill the process of determining characteristics of Arrhythmia [an irregular heart beat]. On our app today, we have an \u003ca href=\"http://www.alivecor.com/press/press-releases/alivecor-receives-first-fda-clearance-to-detect-a-serious-heart-condition-in-an-ecg-on-a-mobile-device\">FDA-approved algorithm \u003c/a>that can detect the presence of Atrial fibrillation [an irregular, often rapid heart rate that can cause poor blood flow]. We are also logging the context around it: How is it linked to coffee consumption or stress?\u003c/p>\n\u003cp>In the next few years, I believe that the industry will be able to spot the characteristics of someone who's likely to have a heart attack in the next three days.\u003c/p>\n\u003cp>\u003cstrong>Ford \u003ca href=\"http://mobihealthnews.com/43191/ford-puts-the-brakes-on-its-heart-rate-sensing-car-seat-project/\">recently put the brakes \u003c/a>on a project to embed heart rate sensors in car seats. How pervasive do you think heart rate monitoring will be in our daily lives?\u003c/strong>\u003c/p>\n\u003cp>I think we are moving into an era where there will be a huge diversity of sensors. I am sure we'll have heart rate sensors, maybe ECGs, built into steering wheels of our cars in the future. \u003ca href=\"http://ww2.kqed.org/futureofyou/2015/04/02/why-smart-clothing-is-the-next-frontier-for-wearable-health-tech/\">And 'smart clothing' to track a variety of biometrics \u003c/a>is already in existence.\u003c/p>\n\u003cp>The key is what people do with that data. There needs to be more focus on making it medically relevant, cool and appealing to people. I bet you'd be interested to learn, for instance, that a new job is prompting far more stress and a skyrocketing blood pressure.\u003c/p>\n\u003cp>\u003cstrong>Life insurer John Hancock recently announced that it will give discounts on its insurance to healthy people that track their steps using Fitbits, \u003ca href=\"http://www.kqed.org/news/story/2015/04/08/159902/with_discounts_for_healthy_behavior_john_hancock_courts_privacy?source=npr&category=health\">which raised the alarm from a privacy perspective.\u003c/a> Should we be concerned about this data getting into the wrong hands?\u003c/strong>\u003c/p>\n\u003cp>Right now, many employers offer incentives to people who give up smoking. There's no reason why they shouldn't be more involved with specific measurements about our heart health -- and I suspect they will be.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That said, these measured biometrics belong to us and we should have a say about where the data goes. The key is that people shouldn't be forced to share this data, it should only be on a voluntary basis. If someone is generally fit and has a healthy lifestyle, they may wish to share this data to get a discount. But if people are penalized for unhealthy lifestyles, that's clearly taking it too far.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/futureofyou/2770/can-a-smartwatch-help-prevent-a-heart-attack","authors":["3252"],"programs":["futureofyou_54"],"categories":["futureofyou_1060"],"tags":["futureofyou_741","futureofyou_138","futureofyou_61","futureofyou_279","futureofyou_80","futureofyou_282","futureofyou_281"],"featImg":"futureofyou_2774","label":"futureofyou_54"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? 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You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Bay-Curious-Podcast-Tile-703x703-1.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/BBC-World-Service-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. Because everyone needs a little help being human.\u003cbr />\u003cbr />\u003ca href=\"https://www.npr.org/podcasts/510312/codeswitch\">\u003cem>Code Switch\u003c/em> offical site and podcast\u003c/a>\u003cbr />\u003ca href=\"https://www.npr.org/lifekit\">\u003cem>Life Kit\u003c/em> offical site and podcast\u003c/a>\u003cbr />","airtime":"SUN 9pm-10pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Code-Switch-Life-Kit-Podcast-Tile-360x360-1.jpg","meta":{"site":"radio","source":"npr"},"link":"/radio/program/code-switch-life-kit","subscribe":{"apple":"https://podcasts.apple.com/podcast/1112190608?mt=2&at=11l79Y&ct=nprdirectory","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93d3cubnByLm9yZy9yc3MvcG9kY2FzdC5waHA_aWQ9NTEwMzEy","spotify":"https://open.spotify.com/show/3bExJ9JQpkwNhoHvaIIuyV","rss":"https://feeds.npr.org/510312/podcast.xml"}},"commonwealth-club":{"id":"commonwealth-club","title":"Commonwealth Club of California Podcast","info":"The Commonwealth Club of California is the nation's oldest and largest public affairs forum. As a non-partisan forum, The Club brings to the public airwaves diverse viewpoints on important topics. The Club's weekly radio broadcast - the oldest in the U.S., dating back to 1924 - is carried across the nation on public radio stations and is now podcasting. Our website archive features audio of our recent programs, as well as selected speeches from our long and distinguished history. This podcast feed is usually updated twice a week and is always un-edited.","airtime":"THU 10pm, FRI 1am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Commonwealth-Club-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.commonwealthclub.org/podcasts","meta":{"site":"news","source":"Commonwealth Club of California"},"link":"/radio/program/commonwealth-club","subscribe":{"apple":"https://itunes.apple.com/us/podcast/commonwealth-club-of-california-podcast/id976334034?mt=2","google":"https://podcasts.google.com/feed/aHR0cDovL3d3dy5jb21tb253ZWFsdGhjbHViLm9yZy9hdWRpby9wb2RjYXN0L3dlZWtseS54bWw","tuneIn":"https://tunein.com/radio/Commonwealth-Club-of-California-p1060/"}},"considerthis":{"id":"considerthis","title":"Consider This","tagline":"Make sense of the day","info":"Make sense of the day. Every weekday afternoon, Consider This helps you consider the major stories of the day in less than 15 minutes, featuring the reporting and storytelling resources of NPR. 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No other part of the globe has experienced such dynamic political and social change in recent years.","airtime":"SAT 3am-4am","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Inside-Europe-Podcast-Tile-300x300-1.jpg","meta":{"site":"news","source":"Deutsche Welle"},"link":"/radio/program/inside-europe","subscribe":{"apple":"https://itunes.apple.com/us/podcast/inside-europe/id80106806?mt=2","tuneIn":"https://tunein.com/radio/Inside-Europe-p731/","rss":"https://partner.dw.com/xml/podcast_inside-europe"}},"latino-usa":{"id":"latino-usa","title":"Latino USA","airtime":"MON 1am-2am, SUN 6pm-7pm","info":"Latino USA, the radio journal of news and culture, is the only national, English-language radio program produced from a Latino perspective.","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/latinoUsa.jpg","officialWebsiteLink":"http://latinousa.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/latino-usa","subscribe":{"npr":"https://rpb3r.app.goo.gl/xtTd","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=79681317&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/Latino-USA-p621/","rss":"https://feeds.npr.org/510016/podcast.xml"}},"live-from-here-highlights":{"id":"live-from-here-highlights","title":"Live from Here Highlights","info":"Chris Thile steps to the mic as the host of Live from Here (formerly A Prairie Home Companion), a live public radio variety show. 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Updated Monday through Friday at about 3:30 p.m. PT.","airtime":"MON-FRI 4pm-4:30pm, MON-WED 6:30pm-7pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2024/04/Marketplace-Podcast-Tile-360x360-1.jpg","officialWebsiteLink":"https://www.marketplace.org/","meta":{"site":"news","source":"American Public Media"},"link":"/radio/program/marketplace","subscribe":{"apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=201853034&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/APM-Marketplace-p88/","rss":"https://feeds.publicradio.org/public_feeds/marketplace-pm/rss/rss"}},"mindshift":{"id":"mindshift","title":"MindShift","tagline":"A podcast about the future of learning and how we raise our kids","info":"The MindShift podcast explores the innovations in education that are shaping how kids learn. 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