Dr. Jennifer Coller, Cardiology lead G.V. Health, attended Melbourne University in 1997, with elective in fifth year served in Madras, India and Samoa. Returned for internship at RMH, then a year in UK. Returning for cariology training with PhD in Heart Failure at St Vincent's, then G.V. last seven years and in 2021 Cardiology Lead.
Cardiology Disease causes 1 in 4 deaths at a great cost to the Australian economy.
Patient story of a 62 year old women with Heart Failure.
- complex medical history, heart disease, arterial fibrillation and heart failure.
- managed by multiple specialists with multiple presentations to E.D.
- educated around heart failure.
- fluid retention.
- clear action plan devised.
- advanced care planning.
- no recent hospitalisations.
Outpatient consultation at G.V. Health consultation suites with establishment of two outreach clinics, consultations 1000/year. Specialties: heart failure, AF/arrhythmias, interventions, congenital heart disorder. Connected Cardiology with monthly outreach clinics focus on heart failure and echocardiography fortnightly.
Rapid Access Atrial Fibrillation Clinics with aim to early review of E.D. presentations. Cardiac Ambassadors Project with aim co-ordination of care. Heart Failure Collaborative with aim to reduce heart failure re-admissions.
300,000 in Australia with Heart Failure 1.5% of population. Symptoms - breathlessness, fatigue, waking up in night with very short breath, feeling breathless when lying down, swollen ankles.