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Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: Unfortunately not.

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: This is your last question, Deputy Shortall.

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: As a committee, we should be asking what the delay is in publishing it. I get Ms O'Shea's point regarding some of the information gathered for the review but I assume others are living the same experiences she experienced six years ago. Her disease has moved on but the challenges relating to it are still there. It does not make sense that it still has not been published six years later. I...

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: Before we take a break, Mr. Macey mentioned the Ard-Fheiseanna. Is there anything he wants to share with regard to the heart rates at some Ard-Fheiseanna?

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: Are particular parties more relaxed than others?

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: I thank Mr. Macey very much. We will take a break and suspend the meeting for ten minutes.

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: Before we go on, I understand that during Covid certain sections may have been closed down. However, the fact that they have not reopened or are smaller-----

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: I suppose the poorer the house, the colder the house, and the nearer to the fire people will move.

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: I wish to raise a few points. We all know someone impacted by this and someone who has had a heart attack or a stroke. We all know someone who has died from a heart attack or from coronary disease, and we all know someone who is living with it at the moment. The statistics are that this involves 9,000 deaths every year, which is 30% of the mortality rate. What I cannot get my head around...

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: On Sunday morning, I was talking to a referee who was at a local match when a young man from my area collapsed with heart failure despite having had no history of that. The referee was a firefighter, so he did CPR, and the guy is walking around now. We increasingly hear these stories. There was no defibrillator nearby. There may have been one near the clubhouse but many of the pitches are...

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: I was struck by the observation that patients tend to be forgotten about - out of sight, out of mind - once they are discharged. Ms O'Shea referred to the quality of how a person survives thereafter being dependent on support. That is the big gap - the lack of community care and follow-up. Whatever about the challenges in the hospital system, the huge challenge is the lack of community...

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: There was reference to cancer units and the fact that there is no equivalent unit for cardiovascular disease. What difference would that make?

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: Yes.

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: It would be the driver for change.

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: One of the witnesses asked who should be contacted in that regard.

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: We have not discussed cholesterol. A number of years ago, it was all about the problems with cholesterol, but there has been no discussion on that this morning. Is cholesterol still an issue?

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: Haemochromatosis affects Irish people throughout the world. It is another heart-related condition, one of those issues on the checklist in that regard.

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: Ms O'Shea and others were saying patients are normally told there is a likelihood of depression after a heart failure or whatever else. It is the same with any serious disease. What happens after that? The patient is told this could happen, but are there supports in that area?

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: I get the idea, talking about the idea of a support group. In my area in Tallaght there is a cancer support group and again it is not for everyone but it is great to have it there if you feel a need. It is held in a GAA club and easy to find.

Joint Oireachtas Committee on Health: Cardiovascular Health, Stroke and Heart Attack: Discussion (13 Dec 2023)

Seán Crowe: Again, there is help available. My final question is on the echo test and how it could be six or nine months. Is that down to geographical location? Unfortunately, people talk about going to the GP but we know from the Joint Committee on Health that it is quite challenging depending on what part of Ireland a person lives to get basic access to a GP or to a dentist. This can be difficult....

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