The increased prevalence of cardiovascular disease has demanded that
we pay more attention to the strengthening and protection of our hearts.
Unfortunately, the arrival of the COVID-19 Pandemic has forced us to
change how we approach such improvement. Limited access to cardiac
rehab and fitness centres has made exercising for better heart health
more challenging, thereby highlighting the need for Remote Heart
Monitoring. As such, this seminar has our panel of experts discussing how
you can assess your heart health yourself, how hard you should push your
heart during exercise, and how your heart’s performance and health can
be recorded and shared in real time with Fourth Frontier.
Discussion Points
0.00
Host Tim Hutchings begins Fourth Frontier’s 1st Smart Heart Seminar.
a brief description of his cardiac health.
- Former Olympic athlete Tim Hutchings introduces himself and gives
a brief description of his cardiac health.
Tim outlines the purpose of this Smart Heart Seminar.
1.12
Tim introduces each of the expert panellists, briefly detailing their achievements, awards, and body of work:
- Paula Radcliffe: Former Marathon World Record Holder.
- Dr. Upendra Kaul: Eminent Cardiologist in India.
- Dr. Ashish Contractor: Head of Cardiac Rehabilitation at Sir H.N. Reliance Foundation Hospital and Medical Director of the Mumbai marathon.
- Prof. John Buckley: Internationally recognised Cardiovascular Disease Prevention and Rehabilitation specialist.
- Tom Gaskell: Physically active Frontier X User who has experienced significant Cardiac Issues in the past.
- Sandeep Sibal: CEO of Fourth Frontier.
2.43
Question for Paula: How have you viewed exercise and heart health differently through this Pandemic?
Paula Discusses:
- The relationship between physical fitness and mental health.
- Her mother’s cardiac condition and the role of the Frontier X in remotely monitoring her mother’s heart health through the Pandemic.
- The ease of using the Frontier X to assess her own heart health.
5.15
Question for Dr. Upendra: What is the role of remote monitoring devices, especially during a Pandemic?
Dr. Upendra Discusses:
- The importance of assessing cardiac activity instantly when a symptom is felt, which is only possible using a remote monitoring device.
- How patients with Heart Conditions can use a remote monitoring device to give their doctors the information they require without needing to visit a hospital/clinic.
9.55
Paula responds to Tim’s statement regarding the difficulty of predicting a stroke without a monitoring device.
- Paula talks of the value of reassurance that a monitoring device provides to a range of people with different goals or concerns.
11.10
Question for Dr. Contractor: How do you think people should manage outdoor exercise during the COVID-19 Pandemic?
Dr. Contractor Discusses:
- The ‘J shaped relationship’ between exercise and immunity, and how this should influence your exercise.
- The risk of contracting COVID-19 when engaging in outdoor exercise, and tips for reducing the risk.
- How you should approach physical training if you have contracted and recovered from COVID-19.
- The use of the Frontier X to assess cardiac patients remotely as they engaged in exercise, and its role in setting future precedence for patients who are physically unable to visit a hospital.
17.50
Question for Prof. Buckley: How do you see the landscape of Cardiac Rehab changing on account of the Pandemic?
Prof. Buckley Discusses:
- How the Pandemic has already affected the delivery of Cardiac Rehabilitation.
- A research survey on Cardiac Rehab centres since the Pandemic.
- The pros and cons of current Home-Based Cardiac Rehabilitation in the United Kingdom.
- The change in perception towards engaging in physical activity post a cardiac event.
24.25
Tom Gaskell discusses his personal story relating to the use of the Frontier X after a number of Cardiovascular problems.
- Tom describes all the cardiac problems that he faced, outlining the ways in which his heart health was assessed as well as the treatment methods he was offered.
- Tom then describes how the Frontier X was able to pinpoint problematic ‘ectopic activity’ after a multitude of other methods/tests failed to do so.
30.25
CEO of Fourth Frontier, Sandeep Sibal, talks about the Frontier X smart heart monitoring device in detail.
- Sandeep shows the actual device while talking about all of its features and specifications.
- He talks of the different metrics that the device is able to record, also touching upon its ability to analyse the data and respond as necessary in real time.
- He shares visuals of the Frontier X Dashboard, showcasing the manner in which the collected data is represented.
- He discusses how to interpret and interact with a number of graphical representations of the recorded data.
- Finally, he shows a Live ECG Stream that is being recorded as he speaks, demonstrating how users can remotely share/access ECG data in real time.
39.20
Tim offers greater detail on the vibration alerts feature which is essential in keeping users from overstraining their heart while exercising.
40.36
Question for Sandeep: How is the Frontier X different from wrist-worn ECG watches?
Sandeep discusses:
- The difference between the spot check that a wrist worn ECG watch offers and the continued recording capacity of the Frontier X.
- The difference between wrist-based and chest-based ECG recording.
42.14
Tim briefly touches upon the issues related to users potentially being unable to interpret the different data that the Frontier X provides, leading into a question about the Cardiac Athlete Program as a way to bridge that gap.
Dr. Contractor discusses:
- What the Cardiac Athlete Program Is.
- How remote heart monitoring can allow lower risk individuals to bring out their “inner athlete” in a completely safe manner.
- The value of exercising safely after experiencing a cardiac event, and the benefit of constant monitoring over a Holter monitor.
Sandeep Sibal discusses:
- Why the Cardiac Athlete Program was created as an addition to the Frontier X.
- What the Cardiac Athlete Program offers.
47.30
Tim asks each of the panellists to summarise their thoughts on how the COVID-19 Pandemic will influence healthcare and exercise, as well as the relevance of the new technology discussed.
48.03
Paula discusses:
- The possibility of moving towards more remote healthcare provisions, how the Frontier X can be essential in this regard, as well as the benefits of that shift.
49.48
Dr. Contractor discusses:
- How effective exercise can be in improving your health when the relevant metrics are being measured.
50.51
Prof. John Buckley discusses:
- The idea of ‘Every Little Helps’ in relation to physical activity and its relation to improved cardiac health.
52.12
Tom Gaskell discusses:
- How devices like the Frontier X change the laypersons ability to take care of their own heart and overall health.
- The change in traditional doctor-patient relationships.
54.52
Dr. Upendra discusses:
- Telemedicine and how remote monitoring devices like the Frontier X are becoming an important part of it.
- The value of the Frontier X in assessing acute symptoms of cardiovascular problems.
57.00
Tim and Sandeep thank each of the Panellists.
58.08
Sandeep’s Concluding Message
- Exercise is great for the heart, but we need to ensure we are not overstraining or damaging it, and that’s where the new technology comes in.
59.29
Tim opens the QnA segment of the seminar.
59.40
Dr. Contractor answers the Question ‘What precautions should patients who have ASD devices placed in their hearts take while exercising?’
1.00.42
Dr. Contractor answers a Question regarding the use of masks during outdoor exercise.
1.01.09
Prof. Buckley answers the Question ‘What are reasonable ways to monitor exercise intensity during home-based activity?’
1.03.05
Dr. Contractor and Prof. Buckley answer the Question ‘What are the pros and cons of HIIT vs LIIT, specifically when the goal is optimising heart health and not weight loss?’
1.05.25
Sandeep and Dr. Contractor answer the Question ‘Does the Frontier X provide any extra benefits that the Garmin Fenix 5+ does not?’
1.07.49
Prof. Buckley and Dr. Contractor answer the Question ‘Is exercising safe for ARVC patients?’
1.10.19
Dr. Contractor answers the Question ‘Can an SVT patient exercise normally after their treatment and recovery, and what are the precautions they should take?’
1.11.12
Dr. Contractor answers the Question ‘Can you do damage to your heart by not exercising in the right way?’
- Dr. Contractor and Prof. Buckley also discuss the correlation between being an elite athlete and sustaining certain amounts of damage to the heart.
1.13.41
Prof. Buckley answers the Question ‘Can the Frontier X device replace a Bruce Protocol Stress ECG?’
- Sandeep adds to the answer by discussing what the Frontier X provides that cannot be caught through a stress test.
- Prof. Buckley also discusses the value of using the Frontier X in real life situations as opposed to clinical settings.
1.18.42
Tim and Sandeep bring the seminar to a close.
