Professor Simon Stewart

In June 2002 Professor Simon Stewart was appointed to the National Heart Foundation of Australia Chair of Cardiovascular Nursing in the School of Nursing & Midwifery.

Supported by the National Heart Foundation of Australia and Roche Australia, this unique position is the first appointment of its kind on an international basis. The Chair is designed to provide academic leadership and deliver state-of-the-art research in the area of cardiovascular nursing at both a local and national level.

Professor Stewart is also supported by a prestigious NH&MRC Clinical Career Research Fellowship Award (2002 - 2007). In addition to providing academic leadership in cardiovascular nursing, this award supports a series of studies examining the practical difficulties and potential benefits of applying multidisciplinary management programmes of care for patients with chronic cardiac disease: specifically chronic heart failure, atrial fibrillation and chronic angina.

To date, Professor Stewart has completed a study that examined the economic benefits of creating a UK-wide specialist heart failure nurse service (see publications) and also examined the longer-term cost benefits of a multidisciplinary, home-based intervention in chronic heart failure undertaken in north-west Adelaide (see publications).

Currently, Professor Stewart is undertaking preliminary studies examining the benefits of extending the umbrella of nurse-led, multidisciplinary home-based intervention to patients discharged from hospital with chronic atrial fibrillation.

In the future, Professor Stewart will be examining ways to improve outcomes in patients with chronic, intractable angina.

• Cardiovascular Nursing: Clinical Practice
• Epidemiology
• Health Economics
• Acute and chronic cardiac disease

Member of Cardiac Society of Australia & New Zealand

Nurse Fellow of the European Society of Cardiology

Fellow of the American Heart Association

Editor European Journal of Cardiovascular Nursing

Editorial Board Member Dimensions of Critical Care Nursing Journal of Cardiovascular Nursing

Expert Consultant National Institute of Clinical Studies - Heart Failure

Registered Nurse & Intensive Care Unit Certificate (TQEH, SA)

Bachelor of Arts (Adelaide Uni)

Bachelor of Nursing (Flinders Uni)

Graduate Diploma of Adult Education (Uni SA)

PhD (Adelaide Uni)

• Nursing management of acute and chronic cardiac disease states
• Epidemiology of heart disease
• Health economics
• Pharmacological management of acute coronary syndromes (platelet aggregation/nitric oxide resistance)
• S-T segment monitoring of acute coronary syndromes

Five Selected Books: S Stewart and L Blue (Editors). Improving outcomes in chronic heart failure with specialist nurse intervention: A practical guide. 2000 BMJ Publishers, London. ***** S Stewart. Chronic Cardiac Disease: Optimising therapeutic efficacy in heart failure. 2002 Whurr Publishers Ltd, London. ***** S Stewart, D Moser & D Thompson (Editors). Heart Failure Health Care - A textbook for healthcare professionals. Due for publication in mid 2003, Martin Dunnitz, London. ****** S Stewart, D Thompson & A Kucia (Editors). Acute cardiac care: A practical guide to innovation in contemporary nursing practice. Due for publication in early 2004, Martin Dunnitz, London, UK. ***** S Stewart and L Blue (Editors). Applying specialist nurse intervention in chronic heart failure: From research to practice. Due for publication in early 2004, BMJ Publishers, London, UK.

Key papers (chronic disease management): Stewart S, Pearson S, Luke CG, Horowitz JD. Effects of a home-based intervention on unplanned readmissions and out-of-hospital deaths. J Am Geriatric Soc 1998; 46:174-180. ***** Stewart S, Marley JE, Horowitz JD. Effects of a multidisciplinary, home-based intervention on unplanned readmissions and survival among patients with congestive heart failure: A randomised controlled study. Lancet 1999;354:1077-1083. ***** Stewart S, Horowitz JD. Home-based intervention in congestive heart failure: long-term implications on readmission and survival. Circulation 2002;105:2861-66. ***** Stewart S, Vandenbroek AJ, Pearson S, Horowitz JD. Prolonged beneficial effects of a home-based intervention on unplanned readmissions and mortality among congestive heart failure patients. Arch Intern Med 1999;159:257-261.

Key papers (Epidemiology of heart disease): 17. MacIntyre K, Capewell S, Stewart S, et al. Evidence of improving prognosis in heart failure: Trends in case-fatality in 66,547 patients hospitalised between 1986 and 1995. Circulation 2000;102:1126-1131. ***** Capewell S, MacIntyre K, Stewart S, et al. Age, sex and social trends in out-of-hospital cardiac deaths in Scotland 1986-1995: A retrospective cohort study. Lancet 2001;358:1213-17. ***** Stewart S, Hart CL, Hole DA, McMurray JJV. Population prevalence, incidence and predictors of atrial fibrillation in the Renfrew/Paisley study. Heart 2001;86:516-21. ***** MacIntyre K, Stewart S, Capewell S, et al. Heart of inequality – the relationship between socio-economic deprivation and death from a first acute myocardial infarction: A population-based analysis. BMJ 2001; 322: 1152-1153. ***** MacIntyre K, Stewart S, McMurray JJV, et al. Gender and survival: A population-based study of 208,527 men and women following a first acute myocardial infarction. J Am Coll Cardiol 2001;38:729-35. ***** Stewart S, MacIntyre K, Hole DA, Capewell S, McMurray JJV. More malignant than cancer? Five-year survival following a first admission for heart failure in Scotland? Eur J Heart Failure 2001;3:315-322. ***** Stewart S, Demers C, Murdoch DR, et al. Substantial between hospital variation in outcome following acute admission with heart failure. Eur Heart J 2002;23:650-57. ***** Stewart S, Hart CL, Hole DA, McMurray JJV. A population-based study of the long term risks associated with atrial fibrillation: 20-year follow-up of the Renfrew/Paisley Study. Am J Med 2002;113:359-364.

Key papers (Health economics): S Stewart, N Murphy, A McGuire, JJV McMurray. The cost of an emerging epidemic: an economic analysis of atrial fibrillation in the UK. Heart 2003; In press ***** Stewart S, Blue L, Walker A, et al. An economic analysis of specialist heart failure management in the UK – Can we afford not to implement it? Eur Heart J 2002;23:1369-78. ***** Stewart S, Jenkins A, Buchan S, Capewell S, McGuire A, McMurray JJ. The current cost of heart failure in the UK – An economic analysis. Eur J Heart Failure 2002;4:361-71.48. ***** Stewart S & Horowitz JD. Specialist nurse management programmes: Economic benefits in the management of heart failure PharmacoEconomics 2003;21:225-240. ***** Stewart S, Murphy N, McGuire A, McMurray JJV. The current cost of angina pectoris to the National Health Service in the United Kingdom. Heart; In press.

Key papers (Pharmacologic management of acute coronary syndromes): Willoughby SR, Stewart S, Holmes A, et al. Beneficial clinical effects of perhexiline in patients with stable angina pectoris and acute coronary syndromes are associated with potentiation of platelet responsiveness to nitric oxide. European Heart Journal 2002;23:1946-54. ***** Chirkov YY, Holmes Y, Willoughby SR, Stewart S, Horowitz JD. Association of aortic stenosis with platelet hyperaggregability and impaired responsiveness to nitric oxide. Am J Cardiol 2002;90:551-554. ***** Stewart S, Voss DW, Northey DL, Horowitz JD. Relationship between plasma perhexiline concentration and symptomatic status during short-term perhexiline therapy. Therapeutic Drug Monitoring 1996;18:635-639. ***** Beltrame JF, Stewart S, Leslie SL, Poropat S, Horowitz JD. Resolution of ST segment elevation prior to the administration of thrombolytic therapy. American Journal of Cardiology 2002;89:452-55.

Key papers (S-T segment monitoring): Drew BJ and Krucoff MW for the ST-Segment Monitoring Practice Guideline International Working Group. Multi-lead ST segment monitoring in patients with acute coronary syndromes: a consensus statement for healthcare professionals. American Journal of Critical Care 1999;8:372-86. ***** Stewart S, Kucia A, Poropat S. Early detection and management of right ventricular infarction: The role of the critical care nurse. Dimensions of Critical Care Nursing 1995;14: 282-289.

I am able to provide media comment in the following areas of expertise:

Discipline: Nursing

• Cardiovascular Disease
• Cost of Health Care
• Trends in cardiac disease
• Nursing