23 September 2020

S5M-22646 Heart Valve Disease Awareness Week

The Deputy Presiding Officer (Christine Grahame): The final item of business is a members’ business debate on motion S5M-22646, in the name of David Stewart, on heart valve disease awareness week. The debate will be concluded without any question being put.

Motion debated,

That the Parliament welcomes Heart Valve Disease Awareness Week, which takes place from 14 to 20 September 2020; notes what it sees as the need to improve early detection of heart valve disease in Scotland; acknowledges the reported increasing prevalence of severe heart valve disease in an ageing population; notes what it considers the missed opportunities to detect the disease during the COVID-19 lockdown restrictions; believes that, in the medium term, this may result in a second wave of deaths from non-COVID-19-related diseases, and notes the calls for more funding to be made available for minimally invasive, proactive and curative treatments, which it considers have a huge advantage of reducing critical care occupancy by shortening the convalescence period and increasing treatment capacity.

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Stewart Stevenson (Banffshire and Buchan Coast) (SNP):

I thank David Stewart for bringing a topic that is clearly important to the chamber.

I express sympathy for all those who live with heart valve disease. We are in exceptional times. Covid-19, which has rightly been referred to, is placing stress on the health service and on many people physically and mentally. There is a real risk for people who have serious health conditions such as heart valve disease, and I recognise the struggle that they may be experiencing. I hope that, in the near future, they will be more comforted by the way that things are going.

I am part of the ageing population; I will be 74 in a couple of weeks’ time. For me, the stethoscope test probably does not matter very much, because I have seen a general practitioner only once since I was elected to the Parliament 20 years ago, so a GP has not had the opportunity to put a stethoscope on my chest. I have my fingers crossed that nothing is going on in there that I should be worrying about. However, age is the big risk factor, so perhaps the next time the nurse inoculates me against the flu, I should ask her or him—although they are all female at my practice—to have a listen if possible. For me, there is a bit of self-interest in my interest in the issue.

Age is not the only risk factor; genetics can be a significant factor in predetermining whether people have heart problems of one sort or another. HVD risk factors include lifestyle issues, such as smoking, physical inactivity and being significantly overweight or obese. With a little professional help, we can do something about some of those things at our own hand.

Since lockdown, I have managed to walk 600-plus miles because a bit of time has been created by my not commuting for 12 hours a week between home and the Parliament. I have experienced the health benefits of doing that. Walking is, of course, a cheap, non-medical intervention. Lifestyle is important, and I hope that health professionals will aid people to understand what they can do at their own hand.

However, the stethoscope test is the main thing that we should focus on. It is disturbing to hear that so many people with heart valve disease are undiagnosed. Perhaps people do not notice the slow attrition of their health that comes from it and do not seek the assistance that they should seek as early as possible. It is widely recognised that one of the risks associated with the coronavirus pandemic is that people are a little less eager to see their GP and more likely just to lift the phone and talk to NHS 24. I certainly encourage people to go to their GP and get that stethoscope on their chest, as recommended by the British Heart Foundation. After all, HVD causes 22 per cent of premature deaths.

I agree with David Stewart and the British Heart Foundation about the importance of HVD, I congratulate David Stewart again for bringing the issue to the Parliament and I am grateful for the opportunity to make a small contribution to the debate.


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