Projects & Programs

Heart of a Giant Foundation

HGF

Projects & Programs

HGF improves early detection, diagnosis, and support for cardiac risk factors in high-risk populations. We promote healthy living, prevent chronic diseases, and improve health outcomes using innovative approaches. All programs are HIPAA compliant and aim to support the whole patient journey.

  • Project Health Joe: Awareness Raising and Advocacy

  • Program Nicole & Neal: Screening and Education

  • Living with Heart Disease Podcast

  • Program Jolie: Hypertension Prevention and Management for Expectant Black Mothers in Boston, MA

Join us in making a difference for a healthier future.

Project Health Joe: Awareness Raising and Advocacy

Project Joe by HGF raises awareness and advocates for patients and caregivers. Our goal is to promote a culture of care that leads to better health outcomes through education and information about heart diseases.

We amplify the voices of patients, caregivers, health practitioners, and advocacy leaders to educate our audience on living with a heart condition and enjoying a longer, healthier life.

We use various communication methods, such as blogging, podcasting, public speaking, organizing meetings, and using the web and social media platforms. We convey our messages through our website and blogs, Instagram pages, Facebook page, private community group, YouTube channel, Eventbrite, and Living with Heart Disease podcast, available on iTunes, Google, Spotify, and other platforms.

Expected Outcomes:

  • Raise awareness about heart diseases and related conditions.

  • Build a supportive community for patients, caregivers, providers, and policymakers.

  • Motivate people to make positive lifestyle changes.

  • Destigmatize high blood pressure and other chronic conditions.

  • Educate people about warning signs and risk factors.

Join us in raising awareness for heart diseases and promoting a culture of care.

Program Nicole & Neal: Screening and Education

Program Nicole & Neal promotes healthy living to prevent heart disease, especially among Black populations. HGF offers free hypertension screening and education in Boston neighborhoods. Our health coaches provide one-on-one support and conduct screenings at community events.

In 2023, we accomplished the following:

  • Engaged in 425 interactions with participants over 11 months;

  • Hosted 38 screening and education events, two webinars, and six workshops

  • Six Boston neighborhoods: Brockton, Dorchester, East Boston, Jamaica Plain, Mattapan, and Roxbury;

  • Conducted 355 screenings and one-on-one educational sessions.

Blood Pressure Screening and Education

At HGF, we conduct blood pressure screenings, education classes, and workshops to raise community awareness. Our local nurses and health workers offer assistance, education, and guidance. We conduct screenings and educational activities at community events to improve high blood pressure management, train participants on monitoring blood pressure at home, and offer practical tips for healthy living.

Cholesterol Awareness and Education Campaign

92 million US adults have high LDL cholesterol levels, which can lead to fatal heart diseases. HGF is partnering with the National Cholesterol Education Initiative in 2024 to increase awareness through our Cholesterol Education Campaign. We will focus on high-risk factors like diets high in saturated and trans fats, physical inactivity, excess weight, and certain health conditions.

Lipoprotein (a) Awareness and Screening Campaign

Lp(a) is a genetic risk factor for heart disease that is often overlooked. Early detection and proactive management of Lp(a) levels can significantly enhance heart health outcomes. Our program promotes heart health through coaching, screenings, and training.

Expected Outcomes

  • Early identification and treatment of high blood pressure.

  • Increased understanding of signs and symptoms and when to contact a healthcare provider.

  • More people can self-monitor their blood pressure.

  • Empowered participants are taking control of their heart health.

  • Peer-to-peer communication and community engagement.

  • Movement building and active community engagement.

Program Delivery Planning

We host program events with partners monthly, bi-monthly, or weekly. Our website and social media pages have weekly updates, and we focus on a monthly health topic to raise awareness. We collaborate with various organizations, including the American Heart Association (AHA), the Massachusetts Department of Public Health (DPH), faith-based organizations, and community development centers.

In 2024, our goals are to achieve the following:

We host program events with partners monthly, bi-monthly, or weekly. Our website and social media pages have weekly updates, and we focus on a monthly health topic to raise awareness. We collaborate with various organizations, including the American Heart Association (AHA), the Massachusetts Department of Public Health (DPH), faith-based organizations, and community development centers.

  • Our main priority remains to tackle high blood pressure and its related issues. To achieve this:

  • We aim to deliver over 60 screening and education events across 10+ locations, engaging with more than 600 adults.

  • We also plan to provide monthly blog posts on heart health and 12 'Living with Heart Disease' podcasts.

  • Additionally, host workshops focusing on various aspects of heart disease, such as hypertension, cholesterol and Lp(a), diabetes, healthy living, aging, and more.

Living with Heart Disease Podcast

"Hardships don't steal your voice, and setbacks don't stunt your growth; hence, a diagnosis will undoubtedly not silence you."

Our Living with Heart Disease platform shares inspiring stories from patients, families, caregivers, health professionals, and policy advocates. We break down stigmas associated with cardiovascular conditions and provide expert guidance on navigating healthcare systems. We're dedicated to inspiring and empowering our listeners to live longer, healthier lives after a heart disease diagnosis.

Join us on the Living with Heart Disease podcast hosted by Bouba Heart of a Giant and his team.

Program Jolie: Hypertension Prevention and Management for Expectant Black Mothers in Boston, MA

In 2023, HGF conducted the Healthy Hearts Communities Pilot Program to prevent and manage high blood pressure, and 78% moved into a lower blood pressure category. We launched Program Jolie in Boston in 2024 to fill gaps in care for Black maternal health. Program Jolie offers perinatal care to help expectant Black mothers achieve better pregnancy experiences and health outcomes, all at no cost.

Program Description:

Program Jolie supports the care of women from their 20th week of pregnancy up to 3 months postpartum. It collaborates with organizations to improve Black maternal health, heart health, and health equity.

Our Health Coaches deliver the program, supporting patients between doctor visits. The coaches are registered nurses, dietitians, social workers, and others with significant expertise. The program facilitates infant feeding support and mental health screenings with social workers and therapists.

The health coaches work one-on-one with participants to improve medication adherence, set realistic goals, and facilitate therapy and counseling. Expectant Black mothers can use advanced RPM technology with personal health coaching and receive a free personalized plan. The program targets pregnant adult (18+) women with no income eligibility requirement.

Goals and Expected Outcomes:

We build trust with hard-to-reach individuals and partner with care management programs to address healthcare gaps for better patient engagement and adherence.

Metrics and Expected Outcomes:

  • Enrollment > 30%

  • 1.5M live interactions

  • 25% increase in medication adherence

  • A1c reduction of 1.5 points

  • 80% of participants move to the lower BP category

  • 20% reduction in unhealthy days

  • 90% participant satisfaction

For Participants:

HGF supports pregnant individuals with tools, knowledge, and coaching to improve their health and wellbeing.

  • Personalized education and support for chronic conditions such as cardiovascular disease, kidney disease, or diabetes.

  • Understand health risks, manage medication, and establish a routine.

  • Track vital signs and symptoms through Remote Patient Monitoring (RPM) to detect changes early.

  • Safe physical activity and nutrition guidelines.

  • Develop self-advocacy and caregiver advocacy capacity.

  • Improve patient-physician relationships during prenatal, birth, and postpartum visits.

For Providers:

Program Jolie enhances the birthing experience with personalized support, improving care and fostering compliance.

  • Improve clinical outcomes, improve quality scores, and gain unique population insights.

  • Improve compliance and enhance treatment adherence. Strengthen doctor-patient relationships.

  • Track Remote Patient Monitoring (RPM), data, and analytics.

  • Weight management through healthy eating and nutrition.

  • Enhance health literacy, encourage an active lifestyle, stress management, and healthy sleep habits to drive lifestyle and behavior change.

Methods of Delivery (Key Activities)

Our health coaches provide support from the 20th week of pregnancy to 3 months after childbirth. They collaborate with healthcare professionals to ensure comprehensive care for the mother and baby while promoting a positive birthing experience. Although they don't provide medical care, they offer personalized support to enhance the overall experience.

  • The program offers free-of-charge health coaching services that include personalized heart health risk-factor evaluation and education and coaching for preventing and managing health conditions.

  • The coaches provide remote patient monitoring, tailored feedback, nutrition, exercise, and medication adherence guidance.

  • Additionally, the program offers support for prenatal care, childbirth education, medication management, healthy lifestyle habits, and community resources.

Benefits and Data Analytics:

  • We aim to identify best practices for screening and referring participants and address social and material needs.

  • Our Program Team collects and monitors data with providers and partners based on hypotheses.

  • The research manager leads data and analytics, working with health coaches and community-based providers—the program partners with an external evaluator. The IRB ensures ethical conduct.

  • Results will help HGF further develop the program and improve health outcomes for expectant Black mothers.

News and Insights

Disclaimer:

The information shared on this page is not intended to replace professional medical advice. Always consult with a healthcare provider for any medical issues.

BATTLE OF HEART DISEASE: OVERCOMING OBSTACLES WITH ARMIN MUZAFIROVIC

BATTLE OF HEART DISEASE: OVERCOMING OBSTACLES WITH ARMIN MUZAFIROVIC

May 23, 202310 min read

SHPEP Student Graduation

Against all odds, Armin refused to let his diagnosis define him. But a ski trip to Colorado brought an unexpected twist, changing everything he thought he knew about his condition. What happened next was an ongoing battle, and Armin’s incredible resilience kept him fighting every step of the way.

“In life, not everything is perfect, and sometimes we have obstacles that come our way…But being that rebellion that I was at 16, I didn’t want to listen to healthcare providers. But as you physically see how your body is on the inside, when I saw my heart compared to a normal 17-year-old, I knew at that point that this is really serious.” – Armin.


Bouba sits down with his guest Armin Muzafirovic to talk about the ups and downs of his heart journey.  Armin has navigated the challenges of living with heart disease since his mid-teens. His journey began with a diagnosis of muscular dystrophy, followed by discovering his heart condition. Despite these setbacks, Armin has remained determined to live life to the fullest, continuously seeking activities that push the boundaries of his physical capabilities. Armin’s story offers a unique perspective on the impact of heart disease on daily life and how he has adapted to his new reality.

In this episode, learn more about:

  • The complex world of heart transplant surgeries and the road to recovery.

  • Uncover the crucial role of a support system in managing heart disease and treatment.

  • Third, empower yourself as a patient advocate to take charge of your own heart health journey.

  • Finally, understand the urgent need for organ donors and increase awareness about heart transplantation.

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Find out more about Armin here:
Instagram: https://www.instagram.com/armin.muza/


More from Living with Heart Disease:
Episode 5 – Life with an LVAD while waiting for a heart transplant


Connect with me:

Instagram: livingwithheartdisease.podcast

Facebook: https://www.facebook.com/heartofagiant.foundation

YouTube
: https://www.youtube.com/@heartofagiant

Twitter
:     https://twitter.com/LWHDpodcast

Catch the bonus content on our Youtube channel.
https://www.youtube.com/@heartofagiant
Did
you enjoy this episode? A free way to support our show is by leaving it a rating and review on Apple Podcasts. It’s a chance to tell us what you love about the show, and it helps others discover the Living with Heart Disease podcast.


Apple Podcast
https://podcasts.apple.com/us/podcast/episode-10-inspiring-journey-from-heart-failure-to/id1567454596?i=1000608329515

Spotify
https://open.spotify.com/show/4aJeFMvnXyazgGuhR8A4Xs?si=6d9f19949f514714&nd=1

Chapter Summaries:
[00:00:00] – Introduction,
Bouba introduces the podcast and guest, Armin, a heart transplant recipient, and sets.
The goal of the conversation is to understand a patient’s perspective on living with  heart disease.

[00:03:13] – Initial Diagnosis,
Armin discusses being diagnosed with heart failure in his mid to late teens, despite feeling healthy and athletic, and how it affected him and his plans for the future.

[00:06:23] – Ski Trip Incident,
Armin recounts a ski trip incident where he experienced shortness of breath, low oxygen, and a spike in troponin levels, leading to a mini heart attack and hospitalization. He also describes his symptoms of heart failure and the need for an ICD implant.

[00:09:27] – Managing Heart Disease,
Armin reveals his rebellious attitude towards being a heart patient, how he still played sports and lived life to the fullest despite his condition, and the importance of meeting strict criteria for treatments like pacemakers and ICDs.

[00:13:12] – Medical Complications,
Armin discusses the difficulties of managing heart disease, including the side effects of diuretics and the challenges of going to the ER for urinary problems. He also touches on the most prolonged surgery period during his ICD implant and the struggles of balancing school with frequent bathroom trips.

[00:16:18] – Hospitalization and Online Learning,
After being hospitalized for heart failure, Armin had to stay home due to edema and other symptoms. He had to call his school, where they had no prior experience with online learning. Armin managed to do his finals and pass with flying colors despite not being physically present for most of the classes.

[00:23:05] – Overexertion and Passing Out,
Armin passed out after overexerting himself while trying to pick up his brother from the bus stop. His feet were swollen due to edema. He fell unconscious and was shocked back by his ICD. He woke up in the hospital, and the doctors discovered that his leads were hitting his diaphragm.

[00:26:17] – Tachycardia and LVAD Surgery: Armin had 40-60 episodes of SVT tachycardia, a severe heart failure symptom during a car ride to the hospital. After arriving at the hospital, he had an emergency LVAD surgery due to his low ejection fraction, dangerously low at 15-20%.

[00:29:27] – HeartMate 2 and RVAD,
Armin had both an RVAD and LVAD implanted with the HeartMate 2. He spent 33 days in the hospital and used Doppler machines to check his pulse. He was grateful to be alive thanks to the LVAD but knew he had a long road ahead.

[00:30:44] – Early Days with LVAD,
The guest recalls his early days with LVAD and describes how he felt constantly monitored and disturbed in the ICU. He mentions the challenges of sleeping and eating in the hospital and highlights the warmth of the RVAD pumping blood out and in as a comforting experience.

[00:35:45] – Delirium and Recovery,
The guest talks about his delirium and the chemical imbalances in his body, making him feel like he was on fire. He recalls when he thought an X-ray technician was trying to kidnap him and how his mother had to change his dressing from the hospital until the heart transplant.

[00:39:01] – Battery Life and Edema,
The guest discusses how he had to be physically cautious with the LVAD and could not go anywhere because of the drive line. He highlights the importance of constantly charging the batteries and mentions the compression stockings he had to wear due to Edema.

[00:41:21] – Dress Rehearsals and School,
The guest explaines how he had to cancel school for the next two years because of his surgeries and describes the challenges of being in and out of the hospital every month due to Edema and potential calls for transplant. In addition, he talks about how he missed a full-ride scholarship due to his health condition.

[00:43:15]  – Donor Specific Antibodies,
The guest recalls how he got a call at 2 AM about a potential heart and how he and his father drove

[00:44:37] – Diuresis and Dry Weight,
Armin discusses diuresis and reaching his dry weight before a potential heart transplant. He shares how he lost 40 pounds within a week and the toll it took on his body. He also talks about how he was bumped to 1A on the transplant list after getting a Milrinone 24-hour IV pump.

[00:53:18] – Unexpected Shock,
Armin recalls the time he was shocked twice by his ICD and how he was airlifted to a hospital. He shares how he got bombarded with Valentine’s Day cards from nurses and how it brought a sense of humanity to his situation.

[00:57:53] – Second Potential Heart,
Armin talks about getting a second potential heart in March and going through all the necessary blood tests before going for the operation. He shares his excitement and hope for the future.

[01:08:10] – Life after Heart Transplant,
Armin discusses his recovery after the heart transplant, including physical therapy and medication. He shares how grateful he is to the donor and their family for giving him a second chance at life. He also talks about his plans for the future, including going to college and pursuing his dreams.

[00:59:13] – Preparing for the Heart Transplant,
Armin talks about getting ready for his heart transplant surgery, walking into the operating room, and the medical team preparing him for the procedure. He also talks about his previous surgeries and how he knew some of the nurses from before.

[01:01:02] – The Long Surgery and Recovery,
Armin talks about the length of his heart transplant surgery and the need for the transplant to be done quickly due to the time-sensitive nature of the procedure. He also talks about his recovery and his challenges post-surgery, including high white blood cell counts and fevers.

[01:03:25] – Communicating After the Surgery,
Armin talks about his communication with doctors and nurses after his heart transplant surgery. He explains that he used paper and a notepad to communicate and had certain doctors and nurses he preferred to share with.

[01:06:22] – The Road to Discharge,
Armin talks about his journey to discharge from the hospital after his heart transplant surgery. He discusses the importance of being safe and waiting for all testing to be completed before leaving the hospital. He also talks about his joy when he finally got home and saw his family.

[01:11:07]– Gratitude and Support,
Armin reflects on his heart transplant surgery and expresses gratitude for his family, healthcare providers, and EMS professionals who supported him throughout his journey. He talks about how important it is to have a support system during

[01:13:19] – Importance of Support System,
Armin emphasizes the critical role that a support system plays during the transplant process, particularly in managing emotions and medications. Having family and friends to cook meals and provide emotional support helped him through the difficult times.

[01:18:30] – Staying Active After Transplant,
Armin talks about the importance of staying active after the transplant and how he maintains his physical fitness through weight training and exercise. He also mentions the importance of balancing exercise with other aspects of life, such as work and school.

[01:23:02]– COVID and the Transplant Games,
Armin shares how he was training for the Transplant Games America in San Diego before contracting COVID-19. He planned to participate in track and field and basketball but had to cancel due to his illness. He remains hopeful for future games.

[01:25:30]– Maintaining Mental Health,
Armin stresses the importance of seeking help for maintaining mental health after a transplant. He recommends taking things one step at a time and staying organized, including breaking down tasks into smaller, more manageable pieces.

[01:27:09] – In conclusion,
Armin emphasizes the importance of maintaining physical and mental health after a transplant and encourages others to seek support from family, friends, and medical professionals. He stresses the need to stay positive and take things one step at a time.

[01:27:49]– Why Share?
Armin shares that as a former patient and future doctor, he understands the importance of advocating for oneself and others. He speaks about volunteering for his local organ procurement center and sharing his story at medical conferences to help educate and motivate patients.

[01:29:06] – Taking Control,
Armin emphasizes the importance of being one’s advocate as a patient and understanding one’s medical treatment. He encourages patients to speak up, share their insights, and take control of their health.

[01:30:48]– Giving Back,
Armin discusses his volunteer work at his local organ procurement center and speaks to patients waiting for transplants. He shares his insights and experiences to help others going through the same journey and inspires listeners to cherish each moment in life.

[01:32:08]– Looking Ahead,
Bouba and Armin discuss Armin’s plans to become a doctor and continue advocating for patients. They express excitement for what’s to come, and Bouba emphasizes the importance of sharing one’s journey and experiences to inspire and motivate other patients and caregivers.

[01:33:09] – Words of Wisdom,
Armin shares his words of wisdom for patients and their caregivers, reminding them that they are not alone in their journey and encouraging them to cherish each moment, tell their loved ones they love them, and know their “why” in life.

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The Heart of a Giant Foundation, Inc. is a 501(c)(3) nonprofit organization, EIN 84-2900386. Donations are tax-deductible.

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