Good Clinical has teamed up with Te Titoki Mataora, the MedTech Research Translator, to bring you the Te Titoki Mataora Podcast Series. In this latest episode meet Dr Patrick McHugh, a general practitioner located in Tairāwhiti, Gisborne.

Patrick plays a role in several different organisations including Te Whatu Ora Tairāwhiti, Mātai Medical Research Institute, and the iwi health provider Turanga Health, where he's involved in a project exploring a heart-based mindfulness approach to assist individuals to manage their anxiety and improve their mental health.

Our conversation focuses on heart rate variability (HRV), where studies have demonstrated that a low HRV is associated with aging and a decline in health. HRV measures the variability in the time between heartbeats, and higher variability is associated with better health and resilience, both physical and mental.

HRV can be analysed to give an indication of activity in the sympathetic nervous system as a proxy marker for degrees of stress. Heart-based mindfulness practices, which involve techniques such as developing an observer state and using the heart as a centre of consciousness, aim to increase HRV and improve emotional regulation.

Podcast Takeaways:

1. Patrick's project with Turanga Health aims to assess the effectiveness and acceptability of a heart-based mindfulness intervention for adults with anxiety disorders in primary healthcare settings.
2. HRV is a key measure of health, particularly mental health. Higher HRV is linked to better adaptability and emotional resilience, while low HRV is often associated with stress, anxiety, and poor mental well-being.
3. The heart and mind are deeply interconnected, and heart-based mindfulness practices can help regulate emotional states by increasing HRV, leading to better mental and physical health outcomes.
4. HRV can be used as a proxy to measure the balance between the sympathetic (stress) and parasympathetic (calm) nervous systems, providing insights into an individuals stress levels and emotional health. 

Timestamps:
00:00 Introduction
01:11 Dr. Patrick McHugh's Background and Roles
01:43 Understanding Heart Rate Variability
06:37 The Connection Between Heart and Brain
08:47 The Importance of Mindfulness 10:28 Impact of Mental Health
12:06 Research on Heart Rate Variability and Mindfulness
15:02 Heart-Based Mindfulness Approach
18:30 The Integration of Medicine and Mind-Body Connection
21:52 Future Project Prospects & Group-Based Interventions
28:43 The Importance of Human Interaction for Mental Health
32:34 Future Research Directions and Projects