Profiles of research

The Heart and Stroke Foundation of Ontario currently funds more than 450 researchers and research teams at medical institutes, universities and hospitals across Ontario. Their goal: to eliminate heart disease and stroke and improve the quality of life for thousands of Canadians affected by these conditions. Here are some of their stories.

High blood pressure rates still very high, particularly in some ethnic groups
The Ontario Survey on the Prevalence and Control of Hypertension, is the first Canadian population-based study to measure blood pressures and to determine hypertension rates among some of the most common ethnic groups in Canada (South Asians, East Asians and Blacks). It is also the first study since the Canadian Heart Health Survey in the early 1990s to actually measure blood pressures, rather than relying upon participant’s self-reports. The study involved 2,551 Ontarians aged 20 to 79 years in 16 communities, with the results weighted to reflect the population of Ontario. 

The study by the Heart and Stroke Foundation of Ontario, the University of Ottawa Heart Institute and Statistics Canada found that in 2006, nearly 1.5 million or 21% of Ontarians are living with hypertension. Of these, more than 500,000 Ontarians were suffering from uncontrolled high blood pressure. Read the full study.

Breaking down cholesterol
Dr. Marlys Koschinsky

Not many people would understand what hidden clues might lie in plaque, the sticky build-up in artery walls that leads to heart disease, but Dr. Marlys Koschinsky does. As a Heart and Stroke Foundation career investigator, she has been studying certain lipoproteins – cholesterol and protein compounds in the blood – to determine how they contribute to atherosclerosis, a condition in which arteries get so plugged up with plaque that they lose their elasticity and become narrow, slowing or blocking the passage of blood. The plaque can also rupture, causing a blood clot to form. When this happens, blood flow in the artery can become severely reduced, often leading to a heart attack or stroke.

The major blood lipoproteins – cholesterol and protein compounds – in humans include HDL, the so-called good cholesterol, and LDL, the bad cholesterol. Some individuals also have high blood levels of a lipoprotein known as Lp(a) which has been dubbed the “really bad” cholesterol. As part of her ongoing studies, Dr. Koschinsky’s objective is to understand how apolipoprotein(a), the protein part of Lp(a), can play a role in heart disease. Interestingly, apolipoprotein(a) actually interferes with the ability of the body to break down blood clots, a major cause of heart attacks and stroke. Her research may lead to the development of new drugs that will reduce the risk associated with having high blood levels of Lp(a).

The Heart and Stroke Foundation of Ontario has funded Dr. Koschinsky’s research since 1992. In 2001, she became an HSFO Career Investigator. She has also served the Heart and Stroke Foundation in many capacities: as a member of the Scientific Review, Grants Allocation and Research committees, a member of the Board of Directors, and a popular speaker at regional events. To raise funds for the Heart and Stroke Foundation, she has waited tables, played hockey, cycled in Big Bike events, and swung a golf club. She holds a PhD in biochemistry from the University of British Columbia.

Hunting down the genes for heart disease and diabetes
Dr. Robert A. Hegele

What do the Alberta Hutterites, the Oji-Cree from the Sioux Lookout Zone and the Inuit from the Keewatin region have in common? They all have been study subjects of Dr. Robert A. Hegele, a Heart and Stroke Foundation career investigator, in his hunt to track down unique gene mutations that predispose these populations to heart-disease risk factors such as high cholesterol, high blood pressure and diabetes. Dr. Hegele studies the link between heart disease and diabetes by determining specific genes for inherited conditions, such as those that change the way the body distributes fat around the waistline. Understanding these unique mutations may yield important clues about how to better control sugar and fat metabolism in individuals predisposed to diabetes and heart disease.

His team was the first in the world to identify the gene that causes a severe inherited form of insulin resistance. Affected members of families with this gene also have high cholesterol, high blood pressure, diabetes and early heart attacks. Studying these families can give us new information about arterial disease. Dr. Hegele is using sophisticated technologies to collect data about these families, a process called phenomics, to learn about the effects of their genes and uncover disease processes never seen before.

Dr. Hegele’s research has led to more than 300 publications and identified more than 100 genetic mutations linked to human disease. His research has been funded by the Heart and Stroke Foundation of Ontario since 1990, and he’s been a career investigator for more than 10 years.

Awarding excellence in heart care
Surgery can vastly improve a person’s quality of life, but for people with pre-existing heart problems, an operation may cause life-threatening complications. Dr. Duminda N. Wijeysundera, a Staff Anesthesiologist at Toronto General Hospital, is trying to make surgery safer for patients with heart disease. He is researching whether assessment clinics that people attend before surgery can also help to ensure that patients are prescribed all recommended medications for chronic heart disease. For this work, the Heart and Stroke Foundation of Ontario has recently presented the Rick Gallop Award to Dr. Wijeysundera. This award recognizes research excellence and encourages innovation, and is a fitting tribute to Rick Gallop, the Foundation’s former President and CEO known for encouraging novel scientific initiatives. As a result, Foundation-funded research has contributed to major advancements in the fight against heart disease and stroke in Ontario, Canada and around the world.

Preventing cardiac arrest in children
Being able to predict and prevent cardiac arrest in children has great potential to reduce death and disability. In children, cardiac arrest usually follows progressive failure of circulation and breathing. Dr. Christopher Parshuram and his team have developed the Pediatric Early Warning System (PEWS) that can identify children at risk of cardiac arrest with 78% accuracy, giving at least an hour’s notice to the surrounding medical team, giving them valuable time to intensively treat the deteriorating condition and prevent the cardiac arrest. Dr. Parshuram is currently transforming PEWS into a practical bedside tool for hospital environments that has the potential to save many lives and prevent brain damage in critically ill children in hospital.

An open letter to our donors from the research community
You, the Heart and Stroke donors, have played a critical role in enabling research and health education toward the goal of eliminating heart disease and stroke. We are proud supporters of the Foundation because it is committed to getting results that change lives. Read our letter.

Here is a detailed list of projects funded by the Heart and Stroke Foundation in 2007/2008.

Here is a detailed list of projects funded by the Heart and Stroke Foundation in 2008/2009. 

Please read more about our funded research by clicking the links below:

Ontario kids still not active enough at school

ED drug may prevent heart attack, stroke

Belly fat may pump up spare tires

Second drink not helpful to heart

Heart patients benefit from combined activity

Ontario researcher Dr. Robert Gros receives Foundation’s New Investigator award

Reviewed October, 2008.