Welcome to CardioNerds, where we bring you in-depth discussions with leading experts, case reports, and updates on the latest advancements in the world of cardiology. Tune in to expand your knowledge, sharpen your skills, and become a true CardioNerd!
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This episode features Dr. Jeffrey Moses exploring advanced interventional cardiology techniques for heart failure patients. Discussions include complex high-risk PCI, the latest in TAVR for various aortic stenosis presentations, and percutaneous strategies for functional mitral and tricuspid regurgitation. The episode also touches on novel interatrial shunt devices and emphasizes the critical, life-saving role interventional cardiologists play in modern heart care.
In this episode, Dr. Deborah Kwon demystifies cardiac MRI, explaining its core physics and comparing it to echocardiography. She addresses critical safety concerns like gadolinium use and outlines practical challenges like patient tolerability and device compatibility. The discussion is enriched by a series of illustrative patient cases, demonstrating CMR's diagnostic utility in conditions ranging from ischemic heart disease and pericarditis to ARVC, valvular disease, cardiac masses, and myocarditis.
What does it feel like to have fulminant myocarditis? How does it feel to see a loved one on ECMO? What impact do healthcare heroes have on their patients' and their families'? Tune into this remarkable firsthand patient perspective as Chas and Julie Miller recount their experience with fulminant myocarditis. In Episode 31 we discussed the science & medicine of myocarditis. Now in Episode 32 we realize the emotions and human experience on the other side through the lens of a patient and his ...
The CardioNerds discuss a complex case of fulminant myocarditis with cardiogenic shock, presenting a comprehensive five-principle framework for approaching the disease, from building clinical suspicion and deciding on biopsy to managing acute injury, chronic sequelae, and specific treatments. The episode highlights critical diagnostic and management considerations for this severe condition and concludes with a heartfelt testimonial from the patient and his family about the profound impact of compassionate care.
This episode delves into myocarditis during the COVID-19 pandemic, discussing how to distinguish cardiac injury from true myocarditis and exploring mechanisms like molecular mimicry. Experts highlight diagnostic challenges for invasive procedures and share insights on prognosis and the systemic nature of the virus. The discussion also covers the critical role of inflammatory markers, emerging treatment strategies, and the significant implications for heart transplantation programs.
Cardiovascular experts, Drs. JoAnn Lindenfeld, Javid Moslehi and Richa Gupta from Vanderbilt University Medical Center and Dr. Enrico Ammirati from Milan, Italy join Amit and Dan for a two part discussion about all things to consider for myocarditis in general (part 1) and myocarditis in the COVID era (part 2). Flutter Moment/Song by Drs. Matt (Internal Medicine) and Beth Faiman (Oncology). On the CardioNerds Myocarditis page you will find podcast episodes, infographic, youtube videos, reference...
In the midst of the COVID-19 pandemic, we take a look at the association between influenza and myocardial infarction with Dr. Steven Schulman, director of the coronary care unit and cardiology fellowship program director at The Johns Hopkins Hospital and Dr. Rhanderson Cardoso, cardiology fellow at the Johns Hopkins Hospital. Flutter moment by Euri Perio (RN). In light of the COVID-19 pandemic, we shifted gears to meet the educational need as we all are learning more about the cardiovascular imp...
Infectious disease experts from the Johns Hopkins Hospital, Drs. Natasha Chida and Saman Nematollahi join the CardioNerds for a 4 part COVID-19 infectious disease series. In this final episode, we discuss the virology and epidemiology of SARS-CoV-2 that serves as the underpinnings for the three prior episodes. Flutter Moment by Dr. Sumeet Bahl (Vascular and Interventional Radiology) We are honored to promote the incredible efforts of #GetUsPPE , a nonprofit organization working hard to make sure...
Infectious disease experts from the Johns Hopkins Hospital, Drs. Natasha Chida and Saman Nematollahi join the CardioNerds for a 4 part COVID-19 infectious disease series. In this third episode, we discuss all things to consider with regards the clinical presentation & diagnosis of COVID-19. Be sure to stay tuned for the remaining part of this mini-series where we will the virology of SARS-CoV-2. Flutter Moment by Dr. Dani Dumitriu from the frontlines of the COVID-19 pandemic in NYC. We are h...
Infectious disease experts from the Johns Hopkins Hospital, Drs. Natasha Chida and Saman Nematollahi join the CardioNerds for a 4 part COVID-19 infectious disease series. In this second episode, we discuss all things to consider with regards to protecting healthcare workers in COVID-19 as well as their families as they face the pandemic. Be sure to stay tuned for the remaining 2 parts of this mini-series where we will discuss the clinical presentation and diagnosis of COVID-19, and the virology....
Infectious disease experts from the Johns Hopkins Hospital, Drs. Natasha Chida and Saman Nematollahi join the CardioNerds for a 4 part COVID-19 infectious disease series. In this first part we discuss the emerging therapies in our armamentarium. Be sure to stay tuned for the remaining 3 parts in which we tackle advice for the health care worker, the clinical presentation & diagnosis, and the virology. Flutter Moment by Dr. Justin Berk (Medicine/Pediatrics). Check out the COVID-19 series page...
Dr. Dan Grove is a critical care physician who was diagnosed with COVID-19. Join us as we discuss Dr. Grove’s personal journey and reflections while transitioning from physician to patient, the etymology of the word quarantine, tips and tricks to keep family members safe while in self isolation, and a message to our brothers and sisters on the frontlines as well as the general public. Flutter Moment by Dr. Dani Dumitriu (Pediatrics, Neuroscientist and Pediatric environmental health science) Chec...
We share with you the Iranian experience with COVID-19, a rare first hand report from ICU doctor, Dr. Reza Hashemian, covering the clinical, the societal, and the personal. Flutter Moment by Edward Nejat (Reproductive Endocrinology). Check out the COVID-19 series page! Take me to episode topics page Ventilation primer for the cardiologist (Youtube) Dr. Reza Hashemian serves as Professor of Critical care medicine at a large academic hospital in the heart of Iran. He in on the frontlines at Masih ...
Tune in to hear the Italian perspective from a “COVID A” cardiovascular hospital in Milan, the heart of the country’s epidemic shared by Dr. Gianluca Pontone, who serves as Director of Cardiovascular Imaging Department Centro Cardiologico Monzino IRCCS, University of Milan. We discuss management of COVID-19 patients with underlying cardiovascular disease and cardiac manifestations of COVID-19 including acute coronary syndromes, cardiogenic shock, and myocarditis. Dr. Pontone shares his personal ...
COVID-19 in the ICU: The CardioNerds follow the case of Sara S Covids through her journey with COVID-19 complicated by progressive respiratory failure. Learn how critical care physicians, Drs. David Furfaro and Sam Brusca approach cardiopulmonary mechanics, general ventilator settings, ventilation in patients with cardiac disease, ARDS diagnosis and management algorithms, including VV and VA ECMO support considerations. Importantly, we discuss these issues in the context of the COVID-19 era and ...
The CardioNerds explore the cardiovascular implications of COVID-19 caused by the SARS-CoV 2, in patients with and without underlying cardiovascular disease. We discuss a range of important topics such as ACE-I and ARBS and COVID-19, a 4 part ID mini-series on SARs-CoV 2, important perspectives from clinicians on the frontlines of Italy and Iran, a primer on ICU care for COVID-19 positive patients and so much more! The series kicks off with Dr. Oscar Cingolani, Director of the Hypertension Cente...
CardioNerds welcomes Dr. Martha Gulati for an in-depth exploration of women's cardiovascular health, challenging the notion that women are simply "small men." The discussion highlights sex-specific risk factors, the mislabeling of "atypical" chest pain, and significant disparities in diagnosis, treatment, and outcomes for women with cardiovascular disease. Dr. Gulati also emphasizes the need for personalized prevention strategies, increased female representation in clinical trials, and fostering greater diversity within the cardiology field.
Duke cardiology fellow, Rahul Loungani, interviews Dr. Jonathan Piccini, director of the Electrophysiology Clinical Trials Program and Arrhythmia Core Laboratory at Duke University, about atrial fibrillation management in patients with heart failure. They discuss rate vs rhythm control and strategies for both, new onset AF in the context of critical illness, wearable devices in AF, escalation of therapy in AF, ideal patient for catheter ablation, and AF patients with cardiac resynchronization th...
Vanderbilt fellows, Richa Gupta and Jessica Huston, interview past HFSA president Dr. JoAnn Lindenfeld, Director of Heart Failure and Heart Transplantation Section at Vanderbilt Heart and Vascular Institute about the nuts and bolts of cardiac transplantation. Topics discussed include organ allocation, recipient selection, high risk donors, short and long term complications, and what non-transplant physicians should know about immunosuppressive medications. On the CardioNerds Heart Failure topic ...
Dr. Steven Hsu discusses the comprehensive management of post-LVAD patients, detailing the device's function and the critical aspects of medical management, including optimizing LVAD speed, afterload, and preload. The episode also thoroughly explores common and serious complications such as pump thrombosis, strokes, GI bleeding, driveline infections, and right heart failure. Furthermore, it touches upon the significant psychosocial adjustments and improved quality of life experienced by patients receiving LVADs.
Dr. Jerry Estep discusses advanced heart failure therapies, including heart transplantation and mechanical circulatory support devices like LVADs and temporary devices. The episode covers identifying end-stage heart failure, patient candidacy for these interventions, and the importance of Intermax profiles for severity assessment. It also highlights the evolution of LVAD technology and the critical role of shared decision-making and a team-based approach in patient care.
Dr. Randall Starling discusses the comprehensive approach to guideline-directed medical therapy (GDMT) in heart failure, emphasizing that it encompasses more than just medications. He shares practical strategies for initiating and titrating key GDMT agents, addressing common challenges like patient adherence and the importance of target doses. The discussion also covers managing GDMT in the inpatient setting, transitioning to ARNIs, and the role of patient empowerment.
Dan and Carine chat with cardiomyopathy expert Dr. Ed Kasper with regards to his approach to the new onset heart failure patient. This episode is dedicated to Dr. Kasper's mentor and friend, Dr. Kenneth L. Baughman. Dr. Edward K. Kasper, is a graduate of the Johns Hopkins University with a B.A. in Natural Sciences. He earned his M.D. at the University of Connecticut School of Medicine. His internship and residency in Internal Medicine and assistant chief of service (ACS) of the Thayer service as...
In conjunction with the 2020 Heart Failure Awareness Week, sponsored by the Heart Failure Society of America the CardioNerds are supporting the society’s efforts to promote heart failure awareness, patient education, and heart failure prevention by launching our Heart Failure Awareness CardioNerds Series. This series is a tribute to Dr. David Taylor. Dr. Taylor was a heart failure attending at the Cleveland Clinic. He died early morning of Thursday, February 6th 2020. We remember him for the leg...
Amit and Dr. Ashley Bock learn more about cardiac amyloidosis directly from Dr. Ron Witteles from Stanford. This episode is the fourth and final part of our immersive journey into the jungle of beta-pleated sheets in the heart. Flutter moment by Lois Adamski. On the CardioNerds Cardiac Amyloid Topic Page you will find podcast episodes, infographic, references, guest contributors, flutter stars, and so much more.
Dan and Carine chat with Dr. Virginia Hahn about her work profiling HFpEF patients via endomyocardial biopsy only to find a significant proportion of patients with unsuspected cardiac amyloid. This is followed by a high yield discussion with Dr. Joban Vaishnav about ATTR cardiac amyloid treatment and management options. Flutter moment by David Ambinder (MS IV). On the CardioNerds Cardiac Amyloid Topic Page you will find podcast episodes, infographic, references, guest contributors, flutter stars...
Amit and Dr. Zach Il’Giovine learn about multimodality imaging in amyloid from Dr. Paul Cremer at the Cleveland Clinic. On their way to Dr. Cremer’s office, they run into Dr. Eoin Donnellan and discuss some incredible fellow research related to cardiac amyloid from an electrophysiologic perspective. On the CardioNerds Cardiac Amyloid Topic Page you will find podcast episodes, infographic, references, guest contributors, flutter stars, and so much more.
A new case of congestive heart failure due to amyloid cardiomyopathy is presented by Yuxuan Wang and discussed by Carine, Heather, Dan and Amit. Guest oncology star: Jackie Zimmerman. Flutter moment by Mark Heslin. On the CardioNerds Cardiac Amyloid Topic Page you will find podcast episodes, infographic, references, guest contributors, flutter stars, and so much more.
Obstructive hypertrophic cardiomyopathy therapy and septal reduction therapy via alcohol septal ablation and surgical myectomy is discussed by interventional cardiologist Dr. Amar Krishnaswamy and surgical perspective from cardiothoracic surgeon Dr. Per Wierup. Amit joins Dr. Laura Young to take a pulse check with these great experts. Flutter moment by Crystal Silbak, RN. On the CardioNerds Hypertrophic Cardiomyopathy Topic Page you will find podcast episodes, infographic, youtube videos, refere...
This episode features Dr. Edward Kasper offering a unique historical perspective on hypertrophic cardiomyopathy, from its early descriptions and diagnostic challenges to modern genetic insights and multidisciplinary management. He discusses the shift from patient-centric to family-centric care, the complexities of defibrillator decisions, and the principles guiding pharmacologic and interventional therapies. Dr. Kasper also shares personal reflections on his enduring passion for medicine, emphasizing the rewards of longitudinal patient relationships and the value of variety in practice.