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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CardioNerd ( Amit Goyal ), cardioobstetrics series co-chair Dr. Sonia Shah (FIT, UT Southwestern) and episode lead Dr. Kayle Shapero (FIT, UPMC) discuss pregnancy in patients with pulmonary hypertension with Dr. Candice Silversides, Associate Professor of Medicine and the Director of the Pregnancy and Heart Disease program and head of the Obstetric Medicine program at the University of Toronto . Disclosures: None Claim free CME for enjoying this episode! Abstract • Pearls • Quotables • Notes • R...
This episode delves into the complexities of managing arrhythmias during pregnancy, covering everything from normal physiological changes to acute and chronic treatment strategies. Dr. Andrea Russo discusses preconception counseling, safe antiarrhythmic medications, and considerations for inherited arrhythmia syndromes, emphasizing urgent and collaborative care. The discussion also highlights the unique challenges in peripartum and breastfeeding periods, along with critical insights into cardiac arrest management in pregnant patients.
CardioNerd ( Amit Goyal ), Narratives in Cardiology FIT representative Dr. Zarina Sharalaya and Cleveland Clinic fellow Dr. Gregory Ogunnowo join Dr. Quinn Capers IV , UTSW as Professor of Medicine, Associate Dean of Faculty Diversity, and the inaugural Vice Chair of Diversity, Equity, and Inclusion in the Department of Internal Medicine, for an important and moving discussion about diversity, implicit bias, and #BlackMenInMedicine . Special thanks to Dr. Kimberly Manning for her introductory re...
CardioNerds ( Amit Goyal & Daniel Ambinder ) join Dr. Rayan Jo Rachwan , Dr. Anupama Joseph, and Dr. Mohammed Merchant from the University of Wisconsin-Madison for a classic Madison dinner cruise! They discuss the following case: Mixed shock secondary to severe right ventricular outflow tract obstruction with Gemella Haemolysans prosthetic pulmonary valve endocarditis in a young patient with Shone Complex (syndrome). Dr. Ford Ballantyne III provides the E-CPR segment for this episode. Specia...
CardioNerds ( Amit Goyal , Daniel Ambinder , Carine Hamo , and Karan Desai ) are honored to bring to you the Braunwald Chronicles. These are stories of discovery, innovation, accidents, perseverance, and more…truly these are the stories of cardiology, directly from a father of modern cardiology himself, Dr. Eugene Braunwald . Dr. Braunwald’s life and stories together are the saga which have brought us to this day in modern cardiology. So please join us for this wonderful series, as we journey th...
CardioNerds ( Amit Goyal , Daniel Ambinder , Carine Hamo , and Karan Desai ) are honored to bring to you the Braunwald Chronicles. These are stories of discovery, innovation, accidents, perseverance, and more…truly these are the stories of cardiology, directly from a father of modern cardiology himself, Dr. Eugene Braunwald . Dr. Braunwald’s life and stories together are the saga which have brought us to this day in modern cardiology. So please join us for this wonderful series, as we journey th...
CardioNerds ( Amit Goyal , Daniel Ambinder , Carine Hamo , and Karan Desai ) are honored to bring to you the Braunwald Chronicles. These are stories of discovery, innovation, accidents, perseverance, and more…truly these are the stories of cardiology, directly from a father of modern cardiology himself, Dr. Eugene Braunwald . Dr. Braunwald’s life and stories together are the saga which have brought us to this day in modern cardiology. So please join us for the Braunwald Chronicles, as we journey...
CardioNerds ( Amit Goyal , Daniel Ambinder , Carine Hamo , and Karan Desai ) are honored to bring to you the Braunwald Chronicles. These are stories of discovery, innovation, accidents, perseverance, and more…truly these are the stories of cardiology, directly from a father of modern cardiology himself, Dr. Eugene Braunwald . Dr. Braunwald’s life and stories together are the saga which have brought us to this day in modern cardiology. So please join us for the Braunwald Chronicles, as we journey...
CardioNerds ( Amit Goyal , Daniel Ambinder , Carine Hamo , and Karan Desai ) are honored to bring to you the Braunwald Chronicles. These are stories of discovery, innovation, accidents, perseverance, and more…truly these are the stories of cardiology, directly from a father of modern cardiology himself, Dr. Eugene Braunwald . Dr. Braunwald’s life and stories together are the saga which have brought us to this day in modern cardiology. So please join us for the Braunwald Chronicles, as we journey...
CardioNerds ( Amit Goyal , Daniel Ambinder , Carine Hamo , and Karan Desai ) are honored to bring to you the Braunwald Chronicles. These are stories of discovery, innovation, accidents, perseverance, and more…truly these are the stories of cardiology, directly from a father of modern cardiology himself, Dr. Eugene Braunwald . Dr. Braunwald’s life and stories together are the saga which have brought us to this day in modern cardiology. So please join us for the Braunwald Chronicles, as we journey...
CardioNerds discuss pregnancy and coronary artery disease with Dr. Malissa Wood, an expert from MGH. The conversation covers the differential diagnosis and management of chest pain and acute coronary syndromes in pregnant and postpartum patients, with a special focus on spontaneous coronary artery dissection (SCAD). They also explore imaging limitations, pharmacologic therapy, and crucial patient advocacy for women's cardiovascular health during and after pregnancy.
CardioNerds welcomes Dr. Julie Damp to discuss peripartum cardiomyopathy (PPCM), covering its diagnosis, differentiation from normal pregnancy, and acute management strategies for heart failure and cardiogenic shock. The episode delves into critical aspects like goal-directed medical therapy, the controversial use of bromocriptine, and counseling patients on breastfeeding, future pregnancies, and contraception. It also touches on genetic factors, recovery predictors, and the importance of diversity in cardiology and women's heart health advocacy.
CardioNerds ( Amit Goyal and Daniel Ambinder ) join Dr. Gina Lundberg (Associate Professor of Medicine at Emory University School of Medicine, Clinical Director of the Emory Women’s Heart Center, and Chair Elect for the ACC WIC Section) and Dr. Zarina Sharalaya (interventional cardiology fellow at CCF, CardioNerds Narratives FIT Council Member ) for a Narratives in Cardiology episode. Dr. Lundberg highlights the disparities that exists with representation of women in cardiology and cardiology su...
This episode explores normal cardiovascular physiology during pregnancy with Dr. Garima Sharma, covering key hemodynamic, hormonal, and structural adaptations. It discusses how these changes manifest in clinical exams and diagnostic tests. The episode also critically examines the alarming rise in maternal mortality in the U.S., highlighting significant racial disparities and the crucial role of prevention and specialized cardio-obstetrics care.
CardioNerds ( Amit Goyal and Karan Desai ) enjoy a picnic at Charm City’s Inner Harbor with Dr. Manu Mysore , Dr. Shawn Samanta , and Dr. Rawan Amir from the University of Maryland division of Cardiology as they dive into important case discussion about a patient with of non-ischemic cardiomyopathy s/p orthotopic heart transplantation who presents with dyspnea due to cell mediated rejection . Dr. Gautam Ramani Medical Director of Clinical Advanced Heart Failure at the University of Maryland, pro...
CardioNerd Amit Goyal is joined by Dr. Erika Hutt (Cleveland Clinic general cardiology fellow), Dr. Aldo Schenone (Brigham and Women’s advanced cardiovascular imaging fellow), and Dr. Wael Jaber (Cleveland Clinic cardiovascular imaging staff and co-founder of Cardiac Imaging Agora ) to discuss nuclear and complimentary multimodality cardiovascular imaging for the evaluation of multimodality imaging evaluation for cardiac amyloidosis . Show notes were created by Dr. Hussain Khalid (University of ...
CardioNerds ( Amit Goyal and Daniel Ambinder ) join Dr. Christine Albert (Professor of Medicine, Founding Chair of the Department of Cardiology at Cedars-Sinai, and President of Heart Rhythm Society) and Dr. Rachita Navara (FIT at Washington University, soon to be EP fellow at UCSF) for a Narratives in Cardiology episode. We learn from their experiences as physician scientists and women in cardiology, and specifically in electrophysiology. Claim free CME just for enjoying this episode! Cardioner...
Join Thomas Jefferson University FITs, Drs. Sean Dikdan, Rachel Debenham and Harsh Doshi, as well as Cardionerds, Dan Ambinder and Karan Desai, on this incredible story of a young man who presented with ventricular arrhythmias and cardiogenic shock. The TJU Cardionerds expertly walk us through a rare diagnosis, his course over several years and his ultimate treatment with heart transplantation. From the evaluation of cardiogenic shock to the role of endomyocardial biopsy to facing inequities in ...
CardioNerds ( Amit Goyal & Karan Desai ) join Dr. Alex Pipilas ( FIT, Boston University ) and Dr. Danny Pipilas ( FIT, MGH ) for in Boston, MA. Adult congenital heart disease expert Dr. Keri Shafer (Brigham and Women’s Hospital) provides the E-CPR expert segment. They discuss a case of heart failure secondary to sinus venosus defect with partial anomalous pulmonary venous return. Claim free CME just for enjoying this episode! Jump to : Patient summary – Case media – Case teaching – Reference...
CardioNerds ( Amit Goyal and Daniel Ambinder ) join Dr. Bryan Smith (Advanced Heart Failure and Transplant Cardiologist at the University of Chicago) and Dr. Shirlene Obuobi (rising cardiology fellow, CardioNerds ambassador for the University of Chicago, and creator of ShirlyWhirl, M.D. ) They discuss the story of a patient with end stage heart failure due to peripartum cardiomyopathy that highlights racial disparities in healthcare and advanced heart failure. They emphasize the importance of pr...
CardioNerds discusses the multimodality evaluation of anomalous coronary arteries and myocardial bridges. Experts emphasize identifying mechanical compression through dobutamine or exercise stress testing, rather than vasodilators. The episode also delves into CCTA's role in defining anatomy and risk features, and the advantages of iFR over FFR for dynamic lesions, concluding with an overview of a comprehensive multimodality clinical approach for symptomatic patients.
CardioNerds ( Amit Goyal & Daniel Ambinder ) join University of Maryland cardiology fellows ( Manu Mysore , Adam Zviman , and Scott Butler) for some cardiology and an Orioles game in Baltimore! They discuss a rare cause of postpartum angina and cardiac arrest due to coronary vasculitis . Program director Dr. Mukta Srivastava provides the E-CPR expert segment and a message for applicants. Episode notes were developed by Johns Hopkins internal medicine resident Rick Ferraro with mentorship fro...
CardioNerd Amit Goyal is joined by Dr. Erika Hutt (Cleveland Clinic general cardiology fellow), Dr. Aldo Schenone (Brigham and Women’s advanced cardiovascular imaging fellow), and Dr. Wael Jaber (Cleveland Clinic cardiovascular imaging staff and co-founder of Cardiac Imaging Agora ) to discuss nuclear and complimentary multimodality cardiovascular imaging for the evaluation of myocardial viability. Show notes & #Tweetorial were created by Dr. Hussain Khalid (University of Florida general car...
CardioNerd Amit Goyal is joined by Dr. Erika Hutt (Cleveland Clinic general cardiology fellow), Dr. Aldo Schenone (Brigham and Women’s advanced cardiovascular imaging fellow), and Dr. Wael Jaber (Cleveland Clinic cardiovascular imaging staff and co-founder of Cardiac Imaging Agora ) to discuss nuclear and complimentary multimodality cardiovascular imaging for the evaluation of coronary microvascular disease. To learn more about multimodality cardiovascular imaging, check out Cardiac Imaging Agor...
CardioNerds ( Amit Goyal & Carine Hamo ) discuss the past, present, and future of Women’s Heart Health & Women in Cardiology with Dr. Nanette Wenger , Professor of Medicine in the Division of Cardiology at the Emory University School of Medicine . Dr. Wenger is a true leader in the field of women’s heart health and a strong proponent for women in cardiology and medicine. Her passion, dedication, and advocacy have inspired countless trainees to carry this torch and continue to build on he...
The CardioNerds explore nuclear and complementary multimodality imaging for coronary ischemia, discussing the nuances of functional versus anatomical tests and the comparative advantages of SPECT and PET imaging, including the crucial role of attenuation correction. Experts also delve into innovative applications of nuclear imaging in critical care settings, such as for patients on intra-aortic balloon pumps, and provide guidance on selecting the most appropriate non-invasive test based on individual patient factors. The episode further touches upon the challenges and interpretations of the Ischemia trial and the evolving landscape of chest pain guidelines.
CardioNerds delve into personalized cardiovascular risk assessment with Dr. Amit Khera, covering the limitations of traditional models and the importance of risk-enhancing factors. They discuss the utility of biomarkers, the critical role of cascade screening for familial hypercholesterolemia, and the future of "omics" in precision medicine. A bonus segment features Dr. Ankur Kalra, introducing the CHAI Collaborative's mission to identify genetic markers for heightened atherosclerosis in South Asians. The discussion emphasizes patient empowerment and the rewarding aspects of preventive cardiology.
Part two of the hypertension discussion covers a comprehensive approach to secondary hypertension, including common and uncommon causes, and detailed screening strategies. It then tackles resistant hypertension, distinguishing it from refractory forms, and outlines pharmacological management, emphasizing spironolactone as a key fourth-line therapy. The episode also explores future and interventional treatments, concluding with an insightful discussion on the critical role and holistic benefits of cardiac rehabilitation.
This CardioNerds episode features Dr. Luke Laffin, a preventive cardiologist and hypertension expert, who clarifies the redefinition of hypertension thresholds based on the SPRINT trial and discusses proper blood pressure measurement techniques, including home and ambulatory monitoring. The conversation also delves into comprehensive non-pharmacologic management, such as the DASH diet, sodium reduction, exercise, and the critical role of sleep, before addressing initial medication choices tailored to patient profiles and the complexities of hypertensive disorders during pregnancy.
CardioNerds ( Amit Goyal and Daniel Ambinder ) introduce the CardioNerds Narratives in Cardiology Series which will feature the stories of amazing cardiovascular faculty and trainees representing diverse backgrounds, subspecialties, career stages, and career paths. To kick this series off, Dr. Pamela Douglas , who heads the Diversity and Inclusion task force for the American College of Cardiology, provides valuable insights in the field and shares her personal story. We are joined by the CardioN...
