Future Pulse Cardiology - podcast cover

Future Pulse Cardiology

Thomas Nero MD FACCfuturepulse.org

Investigating Innovative Cardiovascular Research at the Intersection of Academic Theory and Clinical Practice. In these discussions we take a deep dive into the latest research and how it informs current practice.  For a patient level discussion, please listen to PATIENT PULSE.  Available on Apple Podcasts, Spotify, YouTube and most other services. Subscribe to have new podcasts sent directly to your player and please email us with any comments.  We would love to hear from you.

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Episodes

Inflammation and Cardio-Rheumatology with Dr Nehal Mehta

We would love to hear your thoughts on the episodes! Dr Thomas Nero discusses inflammation and the role of rheumatologic disorders on coronary artery disease with Dr Nehal Mehta, exploring how chronic inflammation serves as a cornerstone for various health issues, particularly in patients with conditions like psoriasis and serves as a model for investigating cardiovascular therapies. The discussion highlights the role of immune responses, the impact of lifestyle factors, and the importance of ea...

Dec 26, 202452 minSeason 3Ep. 6

Coronary Inflammation Imaging with FAI Score on CT angiography with Prof. Stefan Neubauer

We would love to hear your thoughts on the episodes! Prof. Stefan Neubauer and Dr. Thomas Nero discuss two recent papers on the utility of coronary inflammation imaging on CT coronary angiography with Fat Attenuation Index (FAI)FAI score. The ORFAN study demonstrated a 20 fold increased risk in CV event rates with low vs high FAI score and a 10 fold increased event rate in patients with elevated FAI score who have no coronary plaque. FAI score re-categorized 40% of patients in their follow-up st...

Jun 23, 202446 minSeason 3Ep. 5

Trial Statistics, Trial Design and AI with Dr. C Michael Gibson

We would love to hear your thoughts on the episodes! Dr Gibson and Dr Nero discuss the oft maligned issue of medical statistics. Their discussion covers the pros and cons of traditional Cox proportional hazards regression models and Kaplan-Meier curves and newer techniques including win ratios. They then dip their toes into AI. A great overview by one of our leading clinical trialists.

Feb 29, 202434 minSeason 3Ep. 4

Deep Dive into Lp(a) with Dr Steven Nissen Part 2 of 2

We would love to hear your thoughts on the episodes! This episode is a deep dive into Lipoprotein a with Dr Steven Nissen from the Cleveland Clinic. He and Dr Nero discuss the genetics of Lp(a), its pathophysiology, current treatment strategies and research into lowering Lp(a) levels. This is a fascinating conversation that also discusses the role of coronary inflammation in the work of Dr. Paul Ridker as well as the role of CT angiography in future clinical trials....

Feb 19, 202448 minSeason 3Ep. 3

Lp(a): a basic clinical approach with Dr. Steven Nissen Part 1 of 2

We would love to hear your thoughts on the episodes! Dr Steven Nissen from the Cleveland Clinic discuses with Dr. Thomas Nero the basic clinical approach to Lp(a) with need for routine testing and a few simple case studies. In the second (longer podcast) they take a deep deep dive into Lp(a) genetic, pathophysiology and the current research trials.

Feb 13, 202411 minSeason 3Ep. 2

Coronary Artery Disease in the Endurance Athlete with Dr Aaron Baggish

We would love to hear your thoughts on the episodes! Dr Thomas Nero speaks with Dr Aaron Baggish about coronary artery disease in the endurance athlete (and non-athlete as well!) They discuss cardiovascular testing in Masters athletes including ETT, coronary calcium scoring and CT angiography as well as risk factor identification, inflammation, physical & emotional stress and ongoing research. Dr Baggish is a Professor of Sports Cardiology at Université de Lausanne and founder of the Cardiov...

Feb 01, 202442 minSeason 3Ep. 1

Atrial Fibrillation and Clinical Trials with Dr John Mandrola

We would love to hear your thoughts on the episodes! Dr Mandrola discusses recent trail data with Dr. Thomas Nero including the results from Artesia, NOAH Afnet 6, Frail AF, Azalea and Oceanic-AF. They also discuss Left Atrial Appendage Occlusion and utility of wearable devices. Finally, a shout out to Dr. Andre Foy and his work on multi-morbidity and its role in clinical trial interpretation.

Dec 26, 202349 minSeason 2Ep. 7

Coronary Calcium Score and CT Coronary Angiography with Dr. Mathew Budoff

We would love to hear your thoughts on the episodes! Dr. Thomas Nero speaks with Dr. Mathew Budoff about Coronary Calcium Scoring, CT Coronary Angiography and cardiovascular outcomes. The discussion goes beyond basic risk factor enhancement, highlighting its role to help evaluate disease progression, power future clinical trials and determine efficacy of therapy. Along the way, they discuss coronary inflammation, perivascular adipose tissue imaging and fat attenuation index (FAI) as well as divi...

Dec 03, 202325 minSeason 2Ep. 6

Dr Elizabeth Ofili and The African American Heart Study

We would love to hear your thoughts on the episodes! Dr. Elizabeth Ofili discusses the African American Heart Study with Dr. Thomas Nero. They also discuss her work at the NIH and the African American Heart Failure Trial and the role of community based pragmatic clinical trials.

Nov 26, 202334 minSeason 2Ep. 5

Anticoagulation, Thombin Generation and Factor XI inhibition in ACS and Atrial Fibrillation with Dr C. Michael Gibson

We would love to hear your thoughts on the episodes! Dr. Thomas Nero discusses current therapy with Factor X inhibitors, the new research with Factor XI inhibition and specifically the enrolling Milvexian clinical trials with Dr. C Micahel Gibson. In addition they discuss, the addition of these medications along wiht anti-platelet therapy, Lp(a) and other interesting current and future research in cardiovascular disease....

Jun 25, 202330 minSeason 2Ep. 4

Diabetes and Cardiovascular Disease, SGLT2 inhibitors and GLP1 receptor agonists with Dr. Peter Toth

We would love to hear your thoughts on the episodes! Dr. Thomas Nero speaks with Dr Peter Toth about the dramatic change occuring in diabtetes management and its effect on cardiovascular disease. Starting with the biochemestry of diabetes and its effects at the cellular level, the discussion goes on to speak about the role SGLT2 inhibitors and GLP1 receptor agonists play in DM management as well as the future of diabetes care. (If you want to skip the excelllent, but quite deep dive into biochem...

May 04, 202346 minSeason 2Ep. 3

Inflammation and Coronary Artery Disease with Dr Paul Ridker

We would love to hear your thoughts on the episodes! Dr Paul Ridker discusses his paper on residual inflammatory risk that was recently published in the Lancet with Dr. Thomas Nero. He discusses the pathology of inflammation as part of atherosclerosis, utilization of hs-CRP in clinical trials and in daily practice as well as current therapeutic options and ongoing investigations.

Apr 09, 202341 minSeason 2Ep. 1

Pragmatic Clinical Trials and EVOLVE-MI with Dr Christopher Cannon

We would love to hear your thoughts on the episodes! Dr Christopher Cannon discusses the potential of Pragmatic Clinical Trials in our research armamentarium with Dr. Thomas Nero. They review the EVOLVE-MI trial for Early use of Evolocumab after Myocardial Infarction in detail and highlight the potential for future research.

Dec 12, 202221 minEp. 8

Spontaneous Coronary Artery Dissection (SCAD) with Dr. Sharonne Hayes Part 1

We would love to hear your thoughts on the episodes! Dr Sharonne Hayes of the May Clinic discusses SCAD with Dr. Thomas Nero. Initially focusing on the new treatment paradigms, their wide ranging discussion covers etiology, pathophysiology and potential future therapeutic options. Tis is the first of a two part podcast.

Aug 20, 202226 minEp. 6

Evaluation of Coronary Inflammation with CT angiography and Fat Attenuation Indexing

We would love to hear your thoughts on the episodes! Dr. Nero discusses evaluation of coronary artery disease and coronary inflammaiton with Dr. Cheerag Shirodaria from the University of Oxford. Dr. Shirodaria along with Prof. Charalambos Antonidies at Caristo Diagnostics have developed a ground breaking technology that allows us to evaluate not just the severity of a coronary artery lesion, but also how inflamed it is and how likely it is to cause fatal and non-fatal myocardial infarction. In a...

May 05, 202228 minEp. 5

Legal Aspects of FDA approval and implications for clinical research

We would love to hear your thoughts on the episodes! Prof. Christine Coughlin of Wake Forest School of Law speaks with Dr. Thomas Nero on the FDA approval process, emergency use authorization, Right to Try Legislation and the implications for clinical research, diversity and health care equity. Prof. Coughlin holds positions in the College of Medicine as well as the Law school and in the Center for Bioethics. She has published extensively on the FDA approval process....

Apr 20, 202223 minEp. 4

Coronary Artery Disease in the Athlete with Dr Paul Thompson

We would love to hear your thoughts on the episodes! Although exercise usually provides a cardiovascular benefit, there is some data that points to an increase in event rates in extreme endurance athletes. In this episode, Dr. Thomas Nero and Dr. Paul Thompson discuss the surprising findings regarding coronary calcium, cardiac troponins and atrial fibrillation in the endurance athlete and some thoughts about ideas to pursue in future research....

Mar 11, 202224 minEp. 3

Statin Associated Muscle Symptoms with Dr Thomas Nero and Dr Paul Thompson

We would love to hear your thoughts on the episodes! Dr Nero and Dr Thomposn discuss Statin Associated Muscle Symptoms (SAMS) and the results of the STOMP and SAMSON trials. In addition, they discuss statins and athletic training, options for the statin intolerant patient and research regarding further investigation of the ranitadine receptor among other topics

Mar 09, 202223 minEp. 2

CAD, Lipid Sub-fractionation and Lp(a) with Dr Paul Thompson

We would love to hear your thoughts on the episodes! Our inaugural podcast is a discussion between Dr. Paul Thompson, Chief of Cardiology, Emeritus, at Hartford Hospital and Professor of Medicine, Emeritus, at University of Connecticut and Dr. Thomas Nero, Director of Cardiovascular Research at CAFC about coronary artery disease, lipid sub-fractionation and the role of lipoprotein a, aka Lp(a).

Mar 08, 202221 minEp. 1

Future Pulse Cardiology Trailer

We would love to hear your thoughts on the episodes! I’m Dr Thomas Nero. At Future Pulse our goal is to investigate the future of cardiovascular research and promote that discussion. What is the next step and how will this trickle down to our clinical practice? What’s exciting and new in our field and why should we be interested. We will also look at the other side of the equation: how are we going to get these ideas off the ground? How are we going to make the transition from theory to practice...

Mar 07, 20221 min0
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