Pre-Pregnancy Risk Assessment for CV Patients Guest: Katie A. Young, M.D. Hosts: Malcolm R. Bell, M.D. In this podcast we will review the importance of specialized care in Cardiovascular Obstetrics and the role of the Pregnancy Heart Team in pregnancy risk assessment and pre-conception counseling. Topics Discussed: With maternal mortality rates being 2 fold higher in the US compared to other developed countries, how can we work to decrease maternal mortality rates? How can we best estimate mater...
Sep 03, 2024•15 min•Ep. 169
Cardio-oncology: What is the Big Picture, What Drugs to Use, and What Tests to Follow Guest: Chadi Ayoub, M.B.B.S., Ph.D. Hosts: Sharonne N. Hayes, M.D. In this podcast, we will describe more frequent cardiotoxic effects associated with cancer therapies. Identify imaging modalities that can be used to detect and evaluate cardiotoxicity and common adverse cardiac events associated with immune checkpoint inhibitors. As well review currently available treatment options to address cardiovascular tox...
Aug 27, 2024•28 min•Ep. 168
Clinical Quantification of Myocardial Blood Flow Using PET Guest: Panithaya Chareonthaitawee, M.D. Hosts: Malcolm R. Bell, M.D. In this podcast, we will describe the clinical applications of PET MBF quantitation and discuss the strengths and limitations of PET MBF quantification. Topics Discussed: Why has PET myocardial perfusion imaging seen such growth? You mentioned the ability of PET to measure myocardial blood flow. Why is this crucial? So, should myocardial blood flow measurement be standa...
Aug 20, 2024•21 min•Ep. 167
3D Visualization of the Heart in Immersive Technology Like Mixed Reality Guest: Dr. Klaudia Proniewska Host: Anthony H. Kashou, M.D. The most commonly applied way of teaching students the foundations of human anatomy and physiology involves textbooks and lectures. This method of transmitting knowledge causes difficulties for students, especially in the context of three-dimensional imaging of organ structures, and as a consequence, translates into difficulties with imagining them. Even with the r...
Aug 13, 2024•18 min•Ep. 166
Marfan Surgery Guest: Alberto Pochettino, M.D. Hosts: Paul A. Friedman, M.D. Marfan syndrome is a genetic abnormality where the fibrillin protein is abnormal. That affects all collagen structures within a given individual. Phenotypic features involve ocular abnormalities such as lens dislocation and a higher risk of retinal detachment, as well as diffuse musculoskeletal abnormalities such as scoliosis, joints abnormalities, and the diffuse hyper extension of all joints. By far the most life-thre...
Aug 06, 2024•17 min•Ep. 165
Hypertensive Disorders of Pregnancy and CV Risk Guest: Thais D. Coutinho, M.D. Hosts: Paul A. Friedman, M.D. Hypertensive disorders of pregnancy are common and are associated with a significant increase in the risk of future cardiovascular diseases. Despite the well-established statistics, this increase in risk is not well recognized by patients or healthcare providers. The objectives of this podcast are to highlight the cardiovascular risks associated with hypertensive disorders of pregnancy, d...
Jul 30, 2024•20 min•Ep. 164
Genomics in Inflammatory Cardiomyopathies Guest: Naveen L. Pereira, M.D. Hosts: Kyle W. Klarich, M.D Patients with heart failure and ventricular arrhythmias can have inflammatory heart disease such as myocarditis or sarcoidosis. The diagnosis is typically made by imaging studies including cardiac MRI and PET scans. However, it is critical to performed genetic testing in such patients given that genetic cardiomyopathy can often present as an inflammatory heart disease phenotype which may have imp...
Jul 23, 2024•23 min•Ep. 163
Understanding ECG Waveforms: Normal vs. Abnormal Guest: Dr. Peter van Dam Host: Anthony H. Kashou, M.D. The ECG interpretation is majorly driven by event detection, i.e. QRS onset and end, QT time, P wave etc. From these we can determine the normal heart rhythm, and some performance measures, like heart rate etc. The ECG waveforms, however, are much less understood. This is a pity, as ECG waveforms, provide instantaneous information on the electrophysiological and structural function of the hear...
Jul 16, 2024•13 min•Ep. 162
Recurrent Pericarditis: when is surgical pericardiectomy indicated Guest: Kevin L. Greason, M.D. Hosts: S. Allen Luis, M.B.B.S., Ph.D. Upon completion of this podcast, the reviewer will understand that pericardiectomy is an important treatment option for patients with recurrent pericarditis, particularly where refractory to medical therapy. The outcomes of surgery are good with low morbidity and reduction of recurrent pericarditis episodes. Topics Discussed: Which recurrent pericarditis patients...
Jul 09, 2024•13 min•Ep. 161
Surgical Pericardiectomy for Constrictive Pericarditis Guest: Kevin L. Greason, M.D. Hosts: S. Allen Luis, M.B.B.S., Ph.D. Upon completion of this podcast, the reviewer will understand that pericardiectomy is an important treatment option for patients with constrictive pericarditis. Extensive and complete pericardial resection is important to ensure good surgical outcomes and resolution of heart failure. Topics Discussed: When is a pericardiectomy indicated? What are the different types of peric...
Jul 02, 2024•10 min•Ep. 160
Cardiogenic Shock Recognition Guest: Jacob C. Jentzer, M.D. Hosts: Sharonne Hayes, M.D. Cardiogenic shock is a major cause of death and disability for patients with acute cardiac disease. Early recognition of cardiogenic shock is essential to allow timely intervention to avoid complications. Contemporary research and evolving definitions can facilitate the recognition of subtle manifestations of cardiogenic shock with the goal of improving patient outcomes. Topics Discussed: What are the common ...
Jun 25, 2024•18 min•Ep. 159
Embracing the Future: The Rise of E-Learning in Healthcare Guest: Nandan S. Anavekar, M.B., B.Ch. Host: Anthony H. Kashou, M.D. This episode delves into the dynamic world of online learning for healthcare professionals, discussing the advantages of accessibility and flexibility, but also raises concerns about the lack of teacher interaction and robust outcome studies. While the future holds promise, online learning should be seen as a valuable complement, not a replacement, for traditional metho...
Jun 18, 2024•27 min•Ep. 158
Chronic Limb Threatening Ischemia Guest: Arashk Motiei, M.D. Hosts: Sharonne Hayes, M.D. Chronic limb threatening ischemia is a common problem associated with a high morbidity and mortality. Patients need aggressive multidisciplinary evaluation and treatment to reduce the risk of limb loss and associated cardiovascular risk. Topics Discussed: What are the key clinical manifestations of chronic limb threatening ischemia? What is the risk of limb loss and mortality in patients with chronic limb th...
Jun 11, 2024•15 min•Ep. 157
ECMO - Extracorporeal Membranous Oxygenation Guest: Philip J. Spencer, M.D. Hosts: Malcolm Bell, M.D. Extracorporeal Membranous Oxygenation is a mechanical life support used for severe heart, lung or heart and lung failure. Over the last decade it has grown massively in use to help us support our most ill patients to destination therapy or recovery. Topics Discussed: Can you describe some of the history of ECMO to explain how we got to present day use? Please describe some key differences in ven...
Jun 04, 2024•17 min•Ep. 156