Myocarditis: What’s New in 2025 Guest: Leslie T. Cooper Jr., M.D. Host: Kyle W. Klarich, M.D. After this episode of Mayo Clinic’s cardiovascular podcast series “Interviews With the Experts,” the listener will be able to identify the novel 2024 ACC Expert Care Decision Pathway (ECDP) 4-stage classifications of myocarditis. Hear today’s expert discuss pivotal tests in the diagnosis of myocarditis, such as cardiac magnetic resonance (CMR) imaging and endomyocardial biopsy (EMB) are considered. Fina...
Mar 04, 2025•14 min•Ep. 214
Post-Cardiac Ablation Atrial Arrhythmia Monitoring Guest: Suraj Kapa, M.D. Host: Anthony H. Kashou, M.D. In this episode of the segment "ECG Making Waves," the listener will learn to identify the right monitoring approach for a given patient’s arrhythmia considerations around ablation. They will also learn how to list specific considerations when reviewing and interpreting post-ablation arrhythmia ECGs. Topics Discussed: What specific aspects of the ECG and ECG monitoring are important to look f...
Feb 25, 2025•14 min•Ep. 207
Lipid Drugs: Part 2 Guest: Alicia A. Mickow, APRN, C.N.P., M.S.N Host: Stephen L. Kopecky, M.D. In Part 2, we will explore potential side effects and barriers to prescribing these medications, considering various patient factors. If you missed Part 1 last week, we encourage you to listen to it first, as this episode serves as a continuation and conclusion of that discussion. Topics Discussed: Side effects of these newer non-statin drugs Barriers to prescribing those drugs Connect with Mayo Clini...
Feb 18, 2025•12 min•Ep. 193
Lipid Drugs: Part 1 Guest: Alicia A. Mickow, APRN, C.N.P., M.S.N Host: Stephen L. Kopecky, M.D. In Part 1 of this two-part series, listeners will learn the challenges of managing patients who are statin-intolerant, the range of available treatment options, alternative dosing schedules, and strategies for introducing newer medications. Stay tuned for Part 2, where they will examine the side effects of these newer drugs and barriers to prescribing them. Topics Discussed: What are the non-stain med...
Feb 11, 2025•11 min•Ep. 192
Heart Lung Transplantation Guest: Richard C. Daly, M.D. Guest: Philip J. Spencer, M.D. Host: Kyle Klarich, M.D. Heart lung transplantation is the transplant of the combined heart-lung organ bloc from a donor into a recipient who has end-stage disease of both the heart and the lungs. This is often necessary because the disease in 1 of the organs (the heart or the lungs) caused the disease in the other organ system. For example, pulmonary hypertension might cause gradual but irreversible right ven...
Feb 04, 2025•20 min•Ep. 184
Mayo Clinic's Experience with Cardioneural Ablation Guest: Guru Kowlgi, M.B.B.S. Host: Anthony H. Kashou, MD After listening to this podcast, the learners will develop a fundamental understanding of cardioneural ablation, as well as which patients should be referred for the procedure. Additionally, they will get a sense of the outcomes of the cardioneural ablation program at Mayo Clinic. Topics Discussed: Give us a quick refresher of what cardioneural ablation is, and which patient is appropriat...
Jan 28, 2025•12 min•Ep. 201
Aortic Valve Prosthesis Selection Guest: Kimberly Holst, M.D. Host: Sharonne Hayes, M.D. In this podcast we will learn to identify patient specific factors to be considered during evaluation for aortic valve replacement including patient specific anatomy, comorbidities, and lifelong management of aortic valve disease. Learners will learn to identify advantages to mechanical and biologic prostheses for management of aortic valve disease and identify areas of developing technology and treatment op...
Jan 21, 2025•19 min•Ep. 189
Current Nutritional Controversies- What is the Science Behind the Current Trends in Mainstream Media? Guest: Professor Christopher Gardner, Ph.D. Host: Kyla Lara-Breitinger, M.D. From the perspective of both mainstream and social media, it can often seem that there is more controversy than consensus about nutrition topics such as seed oils and ultra processed foods. To the contrary, Christopher Gardner, a nutrition scientist and professor of medicine at Stanford University finds just the opposit...
Jan 16, 2025•37 min•Ep. 200
Can CT Angiography Be Used to Track CAD Regression? Guest: Eric Williamson, M.D. Host: Stephen Kopecky, M.D. Listeners to this podcast will learn about the role of coronary CT angiography (CCTA) in preventative cardiology. CCTA enables early detection and characterization of coronary plaque before significant cardiovascular events occur. It non-invasively visualizes both calcified and non-calcified plaques, allowing for a comprehensive assessment of coronary artery health. These early insights c...
Jan 14, 2025•10 min•Ep. 188
Myth-Busting: Common Misconceptions About Dairy and Heart Health, Personalized Nutrition and Dairy, & Practical Tips for Heart-Healthy Dairy Consumption Guest: Tara Schmidt, RDN, LD Guest: Jen Welper, Executive Chef Host: Kyla Lara-Breitinger, M.D. From encouraging full-fat dairy to avoiding dairy at all costs, the internet has a wide range of opinions and advice, expert and otherwise. Do the nutritional benefits outweigh the risks? Are there populations of people who should avoid it? Mayo C...
Jan 10, 2025•36 min•Ep. 205
The Role of Saturated Fats in Dairy & Dairy Alternatives and Their Impact Guest: Richard S. Bruno, Ph.D., RD. Host: Kyla Lara-Breitinger, M.D. The role of dairy foods—particularly full-fat varieties—in a healthy dietary pattern has been a subject of controversy for decades. Health recommendations have traditionally emphasized non-fat and low-fat dairy options to minimize energy (calorie) and saturated fat intake. Topics Discussed: The challenges inherent in conducting food-based research. Th...
Jan 08, 2025•23 min•Ep. 204
Antiplatelets After Stenting Guest: Malcolm Bell, M.D. Host: Sharonne Hayes, M.D. In this podcast, we discuss the rationale for shortening the duration of dual antiplatelet therapy after coronary stenting and continuing P2Y12 inhibitor in preference to continuing aspirin as monotherapy. With this approach, the risk of significant bleeding is reduced significantly and with no corresponding increase in ischemic or thrombotic events. This strategy is particularly attractive for patients who are con...
Jan 07, 2025•19 min•Ep. 187
Introduction to Dairy and Cardiovascular Health & The Science Behind Dairy and Heart Health Guest: Maya Vadiveloo, Ph.D., RD. Host: Kyla Lara-Breitinger, M.D. After this podcast, listeners will understand the rationale behind low-fat dairy guidance. They will also learn about the benefits of dairy products, how to incorporate dairy if lactose intolerant, and what to look for in dairy-based alternatives. Finally, listeners will learn practical suggestions for incorporating dairy products into...
Jan 06, 2025•23 min•Ep. 203
Modeling Disease Pathways Through Ventricular Depolarization Guest: Peter van Dam, PhD Host: Anthony H. Kashou, MD Detection of disease progression is hampered due to the large variation in normal QRS morphologies, even for the ECG expert. Cardiac modeling techniques can improve the interpretation and diagnostic value of the ECG by visualizing relevant QRS deviations. Comparing the QRS waveforms and electrical pathway in genetical patients to normal controls shows that even small changes in the ...
Dec 31, 2024•10 min•Ep. 190
Role of Denervation for Hypertension Management Guest: Sanjay Misra, M.D. Host: Paul Friedman, M.D. In this podcast, the listener will learn more what renal denervation is, the mechanism by which it works, how the procedure is performed, and expected outcomes for patients. Topics Discussed: Ideal candidate and work up of the patient for renal denervation. Describe the procedure, as well as the risks and benefits. Follow up for patients after the procedure. Anticipated outcomes. Connect with Mayo...
Dec 24, 2024•16 min•Ep. 186
Chronic Thrombo-Embolic Pulmonary Hypertension Guest: Robert P. Frantz, M.D. Host: Kyle Klarich, M.D. In this episode, the experts discuss chronic thrombo-embolic pulmonary hypertension. Chronic thromboembolic pulmonary hypertension results from unresolved emboli in the lungs, causing increased resistance, right heart strain, and shortness of breath. Listeners will learn more about three different treatments available, including surgery, balloons, and medication. Topics Discussed: What is chroni...
Dec 17, 2024•15 min•Ep. 196
Arrhythmias in Pregnancy Guest: Katie A. Young, M.D. Guest: Abhishek J. Deshmukh, M.B.B.S. Host: Paul A. Friedman, M.D. This episode dives into the complex and fascinating world of arrhythmia management during pregnancy, exploring how unique physiological changes can increase arrhythmia risk and impact treatment approaches. We’ll discuss common and high-risk arrhythmias, management strategies and the importance of a collaborative care approach involving specialists across disciplines. Topics Dis...
Dec 10, 2024•20 min•Ep. 195
AI ECG Updates Guest: Francisco Lopez-Jimenez, M.D., M.S. Host: Anthony H. Kashou, M.D. There have been many recent developments regarding AI-ECG, with some algorithms able to identify common and very relevant medical conditions like CAD and diastolic disfunction. There are major limitations implementing AI-ECG, including regulatory, technical and clinician-related. Algorithms meant to detect rare diseases, when used indiscriminately, may lead to many false positive results. The future of AI-ECG...
Dec 03, 2024•13 min•Ep. 183
Optimal Medical Therapy in Peripheral Artery Disease Guest: Stan Henkin, M.D. Host: Malcolm R. Bell, M.D. Atherosclerosis of peripheral (ie, non-coronary) arteries, also known as peripheral artery disease (PAD), affects more than 8 million Americans. Unfortunately, compared to coronary artery disease (CAD), PAD is often underdiagnosed and undertreated. In this podcast, experts discuss optimal medical therapy in patients with PAD. Topics Discussed: What is peripheral artery disease? What are the ...
Nov 26, 2024•16 min•Ep. 182
Dyspnea After Pulmonary Embolism: Optimal Medical Therapy in Peripheral Vascular Disease Guest: Stan Henkin, M.D. Host: Malcolm R. Bell, M.D. Historically, majority of clinical and research focus has been on acute management of pulmonary embolism (PE). However, long-standing functional impairment after PE is common, occurring in up to 50% of individuals with history of PE. This is termed post-PE syndrome – an underrecognized, underdiagnosed, and undertreated entity. In this podcast, experts disc...
Nov 19, 2024•18 min•Ep. 181
MINOCA: Myocardial Infarction with Non-Obstructive Coronary Arteries Guest: Claire E. Raphael, M.B.B.S., Ph.D. Host: Sharonne Hayes, M.D. MINOCA is a myocardial infarction with no obstructive coronary artery disease. This podcast will discuss the underlying causes of MINOCA, how to and who to investigate and discuss contemporary management strategies. Topics Discussed: What is MINOCA? What testing should I consider in patients with MINOCA How are these patients treated? Connect with Mayo Clinic'...
Nov 12, 2024•20 min•Ep. 179
An AI-ECG Algorithm for Left Ventricular Diastolic Dysfunction Guest: Jae Oh, M.D. Host: Anthony H. Kashou, M.D. Diastolic function assessment is crucial in diagnosing, managing, and predicting outcomes in various cardiac conditions. It provides insight into heart health, particularly in diagnosing heart failure. Shortness of breath, a common patient complaint, often indicates elevated diastolic filling pressure if linked to a cardiac condition. Echocardiography is the primary method for assessi...
Nov 05, 2024•16 min•Ep. 177
Novel Mitral Therapies Guest: Arman Arghami, M.D., M.P.H. Guest: Mayra Guerrero, M.D. Host: Kyle Klarich, M.D. And the end of this podcast, the listener should understand how to identify new minimally invasive procedures to treat patients with mitral valve disease, delineate the difference between minimally invasive surgery versus percutaneous transcatheter interventions for mitral valve disease, and recognize when to refer patients for mitral valve interventions. Topics Discussed: What are the ...
Oct 29, 2024•21 min•Ep. 180
Myocarditis - Presentation and Recent Advances Guest: Drew Rosenbaum, M.D. Host: Sharonne Hayes, M.D. Through this podcast, listeners should understand how myocarditis manifests, both in the hospitalized patients as well as in clinical practice in order to facilitate recognition of the disease to initiate the appropriate work and achieve a diagnosis. The treatment strategies depend highly on the underlying condition. Although current strategies for treatment are evolving, a conceptual framework ...
Oct 22, 2024•17 min•Ep. 178
Valve Disease in Pregnancy Guest: Katie Young, M.D. Hosts: Sharonne Hayes, M.D. In this podcast we will review the medical management of native valvular heart disease in pregnancy, highlighting the importance of specialized care through a Pregnancy Heart Team approach. Topics Discussed: What are the anticipated physiologic changes of pregnancy and their importance to individuals with valvular heart disease? What are the highest risk valvular lesions for pregnancy? Can you discuss general medical...
Oct 15, 2024•19 min•Ep. 171
Cardioneural ablation for atrial fibrillation: Indications and rationale Guest: Guru G. Kowlgi, M.B.B.S. Host: Anthony H. Kashou, M.D. The learners will get an overview of how high a vagal tone can contribute to atrial fibrillation. In addition, they will gain an understanding of cardioneural ablation, which is a promising new catheter ablation treatment option for these patients. Topics Discussed How does high vagal tone contribute to atrial fibrillation What subset of patients with atrial fibr...
Oct 08, 2024•10 min•Ep. 174
Interventional Management of Acute Pulmonary Embolism Guest: Arashk Motiei, M.D. Hosts: Sharonne Hayes, M.D. We will discuss the can temporary interventional management of patients with massive acute pulmonary embolism and intermediate high-risk acute pulmonary embolism. Topics Discussed: Who are the patients with pulmonary embolism who need to be considered for interventional treatment? What do we know about risk assessment in patients with intermediate high-risk pulmonary embolism? What are th...
Oct 01, 2024•13 min•Ep. 176
Cardiac Amyloidosis: No Longer Rare and Untreatable! Guest: Omar F. Abou Ezzeddine, M.D., M.S. Hosts: Malcolm R. Bell, M.D. Transthyretin amyloid cardiomyopathy (ATTR-CM), once considered rare, is more prevalent than previously thought. Diagnosing ATTR-CM is particularly important because there are now highly effective, specific therapies for ATTR-CM. In this podcast, we will provide a contemporary review of the diagnostic and therapeutic approach to patients with ATTR-CM in the current era. Top...
Sep 24, 2024•24 min•Ep. 175
IV Agents to Improve Echo Images, Value, and Safe Administration Guest: Jeremy Thaden, M.D. Guest: Mays Ali, M.D. Hosts: Kyle Klarich, M.D. In this podcast we will review current and evolving indications for UEA use in the clinical and research setting. They will review Mayo Clinic’s practice for UEA administration, commonly encountered UEA side-effects, and appropriate management strategies. Topics Discussed: What are the indications to use ultrasound enhancement agent (UEA) in your clinical pr...
Sep 17, 2024•25 min•Ep. 170
Cardioneural Ablation - A Promising Treatment Strategy for Refractory Vasovagal Syncope Guest: Guru G. Kowlgi, M.B.B.S. Host: Anthony H. Kashou, M.D. The learners will get an overview of how to diagnose and manage vasovagal syncope. In addition, they will gain an understanding of cardioneural ablation, which is a promising new catheter ablation treatment option for these patients. Topics Discussed What is vasovagal syncope (VVS)? How do we diagnose vasovagal syncope? What are some treatment stra...
Sep 10, 2024•12 min•Ep. 172
