PODCAST

Cardiology

ReachMD

science & medicine medicine

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00:00:00

Evaluating Cognitive Changes After Cardiac Surgery

Cardiology ·

2009/02/03

Guest: Jose Biller, MD Host: Mark Nolan Hill, MD Though innovations in surgical technology and anesthetic techniques have greatly improved the outlook following cardiac surgery, we must remain attentive to the possibility of post-operative complications. One area of concern includes adverse neurologic outcomes. Dr. Jose Biller, professor of neurology and neurological surgery at the Loyola University Chicago Stritch School of Medicine and chair of neurology at Loyola University

00:00:00

Saving Lives With CPR and AED

Cardiology ·

2009/02/03

Guest: Vincent Bufalino, MD Host: Bruce Japsen CPR and AED can make the difference between life and death. But the varying degrees of knowledge and usage of these life-saving practices across the country may be putting people at risk for death from cardiac arrest. Dr. Vincent Bufalino, CEO of Midwest Heart Specialists, one of the biggest community cardiac physician groups in the country, and director of cardiovascular services at Edward Heart Hospital in the western Chicago suburb

00:00:00

Transitioning Cardiac Patients From Pediatric to...

Cardiology ·

2009/02/03

Host: Jennifer Shu, MD, FAAP Guest: Michael McConnell, MD Once mostly a condition of childhood, our patients with congenital heart disease are now living well into adulthood: nearly two million American children and adults are living with a congenital heart defect. What are the special medical needs of our cardiac patients as they transition from adolescence to adulthood? Dr. Michael McConnell, co-director of the adult congenital heart disease clinic at Sibley Heart Center

00:00:00

Changing the Paradigm of Valve Surgery: Repair or...

Cardiology ·

2009/01/30

Guest: W. Randolph Chitwood, Jr., MD Host: Mark Nolan Hill, MD The most pressing question facing cardiac valve surgery is whether to undergo a replacement or repair procedure. Though outcomes of valve reconstruction are, in many cases, proving notably better than valve replacement, it is estimated that only a small majority of potential candidates are undergoing the valve repair. How can we reconcile this discrepancy—one that would appear to be placing our patients at greater

00:00:00

PDAs in Infants: To Close or Not to Close?

Cardiology ·

2009/01/26

Guest: Darshak Sanghavi, MD Host: Jennifer Shu, MD, FAAP In preterm neonates with a patent ductus arteriosus (PDA), the standard of care has been to attempt to close the defect. Yet some experts have asked whether we need to treat PDA in most preemies. If we are to resolve the condition, there are various methods and protocols for treatment and even prevention; how do outcomes for PDA closure vary by treatment strategy? Dr. Darshak Sanghavi, chief of pediatric cardiology and

00:00:00

Connections Between Depression and Heart Disease

Cardiology ·

2009/01/22

Guest: Leo Pozuelo, MD Host: Lee Freedman, MD Does a patient who becomes depressed have a higher risk of developing heart disease. Conversely, is a patient with heart disease at greater risk for developing depression? What manifestations associate depression and heart disease? Dr. Leo Pozuelo, associate director of the Bakken Heart Brain-Institute at the Cleveland Clinic, examines the relationship between heart disease and depression with host Dr. Lee Freedman. Does treating a

00:00:00

Is Cardiac Resynchronization Beneficial?

Cardiology ·

2009/01/22

Guest: David Kass, MD Host: Larry Kaskel, MD Does cardiac resynchronization therapy reduce the long term mortality risk in patients with heart failure. Host Dr. Larry Kaskel discusses with Dr. David Kass, a professor of cardiology at the Johns Hopkins University School of Medicine, the history of cardiac resynchronization and its application in the prevention of heart failure. Tune in to hear why the primary care physician should care about ventricular dyssnchrony, and the

00:00:00

The FAME Study, Fractional Flow Reserve and Reducing...

Cardiology ·

2009/01/20

Guest: William Fearon, MD Host: Bruce Japsen It's called the FAME study, and doctors placing stents or conducting bypass surgery are going to be hearing more about it.Dr. William Fearon, an assistant professor of cardiovascular medicine at Stanford University, tells host Bruce Japsen about how patients whose treatment was based on fractional flow reserve wereless likely to have a major adverse cardiac event than those who had standard angiography.

00:00:00

Unexpected Elevated Blood Pressure: What to Do?

Cardiology ·

2009/01/09

Guest: Michael Bresler Host: Shira Johnson, MD Do you know how to respond in your office to an unexpectedly elevated blood pressure in a patient not previously diagnosed with hypertension? Dr. Michael Bresler, professor in the division of emergency medicine at StanfordUniversity School of Medicine and director of emergency medicine at the Mills-Peninsula Health System, discusses management of a new diagnosis of hypertension. Dr. Shira Johnson is the host as Dr. Bresler reviews a

00:00:00

What Cardiac Markers Can Tell Us in the ED

Cardiology ·

2008/12/23

Guest: Joseph R. Lex, MD Host: Shira Johnson, MD What can we learn from cardiac markers such as troponin and troponin 1 in the emergency department and how will this dictate the decisions we make in caring for our patients? Dr. Joseph Lex, associate professor of medicine in the department of emergency medicine at Temple University School of Medicine in Philadelphia, joins host Dr. Shira Johnson to tell us what cardiac markers do and do not tell us. Is there a marker indicating

00:00:00

Cardiac Arrest: When Should EMS Scoop and Run?

Cardiology ·

2008/12/17

Guest: Marianne Gaushe-Hill, MD Host: Shira Johnson, MD EMS care has advanced since the first ambulances scooped a patient up and ran to the hospital. But is it time to go back to BLS? Dr Marianne Gauche-Hill, Director of EMS at UCLA Harbor and Professor of Medicine at UCLA, discusses research from Canada and the US showing that for certain diagnosis, EMS should not continue ACLS at the scene. Join Dr Shira Johnson as she discusses this controversal topic which may impact the EMS

00:00:00

ACLS versus BLS: When is Less More?

Cardiology ·

2008/12/17

Guest: Marianne Gaushe-Hill, MD Host: Shira Johnson, MD When should your emergency medical services unit be transporting instead of treating? Dr. Marianne Gauche-Hill, professor of medicine at the David Geffen School of Medicine at UCLA and director of EMS at Harbor-UCLA Medical Center, reveals recent studies in the literature showing that less treatment may be more efficacious. Join Dr. Shira Johnson as she interviews Dr. Gauche-Hill to discussscenerios whenthe diagnosis in the

00:00:00

Can Angioplasty Improve Quality of Life for CAD...

Cardiology ·

2008/12/03

Guest: William S. Weintraub, MD, MACC, FAHA, FESC Host: Matthew J. Sorrentino, MD, FACC, FASH The COURAGE trial suggested that optimal medical therapy and angioplasty are equivalent in reducing major cardiovascular events for patients with coronary artery disease. Dr. William Weintraub, the John H. Ammon Chair of Cardiology and director of the Center for Outcomes Research at the Christiana Care Health System in Newark, Delaware, will describe his research on the impact of

00:00:00

Cardiac Arrest: Management and Survival

Cardiology ·

2008/11/21

Host: Shira Johnson, MD Guest: Benjamin Abella, MD Cardiac arrest management used to mean CPR and efforts that were often futile. Now more patients are surviving until discharge because of new techniques maximizing compressions and administering hypothermia. Join host Dr. Shira Johnson with Dr. Benjamin Abella, assistant professor in the department of emergency medicine at the University of Pennsylvania, to discuss the techniques on the forefront of resuscitation medicine that are

00:00:00

The Biomechanical Approach to Heart Disease

Cardiology ·

2008/11/13

Guest: Joseph Gorman III, MD Host: Lee Freedman, MD Many cardiovascular researchers consider the heart from a biochemical or genetic standpoint, but what are the advantages to a biomechanical approach? Dr. Joseph Gorman, associate professor of surgery at the University of Pennsylvania School of Medicine, considers assessment of the pathogenesis of heart disease and heart failure at the organ level with host Dr. Lee Freedman. How are catheter-based techniques proving effective for

00:00:00

A Look at Psychosocial Issues Post MI and With ICD

Cardiology ·

2008/11/07

Guest: Sue Ann Thomas, PhD, RN Host: Susan Dolan, RN, JD What is the psychological impact of having an ICD? Dr. Sue Thomas, assistant dean for PhD studies and professor at the University of Maryland School of Nursing, shares her research as principal investigator on the PRHAT trial, in which she investigated long-term changes in anxiety and depression amongst patients post-MI. Dr. Thomas also outlines a holistic model of cardiovascular health.Susan Dolan hosts.

00:00:00

Aspirin Resistance and Its Implications in Clinical...

Cardiology ·

2008/10/27

Guest: Wayne Peters, MD Host: Larry Kaskel, MD Recent studies indicate that some patients may not obtain the full benefits of aspirin's antiplatelet effects Guest Dr. Wayne Peters discusses with host Dr. Larry Kaskel the benefits of aspirin to prevent and manage heart disease, and the tests available to measure aspirin resistance or platelet function. Dr. Peters outlines the clinical importance of these tests and the various factors that can affect absorption including medications

00:00:00

Healing a Broken Heart: Depression Screening for...

Cardiology ·

2008/10/03

Guest: Kim Lebowitz Host: Lauren Streicher, MD Screening for depression is simple but can be life changing for a patient with heart disease. The American Heart Association is now recommending that all patients with cardiac issues be screened for depression, stress and anxiety. Dr. Kim Lebowitz joins host Dr. Lauren Streicher to discuss how doctors can recognize depression in their cardiac patients and what they can do to get them back on a healthy path both mentally and physically

00:00:00

Pediatric Heart Transplant After Cardiocirculatory Death

Cardiology ·

2008/09/25

Guest: Mark Boucek, MD Host: Mark Nolan Hill, MD For years, we have performed pediatric heart transplants following the declaration of brain death in donors. To this point, those who die of cardiovascular complications have not been considered for heart donorship. How are advances in this area forcing us to reconsider the prospect of a heart transplant after cardiocirculatory death? Host Dr. Mark Nolan Hill considers the potential ramifications of this fascinating investigation

00:00:00

Sudden Cardiac Death Prevention: ICD Indications

Cardiology ·

2008/09/23

Guest: Jeanne Poole, MD Host: Matthew J. Sorrentino, MD, FACC, FASH Patients with advanced heart failure are at increased risk for sudden cardiac arrest, but many of them are not receiving ICD therapy. Dr. Jeanne Poole, professor of medicine and cardiology at the University of Washington, Seattle, will review with host Dr. Matthew Sorrentino the indications for ICD therapy in patients with congestive heart failure.

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