Pediheart: Pediatric Cardiology Today artwork

Pediheart: Pediatric Cardiology Today

324 episodes - English - Latest episode: 6 days ago - ★★★★★ - 164 ratings

A review of the latest literature and thought leaders in pediatric cardiovascular care.

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Episodes

Pediheart Podcast #289: Transcatheter Edge-To-Edge AV Valve Repair In Congenital Heart Disease

March 22, 2024 05:00 - 36 minutes - 33.3 MB

This week we delve into the world of interventional cardiology and the Fontan when we review a recent report from the Children's Hospital of Philadelphia on the use of the "MitraClip" for the treatment of AV valve regurgitation in the congenital heart patient. Who would be a good candidate for this novel approach? What are the steps in planning or consideration of this technique in a congenital heart patient? How durable is this form of repair? These are amongst the many questions reviewed th...

Pediheart Podcast Replay of #205: Cefazolin Dosing For Pediatric Cardiovascular Surgery

March 15, 2024 05:00 - 26 minutes - 24.6 MB

This week we review an episode from 2022 in the world of cardiac surgery and pediatric pharmacology when we review a work from Australia on levels of cefazolin during and after surgery. Is there an optimal dose regimen that will achieve proper MIC levels of drug? What should the goal of therapy be in regards to MIC levels? Are there novel means of dosing cefazolin? We speak with pediatric critical care pharmacy coordinator at Mount Sinai Kravis Children's Hospital, Dr. Jessica Frye for the ph...

Pediheart Podcast #288: Can An AI ECG Model Predict LV Dysfunction And Remodeling In Children?

March 08, 2024 06:00 - 47 minutes - 43.9 MB

This week we review a recent work in the artificial intelligence/deep learning space when we review a recent report from the team at Boston Children's Hospital on a novel model trained to predict LV characteristics in children from the ECG. How does such a program identify LV dilation, dysfunction or hypertrophy from a test (the ECG) not designed to provide most of this information? How well did the model perform when it was tested in a different center entirely? Why is it important to unders...

Pediheart Podcast #287: Fontan Associated Liver Disease And Intrahepatic Transcriptomics

March 01, 2024 06:00 - 33 minutes - 30.2 MB

This week we enter the world of the adult congenital heart patient when we discuss Fontan associated liver disease with an ACHD expert, Dr. Katia Bravo-Jaimes of the Mayo Clinic. In this episode we discuss the role of intrahepatic transcriptomics and how genetic analysis of liver biopsy tissue may provide new insights into the pathophysiology of this disease process. How can differential gene expression in the liver of Fontan patients help to explain why some patients have mild versus others ...

Pediheart Podcast #287: Fontan Associated Liver Disease And Intrahepatic Transcriptomics

March 01, 2024 06:00 - 33 minutes - 30.2 MB

This week we enter the world of the adult congenital heart patient when we discuss Fontan associated liver disease with an ACHD expert, Dr. Katia Bravo-Jaimes of the Mayo Clinic. In this episode we discuss the role of intrahepatic transcriptomics and how genetic analysis of liver biopsy tissue may provide new insights into the pathophysiology of this disease process. How can differential gene expression in the liver of Fontan patients help to explain why some patients have mild versus others ...

Pediheart Podcast #286: All About Fetal Aortic Valvuloplasty

February 23, 2024 06:00 - 49 minutes - 45.3 MB

This week we review a recent report from the Boston fetal intervention group about fetal aortic valvuloplasty. What fetal/maternal factors are associated with improved outcomes or technical success of this procedure? What factors are associated with serious adverse events? Who is the 'optimal' candidate for this type of intervention? Why is larger LV size associated with improved technical success? What other types of fetal interventions are being attempted by the Boston team? Drs. Ryan Calla...

Pediheart Podcast #285: Rare RV Outflow Neointimal Obstruction With The Harmony TPV25

February 16, 2024 06:00 - 33 minutes - 30.3 MB

This week we review a recent report on the development of valvular obstruction due to intimal tissue ingrowth in the Harmony valve. How common is this problem? What factors may predispose a Harmony valve patient to develop this rare complication? Does the location of the valve implant matter in regards to this complication? How should Harmony valves be surveilled? There are amongst the questions posed to this week’s guest, Assistant Professor of Medicine at U. Washington, Dr. Zachary Steinber...

Pediheart Podcast Replay of #73: "Treating To Close" - Closing the Adult ASD With Moderate-Severe PAH

February 09, 2024 06:00 - 40 minutes - 37.1 MB

This week we go back in time to 2019 to re-review an important episode in the world of ACHD and review a registry study assessing outcomes in adults with ASD and elevated PVR who underwent ASD closure. Who was a good candidate for this approach? What were the long term outcomes of this form of therapy? Did ASD closure in this setting confer a survival benefit? We review these and many other questions in a 'virtual roundtable' discussion with Drs. Elisa Bradley, presently of Penn State and Ali...

Pediheart Podcast #284: Pulmonary Artery Band Outcomes In The Present Era

February 02, 2024 06:00 - 35 minutes - 32.7 MB

This week we delve into the world of cardiovascular surgery when we review a recent review of STS data on the pulmonary artery band (PAB). The STS assigns a STAT category of 4 to this operation, denoting higher risk for mortality. Is this warranted? Are all PAB candidates equal? What features are associated with higher or lower mortality rates in patients undergoing banding? Should the data in this work drive innovation to avoid the PAB in some settings? These are amongst the questions posed ...

Pediheart Podcast #283: Pediatric Out-Of-Hospital Cardiac Arrest

January 26, 2024 06:00 - 24 minutes - 22 MB

What is the incidence of pediatric out of hosital cardiac arrest and how does it vary depending upon age? What are the most common causes of sudden cardiac arrest in children and what factors can be potentially affected by intevention? What sorts of intervention might reduce rates of sudden cardiac arrest amongst children? Dr. Elizabeth Paratz of St. Vincent's Hospital in Melbourne, Australia, who is an expert in sudden cardiac death, will share her insights into her work and the topic this w...

Pediheart Podcast #282: Very Long Term Follow-Up After ASD Surgical Repair

January 19, 2024 06:00 - 31 minutes - 28.5 MB

In this week's episode we review a recent Dutch study on 50 year follow-up of patients who had ASD repaired at an average age of 7.5 years. How do these patients compare to their middle aged counterparts who did not have congenital heart surgery? Why might the RA or RV be enlarged in these patients, decades after successful ASD closure? How common are arrhythmias seen in this cohort? How common is pulmonary hypertension seen? These are amongst the questions reviewed this week with the work's ...

Pediheart Podcast #281: Reintervention After The Norwood - Earlier Is Better

January 12, 2024 06:00 - 31 minutes - 29.1 MB

This week we review a recent report from the team at Boston Children's Hospital on outcomes of patients following Stage I palliation for HLHS. When patients are not doing well following this surgery, how important is it to identify surgical problems early in these patients? What are the most common problems encountered when a problem is observed? When a reintervention is performed in this setting, how do patients fare overall and is the timing of the reintervention a factor in overall outcome...

Pediheart Podcast #280: Unplanned Extubation In The PCICU - Reason For Concern

January 05, 2024 06:00 - 25 minutes - 23.5 MB

Unplanned extubation in the PCICU patient is a serious concern with many untoward associations. Who is at highest risk for this complication? Why is this complication associated with worse outcomes in general? How does race or ethnicity impact the likelihood of this complication? We speak with Assistant Professor of Pediatrics at the University of Cincinnati and pediatric cardiac critical care expert, Dr. Tanya Perry about a recent PC4 registry study on unplanned extubation in the PCICU. d...

Pediheart Podcast #279: Asset Allocation In Your Retirement Accounts

December 29, 2023 11:26 - 49 minutes - 45 MB

To conclude 2023 we end with noted national authority on personal finance and investing, Mr. Paul Merriman. Mr. Merriman reviews some basic ideas about asset allocation within a retirement plan such as a 403b, 401k or IRA with the goal of achieving the highest degree of return for level of risk. He reviews the importance of diversification and also shares with us both a '2 fund' and '4 fund' approach to creating a low cost, efficient and diversified portfolio that has, historically, been asso...

Pediheart Podcast #279: Asset Allocation In Your Retirement Accounts

December 29, 2023 06:00 - 49 minutes - 45 MB

To conclude 2023 we end with noted national authority on personal finance and investing, Mr. Paul Merriman. Mr. Merriman reviews some basic ideas about asset allocation within a retirement plan such as a 403b, 401k or IRA with the goal of achieving the highest degree of return for level of risk. He reviews the importance of diversification and also shares with us both a '2 fund' and '4 fund' approach to creating a low cost, efficient and diversified portfolio that has, historically, been asso...

Pediheart Podcast Replay of #46: A New Nomenclature For VSD's

December 22, 2023 06:00 - 40 minutes - 37.3 MB

In this replay episode from 5 years ago in 2018, we enter into the world of cardiac morphology and speak with Professor Leo Lopez of Stanford University about a recent work he wrote with the International Society for Nomenclature of Pediatric and Congenital Heart Disease regarding proper nomenclature for VSD's. Is it defect geography or borders that are most important in naming these structures? How was agreement forged between such disparate super-hero experts in cardiovascular medicine and ...

Pediheart Podcast #278: Prevalence Of PTSD Symptoms Amongst ACHD Patients

December 15, 2023 06:00 - 35 minutes - 32.4 MB

This week we return to the world of ACHD when we review a recent German research paper on the prevalence of PTSD symptoms amongst the ACHD patient group. How common is this type of symptom observed in the ACHD patient group? What contributes to the high prevalence (17-20.5%) described in this work? What are the benefits of 'embedding' a mental health care worker in the ACHD clinic/program? What strategies can be employed in pediatric cardiology to potentially mitigate PTSD symptoms in our fut...

Pediheart Podcast #277: Can Anti-Coagulation Be Continued For Children Undergoing Cardiac Catheterization?

December 08, 2023 06:00 - 22 minutes - 20.3 MB

In this week's episode we delve into the world of cardiac catheterization and speak with Assistant Professor of Pediatrics at USC, Dr. Neil Patel about a recent work he co-authored at Children's LA about continuation of anti-coagulation during catheterization. Does AC have to be stopped to safely perform a catheterization? Are there certain cases or patients in whom the risk may be especially high? What about NOACs or DOACs? When should closure devices be considered? These are amongst the que...

Pediheart Podcast #276: Postoperative Ectopic Atrial Tachycardia Following Congenital Heart Surgery

December 01, 2023 06:00 - 24 minutes - 22.9 MB

This week we review a recent work on postoperative ectopic atrial tachycardia (EAT) following congenital heart surgery in children. Are there risk factors for this arrhythmia and are any modifiable? What is the 'go to' therapy used by the electrophysiologists at Children's LA for the acute and chronic treatment of this arrhythmia in the postoperative period? Is the presence of EAT in a postoperative congenital heart patient a marker for a worse outcome? These are amongst the questions posed t...

Pediheart Podcast #275: Single Ventricle Reconstruction Trial At 12 Years: Long Term Follow-Up

November 24, 2023 06:00 - 30 minutes - 27.6 MB

This week we review the results of the latest update of the Single Ventricle Reconstruction trial, specifically SVR III. How are HLHS patients are faring post Norwood at age 12? What is the overall transplant-free survival rate in this group? Are there differences in survival seen at 12 years between BTTT shunt patients and RV-PA conduit shunt patients? How do they compare in exercise capabilities? What about rates of PLE or arrhythmias seen? Are there interventions that may improve outcomes ...

Pediheart Podcast #274: Bringing Humanity To Healthcare With NYT Author and CHD Parent James G. Robinson

November 17, 2023 06:00 - 37 minutes - 34.6 MB

This week's special episode of Pediheart is a conversation with NYT author James G. Robinson. Mr. Robinson recently released his memoir More Than We Expected: Five Years With A Remarkable Child (Post Hill Press) which reviews the life and times of the Robinson family and their son Nadav who was born with complex single ventricle disease in the setting of heterotaxy syndrome. Nadav lost his life at age 5 but was a blessing to his family and those who knew him. What were some of the characteris...

Pediheart Podcast #273: Can Nasal Intubation Of Newborns Undergoing CHD Surgery Improve Postoperative Oral Feeding?

November 10, 2023 06:00 - 27 minutes - 25.3 MB

This week we delve into the worlds of cardiac critical care and congenital heart surgery when we review a recent report of a randomized controlled trial assessing the impact of nasal intubation on rates of NG or G tube feeds at discharge following neonatal congenital heart surgery. Do nasally intubated patients eat by mouth faster and have shorter lengths of stay? What would be the theoretical reasons that this might be useful? What is an 'ICU Liberation bundle' and how did its application to...

Pediheart Podcast #272: Safety Of MRI In Pediatric And ACHD CIED Patients

November 03, 2023 05:00 - 34 minutes - 31.1 MB

This week's episode is co-branded with SADS.ORG and is a review of a recent multicenter PACES study on the general outcomes of patients with congenital heart disease who have undergone MRI's. Just how worried should the practitioner be to send a pacemaker or ICD patient for an MRI of any body part? Is there a period of time after implantation when it is safer to proceed with an MRI? What is meant by an MRI conditional device or lead? Does the part of the body imaged matter in regards to risk ...

Pediheart Podcast #271: A Conversation With Dr. Jane Newburger

October 27, 2023 05:00 - 34 minutes - 31.6 MB

In this week's episode we sit down with Professor Jane Newburger of Harvard University to learn a little bit about her life and times. Where did she grow up and who was her inspiration for becoming a doctor and cardiologist? Who were some of the mentors in her professional life? What was it like to work with Dr. Ami Rosenthal or Dr. Alexander Nadas? After such a rich and impactful career and life, what does Dr. Newburger count as her most satisfying and important accomplishments? These are am...

Pediheart Podcast Replay of #179: Bivalirudin Use For Pediatric Ventricular Assist Devices

October 20, 2023 05:00 - 39 minutes - 36.5 MB

In this replay episode of 2021, week we review a work on the use of bivalirudin on outcomes of pediatric VAD patients. We speak with Dr. Caroline Carly Heyrend of Primary Children's Hospital in Utah about a recent work she co-authored on time in therapeutic range for this agent in children with VAD's. How does bivalirudin work differently than heparin and what are the theoretical benefits or disadvantages of this agent in comparison with unfractionated heparin? Why are thrombotic complication...

Pediheart Podcast #270: Hybrid Palliation For Critical Left Heart Obstructive Disease - Outcomes

October 13, 2023 05:00 - 25 minutes - 23.6 MB

This week we delve into cardiovascular surgery when we review a recent report from the Congenital Surgeons' Society on the outcomes of the hybrid approach of pulmonary artery bands for treatment of infants with critical left heart obstructive disease. What risk factors are associated with worse outcomes? Does this approach confer an advantage in comparison to the traditional 'stage I/Norwood' approach to this problem? Does the presence of multiple risk factors worsen outcomes and if so, to wh...

Pediheart Podcast #269: Role Of The Stress Echo In The Monitoring Of The Kawasaki Disease Patient

October 06, 2023 05:00 - 34 minutes - 31.5 MB

This week we discuss the role of the stress echo in the evaluation and follow-up of the patient with Kawasaki disease. What are the present recommendations on the role of this form of imaging in this patient group? What are its benefits and limitations? Can this form of testing provide actionable data beyond imaging such as CT angiography? What is the possible role of CMR in the management and follow-up of the KD patient? Dr. Kirstin Dummer of Rady Children's Hospital shares her deep insights...

Pediheart Podcast #268: Is An Obstetrical Ultrasound Adequate To Rule Out Critical Heart Disease In A Down Syndrome Fetus?

September 29, 2023 05:00 - 28 minutes - 26 MB

This week we delve into the world of fetal cardiology when review a recent report from Nationwide Children's Hospital on the utility of fetal echocardiography in the setting of a negative obstetrical ultrasound and Down syndrome. Down syndrome is associated with congenital heart disease but can the obstetrical ultrasound effectively rule out 'critical' newborn heart disease, obviating the need for a fetal echo, particularly if a postnatal transthoracic scan is planned? Associate Professor of ...

Pediheart Podcast #267: Do All Pediatric Exertional Chest Pain Patients Warrant An Echocardiogram?

September 22, 2023 05:00 - 31 minutes - 29.1 MB

This week we discuss an important 'general cardiology' question - namely, do all exertional chest pain patients need an echocardiogram. In this debate from the World Congress of Pediatric Cardiology and Cardiac Surgery, we hear 2 noted authorities in non-invasive imaging. First up is Dr. Carolyn Altman of Texas Children's Hospital taking the stance that it is indicated in the majority and following Dr. Altman is Dr. Kenan Stern of Mount Sinai Kravis Children's Hospital defending the role of d...

Pediheart Podcast #266: How Is The Harmony Valve Performing At One Year?

September 15, 2023 05:00 - 40 minutes - 37.4 MB

This week we delve into the world of interventional cardiology and specifically that of transcatheter valves when we review a recent report on the Harmony valve. How are these valves performing at one year in regards to valvular function? Is frame fracture an issue? What percentage required reintervention? How common was ventricular tachycardia seen? Should patients undergoing these implantations undergo pre-procedural EP studies? We review these questions and more with the first author of th...

Pediheart Podcast #265: Ablation Of Difficult Pathways And Tough AVNRT In Children

September 08, 2023 05:00 - 36 minutes - 33.5 MB

This week we will hear 2 lectures from the World Congress on ablation in children from two world authorities. In the first, Professor Jeff Kim of Texas Children's Hospital speaks about unusual accessory pathway connections and offers some insights into how to ablate them. Following Dr. Kim, Professor John Papagiannis, chief of cardiology at the Onassis Center in Greece offers us some insights into why some AVNRT is challenging to ablate and how to approach these rare but difficult cases. Why ...

Pediheart Podcast Replay of #176: A Conversation With Pediatric Cardiology Pioneer Dr. Peter Lang

September 01, 2023 05:00 - 1 hour - 61.7 MB

This week we go back in time 2 years ago and we spend the entire episode speaking with Professor Peter Lang of Harvard University about his rich and long career in pediatric cardiology during one of the most exciting times of the field. Dr. Lang's story includes a virtual who's who of important cardiologists and cardiac surgeons for the past 50 years including Dr. Connie Hayes, Dr. Roberta Williams, Dr. Alexander Nadas, Dr. Richard Van Praagh, Dr. Aldo Castaneda, Dr. Bill Norwood and many, ma...

Pediheart Podcast #264: Survival Of CHD Patients From Birth To Young Adulthood

August 25, 2023 05:00 - 31 minutes - 29.2 MB

This week we review a recent large scale assessment of survival amongst patients with CHD who were born between 1980 and 1997 in the US. What percentage of those born with CHD actually survived to age 35? What were the factors associated with improved or worse outcomes? How did those with HLHS fair in this time period? What was the impact of genetic syndromes or non-cardiac abnormalities on outcomes of children with congenital heart disease? We speak with this week's work's first author, CDC ...

Pediheart Podcast #263: What Are The Cardiac Causes Of Sudden Death In Adolescence?

August 18, 2023 05:00 - 37 minutes - 33.9 MB

This week we review a recent work from the UK on the causes of death in adolescents who die suddenly. The novelty of this week's work is that all the individuals in this very large study had specialized cardiac pathologists perform careful assessments of the hearts of these subjects. What is the most common cardiac cause of SCD in the adolescent and how do the findings of this work compare with prior works on this topic? What sort of screening should be considered when encountering a patient ...

Pediheart Podcast Replay of #190: Fate Of The Truncal Valve

August 11, 2023 05:00 - 27 minutes - 25.1 MB

This week we travel back in time 2 years to re-review a work from the team at Boston Children's Hospital on the long term outcomes of truncal valves in the setting of truncus arteriosus. Who amongst truncus patients is at risk for the development of truncal regurgitation or a need for reintervention? Are there predictors that might help forecast patients who should be more closely monitored? How do the data in this work help inform the fetal counseling of the team at Boston Children's Hospita...

Pediheart Podcast #262: A Novel Model Of HLHS And Insights Into The Impact Of Decreased LV Flow On Morphology And Tissue Remodeling

August 04, 2023 05:00 - 49 minutes - 45.6 MB

This week we review a recent fascinating work from the team in Toronto on a novel large mammalian model of HLHS (in fetal lambs). How did the team develop this model and what insights into the development of HLHS has it afforded? How does reduction in inflow to the developing LV result in changes in cellular proliferation in the LV of the fetal lamb? Which is more important in the development of HLHS - genetics or flow patterns? Is this a false dichotomy? Does this novel model provide insight...

Pediheart Podcast Replay of #78: A Discussion With Crediblemeds.org Founder Professor Ray Woosley

July 28, 2023 05:00 - 28 minutes - 26 MB

This week's episode is a replay from 2019 of a 'co-branded' episode with the SADS Foundation (SADS.ORG) and we speak with the founder and director of Crediblemeds.org, Professor of Medicine Ray Woosley of the University of Arizona. Dr. Woosley speaks with us about how he started the first website dedicated to assessing the evidence for drugs' impact on the QT interval establishing a reliable and trusted website for clinicians and patients to visit to learn about possible drug interactions an...

Pediheart Podcast #261: Is PVR In TOF Patients Associated With Improved Outcomes?

July 21, 2023 05:00 - 33 minutes - 30.6 MB

This week we delve into the world of ACHD when we review a recent important work from the multicenter INDICATOR study group assessing the impact on overall outcomes in TOF patients who have their pulmonary valve replaced. Are survival rates improved by replacement of the pulmonary valve in the TOF patient? What about the effect on ventricular tachycardia? What are the proposed mechanisms by which PVR can positively affect this critical outcomes? Are there differences between transcatheter PVR...

Pediheart Podcast #260: Preemptive Stenting Of The LPA During Comprehensive Stage 2 HLHS Repair

July 14, 2023 05:00 - 34 minutes - 31.8 MB

This week we delve into the world of cardiovascular surgery when we check in with the group from Nationwide Children's Hospital and review a novel approach to managing the dreaded LPA stenosis or hypoplasia in the HLHS patient. Why does the LPA seem to be small or stenosed in this condition and how does a preemptive stent address this? Why can't standard PA plasty be used for this particular indication as is used in TOF/MAPCA's? Does one stent size fit all HLHS patients? These are amongst the...

Pediheart Podcast #259: Ventricular Arrhythmias In The Fontan Patient And Their Possible Meaning

July 07, 2023 05:00 - 30 minutes - 28.1 MB

This week we delve into the world of electrophysiology and also single ventricle physiology when we review a recent work from the Stanford group on outcomes after the development of ventricular arrhythmias in the single ventricle Fontan patient. Just how worried should the clinician be when these are recorded on ambulatory ECG monitors? What associations exist between these arrhythmias and the use of a Sano shunt? How should the clinician respond to a finding of non-sustained VT in the single...

Pediheart Podcast #258: The Effects Of Race And Insurance Status On Waitlist Outcomes In Pediatric Heart Transplantation

June 30, 2023 05:00 - 28 minutes - 26.1 MB

In this week's episode, we delve into the world of pediatric heart transplantation and the impact that race or insurance status may have on outcomes. What are the factors that explain worse outcomes for black children waiting for a heart transplant? How is the PHTS Racial Disparity Taskforce working to reduce inequities in this field? What role does insurance status have on these outcomes? We speak with noted heart failure and transplantation expert, Dr. Neha Bansal who is Assistant Professor...

Pediheart Podcast #256: Preview of the 8th World Congress of Pediatric Cardiology and Cardiac Surgery - Part 2

June 23, 2023 05:00 - 29 minutes - 27.1 MB

In this week's first of 2 Pediheart podcast releases, we review the nursing and critical care tracks of the upcoming 8th World Congress of Pediatric Cardiology and Cardiac Surgery coming in late August, 2023. In this collaborative podcast between the Pediheart and PCICS podcasts, hosts Robert Pass, Sadie Rodriguez and Deanna Tzanetos speak with Dr. Amir Ashrafi of CHOC, Bruna Cury of Sao Jose do Rio Preto in Brazil and Dr. Sandra Staveski of UCSF about the upcoming meeting. Dr. Ashrafi, Ms. C...

Pediheart Podcast #257: All About Fetal ccTGA

June 23, 2023 05:00 - 35 minutes - 32.2 MB

In this week's episode we speak with Assistant Professor of Pediatrics at Mount Sinai, Dr. Jennifer Cohen about a recent large scale Fetal Heart Society project she conducted on the topic of fetal ccTGA and outcomes. What observations in fetal life are associated with worse clinical outcomes? Why is it valuable to perform serial fetal echocardiograms in this patient group? How common are genetic or extracardiac abnormalities in this patient group? These are amongst the many questions reviewed...

Pediheart Podcast #255: Preview of the 8th World Congress of Pediatric Cardiology and Cardiac Surgery - Part 1

June 16, 2023 05:00 - 42 minutes - 38.5 MB

This week's episode is a collaborative episode between the Pediheart and PICS Podcasts and we have 4 guests. Joining us this week are Dr. Carissa Baker-Smith of Nemours Medical Center in Delaware, Dr. Martina Bruekner of Yale University, Dr. Shelby Kutty of Johns Hopkins University and Dr. Jacqueline Sanz of Children's National Hospital. In this week's episode we learn about the general cardiology, imaging, neurodevelopmental and basic science tracks. Each guest representing the planning comm...

Pediheart Podcast Replay of #152: Status Of The ACHD Patient At Age 50 And Beyond

June 09, 2023 05:00 - 30 minutes - 27.8 MB

This week we re-review a work from the large ACHD team in Sydney, Australia regarding outcomes of ACHD patients at age 50. How are these patients progressing from both a medical and psychosocial perspective? What resources are needed to address this rapidly growing population of middle aged ACHD patients? We speak with Professor Rachael Cordina of the University of Sydney about her work on this topic. doi: 10.1016/j.hlc.2020.05.114

Pediheart Podcast Episode #254: Live From SCAI 2023 - Outcomes of Transcatheter vs. Surgical Pulmonary Valve Replacement

June 02, 2023 05:00 - 29 minutes - 27.3 MB

In this week's episode from SCAI 2023, we speak with Professor Kritvikrom Durongpisitikul of Mahidol University, Siriraj Hospital in Bangkok, Thailand about their experience in transcatheter and surgical pulmonary valve replacement (PVR). Who is a candidate for each in the present era? Why was surgery associated with higher mortality rates in this work? Should the criteria for transcatheter PVR differ in comparison with surgery? Dr. Durongpisitikul shares his insights in this live session fr...

Pediheart Podcast #253: Live From SCAI 2023 - Recanalization Of Obstructed Central Veins In Children

May 26, 2023 05:00 - 31 minutes - 28.7 MB

In this week's episode from SCAI 2023, Dr. Aimee Armstrong of Nationwide Children's Hospital joins Dr. Pass in a live session from the annual scientific sessions of SCAI. Professor of Pediatrics at UC Davis, Dr. Frank Ing, reviews his experience with recanalization of central veins in a large pediatric cohort. Who is a candidate for this intervention? When are stents preferred vs. angioplasty alone? Should all patients having central lines removed be evaluated to prevent venous occlusion? Wha...

Pediheart Podcast #252: Does Digoxin Reduce Mortality Between Norwood and Cavopulmonary Anastomosis In The HLHS Patient?

May 19, 2023 06:00 - 35 minutes - 32.1 MB

In this week’s episode we delve into the evidence for digoxin reducing mortality in the interstage period following Norwood palliation for HLHS. We speak with Assistant Professor of Pediatrics at the University of Pennsylvania, Dr. Michael O’Byrne about a recent analysis of the PHIS database using the relatively novel “preference based instrumental variable” approach to analysis of an observational data set. How does this approach allow for possible proof of causation of effect of a variable?...

Pediheart Podcast #251: All About High Sensitivity Troponin Levels In Children

May 12, 2023 05:00 - 43 minutes - 40.1 MB

In this week's episode we review the important topic of troponin levels in children. What is an abnormal high sensitivity troponin level in children and do the levels vary based upon the assay? What are the differences between high sensitivity troponin I and T levels? Are there differences between boys and girls? Why would using the 97.5%ile upper reference limit result in a more reliable 'line in the sand' in comparison with the more traditional, high sensitivity troponin level cut off of 99...

Pediheart Podcast #250: Mental Health Disorders In The Chronically Ill And Factors Adversely Affecting Diagnosis and Treatment

May 05, 2023 05:00 - 32 minutes - 30.1 MB

This week we delve into a critically important topic which is the mental health of our patients with chronic disease. How common are mental health issues amongst patients with sickle cell disease, cystic fibrosis and congenital heart disease? What accounts for differences in diagnosis or treatment of things like anxiety, depression or ADHD in these different chronic disease state patients? What is structural racism and how does this impact these findings? What is the solution to the under-rec...