Pediheart: Pediatric Cardiology Today
328 episodes - English - Latest episode: 9 days ago - ★★★★★ - 164 ratingsA review of the latest literature and thought leaders in pediatric cardiovascular care.
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Episodes
Pediheart Podcast #253: Live From SCAI 2023 - Recanalization Of Obstructed Central Veins In Children
May 26, 2023 05:00 - 31 minutes - 28.7 MBIn 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 MBIn 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 MBIn 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 MBThis 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...
Pediheart Podcast #249: Impact Of BMI On Clinical Outcomes In The Adult Fontan Patient
April 28, 2023 05:00 - 28 minutes - 26.2 MBThis week we delve into the world of adult congenital heart disease when we review a recent work from the ACHD team at UCSF that assesses the impact of BMI on clinical outcomes in the single ventricle adult Fontan patient. What is the cause of elevation in BMI in some Fontan patients? Is obesity the only explanation? Is BMI a modifiable risk factor for our Fontan patients and should exercise be 'prescribed' for these patients? If so prescribed, what type of exercise is best for the Fontan pat...
Pediheart Podcast Replay of #150: Exercise Training Effects On Repolarization Abnormalities Mimicking LQTS
April 21, 2023 05:00 - 49 minutes - 45 MBThis week in a replay of a previous co-branded episode with the SADS Foundation (SADS.ORG) from 2.5 years ago, we speak with Professor Peter Schwartz of University of Pavia about a recent work he authored on the topic of changes in repolarization amongst well trained athletes. Can athletic training masquerade as LQTS causing prolongation and/or abnormalities in the QT interval? How can these patients be properly identified and not 'lumped' into the LQTS 'pile'? This is a very important work b...
Pediheart Podcast #248: Challenges Of Training The Next Generation Of Congenital Heart Surgeons
April 14, 2023 05:00 - 30 minutes - 27.9 MBIn this episode we speak with Professor of Surgery at the University of Pennsylvania, Dr. Stephanie Fuller about a recent work she co-authored on the impressions of CT surgical trainees and attitudes towards the field of congenital heart surgery. What factors were important amongst those surgeons who chose to pursue the field? What are the obstacles that may make it less appealing to the CT surgical trainee? How can surgeons be effectively trained in this demanding field in an era of public r...
Pediheart Podcast #247: A Conversation With Living Legend Dr. Welton Gersony
April 07, 2023 05:00 - 37 minutes - 34.1 MBThis week we sit down and speak with living legend of pediatric and congenital cardiology, Dr. Welton Gersony who is Professor Emeritus of Pediatrics at Columbia University. Dr. Gersony was the chief of cardiology for 4 decades at NY Presbyterian Hospital and is the winner of innumerable awards in our field. Today we speak with him about his life, choices and what he loved most about medicine and cardiology. What does he view as maybe his biggest impact? What was it like to work directly with...
Pediheart Podcast #246: What Is The Best Anticoagulant For The Small Paracorporeal VAD Patient In 2023?
March 31, 2023 05:00 - 34 minutes - 31.2 MBThis week we review a recent report that focuses on the question of whether the direct thrombin inhibitor, bivalirudin is superior to heparin for the small patient with a paracorporeal device both from a medical and financial perspective. Bivalirudin is 40x the cost of heparin but does that capture all of the costs and how does overall cost differ between patients treated with one versus the other agent? We speak with Assistant Professor of Pediatrics at University of Vermont, Dr. Danielle Bu...
Pediheart Podcast #245: Can Machine Learning Models Help Guide Timing For Postoperative Pacemaker Insertion?
March 24, 2023 05:00 - 42 minutes - 38.7 MBThis week we delve into the world machine learning and decision tree analysis modeling as it is applied to postoperative heart block decisions. Traditional thinking suggests that all congenital heart surgical patients with postoperative heart block should be observed for 7-10 days to allow for possible resolution of conduction block. However, is 7 days truly required in all cases? Are there patients in whom 7 days is not necessary? What could the impact be of earlier pacemaker insertion in th...
Pediheart Podcast #244: Why Is LQTS Sometimes Overdiagnosed?
March 17, 2023 05:00 - 46 minutes - 42.3 MBThis week's episode of the podcast is supported by the SADS Foundation (SADS.ORG) and is on the topic of the overdiagnosis of LQTS. What sorts of conditions can lengthen the QT interval without true congenital LQTS syndrome? What are the most common errors of ECG interpretation that account for misdiagnosis of this condition and are there leads of the ECG that might help or hurt when attempting to accurately measure the QT interval. What is the role of the ICD in the LQTS patient? We speak wi...
Pediheart Podcast Replay of Episode #164: Cone Reconstruction For Ebstein's Anomaly
March 10, 2023 06:00 - 32 minutes - 29.8 MBIn this replay episode from 2021, we review a recent work on CMR outcomes pre and post cone reconstruction of the tricuspid valve in Ebstein's anomaly. How durable of a repair is this operation? Is there evidence for ventricular remodeling? Is there an optimal age to perform this surgical procedure? How should arrhythmia risk be assessed prior to surgery? These are amongst the many questions reviewed by and posed to Professor Pedro DelNido of Harvard University. This is a rare opportunity to ...
Pediheart Podcast #243: A Novel Approach To Transcatheter SAPIEN Pulmonary Valve Implantation
March 03, 2023 06:00 - 28 minutes - 26.5 MBThis week we review a recent report of a new technique to implant SAPIEN valves for transcatheter pulmonary valve replacement in which 1-3 stents are implanted simultaneously with the SAPIEN valve. What are the potential benefits or disadvantages of this approach and who might be a better candidate for this method? Why is a stent needed outside of the relatively strong SAPIEN prosthesis and how does the team in San Diego choose bare metal vs. covered stents when performing this procedure? We ...
Pediheart Podcast #242: Chronic Lower Extremity Venous Insufficiency In The Fontan Patient
February 24, 2023 06:00 - 22 minutes - 20.8 MBThis week we delve into the world of adult congenital heart disease when we review a recent research letter from the team at the Harvard Congenital Heart Program about venous insufficiency in the Fontan patient. Why do patients with Fontan circulation develop chronic venous insufficiency and what are the implications of this problem in the Fontan patient? What sort of evaluation should be performed on the Fontan patient presenting with lower extremity venous changes? How worried should the ca...
Pediheart Podcast #241: A Conversation About The 2023 World Congress Of Pediatric Cardiology And Cardiac Surgery
February 17, 2023 06:00 - 44 minutes - 40.8 MBIn this week's special episode that is a combination of the Pediheart Podcast and PCICS Podcast, we speak for the entire episode with Professor of Pediatrics Dr. Gil Wernovsky of Children's National. Dr. Wernovsky is the Co-Chair of the upcoming World Congress of Pediatric Cardiology and Cardiac Surgery and shares with us all of the exciting plans for this 'meeting of meetings' that will be staged from August 27th-September 1st in Washington, DC. This is the first World Congress in the US sin...
Pediheart Podcast #240: Atrial Standstill In The Pediatric Patient Population
February 10, 2023 06:00 - 33 minutes - 30.9 MBThis week we delve into the world of electrophysiology when we review a recent multicenter work on the rare topic of atrial standstill. What is atrial standstill and how does it differ from SA node dysfunction? What risks are associated with this condition and how can they be mitigated? Are there factors in an atrial standstill patient that might prompt implantation of a primary prevention ICD? We speak with the first author of this week's work, Dr. Taylor Howard who is Assistant Professor of...
Pediheart Podcast #239: Reductions In Brain Injury Following Neonatal Congenital Heart Surgery
February 03, 2023 06:00 - 37 minutes - 34.6 MBThis week we delve into the world of neonatal congenital heart surgery and review a recent work on changes in the incidence of brain injury following congenital heart surgery. How common is it to see brain injury on the MRI's in this patient group? How have incidences changed over time and what is the likely reason for this? Can the types of inotropic agents used in the postoperative period potentially explain some of the improvements in outcomes that have been observed and what is the propos...
Pediheart Podcast #238: Outcomes of Non-Cardiac Surgery In The ACHD Patient + A Conversation With Dr. Alexandra Lansky Of JSCAI
January 27, 2023 06:00 - 38 minutes - 35.5 MBThis week we delve into the world of ACHD when we review a recent work on outcomes of non-cardiac surgery in the ACHD patient. How do ACHD patients fare in comparison to their non-ACHD cohort undergoing non-cardiac surgery? What can be done to improve outcomes in this patient group? We speak with the senior author of this work, Dr. Peyman Benharash, who is Associate Professor of Surgery at UCLA. DOI: 10.1136/heartjnl-2022-321512 Also joining us this week is Dr. Alexandra Lansky of Yale Unive...
Pediheart Podcast Replay of #134: Outcomes Of Valve Replacement In The Single Ventricle Patient
January 20, 2023 06:00 - 31 minutes - 29.2 MBThis week we replay a 2020 episode in which we reviewed a then recent PCCC study assessing outcomes of single ventricle patients who have undergone replacement of the AV or semilunar valve. We speak with Professor Geetha Raghuveer of University of Missouri-Kansas City about this work she co-authored. Outcomes are generally poor in this patient group but are there lessons that can be gleaned from the data regarding optimal timing for repair or replacement of valves in this patient group? This ...
Pediheart Podcast #237: Open Chest Duration And Its Relation To Surgical Site Infection
January 13, 2023 06:00 - 21 minutes - 20.1 MBThis week we return to the topic of congenital heart surgery when we speak with Dr. John Iguidbashian who is a resident in surgery at U. Colorado. Dr. Iguidbashian reviews a recent paper he co-authored on the topic of the relation of duration of open chest following heart surgery to the development of surgical site infections (SSI). How long is 'too long' when it comes to an open chest and the risk for infection? Is the duration of an open chest following surgery a 'modifiable' risk factor? A...
Pediheart Podcast #236: The 'Case' For Partial Heart Transplantation In Children
January 06, 2023 06:00 - 35 minutes - 32.5 MBThis week we delve into the world of partial heart transplantation when we review a recent paper that discusses the rationale for its potential use in children, particularly in infants. We speak with the work's senior author, Dr. T. Konrad Rajab of the Medical University of South Carolina about the potential benefits of this approach. Who might be a candidate for this approach? What are the theoretical benefits of this approach to transplantation? How many 'partial heart' transplantations hav...
Pediheart Podcast #235: Funding A Child's Retirement With Mr. Paul Merriman
December 30, 2022 06:00 - 1 hour - 57 MBThis week, to end 2022, we delve into the world of personal finance for the final episode of 2022 when we speak with Mr. Paul Merriman of paulmerriman.com. Mr. Merriman is a world-renowned expert in personal finance and investing who reviews how we might go about funding a newborn child's retirement (in 65 years!) through the magic of index investing, low costs and compounding interest. There are many lessions for all types of investing in this episode. Mr. Merriman has visited the podcast p...
Pediheart Podcast #234: Optimal Treatment Of Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT)
December 23, 2022 06:00 - 40 minutes - 37.4 MBThis week we enter the world of cardiogenetics and electrophysiology when we review the topic of catecholaminergic polymorphic ventricular tachycardia (CPVT). Is there a 'best' beta blocker for the treatment of this condition? Why is one better than others? How should one manage the patient who is intolerant of beta blockade but needs it for prevention of arrhythmia? What is the role of flecainide, sympathectomy or even ICD's for these patients? PhD candidate and physician Dr. Puck Peltenburg...
Pediheart Podcast #233: All About Bioprosthetic Valves In The Pregnant Patient
December 16, 2022 06:00 - 30 minutes - 28.1 MBThis week we review a recent important work on outcomes of pregnancy in patients with bioprosthetic valves. What percentage of women entering pregnancy have a dysfunctional bioprosthetic valve? Is there a particular position of valve where the risk of dysfunction is greater for cardiac or fetal events? We speak with noted cardio-obstetrical expert, Dr. Barbara Wichert-Schmitt of Johannes Kepler University in Linz, Austria about her recent work from Canada. doi: 10.1016/j.jacc.2022.09.019
Pediheart Podcast #232: Role Of The Hybrid Procedure For High Risk Ductal-Dependent Systemic Circulation Newborns
December 09, 2022 06:00 - 50 minutes - 45.8 MBThis week we review a recent report from the team at Children's National Hospital in Washington, DC on their experience with the hybrid approach to high risk infants with ductal-dependent systemic circulation. Some patients get ductal stents and others not. How is this decision made? How difficult was it to change the approach of a center that had a reputation for excellence with a more 'traditional/Norwood/Stage I palliative' approach? Are there theoretical advantages to this approach for ev...
Pediheart Podcast #231: Gender Inequity In Congenital Cardiac Electrophysiologist Salary
December 02, 2022 06:00 - 25 minutes - 23.4 MBThis week's episode focuses on gender disparities in salary in the field of congenital electrophysiology. To what degree are female electrophysiologists paid less than their male counterparts despite similar levels of education, work effort and seniority? What interventions could be enacted to help 'mind the gap' and level the playing field in this regard? We speak with the chief of pediatric electrophysiology at The Children's Hospital of Philadelphia, Professor Maully Shah, who is the first...
Pediheart Podcast #230: The Role Of The Exercise Stress Test In The Evaluation Of the Pediatric HCM Patient
November 25, 2022 06:00 - 41 minutes - 37.9 MBThis week we review a recent work from the Precision Medicine For Cardiomyopathy (PRIMaCY) study group on the role of stress testing in the pediatric HCM patient. Does stress testing help identify patients at risk for possible SCD or progression to heart transplantation? Should all pediatric HCM patients undergo this form of testing? What risks are associated with its use and how should these studies be performed? We speak with the first author of this novel multi center study, Associate Prof...
Pediheart Podcast Replay of #187: A Conversation With Living Legend, Professor Roberta Williams
November 18, 2022 06:00 - 53 minutes - 49.3 MBIn this week's replay of a most special 'fellow takeover episode', Dr. Sarah Pradhan, sometime co-host of Pediheart and interventional cardiology fellow at Toronto Sick Children's Hospital, speaks with Professor Roberta Williams of USC about her long and illustrious career as a pioneer in both echocardiography as well as pediatric cardiac critical care. Prepare for a lot of wisdom about career and life from this giant in the fields of pediatric cardiology and pediatrics.
Pediheart Podcast #229: Why Is Transcatheter Peri-membranous VSD Closure Not More 'Popular' In the West?
November 11, 2022 06:00 - 30 minutes - 28.1 MBThis week we review a recent report from China on transcatheter closure of peri-membranous VSD's with the Amplatzer ADO II device. Reported results are outstanding and this week's report is one of several from China demonstrating efficacy and safety to this approach. Despite this, this procedure is rarely performed in the west. Why might that be? Do we need 'local data' to adopt an approach or can we proceed based upon data from another location where procedural indications may be different? ...
Pediheart Podcast #228: How Can We Improve Family Meetings In The Pediatric CICU Setting?
November 04, 2022 05:00 - 39 minutes - 35.7 MBThis week we delve into the world of cardiac critical care when we review a recent report on an attempt to use a multidisciplinary group of hospital professionals plus parents to design an optimal family meeting structure. How should teams prepare for these meetings? What roles should different care providers play in the team meeting? Is there evidence that a better planned meeting can be more effective in transmitting information and allaying parental fears? We speak with pediatric palliativ...
Pediheart Podcast #227: Cardiac MRI Computational Fluid Dynamics Assessment And Relation To Quality Of Life In The Fontan Patient
October 28, 2022 05:00 - 37 minutes - 34.3 MBThis week we review a recent cardiac MRI report on Fontan geometry and hemodynamics as measured by computational fluid dynamic analysis. How do factors like Fontan geometry or 'power loss' relate to quality of life for the Fontan young adult patient? How do these data inform imaging in the operating room during these palliations? We speak with the first author of this work, Associate Professor of Pediatrics at U. Penn, Dr. Laura Mercer-Rosa about this important and intriguing work. https://do...
Pediheart Podcast #226: Life-Threatening Arrhythmias And Cardiac Arrest Associated With Electronic Gaming
October 21, 2022 05:00 - 30 minutes - 28.1 MBThis week we review a recent international review on the topic of life threatening events occurring during electronic gaming. What risks do video games pose for the typical child or child with an arrhythmia condition? What precautions, if any, should be considered? Are there some sorts of games that are potentially more dangerous than others? We speak with the first and senior authors of this international survey - Dr. Claire M. Lawley of Great Ormand Street, London and Dr. Christian Turner o...
Pediheart Podcast #225: A Conversation With Surgical Legend, Dr. John J. Lamberti
October 14, 2022 05:00 - 56 minutes - 51.5 MBThis week we speak with noted cardiovascular surgeon Dr. John J. Lamberti who is presently Associate Professor of Surgery at Stanford University. Dr. Lamberti's career has spanned from the time of Dr. Robert Gross in the 1960's to present day with Dr. Frank Hanley and the team in Stanford. His career perfectly mirrors the transition from the 'old days' of cardiac surgery up until the present modern age and he shares his reminiscences of working with Dr. Robert Gross, Dr. Aldo Castaneda, Dr. M...
Pediheart Podcast #224: Pulse Oximetry Errors In The Single Ventricle Patient
October 07, 2022 05:00 - 25 minutes - 23 MBThis week we review a recent report on the differences between pulse oximeter Sp02 and arterial Sa02. Are there patient specific factors that may result in inaccuracies of measurement? What single ventricular factors may also result in more significant inaccuracies and how should these data be used at the bedside when assessing a child who is cyanosed? We speak with Dr. Cara Pritchett, critical care fellow at Lurie Children's Hospital - Northwestern University about a recent work she co-autho...
Pediheart Podcast #223: PTSD In The Pediatric ICD Patient And Their Parents
September 30, 2022 05:00 - 29 minutes - 26.7 MBThis week we review a recent work from the team at Stanford University on post-traumatic stress disorder amongst pediatric patients with ICD's as well as their parents. How common is this diagnosis seen amongst these patients and their parents and what are some of the reasons for this? How should patients receiving devices be properly screened for this and why is identification of PTSD so important? Associate Professor of Psychiatry and Behavioral Sciences at Stanford, Dr. Lauren Schneider, s...
Pediheart Podcast Replay of #137: Role Of The ECG In Pre-Participation Screening Of College Athletes
September 23, 2022 05:00 - 36 minutes - 33.8 MBThis week's episode is a replay of a co-branded 2020 episode with SADS.ORG and is on the topic of pre-participation screening. Can the ECG offer important benefits vs. the standard 14 point AHA H&P approach? Which approach was more effective in 'real life'? We speak with Professor Robert Campbell of Emory University this week to delve into this contentious and important topic. DOI: 10.1016/j.hrthm.2020.04.032
Pediheart Podcast #222: Impact Of Cardiac Rehab On Exercise Tolerance In The ACHD Patient
September 16, 2022 05:00 - 30 minutes - 27.8 MBThis week we review a recent work from NYU-Langone on the topic of cardiac rehab for the ACHD patient. Does enrollment in a formal cardiac rehabilitation program result in meaningful improvements in exercise tolerance in the ACHD patient? Who can benefit from this? How does the impact of this form of therapy compare with more traditional medical interventions? We speak with the senior author of this week's work, Associate Professor of Medicine at NYU, Dr. Dan Halpern. DOI: 10.1161/JAHA.121.02...
Pediheart Podcast #221: Accuracy Of The Physical Examination For Congenital Heart Disease Diagnosis
September 09, 2022 05:00 - 29 minutes - 27.3 MBThis week we explore the 'basics' when we review a recent report from the team at the Amrita Institute in Cochin, India on the accuracy and precision of the physical examination in identifying heart disease. How did the stethoscope do in comparison to the 'gold standard' of echocardiography? Is it time to 'retire' the stethoscope or does it still have an honored role in the evaluation of children with possible heart disease? How can physicians and other providers get better at physical examin...
Pediheart Podcast #220: Closing Big ASD's In Small Hearts In The Cath Lab
September 02, 2022 05:00 - 31 minutes - 29 MBThis week we review a recent work from Naples, Italy on the use of the GORE Cardioform ASD device to close large atrial septal defects in small children. Are there anatomical 'rules' to help predict who might be a candidate for transcatheter closure? What about this device makes it potentially safer for this indication? Should we be worried about wireframe fractures? We discuss this and other issues related to this topic with the first author of this week's work, interventional cardiologist, ...
Pediheart Podcast #219: Bovine Jugular Vein Grafts In The Pulmonary Position And Endocarditis
August 26, 2022 05:00 - 17 minutes - 16.1 MBThis week we delve into the world of bovine jugular vein grafts for the treatment of pulmonary valve dysfunction and the possible enhanced risk for infective endocarditis. How commonly are these valves affected by endocarditis and does placement at surgery in comparison to the cath lab confer a lower risk for this dreaded complication? What factor was most highly associated with the risk for endocarditis with a bovine jugular valve vein graft for PVR? A description from the team at Cincinnati...
Pediheart Podcast #218: Fetal SVT And Predictors For Postnatal SVT
August 19, 2022 05:00 - 25 minutes - 23.6 MBThis week we delve into the world of fetal cardiology to review a recent report on fetal SVT. Are there factors in fetal life that would predict postnatal SVT? How should transesophageal pacing factor into decisions in postnatal life? How does the team at Lurie Children’s choose a 2nd agent for fetal SVT when digoxin is ineffective? Are there differences in the clinical presentation of infants prenatally diagnosed with SVT versus those diagnosed after fetal life? We speak with former EP fello...
Pediheart Podcast Replay of #45: PA/VSD with MAPCA's - The Stanford Approach and Experience
August 12, 2022 05:00 - 44 minutes - 40.4 MBThis week we review a landmark paper reviewing the very large experience of Dr. Hanley and his team at Stanford University in managing VSD/PA with MAPCA's. What advantages are seen with the 'midline unifocalization' approach popularized by this team over the past 20+ years? Is this an approach that can be broadly applied or are the technical operative skills too challenging for most? Why are these operations so difficult? How does the Stanford team decide who is a candidate for a single opera...
Pediheart Podcast #217: Outcomes Of Adults With Single Ventricle Physiology Not Palliated With A Fontan Repair
August 05, 2022 05:00 - 29 minutes - 26.9 MBThis week we review a recent work on outcomes of univentricular adult patients who have not been palliated with a Fontan. Do these patients fare better than Fontan patients? What factors are associated with worse or better outcomes? How do these factors inform decision making for the single ventricle adult patient? We speak with adult congenital expert, Dr. Danielle Massarella of University of Toronto about her thoughts on this work and some of its important lessons. DOI: https://doi.org/10....
Pediheart Podcast #216: Racial Disparities In Children Listed For Heart Transplantation In The US
July 29, 2022 05:00 - 37 minutes - 34.4 MBThis week we review an important report on possible racial disparities amongst children on waiting lists for heart transplantation in the US. How did the 2016 changes to the Organ Procurement and Transplantation Network criteria for listing impact outcomes in listed children and unexpectedly widen racial disparities? What impact did these changes have on mortality and outcomes for white vs. non-white children? Why were differences observed? Dr. Mujeeb Zubair of Cedar-Sinai Medical Center in L...
Pediheart Podcast #215: In-Hospital Morbidity and Mortality Associated With The BTT Shunt In The Present Era
July 22, 2022 05:00 - 30 minutes - 27.5 MBThis week we delve into the world of cardiovascular surgery when we review a recent paper from the team at Texas Children's Hospital about the BTT shunt. How commonly did shunts have serious complications? Does the location on the aorta matter in regards to shunt complications? What size shunt is associated with the least morbidity or mortality? Why might shunt placement via a thoracotomy be superior to sternotomy. These are amongst the many questions reviewed with the first author of this wo...
Pediheart Podcast #214: Socioeconomic And Racial Disparities In Congenital Heart Disease Outcomes In The US
July 15, 2022 05:00 - 42 minutes - 39.1 MBThis week we review a recent large scale administrative database study assessing racial and socioeconomic disparities in congenital heart disease outcomes in the US. How does patient neighborhood income affect outcomes? How does the presence of Down Syndrome mitigate risk? How does race or socioeconomic status affect length of stay? How can these data inform change to improve outcomes for all children with CHD? Professor Tara Karamlou of Cleveland Clinic Children's shares her deep insights in...
Pediheart Podcast # 213: Comparing Costs For The Management Of The Symptomatic Newborn With Tetralogy Of Fallot
July 08, 2022 05:00 - 36 minutes - 33.2 MBThis week we delve again into the controversy regarding optimal newborn management of the symptomatic newborn with tetralogy of Fallot. Does palliation offer a cost savings versus primary repair for the symptomatic TOF patient? What impact does the advent of transcatheter palliative approaches have upon cost? We speak with the first author of this week's work, Assistant Professor of Pediatrics at University of Pennsylvania, Dr. Michael O'Byrne. doi: 10.1016/j.jacc.2021.12.036
Pediheart Podcast Replay of #148: Mental Health Problems Affecting Children With Congenital Heart Disease
July 01, 2022 05:00 - 24 minutes - 22.3 MBThis week we turn back to 2020 and delve once more into the world of mental health and review a new large study from the group at Texas Children's on prevalence of anxiety, depression and ADHD amongst the pediatric CHD patient group. How common are these disorders in the young CHD patient and how does this compare to the general pediatric population? What role does minority or insurance status have on diagnosis or treatment of these disorders? Third year cardiology fellow Dr. Vincent J. Gonza...
Pediheart Podcast #212: Incidence Of Life Threatening Events Amongst Children With WPW
June 24, 2022 05:00 - 32 minutes - 29.9 MBThis week we review a recent large claims database study on WPW in children that aims to identify the true incidence of life threatening events in children with this condition. What is known about the incidence of life threatening events as well as the actual prevalence of WPW amongst children? What are the strengths and limitations of large claims database studies? How high is the risk for VF in the WPW child and how should this knowledge inform decisions regarding ablation? Noted expert in ...
Pediheart Podcast #211: CMR Trends In Pediatric And Congenital Cardiology - An SCMR Report
June 17, 2022 05:00 - 28 minutes - 26.4 MBThis week we speak with Associate Professor of Pediatrics at University of Washington Sujatha Buddhe of Seattle Children's Hospital about a recent survey study she conducted regarding CMR in the pediatric and congenital heart patient. How have volumes of cases changed over the past few years? Who is reading these studies? What is the advantage of a 1.5T vs. 3.0T scanner for congenital scans? What are the advantages and limitations of a survey study? Dr. Buddhe provides the answers this week. ...