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 #169: The Impact Of CHD On Preterm Labor
June 25, 2021 05:00 - 29 minutes - 26.5 MBThis week we review a recent very large scale project from Denmark on the impact of CHD on preterm labor and birth. We speak with Assistant Professor of Pediatrics at Indiana University, Neonatologist Paulomi Chaudhry about the work and her thoughts on what factors may be modifiable in the care of the preterm infant with CHD. What sorts of studies are needed going forward to improve the outcomes of these infants who had CHD but are premature? Dr. Chaudhry provides a number of answers this wee...
Pediheart Podcast #168: Use Of A Novel AI Model To Accurately Identify LQTS On The ECG
June 18, 2021 05:00 - 45 minutes - 41.6 MBThis week, in a co-branded episode with SADS.ORG, we speak with Professor Michael Ackerman of The Mayo Clinic about a recent work he published with his team on a novel AI model to assess the ECG for the diagnosis of LQTS. How accurately can this technology identify a patient with LQTS? Can it identify the genetic diagnosis from the ECG alone? What are the implications of this sort of technology in regards to screening patients for LQTS? These are amongst the many topics reviewed with Dr. Acke...
Pediheart Podcast #167: Remote Parentally Acquired Focused Echocardiograms
June 11, 2021 05:00 - 33 minutes - 31 MBThis week we delve into the world of noninvasive imaging and review a very novel approach from the team at Stanford University about tele-visits and the use of remote parentally acquired, focused echocardiograms for monitoring of Marfan's patients. Can any parent be trained to perform a focused echocardiogram in their homes? What is the cost associated with this approach? Can this technique be applied to other cardiovascular problems? We speak with Associate Professor of Pediatrics, Seda Sela...
Pediheart Podcast #166: A Conversation With Professor Daphne Hsu
June 04, 2021 05:00 - 34 minutes - 31.1 MBThis week's episode is co-hosted by Dr. Sarah Pradhan in our first 'fellow takeover' of the podcast! Dr. Pradhan speaks with Professor Daphne Hsu of Albert Einstein College of Medicine about her career, how she became a heart failure and transplantation authority, how she thinks about mentoring the next generation and also how she balanced a very full life including the highest levels of medicine as well as motherhood. This is an inspirational story by an inspirational figure from whom we all...
Pediheart Podcast #165: All About Pre-excitation
May 28, 2021 05:00 - 59 minutes - 54 MBThis week we review a recent work from the team at Children's LA about an unusual form of pre-excitation and use this as a place to launch a discussion about pre-excitation. What sorts of pathways cause pre-excitation? Should all pre-excited patients undergo formal testing? Should all pathways be ablated? How can we invasively or non-invasively assess these patients and are these approaches reliable? We have 2 noted experts on this topic - Professor Michael Silka of USC and Professor Steven F...
Pediheart Podcast #164: Cone Reconstruction For Ebstein's Anomaly
May 21, 2021 05:00 - 33 minutes - 31.1 MBThis week 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 speak with one of the fi...
Pediheart Podcast #163: Balloon Angioplasty Of Native Coarctation In Infants Ages 3-12 Mos From SCAI 2021
May 14, 2021 05:00 - 29 minutes - 27.1 MBThis week we play a live podcast session from SCAI 2021 (April 30, 2021) on the topic of balloon angioplasty for native aortic coarctation in infants aged 3-12 months. We speak with the senior author of this recent work from Toronto Sick Children's Hospital - Professor Rajiv Chaturvedi. How often were complications encountered? How do results compare with surgical repair? Is high pressure required for these dilations? Professor Chaturvedi provides all the answers and more this week! doi: 10.1...
Pediheart Podcast #162: Transcatheter Superior Sinus Venosus Repair From SCAI 2021
May 07, 2021 05:00 - 35 minutes - 32.2 MBThis week we speak with Professor Eric Rosenthal of Evelina Children's Hospital in London, England from a session at SCAI 2021. Who is a candidate for closure of a superior sinus venosus ASD in the cath lab and how is this determined? If there is a residual shunt, how much is too much? How did Professor Rosenthal embark on this approach and what have been the results? What percentage of these patients are candidates for this novel approach? This is a rare opportunity to have the author presen...
Pediheart Podcast #161: A Conversation With Professors Julie Vincent And Chuck Mullins From SCAI 2021
April 29, 2021 18:44 - 40 minutes - 37.5 MBThis week we have a special treat in playing a session from the SCAI meeting from today, April 29, 2021! We speak with Professor Julie Vincent of Columbia University and Professor Chuck Mullins of Baylor College of Medicine. Both speak about their early lives, how they chose to become physicians and how life in retirement is treating them. What role did teamwork play in each doctors' professional life? How did Dr. Mullins design the 'Mullins sheath'? These are amongst the many topics we touch...
Pediheart Podcast Episode #80 Replay: Timing Of The Arterial Switch Operation And Impact On Brain Growth and Function
April 23, 2021 05:00 - 33 minutes - 30.6 MBIn this replay of episode 80 from 2019, we review a study from The University of Toronto on the impact of timing of the arterial switch operation for DTGA on brain growth and neurodevelopmental outcomes. Can the timing of this surgery impact these outcomes? What is the reason for this? Is it rational to perform this surgery early to improve neurological outcomes? How important is the conduct in the OR versus the ICU? These are amongst the questions we address with Professor Jane Newburger of ...
Pediheart Podcast #160: Impact of Affordable Care Act On Insurance Coverage Disparities In ACHD Patients
April 16, 2021 05:00 - 32 minutes - 30.1 MBThis week we delve into the world of healthcare disparities and ACHD when we review a recent 'big data' study on levels of insurance coverage amongst ACHD patients and the impact of the affordable care act ("Obamacare") on this metric. To what extent did the enactment of this program increase insurance coverage for ACHD patients? How do their levels of coverage compare with other chronic illness patients such as sickle cell disease or cystic fibrosis? Were all ACHD patients affected similarly...
Pediheart Podcast #159: The S-ICD In The Pediatric and ACHD Patient
April 09, 2021 05:00 - 35 minutes - 32.3 MBThis week in a co-branded episodes with the SADS Foundation (SADS.org) we speak with Professor Johannes von Alvensleben of U. Colorado about a recent PACES study on the outcomes of S-ICD's in children and ACHD patients. What are the challenges to their use and who is a good candidate? What is involved in screening patients for an S-ICD and why do children and ACHD patient seem to 'screen out' more than the general population? What are the challenges to their implantation and what is coming d...
Pediheart Podcast #158: Diagnostic Accuracy Of Fetal Echocardiography For Congenital Heart Disease
April 02, 2021 05:00 - 36 minutes - 33.6 MBThis week we delve into the world of fetal cardiology to review a recent work on accuracy of fetal echo in the diagnosis of congenital heart disease. We speak with Dr. Namrita Mozumdar of Pediatric Cardiology Of Long Island about her work. What factors are associated with diagnostic discrepancies? DOI: 10.1016/j.echo.2020.06.017 Also joining us is Professor Kenan Stern of Mount Sinai Children's Heart Center to share with us information about the upcoming Mount Sinai Hot Topics In Fetal Cardi...
Pediheart Podcast #157: Aortopulmonary Collaterals In The Single Ventricle Patient
March 26, 2021 05:00 - 34 minutes - 31.8 MBThis week we review a recent survey study on the topic of aortopulmonary collaterals in single ventricle patients. How often are these occluded in the single ventricle patient and when this is performed, how do interventionalists decide? How should they be occluded? Are there guidelines regarding this? We speak with Professor Ziyad Hijazi of Sidra Cardiovascular Center in Doha, Qatar about this recent work and also briefly discuss the PICS Society for pediatric and adult interventional cardio...
Pediheart Podcast # 133 REPLAY: Ventricular Arrhythmias And Sudden Death In Tetralogy Of Fallot
March 19, 2021 05:00 - 34 minutes - 31.1 MBIn this week's replay episode 133, we delve into the world of electrophysiology and ACHD when we review a very recent work on TOF and factors associated with possible risk for sudden death. Can a novel algorithm identify high or low risk patients in this cohort? We speak with Professor Joseph Atallah of The University of Alberta and Dr. Edward Walsh of Harvard University. Both share their deep knowledge in a roundtable discussion this week. DOI: 10.1016/j.amjcard.2020.07.012
Pediheart Podcast #156: Neonatologist-Performed Echo For Hemodynamic Consultation In The NICU
March 12, 2021 06:00 - 51 minutes - 46.8 MBThis week we explore a recent work assessing the degree of anatomical concordance between neonatologist-performed echocardiograms and those by pediatric cardiology. What is the role of a hemodynamic consultation team in the management of the transitional physiology of the newborn? How do neonatologists use echocardiography in real time to help manage complex physiological problems of the newborn? What training is needed to do this and how does the neonatal team collaborate with cardiology to ...
Pediheart Podcast #155: Comparison Of Warfarin vs. Aspirin In The Fontan Patient
March 05, 2021 06:00 - 28 minutes - 26.2 MBThis week we review the important topic of anticoagulation of the Fontan patient. We speak with hematology researcher, Dr. Chantal Attard of The Murdoch Children's Research Institute of The University of Melbourne about a recent cross-sectional study comparing multiple factors in patients with Fontan circulation on aspirin vs. warfarin. What were the demonstrable differences in outcome? Are there ways to make the use of warfarin more safe? What about novel anticoagulants - what is their possi...
Pediheart Podcast #154: Impact Of Airway Anomalies On Congenital Cardiac Surgical Outcomes
February 26, 2021 06:00 - 33 minutes - 45.5 MBThis week's work reviews a recent STS database study on airway anomalies and the impact they have on cardiovascular surgical outcomes for congenital heart disease. To what degree does the presence of a concomitant airway surgery impact the morbidity and mortality of congenital heart surgery? Dr. Kyle Riggs, a PGY4 resident in thoracic surgery at Northwell Health shares his insights from his recent publication. doi: 10.1016/j.jtcvs.2020.10.149
Pediheart Podcast #153: Appropriate Use Of Echo In The Evaluation Of Palpitations
February 19, 2021 06:00 - 25 minutes - 35 MBThis week we delve into the world of general cardiology and echocardiography to evaluate the role of the echo in the evaluation of a palpitation patient. Which pediatric palpitation patients should undergo an echo? What is the yield of this test in this patient group? What is the appropriate evaluation of a palpitation patient and what testing should such a patient undergo? We speak with Dr. Saloni Sheth, 3rd year resident in pediatrics at Rainbow Babies and Children's Hospital in Cleveland,...
Pediheart Podcast #152: Status Of The ACHD Patient At Age 50 And Beyond
February 12, 2021 06:00 - 26 minutes - 24.3 MBThis week we review a recent 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 recent work. doi: 10.1016/j.hlc.2020.05.114
Pediheart Podcast #151: Fate Of The Fontan Patient Liver Following Heart-Only Transplantation
February 05, 2021 06:00 - 25 minutes - 23.3 MBThis week we delve back into the world of the Fontan to discuss the fate of the liver in the Fontan patient. We speak with hepatologist, Professor Dellys Soler Rodriguez of Emory University about a recent work she published on the fate of the liver in patients following heart-only transplantation who were Fontan patients. How should these patients be monitored? How should all Fontan patients be monitored? What is the role of the liver biopsy in this evaluation? Dr. Soler Rodriguez provides th...
Pediheart Podcast #150: Exercise Training Effects On Repolarization Abnormalities Mimicking LQTS
January 29, 2021 06:00 - 46 minutes - 42.6 MBThis week in a co-branded episode with the SADS Foundation (SADS.ORG), 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 by one of the foremost authorities on the...
Pediheart Podcast #149: Variability In The Management Of Pediatric SVT
January 22, 2021 06:00 - 26 minutes - 36.2 MBThis week we delve into the world of general pediatric cardiology as well as EP as we review a recent work from the Boston Children's group on management of SVT in the ED. How often are patients admitted to the hospital after conversion of SVT? How frequently are 2nd agents required to terminate SVT beyond adenosine? Why do differences exist in the management of these patients between hospital systems? Boston Children's Hospital cardiology fellow, Dr. Robert Przybylski shares his insights int...
Pediheart Podcast #148: Mental Health Problems Affecting Children With Congenital Heart Disease
January 15, 2021 06:00 - 24 minutes - 22.4 MBThis week we delve 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. Gonzalez shares insights from his imp...
Pediheart Podcast #147: A Novel Framework For Thinking About The Fontan
January 08, 2021 06:00 - 39 minutes - 53.6 MBThis week we speak with Professor Marc Gewillig of University Hospitals, Leuven, Belgium about a recent work he co-authored on the physiology of the Fontan. What is the most important feature of a Fontan circulation in the initial versus late stages after palliation? What constitutes a 'good Fontan'? What is meant by likening the Fontan to a "dam"? Dr. Gewillig provides us with a number of practical concepts in thinking about our Fontan patients and how we might conceptualize possible therapi...
Pediheart Podcast #146: Tips For Funding Your Retirement With Paul Merriman
January 01, 2021 06:00 - 51 minutes - 47.4 MBThis week we speak have 2 special guests. First we check in with Dr. Alin Gragossian, critical care fellow at Mount Sinai Hospital, NYC and also heart transplant recipient. Dr. Gragossian shares with us the details of the past year, her second, with a new heart and what the special challenges have been. Our second guest is investing authority Paul Merriman who is a nationally recognized figure in the world of personal finance and the author of many books on investing as well as the host of h...
Pediheart Podcast #145: Messages From Some Of The Heroes Of 2020
December 25, 2020 06:00 - 27 minutes - 37.7 MBAs we move on to 2021 and leave 2020 'in the dust', we check in with some of the frontline warriors in the battle with COVID19 and hear their well wishes of inspiration, resilience, warmth and hope. Here's to a wonderful 2021!
Pediheart Podcast #144: Hydroxychloroquine To Prevent Recurrent Heart Block In The Offspring Of Anti-SSA/Ro-Positive Mothers
December 18, 2020 06:00 - 41 minutes - 56.8 MBThis week we review the topic of heart block in the newborn or fetus and review a novel prospective trial assessment of hydroxychloroquine to reduce recurrences of heart block in the offspring of Anti-SSA/Ro-positive mothers. We speak with Professor Jill Buyon and Professor Peter Izmirly, both of NYU Medical Center about a recent multi center trial assessing the impact of this agent for this purpose. How effective was this drug and what if any complications were encountered? What is next in t...
Pediheart Podcast #143: Pediatric Cardiac Specialists' Opinions Regarding Acceptability Of Comfort Care For Congenital Heart Disease
December 11, 2020 06:00 - 34 minutes - 47.2 MBThis week we review a recent work in the area of medical ethics specifically focused on the notion of comfort care for congenital heart disease. Which diseases or patients should be offered this option and who should not? What sort of agreement is there amongst congenital heart specialists? Who should be involved in such decisions? We speak with Professor Angira Patel of Lurie Children's Hospital about this very important and uncommonly discussed topic. doi: 10.1007/s00246-020-02367-2
Pediheart Podcast #142: Impact Of Diaphragm Plication On Single Ventricle Outcomes
December 04, 2020 06:00 - 24 minutes - 33.2 MBSurgery is on tap this week as we discuss a recent paper from the team at Children's Hospital LA about diaphragm plication in the single ventricle patient. What impact did this intervention have on outcomes? How were hemodynamics impacted and did this change outcomes of the bidirectional Glenn or Fontan? What percentage of patients recovered diaphragm function? Professor S. Ram Kumar of USC shares his insights into his recent work with his team. DOI: 10.1016/j.jtcvs.2020.06.007
Pediheart Podcast #141: Prevalence Of Psychiatric Illness Amongst The Pediatric Heart Failure/Transplant Population
November 27, 2020 06:00 - 24 minutes - 22.5 MBThis week we review a recent report on the prevalence and types of psychiatric problems that pediatric and adolescent heart failure/transplant patients may have. How common are these illnesses, which are most common and what to do about this? We speak with Assistant Professor of Pediatrics at Vanderbilt University, Dr. Isaura Diaz about her recent work this week. DOI: 10.1016/j.jpeds.2019.10.022
Pediheart Podcast #140: Familial Hypercholesterolemia Is Not Rare Anymore
November 20, 2020 06:00 - 30 minutes - 41.3 MBThis week we move into the arena of pediatric preventive cardiology and have a somewhat different format to the podcast in that we will be listening to a lecture delivered by Associate Professor of Pediatrics at The Icahn School of Medicine at Mount Sinai - Dr. Joseph Mahgerefteh - speak with us about the topic of familial hypercholesterolemia. He reviews the incidence and consequences of not identifying and managing this properly and many clinical pearls regarding this complex topic. Though ...
Pediheart Podcast #139: A Novel Bioresorbable Scaffold For Possible Pediatric Use
November 13, 2020 06:00 - 25 minutes - 34.6 MBThis week we delve into the world of interventional cardiology and speak with Professor Damien Kenny of Children's Hospital, Ireland in Dublin, Ireland about a recent work he co-authored on pre-clinical animal experiments on the use of a novel bioresorbable scaffold/stent. How easy were these to implant? How did these compare with bare metal stents for patency, thrombus or inflammation in the vascular wall? Dr. Kenny shares his insights all the way from Dublin this week! doi: 10.1002/ccd.28893
Pediheart Podcast #138: Hepatic Stiffness In The 2 Ventricle Congenital Heart Patient
November 06, 2020 06:00 - 23 minutes - 31.7 MBThis week we delve into the liver once more to review an intriguing report from the group at Johns Hopkins regarding hepatic stiffness in the 2 ventricle congenital heart patient. We know from prior works that single ventricle patients have enhanced liver stiffness but this work suggests that some 2 ventricle patients are also similarly affected. We speak with Professor Ari Cedars of Johns Hopkins University for his insights into these findings and who he thinks might warrant routine liver fo...
Replay Pediheart Podcast #98: Impact Of Udenafil On Exercise In The Fontan 'FUEL' Trial
October 30, 2020 05:00 - 32 minutes - 45.3 MBIn this week's episode we replay episode 98 with Professor David Goldberg of Children's Hospital of Philadelphia and the so-called "FONTAN FUEL" trial which assessed the impact of udenafil on measures of exercise in the Fontan patient. This is one of the most important episodes of the 137 series thus far - definitely worth a re-listen. New intro and ending added this week! doi: 10.1161/CIRCULATIONAHA.119.044352
Pediheart Podcast #137: Role Of The ECG In Pre-Participation Screening Of College Athletes
October 23, 2020 05:00 - 35 minutes - 32.8 MBThis week's episode is co-branded 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 #136: Factors Associated With Blood Transfusion Around The Time Of Cardiac Catheterization
October 16, 2020 05:00 - 26 minutes - 36.3 MBThis week we enter the world of interventional catheterization to review an important and practical topic which is the notion of blood transfusions during or immediately after catheterization in children with congenital heart disease. We speak with Dr. R. Allen Ligon of Joe DiMaggio Children's Hospital in Hollywood, Florida about a recent work he authored while completing fellowship at Emory University. Are there factors that may help predict the need for blood at cath? Dr. Ligon shares his i...
Pediheart Podcast #135: Mortality Attributable To CHD And Persistent Racial/Ethnic Disparities In Mortality In The US
October 09, 2020 05:00 - 43 minutes - 59.9 MBThis week we discuss the topic of mortality attributable to CHD in the US and persistent racial/ethnic disparities over the past 20 years. We speak with Professor Keila Lopez of Texas Children's Hospital about a recent large scale, 'big data' study she co-authored about this topic and review the reasons for these disparities and think about possible remedies. An essential episode on a critically important topic for CHD care. doi: 10.1161/CIRCULATIONAHA.120.046822
Pediheart Podcast #134: Outcomes Of Valve Replacement In The Single Ventricle Patient
October 02, 2020 05:00 - 28 minutes - 39.2 MBThis week we review a 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 is a great follow-up of episode # 58 from...
Pediheart Podcast #133: Ventricular Arrhythmias And Sudden Death In Tetralogy Of Fallot
September 25, 2020 05:00 - 35 minutes - 48.3 MBThis week we delve into the world of electrophysiology and ACHD when we review a very recent work on TOF and factors associated with possible risk for sudden death. Can a novel algorithm identify high or low risk patients in this cohort? We speak with Professor Joseph Atallah of The University of Alberta and Dr. Edward Walsh of Harvard University. Both share their deep knowledge in a roundtable discussion this week. DOI: 10.1016/j.amjcard.2020.07.012
Pediheart Podcast #132: Echocardiographic Strain Measurements And Their Relationship To Outcomes In The Systemic RV Patient
September 18, 2020 05:00 - 32 minutes - 29.3 MBThis week we enter the dual worlds of ACHD and echocardiography to review a recent work from Amsterdam on the use of speckle tracking echocardiography to predict clinical outcomes in the patient with a systemic RV. Can this modality predict a problem prior to more conventional factors or even CMR data? Can this substitute for a CMR? Why is this type of echo more challenging in the systemic RV patient? Dr. Odilia Woudstra shares her deep knowledge of this topic from her research this week! doi...
Pediheart Podcast # 86 Replay: Staged Versus Primary Repair For Tetralogy of Fallot With Professor Laura Mercer-Rosa
September 11, 2020 05:00 - 29 minutes - 40.8 MBThis week we explore an important paper from CHOP on the optimal approach to repair for Tetralogy of Fallot (TOF). Is there a benefit to a staged approach versus primary complete repair? Are there factors that might influence this decision of approach? We speak with Assistant Professor of Pediatrics Dr. Laura Mercer Rosa of The University of Pennsylvania about her recent large PHIS database study. This is a rare replay episode from last year but one of the very best of the entire series thus ...
Pediheart Podcast #131: Adverse Events, Radiation And Reintervention After Transcatheter Pulmonary Valve Replacement
September 04, 2020 05:00 - 35 minutes - 48.7 MBThis week we review a recent work from the C3P0 registry on trans-catheter pulmonary valves. How common were adverse events encountered in this 'real world' assessment? How does this value compare with surgical pulmonary valve replacement? What factors are associated with higher doses of radiation in this procedure? We speak with Dr. Barry Love, Director of the Congenital Catheterization Laboratory at Mount Sinai Kravis Children's Hospital who wrote a very insightful accompanying editorial co...
Pediheart Podcast #130: What Are The Stressors And Fears Of The New Pediatric Cardiology Fellow?
August 28, 2020 05:00 - 38 minutes - 52.8 MBThis week we delve into the topic of fellow wellness and review a recent work from the Boston Children's group on fellow fears and stressors when beginning their training. Are there patterns amongst the fellow concerns that can be identified and used to inform interventions to help allay these fears and reduce the stress? We speak with Dr. David Brown, Associate Professor of Pediatrics, Harvard Medical School and also Dr. Tony Pastor who is the ACHD Fellow at Boston Children's Hospital/Brigha...
Pediheart Podcast #129: Safety Of Enalapril In The Infant With Single Ventricle Trial
August 21, 2020 05:00 - 27 minutes - 37.7 MBThis week we speak with Assistant Professor of Pediatrics at the Icahn School of Medicine at Mount Sinai as well as Chief, Pediatric Cardiology at BronxCare Health System, Dr. Kanika Mathur, about a recent work she co-authored on the topic of enalapril in the single ventricle patient. How safe are these agents in the single ventricle patient? How common were side effects encountered at standard dosing? Dr. Mathur shares her insights from a recent large database analysis study. DOI: 10.1016/j....
Pediheart Podcast #128: A Novel Standardized Protocol For IV Sotalol Administration In Children
August 14, 2020 05:00 - 31 minutes - 43.6 MBThis week we review a recent report of the novel IV anti arrhythmic agent sotalol. We speak with EP fellow Dr. Alejandro Borquez of Rady Children's Hospital about this agent and where the team at Rady believes it fits in the 'armamentarium' of agents used to treat difficult arrhythmias in children. How effective is the drug for 'regular' SVT or infant atrial flutter? How commonly were adverse events seen with its administration? Dr. Borquez provides the answers this week. doi: 10.1016/j.jacep...
Pediheart Podcast #81 Replay: A Standardized Protocol To Improve Junior Cardiology Fellow Echo Function Assessment
August 07, 2020 05:00 - 29 minutes - 40.7 MBThis week we enter the worlds of fellow education and echocardiography to review a recent report of a QI project performed at Children's Hospital of Philadelphia regarding the performance of echocardiograms by first year fellows in cardiology. Can the implementation of a checklist protocol improve the consistency of echocardiograms performed by fellows? What was the impact of this protocol? What areas were particularly well served by this approach? Dr. Brian White, senior cardiology fellow at...
Pediheart Podcast #127: Impact of 22q11.2 Deletion Syndrome On Outcomes of TOF and Truncus Arteriosus Repair
July 31, 2020 05:00 - 36 minutes - 50.4 MBThis week we delve into cardiac surgery and genetics as we review a recent large dataset study from Drs. Anita Moon-Grady and Laxmi Ghimire who used the KID database to determine the impact of 22q11.2 deletion syndrome on outcomes of repair of TOF and Truncus. Does this syndrome affect mortality or morbidity? If so, why? Professor Moon-Grady of UCSF and Dr. Ghimire of LRGHealthcare provide many insights in this episode. doi: 10.1007/s00246-020-02333-y.
Pediheart Podcast #126: Assisted Reproductive Technologies, Twinning and Congenital Heart Disease
July 24, 2020 05:00 - 33 minutes - 46.4 MBThis week we review a fascinating epidemiological study from the University of Ottawa on the impact of assisted reproductive technologies (ART) and twins on the rates of congenital heart disease. What is the more important factor in the development of congenital heart disease - twin pregnancy or ART? Do all ART pregnancies require a fetal echo? We speak with 3 world authorities - epidemiologist Dr. Shi Wu Wen, pediatric cardiologist Dr. Jane Lougheed and fertility expert, Dr. Arthur Leader - ...
Pediheart Podcast #58 Replay: AV Valve Regurgitation In The Fontan Patient
July 17, 2020 05:00 - 38 minutes - 53.4 MBThis week we re-review an impressive review of the large Australian/New Zealand registry of Fontan patients assessing the impact of AV valve regurgitation and failure on Fontan outcomes. We discuss this work with the senior author Yves D'udekem, Associate Professor of Surgery at The Murdoch Children's Research Institute and also speak with Professor Frank Cetta of the Mayo Clinic who authored a wonderful editorial on this work. Who is at most risk for AV valve failure at Fontan? How well do p...