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 #125: SARS CoV2 Infection and MIS-C - Early US Reports
July 10, 2020 05:00 - 38 minutes - 52.8 MBThis week we have a very topical episode on the recently identified multi system inflammatory syndrome in children associated with SARS-CoV2 infection (MIS-C). What defines this syndrome and how does it differ from other inflammatory disorders such as toxic shock syndrome or Kawasaki disease? We speak with 2 world authorities - Associate Professor of Pediatrics - Albert Einstein - Dr. Nadine Choueiter as well as Commissioner of Health for NY State - Dr. Howard Zucker. A rare opportunity to sp...
Pediheart Podcast #124: Does Non-Invasive Loss Of Preexcitation Equal Low Risk For Sudden Death In WPW?
July 03, 2020 05:00 - 30 minutes - 42 MBThis week we review a recent large database study of WPW with particular interest in the patient with intermittent preexcitation. Traditionally, this finding has been considered a sign of low risk. Is this true? Who deserves formal invasive EP testing in this setting? Should all WPW pathways be ablated? These are amongst the many interesting questions discussed with Assistant Professor of Pediatrics - University of Alberta - Dr. Carolina Escudero. doi: 10.1016/j.hrthm.2020.05.035
Pediheart Podcast #123: A Novel Autoantibody Test For Brugada Syndrome
June 26, 2020 05:00 - 35 minutes - 48.3 MBThis week we speak with Professor Robert Hamilton of University of Toronto about a recent potentially groundbreaking work on a novel approach to the diagnosis of Brugada syndrome using an immunological test. How accurate is this test for diagnosis of this often elusive syndrome? Is autoimmunity the cause of disease or are the antibodies just a marker of disease. What's the latest on Professor Hamilton's work on testing for ARVC (reviewed previously in episode 43)? Dr. Hamilton provides us wit...
Pediheart Podcast # 122: Morphology Of Ductus Arteriosus And Its Relationship To Ductal Stenting
June 19, 2020 05:00 - 38 minutes - 52.5 MBThis week we speak with Professor Marc Gewillig of Leuven, Belgium about a recent paper he co-authored on the topic of the relation of ductal morphology to success at endovascular stenting. Are there some morphologies that are more difficult than others? How is the length of the ductus optimally estimated when choosing a stent length? Dr. Gewillig shares many pearls this week. doi: 10.1002/ccd.28725
Pediheart Podcast #121: Outcomes Of Fontan Palliation In The Down Syndrome Patient
June 12, 2020 05:00 - 35 minutes - 48.5 MBThis week we review the outcomes of Fontan palliation in the Down Syndrome patient. We speak with Assistant Professor of Pediatrics Dr. Lauren Sarno of East Carolina University about a recent work she co-authored on a complex statistical analysis she performed from the STS database. What accounts for worse outcomes in this patient population? Prepare to be surprised by the information provided this week! DOI: 10.1016/j.athoracsur.2019.07.085
Pediheart Podcast #120: A History of Pediatric Heart Transplantation With Dr. James Kirklin
June 05, 2020 05:00 - 45 minutes - 62.7 MBThis week we have the rare opportunity to speak for the entire podcast with a pioneer in pediatric heart transplantation and VAD support - Professor James Kirklan of University of Alabama. Dr. Kirklin shares his experiences in forming the PHTS and other organizations devoted to mechanical assist devices in adults and children and how he started the process of multi-institutional studies to answer important questions in surgery and medicine. Dr. Kirklin shares his thoughts regarding the future...
Pediheart Podcast Replay #21: CICU Management Of The Complex Newborn Following Surgery
May 29, 2020 05:00 - 1 hour - 100 MBThis week we replay one of the most listened to episodes of the early part of this podcast history - episode 21 with Dr. Anthony Rossi. Professor Rossi is the Director of Pediatric Cardiology at Nicklaus Children's Hospital in Miami, Florida and is one of the leaders and pioneers in the field of pediatric cardiac critical care. We sit down with Dr. Rossi to review his approach to the assessment and management of the single ventricle patient following stage I palliation. The clinical 'pearls' ...
Pediheart Podcast # 119: Intraoperative Methadone Reduces Opiod Usage During And After Congenital Heart Surgery
May 22, 2020 05:00 - 20 minutes - 28 MBThis week we enter the world of cardiovascular anesthesiology to review a recent work from Duke University on the results of the use of IV methadone during cardiac surgery in children. Does this agent result in reductions in postoperative opioid usage while affording similar analgesia? What are the advantages of this agent in this setting? How much should the cardiologist worry about the impact of methadone on the QT interval? We speak with the first author of this work, Assistant Professor o...
Pediheart Podcast #118: Effect Of Maternal Hypertension On RV and LV Size And Dimensions Of The Offspring
May 15, 2020 05:00 - 27 minutes - 37.3 MBThis week we enter into the worlds of fetal cardiology and preventative cardiology to review a recent work from Professor Paul Leeson of Oxford University on the topic of pregnancy induced hypertension and the impact this plays on the cardiovascular health of the offspring. How does this form of HTN affect the structure of the RV and LV in the offspring and why might this explain the increased rates of adult HTN in the offspring of women who were hypertensive during pregnancy? Dr. Leeson prov...
Pediheart Podcast #117: Novel Radial Sheaths With Large ID And Small OD For Pediatric Femoral Catheterization
May 08, 2020 05:00 - 24 minutes - 33.6 MBThis week we review a recent work from the team at Mercy Children's on the variability of sheath outer diameter (OD) amongst various sheaths. Can novel 4Fr adult radial sheaths have similar OD to more standard 3.3Fr pediatric sheaths? What are the trade-offs in using a radial sheath for this indication in a newborn? Senior author Dr. Abhay Divekar of Rocky Mountain Pediatric Cardiology shares his insights this week. doi: 10.1002/ccd.28825
Pediheart Podcast #116: Anatomical Aspects of Ebstein's Anomaly And Their Relation To Arrhythmia
May 01, 2020 05:00 - 33 minutes - 45.3 MBOn this episode we speak with Professor Edward Walsh of Harvard University about a recent work he co-authored on Ebstein's anomaly. Can review of pathological specimens offer some insights into why ablations in this patient group are so challenging? Is there an optimal age or size to perform an ablation in this patient group? Why are these ablations so difficult? Dr. Walsh, Director of the Arrhythmia Service at Boston Children's Hospital, shares his deep insights this week. doi: 10.1016/j.hrt...
Pediheart Podcast #115: Role Of The Stress Echo In Assessing The Pediatric HCM Patient
April 24, 2020 05:00 - 40 minutes - 56 MBThis week we delve into the world of cardiomyopathy and also stress echo to review a recent work from the team at Boston Children's on stress echo and its role in the assessment of the pediatric HCM patient. We speak with Assistant Professor of Pediatrics Ming Hui Chen of Harvard University about a recent work she co-authored on this modality in children with HCM. Are changes in the LVOT gradient with exercise associated with differences in medium term outcome? Dr. Chen provides the answers t...
Pediheart Podcast #114: Navigating The QTc Prolonging Potential Of Possible Therapies For COVID-19
April 17, 2020 05:00 - 51 minutes - 71 MBThis week's episode, co-branded with SADS.ORG, reviews a recent guideline paper by the Mayo Clinic on how to improve the safety of potential COVID-19 therapies such as azithromycin or hydroxychloroquine. These agents can both prolong the QT interval and enhance the risk for torsades making the development of a simple protocol to prevent possible life threatening cardiac side effects critical, particularly in an era before there is strong scientific evidence of efficacy of these agents when us...
Pediheart Podcast #113: Serious Cardiac Events In The Pregnant Patient With Heart Disease
April 10, 2020 05:00 - 30 minutes - 41.3 MBThis week we speak with Professor Candice Silversides of U. Toronto about a recent work she co-authored on the topic of serious cardiac events for women with heart disease. How common are serious cardiac events encountered and what percentage of these are preventable? What is the optimal team for the pregnant patient with heart disease? What are the components of a pre-pregnancy cardiac evaluation? Dr. Silversides provides many insights this week. doi: 10.1016/j.jacc.2020.01.039
Pediheart Podcast Episode #112: Impact of Sleep Apnea and Obesity On Blood Pressure In The Young
April 03, 2020 05:00 - 16 minutes - 23.2 MBThis week we delve into the world of preventative cardiology and speak with Associate Professor of Pediatrics at The Albert Einstein College of Medicine, Dr. Joseph Mahgerefteh about a recent work he authored on the impact of obesity and obstructive sleep apnea on hypertension. Which of these factors, which often occur together, is more important in the youth with elevated BP? Dr. Mahgerfeteh shares his insights regarding this week's work while also reviewing a general framework to think abou...
Pediheart Podcast #111: RV Volume After PVR And Relation To Outcomes In Tetralogy Of Fallot
March 27, 2020 05:00 - 26 minutes - 36.4 MBThis week we speak with Dr. Anne Marie Valente, Associate Professor of Medicine and Pediatrics, Harvard University about a recent work she co-authored on the topic of outcomes following PVR and the relation of the RV volume to these. What is the evidence for using RVEDVi as a rationale to replace the pulmonary valve? Does PVR affect long term survival in the TOF patient? What factors are associated with worse long term survival and complications? Dr. Valente is one of the foremost ACHD expert...
Pediheart Podcast #110: Difficulty Weaning From Bypass Following The Norwood Operation
March 20, 2020 05:00 - 26 minutes - 36.9 MBThis week we review a recent paper from the team at the University of Wisconsin regarding weaning from bypass after the Norwood procedure. If there are difficulties in 'coming off', what are the most common problems encountered and what does this difficulty mean for survival and the general hospital course? We speak with the senior author of this work, congenital heart surgeon Dr. Ronald Woods about this somewhat common problem in the OR and how his team manages it. doi: 10.1053/j.semtcvs.201...
Pediheart Podcast#109: Early Results Of The Heartmate 3 VAD In The Young
March 13, 2020 05:00 - 34 minutes - 47.5 MBThis week we delve into the world of heart failure and transplantation and review a recent report from the ACTION Network about the use of the Heartmate 3 VAD for young patients. Does this device offer advantages over prior durable VAD's? What are the patient size limitations for such a device? Why might this device have fewer complications than prior devices? Dr. Matthew O'Connor, Assistant Professor of Pediatrics at The University of Pennsylvania shares his deep insights with us this week. ...
Pediheart Podcast #108: Scoliosis Repair In the Complex Congenital Heart Patient
March 06, 2020 06:00 - 32 minutes - 44.1 MBThis week we review a recent work from the team at Boston Children's Hospital regarding outcomes for patients with complex congenital heart disease who underwent scoliosis repair. We speak with the first author of this work, 2nd year cardiology fellow at Boston Children's, Dr. Robert Przybylski about the work. How should these patients be optimally assessed prior to and then managed during these complex and often challenging surgeries. Dr. Przybylski provides us with great insights this week....
Pediheart Podcast # 40: Replay Of A Discussion With R. Krishna Kumar, MD - Starting A Program In A Limited Resource Environment
February 28, 2020 06:00 - 56 minutes - 77.4 MBThis week we replay episode # 40 - a discussion with the inspirational figure, Professor Raman Krishna Kumar of the Amrita Institute in Cochin, India. This master of cardiology reviews how, in a limited resource environment, Professor Kumar was able to develop one of the finest pediatric heart centers in all the world. We will be back with a new episode on 3.6.20!
Pediheart Podcast #107: Role of Noninvasive Ventilation Approaches After Congenital Heart Surgery
February 21, 2020 06:00 - 23 minutes - 32.1 MBThis week we move into the world of the CICU to review a recent work on the use of noninvasive means of ventilation following congenital heart surgery. How often does this form of ventilation prevent a child with respiratory failure avoid reintubation? What is the evidence for the benefit of this? Are we extubating patients too soon? We speak with Ms. Denise Rolim who is a highly experienced pediatric physiotherapist in the PICU of Hospital Sirio-Libanes in Sao Paulo, Brazil and who is also t...
Pediheart Podcast #106: Initiation Of Sotalol In The Pediatric Patient
February 14, 2020 06:00 - 34 minutes - 47.5 MBThis week we review a recent work on the prevalence of adverse events when starting sotalol in the pediatric patient with arrhythmias. How commonly were problems encountered? Does initiation always require hospitalization and monitoring in an inpatient setting or are there some patients who might be candidates for an outpatient approach? Is there a level of dysfunction that would preclude its use? Assistant Professor of Pediatrics at Northwestern University, Dr. Stephanie Chandler, provides i...
Pediheart Podcast #105: The Role Of Echocardiography In The Evaluation Of The Innocent Heart Murmur
February 07, 2020 06:00 - 27 minutes - 37.7 MBThe innocent heart murmur is the topic of this week's podcast. How important is the echocardiogram in allaying parental fears and anxieties when being evaluated for a murmur? Have the days of auscultation without a secondary test fallen by the wayside? We speak with a highly experienced general pediatric cardiologist, Dr. Jared LaCorte of Staten Island Pediatric Cardiology to offer his thoughts on this week's work from Melbourne, Australia. doi: 10.1111/jpc.14775
Pediheart Podcast # 104: The Global, Regional And National Burden Of Congenital Heart Disease
January 31, 2020 06:00 - 34 minutes - 47.8 MBThis week we delve into global pediatric cardiology and review a massive and important work from the Global Burden of Disease study group assessing the trends in congenital heart disease in the world from lower income nations to higher. How has the prevalence of congenital heart disease changed over the past 30 years? How are countries faring in their treatment of congenital heart disease? What are some strategies to address global inequities in care? We discuss these and other questions with...
Pediheart Podcast #103: Update On A Novel Sub Pulmonary Pump For The Fontan Patient
January 24, 2020 06:00 - 28 minutes - 38.8 MBThis week we speak with Professor of Surgery, Mark Rodefeld of Indiana University about the most recent report of his group on a sub pulmonary pump for Fontan patients. What is different about this pump versus other presently available pumps for other cardiovascular indications? What is known about the thrombogenicity of these devices? How close is the team in Indiana to animal studies? Why is a lower pressure type pump preferable for this indication? Dr. Rodefeld provides most of the answers...
Pediheart Podcast #102: Factors Influencing AED Use For Out Of Hospital Arrests
January 17, 2020 06:00 - 25 minutes - 35.3 MBWe review a recent paper on the use of the AED for children who suffer out of hospital arrest. What factors are associated with their use and what barriers exist to their use for children? What should be the next steps to improve AED usage for children? We discuss these and other questions with Professor Peter Aziz of the Cleveland Clinic in our first co-branded episodes with the SADs Foundation in 2020! doi: 10.1542/peds.2017-1903
Pediheart Podcast #101: Pulmonary Homograft Versus Bioprosthetic Valves In Tetralogy Of Fallot
January 10, 2020 06:00 - 26 minutes - 36.8 MBThis week we review a recent large single center study comparing pulmonary homografts to bioprosthetic valves in the TOF patient requiring valve replacement. Is there a superior choice? Who is a better candidate for one versus the other? Which is technically easier to use and why? Who would benefit from an aortic vs. pulmonary homograft in this pulmonary position? We speak with Professor Massimo Caputo of the Bristol Heart Institute who answers these and other questions related to this import...
Pediheart Podcast # 100: A Discussion With Cardiac Transplant Patient AND Physician, Dr. Alin Gragossian
January 03, 2020 06:00 - 57 minutes - 79.1 MBAlin Gragossian, DO has an unusual perspective in medicine - she is an emergency room physician but also a cardiac transplant recipient. In this milestone 100th episode Dr. Gragossian shares her experiences of learning that she had dilated cardiomyopathy just one year ago, getting admitted to the ICU, and undergoing a heart transplant - all in < 6 months. She is 'back on the job' and she shares the details of her trials and tribulations, inspiring us all with her courage and insights into the...
Pediheart Podcast # 99: 3D Ductal Imaging Prior To Stenting
December 27, 2019 06:00 - 26 minutes - 36.4 MBThis week we review a recent report on the benefit of 3D imaging and printing in preparing for ductal stenting. This intervention is complex and is fraught with risk. The team at Duke review their experience with the use of 3D modeling prior to intervention and what impact this has on outcomes. We speak with the first author, Dr. Reid Chamberlain, research fellow at Duke University Pediatric Cardiology about this recent publication. doi: 10.1002/ccd.28669
Pediheart Podcast #98: Impact Of Udenafil On Exercise In The Fontan 'FUEL' Trial
December 20, 2019 06:00 - 31 minutes - 42.6 MBThis week we review the results of one of the rare placebo controlled double blind trials of an agent in pediatric cardiovascular medicine - specifically, the Fontan Undenafil trial assessing the impact of this agent on parameters of exercise in the single ventricle patient. What measures of exercise were most affected by this agent and why? What side effects were encountered? Who should receive these agents? These are amongst the many questions we tackle with the first author, Dr. David Gold...
Pediheart Podcast # 97: The Genetics Of LV Non-Compaction
December 13, 2019 06:00 - 28 minutes - 39.7 MBCardiogenetics is the topic this week as we review a relatively recent report on the topic of LV non-compaction. How often do patients with this finding have positive genetic findings? Who deserves genetic testing with this finding? Should all such patients be seen by a geneticist? How frequently should phenotype positive, genotype negative patients 'check in' with a geneticist? These are amongst the questions we review with famed cardiogeneticist and senior author, Professor Stephanie Ware o...
Pediheart Podcast # 96: Interhospital Collaboration Improves Congenital Heart Surgical Outcomes
December 06, 2019 06:00 - 35 minutes - 48.3 MBThis week we review a recent report of the PC4 group assessing the impact of inter hospital open communication and collaboration on surgical outcomes. In what manner did participation in this collaborative CICU registry improve outcomes for different hospital surgical outcomes? Why was the improvement not homogeneous between centers? How long did it take for the impact of collaboration to positively improve outcomes? We discuss these and other questions with first author Dr. Michael Gaies, As...
Pediheart Podcast #95: A Novel Device To Assess Aortic Valves Prior To And After Repair
November 29, 2019 06:00 - 32 minutes - 44.7 MBThis week the topic is cardiovascular surgery and we speak with Dr. Ignacio Berra of Buenos Aires Argentina about a recent work he co-authored with the surgical bioengineering team at Boston Children's Hospital regarding a newly developed tool to assess the aortic valve. Can this device safely allow for visualization of the valve under the usual aortic diastolic pressures to aid in anatomical assessment and post-repair assessment? What are the technical hurdles of using this device? Is it rea...
Pediheart Podcast # 94: Use Of An "Echo Pause" For Postoperative Transthoracic Echocardiographic Surveillance
November 22, 2019 06:00 - 29 minutes - 41 MBThis week we review a work that aimed to improve the thoughtfulness of echocardiography usage in the postoperative period after congenital heart surgery. Dr. Kelly Cox and colleagues report on the use of a 'checklist' type 'pause' aimed at making certain that the ordering team in the CVICU are making an informed decision regarding the need for a new echocardiogram. How often should postoperative studies be performed? How often did the 'fluid check' actually show fluid? These are amongst the m...
Pediheart Podcast # 93: Neurodevelopmental Outcomes In Children Supported With ECMO For Cardiac Indications
November 15, 2019 06:00 - 30 minutes - 41.5 MBECMO use in the pediatric cardiac patient can be lifesaving but the long term effects are still not well known. This week we explore the neurodevelopmental outcomes in a cohort of patients from Boston Children's Hospital who underwent ECMO support following cardiac surgery and explore factors associated with their neurodevelopmental outcomes. How do these patients fare in comparison to non-ECMO pediatric cardiac surgical patients? Are there modifiable factors that may improve outcomes? We exp...
Pediheart Podcast # 92: Factors Associated With Shunt Failure In The Single Ventricle Patient
November 08, 2019 06:00 - 34 minutes - 47 MBThis week we speak with cardiovascular surgeon Dr. Johann Brink about a recent work he co-authored from the Royal Children's Hospital in Melbourne, Australia about the team's experience with shunt malfunctions. Are there factors that are associated with shunt failure in this sometimes fragile patient group? Survival to Fontan in most series is roughly 70% - what, if anything, can 'move the needle' to higher levels of survival in this patient population? Dr. Brink offers some interesting and i...
Pediheart Podcast # 91: Pre-Participation Sports Evaluation - ECG vs. 14 Point AHA Evaluation
November 01, 2019 05:00 - 37 minutes - 51.9 MBThis week's episode is co-branded with the SADS Foundation and we review a recent work by the team at U. of Washington on a comparison between the ECG and the AHA 14 point evaluation recommendation for the identification of cardiac diseases that may predispose to sudden death amongst high school athletes. We speak with Dr. Jonathan Drezner of U. of Washington about this important work and he offers many insights into the pluses and minuses of both the history and physical approach as well as ...
Pediheart Podcast # 90: Early Outcomes In Heart Transplantation In The Low Risk Pediatric Recipient And Steroid Avoidance
October 25, 2019 05:00 - 26 minutes - 36.9 MBThis week we review a recent report from the CTOTC-04 study group assessing the impact of novel anti-rejection approaches which generally markedly reduce or remove steroids in the prevention of rejection. How are rejection rates affected by such an approach? Did incidences of diabetes or PTLD differ when using this form of steroid reduced approach in the 'low immunological risk' subset of patients undergoing heart transplantation? We speak with the first author of this work, Professor of Pedi...
Pediheart Podcast # 89: Use of Personalized Computational Models To Predict Ventricular Arrhythmia in Tetralogy of Fallot
October 18, 2019 05:00 - 35 minutes - 48.8 MBIdentification of the tetralogy of Fallot patient at risk for ventricular arrhythmias might be the 'holy grail' of ACHD and still today the best predictors are unclear. This week we review a novel approach to this problem - the development of personalized computational models to effectively perform 'virtual EP studies' and predict reentrant ventricular arrhythmia risk in repaired TOF patients. We speak with Dr. Mark Cartoski, Assistant Professor of Pediatrics at Nemours duPont Children's Hos...
Pediheart Podcast #88: Role Of MRI Fusion With Fluoroscopy For Congenital Heart Interventional Catheterization
October 11, 2019 05:00 - 26 minutes - 36.6 MBThis week we review a recent work from the team at Children's National in DC and the NIH on the use of 3D fusion of MRI images with fluoroscopy to help inform interventional procedures. Does this form of "XFM" fusion improve outcomes and reduce radiation or contrast usage? Are there procedures in which this form of imaging might be best applied? We review these and other questions with the first author of this work, Dr. Elena Amin of UCSF. doi: 10.1002/ccd.28324
Pediheart Podcast # 87: Parental Psychological Reactions To Fetal vs. Postnatal Diagnosis of CHD
October 04, 2019 05:00 - 30 minutes - 42.1 MBThis week we review a recent small work on the impact of fetal diagnosis of congenital heart disease on the psychological well being of families. Does the fetal prenatal diagnosis and counseling result in less stress in comparison to the families of those diagnosed in the postnatal period? We review this and other questions regarding prenatal counseling with Dr. Miwa Geiger - Director of Fetal Cardiology at Mount Sinai Kravis Children's Hospital and Ms. Michele Cafone, MSN, RN, CPNP - Clinica...
Pediheart Podcast #86: Staged Versus Primary Repair For Tetralogy of Fallot
September 27, 2019 05:00 - 28 minutes - 38.6 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. doi: 10.1016/j.jacc.2019.05.057.
Pediheart Podcast #85: Impact Of Obesity On LVH In HCM
September 20, 2019 05:00 - 32 minutes - 44.2 MBThis week we celebrate Children's Cardiomyopathy Awareness Month by reviewing a recent work from PACES on the impact of obesity on ventricular thickness in hypertrophic cardiomyopathy. Does obesity enhance thickness of HCM patients similarly to those without HCM? How does obesity affect risk for SCD in this condition? We review these and other questions with Dr. Seshadri Balaji, Professor of Pediatrics at OHSU. We speak also with Ms. Lisa Yue of the Children's Cardiomyopathy Foundation. What ...
Pediheart Podcast #84: Fontan Exercise Capacity and Conduit Size
September 13, 2019 05:00 - 26 minutes - 36.4 MBThis week we review the impact of conduit size on exercise capacity in the single ventricle Fontan patient. Is there an optimal sized conduit for the Fontan patient? What is the role of formal exercise stress testing in the evaluation and monitoring of the Fontan patient? We review these questions and more with Associate Professor of Medicine at UT Southwestern - Dr. Ari Cedars. doi: 10.1007/s00246-019-02190-4
Pediheart Podcast #83: Clinical Presentation of Pediatric Patients at Risk for Sudden Cardiac Arrest
September 06, 2019 05:00 - 29 minutes - 40.9 MBThis week's episode is co-branded with SADS.ORG and we review a paper on the clinical presentation of those who have conditions associated with sudden cardiac death. Are there questions about the patient and family history and physical examination signs that can improve the identification of those at risk before an event of cardiac arrest? We review this important question and others with Assistant Professor of Pediatrics at Washington University in St. Louis, Dr. Aarti Dalal. Referenced also...
Pediheart Podcast #82: Autologous Umbilical Cord Stem Cells For HLHS
August 30, 2019 05:00 - 33 minutes - 45.5 MBThis week we discuss the results of a phase 2 trial of autologous stem cell therapy for the treatment of patients with HLHS. How challenging was it to obtain autologous stem cells from a large number of patients in multiple locations throughout North America? What are the theoretical benefits for this form of therapy? What evidence presently exists for its potential efficacy? How is this therapy best delivered to the myocardium. We discuss these and other questions with the senior author of a...
Pediheart Podcast #81: A Standardized Protocol To Improve Junior Cardiology Fellow Echo Function Assessment
August 16, 2019 05:00 - 29 minutes - 40.1 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 #80: Timing Of The Arterial Switch Operation And Impact On Brain Growth and Function
August 09, 2019 05:00 - 33 minutes - 45.9 MBThis week we review a recent 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 Harvard University - Bo...
Pediheart Podcast #79: Impact Of Durable VAD's On CHD Patients Awaiting Transplantation
August 02, 2019 05:00 - 32 minutes - 44.1 MBThis week we review a recent paper on the topic of durable VAD's in congenital heart patients. Who is a candidate for such a device and what are the outcomes with these in this selected patient group? What are the impediments to their use? What role might public reporting have on the use of these devices and transplantation in general on the congenital heart population? We touch on all of these questions and more with Dr. Lauren Glass, Assistant Professor of Pediatrics at The Icahn School of ...
Pediheart Podcast # 78: A Discussion With Crediblemeds.org Founder Professor Ray Woosley
July 26, 2019 05:00 - 27 minutes - 37.7 MBThis week's episode is our second '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 and their impact...