Cardiac Consult: A Cleveland Clinic Podcast for Healthcare Professionals

Latest Episodes:

Heart Failure Strategies: What’s new? Feb 12, 2019

Show notes

Dr. Steven Nissen discusses talks with Jerry Estep, MD, Section Head, Heart Failure and Transplantation and Edward Soltesz, MD, Surgical Director of the Kaufman Center for Heart Failure and Recovery about innovations in heart failure surgery, including changes in LVAD therapy and heart transplant making an impact on patient outcomes, when patients should be referred for advanced heart failure therapy, LVAD back-up strategies for traditional cardiac surgery, the newest medications and when to prescribe, and the new technologies for pulmonary pressure monitoring.

Business Management in the Cardiac Cath Laboratory - CC and HBS Feb 07, 2019

Show notes

Dr. Steven Nissen discusses talks with Harvard Business School Professor Michael Tushman, and Cleveland Clinic cardiologists Dr. Samir Kapadia, Section Head, Interventional Cardiology, and Dr. Grant Reed, authors of a recently published paper focused on operational efficiency in the cath lab. They provide guidance on how to deliver high quality care in a cost effective manner.

Art of picking the right diagnostic imaging for the right patient Jan 31, 2019

Show notes

Steven Nissen, MD discusses with Christine Jellis, MD, PhD the wide array of multi-modality imaging including the various types nuclear, echo, CT and MRI testing; the advantages and best use cases of each and how to manage special populations.

Tools for improving clinical practice Jan 24, 2019

Show notes

Dr. Steven Nissen discusses clinical effectiveness with Dr. Umesh Khot, Vice Chairman and director of the Center for Healthcare Delivery Innovation How do the factors of Quality, Operations, and Reimbursement work together to improve effectiveness and efficiency? Dr. Khot provides an example of his work with STEMI patients and how standardizing care improved door to balloon time as well as decreased patient care variability. Other examples are provided. This process has also provided opportunities for research and publications.

REGROUP: Is Endoscopic Vein Harvesting Safe? Jan 17, 2019

Show notes

Dr. Faisal Bakaeen, Director of Cleveland Clinic's Coronary Artery Bypass Surgery Center discusses the findings of the REGROUP trial, which looked at and the safety and efficacy of using saphenous vein grafts harvested endoscopically versus those harvested via open techniques. He provides an explanation of the findings, noting no significant difference in rates of major adverse cardiac events between the two harvesting methods.

Left Atrial Appendage Closure: Preventing Strokes in Patients with Atrial Fibrillation Jan 10, 2019

Show notes

Oussama Wazni, MD, Section Head, Cardiac Electrophysiology and Pacing and electrophysiologist Walid Saliba MD discuss atrial fibrillation stroke prevention, and the role of left atrial appendage occlusion: outcomes noted at Cleveland Clinic, what to do in patients that are unable to take Coumadin due to risk of bleeding, FDA indications, new technology available and the role of LAA occlusion in light of the newer anticoagulants.

Statin Intolerance: How to manage it in clinical practice Jan 03, 2019

Show notes

Dr. Leslie Cho, Section Head, Preventive Cardiology and Rehabilitation and Director of Women’s Cardiovascular Center discusses tips for health care providers in treating statin intolerance. She covers common issues such as symptom management, medication choices, titration of meds, monitoring patients on statins, and the role of PCSK9 medications.

Hypertrophic Cardiomyopathy Dec 27, 2018

Show notes

Dr. Steven Nissen, Chairman of the Robert and Suzanne Tomsich Department of Cardiovascular Medicine at Cleveland Clinic discusses hypertrophic cardiomyopathy (HCM) with experts: cardiologist Milind Desai, MD and cardiovascular surgeon, Nicholas Smedira, MD . Topics include diagnostic findings, the nuances of surgical approach, determining the appropriate treatment for the best outcomes including symptom relief and decreased incidence of cardiac death, and genetic screening.

Transcatheter Mitral Valve Repair in Patients with Heart Failure Dec 20, 2018

Show notes

After the results of the COAPT trial were released, Dr. Kapadia, joined a panel of experts in imaging Dr. Griffin, heart failure Dr. Starling, heart surgery Dr. Mick, and structural intervention Dr. Krishnaswamy to discuss best practices in the treatment of functional mitral regurgitation in heart failure patients. Read more about key findings of the COAPT trial.

What you should know about cardiac rehabilitation Dec 13, 2018

Show notes

Dr. Erik Van Iterson, Director of Cardiac Rehabilitation at Cleveland Clinic describes the benefits of cardiac rehabilitation for various patient populations, current enrollment statistics, factors that play into enrollment, tips for health care providers, what is included in cardiac rehab and new trends in cardiac rehabilitation programming.