Cardiac Consult: A Cleveland Clinic Podcast for Healthcare Professionals

Latest Episodes:

Resistant Hypertension and Cardiac Rehabilitation Nov 28, 2019

Show notes

Luke Laffin, MD, Medical Director of Cardiac Rehabilitation and cardiologist in the Section of Preventive Cardiology at Cleveland Clinic talks about two related abstracts recently presented at the American Heart Association’s Hypertension Scientific Sessions focused on resistant hypertension in a cardiac rehabilitation program. Dr. Laffin defines resistant hypertension, the prevalence of resistant hypertension in a cardiac rehabilitation setting, factors associated with patients who have resistant hypertension, and lessons learned about this patient population.

Vascular Surgery: Impact of national trends on surgeon training Nov 21, 2019

Show notes

Dr. Lee Kirksey, Vascular Surgeon and Vice Chairman of Vascular Surgery and Dr. Sean Lyden, MD, Chairman, Department of Vascular Surgery at Cleveland Clinic’s Sydell and Arnold Miller Family Heart & Vascular Institute discuss the changes in operative strategies for aortic aneurysm repair. As the national trend shows an increase in EVAR and decline in open repair, is it time to review current training programs to see if there is a need for specialized training in complex open aortic repair in high volume centers?

Effect of Left Ventricular Conduction Delay on Cardiovascular Mortality Nov 14, 2019

Show notes

Dr. Daniel Cantillon discusses their analysis of ECG recordings of over 24,000 patients from the PRECISION study. They found that left bundle branch block (LBBB) and left intraventricular conduction defect (LIVCD) is an important risk factor for increased mortality in patients at risk for cardiovascular disease.

Association Between Transcatheter Aortic Valve Replacement and Early Postprocedural Stroke Nov 07, 2019

Show notes

Dr. Venu Menon, Director of the Cardiovascular Fellowship Program and Section Head, Clinical Cardiology and Chetan Huded MD, Interventional Fellow discuss incidence of stroke up to 30 days after TAVR. Dr. Huded published his findings in JAMA . Drs. Menon and Huded discuss the patient population, pulled from the TVT registry and what the findings mean for clinical practice.

Left atrial appendage closure device implantation in patients with prior intracranial hemorrhage Oct 31, 2019

Show notes

Dr. Venu Menon, Director of the Cardiovascular Fellowship Program and Section Head, Clinical Cardiology discusses with Erika Hutt, MD a first year cardiovascular fellow the use of the WATCHMAN, a left atrial appendage closure device, in patients with prior intracranial hemorrhage. Her study was recently published in Heart Rhythm. Drs. Menon and Hutt talk about the study, the patient population as well as the findings and what this means for this patient population in the future.

Mediastinal Radiation Associated Aortic Stenosis – Aortic Valve Replacement SAVR and TAVR Oct 24, 2019

Show notes

Dr. Venu Menon, Director of the Cardiovascular Fellowship Program and Section Head, Clinical Cardiology talks with Eoin Donnellen MD, a third year cardiovascular fellow about the impact of radiation induced aortic stenosis on treatment. Dr. Donnellen first describes a paper looking at Aortic Valve Replacement in patients who had had mediastinal radiation vs. those who did not have radiation . His second study looked at outcomes of TAVR in patients with mediastinal radiation associated aortic stenosis. Drs. Menon and Donnellen discuss the findings of both studies and the clinical implications

Association between bariatric surgery and atrial fibrillation recurrence after ablation Oct 17, 2019

Show notes

Dr. Venu Menon, Director of the Cardiovascular Fellowship Program and Section Head, Clinical Cardiology talks with Eoin Donnellen MD, a third year cardiovascular fellow about his recently published paper that looked at pre-ablation bariatric surgery and its impact on the recurrence of atrial fibrillation following atrial fibrillation ablation.

Radiation Associated Cardiac Disease Oct 10, 2019

Show notes

Cardiologist Dr. Milind Desai and surgeon Dr. Doug Johnston, both experts in radiation heart disease discuss a paper that was recently published entitled, “Prevention, Diagnosis, and Management of Radiation-Associated Cardiac Disease.” This expert panel highlights the unique aspects of radiation heart disease and the importance of individualizing care. The paper includes recommendations for diagnostic testing to plan treatment and the various treatment options available. Patients and their physicians need to gather a complete profile, set realistic expectations and plan an individualized treatment plan. An experienced radiation heart disease team is required to make the best decision for this patient population to achieve best outcomes.

Cholesterol Update: LDL and Lp (a) Sep 26, 2019

Show notes

Dr. Steven Nissen, Chief Academic Officer, Sydell and Arnold Miller Family Heart & Vascular Institute talks with Dr. Leslie Cho, Section Head Preventive Cardiology & Rehabilitation about LDL cholesterol and statin intolerance. They discuss the full range of options available and what is in the future for LDL management. Then, Dr. Nissen describes the latest Lipoprotein a (also called Lp (a)) – what it is, why it’s important and a new research trial addressing this new frontier in lipid management.

Vascular Surgery – Dialysis Access Expert Panel Sep 19, 2019

Show notes

Dr. Lee Kirksey, Vascular Surgeon and Vice Chairman of Vascular Surgery talks with Dr. David Hardy, Department of Vascular Surgery and Dr. Tushar Vachharajany, Nephrology and Hypertension about the challenges of dialysis access. Topics include vascular access at Cleveland Clinic, what should go into the planning and implementation of vascular access, approaches to decrease catheter exposure, graft types, the multidisciplinary care of dialysis patients, many who have cardiovascular and kidney disease, challenges of management and care of patients who have urgent needs.