Pediheart: Pediatric Cardiology Today

Latest Episodes:

Pediheart Podcast #261: Is PVR In TOF Patients Associated With Improved Outcomes? Jul 21, 2023

Show notes

This week we delve into the world of ACHD when we review a recent important work from the multicenter INDICATOR study group assessing the impact on overall outcomes in TOF patients who have their pulmonary valve replaced. Are survival rates improved by replacement of the pulmonary valve in the TOF patient? What about the effect on ventricular tachycardia? What are the proposed mechanisms by which PVR can positively affect this critical outcomes? Are there differences between transcatheter PVR and surgical in this regard? Is there an RV volume that is the 'sweet spot' for PVR? These are amongst the many questions posed to Professor of Pediatrics and Medicine at Harvard University, Dr. Anne Marie Valente.
https://doi.org/10.1016/j.jacc.2023.02.052

Pediheart Podcast #260: Preemptive Stenting Of The LPA During Comprehensive Stage 2 HLHS Repair Jul 14, 2023

Show notes

This week we delve into the world of cardiovascular surgery when we check in with the group from Nationwide Children's Hospital and review a novel approach to managing the dreaded LPA stenosis or hypoplasia in the HLHS patient. Why does the LPA seem to be small or stenosed in this condition and how does a preemptive stent address this? Why can't standard PA plasty be used for this particular indication as is used in TOF/MAPCA's? Does one stent size fit all HLHS patients? These are amongst the many questions posed to the first author of this week's work, cardiovascular surgeon Dr. Sergio Carillo.
https://doi.org/10.1016/j.xjon.2022.11.007

Pediheart Podcast #259: Ventricular Arrhythmias In The Fontan Patient And Their Possible Meaning Jul 07, 2023

Show notes

This week we delve into the world of electrophysiology and also single ventricle physiology when we review a recent work from the Stanford group on outcomes after the development of ventricular arrhythmias in the single ventricle Fontan patient. Just how worried should the clinician be when these are recorded on ambulatory ECG monitors? What associations exist between these arrhythmias and the use of a Sano shunt? How should the clinician respond to a finding of non-sustained VT in the single ventricle patient? Who is a candidate for an ICD in this setting? These are amongst the questions posed to the first author of this week's work, Clinical Assistant Professor of Pediatrics and electrophysiologist at Stanford University, Dr. Heather Giacone.
doi: 10.1161/CIRCEP.122.011143

Pediheart Podcast #258: The Effects Of Race And Insurance Status On Waitlist Outcomes In Pediatric Heart Transplantation Jun 30, 2023

Show notes

In this week's episode, we delve into the world of pediatric heart transplantation and the impact that race or insurance status may have on outcomes. What are the factors that explain worse outcomes for black children waiting for a heart transplant? How is the PHTS Racial Disparity Taskforce working to reduce inequities in this field? What role does insurance status have on these outcomes? We speak with noted heart failure and transplantation expert, Dr. Neha Bansal who is Assistant Professor of Pediatrics at The Icahn School of Medicine at Mount Sinai about this most recent PHTS multicenter study.

DOI: 10.1016/j.healun.2022.12.002

Pediheart Podcast #257: All About Fetal ccTGA Jun 23, 2023

Show notes

In this week's episode we speak with Assistant Professor of Pediatrics at Mount Sinai, Dr. Jennifer Cohen about a recent large scale Fetal Heart Society project she conducted on the topic of fetal ccTGA and outcomes. What observations in fetal life are associated with worse clinical outcomes? Why is it valuable to perform serial fetal echocardiograms in this patient group? How common are genetic or extracardiac abnormalities in this patient group? These are amongst the many questions reviewed with Dr. Cohen in this week's extra special 2 episode release week.

DOI: 10.1161/JAHA.122.029706

Pediheart Podcast #256: Preview of the 8th World Congress of Pediatric Cardiology and Cardiac Surgery - Part 2 Jun 23, 2023

Show notes

In this week's first of 2 Pediheart podcast releases, we review the nursing and critical care tracks of the upcoming 8th World Congress of Pediatric Cardiology and Cardiac Surgery coming in late August, 2023. In this collaborative podcast between the Pediheart and PCICS podcasts, hosts Robert Pass, Sadie Rodriguez and Deanna Tzanetos speak with Dr. Amir Ashrafi of CHOC, Bruna Cury of Sao Jose do Rio Preto in Brazil and Dr. Sandra Staveski of UCSF about the upcoming meeting. Dr. Ashrafi, Ms. Cury and Dr. Staveski are on the planning committees and share some of the most exciting aspects of their various tracks in the upcoming meeting.
For more information about the World Congress, please go to the website:
https://www.wcpccs2023.org/event/1da8563e-0f65-486c-88df-70c3db431af5/summary
And don't forget to take a listen to Episode #257 of Pediheart also released today on the topic of fetal cardiology!

Pediheart Podcast #255: Preview of the 8th World Congress of Pediatric Cardiology and Cardiac Surgery - Part 1 Jun 16, 2023

Show notes

This week's episode is a collaborative episode between the Pediheart and PICS Podcasts and we have 4 guests. Joining us this week are Dr. Carissa Baker-Smith of Nemours Medical Center in Delaware, Dr. Martina Bruekner of Yale University, Dr. Shelby Kutty of Johns Hopkins University and Dr. Jacqueline Sanz of Children's National Hospital. In this week's episode we learn about the general cardiology, imaging, neurodevelopmental and basic science tracks. Each guest representing the planning committee for their respective tracks will share some of the upcoming highlights of this wonderful and comprehensive conference. The list of topics of interest is positively dizzying and you will not want to miss this exciting introduction to some of the more popular tracks coming in late August, 2023!
The World Congress of Cardiology and Cardiac Surgery will take place 8/27-9/1 and information can be obtained about it at this website:
https://www.wcpccs2023.org/event/1da8563e-0f65-486c-88df-70c3db431af5/summary

Pediheart Podcast Replay of #152: Status Of The ACHD Patient At Age 50 And Beyond Jun 09, 2023

Show notes

This week we re-review a 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 work on this topic.
doi: 10.1016/j.hlc.2020.05.114

Pediheart Podcast Episode #254: Live From SCAI 2023 - Outcomes of Transcatheter vs. Surgical Pulmonary Valve Replacement Jun 02, 2023

Show notes

In this week's episode from SCAI 2023, we speak with Professor Kritvikrom Durongpisitikul of Mahidol University, Siriraj Hospital in Bangkok, Thailand about their experience in transcatheter and surgical pulmonary valve replacement (PVR). Who is a candidate for each in the present era? Why was surgery associated with higher mortality rates in this work? Should the criteria for transcatheter PVR differ in comparison with surgery? Dr. Durongpisitikul shares his insights in this live session from SCAI which is co-moderated by Dr. Aimee Armstrong of Children's Nationwide Hospital.
https://doi.org/10.1016/j.jscai.2022.100408

Pediheart Podcast #253: Live From SCAI 2023 - Recanalization Of Obstructed Central Veins In Children May 26, 2023

Show notes

In 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? What sort of radiation dose is associated with this intervention? Dr. Ing shares his deep knowledge in a live "Pediheart" session from Phoenix, Arizona on 5/19/23 at SCAI 2023.
https://doi.org/10.1016/j.jscai.2022.100547

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