Pediheart: Pediatric Cardiology Today

Latest Episodes:

Pediheart Podcast #235: Funding A Child's Retirement With Mr. Paul Merriman Dec 30, 2022

Show notes

This week, to end 2022, we delve into the world of personal finance for the final episode of 2022 when we speak with Mr. Paul Merriman of paulmerriman.com. Mr. Merriman is a world-renowned expert in personal finance and investing who reviews how we might go about funding a newborn child's retirement (in 65 years!) through the magic of index investing, low costs and compounding interest. There are many lessions for all types of investing in this episode.
Mr. Merriman has visited the podcast previously and I would recommend you listen to episodes #146 and 191 for his previous appearances.
For those interested, his website is: https://paulmerriman.com
The articles mentioned are located at: https://paulmerriman.com/the-best-gift-of-all-a-financial-legacy-for-a-child/
and: https://paulmerriman.com/how-10000-will-help-my-newborn-granddaughter-have-a-better-retirement/
For those who have not yet had the chance, you can contact me at pediheart@gmail.com for a pdf copy of his latest book We're Talking Millions: 12 Ways To Supercharge Your Retirement
Finally, for those interested, Mr. Merriman's recommended 'Best in Class ETF's" are located at: https://paulmerriman.com/best-in-class-etf-recommendations/
Mr. Merriman does all of his work as a public service to improve financial literacy amongst the public.

Pediheart Podcast #234: Optimal Treatment Of Catecholaminergic Polymorphic Ventricular Tachycardia (CPVT) Dec 23, 2022

Show notes

This week we enter the world of cardiogenetics and electrophysiology when we review the topic of catecholaminergic polymorphic ventricular tachycardia (CPVT). Is there a 'best' beta blocker for the treatment of this condition? Why is one better than others? How should one manage the patient who is intolerant of beta blockade but needs it for prevention of arrhythmia? What is the role of flecainide, sympathectomy or even ICD's for these patients? PhD candidate and physician Dr. Puck Peltenburg and CPVT world authority, Dr. Christian van der Werf (both of University of Amsterdam) share their deep insights this week. doi: 10.1161/CIRCULATIONAHA.121.056018. Epub 2021 Dec 7

Pediheart Podcast #233: All About Bioprosthetic Valves In The Pregnant Patient Dec 16, 2022

Show notes

This week we review a recent important work on outcomes of pregnancy in patients with bioprosthetic valves. What percentage of women entering pregnancy have a dysfunctional bioprosthetic valve? Is there a particular position of valve where the risk of dysfunction is greater for cardiac or fetal events? We speak with noted cardio-obstetrical expert, Dr. Barbara Wichert-Schmitt of Johannes Kepler University in Linz, Austria about her recent work from Canada. doi: 10.1016/j.jacc.2022.09.019

Pediheart Podcast #232: Role Of The Hybrid Procedure For High Risk Ductal-Dependent Systemic Circulation Newborns Dec 09, 2022

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This week we review a recent report from the team at Children's National Hospital in Washington, DC on their experience with the hybrid approach to high risk infants with ductal-dependent systemic circulation. Some patients get ductal stents and others not. How is this decision made? How difficult was it to change the approach of a center that had a reputation for excellence with a more 'traditional/Norwood/Stage I palliative' approach? Are there theoretical advantages to this approach for even 'low risk' patients? We speak with the senior author of this report, Dr. Can Yerebakan who is Associate Professor of Surgery at George Washington University School of Medicine and Health Sciences. doi: 10.1016/j.jtcvs.2021.11.103

Pediheart Podcast #231: Gender Inequity In Congenital Cardiac Electrophysiologist Salary Dec 02, 2022

Show notes

This week's episode focuses on gender disparities in salary in the field of congenital electrophysiology. To what degree are female electrophysiologists paid less than their male counterparts despite similar levels of education, work effort and seniority? What interventions could be enacted to help 'mind the gap' and level the playing field in this regard? We speak with the chief of pediatric electrophysiology at The Children's Hospital of Philadelphia, Professor Maully Shah, who is the first author of this week's research letter. doi: 10.1016/j.jacep.2022.02.011

Pediheart Podcast #230: The Role Of The Exercise Stress Test In The Evaluation Of the Pediatric HCM Patient Nov 25, 2022

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This week we review a recent work from the Precision Medicine For Cardiomyopathy (PRIMaCY) study group on the role of stress testing in the pediatric HCM patient. Does stress testing help identify patients at risk for possible SCD or progression to heart transplantation? Should all pediatric HCM patients undergo this form of testing? What risks are associated with its use and how should these studies be performed? We speak with the first author of this novel multi center study, Associate Professor of Pediatrics Dr. Jennifer Conway of U. Alberta about this 'fresh off the presses' work. https://doi.org/10.1161/circulationaha.122.062699

Pediheart Podcast Replay of #187: A Conversation With Living Legend, Professor Roberta Williams Nov 18, 2022

Show notes

In this week's replay of a most special 'fellow takeover episode', Dr. Sarah Pradhan, sometime co-host of Pediheart and interventional cardiology fellow at Toronto Sick Children's Hospital, speaks with Professor Roberta Williams of USC about her long and illustrious career as a pioneer in both echocardiography as well as pediatric cardiac critical care. Prepare for a lot of wisdom about career and life from this giant in the fields of pediatric cardiology and pediatrics.

Pediheart Podcast #229: Why Is Transcatheter Peri-membranous VSD Closure Not More 'Popular' In the West? Nov 11, 2022

Show notes

This week we review a recent report from China on transcatheter closure of peri-membranous VSD's with the Amplatzer ADO II device. Reported results are outstanding and this week's report is one of several from China demonstrating efficacy and safety to this approach. Despite this, this procedure is rarely performed in the west. Why might that be? Do we need 'local data' to adopt an approach or can we proceed based upon data from another location where procedural indications may be different? We speak with the director of the cardiac catheterization laboratory at Cincinnati Children's Hospital, Dr. Shabana Shahanavaz about this question based upon her editorial on this impressive Chinese work. doi: 10.1161/JAHA.121.022651 and doi: 10.1161/JAHA.122.024963

Pediheart Podcast #228: How Can We Improve Family Meetings In The Pediatric CICU Setting? Nov 04, 2022

Show notes

This week we delve into the world of cardiac critical care when we review a recent report on an attempt to use a multidisciplinary group of hospital professionals plus parents to design an optimal family meeting structure. How should teams prepare for these meetings? What roles should different care providers play in the team meeting? Is there evidence that a better planned meeting can be more effective in transmitting information and allaying parental fears? We speak with pediatric palliative care expert, Assistant Professor of Pediatrics Dr. Jennifer Walter of The Children's Hospital of Philadelphia about this vital topic. https://doi.org/10.1016/j.jpainsymman.2022.03.010

Pediheart Podcast #227: Cardiac MRI Computational Fluid Dynamics Assessment And Relation To Quality Of Life In The Fontan Patient Oct 28, 2022

Show notes

This week we review a recent cardiac MRI report on Fontan geometry and hemodynamics as measured by computational fluid dynamic analysis. How do factors like Fontan geometry or 'power loss' relate to quality of life for the Fontan young adult patient? How do these data inform imaging in the operating room during these palliations? We speak with the first author of this work, Associate Professor of Pediatrics at U. Penn, Dr. Laura Mercer-Rosa about this important and intriguing work. https://doi.org/10.1016/j.athoracsur.2022.01.017

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