Pediheart: Pediatric Cardiology Today

Latest Episodes:

Replay of Pediheart Podcast #130: What Are The Stressors And Fears Of The New Pediatric Cardiology Fellow? Aug 27, 2021

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From August 2020 - This week we delve into the topic of fellow wellness and review a recent work from the Boston Children's group on fellow fears and stressors when beginning their training. Are there patterns amongst the fellow concerns that can be identified and used to inform interventions to help allay these fears and reduce the stress? We speak with Dr. David Brown, Associate Professor of Pediatrics, Harvard Medical School and also Dr. Tony Pastor who is the ACHD Fellow at Boston Children's Hospital/Brigham and Women's Hospital about their thoughts on fellow fears and stressors as well as fellow (and doctor) wellness. An important topic for our milestone 130th episode. doi: 10.1007/s00246-019-02276-z. Back next week with a new episode!

Pediheart Podcast #176: A Conversation With Pediatric Cardiology Pioneer Dr. Peter Lang Aug 20, 2021

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This week we spend the entire episode speaking with Professor Peter Lang of Harvard University about his rich and long career in pediatric cardiology during one of the most exciting times of the field. Dr. Lang's story includes a virtual who's who of important cardiologists and cardiac surgeons for the past 50 years including Dr. Connie Hayes, Dr. Roberta Williams, Dr. Alexander Nadas, Dr. Richard Van Praagh, Dr. Aldo Castaneda, Dr. Bill Norwood and many, many more. This is a rare opportunity to hear about the development of the Norwood procedure from someone who was at the bedside of the first 30-50 ever performed as well as someone who helped develop the entire field of cardiac critical care. Prepare to be inspired by this towering figure this week.

Pediheart Podcast #175: Changes In Extra-Cardiac Fontan Conduit Cross Sectional Area Over Time Aug 13, 2021

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This week we review a recent work assessing changes in Fontan conduit cross sectional area over time. What accounts for these changes and how do these affect exercise capacity? What does the future hold for the Fontan procedure? Is there an optimal conduit size for patients? We speak with Assistant Professor of Pediatrics at USC, Dr. Neil Patel this week! doi: 10.1016/j.jtcvs.2020.09.140

Pediheart Podcast #174: Outcomes Of The Potts Shunt In Pulmonary Hypertension Management Aug 06, 2021

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This week we enter the world of pulmonary hypertension (PH) and review a large multicenter registry study assessing outcomes of the Potts shunt for the management of severe PH. Who is a good or bad candidate for this therapy? Is there an advantage to placement of a valve in the shunt? Does this form of palliation affect lung transplant eligibility? We speak with the first author of this week's paper, Dr. R. Mark Grady, Professor of Pediatrics at Washington University. doi: 10.1016/j.jacc.2021.05.039. For this interested, the organization mentioned this week is ljshealinghearts.com.

Pediheart Podcast #173: Diaphragm Paralysis and Plication Following Congenital Heart Surgery Jul 30, 2021

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This week we enter the world of CT surgery to review a recent STS database study on outcomes of diaphragm paralysis following congenital heart surgery. How common is a diaphragm paralyzed following surgery and what are the main risk factors for this complication? How commonly are these plicated and how do those who are plicated fare in comparison to those managed more conservatively? Professor Narutoshi Hibino of U. Chicago shares his insights this week. doi: 10.1016/j.athoracsur.2020.05.175.

Pediheart Podcast #66 Replay: Avoiding Furosemide Induced Ototoxicity In Single Ventricle Infants Jul 23, 2021

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This week we replay an episode that reviews a critically important neurodevelopmental issue affecting infants who have single ventricle palliation - namely hearing loss. How common is hearing loss seen and what role does IV furosemide play in this finding amongst single ventricle patients? Are there techniques to avoid this complication and yet still use this commonly used diuretic agent? We discuss this important issue and study with Dr. Ari Joffe, Professor of Pediatrics University of Alberta - Stollery Children's Hospital who is the senior author of this week's work. doi: 10.1097/PCC.0000000000001807

Pediheart Podcast #172: Are Myocarditis Outcomes In Children Influenced By Genetic Variation? Jul 16, 2021

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This week we delve into the world of myocarditis and cardiogenetics when we review a recent work on deleterious cardiomyopathic genes and a possible role for these in patients who have unfavorable myocarditis outcomes. Are cardiomyopathy genes seen more commonly in pediatric patients with myocarditis who die? Is there a role for genetic testing in the myocarditis patient? How might deleterious genetic defects influence outcomes in myocarditis? We speak with Assistant Professor of Medicine at The Icahn School of Medicine at Mount Sinai, Amy Kontorovich who is the first author of this week's work. DOI: 10.1161/CIRCGEN.121.003426

Pediheart Podcast #171: Associations Of Tracheostomy And Outcomes Of Pediatric Heart Transplantation Jul 09, 2021

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This week we delve into the heart failure and transplantation realm when we review a recent large scale PHIS database study assessing the associations of tracheostomy and outcomes of pediatric heart transplantation. Are tracheostomies associated with worse outcomes or mediastinitis? Who is a good candidate for this therapy? How difficult is it to discuss this option with families and why? These are amongst the questions reviewed with the senior author of this work, Professor Antonio Cabrera of the University of Utah. DOI: 10.1111/petr.13904

Pediheart Podcast #170: A Conversation With Cardiovascular Surgeon Dr. Elisabeth Martin Jul 02, 2021

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This week in our 2nd 'fellow takeover' episode we speak with the inspiring figure, Dr. Elisabeth Martin, who is Assistant Professor of Surgery at Stanford University and one of the cardiovascular surgeons at Lucile Packard Children's Hospital. How did this young surgeon choose to become a cardiac surgeon and what trials and tribulations have accompanied her journey to the highest levels of congenital cardiovascular surgery in the world today? Dr. Sarah Pradhan, 3rd year cardiology fellow at Cincinnati Children's Hospital interviews this up and coming superstar, Dr. Martin. Prepare to be inspired and energized by her story.

Pediheart Podcast #169: The Impact Of CHD On Preterm Labor Jun 25, 2021

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This week we review a recent very large scale project from Denmark on the impact of CHD on preterm labor and birth. We speak with Assistant Professor of Pediatrics at Indiana University, Neonatologist Paulomi Chaudhry about the work and her thoughts on what factors may be modifiable in the care of the preterm infant with CHD. What sorts of studies are needed going forward to improve the outcomes of these infants who had CHD but are premature? Dr. Chaudhry provides a number of answers this week! doi: 10.1016/j.jpeds.2020.09.059

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