Pediheart: Pediatric Cardiology Today

Latest Episodes:

Pediheart Podcast #168: Use Of A Novel AI Model To Accurately Identify LQTS On The ECG Jun 18, 2021

Show notes

This week, in a co-branded episode with SADS.ORG, we speak with Professor Michael Ackerman of The Mayo Clinic about a recent work he published with his team on a novel AI model to assess the ECG for the diagnosis of LQTS. How accurately can this technology identify a patient with LQTS? Can it identify the genetic diagnosis from the ECG alone? What are the implications of this sort of technology in regards to screening patients for LQTS? These are amongst the many topics reviewed with Dr. Ackerman this week on the podcast. doi: 10.1001/jamacardio.2020.7422

Pediheart Podcast #167: Remote Parentally Acquired Focused Echocardiograms Jun 11, 2021

Show notes

This week we delve into the world of noninvasive imaging and review a very novel approach from the team at Stanford University about tele-visits and the use of remote parentally acquired, focused echocardiograms for monitoring of Marfan's patients. Can any parent be trained to perform a focused echocardiogram in their homes? What is the cost associated with this approach? Can this technique be applied to other cardiovascular problems? We speak with Associate Professor of Pediatrics, Seda Selamet Tierney about her recent work on this interesting topic. doi: 10.1016/j.jpeds.2021.01.004

Pediheart Podcast #166: A Conversation With Professor Daphne Hsu Jun 04, 2021

Show notes

This week's episode is co-hosted by Dr. Sarah Pradhan in our first 'fellow takeover' of the podcast! Dr. Pradhan speaks with Professor Daphne Hsu of Albert Einstein College of Medicine about her career, how she became a heart failure and transplantation authority, how she thinks about mentoring the next generation and also how she balanced a very full life including the highest levels of medicine as well as motherhood. This is an inspirational story by an inspirational figure from whom we all can learn much.

Pediheart Podcast #165: All About Pre-excitation May 28, 2021

Show notes

This week we review a recent work from the team at Children's LA about an unusual form of pre-excitation and use this as a place to launch a discussion about pre-excitation. What sorts of pathways cause pre-excitation? Should all pre-excited patients undergo formal testing? Should all pathways be ablated? How can we invasively or non-invasively assess these patients and are these approaches reliable? We have 2 noted experts on this topic - Professor Michael Silka of USC and Professor Steven Fishberger of Spokane, Washington and U. Miami. This is a rare opportunity to hear 2 'gurus' on pediatric electrophysiology 'riff' on a topic about which they each have encyclopedic knowledge. https://doi.org/10.1017/s1047951121000056

Pediheart Podcast #164: Cone Reconstruction For Ebstein's Anomaly May 21, 2021

Show notes

This week we review a recent work on CMR outcomes pre and post cone reconstruction of the tricuspid valve in Ebstein's anomaly. How durable of a repair is this operation? Is there evidence for ventricular remodeling? Is there an optimal age to perform this surgical procedure? How should arrhythmia risk be assessed prior to surgery? These are amongst the many questions reviewed by and posed to Professor Pedro DelNido of Harvard University. This is a rare opportunity to speak with one of the finest congenital heart surgeons in the world today and a noted expert on the cone repair. doi: 10.1016/j.jtcvs.2020.10.124

Pediheart Podcast #163: Balloon Angioplasty Of Native Coarctation In Infants Ages 3-12 Mos From SCAI 2021 May 14, 2021

Show notes

This week we play a live podcast session from SCAI 2021 (April 30, 2021) on the topic of balloon angioplasty for native aortic coarctation in infants aged 3-12 months. We speak with the senior author of this recent work from Toronto Sick Children's Hospital - Professor Rajiv Chaturvedi. How often were complications encountered? How do results compare with surgical repair? Is high pressure required for these dilations? Professor Chaturvedi provides all the answers and more this week! doi: 10.1161/CIRCINTERVENTIONS.120.008938

Pediheart Podcast #162: Transcatheter Superior Sinus Venosus Repair From SCAI 2021 May 07, 2021

Show notes

This week we speak with Professor Eric Rosenthal of Evelina Children's Hospital in London, England from a session at SCAI 2021. Who is a candidate for closure of a superior sinus venosus ASD in the cath lab and how is this determined? If there is a residual shunt, how much is too much? How did Professor Rosenthal embark on this approach and what have been the results? What percentage of these patients are candidates for this novel approach? This is a rare opportunity to have the author present their own data followed by questions from Dr. Pass and Dr. Aimee Armstrong of Nationwide Children's Hospital. https://doi.org/10.1016/j.jacc.2019.12.070

Pediheart Podcast #161: A Conversation With Professors Julie Vincent And Chuck Mullins From SCAI 2021 Apr 29, 2021

Show notes

This week we have a special treat in playing a session from the SCAI meeting from today, April 29, 2021! We speak with Professor Julie Vincent of Columbia University and Professor Chuck Mullins of Baylor College of Medicine. Both speak about their early lives, how they chose to become physicians and how life in retirement is treating them. What role did teamwork play in each doctors' professional life? How did Dr. Mullins design the 'Mullins sheath'? These are amongst the many topics we touch upon in this 'slice of life' conversation that was recorded today from the 2021 Scientific Sessions of SCAI which continues through May 1, 2021!

Pediheart Podcast Episode #80 Replay: Timing Of The Arterial Switch Operation And Impact On Brain Growth and Function Apr 23, 2021

Show notes

In this replay of episode 80 from 2019, we review a study from The University of Toronto on the impact of timing of the arterial switch operation for DTGA on brain growth and neurodevelopmental outcomes. Can the timing of this surgery impact these outcomes? What is the reason for this? Is it rational to perform this surgery early to improve neurological outcomes? How important is the conduct in the OR versus the ICU? These are amongst the questions we address with Professor Jane Newburger of Harvard University - Boston Children's Hospital this week! doi: 10.1161/CIRCULATIONAHA.118.037495

Pediheart Podcast #160: Impact of Affordable Care Act On Insurance Coverage Disparities In ACHD Patients Apr 16, 2021

Show notes

This week we delve into the world of healthcare disparities and ACHD when we review a recent 'big data' study on levels of insurance coverage amongst ACHD patients and the impact of the affordable care act ("Obamacare") on this metric. To what extent did the enactment of this program increase insurance coverage for ACHD patients? How do their levels of coverage compare with other chronic illness patients such as sickle cell disease or cystic fibrosis? Were all ACHD patients affected similarly from the advent of the ACA? We speak with U. of Michigan ACHD fellow Dr. Katherine Salciccioli about this important work from the group at Texas Children's Hospital. doi: 10.1002/bdr2.1878

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