Pediheart: Pediatric Cardiology Today

Latest Episodes:

Pediheart Podcast #150: Exercise Training Effects On Repolarization Abnormalities Mimicking LQTS Jan 29, 2021

Show notes

This week in a co-branded episode with the SADS Foundation (SADS.ORG), we speak with Professor Peter Schwartz of University of Pavia about a recent work he authored on the topic of changes in repolarization amongst well trained athletes. Can athletic training masquerade as LQTS causing prolongation and/or abnormalities in the QT interval? How can these patients be properly identified and not 'lumped' into the LQTS 'pile'? This is a very important work by one of the foremost authorities on the planet on LQTS and Professor Schwartz also shares with us how he became interested in this topic 50+ years ago as well as some pearls for clinical investigators at the start of their careers. One of the best and most inspirational interviews of the entire 150 episode series! doi: 10.1161/CIRCULATIONAHA.120.048916

Pediheart Podcast #149: Variability In The Management Of Pediatric SVT Jan 22, 2021

Show notes

This week we delve into the world of general pediatric cardiology as well as EP as we review a recent work from the Boston Children's group on management of SVT in the ED. How often are patients admitted to the hospital after conversion of SVT? How frequently are 2nd agents required to terminate SVT beyond adenosine? Why do differences exist in the management of these patients between hospital systems? Boston Children's Hospital cardiology fellow, Dr. Robert Przybylski shares his insights into this week's important and practical work. doi: 10.1007/s00246-020-02515-8

Pediheart Podcast #148: Mental Health Problems Affecting Children With Congenital Heart Disease Jan 15, 2021

Show notes

This week we delve into the world of mental health and review a new large study from the group at Texas Children's on prevalence of anxiety, depression and ADHD amongst the pediatric CHD patient group. How common are these disorders in the young CHD patient and how does this compare to the general pediatric population? What role does minority or insurance status have on diagnosis or treatment of these disorders? Third year cardiology fellow Dr. Vincent J. Gonzalez shares insights from his important work this week. doi: 10.1542/peds.2020-1693

Pediheart Podcast #147: A Novel Framework For Thinking About The Fontan Jan 08, 2021

Show notes

This week we speak with Professor Marc Gewillig of University Hospitals, Leuven, Belgium about a recent work he co-authored on the physiology of the Fontan. What is the most important feature of a Fontan circulation in the initial versus late stages after palliation? What constitutes a 'good Fontan'? What is meant by likening the Fontan to a "dam"? Dr. Gewillig provides us with a number of practical concepts in thinking about our Fontan patients and how we might conceptualize possible therapies to improve Fontan flow. doi: 10.1111/apa.15098

Pediheart Podcast #146: Tips For Funding Your Retirement With Paul Merriman Jan 01, 2021

Show notes

This week we speak have 2 special guests. First we check in with Dr. Alin Gragossian, critical care fellow at Mount Sinai Hospital, NYC and also heart transplant recipient. Dr. Gragossian shares with us the details of the past year, her second, with a new heart and what the special challenges have been. Our second guest is investing authority Paul Merriman who is a nationally recognized figure in the world of personal finance and the author of many books on investing as well as the host of his own podcast, 'Sound Investing'. Mr. Merriman shares some of the basics of how to think about asset allocation in a 401K or 403b retirement account. This is a rare opportunity to speak with such a noted expert on this topic and some of his suggestions can literally mean millions in retirement.

Pediheart Podcast #145: Messages From Some Of The Heroes Of 2020 Dec 25, 2020

Show notes

As we move on to 2021 and leave 2020 'in the dust', we check in with some of the frontline warriors in the battle with COVID19 and hear their well wishes of inspiration, resilience, warmth and hope. Here's to a wonderful 2021!

Pediheart Podcast #144: Hydroxychloroquine To Prevent Recurrent Heart Block In The Offspring Of Anti-SSA/Ro-Positive Mothers Dec 18, 2020

Show notes

This week we review the topic of heart block in the newborn or fetus and review a novel prospective trial assessment of hydroxychloroquine to reduce recurrences of heart block in the offspring of Anti-SSA/Ro-positive mothers. We speak with Professor Jill Buyon and Professor Peter Izmirly, both of NYU Medical Center about a recent multi center trial assessing the impact of this agent for this purpose. How effective was this drug and what if any complications were encountered? What is next in the study of this topic? Drs. Buyon and Izmirly share many insights this week. doi: 10.1016/j.jacc.2020.05.045

Pediheart Podcast #143: Pediatric Cardiac Specialists' Opinions Regarding Acceptability Of Comfort Care For Congenital Heart Disease Dec 11, 2020

Show notes

This week we review a recent work in the area of medical ethics specifically focused on the notion of comfort care for congenital heart disease. Which diseases or patients should be offered this option and who should not? What sort of agreement is there amongst congenital heart specialists? Who should be involved in such decisions? We speak with Professor Angira Patel of Lurie Children's Hospital about this very important and uncommonly discussed topic. doi: 10.1007/s00246-020-02367-2

Pediheart Podcast #142: Impact Of Diaphragm Plication On Single Ventricle Outcomes Dec 04, 2020

Show notes

Surgery is on tap this week as we discuss a recent paper from the team at Children's Hospital LA about diaphragm plication in the single ventricle patient. What impact did this intervention have on outcomes? How were hemodynamics impacted and did this change outcomes of the bidirectional Glenn or Fontan? What percentage of patients recovered diaphragm function? Professor S. Ram Kumar of USC shares his insights into his recent work with his team.
DOI: 10.1016/j.jtcvs.2020.06.007

Pediheart Podcast #141: Prevalence Of Psychiatric Illness Amongst The Pediatric Heart Failure/Transplant Population Nov 27, 2020

Show notes

This week we review a recent report on the prevalence and types of psychiatric problems that pediatric and adolescent heart failure/transplant patients may have. How common are these illnesses, which are most common and what to do about this? We speak with Assistant Professor of Pediatrics at Vanderbilt University, Dr. Isaura Diaz about her recent work this week. DOI: 10.1016/j.jpeds.2019.10.022

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