Pediheart: Pediatric Cardiology Today

Latest Episodes:

Pediheart Podcast #140: Familial Hypercholesterolemia Is Not Rare Anymore Nov 20, 2020

Show notes

This week we move into the arena of pediatric preventive cardiology and have a somewhat different format to the podcast in that we will be listening to a lecture delivered by Associate Professor of Pediatrics at The Icahn School of Medicine at Mount Sinai - Dr. Joseph Mahgerefteh - speak with us about the topic of familial hypercholesterolemia. He reviews the incidence and consequences of not identifying and managing this properly and many clinical pearls regarding this complex topic. Though a lecture aimed at generalists, this talk is a good introduction to a complex topic. Dr. Mahgerefteh's email is Joseph.Mahgerefteh@mssm.edu for anyone interested in reaching out to ask him any questions they may have regarding this important review this week.

Pediheart Podcast #139: A Novel Bioresorbable Scaffold For Possible Pediatric Use Nov 13, 2020

Show notes

This week we delve into the world of interventional cardiology and speak with Professor Damien Kenny of Children's Hospital, Ireland in Dublin, Ireland about a recent work he co-authored on pre-clinical animal experiments on the use of a novel bioresorbable scaffold/stent. How easy were these to implant? How did these compare with bare metal stents for patency, thrombus or inflammation in the vascular wall? Dr. Kenny shares his insights all the way from Dublin this week!
doi: 10.1002/ccd.28893

Pediheart Podcast #138: Hepatic Stiffness In The 2 Ventricle Congenital Heart Patient Nov 06, 2020

Show notes

This week we delve into the liver once more to review an intriguing report from the group at Johns Hopkins regarding hepatic stiffness in the 2 ventricle congenital heart patient. We know from prior works that single ventricle patients have enhanced liver stiffness but this work suggests that some 2 ventricle patients are also similarly affected. We speak with Professor Ari Cedars of Johns Hopkins University for his insights into these findings and who he thinks might warrant routine liver follow-up in the ACHD patient following congenital heart surgery. doi: 10.1016/j.athoracsur.2020

Replay Pediheart Podcast #98: Impact Of Udenafil On Exercise In The Fontan 'FUEL' Trial Oct 30, 2020

Show notes

In this week's episode we replay episode 98 with Professor David Goldberg of Children's Hospital of Philadelphia and the so-called "FONTAN FUEL" trial which assessed the impact of udenafil on measures of exercise in the Fontan patient. This is one of the most important episodes of the 137 series thus far - definitely worth a re-listen. New intro and ending added this week! doi: 10.1161/CIRCULATIONAHA.119.044352

Pediheart Podcast #137: Role Of The ECG In Pre-Participation Screening Of College Athletes Oct 23, 2020

Show notes

This week's episode is co-branded with SADS.ORG and is on the topic of pre-participation screening. Can the ECG offer important benefits vs. the standard 14 point AHA H&P approach? Which approach was more effective in 'real life'? We speak with Professor Robert Campbell of Emory University this week to delve into this contentious and important topic. DOI: 10.1016/j.hrthm.2020.04.032

Pediheart Podcast #136: Factors Associated With Blood Transfusion Around The Time Of Cardiac Catheterization Oct 16, 2020

Show notes

This week we enter the world of interventional catheterization to review an important and practical topic which is the notion of blood transfusions during or immediately after catheterization in children with congenital heart disease. We speak with Dr. R. Allen Ligon of Joe DiMaggio Children's Hospital in Hollywood, Florida about a recent work he authored while completing fellowship at Emory University. Are there factors that may help predict the need for blood at cath? Dr. Ligon shares his insights this week! doi: 10.1016/j.jpeds.2019.10.033

Pediheart Podcast #135: Mortality Attributable To CHD And Persistent Racial/Ethnic Disparities In Mortality In The US Oct 09, 2020

Show notes

This week we discuss the topic of mortality attributable to CHD in the US and persistent racial/ethnic disparities over the past 20 years. We speak with Professor Keila Lopez of Texas Children's Hospital about a recent large scale, 'big data' study she co-authored about this topic and review the reasons for these disparities and think about possible remedies. An essential episode on a critically important topic for CHD care. doi: 10.1161/CIRCULATIONAHA.120.046822

Pediheart Podcast #134: Outcomes Of Valve Replacement In The Single Ventricle Patient Oct 02, 2020

Show notes

This week we review a recent PCCC study assessing outcomes of single ventricle patients who have undergone replacement of the AV or semilunar valve. We speak with Professor Geetha Raghuveer of University of Missouri-Kansas City about this work she co-authored. Outcomes are generally poor in this patient group but are there lessons that can be gleaned from the data regarding optimal timing for repair or replacement of valves in this patient group? This is a great follow-up of episode # 58 from a year ago. doi: 10.1007/s00246-019-02234-9.

Pediheart Podcast #133: Ventricular Arrhythmias And Sudden Death In Tetralogy Of Fallot Sep 25, 2020

Show notes

This week we delve into the world of electrophysiology and ACHD when we review a very recent work on TOF and factors associated with possible risk for sudden death. Can a novel algorithm identify high or low risk patients in this cohort? We speak with Professor Joseph Atallah of The University of Alberta and Dr. Edward Walsh of Harvard University. Both share their deep knowledge in a roundtable discussion this week. DOI: 10.1016/j.amjcard.2020.07.012

Pediheart Podcast #132: Echocardiographic Strain Measurements And Their Relationship To Outcomes In The Systemic RV Patient Sep 18, 2020

Show notes

This week we enter the dual worlds of ACHD and echocardiography to review a recent work from Amsterdam on the use of speckle tracking echocardiography to predict clinical outcomes in the patient with a systemic RV. Can this modality predict a problem prior to more conventional factors or even CMR data? Can this substitute for a CMR? Why is this type of echo more challenging in the systemic RV patient? Dr. Odilia Woudstra shares her deep knowledge of this topic from her research this week! doi: 10.1016/j.cjca.2019.12.014

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