Pediheart: Pediatric Cardiology Today

Latest Episodes:

Pediheart Podcast # 86 Replay: Staged Versus Primary Repair For Tetralogy of Fallot With Professor Laura Mercer-Rosa Sep 11, 2020

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This week we explore an important paper from CHOP on the optimal approach to repair for Tetralogy of Fallot (TOF). Is there a benefit to a staged approach versus primary complete repair? Are there factors that might influence this decision of approach? We speak with Assistant Professor of Pediatrics Dr. Laura Mercer Rosa of The University of Pennsylvania about her recent large PHIS database study. This is a rare replay episode from last year but one of the very best of the entire series thus far with redone intro and musical endings. doi: 10.1016/j.jacc.2019.05.057.

Pediheart Podcast #131: Adverse Events, Radiation And Reintervention After Transcatheter Pulmonary Valve Replacement Sep 04, 2020

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This week we review a recent work from the C3P0 registry on trans-catheter pulmonary valves. How common were adverse events encountered in this 'real world' assessment? How does this value compare with surgical pulmonary valve replacement? What factors are associated with higher doses of radiation in this procedure? We speak with Dr. Barry Love, Director of the Congenital Catheterization Laboratory at Mount Sinai Kravis Children's Hospital who wrote a very insightful accompanying editorial comment on this paper. doi: 10.1016/j.jacc.2019.11.042

Pediheart Podcast #130: What Are The Stressors And Fears Of The New Pediatric Cardiology Fellow? Aug 28, 2020

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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.

Pediheart Podcast #129: Safety Of Enalapril In The Infant With Single Ventricle Trial Aug 21, 2020

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This week we speak with Assistant Professor of Pediatrics at the Icahn School of Medicine at Mount Sinai as well as Chief, Pediatric Cardiology at BronxCare Health System, Dr. Kanika Mathur, about a recent work she co-authored on the topic of enalapril in the single ventricle patient. How safe are these agents in the single ventricle patient? How common were side effects encountered at standard dosing? Dr. Mathur shares her insights from a recent large database analysis study. DOI: 10.1016/j.jpeds.2020.07.058

Pediheart Podcast #128: A Novel Standardized Protocol For IV Sotalol Administration In Children Aug 14, 2020

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This week we review a recent report of the novel IV anti arrhythmic agent sotalol. We speak with EP fellow Dr. Alejandro Borquez of Rady Children's Hospital about this agent and where the team at Rady believes it fits in the 'armamentarium' of agents used to treat difficult arrhythmias in children. How effective is the drug for 'regular' SVT or infant atrial flutter? How commonly were adverse events seen with its administration? Dr. Borquez provides the answers this week. doi: 10.1016/j.jacep.2019.11.019

Pediheart Podcast #81 Replay: A Standardized Protocol To Improve Junior Cardiology Fellow Echo Function Assessment Aug 07, 2020

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This week we enter the worlds of fellow education and echocardiography to review a recent report of a QI project performed at Children's Hospital of Philadelphia regarding the performance of echocardiograms by first year fellows in cardiology. Can the implementation of a checklist protocol improve the consistency of echocardiograms performed by fellows? What was the impact of this protocol? What areas were particularly well served by this approach? Dr. Brian White, senior cardiology fellow at CHOP provides important insights into this project that he co-authored. doi: 10.1111/echo.14441

Pediheart Podcast #127: Impact of 22q11.2 Deletion Syndrome On Outcomes of TOF and Truncus Arteriosus Repair Jul 31, 2020

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This week we delve into cardiac surgery and genetics as we review a recent large dataset study from Drs. Anita Moon-Grady and Laxmi Ghimire who used the KID database to determine the impact of 22q11.2 deletion syndrome on outcomes of repair of TOF and Truncus. Does this syndrome affect mortality or morbidity? If so, why? Professor Moon-Grady of UCSF and Dr. Ghimire of LRGHealthcare provide many insights in this episode. doi: 10.1007/s00246-020-02333-y.

Pediheart Podcast #126: Assisted Reproductive Technologies, Twinning and Congenital Heart Disease Jul 24, 2020

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This week we review a fascinating epidemiological study from the University of Ottawa on the impact of assisted reproductive technologies (ART) and twins on the rates of congenital heart disease. What is the more important factor in the development of congenital heart disease - twin pregnancy or ART? Do all ART pregnancies require a fetal echo? We speak with 3 world authorities - epidemiologist Dr. Shi Wu Wen, pediatric cardiologist Dr. Jane Lougheed and fertility expert, Dr. Arthur Leader - all professors at the University of Ottawa. A fascinating topic and discussion! DOI: 10.1001/jamapediatrics.2019.6096

Pediheart Podcast #58 Replay: AV Valve Regurgitation In The Fontan Patient Jul 17, 2020

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This week we re-review an impressive review of the large Australian/New Zealand registry of Fontan patients assessing the impact of AV valve regurgitation and failure on Fontan outcomes. We discuss this work with the senior author Yves D'udekem, Associate Professor of Surgery at The Murdoch Children's Research Institute and also speak with Professor Frank Cetta of the Mayo Clinic who authored a wonderful editorial on this work. Who is at most risk for AV valve failure at Fontan? How well do patients do with AV valve replacement or repair? We discuss all these issues this week on this exciting episode. doi: 10.1016/j.jacc.2018.12.025

Pediheart Podcast #125: SARS CoV2 Infection and MIS-C - Early US Reports Jul 10, 2020

Show notes

This week we have a very topical episode on the recently identified multi system inflammatory syndrome in children associated with SARS-CoV2 infection (MIS-C). What defines this syndrome and how does it differ from other inflammatory disorders such as toxic shock syndrome or Kawasaki disease? We speak with 2 world authorities - Associate Professor of Pediatrics - Albert Einstein - Dr. Nadine Choueiter as well as Commissioner of Health for NY State - Dr. Howard Zucker. A rare opportunity to speak with a clinician 'on the ground' as well as get a public health perspective from Dr. Zucker who is also a pediatric cardiologist and anesthesiologist. One of the most interesting episodes of the series. doi: 10.1056/NEJMoa2021756 & doi: 10.1056/NEJMoa2021680

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