Pediheart: Pediatric Cardiology Today

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Pediheart Podcast #106: Initiation Of Sotalol In The Pediatric Patient Feb 14, 2020

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This week we review a recent work on the prevalence of adverse events when starting sotalol in the pediatric patient with arrhythmias. How commonly were problems encountered? Does initiation always require hospitalization and monitoring in an inpatient setting or are there some patients who might be candidates for an outpatient approach? Is there a level of dysfunction that would preclude its use? Assistant Professor of Pediatrics at Northwestern University, Dr. Stephanie Chandler, provides insights into her work from the group at Boston Children's Hospital. Also featured is a brief discussion with Dr. Jack Rychik of Children's Hospital of Philadelphia regarding the CHOP2020 course and next year's CHOP2021. doi: 10.1016/j.hrthm.2020.01.022

Pediheart Podcast #105: The Role Of Echocardiography In The Evaluation Of The Innocent Heart Murmur Feb 07, 2020

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The innocent heart murmur is the topic of this week's podcast. How important is the echocardiogram in allaying parental fears and anxieties when being evaluated for a murmur? Have the days of auscultation without a secondary test fallen by the wayside? We speak with a highly experienced general pediatric cardiologist, Dr. Jared LaCorte of Staten Island Pediatric Cardiology to offer his thoughts on this week's work from Melbourne, Australia. doi: 10.1111/jpc.14775

Pediheart Podcast # 104: The Global, Regional And National Burden Of Congenital Heart Disease Jan 31, 2020

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This week we delve into global pediatric cardiology and review a massive and important work from the Global Burden of Disease study group assessing the trends in congenital heart disease in the world from lower income nations to higher. How has the prevalence of congenital heart disease changed over the past 30 years? How are countries faring in their treatment of congenital heart disease? What are some strategies to address global inequities in care? We discuss these and other questions with the corresponding author of this work, Professor Craig Sable of George Washington University. doi: 10.1016/S2352-4642(19)30402-X

Pediheart Podcast #103: Update On A Novel Sub Pulmonary Pump For The Fontan Patient Jan 24, 2020

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This week we speak with Professor of Surgery, Mark Rodefeld of Indiana University about the most recent report of his group on a sub pulmonary pump for Fontan patients. What is different about this pump versus other presently available pumps for other cardiovascular indications? What is known about the thrombogenicity of these devices? How close is the team in Indiana to animal studies? Why is a lower pressure type pump preferable for this indication? Dr. Rodefeld provides most of the answers this week. doi: 10.1016/j.jtcvs.2019.06.112.

Pediheart Podcast #102: Factors Influencing AED Use For Out Of Hospital Arrests Jan 17, 2020

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We review a recent paper on the use of the AED for children who suffer out of hospital arrest. What factors are associated with their use and what barriers exist to their use for children? What should be the next steps to improve AED usage for children? We discuss these and other questions with Professor Peter Aziz of the Cleveland Clinic in our first co-branded episodes with the SADs Foundation in 2020! doi: 10.1542/peds.2017-1903

Pediheart Podcast #101: Pulmonary Homograft Versus Bioprosthetic Valves In Tetralogy Of Fallot Jan 10, 2020

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This week we review a recent large single center study comparing pulmonary homografts to bioprosthetic valves in the TOF patient requiring valve replacement. Is there a superior choice? Who is a better candidate for one versus the other? Which is technically easier to use and why? Who would benefit from an aortic vs. pulmonary homograft in this pulmonary position? We speak with Professor Massimo Caputo of the Bristol Heart Institute who answers these and other questions related to this important surgical paper this week. doi: 10.1161/JAHA.119.013654

Pediheart Podcast # 100: A Discussion With Cardiac Transplant Patient AND Physician, Dr. Alin Gragossian Jan 03, 2020

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Alin Gragossian, DO has an unusual perspective in medicine - she is an emergency room physician but also a cardiac transplant recipient. In this milestone 100th episode Dr. Gragossian shares her experiences of learning that she had dilated cardiomyopathy just one year ago, getting admitted to the ICU, and undergoing a heart transplant - all in

Pediheart Podcast # 99: 3D Ductal Imaging Prior To Stenting Dec 27, 2019

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This week we review a recent report on the benefit of 3D imaging and printing in preparing for ductal stenting. This intervention is complex and is fraught with risk. The team at Duke review their experience with the use of 3D modeling prior to intervention and what impact this has on outcomes. We speak with the first author, Dr. Reid Chamberlain, research fellow at Duke University Pediatric Cardiology about this recent publication. doi: 10.1002/ccd.28669

Pediheart Podcast #98: Impact Of Udenafil On Exercise In The Fontan 'FUEL' Trial Dec 20, 2019

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This week we review the results of one of the rare placebo controlled double blind trials of an agent in pediatric cardiovascular medicine - specifically, the Fontan Undenafil trial assessing the impact of this agent on parameters of exercise in the single ventricle patient. What measures of exercise were most affected by this agent and why? What side effects were encountered? Who should receive these agents? These are amongst the many questions we tackle with the first author, Dr. David Goldberg of The Children's Hospital of Philadelphia. doi: 10.1161/CIRCULATIONAHA.119.044352

Pediheart Podcast # 97: The Genetics Of LV Non-Compaction Dec 13, 2019

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Cardiogenetics is the topic this week as we review a relatively recent report on the topic of LV non-compaction. How often do patients with this finding have positive genetic findings? Who deserves genetic testing with this finding? Should all such patients be seen by a geneticist? How frequently should phenotype positive, genotype negative patients 'check in' with a geneticist? These are amongst the questions we review with famed cardiogeneticist and senior author, Professor Stephanie Ware of Indiana University. doi: 10.1161/CIRCGENETICS.117.001735

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