Pediheart: Pediatric Cardiology Today

Latest Episodes:

Pediheart Podcast # 36: Transcatheter Pulmonary Valve Replacement - Latest Literature Oct 05, 2018

Show notes

Interventional cardiology is on tap this week as we explore the world of transcatheter management of the dysfunctional RVOT with 2 papers on this topic. In the first, Dr. Mary Hunt Martin, Assistant Professor of Pediatrics - University of Utah is the first author on a recent PHN paper on outcomes of Melody implantation in the native RVOT. Dr. Martin joins us to answer a number of questions about this important work. The second work is a recent multi center French study on use of the Sapien valve in the RVOT/conduit. How do the acute results with this valve compare with the Melody? What are the indications for Melody vs. Sapien? These are amongst the questions we tackle this week on the podcast. DOI: 10.1016/j.jcin.2018.05.051 and DOI: 10.1016/j.jcin.2018.05.050

Pediheart Podcast #35: Assessment of T wave inversions in athletes Sep 28, 2018

Show notes

This week we explore the interpretation of T wave inversions in the athlete with Professor Sanjay Sharma, Professor of Cardiology University of London. Which T wave inversions are "normal variants" and which are worrisome for disease? What is the role of genetic testing in determining who has disease? We review Prof. Sharma's group's recent paper on this topic and discuss different aspects of this work with this world-renowned figure in this field. DOI: 10.1161/CIRCULATIONAHA.118.034208

Pediheart Podcast 34: Aortic Wall Stiffness in The Marfan Syndrome Sep 21, 2018

Show notes

This week we delve into the world of Marfan Syndrome and review a recent report from the Pediatric Heart Network with the first author of this work, Dr. Seda Selamet Tierney - Associate Professor of Pediatrics, Stanford University. Why does stiffness of the aortic wall predict dilation and need for surgery? Does the use of atenolol or losartan affect aortic growth or dilation? Which agent is preferable? Dr. Selamet Tierney shares her insights this week on the podcast. DOI: 10.1016/j.amjcard.2018.01.016

Pediheart Podcast # 33: Brain Aging in TOF + Ventilation Effects on Catheter Stability During SVT Ablation Sep 14, 2018

Show notes

This week we review a novel paper on MRI changes observed in TOF adults. Are these signs for advanced brain 'aging' in tetralogy adults? We also review a prospective trial of different mechanical ventilation strategies during SVT ablations in children. Can tidal volume or PEEP affect catheter stability while mapping or ablating SVT? We discuss this question with the first author of this work, Dr. Christopher Janson, Assistant Professor of Pediatrics at The Children's Hospital of Philadelphia. Articles: DOI: 10.1371/journal.pone.0202496; DOI: 10.1007/s00246-018-1968-7

Pediheart Podcast # 32: Cardiac Transplantation After Fontan Palliation Sep 07, 2018

Show notes

This week we explore the world of cardiac transplantation with particular emphasis on the Fontan patient and transplantation. Outcomes are improving rapidly. Why is this? What about the liver and how are decisions made regarding cardiac versus cardiac+hepatic transplantation in this patient population? We review all of these questions with world authority on cardiac transplantation Dr. Daphne Hsu, Professor of Pediatrics, Chief of Pediatric Cardiology and Interim Chair of Pediatrics at Montefiore - Albert Einstein College of Medicine. Her insights into this complex patient group are valuable and novel. Article reviewed: DOI: 10.1016/j.athoracsur.2016.08.110

Pediheart Podcast # 31: Fetal Treatment for Rhabdomyoma + LV Retraining for Transposition Aug 31, 2018

Show notes

This week we explore both fetal cardiology and cardiovascular surgery. The first work reviews a fascinating case report of fetal treatment of cardiac rhabdomyomas in the setting of hydrops fetalis. The second reviews a recent report on LV retraining prior to attempted double-switch operations in LTGA and DTGA. Can one accurately predict 'retrainability' of the LV? Can life threatening rhabdomyomas be treated in fetal life? These are amongst the questions answered this week. Articles: DOI: 10.1056/NEJMc1800352; DOI: 10.1016/j.athoracsur.2017.11.047

Pediheart Podcast # 30: Preserving the Pulmonary Valve in TOF/PS Repair Aug 24, 2018

Show notes

This week we explore the notion of pulmonary valve function preservation at the time of TOF/PS repair with Dr. Ram Emani, Associate Professor of Surgery at Harvard Medical School/Boston Children's Hospital. Dr. Emani shares his insights from recent work he and colleagues have performed using a novel intraoperative balloon dilation approach. Can TOF/PS repair be performed without creating significant degrees of pulmonary valve regurgitation? We learn the answers this week.

Pediheart Podcast # 29: Zika Virus + Plastic Neurotoxicants in Neonatal Cardiac Surgical Care Aug 17, 2018

Show notes

This week we discuss 2 papers on different areas of congenital cardiology. The first is a recent Brazilian report on Zika Virus Syndrome and associations with congenital heart disease. The second is a recent report by the team at Children's Hospital of Philadelphia on exposure to plastic neurotoxicants found in many common medical devices. Do these plastic substances have an impact on neurodevelopmental outcomes? Dr. William Gaynor of CHOP speaks with us about this very important and somewhat troubling work.

Pediheart Podcast #28: Long Term Outcomes of HCM in Childhood Aug 10, 2018

Show notes

This week we review a very recent work on long term (14 years!) outcomes of children with hypertrophic cardiomyopathy in Australia and speak with its author, Professor Robert Weintraub of Royal Children's Hospital in Melbourne. Dr. Weintraub explains the data in his work for us and what he considers to be important risk factors for poor outcomes. He also shares some thoughts on how he thinks about who might be a candidate for primary ICD prophylaxis in the young HCM population.

Pediheart Podcast 27: Novel Acute Management of SVT + Role of Inflammation in ACHD Aug 03, 2018

Show notes

This week we explore 2 unrelated but possibly 'game changing' papers. First we delve into a very recent report on a novel intranasal therapy for acute termination of SVT. Then we review a recent report from the Boston Adult Congenital Heart Program (BACH) on a potential role for inflammation as a possible cause for poor outcomes in ACHD patients. Can inflammatory markers predict poor outcomes in ACHD patients as they do in non ACHD adult patients? Dr. Alexander Opotowsky, Associate Professor of Pediatrics at Harvard Medical School shares his insights into this very unusual and novel concept in the world of ACHD.

Our TOPPODCAST Picks

Follow Us

Stay Connected

Pediheart: Pediatric Cardiology Today

Related Podcasts

Links

Stay Connected