AP Cardiology

AP Cardiology episodes:

• 04.27.2021

  Aortic Valve Repair – Dr. Chris Burke

  In this episode I visit with Dr. Chris Burke from the University of Washington to discuss aortic valve repair. Dr. Burke is a cardiac surgeon with an interest in complex aorta and aortic valve surgery. He provides useful insights into...

  
• 01.21.2021

  Physical Exam Series: Mitral Regurgitation

  I am joined by Shreyas Venkataraman, MD, an internal medicine resident at Barnes-Jewish Hospital in St Louis to continue our physical exam series. In this episode we talk about mitral regurgitation and the associated physical exam findings that help increase...

  
• 12.16.2020

  Ventricular Tachycardia – Dr. Melissa Robinson

  In this episode I visit with Dr. Melissa Robinson from the University of Washington to discuss the management of ventricular tachycardia. Our discussion focuses on decisions regarding ICD implantation, anti-arrhythmic drugs and catheter ablation. Through 3 cases that highlight the...

  
• 10.10.2020

  Caring for patients with Fontan physiology – Eric Krieger

  I met with Dr. Eric Krieger from the University of Washington Adult Congenital Heart Disease group to talk about patients with the Fontan palliative shunt. This shunt is used to help infants born with single ventricle physiology survive into adulthood....

  
• 09.12.2020

  Coronary Artery Disease and Chronic Kidney Disease – Dr. Alec Moorman

  I am joined by co-fellow Alex Taylor, MD and we visit with Alec Moorman, MD to discuss coronary artery disease in patients with chronic kidney disease. We talk about the recent ISCHEMIA-CKD trial, the nuances of treating patients with CKD...

  
• 09.03.2020

  Bariatric Surgery in Heart Failure – Dr. Gopalan

  I visit with Dr. Gopalan from Banner University in Phoenix, AZ to discuss his experience with morbidly obese patients with heart failure. We talk about the association of obesity with heart failure, how weight loss can impact functional capacity and...

  
• 07.16.2020

  Physical Exam Series – Aortic Stenosis

  I am joined by Shreyas Venkataraman to discuss the physical exam findings of aortic stenosis and how they can help us with the diagnosis and grading of aortic stenosis. We share 2 examples of heart murmurs, discuss likelihood ratios and...

  
• 05.17.2020

  Heart failure with recovered ejection fraction – Jane Wilcox

  I visit with Dr. Jane Wilcox from Northwestern University to discuss patients with heart failure that later have normalization of their ejection fraction (HFrecEF). We discuss how this population is different from other heart failure populations and common issues in...

  
• 04.10.2020

  Plant Based Diets with Kim Williams

  I visited with Dr Kim Williams, former president of the ACC, to discuss the cardiovascular benefits of a plant based diet. Using stories of patient encounters he shares pearls to take to the bedside and how to talk to patients...

  
• 02.20.2020

  False Positive Troponins

  I visit with Robert Christenson PhD about the troponin assays and how they can be falsely positive from anti-body mediated interference. I present a case and we discuss the mechanisms which create the false positives (or negatives) with the assays,...

  
• 01.31.2020

  Pregnancy in ACHD – Dr Candice Silversides

  UPDATED: I visited with Dr. Candice Silversides at the American Heart Association Meeting in November 2019. We talk about her area of expertise, pregnancy in adults with congenital heart disease. Links: ESC Guidelines on the Management of Cardiovascular Diseases During...

  
• 12.13.2019

  HFpEF and Amyloid – Frederick Ruberg

  I met with Dr. Frederick Ruberg from Boston University to discuss his talk from AHA 2019 titled “HFpEF: It’s a Diagnosis of Exclusion, So Exclude Other Causes!” We discuss what the diagnosis of HFpEF entails and then dive into cardiac...

  
• 12.02.2019

  ACS Update – 2019 with James de Lemos

  I caught up with Dr. James de Lemos from UT Southwestern at the 2019 American Heart Association meeting to discuss a number of updates in acute coronary syndromes. We cover a number of recent trials that are shaping how we...

  
• 11.20.2019

  Decompensated heart failure with Dr. Kittleson

  In this episode I visit with Dr. Michelle Kittleson (@MKIttlesonMD) of Cedars-Sinai to discuss evaluation and management of patients admitted with acute decompensated heart failure. We review the etiologies for decompensation, what to do with beta-blockers or RAS inhibitors and...

  
• 10.29.2019

  ASDs and VSDs with Amber Khanna

  In this episode I visit with Dr. Amber Khanna of the University of Colorado about some of the “simple” congenital heart defects. We discuss atrial septal defects (ASD) and ventricular septal defect (VSD). We review useful testing to diagnose and...

  
• 10.03.2019

  Hypertension with Eugene Yang

  In this episode I visit with Dr. Eugene Yang to discuss the update to hypertension guidelines published in 2017 by the ACC/AHA. I asked him what were the major changes and which patients should be treated to a target of...

  
• 07.19.2019

  Immune Checkpoint Inhibitors

  Following up on our last discussion with Dr. Daniel Lenihan, we address the subject of immune checkpoint inhibitors and the associated cardio-toxicities. Immune checkpoint inhibitors “ease the brakes” of the immune system leading to dramatic improvements in some cancers, but...

  
• 06.14.2019

  Cardio-Oncology

  I visited with Dr. Daniel Lenihan and spoke with him about cardio-oncology and some of the common issues and concerns that arise. Cardio-oncology is a very broad field and revolves around managing cardiovascular toxicities associated with cancer therapies. We discuss...

  
• 05.16.2019

  Ethics and Cardiac Arrest

  Dr. Caroline Kahle discussed a few cases I’ve encountered during medical training. How do we perceive end of life care or code situations in complex situations? We talk about non-beneficial medical care, physician communication and some pearls Dr. Kahle has...

  
• 04.12.2019

  Remote Monitoring in Heart Failure

  I met with Dr. Thomas Maddox, the director of the Health Systems Innovation Lab at BJC/WashU, to discuss an upcoming pilot program to remotely monitor patients with heart failure. The lab has partnered with Myia Labs using technology they have...

  
• 03.14.2019

  Atrial Fibrillation

  In 2002, NEJM published the AFFIRM trial, showing no difference in outcomes between patients with atrial fibrillation treated with rate or rhythm control strategy. But does that mean rate control should be the default treatment method? In this episode I...

  
• 02.13.2019

  Aortopathies with Dr. Braverman

  I met with Dr. Alan Braverman to talk about aortic diseases (aka aortopathies) such as Marfan’s disease, Ehlers-Danlos and Loeys-Dietz. We discuss everything from clinical presentations and genetics to treatments. Articles referenced: NEJM Atenolol vs Losartan in Marfan’s

  
• 01.12.2019

  CV Prevention with Dr Ballantyne

  Dr Christie Ballantyne is the chief of cardiology and cardiovascular research at Baylor College of Medicine. He gave grand rounds on cardiovascular disease prevention at Washington University in St. Louis. I interviewed him about the commonly used risk calculators and...

  
• 12.26.2018

  Listener Survey

  AP Cardiology is coming up on one year next month and with that milestone, I wanted to ask for your participation in a short survey. There are 5 questions, and I’m just want to get an idea of who my...

  
• 12.18.2018

  Cardiac Amyloidosis – Dr Lenihan

  What patients should you be testing for cardiac amyloidosis? In this episode, I talk with Dr. Daniel Lenihan, an expert in cardiac amyloidosis. We review the exciting advances in the field of cardiac amyloidosis from epidemiology to treatments. You might...

  
• 11.19.2018

  Beyond Ejection Fraction with Dr John Gorcsan

  In this episode I visit with Dr. John Gorcsan, an expert in echocardiography and strain imaging, to discuss the utility of ejection fraction. We discuss how EF came to be used in clinical practice, the importance of it in heart...

  
• 10.16.2018

  Pulmonary Hypertension with Dr Murali Chakinala

  In this episode I meet with Dr Murali Chakinala, an expert in pulmonary hypertension at Washington University in St Louis. We review the groupings of pulmonary hypertension, diagnosis and management considerations.

  
• 09.11.2018

  Hypertrophic Cardiomyopathy with Dr Richard Bach

  In this episode I visit with Dr Richard Bach, the director of the Hypertrophic Cardiomyopathy Center at Washington University. We talk about everything from diagnosis, risk of exercise, medical management, indications for myectomy and alcohol ablations. Link to transcript on...

  
• 08.04.2018

  History of tPA in acute MI with Dr Phil Ludbrook

  The first patient treated with tPA in an acute myocardial infarction was at Barnes-Jewish Hospital. In this episode, I talked with one of the key players in making that happen, Dr Phil Ludbrook. It’s a great bit of medical history...

  
• 07.05.2018

  Alternative Payment Models Part 2 with Dr Karen Joynt Maddox

  Second part with Dr Karen Joynt Maddox discussing alternative payment models. In part one, we discussed the history of how quality measures began to be collected to being used in current reimbursement. In part two, we discuss some of the...

  
• 06.04.2018

  Alternative Payment Models Part 1 with Dr Karen Joynt Maddox

  The way we pay for medical care is changing. In this first episode of a two-part series, Dr Karen Joynt Maddox explains the history of the transition towards a quality based system. See her article in the New England Journal...

  
• 05.04.2018

  Cardiac Rehab

  I visited with Dr Linda Peterson about cardiac rehab. We review who qualifies for referral, what cardiac rehab is, the benefits and the challenges for patient participation. In the podcast, I reference a few articles regarding the mortality benefit. Links...

  
• 04.13.2018

  Noninvasive radiation for VT

  In collaboration with Dr Clifford Robinson (RadOnc), Dr Phillip Cuculich helped pioneer a completely noninvasive method to identify the origin of ventricular tachycardia and treat with radiation. Dr Cuculich and I talked about the trial, how it came about, and...

  
• 03.09.2018

  Peripartum Cardiomyopathy

  I met with Dr Kathryn Lindley to talk about peripartum cardiomyopathy. Dr Lindley’s research and clinical focus is in this area, and really helped me understand this disease better. We review the risk factors, clinical manifestations, diagnostics and treatment considerations....

  
• 02.20.2018

  Case Report: Primary Cardiac Lymphoma

  I discuss an interesting case I recently encountered on the wards with a brief review of the general principles of presentation and treatment.

  
• 02.08.2018

  TAVR

  In this episode I talk with Dr Alan Zajarias about TAVR (transcatheter aortic valve replacement). We talk about how candidates are evaluated and current research. Link to transcript on MedPage Today

  
• 02.08.2018

  ORBITA Debate

  Dr David L Brown and Dr Richard Bach discuss the recent ORBITA trial. Dr Brown co-authored the accompanying editorial in the Lancet and Dr Bach is an interventional cardiologist. Link to transcript on MedPage Today

  
• 02.08.2018

  PCSK9 Inhibitors

  I met with the director of the Health Systems Innovation Laboratory at Washington University School of Medicine, Dr Thomas Maddox, MD, and we talked about PCSK9 inhibitors. Where did the idea for these drugs come from, how effective are they,...

  
• 02.08.2018

  Stress Testing

  In this episode I visit with Dr Mike Rich and discuss stress testing. We review the various modalities, whom to send for stress testing and the prognostic utility of stress testing. Link to transcript on MedPage Today