Ap Cardiology

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 discuss this topic with Dr. Mitch Faddis and Dr. Philip Cuculich and their approach to … Continue reading Atrial Fibrillation →

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

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 how he assesses cardiovascular risk in the office. REDUCE-IT Trial on NEJM.org

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 audience is (so I can tailor the episodes better), what you enjoy and get any … Continue reading Listener Survey →

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 be surprised to hear how common this condition is. Links to articles referenced: 1) Cardiac amyloid … Continue reading Cardiac Amyloidosis – Dr Lenihan →

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 failure and the variation in measurement. We introduce strain imaging and what that adds to … Continue reading Beyond Ejection Fraction with Dr John Gorcsan →

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.

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 MedPage Today

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 that I hope you enjoy! Link to original case series of 7 patients published in … Continue reading History of tPA in acute MI with Dr Phil Ludbrook →

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 limitations of these models and the unanticipated consequences on some populations. Link to transcript on … Continue reading Alternative Payment Models Part 2 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 of Medicine here. Link to transcript on MedPage Today

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 are found below: JACC 2016 Meta-analysis Mayo study of post-CABG patients Mayo study of post-PCI … Continue reading Cardiac Rehab →

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 we learn from the results. See the manuscript published in the New England Journal of … Continue reading Noninvasive radiation for VT →

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. Link to transcript on MedPage Today

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

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

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

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, and why are they not used more in current practice? Link to transcript on MedPage … Continue reading PCSK9 Inhibitors →

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