Cardionerds: A Cardiology Podcast

Dr. Anu Lala, an expert in heart failure research, and Dr. Martha Gulati, a renowned prevention specialist and author, explore the complexities of heart failure with preserved ejection fraction (HFpEF) in women. They discuss unique clinical presentations and the significance of gender-specific risk factors, including obesity and sleep apnea. The conversation highlights innovative treatment strategies, such as SGLT2 inhibitors, and emphasizes the need for a holistic, multidisciplinary approach to improve outcomes for women facing HFpEF.

Dr. Navin Kapur, a leader in cardiogenic shock research, and Dr. Shashank Sinha, an expert in heart failure, join forces to delve into recent advancements in LV unloading for acute myocardial infarction. They discuss a complex case of a woman with a rare coronary anomaly and the challenges faced in managing cardiogenic shock. Highlights include new guidelines, the significance of advanced interventions like ECMO and Impella CP, and the importance of interdisciplinary collaboration in emergency cardiac care.

Yash Patel, a dedicated third-year resident nearing his chief year, and Tanmay Swadia, an interventional cardiologist and Cath Lab Director, delve into a gripping case involving a 36-year-old man who faced severe complications after ocular surgery. They discuss the rare occurrence of pulmonary air embolism leading to right heart failure and cardiac arrest. The duo highlights the critical importance of early recognition, utilizing advanced hemodynamic support like the Impella RP device, and the need for a multidisciplinary approach in trauma cases.

In this engaging discussion, Dr. Allison Tsao, an interventional cardiologist, shares insights on cutting-edge techniques in congenital heart disease care. Dr. Jill Steiner emphasizes the importance of palliative care, focusing on the emotional well-being of patients. Dr. Katherine Salciccioli explores the intersection of ACHD and cardio-obstetrics, discussing the complexities of pregnancy for patients with congenital heart issues. Together, they tackle the emotional landscape of care, the significance of building trust, and the essential role of compassion in patient-provider relationships.

In this discussion, Dr. Namrita Ashokprabhu, a clinical research coordinator at the Women's Heart Center, Dr. Mehmet Yildiz, a second-year cardiology fellow, and Dr. Yulith Roca Alvarez, a physician starting her cardiology fellowship, dive into the complexities of MINOCA. They explore the critical role of cardiac MRI in diagnosing coronary vasospasm and myocarditis. The team emphasizes the importance of tailored treatments like calcium channel blockers and the challenges of invasive testing methods to manage this intricate cardiovascular condition.

Join Spencer Weintraub, Chief Resident of Internal Medicine, Michael Albosta, a third-year resident, and Zahid Ahmad, an Associate Professor specializing in lipid disorders, as they unravel a compelling case of hypertriglyceridemia. They discuss its link to acute pancreatitis in a woman with a complex medical history, emphasizing diagnosis challenges and management strategies. The conversation dives into lifestyle changes, innovative therapies, and the critical role of nutrition in controlling triglyceride levels, offering valuable insights for preventing cardiovascular complications.

Dr. Sri Mandava, a cardiology fellow at Mount Sinai Medical Center, and Dr. Pranav Venkataraman, an attending physician, delve into a gripping case involving cardiac sarcoidosis presenting as a STEMI in a 57-year-old man. They discuss the challenges of diagnosing unusual STEMI without typical coronary artery disease, emphasizing the role of advanced imaging techniques. The complexities of managing cardiac sarcoidosis and the importance of interdisciplinary collaboration to prevent sudden cardiac events are also highlighted, showcasing critical decision-making in cardiology.

Dr. Daniel Judge, a leading expert in cardiovascular genetics at the Medical University of South Carolina, shares his insights on transthyretin amyloid cardiomyopathy (ATTR-CM). The discussion highlights the importance of recognizing subtle symptoms like ventricular hypertrophy and carpal tunnel syndrome. Dr. Judge also dives into innovative treatments, including gene-silencing technologies and antibody-based therapies, emphasizing the rapid advancements in this field. His passion for early diagnosis and improving patient outcomes shines throughout the conversation.

Dr. Jeff Healey, a pioneer in ventricular arrhythmias research, and Dr. Roderick Tung, an expert in arrhythmia management, delve into the VANISH2 trial's crucial findings. They discuss the effectiveness of catheter ablation versus antiarrhythmic drugs for patients with ischemic cardiomyopathy. The conversation highlights the trial's impact on treatment choices and patient outcomes, emphasizing the importance of tailored interventions. Additionally, they explore the complexities of managing non-ischemic cardiomyopathy and address safety considerations in arrhythmia therapies.

Nikita Mishra and Rohan Ganti are first-year cardiology fellows at Rutgers-Robert Wood Johnson, while Sabahat Bokhari is a recognized professor and center director. They delve into a puzzling case of a 61-year-old man experiencing refractory ventricular tachycardia, requiring extensive defibrillation efforts. The discussion covers diagnostic strategies for hypertrophic cardiomyopathy, the complexities of medication management, and the critical role of advanced imaging. They also highlight tools to enhance clinician support and the importance of multidisciplinary collaboration in patient care.