Cardionerds: A Cardiology Podcast

Drs. Suleiman, Elliott, and Osude share their cardiology journeys. They discuss a complex case of severe mitral paravalvular regurgitation with hemolytic anemia. Topics include valve complications, fluoroscopy, and management strategies for prosthetic valve patients.

Dr. Nausheen Akhter discusses multi-modality imaging in cardio-oncology. Topics include monitoring LVEF with nuclear imaging, using MRI for cardiotoxic therapy surveillance, identifying coronary disease with CT, and diagnosing cardiac amyloidosis. The episode emphasizes the role of imaging in managing cardiotoxicity during cancer treatment and long-term surveillance strategies.

Dr. Brett Wanamaker and specialists discuss a challenging case of pericardial decompression syndrome in a woman with metastatic lung cancer, emphasizing pericardiocentesis complications, differential diagnoses, and management strategies. They explore the complexities of post-procedural hemodynamic issues and the importance of echocardiography in diagnosis and treatment.

CardioNerds host Dr. Stephen Kopecky, a cardiovascular prevention expert, discussing risk assessment beyond standard calculators, optimizing cholesterol levels, and managing statin intolerance. They explore guidelines for LDL goals based on risk factors, addressing side effects, and future interventions for personalized cardiovascular prevention.

Drs. Shafi, Prakash, and Theisen discuss a pediatric case of genetic heart condition, focusing on familial hypercholesterolemia, LDL targets, and emerging therapies like PCSK9 inhibitors and CRISPR-based treatments. They highlight the complexities of managing young patients with multiple health issues and emphasize personalized care for FH patients.

Dr. James Arrighi, General Cardiologist and CEO of ACGME-International, discusses competency-based medical education, challenges in cardiology fellowship training, ACGME International accreditation hurdles, and promoting diversity in cardiology education. Explore his path as a clinician educator and the importance of inclusion in cardiology.

Guests, including Dr. Jessie Holtzman and Dr. Naima Maqsood, discuss a challenging case of a 79-year-old male with Chagas cardiomyopathy. The patient presented with recurrent VT post-CRT-D placement, leading to cardiogenic shock. Diagnostic journey of Chagas cardiomyopathy and importance of early diagnosis are highlighted to prevent catastrophic events.

CardioNerds discuss a case of obstructive cardiogenic shock in a 42-year-old woman with Tetralogy of Fallot repair. They highlight lactic acidosis, kidney injury, NT-proBNP elevation, and moderate biventricular dysfunction. The patient had right heart catheterization showing elevated pressures and low cardiac index. Intracardiac echocardiography revealed a large mass within the valve apparatus, prompting further evaluation and management.

Dr. Richard Cheng, expert in CardioOncology, discusses advanced heart failure in patients with a history of cancer. Topics include cancer therapy-related cardiac dysfunction, risk stratification tools, guideline-directed medical therapy, risk of prior radiation and chemotherapy during surgery, and post-transplant risks and treatment strategies.

Doctors from West Virginia University discuss a case of apical obliteration with biventricular thrombus. Topics include challenges in diagnosing MI without obstructive coronary arteries, management strategies post-MRI, stroke presentation, eosinophilic myocarditis treatment with corticosteroids and anticoagulation, and successful management of a rare genetic fusion with imatinib.