Cardionerds: A Cardiology Podcast

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.

CardioNerds talk with Dr. Steve Nissen about managing obesity in cardiovascular care. They discuss bariatric surgery, new medications, and the importance of addressing obesity. Dr. Nissen highlights the impact of obesity on cardiovascular health worldwide and the benefits of weight loss strategies.

Dr. Neha Pagidapati from Duke University discusses GLP-1 receptor agonists with CardioNerds. They cover clinical indications, metabolic benefits, and limitations of these therapies. Topics include medication titration, side effects management, and challenges in obtaining coverage for anti-obesity medications. The podcast also explores disparities in drug access, risks of counterfeit drugs, and the importance of perseverance in utilizing GLP1 agonists for cardiovascular health.

Cardiologists Dr. Alexis Beatty and Dr. Seth Martin discuss integrating digital health into cardiology practice. They explore patient privacy concerns, advancements in cardiac rehab through digital tools, and the impact on patient outcomes. The episode highlights the role of technology in evidence-based care delivery and patient empowerment.

Dr. Tomas Neilan discusses cardiotoxicity of novel immunotherapies, focusing on immune checkpoint inhibitors and their adverse cardiac effects. Topics include diagnosis, treatment, and challenges of ICI-related myocarditis, emphasizing the importance of baseline assessments and prompt recognition. The episode also touches on subclinical myocarditis, management strategies, and the impact of corticosteroids on cancer outcomes.

CardioNerds discuss a complex case involving a 72-year-old man with various symptoms and a history of different medical conditions. The patient is diagnosed with drug-induced lupus due to hydralazine after undergoing a thorough work-up. Expert commentary is provided on the challenges of diagnosing and treating drug-induced lupus. The podcast delves into the complexities of differential diagnosis, treatment strategies, and the importance of considering malignancy in such cases.

CardioNerds discuss GLP-1 receptor agonists in heart disease patients, exploring benefits, guidelines, and trial data. Dr. McGuire explains ease of use and efficacy, emphasizing patient support. They also cover samagletide therapy initiation, dosage levels, and combination therapy with SGLT2 inhibitors for heart failure and diabetes management. Future interventions for obesity and cardiovascular safety are highlighted.