Pediheart: Pediatric Cardiology Today

40 Episodes
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By: Robert Pass

A review of the latest literature and thought leaders in pediatric cardiovascular care.

Pediheart Podcast #159: The S-ICD In The Pediatric and ACHD Patient
Last Friday at 5:00 AM

This week in a co-branded episodes with the SADS Foundation (SADS.org) we speak with Professor Johannes von Alvensleben of U. Colorado about a recent PACES study on the outcomes of S-ICD's in children and ACHD patients. What are the challenges to their use and who is a good candidate? What is involved in screening patients for an S-ICD and why do children and ACHD patient seem to 'screen out' more than the general population? What are the challenges to their implantation and what is coming down the pipeline in terms of innovation with these devices? Dr. von Alvensleben shares...


Pediheart Podcast #158: Diagnostic Accuracy Of Fetal Echocardiography For Congenital Heart Disease
04/02/2021

This week we delve into the world of fetal cardiology to review a recent work on accuracy of fetal echo in the diagnosis of congenital heart disease. We speak with Dr. Namrita Mozumdar of Pediatric Cardiology Of Long Island about her work. What factors are associated with diagnostic discrepancies? DOI: 10.1016/j.echo.2020.06.017
Also joining us is Professor Kenan Stern of Mount Sinai Children's Heart Center to share with us information about the upcoming Mount Sinai Hot Topics In Fetal Cardiology Conference on May 1. Information can be found at:
https://mssm.cloud-cme.com/course/courseoverview?P=3000&EID=4460


Pediheart Podcast #157: Aortopulmonary Collaterals In The Single Ventricle Patient
03/26/2021

This week we review a recent survey study on the topic of aortopulmonary collaterals in single ventricle patients. How often are these occluded in the single ventricle patient and when this is performed, how do interventionalists decide? How should they be occluded? Are there guidelines regarding this? We speak with Professor Ziyad Hijazi of Sidra Cardiovascular Center in Doha, Qatar about this recent work and also briefly discuss the PICS Society for pediatric and adult interventional cardiologists with Dr. Hijazi and Dr. Damien Kenny. doi: 10.1007/s00246-020-02418-8


Pediheart Podcast # 133 REPLAY: Ventricular Arrhythmias And Sudden Death In Tetralogy Of Fallot
03/19/2021

In this week's replay episode 133, we delve into the world of electrophysiology and ACHD when we review a very recent work on TOF and factors associated with possible risk for sudden death. Can a novel algorithm identify high or low risk patients in this cohort? We speak with Professor Joseph Atallah of The University of Alberta and Dr. Edward Walsh of Harvard University. Both share their deep knowledge in a roundtable discussion this week. DOI: 10.1016/j.amjcard.2020.07.012


Pediheart Podcast #156: Neonatologist-Performed Echo For Hemodynamic Consultation In The NICU
03/12/2021

This week we explore a recent work assessing the degree of anatomical concordance between neonatologist-performed echocardiograms and those by pediatric cardiology. What is the role of a hemodynamic consultation team in the management of the transitional physiology of the newborn? How do neonatologists use echocardiography in real time to help manage complex physiological problems of the newborn? What training is needed to do this and how does the neonatal team collaborate with cardiology to provide optimal neonatal physiological support and care? We speak with 2 experts to get the perspective of the neonatologist and cardiologist. Senior author and neonatologist Professor Patrick...


Pediheart Podcast #155: Comparison Of Warfarin vs. Aspirin In The Fontan Patient
03/05/2021

This week we review the important topic of anticoagulation of the Fontan patient. We speak with hematology researcher, Dr. Chantal Attard of The Murdoch Children's Research Institute of The University of Melbourne about a recent cross-sectional study comparing multiple factors in patients with Fontan circulation on aspirin vs. warfarin. What were the demonstrable differences in outcome? Are there ways to make the use of warfarin more safe? What about novel anticoagulants - what is their possible role and what evidence exists for their use in this setting? Dr. Attard provides many key 'takeaways' this week! doi: 10.1016/j.jtcvs.2020.12.102


Pediheart Podcast #154: Impact Of Airway Anomalies On Congenital Cardiac Surgical Outcomes
02/26/2021

This week's work reviews a recent STS database study on airway anomalies and the impact they have on cardiovascular surgical outcomes for congenital heart disease. To what degree does the presence of a concomitant airway surgery impact the morbidity and mortality of congenital heart surgery? Dr. Kyle Riggs, a PGY4 resident in thoracic surgery at Northwell Health shares his insights from his recent publication. doi: 10.1016/j.jtcvs.2020.10.149


Pediheart Podcast #153: Appropriate Use Of Echo In The Evaluation Of Palpitations
02/19/2021

This week we delve into the world of general cardiology and echocardiography to evaluate the role of the echo in the evaluation of a palpitation patient. Which pediatric palpitation patients should undergo an echo? What is the yield of this test in this patient group? What is the appropriate evaluation of a palpitation patient and what testing should such a patient undergo? We speak with Dr. Saloni Sheth, 3rd year resident in pediatrics at Rainbow Babies and Children's Hospital in Cleveland, Ohio about a recent work she published on this topic. DOI: 10.1017/S104795112000325X


Pediheart Podcast #152: Status Of The ACHD Patient At Age 50 And Beyond
02/12/2021

This week we review a recent work from the large ACHD team in Sydney, Australia regarding outcomes of ACHD patients at age 50. How are these patients progressing from both a medical and psychosocial perspective? What resources are needed to address this rapidly growing population of middle aged ACHD patients? We speak with Professor Rachael Cordina of the University of Sydney about her recent work. doi: 10.1016/j.hlc.2020.05.114


Pediheart Podcast #151: Fate Of The Fontan Patient Liver Following Heart-Only Transplantation
02/05/2021

This week we delve back into the world of the Fontan to discuss the fate of the liver in the Fontan patient. We speak with hepatologist, Professor Dellys Soler Rodriguez of Emory University about a recent work she published on the fate of the liver in patients following heart-only transplantation who were Fontan patients. How should these patients be monitored? How should all Fontan patients be monitored? What is the role of the liver biopsy in this evaluation? Dr. Soler Rodriguez provides the insights this week! DOI: 10.1016/j.jpeds.2020.09.044


Pediheart Podcast #150: Exercise Training Effects On Repolarization Abnormalities Mimicking LQTS
01/29/2021

This week in a co-branded episode with the SADS Foundation (SADS.ORG), we speak with Professor Peter Schwartz of University of Pavia about a recent work he authored on the topic of changes in repolarization amongst well trained athletes. Can athletic training masquerade as LQTS causing prolongation and/or abnormalities in the QT interval? How can these patients be properly identified and not 'lumped' into the LQTS 'pile'? This is a very important work by one of the foremost authorities on the planet on LQTS and Professor Schwartz also shares with us how he became interested in this topic 50+ years...


Pediheart Podcast #149: Variability In The Management Of Pediatric SVT
01/22/2021

This week we delve into the world of general pediatric cardiology as well as EP as we review a recent work from the Boston Children's group on management of SVT in the ED. How often are patients admitted to the hospital after conversion of SVT? How frequently are 2nd agents required to terminate SVT beyond adenosine? Why do differences exist in the management of these patients between hospital systems? Boston Children's Hospital cardiology fellow, Dr. Robert Przybylski shares his insights into this week's important and practical work. doi: 10.1007/s00246-020-02515-8


Pediheart Podcast #148: Mental Health Problems Affecting Children With Congenital Heart Disease
01/15/2021

This week we delve into the world of mental health and review a new large study from the group at Texas Children's on prevalence of anxiety, depression and ADHD amongst the pediatric CHD patient group. How common are these disorders in the young CHD patient and how does this compare to the general pediatric population? What role does minority or insurance status have on diagnosis or treatment of these disorders? Third year cardiology fellow Dr. Vincent J. Gonzalez shares insights from his important work this week. doi: 10.1542/peds.2020-1693


Pediheart Podcast #147: A Novel Framework For Thinking About The Fontan
01/08/2021

This week we speak with Professor Marc Gewillig of University Hospitals, Leuven, Belgium about a recent work he co-authored on the physiology of the Fontan. What is the most important feature of a Fontan circulation in the initial versus late stages after palliation? What constitutes a 'good Fontan'? What is meant by likening the Fontan to a "dam"? Dr. Gewillig provides us with a number of practical concepts in thinking about our Fontan patients and how we might conceptualize possible therapies to improve Fontan flow. doi: 10.1111/apa.15098


Pediheart Podcast #146: Tips For Funding Your Retirement With Paul Merriman
01/01/2021

This week we speak have 2 special guests. First we check in with Dr. Alin Gragossian, critical care fellow at Mount Sinai Hospital, NYC and also heart transplant recipient. Dr. Gragossian shares with us the details of the past year, her second, with a new heart and what the special challenges have been. Our second guest is investing authority Paul Merriman who is a nationally recognized figure in the world of personal finance and the author of many books on investing as well as the host of his own podcast, 'Sound Investing'. Mr. Merriman shares some of the basics of how...


Pediheart Podcast #145: Messages From Some Of The Heroes Of 2020
12/25/2020

As we move on to 2021 and leave 2020 'in the dust', we check in with some of the frontline warriors in the battle with COVID19 and hear their well wishes of inspiration, resilience, warmth and hope. Here's to a wonderful 2021!


Pediheart Podcast #144: Hydroxychloroquine To Prevent Recurrent Heart Block In The Offspring Of Anti-SSA/Ro-Positive Mothers
12/18/2020

This week we review the topic of heart block in the newborn or fetus and review a novel prospective trial assessment of hydroxychloroquine to reduce recurrences of heart block in the offspring of Anti-SSA/Ro-positive mothers. We speak with Professor Jill Buyon and Professor Peter Izmirly, both of NYU Medical Center about a recent multi center trial assessing the impact of this agent for this purpose. How effective was this drug and what if any complications were encountered? What is next in the study of this topic? Drs. Buyon and Izmirly share many insights this week. doi: 10.1016/j.jacc.2020.05.045


Pediheart Podcast #143: Pediatric Cardiac Specialists' Opinions Regarding Acceptability Of Comfort Care For Congenital Heart Disease
12/11/2020

This week we review a recent work in the area of medical ethics specifically focused on the notion of comfort care for congenital heart disease. Which diseases or patients should be offered this option and who should not? What sort of agreement is there amongst congenital heart specialists? Who should be involved in such decisions? We speak with Professor Angira Patel of Lurie Children's Hospital about this very important and uncommonly discussed topic. doi: 10.1007/s00246-020-02367-2


Pediheart Podcast #142: Impact Of Diaphragm Plication On Single Ventricle Outcomes
12/04/2020

Surgery is on tap this week as we discuss a recent paper from the team at Children's Hospital LA about diaphragm plication in the single ventricle patient. What impact did this intervention have on outcomes? How were hemodynamics impacted and did this change outcomes of the bidirectional Glenn or Fontan? What percentage of patients recovered diaphragm function? Professor S. Ram Kumar of USC shares his insights into his recent work with his team.
DOI: 10.1016/j.jtcvs.2020.06.007


Pediheart Podcast #141: Prevalence Of Psychiatric Illness Amongst The Pediatric Heart Failure/Transplant Population
11/27/2020

This week we review a recent report on the prevalence and types of psychiatric problems that pediatric and adolescent heart failure/transplant patients may have. How common are these illnesses, which are most common and what to do about this? We speak with Assistant Professor of Pediatrics at Vanderbilt University, Dr. Isaura Diaz about her recent work this week. DOI: 10.1016/j.jpeds.2019.10.022


Pediheart Podcast #140: Familial Hypercholesterolemia Is Not Rare Anymore
11/20/2020

This week we move into the arena of pediatric preventive cardiology and have a somewhat different format to the podcast in that we will be listening to a lecture delivered by Associate Professor of Pediatrics at The Icahn School of Medicine at Mount Sinai - Dr. Joseph Mahgerefteh - speak with us about the topic of familial hypercholesterolemia. He reviews the incidence and consequences of not identifying and managing this properly and many clinical pearls regarding this complex topic. Though a lecture aimed at generalists, this talk is a good introduction to a complex topic. Dr. Mahgerefteh's email is Joseph...


Pediheart Podcast #139: A Novel Bioresorbable Scaffold For Possible Pediatric Use
11/13/2020

This week we delve into the world of interventional cardiology and speak with Professor Damien Kenny of Children's Hospital, Ireland in Dublin, Ireland about a recent work he co-authored on pre-clinical animal experiments on the use of a novel bioresorbable scaffold/stent. How easy were these to implant? How did these compare with bare metal stents for patency, thrombus or inflammation in the vascular wall? Dr. Kenny shares his insights all the way from Dublin this week!
doi: 10.1002/ccd.28893


Pediheart Podcast #138: Hepatic Stiffness In The 2 Ventricle Congenital Heart Patient
11/06/2020

This week we delve into the liver once more to review an intriguing report from the group at Johns Hopkins regarding hepatic stiffness in the 2 ventricle congenital heart patient. We know from prior works that single ventricle patients have enhanced liver stiffness but this work suggests that some 2 ventricle patients are also similarly affected. We speak with Professor Ari Cedars of Johns Hopkins University for his insights into these findings and who he thinks might warrant routine liver follow-up in the ACHD patient following congenital heart surgery. doi: 10.1016/j.athoracsur.2020


Pediheart Podcast #138: Hepatic Stiffness In The 2 Ventricle Congenital Heart Patient
11/06/2020

This week we delve into the liver once more to review an intriguing report from the group at Johns Hopkins regarding hepatic stiffness in the 2 ventricle congenital heart patient. We know from prior works that single ventricle patients have enhanced liver stiffness but this work suggests that some 2 ventricle patients are also similarly affected. We speak with Professor Ari Cedars of Johns Hopkins University for his insights into these findings and who he thinks might warrant routine liver follow-up in the ACHD patient following congenital heart surgery. doi: 10.1016/j.athoracsur.2020


Replay Pediheart Podcast #98: Impact Of Udenafil On Exercise In The Fontan 'FUEL' Trial
10/30/2020

In this week's episode we replay episode 98 with Professor David Goldberg of Children's Hospital of Philadelphia and the so-called "FONTAN FUEL" trial which assessed the impact of udenafil on measures of exercise in the Fontan patient. This is one of the most important episodes of the 137 series thus far - definitely worth a re-listen. New intro and ending added this week! doi: 10.1161/CIRCULATIONAHA.119.044352


Replay Pediheart Podcast #98: Impact Of Udenafil On Exercise In The Fontan 'FUEL' Trial
10/30/2020

In this week's episode we replay episode 98 with Professor David Goldberg of Children's Hospital of Philadelphia and the so-called "FONTAN FUEL" trial which assessed the impact of udenafil on measures of exercise in the Fontan patient. This is one of the most important episodes of the 137 series thus far - definitely worth a re-listen. New intro and ending added this week! doi: 10.1161/CIRCULATIONAHA.119.044352


Pediheart Podcast #137: Role Of The ECG In Pre-Participation Screening Of College Athletes
10/23/2020

This week's episode is co-branded with SADS.ORG and is on the topic of pre-participation screening. Can the ECG offer important benefits vs. the standard 14 point AHA H&P approach? Which approach was more effective in 'real life'? We speak with Professor Robert Campbell of Emory University this week to delve into this contentious and important topic. DOI: 10.1016/j.hrthm.2020.04.032


Pediheart Podcast #137: Role Of The ECG In Pre-Participation Screening Of College Athletes
10/23/2020

This week's episode is co-branded with SADS.ORG and is on the topic of pre-participation screening. Can the ECG offer important benefits vs. the standard 14 point AHA H&P approach? Which approach was more effective in 'real life'? We speak with Professor Robert Campbell of Emory University this week to delve into this contentious and important topic. DOI: 10.1016/j.hrthm.2020.04.032


Pediheart Podcast #136: Factors Associated With Blood Transfusion Around The Time Of Cardiac Catheterization
10/16/2020

This week we enter the world of interventional catheterization to review an important and practical topic which is the notion of blood transfusions during or immediately after catheterization in children with congenital heart disease. We speak with Dr. R. Allen Ligon of Joe DiMaggio Children's Hospital in Hollywood, Florida about a recent work he authored while completing fellowship at Emory University. Are there factors that may help predict the need for blood at cath? Dr. Ligon shares his insights this week! doi: 10.1016/j.jpeds.2019.10.033


Pediheart Podcast #136: Factors Associated With Blood Transfusion Around The Time Of Cardiac Catheterization
10/16/2020

This week we enter the world of interventional catheterization to review an important and practical topic which is the notion of blood transfusions during or immediately after catheterization in children with congenital heart disease. We speak with Dr. R. Allen Ligon of Joe DiMaggio Children's Hospital in Hollywood, Florida about a recent work he authored while completing fellowship at Emory University. Are there factors that may help predict the need for blood at cath? Dr. Ligon shares his insights this week! doi: 10.1016/j.jpeds.2019.10.033


Pediheart Podcast #135: Mortality Attributable To CHD And Persistent Racial/Ethnic Disparities In Mortality In The US
10/09/2020

This week we discuss the topic of mortality attributable to CHD in the US and persistent racial/ethnic disparities over the past 20 years. We speak with Professor Keila Lopez of Texas Children's Hospital about a recent large scale, 'big data' study she co-authored about this topic and review the reasons for these disparities and think about possible remedies. An essential episode on a critically important topic for CHD care. doi: 10.1161/CIRCULATIONAHA.120.046822


Pediheart Podcast #135: Mortality Attributable To CHD And Persistent Racial/Ethnic Disparities In Mortality In The US
10/09/2020

This week we discuss the topic of mortality attributable to CHD in the US and persistent racial/ethnic disparities over the past 20 years. We speak with Professor Keila Lopez of Texas Children's Hospital about a recent large scale, 'big data' study she co-authored about this topic and review the reasons for these disparities and think about possible remedies. An essential episode on a critically important topic for CHD care. doi: 10.1161/CIRCULATIONAHA.120.046822


Pediheart Podcast #134: Outcomes Of Valve Replacement In The Single Ventricle Patient
10/02/2020

This week we review a recent PCCC study assessing outcomes of single ventricle patients who have undergone replacement of the AV or semilunar valve. We speak with Professor Geetha Raghuveer of University of Missouri-Kansas City about this work she co-authored. Outcomes are generally poor in this patient group but are there lessons that can be gleaned from the data regarding optimal timing for repair or replacement of valves in this patient group? This is a great follow-up of episode # 58 from a year ago. doi: 10.1007/s00246-019-02234-9.


Pediheart Podcast #134: Outcomes Of Valve Replacement In The Single Ventricle Patient
10/02/2020

This week we review a recent PCCC study assessing outcomes of single ventricle patients who have undergone replacement of the AV or semilunar valve. We speak with Professor Geetha Raghuveer of University of Missouri-Kansas City about this work she co-authored. Outcomes are generally poor in this patient group but are there lessons that can be gleaned from the data regarding optimal timing for repair or replacement of valves in this patient group? This is a great follow-up of episode # 58 from a year ago. doi: 10.1007/s00246-019-02234-9.


Pediheart Podcast #133: Ventricular Arrhythmias And Sudden Death In Tetralogy Of Fallot
09/25/2020

This week we delve into the world of electrophysiology and ACHD when we review a very recent work on TOF and factors associated with possible risk for sudden death. Can a novel algorithm identify high or low risk patients in this cohort? We speak with Professor Joseph Atallah of The University of Alberta and Dr. Edward Walsh of Harvard University. Both share their deep knowledge in a roundtable discussion this week. DOI: 10.1016/j.amjcard.2020.07.012


Pediheart Podcast #133: Ventricular Arrhythmias And Sudden Death In Tetralogy Of Fallot
09/25/2020

This week we delve into the world of electrophysiology and ACHD when we review a very recent work on TOF and factors associated with possible risk for sudden death. Can a novel algorithm identify high or low risk patients in this cohort? We speak with Professor Joseph Atallah of The University of Alberta and Dr. Edward Walsh of Harvard University. Both share their deep knowledge in a roundtable discussion this week. DOI: 10.1016/j.amjcard.2020.07.012


Pediheart Podcast #132: Echocardiographic Strain Measurements And Their Relationship To Outcomes In The Systemic RV Patient
09/18/2020

This week we enter the dual worlds of ACHD and echocardiography to review a recent work from Amsterdam on the use of speckle tracking echocardiography to predict clinical outcomes in the patient with a systemic RV. Can this modality predict a problem prior to more conventional factors or even CMR data? Can this substitute for a CMR? Why is this type of echo more challenging in the systemic RV patient? Dr. Odilia Woudstra shares her deep knowledge of this topic from her research this week! doi: 10.1016/j.cjca.2019.12.014


Pediheart Podcast #132: Echocardiographic Strain Measurements And Their Relationship To Outcomes In The Systemic RV Patient
09/18/2020

This week we enter the dual worlds of ACHD and echocardiography to review a recent work from Amsterdam on the use of speckle tracking echocardiography to predict clinical outcomes in the patient with a systemic RV. Can this modality predict a problem prior to more conventional factors or even CMR data? Can this substitute for a CMR? Why is this type of echo more challenging in the systemic RV patient? Dr. Odilia Woudstra shares her deep knowledge of this topic from her research this week! doi: 10.1016/j.cjca.2019.12.014


Pediheart Podcast # 86 Replay: Staged Versus Primary Repair For Tetralogy of Fallot With Professor Laura Mercer-Rosa
09/11/2020

This week we explore an important paper from CHOP on the optimal approach to repair for Tetralogy of Fallot (TOF). Is there a benefit to a staged approach versus primary complete repair? Are there factors that might influence this decision of approach? We speak with Assistant Professor of Pediatrics Dr. Laura Mercer Rosa of The University of Pennsylvania about her recent large PHIS database study. This is a rare replay episode from last year but one of the very best of the entire series thus far with redone intro and musical endings. doi: 10.1016/j.jacc.2019.05.057.


Pediheart Podcast # 86 Replay: Staged Versus Primary Repair For Tetralogy of Fallot With Professor Laura Mercer-Rosa
09/11/2020

This week we explore an important paper from CHOP on the optimal approach to repair for Tetralogy of Fallot (TOF). Is there a benefit to a staged approach versus primary complete repair? Are there factors that might influence this decision of approach? We speak with Assistant Professor of Pediatrics Dr. Laura Mercer Rosa of The University of Pennsylvania about her recent large PHIS database study. This is a rare replay episode from last year but one of the very best of the entire series thus far with redone intro and musical endings. doi: 10.1016/j.jacc.2019.05.057.