In this episode I visit with Dr. Chris Burke from the University of Washington to discuss aortic valve repair. Dr. Burke is a cardiac surgeon with an interest in complex aorta and aortic valve surgery. He provides useful insights into the evalu

Physical Exam Series: Mitral Regurgitation

Jan 21st, 2021 29m

I am joined by Shreyas Venkataraman, MD, an internal medicine resident at Barnes-Jewish Hospital in St Louis to continue our physical exam series. In this episode we talk about mitral regurgitation and the associated physical exam findings that

Ventricular Tachycardia - Dr. Melissa Robinson

Dec 16th, 2020 50m 15s

In this episode I visit with Dr. Melissa Robinson from the University of Washington to discuss the management of ventricular tachycardia. Our discussion focuses on decisions regarding ICD implantation, anti-arrhythmic drugs and catheter ablatio

Caring for patients with Fontan physiology - Eric Krieger

Oct 10th, 2020 51m 53s

I met with Dr. Eric Krieger from the University of Washington Adult Congenital Heart Disease group to talk about patients with the Fontan palliative shunt. This shunt is used to help infants born with single ventricle physiology survive into ad

Coronary Artery Disease and Chronic Kidney Disease - Dr. Alec Moorman

Sep 12th, 2020 32m 50s

I am joined by co-fellow Alex Taylor, MD and we visit with Alec Moorman, MD to discuss coronary artery disease in patients with chronic kidney disease. We talk about the recent ISCHEMIA-CKD trial, the nuances of treating patients with CKD and C

Bariatric Surgery in Heart Failure - Dr. Gopalan

Sep 3rd, 2020 30m 16s

I visit with Dr. Gopalan from Banner University in Phoenix, AZ to discuss his experience with morbidly obese patients with heart failure. We talk about the association of obesity with heart failure, how weight loss can impact functional capacit

Physical Exam Series - Aortic Stenosis

Jul 16th, 2020 25m 41s

I am joined by Shreyas Venkataraman to discuss the physical exam findings of aortic stenosis and how they can help us with the diagnosis and grading of aortic stenosis. We share 2 examples of heart murmurs, discuss likelihood ratios and the phy

Heart failure with recovered ejection fraction - Jane Wilcox

May 17th, 2020 33m 47s

I visit with Dr. Jane Wilcox from Northwestern University to discuss patients with heart failure that later have normalization of their ejection fraction (HFrecEF). We discuss how this population is different from other heart failure population

Plant Based Diets with Kim Williams

Apr 10th, 2020 34m 37s

I visited with Dr Kim Williams, former president of the ACC, to discuss the cardiovascular benefits of a plant based diet. Using stories of patient encounters he shares pearls to take to the bedside and how to talk to patients about plant based

False Positive Troponins

Feb 20th, 2020 19m 57s

I visit with Robert Christenson PhD about the troponin assays and how they can be falsely positive from anti-body mediated interference. I present a case and we discuss the mechanisms which create the false positives (or negatives) with the ass

Pregnancy in ACHD - Dr Candice Silverside

Jan 31st, 2020 20m 52s

UPDATED: I visited with Dr. Candice Silversides at the American Heart Association Meeting in November 2019. We talk about her area of expertise, pregnancy in adults with congenital heart disease. Links: ESC Guidelines on the Management of Cardi

HFpEF and Amyloid - Rick Ruberg

Dec 13th, 2019 26m 39s

I met with Dr. Frederick Ruberg from Boston University to discuss his talk from AHA 2019 titled “HFpEF: It’s a Diagnosis of Exclusion, So Exclude Other Causes!” We discuss what the diagnosis of HFpEF entails and then dive into cardiac amyloidos

ACS Update - 2019 with James de Lemos

Dec 2nd, 2019 11m 29s

I caught up with Dr. James de Lemos from UT Southwestern at the 2019 American Heart Association meeting to discuss a number of updates in acute coronary syndromes. We cover a number of recent trials that are shaping how we think about ACS manag

Decompensated heart failure with Dr. Kittleson

Nov 20th, 2019 48m 21s

In this episode I visit with Dr. Michelle Kittleson (@MKIttlesonMD) of Cedars-Sinai to discuss evaluation and management of patients admitted with acute decompensated heart failure. We review the etiologies for decompensation, what to do with b

ASDs and VSDs with Amber Khanna

Oct 29th, 2019 50m 1s

In this episode I visit with Dr. Amber Khanna of the University of Colorado about some of the “simple” congenital heart defects. We discuss atrial septal defects (ASD) and ventricular septal defect (VSD). We review useful testing to diagnose an

Hypertension with Eugene Yang

Oct 3rd, 2019 45m 14s

In this episode I visit with Dr. Eugene Yang to discuss the update to hypertension guidelines published in 2017 by the ACC/AHA. I asked him what were the major changes and which patients should be treated to a target of <130/80 and practical as

Immune Checkpoint Inhibitors

Jul 19th, 2019 42m 57s

Following up on our last discussion with Dr. Daniel Lenihan, we address the subject of immune checkpoint inhibitors and the associated cardio-toxicities. Immune checkpoint inhibitors “ease the brakes” of the immune system leading to dramatic im

CardioOncology

Jun 14th, 2019 47m 15s

I visited with Dr. Daniel Lenihan and spoke with him about cardio-oncology and some of the common issues and concerns that arise. Cardio-oncology is a very broad field and revolves around managing cardiovascular toxicities associated with cance

Ethics and Cardiac Arrest

May 16th, 2019 31m 54s

Dr. Caroline Kahle discussed a few cases I’ve encountered during medical training. How do we perceive end of life care or code situations in complex situations? We talk about non-beneficial medical care, physician communication and some pearls

Remote Monitoring in Heart Failure

Apr 12th, 2019

I met with Dr. Thomas Maddox, the director of the Health Systems Innovation Lab at BJC/WashU, to discuss an upcoming pilot program to remotely monitor patients with heart failure. The lab has partnered with Myia Labs using technology they have

Atrial Fibrillation

Mar 14th, 2019

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

Aortopathies with Dr. Braverman

Feb 13th, 2019 47m 26s

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 Aten

CV Prevention with Dr Ballantyne

Jan 12th, 2019 6m 34s

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 u

Listener Survey

Dec 26th, 2018 1m 50s

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 bet

Cardiac Amyloidosis with Dr Lenihan

Dec 18th, 2018 47m 21s

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.