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Episodes

  • Healing a Broken Heart: Depression Screening for Patients With Heart Disease

    May 5, 2014 |
    Hosted by: Lauren Streicher Guest: Kim Lebowitz Screening for depression is simple but can be life changing for a patient with heart disease. The American Heart Association is now recommending that all patients with cardiac issues be screened for depression, stress and anxiety.  Dr. Kim Lebowitz joins host Dr. Lauren Streicher to discuss how doctors can recognize depression in their cardiac patients and what they can do to get them back on a healthy path both mentally and physically.  The two also discuss the role of a cardiac psychologist in heart transplant patients both readying them for surgery and dealing with a new heart following their operation.
  • PDAs in Infants: To Close or Not to Close?

    Feb 24, 2014 | 6 min
    Hosted by: Jennifer Shu Guest: Darshak Sanghavi In preterm neonates with a patent ductus arteriosus (PDA), the standard of care has been to attempt to close the defect. Yet some experts have asked whether we need to treat PDA in most preemies. If we are to resolve the condition, there are various methods and protocols for treatment and even prevention; how do outcomes for PDA closure vary by treatment strategy? Dr. Darshak Sanghavi, chief of pediatric cardiology and assistant professor of pediatrics at the University of Massachusetts Medical School, lays out the important points of discussion on PDA closure with host Dr. Jennifer Shu.
  • Consciousness During Cardiac Death

    Feb 24, 2014 | 6 min
    Hosted by: Maurice Pickard Guest: Sam Parnia We are beginning to understand what happens when a patient in cardiac arrest, with no brain activity, later reports detailed perceptions, suggesting a high level of consciousness. What can we learn from the study of this phenomenon to help us improve resuscitation of the brain during cardiac arrest? What can it tell us about the experience of dying, and at what point consciousness ceases? Dr. Sam Parnia, a fellow in pulmonary and critical care medicine at Weill Cornell Medical Center in New York, and one of the world's leading experts on the scientific study of death, joins host Dr. Maurice Pickard to talk about his research project, AWARE (AWAren...
  • 3D Imaging for Stroke-Inducing Carotid Artery Disease

    Feb 24, 2014 | 6 min
    Hosted by: Larry Kaskel Guest: Alan Moody Can three-dimensional MRI help us measure potential risks for stroke associated with an intraplaque hemorrhage? We are rapidly learning more about the significance of intraplaque hemorrhage, and its role in cardiac and cerebrovascular disease. A better look at potential trouble spots could allow for earlier detection of an impending event, even in relatively asymptomatic individuals. Dr. Alan Moody, professor in the department of medical imaging at the University of Toronto Faculty of Medicine, shares his perspective on 3D MRI as an important tool to lead us in this direction. On a related note, Dr. Moody also provides some insight on what we can do ...
  • Cardiac Marker Testing at the Bedside

    Feb 24, 2014 |
    Hosted by: Shira Johnson Guest: Joseph R. Lex Medicine remains both an art and a science. Are more sensitive cardiac markers clouding our judgement? Dr. Joseph Lex, associate professor of emergency medicine at Temple University School of Medicine in Philadelphia, joins host Dr. Shira Johnson to discuss cardiac markers at the bedside, diagnostic testing and clinical judgement.
  • How Statins May Protect Men's Urologic Health

    Feb 17, 2014 | 6 min
    Hosted by: Lee Freedman Guests: R. Jeffrey Karnes, Jennifer St. Sauver Three recent observational studies from the Olmsted County Study of Urinary Health Status among Men, which is a cohort study of male residents of Olmsted County, Minnesota, have shown that statins may have a protective effect on prostate health. How might statins reduce the risk of prostate cancer, prostate enlargement and erectile dysfunction? Tune in to hear two of the study authors discuss this exciting new research: Dr. Jeffrey Karnes, assistant professor in urologic oncology, and Dr. Jennifer St. Sauver, assistant professor of epidemiology, both from the Mayo Clinic in Rochester, Minnesota. Dr. Lee Freedman hosts.
  • Online Heart Disease Risk Assessments

    Feb 17, 2014 | 6 min
    Hosted by: Bruce Japsen Guest: Vincent Bufalino Patients and doctors are becoming more aware of tools like Web-based risk assessment for heart disease for reaching and potentially helping thousands of people. But how can the success of these efforts be increased? Dr. Vincent Bufalino, CEO of Midwest Heart Specialists, one of the biggest community cardiac physician groups in the country, tells host Bruce Japsen about ways to get patients to use online risk assessments and how doctors can successfully integrate them into their practices as a life-saving tool.
  • Utility of Coronary Angiography Before and After CABG

    Feb 17, 2014 | 6 min
    Hosted by: Mark Nolan Hill Guest: John Byrne Cardiac surgery is one of just a few medical specialties where before-and-after imaging is not yet standard. As surprising as this may seem, the effect on procedural outcomes is not surprising: current strategies for intraoperative graft assessment, for example, are not detecting all of the defects in the grafts we implant. How can we change this practice, and how can an innovative, hybrid catheterization lab-turned-operating room help us do this? Dr. John Byrne, professor of surgery and chair of cardiac surgery at Vanderbilt University School of Medicine, takes us inside this distinctive operating theatre and details the improvements in graft-def...
  • Cardiac Screening for Children Prescribed ADHD Meds?

    Feb 17, 2014 | 16 min
    Hosted by: Jennifer Shu Guest: Patrick Frias Although sudden death in the pediatric population is rare, there has been a great deal of discussion recently over the possibility of an increase in risk of sudden cardiac death among individuals taking stimulant medication for attention-deficit hyperactivity disorder (ADHD). Dr. Patrick Frias, a pediatric cardiologist and electrophysiologist at Sibley Heart Center Cardiology in Atlanta and associate professor of pediatrics at Emory University School of Medicine, explores this discussion with host Dr. Jennifer Shu. How can we best evaluate our patients' risk for sudden death before initiating medical treatment for ADHD, and how often should we mon...
  • Transitioning Cardiac Patients From Pediatric to Adult Care

    Feb 10, 2014 | 9 min
    Hosted by: Jennifer Shu Guest: Michael McConnell Once mostly a condition of childhood, our patients with congenital heart disease are now living well into adulthood: nearly two million American children and adults are living with a congenital heart defect. What are the special medical needs of our cardiac patients as they transition from adolescence to adulthood? Dr. Michael McConnell, co-director of the adult congenital heart disease clinic at Sibley Heart Center Cardiology in Atlanta and associate professor of pediatrics and medicine at Emory University School of Medicine, reflects upon how our medical system can improve our capacity to care for the growing numbers of adult patients with a...
  • Why a Good Night's Sleep is Good for the Heart

    Feb 10, 2014 | 9 min
    Hosted by: Larry Kaskel Guest: Diane Sperling Lauderdale Investigators have become interested in the relationship between sleep and health. The latest research shows that people who sleep for fewer hours than the average are more likely to develop calcification of the coronary arteries. Dr. Diane Lauderdale, an associate professor of health studies at the University of Chicago, talks with host Dr. Larry Kaskel about the heart health benefits of sleep.
  • Changing the Paradigm of Valve Surgery: Repair or Replace?

    Feb 10, 2014 | 6 min
    Hosted by: Mark Nolan Hill Guest: W. Randolph Chitwood, Jr. The most pressing question facing cardiac valve surgery is whether to undergo a replacement or repair procedure. Though outcomes of valve reconstruction are, in many cases, proving notably better than valve replacement, it is estimated that only a small majority of potential candidates are undergoing the valve repair. How can we reconcile this discrepancy—one that would appear to be placing our patients at greater risk? Host Dr. Mark Nolan Hill welcomes Dr. Randolph Chitwood, professor and chair of cardiovascular surgery at the Brody School of Medicine at East Carolina University, founding director of the East Carolina Heart Institu...
  • Saving Lives With CPR and AED

    Feb 3, 2014 | 9 min
    Hosted by: Bruce Japsen Guest: Vincent Bufalino CPR and AED can make the difference between life and death. But the varying degrees of knowledge and usage of these life-saving practices across the country may be putting people at risk for death from cardiac arrest. Dr. Vincent Bufalino, CEO of Midwest Heart Specialists, one of the biggest community cardiac physician groups in the country, and director of cardiovascular services at Edward Heart Hospital in the western Chicago suburb of Naperville, tells host Bruce Japsen about how doctors can lead communities in education and preparedness when it comes to CPR and AED. The results may astonish you.
  • Recognizing and Preventing Congenital Heart Disease

    Feb 3, 2014 | 9 min
    Hosted by: Jennifer Shu Guest: William Mahle We are consistently working to improve our approach to diagnosing congenital cardiovascular defects. With both inherited and modifiable risk factors playing a role in these abnormalities, there are many aspects of treatment and prevention to consider. How can we best utilize tests to complement physical examination for diagnosis and treatment? Dr. William Mahle, medical director of clinical research at Sibley Heart Center Cardiology in Atlanta and associate professor of pediatrics at Emory University School of Medicine, explains what we know about preventing these defects and explores the areas in which we need to learn more about congenital heart...
  • Protective Hypothermia: Medical Ice Slurry Technology

    Feb 3, 2014 | 9 min
    Hosted by: Larry Kaskel Guest: Ken Kasza Dr. Ken Kasza, a senior mechanical engineer at Argonne National Laboratory, discusses with host Dr. Larry Kaskel how doctors can use medical ice slurry to reduce the brain and other organs' demand for oxygen, thus giving doctors additional time to diagnose and treat critical patients in emergencies. Dr. Kasza outlines the mechanisms underlying the ice slurry coolant and the developments for delivery technology, and reviews the amazing surgical applications completed with surgeons from the University of Chicago. Tune in to hear how the protective hypothermia effect of medical ice slurry is the future of medicine.