Pediheart: Pediatric Cardiology Today

Pediheart: Pediatric Cardiology Today

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

Episodes

Pediheart Podcast #386: What Is The "Right" Starting Dose Of Adenosine For SVT In Children?

June 26, 2026 • 29 mins
This week we review a recent meta-analysis of studies assessing efficacy of adenosine in children to terminate SVT. Does the PALS recommendation of 100 mcg/kg as a starting dose for SVT management make scientific sense given what we know about the efficacy rates of this dose? Why might inadequate doses be potentially dangerous for children with acute SVT? Is there adequate data to consider changes to the recommended starting dose i...
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    Pediheart Podcast #385: A Novel More Malignant "Neurocardiac Phenotype" Form of CPVT

    June 19, 2026 • 34 mins
    This week we review a recent report of a novel form of CPVT (catecholaminergic polymorphic ventricular tachycardia) with associated neurodevelopmental delays. What is the genetic basis for these patients? What is different about the arrhyhthmias seen and how they are triggered in this variant? Should all patients with CPVT be screened for neurodevelopmental delays? Should those with neurodevelopmental delays and RYR2 variants be sc...
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    Pediheart Podcast Replay - #284: Pulmonary Artery Band Outcomes In The Present Era

    June 12, 2026 • 35 mins
    This week we go back 2.5 years and delve into the world of cardiovascular surgery when we review a review of STS data on the pulmonary artery band (PAB). The STS assigns a STAT category of 4 to this operation, denoting higher risk for mortality. Is this warranted? Are all PAB candidates equal? What features are associated with higher or lower mortality rates in patients undergoing banding? Should the data in this work drive innovat...
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    Pediheart Podcast #384: A Conversation About Pediatric Cardiac Critical Care With Drs. Anthony Rossi and Gil Wernovsky

    June 5, 2026 • 76 mins
    This week we speak with 2 pioneers in the field of pediatric cardiac critical care, Dr. Anthony Rossi and Dr. Gil Wernovsky. Both were present at the very start of the field of cardiac critical care for children. What was it like in an era before transesophageal echocardiography or even postoperative echo? Why was the advent of the bidirectional cavo-pulmonary anastomosis such a game changer in the care of children with heart disea...
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    Pediheart Podcast #383: Using Virtual Reality And 3D Modelling For Planning Complex Congenital Heart Surgery

    May 29, 2026 • 36 mins
    This week we review a recent report from the team at Amrita Institute in Cocchin, India about their use of extended reality and virtual reality as well as heart model printing to aid in planning for complex intracardiac baffles for the treatment of complex congenital heart defects. What was the process used to provide actionable advice in the operating room during surgery? How has the team in southern India created a workflow that ...
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    Pediheart Podcast #382: Outcomes Of Mavacamten In Adolescent Patients With HCM

    May 22, 2026 • 34 mins
    This week we review a landmark paper from the NEJM by the SCOUT-HCM study group assessing the impact of mavacamten on HCM in the adolescent patient. How does this agent work and what impact did it have on the LVOT gradients in obstructed HCM teens? Does this agent affect other biomarkers associated with more obstruction in this setting? Who is a good potential candidate for the use of this agent? Why must the EF be carefully monito...
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    Pediheart Podcast #381: Evaluation And Management Of Unexpected AV Block In Children

    May 15, 2026 • 58 mins
    This week we feature a collaboration episode between the Pediheart Podcast and the PedsCrit Podcast in which pediatric critical care experts Drs. Alice Shanklin of Northwell Medical Center and Dr. Zac Hodges of UT Southwestern discuss the evaluation and management of heart block in children. What should the clinician be thinking when encountering a previously healthy child with heart block? When is pacing indicated and how should i...
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    Pediheart Podcast #380: Does Phenylephrine Reliably Lower Heart Rate During Pediatric Congenital Heart Coronary CT Scans

    May 8, 2026 • 24 mins
    This week we review a recent work from the CT group at NY Presbyterian assessing the impact of phenylephrine during pediatric congenital CT scans to lower heart rate. Why is a lower heart rate better for CCT's? Should this agent be routinely employed for this indication during CT scans in children? Dr. Yosef Cohen, pediatrics resident at the Children's Hospital at Montefiore shares his insights from a recent work he co-authored.&nb...
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    Pediheart Podcast Replay #322: Hepatocellular Carcinoma And The Fontan Operation

    April 24, 2026 • 29 mins
    In this replay episode from 2 years ago, we delve into the world of adult congenital heart disease to review the topic of liver disease in the Fontan patient and specifically, hepatocellular carcinoma (HCC). What is the prevalence of this disease in the Fontan single ventricle adult patient? How effective are scores like the MELD-XI or Fibrosis-4 Index at identification of HCC in the Fontan patient? How should the Fontan adult pati...
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    Pediheart Podcast #379: How Often Are CHD Surgical Patients "Non-Responders" or Aspirin Resistant?

    April 17, 2026 • 22 mins
    This week we review a recent Australian prospective assessment of aspirin resistance in children undergoing heart surgery. How common is this seen in this patient group and what are the reasons? What is the best test to perform to assess this and what tests may not be worthwile? Who deserves 'routine' testing for this possible problem? Cardiovascular surgeon Dr. Supreet Marathe of Queensland Children's Hospital in Brisbane, Austral...
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    Pediheart Podcast #378: Sinus Node Dysfunction Following Congenital Heart Surgery

    April 10, 2026 • 23 mins
    This week we speak with Assistant Professor of Pediatrics at Harvard Medical School, Dr. Audrey Dionne about a recent work she co-authored on sinus node dysfunction following congenital heart surgery. How common was this encountered and how often were either temporary or permanent pacing needed? Are there certain surgeries that are more associated with the need for pacing after surgery? Why is this so common following heart surgery...
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    Pediheart Podcast #377: Rethinking Critical Congenital Cardiac Care With Professor David Winlaw

    April 3, 2026 • 30 mins
    In this compelling lecture by Dr. David Winlaw of Northwestern University, we hear his thoughts on the state of the CICU/Surgeon relationship and he offers his thoughts on how to improve care for children with congenital heart disease undergoing surgery. Why does he believe that the more old fashioned approach of having cardiac programs run by academic departments is no longer optimal? What do critical care doctors not understand a...
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    Pediheart Podcast #376: What Are The Critical Components Of A Congenital CCT Program?

    March 27, 2026 • 30 mins
    This week we sit down and speak with noted non-invasive imaging expert Dr. Kelly Han of U. Utah about a recent work she co-authored on recommendations for the development of a congenital heart CCT program. What are the absolute essentials when considering offering these services in a center? How do different scanners differ from one another and how important is it to have single vs. dual source CT? Can good work be performed on 'ol...
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    Pediheart Podcast #375: A Tour Through 50 Years Of Congenital Heart Nursing - Lessons Learned

    March 20, 2026 • 29 mins
    This week we listen in to a recent presentation by congenital heart nursing pioneer Ms. Gwen Fosse BSN MSA RN FAHA. Ms. Fosse is a pediatric cardiovascular nursing specialist at Mott Children's Hospital at U. Michigan and has literally done and seen it all over the past 50 years in congenital heart nursing. In this presentation from the CHOP Cardiology 2026 meeting Ms. Fosse shares with us her impressions from a career that spans m...
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    Pediheart Podcast #374: Tricuspid Regurgitation And Outcomes In The HLHS Patient

    March 13, 2026 • 25 mins
    This week we speak with Professor James Cnota of Cincinnati Children's Hospital about a recent report he co-authored from the SVR trial regarding the impact of tricuspid regurgitation (TR) on outcomes in hypoplastic left heart syndrome (HLHS). How common is TR seen in the HLHS patient and how does this change over time after surgical palliations? Is there an optimal time to intervene on the tricuspid valve in this patient group? Wh...
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    Pediheart Podcast #373: Thoughts About Congenital Heart Disease Research And Treatment With Dr. Gail Pearson

    March 6, 2026 • 24 mins
    This week we listen in to a wonderful presentation that was delivered at the CHOP 2026 annual conference which was held in Phoenix, AZ. In this week's lecture we hear Dr. Gail Pearson of the NHLBI and NIH deliver her thoughts about the future of congenital heart research. Where does this master of research believe the next discoveries are going to arise from? What are the lessons we have learned from the PHN research endeavors over...
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    Pediheart Podcast Replay #309: A Conversation With Surgical Living Legend, Dr. John Brown

    February 27, 2026 • 58 mins
    This week we speak with Dr. John Brown who is the Harris B. Schumacker Professor Emeritus of Surgery at the University of Indiana. A congenital heart surgeon for over 45 years, Dr. Brown has performed more than 15,000 pediatric heart operations at Riley Hospital for Children and another 5000 heart operations in adults at IU and Methodist Hospitals. He performed the first pediatric heart transplant in Indiana and developed the first...
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    Pediheart Podcast #372: 30+ Year Follow-Up After The Arterial Switch Operation - The Melbourne Experience

    February 20, 2026 • 30 mins
    This week we review a fascinating very long-term surgical follow-up study from the team at Royal Children's Hospital in Melbourne reviewing over 30 year follow-up following the arterial switch operation for the treatment of transposition of the great vessels. What percentage of patients need reintervention by 30 years post neonatal repair? What anatomical sub-types are more likely to be associated with a need for reintervention and...
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    Pediheart Podcast #371: The Role Of Kindness, Compassion And Humility In Pediatric Cardiac Care

    February 13, 2026 • 36 mins
    Why are compassion, kindness and humility critical to the care of patients in 2026? How can practitioners be taught these approaches and how does this 'triple gift' not only improve patient care but also professional interactions? Can this be taught? If so, what are the best ways? Professor Colin McMahon of Children's Health Ireland at Crumlin shares his deep insights into this important and oft-neglected aspect of being a caregive...
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    Pediheart Podcast #299 Replay: Public Reporting In Congenital Heart Surgery - The Good, The Bad And The Opportunities

    February 6, 2026 • 35 mins
    This week we replay an episode from nearly 2 years ago about an editorial commentary from multiple congenital heart surgical leaders in the US. The topic of their expert opinion piece is the concept of public reporting of results and their 'amplification' through organizations such as US News and World Report, to name one. How has the use of the database from STS been sometimes misinterpreted through public reporting or ranking sys...
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