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Cardiac Consult: A Cleveland Clinic Podcast for Healthcare Professionals

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Health & Fitness
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A Cleveland Clinic podcast exploring heart, vascular and thoracic topics of interest to healthcare providers: medical and surgical treatments, diagnostic testing, medical conditions, and research, technology and practice issues.

Read more

A Cleveland Clinic podcast exploring heart, vascular and thoracic topics of interest to healthcare providers: medical and surgical treatments, diagnostic testing, medical conditions, and research, technology and practice issues.

iTunes Ratings

20 Ratings
Average Ratings
12
3
3
1
1

iTunes Ratings

20 Ratings
Average Ratings
12
3
3
1
1
Cover image of Cardiac Consult: A Cleveland Clinic Podcast for Healthcare Professionals

Cardiac Consult: A Cleveland Clinic Podcast for Healthcare Professionals

Latest release on Apr 02, 2020

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A Cleveland Clinic podcast exploring heart, vascular and thoracic topics of interest to healthcare providers: medical and surgical treatments, diagnostic testing, medical conditions, and research, technology and practice issues.

Rank #1: Catheter Ablation vs Antiarrhythmic Drug Therapy in Atrial Fibrillation: CABANA

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Oussama Wazni, MD, Section Head, Cardiac Electrophysiology and Pacing and Bruce Lindsay MD, past Section Head and past president of Heart Rhythm Society discusses the challenges and findings from the CABANA trial and its implications on future clinical practice, when to offer ablation vs. medical management.

Sep 27 2018

14mins

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Rank #2: ACC 2019 Highlights: TAVR, Electrophysiology, Anti-thrombotic Therapies

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A. Michael Lincoff, MD, Director of the Cleveland Clinic Coordinating Center for Clinical Research (C5Research), reviews the results from clinical trials presented at the 2019 American College of Cardiology Conference focusing on three major practice areas: 1) the use of transcatheter aortic valves (TAVR) in low risk patients (PARTNER 3, Evolut Low); 2) electrophysiology studies (Apple Heart, WRAP-IT) ; and 3) anti-thrombotic therapies in patients with atrial fibrillation, acute coronary syndrome or percutaneous intervention (AUGUSTUS, GLASSY). Dr. Lincoff summarizes the studies’ design and results, and provides insight into the potential impact on future care of patients based on these outcomes.

Apr 04 2019

25mins

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Rank #3: Heart Failure Strategies: What’s new?

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Dr. Steven Nissen discusses talks with Jerry Estep, MD, Section Head, Heart Failure and Transplantation and Edward Soltesz, MD, Surgical Director of the Kaufman Center for Heart Failure and Recovery about innovations in heart failure surgery, including changes in LVAD therapy and heart transplant making an impact on patient outcomes, when patients should be referred for advanced heart failure therapy, LVAD back-up strategies for traditional cardiac surgery, the newest medications and when to prescribe, and the new technologies for pulmonary pressure monitoring.

Feb 12 2019

15mins

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Rank #4: Hypertrophic Cardiomyopathy

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Dr. Steven Nissen, Chairman of the Robert and Suzanne Tomsich Department of Cardiovascular Medicine at Cleveland Clinic discusses hypertrophic cardiomyopathy (HCM) with experts: cardiologist Milind Desai, MD and cardiovascular surgeon, Nicholas Smedira, MD . Topics include diagnostic findings, the nuances of surgical approach, determining the appropriate treatment for the best outcomes including symptom relief and decreased incidence of cardiac death, and genetic screening.

Dec 27 2018

20mins

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Rank #5: Valve Disease: When is the right time to intervene?

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Steven Nissen, MD, sits down with Marc Gillinov, MD, Chairman of the Department of Thoracic and Cardiovascular Surgery and Brian Griffin, MD, Section Head Cardiovascular Imaging to discuss the timing of heart surgery, one valve at a time – the differences between aortic and mitral valves and regurgitation and stenosis. Changes in diagnostic imaging techniques, surgical and interventional options, as well as looking at outcomes data have changed the way we look at these patients and timing of intervention.

Jul 04 2019

14mins

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Rank #6: Association Between Transcatheter Aortic Valve Replacement and Early Postprocedural Stroke

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Dr. Venu Menon, Director of the Cardiovascular Fellowship Program and Section Head, Clinical Cardiology and Chetan Huded MD, Interventional Fellow discuss incidence of stroke up to 30 days after TAVR. Dr. Huded published his findings in JAMA . Drs. Menon and Huded discuss the patient population, pulled from the TVT registry and what the findings mean for clinical practice.

Nov 07 2019

9mins

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Rank #7: Heart Rhythm Society 2019 - Highlights

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Dr. Oussama Wazni, Section Head, Electrophysiology and Pacing at Cleveland Clinic and Dr. Dan Cantillon, Director of Research in Electrophysiology and Pacing discuss the highlights from the recent Heart Rhythm Society Meeting. Research discussed includes bariatric surgery and afib ablation; digital health in electrophysiology; central monitoring unit outcomes; HIS bundle CRT pacing and pulse field ablation.

Aug 01 2019

10mins

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Rank #8: Tall Rounds: Treatment of Bicuspid Aortic Valve Disease

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Eric Roselli, MD, Director of the Aorta Center at Cleveland Clinic leads the discussion on treatment of bicuspid aortic valve (BAV) disease. Joanna Ghobrial, MD discusses family screening; Leonardo Rodriguez, MD reviews clinical presentation; Milind Desai, M D discusses imaging; Douglas Johnston, MD covers valve choice in the young patient; Amar Krishnaswamy, MD & Samir Kapadia, MD covers patient candidates for TAVR and valve-in-valve; and finally Vidyasagar Kalahasti, MD discusses connective tissue disorders in bicuspid aortic valve disease. After listening, join us for the Tall Rounds® presentation on Bicuspid Aortic Valve Disease.

Mar 05 2019

18mins

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Rank #9: Hypertension: What Clinicians Need to Know

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Dr. Luke Laffin, staff cardiologist in Preventive Cardiology and Clinical Specialist in Hypertension at Cleveland Clinic answers questions about hypertension management. He provides 5 main points clinicians need to know about fitting the hypertension guidelines into their daily practice and discusses tips for medication management, use of self-blood pressure monitoring and the role of lifestyle changes.

Oct 11 2018

13mins

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Rank #10: Cholesterol Update: LDL and Lp (a)

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Dr. Steven Nissen, Chief Academic Officer, Sydell and Arnold Miller Family Heart & Vascular Institute talks with Dr. Leslie Cho, Section Head Preventive Cardiology & Rehabilitation about LDL cholesterol and statin intolerance. They discuss the full range of options available and what is in the future for LDL management. Then, Dr. Nissen describes the latest Lipoprotein a (also called Lp (a)) – what it is, why it’s important and a new research trial addressing this new frontier in lipid management.

Sep 26 2019

13mins

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Rank #11: Bicuspid Aortic Valve – Strategies for Surgical Management

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Dr. Lars Svensson, Chairman of the Heart and Vascular Institute sits down with Dr. Doug Johnston, Surgical Director of the Aortic Valve Center to discuss considerations in the treatment of patients with bicuspid aortic valve disease, including indications for surgery for patients with aortic stenosis vs. regurgitation; diagnostic testing; how surgical approach is determined in isolated bicuspid aortic valve disease as well as combined aorta, aortic valve operations; and a patient centered approach to valve choice.

Aug 08 2019

15mins

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Rank #12: The Gut Microbiome and Cardiovascular Disease

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Dr. Steven Nissen, Chief Academic Officer, Chief Academic Officer, Sydell and Arnold Miller Family Heart & Vascular talks with Dr. Stan Hazen, Co-Section Head, Preventive Cardiology and researcher about the gut microbiome and how it relates to cardiovascular disease. Dr. Hazen provides a description of TMAO and how it is related to diet and risk of heart and vascular disease. He describes what specific bacteria is involved with this type of activity, how they are approaching future research and treatment of cardiovascular risk gut microbiome and why the Mediterranean diet may be so effective in preventing heart disease.

Jan 30 2020

15mins

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Rank #13: Endocarditis - Clinical Insights

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Dr. Gosta Pettersson, cardiac surgeon and Director of the Endocarditis Center leads a discussion with infectious disease specialist Dr. Nabin Shrestha and cardiologist Dr. Paul Cremer about endocarditis (SBE). Topics include early recognition and diagnosis, nuances and timing related to specific micro-organisms and underlying medical conditions, causes of endocarditis, counseling patients with heart valve disease, complications, morbidity and mortality related to endocarditis, indications for heart surgery and considerations for SBE treatment.

Sep 12 2019

19mins

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Rank #14: AHA 2019: Highlights with Dr. Nissen

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Dr. Steven Nissen, Chief Academic Officer, Chief Academic Officer, Sydell and Arnold Miller Family Heart & Vascular Institute discusses the benefits of metabolic (also called bariatric) surgery with surgeon Ali Aminian from the Bariatric and Metabolic Institute. Dr. Aminian recently published a paper in JAMA on the long term cardiovascular outcomes of metabolic surgery on patients with type 2 diabetes and obesity. Dr. Aminian describes the study, primary outcomes (all-cause mortality, coronary artery events, cerebrovascular events, heart failure, nephropathy, and atrial fibrillation), results of this study, and what this means for future care of patients. Dr. Aminian also reviews who is a candidate for this type of surgery, types of bariatric surgery, risks and benefits of surgery, and factors leading to lifelong success.

Dec 19 2019

13mins

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Rank #15: ISCHEMIA Trial – Will this change clinical practice?

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Dr. Stephen Ellis, Interventional Cardiologist at Cleveland Clinic takes us through the results of the International Study of Comparative Health Effectiveness With Medical and Invasive Approaches (ISCHEMIA Trial) and provides key take-aways from the results.

Feb 20 2020

6mins

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Rank #16: Resistant Hypertension and Cardiac Rehabilitation

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Luke Laffin, MD, Medical Director of Cardiac Rehabilitation and cardiologist in the Section of Preventive Cardiology at Cleveland Clinic talks about two related abstracts recently presented at the American Heart Association’s Hypertension Scientific Sessions focused on resistant hypertension in a cardiac rehabilitation program. Dr. Laffin defines resistant hypertension, the prevalence of resistant hypertension in a cardiac rehabilitation setting, factors associated with patients who have resistant hypertension, and lessons learned about this patient population.

Nov 28 2019

5mins

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Rank #17: Pulmonary Hypertension: What clinicians should know – panel of experts

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Dr. Miriam Jacob discusses pulmonary hypertension with cardiac surgeon Dr. Michael Tong and pulmonologist Dr. Gustavo Heresi. Many topics are discussed including the complexity of evaluation and diagnosis, a review of the World Symposium on Pulmonary Hypertension recommendations and what this means for diagnosis thresholds, approaches to medical therapy, surgery for those who have chronic thromboembolic pulmonary hypertension (CTEPH), balloon pulmonary angioplasty (BPA), and when lung transplant is considered. The pulmonary hypertension team approach at Cleveland Clinic is described as well as current research studies.

Jul 18 2019

21mins

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Rank #18: Effect of Left Ventricular Conduction Delay on Cardiovascular Mortality

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Dr. Daniel Cantillon discusses their analysis of ECG recordings of over 24,000 patients from the PRECISION study. They found that left bundle branch block (LBBB) and left intraventricular conduction defect (LIVCD) is an important risk factor for increased mortality in patients at risk for cardiovascular disease.

Nov 14 2019

2mins

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Rank #19: Vascular Surgery – Dialysis Access Expert Panel

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Dr. Lee Kirksey, Vascular Surgeon and Vice Chairman of Vascular Surgery talks with Dr. David Hardy, Department of Vascular Surgery and Dr. Tushar Vachharajany, Nephrology and Hypertension about the challenges of dialysis access. Topics include vascular access at Cleveland Clinic, what should go into the planning and implementation of vascular access, approaches to decrease catheter exposure, graft types, the multidisciplinary care of dialysis patients, many who have cardiovascular and kidney disease, challenges of management and care of patients who have urgent needs.

Sep 19 2019

22mins

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Rank #20: Cardiovascular Outcomes of Bariatric (Metabolic) Surgery

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Dr. Steven Nissen, Chief Academic Officer, Chief Academic Officer, Sydell and Arnold Miller Family Heart & Vascular Institute discusses the benefits of metabolic (also called bariatric) surgery with surgeon Ali Aminian from the Bariatric and Metabolic Institute. Dr. Aminian recently published a paper in JAMA on the long term cardiovascular outcomes of metabolic surgery on patients with type 2 diabetes and obesity. Dr. Aminian describes the study, primary outcomes (all-cause mortality, coronary artery events, cerebrovascular events, heart failure, nephropathy, and atrial fibrillation), results of this study, and what this means for future care of patients. Dr. Aminian also reviews who is a candidate for this type of surgery, types of bariatric surgery, risks and benefits of surgery, and factors leading to lifelong success.

Jan 02 2020

12mins

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Innovative Cath Interventions in the Cyanotic Baby

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Dr. Thomas Fagan, interventional cardiologist in the Department of Pediatric Cardiology at Cleveland Clinic, discusses interventional options, such as PDA and RVOT shunt placements, as alternatives to surgery. The talk was presented at the Cleveland Clinic’s 4th Annual Advances in Pediatric and Congenital Heart Summit focused on Congenitally Corrected Transposition of the Great Arteries. We look forward to the 5th Annual Advances in Congenital Heart Disease at Cleveland Clinic in October of 2020.

Apr 02 2020

14mins

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COVID-19 and Your Heart

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Dr. Lars Svensson talks with cardiologist Dr. Kapadia and heart surgeon Dr. Gillinov about COVID-19, how it is impacting cardiac care and procedures at Cleveland Clinic and what patients should know when seeking care during this time.

Mar 31 2020

16mins

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CCTGA: When is it Feasible to Septate

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Dr. Hani Najm, Chairman of Pediatric and Congenital Heart Surgery, at Cleveland Clinic, discusses septation in Congenitally Corrected Transposition of the Great Arteries, including perceived contraindications to septation and the best approach to address these complex anomalies. The talk was presented at the Cleveland Clinic’s 4th Annual Advances in Pediatric and Congenital Heart Summit focused on Congenitally Corrected Transposition of the Great Arteries. We look forward to the 5th Annual Advances in Congenital Heart Disease at Cleveland Clinic in October of 2020.

Mar 26 2020

20mins

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VAD for the Failing Right Ventricle in CCTGA

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Dr. Alistair Phillips, pediatric heart surgeon, Department of Pediatric and Congenital Heart Surgery at Cleveland Clinic, presents considerations in use of ventricular assist devices in patients with Congenitally Corrected Transposition of the Great Arteries. The talk was presented at the Cleveland Clinic’s 4th Annual Advances in Pediatric and Congenital Heart Summit focused on Congenitally Corrected Transposition of the Great Arteries. We look forward to the 5th Annual Advances in Congenital Heart Disease at Cleveland Clinic in October of 2020.

Mar 19 2020

10mins

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Ventricular Arrhythmias and the Prevention of Sudden Cardiac Death

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Dr. Tess Saarel, Chairman of Pediatric Cardiology at Cleveland Clinic, discusses ventricular arrhythmias and the prevention of sudden cardiac death in children, including guideline changes, prevention of sudden cardiac death in hypertrophic cardiomyopathy patients, challenges of placing ICDs in young patients, and the use of subcutaneous ICDs. The talk was presented at the Cleveland Clinic’s 4th Annual Advances in Pediatric and Congenital Heart Summit focused on Congenitally Corrected Transposition of the Great Arteries. We look forward to the 5th Annual Advances in Congenital Heart Disease at Cleveland Clinic in October of 2020.

Mar 12 2020

19mins

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New Innovations for Tricuspid Valve Disease

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Samir Kapadia, MD, Chairman, Department of Cardiovascular Medicine and Amar Krishnaswamy MD, Section Head, Interventional Cardiology discuss the nuances of tricuspid valve management for healthcare providers; including the challenges of tricuspid regurgitation; optimal medical management (other valve disease, heart failure and atrial fibrillation); the role of cardiac devices in tricuspid regurgitation; and new innovations and studies involving tricuspid valve treatment. Dr. Kapadia and Dr.Krishnaswamy discuss the focus of current trials and outcome measurements, and point out important considerations in the treatment of tricuspid regurgitation

Mar 05 2020

14mins

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Vascular Imaging

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Dr. Lee Kirksey, Vascular Surgeon and Vice Chairman of Vascular Surgery talks with staff vascular surgeon Dr. David Hardy , vascular medicine specialist and director of the vascular lab, Dr. Natalia Fendrikova Mahlay and imaging/diagnostic radiology specialist Dr.Paul Schoenhagen about vascular imaging. They discuss types of services that are offered in a vascular imaging lab, how cardiovascular CT and MRI work with clinicians to help diagnose conditions and plan treatment, the integration of imaging systems allowing both health system hospitals and external hospitals to share images easily, quality initiatives, as well as imaging considerations in special populations such as aortic disease and chronic kidney disease.

Feb 27 2020

27mins

Play

ISCHEMIA Trial – Will this change clinical practice?

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Dr. Stephen Ellis, Interventional Cardiologist at Cleveland Clinic takes us through the results of the International Study of Comparative Health Effectiveness With Medical and Invasive Approaches (ISCHEMIA Trial) and provides key take-aways from the results.

Feb 20 2020

6mins

Play

Vascular Surgery: Mesenteric Ischemia

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Dr. Lee Kirksey, Vascular Surgeon and Vice Chairman of Vascular Surgery talks with staff vascular surgeons Dr. David Hardy and Dr. Francis Caputo about mesenteric ischemia, also called intestinal ischemic syndrome.

Feb 13 2020

24mins

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Women and Heart Disease for Healthcare Providers

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Dr. Leslie Cho,Director of the Women’s Cardiovascular Center and Co-Section Head, Preventive Cardiology discusses risk factors that clinicians can look for in women to prevent future heart disease (such as pregnancy associated cardiovascular risk factors, premature menopause, polycystic ovary syndrome, and autoimmune disease). Dr. Cho discusses research based and guideline directed strategies to initiate in patients with these risk factors.

Feb 06 2020

6mins

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The Gut Microbiome and Cardiovascular Disease

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Dr. Steven Nissen, Chief Academic Officer, Chief Academic Officer, Sydell and Arnold Miller Family Heart & Vascular talks with Dr. Stan Hazen, Co-Section Head, Preventive Cardiology and researcher about the gut microbiome and how it relates to cardiovascular disease. Dr. Hazen provides a description of TMAO and how it is related to diet and risk of heart and vascular disease. He describes what specific bacteria is involved with this type of activity, how they are approaching future research and treatment of cardiovascular risk gut microbiome and why the Mediterranean diet may be so effective in preventing heart disease.

Jan 30 2020

15mins

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Healthcare Disparity – A physician and patient perspective

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Dr. Lee Kirksey, Vascular Surgeon and Vice Chairman of Vascular Surgery is joined by Dr. Umesh Khot, Section Head Section Head, Regional Cardiology and Director of Quality in the Heart and Vascular Institute and patient Herb Pleasant to talk about health care disparities. Together they cover issues related to minority and lower socio-economic disparities and the need to develop trust in the health care system to initiate care. It is important to identify risk factors earlier in life, establish a diagnosis and treatment plan, and find a doctor who is willing to work together with the patient to adjust together. Herb also talks about the role of family in health care decisions and motivation. This presentation provides insight into both the patient and physician perspectives.

Jan 23 2020

18mins

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Treatment of Venous Occlusion in Thoracic Outlet Syndrome

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Dr. Lee Kirksey, Vascular Surgeon and Vice Chairman of Vascular Surgery talks with Dr. David Hardy, Department of Vascular Surgery about thoracic outlet syndrome (TOS). This condition often occurs in athletes. The physicians discuss the need for quick treatment; diagnostic testing; treatment of venous occlusion in thoracic outlet syndrome including thrombolysis, thrombectomy and/or rib resection; and recovery including protocols to get back to an active lifestyle.

Jan 16 2020

15mins

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3D Printing in Cardiovascular Care

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Dr. Steven Nissen, Chief Academic Officer, Sydell and Arnold Miller Family Heart & Vascular Institute talks with Dr. Serg Harb, a staff imaging cardiologist about the innovative diagnostic tool of 3D Printing – What are the clinical uses? Limitations? Research findings and future innovation.

Jan 09 2020

11mins

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Cardiovascular Outcomes of Bariatric (Metabolic) Surgery

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Dr. Steven Nissen, Chief Academic Officer, Chief Academic Officer, Sydell and Arnold Miller Family Heart & Vascular Institute discusses the benefits of metabolic (also called bariatric) surgery with surgeon Ali Aminian from the Bariatric and Metabolic Institute. Dr. Aminian recently published a paper in JAMA on the long term cardiovascular outcomes of metabolic surgery on patients with type 2 diabetes and obesity. Dr. Aminian describes the study, primary outcomes (all-cause mortality, coronary artery events, cerebrovascular events, heart failure, nephropathy, and atrial fibrillation), results of this study, and what this means for future care of patients. Dr. Aminian also reviews who is a candidate for this type of surgery, types of bariatric surgery, risks and benefits of surgery, and factors leading to lifelong success.

Jan 02 2020

12mins

Play

AHA 2019: Highlights with Dr. Nissen

Podcast cover
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Dr. Steven Nissen, Chief Academic Officer, Chief Academic Officer, Sydell and Arnold Miller Family Heart & Vascular Institute discusses the benefits of metabolic (also called bariatric) surgery with surgeon Ali Aminian from the Bariatric and Metabolic Institute. Dr. Aminian recently published a paper in JAMA on the long term cardiovascular outcomes of metabolic surgery on patients with type 2 diabetes and obesity. Dr. Aminian describes the study, primary outcomes (all-cause mortality, coronary artery events, cerebrovascular events, heart failure, nephropathy, and atrial fibrillation), results of this study, and what this means for future care of patients. Dr. Aminian also reviews who is a candidate for this type of surgery, types of bariatric surgery, risks and benefits of surgery, and factors leading to lifelong success.

Dec 19 2019

13mins

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Drug Recalls – what you should know for patient care

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Dr. Steven Nissen, Chief Academic Officer, Chief Academic Officer, Sydell and Arnold Miller Family Heart & Vascular Institute talks with Dr. Jerry Estep, Section Head of the George M. and Linda H. Kaufman Center for Heart Failure Treatment and Recovery and Brad Williams Pharm D, pharmacy specialist for heart failure about drug recalls. In light of the recent ARB recalls, these three medical experts discuss the ARB recall, how to keep current with new recalls, what physicians should do when a medication has been recalled, the challenges of generic medications, alternative medications for heart failure and hypertension, and when ARBs should be used.

Dec 12 2019

12mins

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Women in Medicine

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Cardiologist Christine Jellis, MD and Cardiothoracic Surgeon, Tara Karamlou, MD talk about women in medicine – the challenges of being a woman in the field of cardiothoracic surgery and cardiovascular medicine, The Women in Thoracic Surgery (WTS) group which mentors and supports women thoracic surgeons, the advantages of being a woman in medicine, advice for young women seeking careers in medicine , including the yes-no button, importance of mentors, and having you time. This is about women in medicine but has helpful advice for all women in professional careers.

Dec 05 2019

18mins

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Resistant Hypertension and Cardiac Rehabilitation

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Luke Laffin, MD, Medical Director of Cardiac Rehabilitation and cardiologist in the Section of Preventive Cardiology at Cleveland Clinic talks about two related abstracts recently presented at the American Heart Association’s Hypertension Scientific Sessions focused on resistant hypertension in a cardiac rehabilitation program. Dr. Laffin defines resistant hypertension, the prevalence of resistant hypertension in a cardiac rehabilitation setting, factors associated with patients who have resistant hypertension, and lessons learned about this patient population.

Nov 28 2019

5mins

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Vascular Surgery: Impact of national trends on surgeon training

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Dr. Lee Kirksey, Vascular Surgeon and Vice Chairman of Vascular Surgery and Dr. Sean Lyden, MD, Chairman, Department of Vascular Surgery at Cleveland Clinic’s Sydell and Arnold Miller Family Heart & Vascular Institute discuss the changes in operative strategies for aortic aneurysm repair. As the national trend shows an increase in EVAR and decline in open repair, is it time to review current training programs to see if there is a need for specialized training in complex open aortic repair in high volume centers?

Nov 21 2019

12mins

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iTunes Ratings

20 Ratings
Average Ratings
12
3
3
1
1