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Heart podcast

Heart is an international, peer-reviewed journal that keeps cardiologists up to date with advances in the diagnosis and treatment of cardiovascular disease. Each issue contains original research, accompanying editorials and reviews.* The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.

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Radiofrequency ablation and ventricular fibrillation storms

Andrew Grace (consultant cardiologist, Cambridge) talks to Bill Stevenson (electrophysiologist from the Brigham Women’s Hospital, Harvard Medical School) about radiofrequency ablation in the context of ventricular fibrillation storms.Webcasts from all the sessions at the British Cardiovascular Society Conference 2012 http://bit.ly/ZMGmUE

12mins

23 Apr 2013

Rank #1

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Calcification in aortic valve disease

Guy Lloyd (consultant cardiologist in Eastbourne) talks to Marc Dweck (senior specialist registrar in cardiology, undertaking a PhD in aortic valve disease) about calcification in aortic stenosis.They discuss the importance of calcification in aortic valve disease, uses of different types of imaging, and possibilities for future therapies.See also:Dweck MR, Jones C, Joshi N, Fletcher AM, Richardson H, White A, Marsden M, Pessotto R, Clark JC, Wallace WA, Salter DM, McKillop G, van Beek EJR, Boon NA, Rudd JHF, Newby DE. Assessment of valvular calcification and inflammation by positron emission tomography in patients with aortic stenosis. Circulation. 2012;125(1):76-86. http://1.usa.gov/XTWCqcScanning the heart - A British Heart Foundation film on Dr Dweck and colleague’s work with PET-CT scanning http://bit.ly/17g9RobWebcasts from all the sessions at the British Cardiovascular Society Conference 2012 http://bit.ly/ZMGmUE

6mins

23 Apr 2013

Rank #2

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Patient selection for transcatheter aortic valve implantation

Professor Vahanian, Bichat Hospital, Paris, France, is a world leader in management of patients with Valvular Heart Disease and is the lead author of the European Society of Cardiology Guidelines. In this interview, held during the Transcatheter Valve Therapeutics Meeting in Vancouver, Canada in June 2014, Professor Vahanian talks with Catherine Otto about the current approach to patient selection for transcatheter aortic valve implantation (TAVI). The availability of TAVI has transformed our approach to the elderly or high risk patient with severe aortic stenosis and the use of this technology continues to expand as technical issues are resolved and more data on valve durability is published. Clinicians will want to keep up to date on the latest information so appropriate patients are referred for this life saving treatment. To read more about transcatheter aortic valve implantation, see several recent articles in Heart:Predictive factors of early mortality after transcatheter aortic valve implantation: individual risk assessment using a simple score http://goo.gl/lcflnlPredictors of 1-year mortality in patients with aortic regurgitation after transcatheter aortic valve implantation: an analysis from the multicentre German TAVI registry http://goo.gl/WkfmM5Aortic regurgitation severity after transcatheter aortic valve implantation is underestimated by echocardiography compared with MRI http://goo.gl/KIo6B4Cardiac magnetic resonance versus transthoracic echocardiography for the assessment and quantification of aortic regurgitation in patients undergoing transcatheter aortic valve implantation http://goo.gl/YTcbaf Original article: Device-dependent association between paravalvar aortic regurgitation and outcome after TAVI http://goo.gl/u5dK82

6mins

26 Aug 2014

Rank #3

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Ischaemic cardiomyopathy: pathophysiology, assessment and the role of revascularisation

Dr Divaka Perera from King's College, London and Guy's and St Thomas' Hopsital joins Dr James Rudd, associate editor at Heart, to discuss his recent Education in Heart paper titled: "Ischaemic cardiomyopathy: pathophysiology, assessment and the role of revascularisation"They cover the aetiology of ischaemic cardiomyopathy, the definitions of stunning, hibernation and viability and what the trials and guidelines can tell us. Optimal imaging strategies are debated. There is also mention of the REVIVED BCIS-2 study, of which Dr Perera is PI.

16mins

8 Feb 2016

Rank #4

Most Popular Podcasts

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A focus on valvular heart disease

In this episode of the Heart podcast, James Rudd is joined by Professor Catherine Otto, Editor in Chief of the journal. They discuss the latest issue of Heart that is dedicated to valve disease. Some excellent papers are discussed covering a range of conditions. Please leave a review of the podcast at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2Link to published paper: http://heart.bmj.com/content/104/10/789.Read the Heart's Special Issue on Valvular Heart Disease for free until the 30th of June 2018: http://heart.bmj.com/content/104/10.

16mins

19 Apr 2018

Rank #5

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Diet and exercise for life with Dr Hazel Wallace - Part 1

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Hazel Wallace, a.k.a the food medic, from London. Hazel is a medical doctor, a bestselling author, a qualified personal trainer and regularly lectures to healthcare professionals about diet and exercise medicine. They discuss the latest thinking in diet and exercise and how to improve teaching for doctors on these subjects. This is a very fun episode! Watch out for part 2 in two weeks.If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Links: https://thefoodmedic.co.uk/

20mins

11 Sep 2018

Rank #6

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Coffee consumption and coronary artery calcium

Dr Alistair Lindsay spoke to Dr Eliseo Guallar about his study to nvestigate the association between regular coffee consumption and the prevalence of coronary artery calcium (CAC) in a large sample of young and middle-aged asymptomatic men and women. Read the article here http://heart.bmj.com/content/early/2015/02/06/heartjnl-2014-306663.full?sid=3959ea9e-52ba-4e69-97fa-1b55aa2b9738

7mins

25 Mar 2015

Rank #7

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The troponin controversies

In this episode of the Heart podcast, Digital Media Editor Dr. James Rudd is joined by Dr. Andrew Chapman from the BHF Centre for Cardiovascular Science, University of Edinburgh. They discuss the controversial area of myocardial injury vs. myocardial infarction and delve into unresolved areas in troponin research and clinical application.Link to published paper: http://heart.bmj.com/content/103/1/10

11mins

27 Feb 2017

Rank #8

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Haemodynamic and anatomic progression of aortic stenosis

Aortic valve stenosis (AS) is a progressive disease, but the impact of baseline AS haemodynamic or anatomic severity on AS progression remains unclear. In this podcast Dr Alistair Lindsay talks to Dr Virginia Nguyen about her study to evaluate the impact of baseline AS severity assessed, either by using echocardiography (haemodynamic assessment) or MSCT (anatomic assessment) on AS progression.

9mins

23 Jul 2015

Rank #9

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New ESC Guidelines for aortic disease

The ESC has published new guidelines for diagnosis and management of thoracic aortic disease. In this podcast, Catherine Otto asks Dr Iung, Professor of Cardiology, Bichat Hopital, Paris Diderot University, France, to summarise the key new points in these guidelines, specifically focusing on aortopathy in patients with bicuspid valve disease, and in those with Marfan syndrome and other inherited connective tissue disorders.This podcast was recorded at the European Society of Cardiology Annual Scientific Sessions, Barcelona, Spain, August 2014.

5mins

3 Oct 2014

Rank #10

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A heart failure extravaganza!

In this double-length episode of the Heart podcast, James Rudd is joined by Dr Stephen Pettit from Royal Papworth Hospital, Cambridge. They discuss cardiogenic shock, HFPEF, new drugs for heart failure, optimisation after CRT and why heart failure is a great choice of speciality for young cardiologists.Our next podcast episode will be released in early January 2020.If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to Dr Pettit's profile - https://royalpapworth.nhs.uk/consultant-profiles/dr-stephen-pettit

36mins

2 Dec 2019

Rank #11

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Pulmonary hypertension - a guide for cardiologists

In this episode of the Heart podcast, Digital Media Editor Dr. James Rudd is joined by Professor Nick Morrell, a pulmonary hypertension expert from Cambridge, UK. First, they discuss the classification of pulmonary hypertension. They then move on to contemporary patient management and the latest in pulmonary hypertension research.Link to published paper: http://heart.bmj.com/content/102/20/1680 and to Professor Morrell's research lab - https://www.bhf.org.uk/research/our-top-professors/professor-nick-morrell

16mins

24 Oct 2017

Rank #12

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Mechanical support options for shock

In this episode of the Heart podcast, Digital Media Editor Dr James Rudd is joined by Dr Clive Lewis from Royal Papworth Hospital, Cambridge, UK. He's an expert in advanced heart failure support. They discuss in detail the pros and cons of the various mechanical support options for cardiogenic shock. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 Link to a paper all about circulatory support: http://heart.bmj.com/content/102/18/1494

18mins

28 Jun 2018

Rank #13

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Olive oil, sunshine and a half hour walk - a conversation with Dr. Aseem Malhotra

In this episode of the Heart podcast, Digital Media Editor Dr. James Rudd is joined by Dr. Aseem Malhotra from Lister Hospital, Stevenage, UK. They discuss what we should tell our patients about diet and exercise - high fat, low fat or something else?Link to published paper: http://bjsm.bmj.com/content/51/15/1111

16mins

11 Oct 2017

Rank #14

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ECG screening for young athletes - yes or no?

In this episode of the Heart podcast, Digital Media Editor Dr James Rudd is joined by Dr Andrew D'Silva from Brighton, UK. Along with Professor Sanjay Sharma, Dr D'Silva has published a comprehensive guide to the management of young athletes with heart conditions. In this episode, they discuss the differences between European and North American ECG screening practices and the reasons for this.Please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2Link to published papers:Management of young competitive athletes with cardiovascular conditions - http://heart.bmj.com/content/103/6/463 ECG screening in athletes: differing views from two sides of the Atlantic - http://heart.bmj.com/content/early/2017/11/03/heartjnl-2016-309448

26mins

26 Mar 2018

Rank #15

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PCI recommendations and guidelines 2015

Percutaneous Coronary Intervention (PCI) has a considerable evidence base and it is firmly established as the most common procedure used in the invasive treatment of patients with CHD in the UK. The evidence base relating to PCI has been reviewed and this has been published in Heart. The guidelines focus on issues pertinent to practice within the UK and set out a recommended template to ensure optimal delivery of patient care. Dr Alistair Lindsay speaks to Professor Adrian Banning from the John Radcliffe Hospital at the University of Oxford who was co-author on the guidelines.

11mins

8 Jun 2015

Rank #16

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Transcatheter mitral valve repair: which patients benefit?

In this interview held during the Transcatheter Valve Therapeutics Meeting in Vancouver, Canada in June 2014, Heart editor Catherine Otto talks to Ted Feldman, Evanston Hospital. Professor Feldman is one of the leaders in the field of transcatheter mitral valve repair, and discusses patient selection, procedural aspects and intermediate term outcomes with this exciting new therapy. Clinicians will find this brief summary useful as this new technique offers a therapeutic options for many of our patients with mitral regurgitation who are not candidates for conventional open surgery. For more information about intervention for patients with severe mitral regurgitation, readers can consult several recent articles in Heart:A systematic review on the safety and efficacy of percutaneous edge-to-edge mitral valve repair with the MitraClip system for high surgical risk candidates http://goo.gl/0MBpMF2014 ACC/AHA valve guidelines: earlier intervention for chronic mitral regurgitation http://goo.gl/dXDX0UValvular heart disease: The evolving role of multimodality imaging in valvular heart disease http://goo.gl/IcJdqWAlmanac 2013: Novel non-coronary cardiac interventions http://goo.gl/OpoHGC Predictors for efficacy of percutaneous mitral valve repair using the MitraClip system: the results of the MitraSwiss registry http://goo.gl/DqHBAi

11mins

22 Aug 2014

Rank #17

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Controlled release metoprolol for aortic regurgitation

In this episode of the Heart Podcast, Heart associate editor Dr James Rudd is joined by Dr Kaspar Broch of the Oslo University Hospital, Norway to discuss his recent paper in Heart entitled: "Controlled release metoprolol for aortic regurgitation: A randomised clinical trial"They discuss the rationale for beta-blockers in aortic regurgitation and the results of this first clinical trial of these agents.Full paper >> heart.bmj.com/content/102/3/191.…-a075-27b877e18613

9mins

29 Mar 2016

Rank #18

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The optimal non-invasive imaging test selection for the diagnosis of ischaemic heart disease

In this episode of the Heart Podcast, Heart Digital Media Editor Dr James Rudd is in conversation with Dr Chris Fordyce from the Duke Clinical Research Institute. His team has just published an Education in Heart paper on "Optimal non-invasive imaging test selection for the diagnosis of ischemic heart disease."In this podcast, they discuss the similarities and differences between the international guidelines on the investigation of chest pain. They also highlight the results of the landmark PROMISE and SCOT-HEART studies and discuss how the results of these trials might influence future guidelines.The paper contains many high-resolution multimedia elements, along with MCQs to test your knowledge in this area.

9mins

3 Feb 2016

Rank #19

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How to diagnose pulmonary embolism: Age-adjusted D-dimer, PERC rule and Wells score

In this special episode, we bring you three interviews with key people behind clinical decision tools for prediction of pulmonary embolism. This topic is covered in a BMJ Learning module called 'Step by step: how to diagnose pulmonary embolism', which is a practical guide for GPs available at www.learning.bmj.com - direct URL: https://goo.gl/NyN3FQ. The program starts with an interview with Dr Phil Wells, who is the author of the Wells score for deep vein thrombosis and pulmonary embolism.This is followed by a discussion with Dr Gregoire le Gal, author of the paper on age adjusted D-dimer.The last interview is with Dr Jeff Kline, who is the author of the PERC rule.The interviews are conducted by Dr Kerstin de Witt lead author of the BMJ Learning module on how to diagnose a pulmonary embolism.

14mins

12 Apr 2017

Rank #20