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Focus on Heart Health

ReachMD

This series examines the trends in cardiac care, from medications, to technologies, to treatments guidelines.

This series examines the trends in cardiac care, from medications, to technologies, to treatments guidelines.
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Location:

United States

Networks:

ReachMD

Description:

This series examines the trends in cardiac care, from medications, to technologies, to treatments guidelines.

Language:

English


Episodes

Long-Term Neurological Outcomes Following Heart Surgery

2/3/2009
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Host: Mark Nolan Hill, MD Guest: Jose Biller, MD Neurologic complications associated with cardiac surgery can involve just about any part of the peripheral and central nervous systems. Yet varying degrees of neurologic decline have been linked to multiple kinds of surgery, not just heart procedures. How can we determine that the adverse long-term neurologic outcomes following cardiac surgery are truly distinctive to cardiac procedures? Dr. Jose Biller, professor of neurology and...

Duration:00:14:59

Evaluating Cognitive Changes After Cardiac Surgery

2/3/2009
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Host: Mark Nolan Hill, MD Guest: Jose Biller, MD Though innovations in surgical technology and anesthetic techniques have greatly improved the outlook following cardiac surgery, we must remain attentive to the possibility of post-operative complications. One area of concern includes adverse neurologic outcomes. Dr. Jose Biller, professor of neurology and neurological surgery at the Loyola University Chicago Stritch School of Medicine and chair of neurology at Loyola University Health...

Duration:00:14:59

Transitioning Cardiac Patients From Pediatric to Adult Care

2/3/2009
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Host: Jennifer Shu, MD Guest: Michael McConnell, MD 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...

Duration:00:14:59

Changing the Paradigm of Valve Surgery: Repair or Replace?

1/30/2009
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Host: Mark Nolan Hill, MD Guest: W. Randolph Chitwood, Jr., MD 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 discrepancymdash;one that would appear to be placing our patients at greater risk?...

Duration:00:14:59

Utility of Coronary Angiography Before and After CABG

1/30/2009
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Host: Mark Nolan Hill, MD Guest: John Byrne, MD 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...

Duration:00:14:59

Combination Therapy to Manage Lipids

1/27/2009
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Host: Bruce Japsen Guest: James Stolzenbach, MD Despite the wide adoption of statins that are practically in the U.S. drinking water, there are still Americans who are notnbsp;being treated with lipid-lowering therapies. So whats the answer?nbsp;Dr.nbsp;James Stolzenbach, who oversees clinical research in the area of dyslipidemia and renal drug development at Abbott Laboratories, tells the Chicago Tribunes Bruce Japsen about combination therapies and other new drugs being pursued by the...

Duration:00:14:59

Beyond LDL: New Treatment Options to Manage Lipids

1/27/2009
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Host: Bruce Japsen Guest: James Stolzenbach, MD Consumers and their doctors all know about LDL and the need to lower the so-called bad cholesterol. But what about the treatments beyond those that lower LDL? James Stolzenbach, who oversees clinical research in the area of dyslipidemia and renal drug development at Abbott Laboratories, tells host Bruce Japsen about new developments in treating and managing cholesterol beyond lowering LDL.

Duration:00:15:42

PDAs in Infants: To Close or Not to Close?

1/26/2009
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Host: Jennifer Shu, MD Guest: Darshak Sanghavi, MD 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...

Duration:00:14:59

Is Cardiac Resynchronization Beneficial?

1/22/2009
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Host: Larry Kaskel, MD Guest: David Kass, MD Does cardiac resynchronization therapy reduce the long term mortality risk in patients with heart failure. Host Dr. Larry Kaskel discusses with Dr. David Kass, a professor of cardiology at the Johns Hopkins University School of Medicine, the history of cardiac resynchronization and its application in the prevention of heart failure. Tune in to hear why the primary care physician should care about ventricular dyssnchrony, and the limitations of...

Duration:00:14:59

Researching Ways to Treat Aortic Stenosis

1/20/2009
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Host: Bruce Japsen Guest: William Fearon, MD Aortic stenosis is a disease that impacts heart valves but is often very difficult to treat in elderly and very sick patients. Dr. William Fearon,nbsp;assistant professor of cardiovascular medicine at the Stanford University School of Medicine,nbsp;tells host Bruce Japsen about work being done to improve treatment for these difficult populations of patients.

Duration:00:13:29

The FAME Study, Fractional Flow Reserve and Reducing Heart Attacks

1/20/2009
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Host: Bruce Japsen Guest: William Fearon, MD Its called the FAME study, and doctors placing stents or conducting bypass surgery are going to be hearing more about it.nbsp;Dr. William Fearon, an assistant professor of cardiovascular medicine at Stanford University, tells host Bruce Japsen about how patients whose treatment was based on fractional flow reserve werenbsp;less likely to have a major adverse cardiac event than those who had standard angiography.

Duration:00:14:29

Unexpected Elevated Blood Pressure: What to Do?

1/9/2009
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Host: Shira Johnson, MD Guest: Michael Bresler Do you know how to respond in your office to an unexpectedly elevated blood pressure in a patient not previously diagnosed with hypertension? Dr. Michael Bresler, professor in the division of emergency medicine at Stanfordnbsp;University School of Medicine and director of emergency medicine at the Mills-Peninsula Health System, discusses management of a new diagnosis of hypertension. Dr. Shira Johnson is the host as Dr. Bresler reviews a...

Duration:00:14:59

What Cardiac Markers Can Tell Us in the ED

12/23/2008
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Host: Shira Johnson, MD Guest: Joseph R. Lex, MD What can we learn from cardiac markers such as troponin and troponin 1 in the emergency department and how will this dictate the decisions we make in caring for our patients? Dr. Joseph Lex, associate professor of medicine in the department of emergency medicine at Temple University School of Medicine in Philadelphia, joins host Dr. Shira Johnson to tell us what cardiac markers do and do not tell us. Is there a marker indicating unstable...

Duration:00:14:59

Are We Doing Too Many Bypass Surgeries and Angioplasties?

12/16/2008
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Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: Michael Ozner, MD For patients with chronic stable coronary artery disease, medical therapy has been shown to be equivalent to interventional therapy for cardiovascular outcomes in comparative studies. Dr. Michael Ozner, medical director of the Cardiovascular Prevention Institute of South Florida and the author of The Great American Heart Hoax will describe his approach to treating cardiovascular risk factors as a way of preventing cardiac...

Duration:00:14:59

Can Diuretics Prevent Heart Failure?

12/9/2008
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Host: Matthew J. Sorrentino, MD, FACC, FASH Guest: Barry Davis, MD, PhD Hypertension is the most common underlying risk factor for the development of congestive heart failure. Dr. Barry Davis, the Guy S. Parcel Chair in Public Health and director of the Coordinating Center for Clinical Trials at the University of Texas School of Public Health in Houston, will review a recent analysis of the ALLHAT hypertension trial showing that diuretics significantly reduced the occurrence of new-onset...

Duration:00:14:59

Protective Hypothermia: Medical Ice Slurry Technology

12/4/2008
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Host: Larry Kaskel, MD Guest: Ken Kasza, PhD 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...

Duration:00:14:30

Consciousness During Cardiac Death

11/26/2008
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Host: Maurice Pickard, MD Guest: Sam Parnia, MD, PhD 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 thisnbsp;phenomenonnbsp;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...

Duration:00:14:59

Healing a Broken Heart: Depression Screening for Patients With Heart Diseas

10/3/2008
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Host: Lauren Streicher, MD 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.nbsp; 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...

Duration:00:12:59

Elevated Cardiovascular Risk in Young Males

5/20/2008
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Host: Lee Freedman, MD Guest: Antoinette Moran, MD Adult men typically encounter higher cardiovascular risk levels at an earlier age than their gender counterparts. Can this divergence in risk be traced back to childhood? Host Dr. Lee Freedman discusses the surprising results of recent research into cardiovascular concerns among adolescent males with Dr. Antoinette Moran, professor of pediatrics and director of pediatric endocrinology at the Medical School at the University of Minnesota.

Duration:00:12:59