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Heart Matters

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'Heart Matters' keeps you up to date with the latest research, trends, technologies and clinical developments relevant to your practice from leading experts in cardiology.

'Heart Matters' keeps you up to date with the latest research, trends, technologies and clinical developments relevant to your practice from leading experts in cardiology.
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United States

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ReachMD

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'Heart Matters' keeps you up to date with the latest research, trends, technologies and clinical developments relevant to your practice from leading experts in cardiology.

Language:

English


Episodes

Revising CPR to Improve Cardiac Arrest Outcomes Outside the Hospital

5/3/2011
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Host: Janet Wright, MD Guest: Peter Nagele, MD Time is of the essence after cardiac arrest; action must be taken within five minutes. Survival rates for patients who arrest outside the hospital are disappointing. How do we help patients who arrest in public or (statistically more likely) in the home, where there is no access to medical equipment and medication? Host Dr. Janet Wright talks with Dr. Peter Nagele, chief of the section of trauma anesthesiology in the department of...

Duration: 00:14:59


Identifying Unstable Coronary Plaques

5/3/2011
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Host: Janet Wright, MD Guest: Gary Mintz, MD Acute coronary syndromes in patients who have undergone percutaneous coronary intervention is the subject of the conversation between guest Dr. Gary Mintz, chief medical officer of the Cardiovascular Research Foundation, an independent, academically focused nonprofit organization dedicated to improving the survival and quality of life for people with cardiovascular disease through research and education,  and host Dr. Janet Wright. How...

Duration: 00:14:59


Examining Links Between Vitamin D Deficiency and Cardiovascular Disease

4/20/2011
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Host: Janet Wright, MD Guest: Jeffrey Anderson, MD Vitamin D insufficiency and deficiency are common because of a number of factors, not the least of which is a lack of exposure to sunlight. What role does vitamin D play in ensuring cardiovascular health, and should clinicians routinely test patients for such deficiency? Dr. Jeffrey Anderson, vice-chair of research in the department of medicine and associate chief of cardiology and director of cardiovascular research at...

Duration: 00:14:59


Genetic Testing for Long QT Syndrome

4/20/2011
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Host: Janet Wright, MD Guest: Dan Roden, MD Long QT syndrome can be a silent threat. Although not all patients with congenital long QT syndrome develop symptoms, there is potential for dangerous arrhythmia that can cause sudden cardiac death. Can and should genetic testing guide clinicians in diagnosing and treating this condition? Dr. Dan Roden, professor of medicine and pharmacology and assistant vice-chancellor for personalized medicine at Vanderbilt University School of...

Duration: 00:14:59


Simple Screening for Older Patients Considering Cardiac Surgery

4/20/2011
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Host: Janet Wright, MD Guest: Joseph Cleveland, MD Cardiac surgery can improve quality of life, but it also poses risks for patients over the age of 65. Can a screening test as simple as walking speed predict the outcomes of cardiac surgery for our older patients? Dr. Janet Wright hosts this discussion.

Duration: 00:14:59


The Obesity Epidemic in Mississippi: A Mirror for the Nation

3/9/2011
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Host: Janet Wright, MD Guest: Thad Waites, MD Obesity is a nationwide epidemic, but this is nowhere more apparent than in Mississippi, which was ranked as the state with the highest obesity rate in 2009 by the Centers for Disease Control. How does the obesity issue in Mississippi mirror that of the rest of the nation, and what efforts are underway to address this public health problem? Dr. Thad Waites, director of the cardiac catheterization lab at Forrest General Hospital in...

Duration: 00:14:59


Part 2: A Plant-Based Diet for Preventing and Possibly Reversing Coronary Artery Disease

3/9/2011
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Host: Janet Wright, MD Guest: Caldwell Esselstyn, Jr., MD Some evidence suggests it is possible to prevent and reverse heart disease by adhering to a plant-based diet, but lifestyle changes are often the most challenging for physicians to prescribe and for patients to adopt. What strategies can physicians use to encourage a plant-based diet for patients who have or are at risk for having heart disease? Dr. Caldwell Esselstyn, director of the cardiovascular prevention and reversal program...

Duration: 00:14:59


When More Isn't Better: Questioning the Efficacy of Common Cardiovascular Treatments

1/31/2011
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Host: Janet Wright, MD Guest: Robert Harrington, MD Recent studies have raised doubts about the efficacy of some common treatments for cardiovascular disease, including: the use of PFO closures (based on the CLOSURE trial); some methods of cardiac resynchronization therapy (or CRT, based on the SMART-AV trial); telemonitoring for patients with congestive heart failure (based on the Tele-HF trial); and doubling the dose of clopidogrel in patients who had a poor response to the drug...

Duration: 00:14:59


How to Develop Interdisciplinary, Realistic Health Policies in an Era of Health System Reform

1/21/2011
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Host: Jack Lewin, MD Guest: Rashi Fein, PhD What can we learn from the past century of healthcare policy that can better inform how we develop such policies today? How has the landscape of medicine and economics surrounding health policy changed, and how have these changes influenced health policy? Join host Dr. Jack Lewin as he welcomes guest Dr. Rashi Fein, professor of the economics of medicine emeritus in the department of global health and social medicine at Harvard Medical School...

Duration: 00:14:59


Does the Entire Healthcare System Need a Redesign?

1/21/2011
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Host: Jack Lewin, MD Guest: Harry Greenspun, MD Will healthcare reform do enough to alleviate the current problems in our system, or is the entire delivery model in need of a substantial re-design? Dr. Harry Greenspun, chief medical officer of Dell Services and co-author of the book Reengineering Health Care: A Manifesto for Radically Rethinking Health Care Delivery, says that while health care reform has changed payment models, reform has not done enough to change the delivery...

Duration: 00:14:59


The Complexity of Medication Management for Older Patients with Heart Failure

1/18/2011
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Host: Janet Wright, MD Guest: Michael Steinman, MD One of the characteristics of our older patients with heart failure is that they often have other conditions and therefore take multiple medications. How can we reduce the risk of adverse drug events among patients with heart failure and other comorbidities? Dr. Michael Steinman, associate professor of medicine at the University of California-San Francisco and the San Francisco VA Medical Center discusses the challenge of managing...

Duration: 00:14:59


Evaluation of Second Generation Drug-Eluting Stents

1/18/2011
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Host: Janet Wright, MD Guest: Richard Lange, MD, MBA First generation drug-eluting stents offer many advantages over bare metal stents, the most significant of which is their efficacy in reducing the rate of restenosis. Now second generation drug-eluting stents are proving to be even more beneficial. How are these second generation drug-eluting stents further reducing the risk of late stent thrombosis, myocardial infarction and repeat revascularization? Dr. Richard Lange, professor...

Duration: 00:14:59


Part 1: A Plant-Based Diet for Preventing and Possibly Reversing Coronary Artery Disease

1/18/2011
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Host: Janet Wright, MD Guest: Caldwell Esselstyn, Jr., MD Beta blockers, anticoagulants, stenting procedures and bypass surgeries: these are all crucial cornerstones of cardiology that have saved and improved the quality of lives for our patients, yet the underlying causes of coronary artery disease aren't addressed by interventions and medications. Can we prevent and maybe even reverse heart disease by prescribing a plant-based diet? Dr. Caldwell Esselstyn, director of the...

Duration: 00:14:59


Faster Treatment of MI with the Help of Wireless EKG Programs

12/8/2010
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Host: Janet Wright, MD Guest: James Scheulen, PA-C Guest: Jeffrey Trost, MD Door-to-balloon time for a patient with ST-segment elevation myocardial infarction (or STEMI) should be less than 90 minutes. Wireless electrocardiography (or EKG) programs around the country are helping to reduce door-to-balloon time by transmitting EKG data to hospitals via broadband internet, where a specialist at the hospital makes a diagnosis and prepares to treat the incoming patient. What are some of the...

Duration: 00:14:59


PPIs and Antiplatelet Therapy: Weighing the Benefits and Risks

11/10/2010
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Host: Janet Wright, MD Guest: Deepak Bhatt, MD One of the biggest risks of antiplatelet therapy is gastrointestinal bleeding. Because of this risk, patients on the antiplatelet clopidogrel are often prescribed proten pump inhibitors, or PPIs. However, there are also concerns about PPIs decreasing the efficacy of clopidogrel. What approach should physicians take for patients at moderate to high risk for upper GI bleeding? Host Dr. Janet Wright welcomes Dr. Deepak Bhatt, chief of...

Duration: 00:14:59


Fortilin and Targeted Molecular Therapy for Preventing Atherosclerosis

11/10/2010
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Host: Janet Wright, MD Guest: Ken Fujise, MD Targeted molecular therapy has been successful in cancer therapeutics. How might this approach be applied in cardiology to prevent the development of atherosclerosis? Dr. Ken Fujise, chief of cardiology at University of Texas Medical Branch, where he is also professor of medicine and biochemistry and molecular biology, talks about his preliminary research investigating the role of fortilin in the progression of atherosclerosis and...

Duration: 00:14:59


Should We Screen Asymptomatic Patients for Subclinical Atherosclerosis?

10/12/2010
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Host: Janet Wright, MD Guest: Prediman Shah, MD It is apparent to most physicians that patients at high risk for having a cardiovascular event should be screened, but what about those patients who fall into the intermediate risk category (classified using the Framingham risk score)? Dr. Prediman Shah, director of the division of cardiology at Cedars-Sinai Heart Institute in Los Angeles, suggests that screening asymptomatic, intermediate-risk patients for subclinical atherosclerosis...

Duration: 00:14:59


Methods to Identify Quality in Cardiovascular Practices

9/10/2010
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Host: Jack Lewin, MD Guest: Francois de Brantes, MS, MBA As we all strive to improve quality of care, two crucial questions remain at the heart of the issue: How do we define, and identify, quality in practices, hospitals and other health care settings? Then, how can new methods of identifying quality in practices help improve the standardization of processes and care that patients receive? Join host Dr. Jack Lewin and his guest, Francois de Brantes, executive director of the Health Care...

Duration: 00:14:59


From Haiti to the US: Public-Private Partnerships in Healthcare

9/10/2010
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Host: Jack Lewin, MD Guest: James Wilentz, MD Before the January 2010 earthquake rattled Haiti, healthcare access for the country's citizens was unreliable, but after the disaster, everything changed. How has an influx of foreign physicians impacted Haiti's healthcare system, and what lessons can the US learn from the proposed public-private partnership solutions in Haiti? Dr. James Wilentz, assistant professor of medicine at Albert Einstein College of Medicine, and co-director of...

Duration: 00:14:59


Anticoagulation Therapies for Atrial Fibrillation

9/9/2010
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Host: Janet Wright, MD Guest: Stuart Connolly, MD Because atrial fibrillation increases the risk for stroke, especially among those with other underlying conditions, what anticoagulation therapies should be considered for these patients? Dr. Stuart Connolly, professor of medicine and director of the division of cardiology and the Salim Yusuf Chair in Cardiology at McMaster University in Ontario, Canada, weighs the benefits and risks of different anticoagulation therapies, in the context of...

Duration: 00:14:59

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