AP Cardiology

In this episode I visit with Dr. Chris Burke from the University of Washington to discuss aortic valve repair. Dr. Burke is a cardiac surgeon with an interest in complex aorta and aortic valve surgery. He provides useful insights into the evaluation of aortic valve disease and what patients may be good candidates for repair. We discuss this in the relation to aortic valve replacement and the Ross procedure. Link to UW Multi-disciplinary Thoracic Aorta Program > Better, together. [https://sites.uw.edu/uwmtap/] Links for further reading: State of the Art Review European Journal of Cardio-Thoracic Surgery 2018 [https://academic.oup.com/ejcts/article/53/6/1101/4989286] Bicuspid aortic valve repair: outcomes after 17 years of experience [https://academic.oup.com/ejcts/advance-article-abstract/doi/10.1093/ejcts/ezab176/6247304?redirectedFrom=fulltext]

I am joined by Shreyas Venkataraman, MD, an internal medicine resident at Barnes-Jewish Hospital in St Louis to continue our physical exam series. In this episode we talk about mitral regurgitation and the associated physical exam findings that help increase (or decrease) your likelihood of MR. Links: Evidence-Based Physical Diagnosis [http://elsevier.com/books/evidence-based-physical-diagnosis/9780323392761] The Correlates of an Abnormal First Heart Sound in Mitral-Valve-Prolapse Syndromes [https://www.nejm.org/doi/10.1056/NEJM198208053070602?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub%20%200pubmed]

In this episode I visit with Dr. Melissa Robinson from the University of Washington to discuss the management of ventricular tachycardia. Our discussion focuses on decisions regarding ICD implantation, anti-arrhythmic drugs and catheter ablation. Through 3 cases that highlight the heterogeneity of VT, we talk about the nuances of these decisions. Links to articles referenced: SMASH-VT [https://www.nejm.org/doi/full/10.1056/nejmoa065457] Defibrillator Implantation Early after Myocardial Infarction [https://www.nejm.org/doi/full/10.1056/nejmoa0901889]

I met with Dr. Eric Krieger from the University of Washington Adult Congenital Heart Disease group to talk about patients with the Fontan palliative shunt. This shunt is used to help infants born with single ventricle physiology survive into adulthood. We discuss the case of an infant born with tricuspid atresia, review the initial surgeries … Continue reading Caring for patients with Fontan shunts – Eric Krieger →

I am joined by co-fellow Alex Taylor, MD and we visit with Alec Moorman, MD to discuss coronary artery disease in patients with chronic kidney disease. We talk about the recent ISCHEMIA-CKD trial, the nuances of treating patients with CKD and CAD and how to handle referrals for cardiac risk assessment prior to kidney transplant. … Continue reading Coronary Artery Disease and Chronic Kidney Disease – Dr. Alec Moorman →