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  • Pediheart Podcast #338: The Role Of The Personalized Emergency Action Plan In Returning To Play

    Pediheart Podcast #338: The Role Of The Personalized Emergency Action Plan In Returning To Play
    2025/04/25
    This week we review a recent editorial commentary by Drs. Belinda Gray, Rachel Lampert and Michael Papadakis on the concept of the personalized emergency action plan for the patient with genetic heart disease who is 'returning to play' in vigorous sports. With newer data demonstrating that risk for SCA or SCD is perhaps not as high as was once thought in this setting of sport, can the development of a personalized emergency action plan further enhance safety beyond simple measures such as medical adherence? Who should be involved in drafting this emergency action plan and how does this feature in the concept of 'shared decision-making'?

    DOI: 10.1161/CIRCULATIONAHA.124.072830
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    13 分
  • Pediheart Podcast #337: Bundle Branch Block And The Fontan Patient

    Pediheart Podcast #337: Bundle Branch Block And The Fontan Patient
    2025/04/18
    This week we review a study assessing the impact of bundle branch block (BBB) on exercise tolerance amongst the single ventricle Fontan patient cohort. Why would this be associated with worse outcomes for exercise? How should the cardiologist use this datum of BBB in a single ventricle patient to inform clinical decision making in this patient group? Why is cardiac resynchronization therapy so challenging in this patient group? Dr. Omar Meziab of The University of Arizona shares his deep insights this week.

    https://doi.org/10.1007/s00246-024-03500-1
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    33 分
  • Pediheart Podcast Replay #278: Prevalence Of PTSD Symptoms Amongst ACHD Patients

    Pediheart Podcast Replay #278: Prevalence Of PTSD Symptoms Amongst ACHD Patients
    2025/04/11
    In this replay episode from 2023, we return to the world of ACHD when we review a recent German research paper on the prevalence of PTSD symptoms amongst the ACHD patient group. How common is this type of symptom observed in the ACHD patient group? What contributes to the high prevalence (17-20.5%) described in this work? What are the benefits of 'embedding' a mental health care worker in the ACHD clinic/program? What strategies can be employed in pediatric cardiology to potentially mitigate PTSD symptoms in our future ACHD patients? These are amongst the many topics reviewed this week with the former Mount Sinai ACHD program clinical social worker, Ms. Meredith Kalbacker who also comments on this week's work.
    • DOI: 10.1016/j.amjcard.2023.06.087
    For those interested, the book referenced by Ms. Kalbacker, Healing Hearts and Minds, can be purchased on Amazon:

    https://www.amazon.com/Healing-Hearts-Minds-Holistic-Congenital/dp/0197657281
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    33 分
  • Pediheart Podcast #336: Should OB/GYN "Suboptimal Imaging" Equal Fetal Cardiac Referral?

    Pediheart Podcast #336: Should OB/GYN "Suboptimal Imaging" Equal Fetal Cardiac Referral?
    2025/04/04
    This week we review a recent work from the team at Seattle Children's Hospital about obstetrical sonography and referral of fetuses with 'suboptimal imaging' for fetal echocardiography. Should all 'suboptimal imaging' cases be referred? How can fetal cardiologists parse out who needs a fetal cardiac scan and when? How does the fetal team in Seattle practically serve a geographic region exceeding 2,000 miles and properly triage the referrals, particularly when 'suboptimal imaging' is the rationale for referral? Associate Professor of Pediatrics at The University of Washington, Dr. Bhawna Arya provides deep insights into her recent work on how to think about fetuses referred for 'suboptimal imaging' as a rationale for fetal consultation.

    https://doi.org/10.1007/s00246-024-03495-9
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    34 分
  • Pediheart Podcast #335: Long-Term Survival Following Pediatric Heart Transplantation

    Pediheart Podcast #335: Long-Term Survival Following Pediatric Heart Transplantation
    2025/03/28
    This week we review a recent PHTS study on long-term outcomes following heart transplantation. Why do patients develop coronary vasculopathy and how commonly is it seen at long term follow-up? What factors are associated with better or worse long term outcomes? How do 'adverse childhood experiences' result in worse outcomes for patients? Why do young transplant patients have better long-term outcomes and can this be leveraged to improve older patient outcomes? We speak with the first author of this week's work, Assistant Professor of Pediatrics at Ohio State and also from Nationwide Children's Hospital, Dr. Emily Hayes.

    • DOI: 10.1111/petr.70042
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    30 分
  • Pediheart Podcast #334: Hematochezia In The Interstage Congenital Heart Infant

    Pediheart Podcast #334: Hematochezia In The Interstage Congenital Heart Infant
    2025/03/21
    This week we review a recent study assessing the rate of hematochezia seen in children following neonatal congenital heart surgery, predominantly for aortic obstruction such as in HLHS. How often is this sign observed in this patient group and what percentage of these patients have actual necrotizing enterocolitis (NEC)? Are there any modifiable risk factors for NEC? How can these data help clinicians separate out those with more benign forms of hematochezia from those with NEC and how might this improve care for this patient group? These are amongst the questions reviewed this week with the work's first author, University of Michigan Assistant Professor of Pediatrics, Dr. Courtney Strohacker.

    • DOI: 10.1007/s00246-024-03485-x

    For those interested in pediatric podcasts, please take a look at this list of the 'top 15' pediatric topic podcasts - we are #4 in pediatrics for 2025!

    https://podcast.feedspot.com/pediatric_podcasts/
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    25 分
  • Pediheart Podcast #333: Complications With The Alterra Prestent - Reason For Concern?

    Pediheart Podcast #333: Complications With The Alterra Prestent - Reason For Concern?
    2025/03/14
    This week we review a recent report of 4 patients with serious complications related to either perforation or external compression from the distal tines of the Alterra prestent when used for transcatheter pulmonary valve replacement. We speak with Dr. R. Allen Ligon, interventional cardiologist at Children's Healthcare of Atlanta/Emory University about a recent multicenter report of rare complications seen with this prosthesis. How common are perforations seen with this device and how often are these clinically silent? What should be done for clinically silent prestent perforations? What sort of surveillance of all patients with this device is warranted after successful placement? These are amongst the questions posed to Dr. Ligon and discussed this week.

    DOI: 10.1016/j.jaccas.2024.102836
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    34 分
  • Pediheart Podcast #332: A Novel 21st Century Cardiology Fellow Educational Approach - Shared Learning Across The Globe

    Pediheart Podcast #332: A Novel 21st Century Cardiology Fellow Educational Approach - Shared Learning Across The Globe
    2025/03/07
    This week we review a report from the teams at University College, Dublin and Texas Children’s Hospital about a collaborative approach to education in which two centers across the globe participate in a shared fellow learning conference. In this conference which is aimed at fellow education, topics are chosen and discussed with facilitated learning from faculty at both sites. What can be gained for fellows on opposite sides of the Atlantic that cannot be learned from exposure to just their one site? How did this approach help fellows learn about how to deal with uncertainty in decision making? How did this trans-continental learning approach enhance patient and team communication? These are amongst the many questions posed to senior cardiologist and senior author of this week’s work, Professor Colin McMahon of University College, Dublin, Ireland.

    · DOI: 10.1007/s00246-024-03469-x
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    37 分