Heart Podcast

In this podcast Heart editor in chief Catherine Otto, discusses patient prothesis mismatch with Professor Philippe Pibarot, Directeur, Chaire de Recherche du Canada sur les Maladies Valvulaires Cardiaques, after he presented a commentary on the issue at the Transcatheter Valve Therapies meeting in Vancouver, Canada on June 5, 2014. Aortic valve stenosis is prevalent in the elderly and valve replacement for severe symptomatic obstruction improves symptoms and prolongs life. However, some patients have persistent symptoms after intervention because the functional valve area of the prosthetic valve is too small for the patient’s body size, a situation termed patient-prosthesis mismatch (PPM). The hemodynamics of PPM have been well described but the actual clinical impact of PPM is controversial. In the June issue of Heart, Dr Price and colleagues (heartjnl-2013-305118) report that PPM was associated with decreased survival and persistent symptoms only in patients with a low left ventricular ejection fracti

Heart failure (HF) self-care matters, but what matters most in HF self-care? To inform the design of future interventions and promote effective HF self-care, a systematic review of qualitative studies has recently been published in Heart. This examines patients’ and caregivers’ needs, experiences and preferences regarding the nature and determinants of HF self-care. Alistair Lindsay talks to co-author Alexander Clark, professor in the Faculty of Nursing, University of Alberta, about the findings. Read the full review here: Determinants of effective heart failure self-care: a systematic review of patients’ and caregivers’ perceptions http://goo.gl/Lb3adm

This podcast discusses the 3rd Joint British Societies’ (JBS) consensus recommendations, released on 26th March 2014. These eagerly anticipated guidelines incorporate much of the recent research in primary and secondary prevention of cardiovascular disease, and include a new risk calculator for physicians. Heart’s social media editor, Dr Alistair Lindsay, discusses the most important points of the recommendations with Dr Iain Simpson, President of the British Cardiovascular Society and a member of the JBS 3 editorial group.

In this podcast, Philip Urban, Cardiovascular Department, Hôpital de La Tour, Geneva, discusses the Charlson Comorbidity Index (CCI). Read the related paper: Validity of Charlson Comorbidity Index in patients hospitalised with acute coronary syndrome. Insights from the nationwide AMIS Plus registry 2002–2012 http://goo.gl/Kjpj0l

Coronary heart disease (CHD) is a major public health problem not only in developed but also in developing countries.1 CHD rates in Japan are uniquely low compared to the USA and other developed countries. In a paper in April's Heart, Akira Sekikawa and colleagues from the University of Pittsburgh looked at whether serum concentrations of long chain n-3 polyunsaturated fatty acids (LCn3PUFAs) contribute to the difference in the incidence rate of coronary artery calcification (CAC) between Japanese men in Japan and white men in the USA. Alistair Lindsay asks him what they found. Read the full paper: Long chain n-3 polyunsaturated fatty acids and incidence rate of coronary artery calcification in Japanese men in Japan and white men in the USA: population based prospective cohort study http://goo.gl/rwKUCW

Catherine Otto, Heart editor, talks to Greg Roth from the Division of Cardiology at University of Washington about his editorial which appears on heart.bmj.com and discusses prescription of statins after an acute myocardial infarction.

Dr Alistair Lindsay speaks to Dr Corina Grey, School of Population Health, University of Auckland, about her recent study looking at long-term adherence to statins in ACS patients. Read the full paper: http://goo.gl/KF3NAK

Bicuspid aortic valve (BAV) is related to aortic dilatation, but patterns/rates are conflicting with no comparison among aneurysms of different aetiology. In this podcast Alistair Lindsey talks to Hector Michelena from the Division of Cardiovascular Diseases at the Mayo Clinic about his research published in heart.bmj.com Read the full research: http://heart.bmj.com/content/100/2/126.full

At the 2013 Uruguayan Society of Cardiology meeting in Montevideo, Dr Robert Bonow, Professor of Cardiology at Northwestern University Feinberg School of Medicine, gave a talk on aortic valve stenosis. In this podcast he and Catherine Otto, discuss some of the new concepts in diagnosis and management of the condition.

Read the full research onine: http://heart.bmj.com/content/99/22/1675 Dr Joao Lima, from the Division of Cardiology at Johns Hopkins Hospital in Balitmore, and colleagues set out to evaluate the benefit of niacin in addition to statin therapy on plaque regression among older individuals with established atherosclerosis. They used MRI to more measure the plaque volume, and in this podcast Dr Lima explains to Laura Templer why that's a more accurate measure than the surrogates used in previous studies.

Read the full research online: http://heart.bmj.com/content/99/23/1734 In 2010, the Department of Health in England introduced an incentivised national target for National Health Service (NHS) hospitals aiming to increase the number of patients assessed for the risk of developing venous thromboembolism (VTE) associated with hospital admission. Will Lester, from the Quality and Outcomes Research Unit at the University Hospital Birmingham, and colleagues assessed the impact of this initiative on VTE mortality and subsequent readmission with non-fatal VTE. He joins Alistair Lindsey to talk about the study.

Catherine Otto, Heart's editor in chief, interviews April Stempien-Otero from the University of Washington, at the American Heart Association meeting in Dallas. They discuss Dr Stempien-Otero's late breaking clinical trial, presented at the meeting, which looks at the use of bone marrow derived stem cells, and their use in ischemic cardiomyopathy with LVAD bridge to transfer.

Alistair Lindsay interviews Anthony De Maria, director of the Cardiovascular Center at the UC San Diego medical school, and current Editor in Chief of JACCE.

Patrick Calvert interviews Alec Vahanian, Head of the Cardiology Department, Bichat University Hospital, Paris at the annual British Cardiovascular Society meeting in London.

Patrick Calvert interviews Alain Cribier, Director of Cardiology at Charles Nicolle Hospital, University of Rouen in France, and pioneer in the field of aortic and mitral valvuloplasty.

As we near ten years since the first transcatheter aortic vale implantation, Alistair Lindsey, Heart’s JournalScan editor, talks to Philip MacCarthy, consultant cardiologist, King’s College Hospital, about his work examining how the ventricle responds following the procedure. See also: Successful transcatheter aortic valve implantation (TAVI) is associated with transient left ventricular dysfunction http://bit.ly/12Fwwcf

Mark de Belder (consultant cardiologist in Middlesbrough) talks to James McLenachan (consultant cardiologist in Leeds) and Keith Channon (professor of Cardiovascular Medicine, University of Oxford) about the pathophysiology and management of acute coronary syndromes. See also: Webcasts from all the sessions at the British Cardiovascular Society Conference 2012 bit.ly/ZMGmUE

Guy Lloyd (a consultant cardiologist in Eastbourne) talks to Gerry McCann (a cardiologist in Leicester) and John Chambers (president of the British Heart Valve Society) about aortic valve disease. They discuss stratifying cases by risk, myocardial fibrosis, the various assessments available, whether clinicians should be looking more to prescribe ACE inhibitors, and how best valve service should be configured. See also: Postconditioning and protection from reperfusion injury: where do we stand? http://bit.ly/15EmdIy Webcasts from all the sessions at the British Cardiovascular Society Conference 2012 bit.ly/ZMGmUE

Michael Marber (professor of Cardiology at King’s College London) discusses reperfusion injury with Michel Ovize (professor at the Hôpitaux de Lyon). See also: Postconditioning and protection from reperfusion injury: where do we stand?http://bit.ly/15EmdIy Webcasts from all the sessions at the British Cardiovascular Society Conference 2012 http://bit.ly/ZMGmUE

Jim Hall (BCS vice-president for training, and chairman of the SAC) talks to Thanh Phan (SPL trainee from the Northern Deanery) about current issues in cardiology training. These include Workplace Based Assessments, clinical genetics, and workforce projections. See also: Webcasts from all the sessions at the British Cardiovascular Society Conference 2012 http://bit.ly/ZMGmUE