CardiOhio Podcast

Welcome to the CardiOhio Podcast!

This podcast series will provide concise, illuminating interviews with cardiovascular experts from Ohio, addressing practical clinical tips for all cardiovascular clinicians. Please let us know your feedback and suggestions. To subscribe to this podcast, copy and paste this URL into the podcast app of your choice. You can also scroll down to the bottom of this page for links to the various podcast directories.

Season 4

Season 4 – Episode 27
Rheum for Improvement: The Emerging Field of Cardio-Rheumatology

Join our guest, Dr. Heba Wassif from The Cleveland Clinic, for a discussion about the emerging field of cardio-rheumatology. We discuss the relationship between atherosclerosis and chronic inflammation, as well as the incidence of cardiac disease in rheumatologic patients. We also review the role of anti-inflammatory therapy and general cardiac prevention in these patients. We finish with a discussion of the cardio-rheumatology clinic at CCF.

For more information, see:

Embarking on a Career in Cardio-Rheumatology

Inflammatory and autoimmune mechanisms in the induction of atherosclerotic damage in systemic rheumatic diseases: two faces of the same coin.

Season 3

Season 3 – Episode 26
A Noninvasive Biopsy: Cardiac MRI in Everyday Cardiology Practice

Join our guests, Drs. Matthew Tong and Subha Raman, both imaging specialists in Central Ohio, as we review the current state of cardiovascular MRI imaging- including common indications, patient selection, and specific scenarios such as device patients. They offer tips for the cardiac practiitoner for ordering studies and interpreting the results in clinical context.

For more information, see:

SCMR Registry: https://pubmed.ncbi.nlm.nih.gov/38971501/

30-minute CMR exam: https://pubmed.ncbi.nlm.nih.gov/35232470/

CMR Guideline/Position Statement hub: https://scmr.org/publications/scmr-guidelines-position-statements/

CMR facility and training center hub: https://scmr.org/directory/

Season 3 – Episode 25
Dr. Heather Gornik: Key Points from the New PAD Guidelines

Join us as we welcome back our most popular guest, Dr. Heather Gornik, co-director of the Vascular Center at University Hospitals of Cleveland, as we discuss her role as the lead author of the 2024 ACC/AHA Guideline for the Management of Lower Extremity Peripheral Artery Disease, including a review of key points from the guidelines.

For more information, see:
2024 ACC/AHA Guideline for the Management of Lower Extremity Peripheral Artery Disease, including ACC Guideline Hub and Guidelines At-a-Glance with top 10 takeaways.

AHA guideline hub, including slide set

Season 3 – Episode 24
Pressure in Pregnancy: The Current State of Pregnancy-Associated Hypertension

Join our special guest, Dr. Deirdre Mattina from Cleveland Clinic Hillcrest Hospital, for a review of the current state of peripartum hypertension. We review the current definitions, medical therapy, and lifestyle management, as well as discuss implications for future cardiovascular risk.

For more information:

ACC.org Postpartum Hypertension Clinic Development Toolkit

ACC Course: Cardio-Obstetrics Essentials: Team-Based Management of Cardiovascular Disease and Pregnancy

Season 3 – Episode 23
ECPR: Something “Extra” to Improve Resuscitation Outcomes

Join our special guests, Drs. Kelsey Gray from Cleveland and Suzanne Bennett from Cincinnati, for a discussion on extracorporeal cardiopulmonary resuscitation (ECPR). We review the rationale for extracorporeal support during CPR, the components of a successful ECPR program, and discuss initial outcomes with the strategy.

For more information:
Extracorporeal Cardiopulmonary Resuscitation for Refractory Out-of-Hospital Cardiac Arrest: A Meta-Analysis of Randomized Trials

The Minnesota mobile extracorporeal cardiopulmonary resuscitation consortium for treatment of out-of-hospital refractory ventricular fibrillation: Program description, performance, and outcomes

Season 3 – Episode 22
Beyond Statins: A Practical Plan to Incorporate the New Lipid Agents

Please join our special guest, Dr. Benjamin Romer from Ohio State University, as we address the current state of lipid therapy in both primary and secondary prevention patients. He addresses a practical approach to the issue of statin intolerance, then reviews the newer agents including ezetimide and bempedoic acid, as well as the newer percutaneous agents, with a focus on practical tips for implementation. We wrap up with a discussion on the role of coronary calcium scoring to guide therapeutic decisions in select patients.

For more information, see the 2022 ACC Expert Consensus Pathway on the role of Nonstatin Therapies.

Season 2

Season 2 – Episode 21
Atrial Fibrillation in Athletes – Unique Challenges in Diagnosis and Management

Join our special guests, Drs. Auroa Badin and Bradley Lander, as we discuss the case of an elite professional athlete found to have atrial fibrillation. We discuss the challenges regarding anticoagulation, medical therapy, and the role of monitoring for burden of arrhythmia in these patients. Finally we review the role of definitive ablation, including the shared decision making process.

For more information:
HRS expert consensus statement on arrhythmias in the athlete

Season 2 – Episode 20
Cardio-Obstetrics: Pearls for Every Cardiac Practitioner

Join our special guests, Drs. Lauren Lastinger from The Ohio State University and Sharon Roble from OhioHealth, as we review common issues in cardio-obstetrics for the cardiac practitioner. We will review pearls for managing common cardiovascular conditions during pregnancy, evaluation of cardiac symptoms during pregnancy, common medication pitfalls, and new concepts in peripartum cardiomyopathy.

For more information, see:
Lastinger et al :Diagnostic and Management Considerations in a High-Risk Pregnant Patient With Ischemic Cardiomyopathy

Cardio-Obstetrics Essentials: Team-Based Management of Cardiovascular Disease and Pregnancy (ACC course)

Season 2 – Episode 19
The New Obesity Drugs: What Cardiac Practitioners Need to Know

Please join our special guest Dr. Ian Neeland from University Hospitals in Cleveland, to discuss the intersection of obesity and cardiovascular disease, and specifically the roles of the new agents semaglutide and tirzepatide. We discuss the recent data on cardiovascular outcomes with these agents, assessing patient candidacy, and tips for initiating and monitoring therapy. We also reviewed the complementary role of bariatric surgery and pharmacotherapy to approve cardiac outcomes.

For more information, see the SELECT study.
Fore more information, see the UH CINEMA program.

Season 2 – Episode 18
All about FMD and SCAD, with Dr. Heather Gornik

Join our host, Ohio-ACC President Dr. Kanny Grewal, and guests Drs. Ellen Sabik and Heather Gornik, both from University Hospitals of Cleveland, as they discuss the diagnosis and practical management of fibromuscular dysplasia (FMD) – including clinical assessment, classification, screening and the role of imaging. They then review spontaneous coronary artery dissection (SCAD), including clinical assessment, diagnosis, and therapy.

For more information:

Spontaneous Coronary Artery Dissection: JACC State-of-the-Art Review from the ACC.

2019 FMD International Consensus

AHA SCAD Scientific Statement

Interesting case of identical twins with FMD

Season 2 – Episode 17
Acute Heart Failure: New Therapies, New Devices, and Management Pearls

Join our host, Ohio-ACC President Dr. Kanny Grewal, and guests Drs. Ankit Bhatia and Gregory F. Egnaczyk, both from The Christ Hospital in Cincinnati, as they discuss the practical management of acute decompensated heart failure (ADHF) – including clinical assessment, classification, acute therapies, and candidacy for advanced therapies. They then review the current clinical role of left ventricular assist devices (LVADs) including patient selection and current outcomes.

For more information, see Durable Mechanical Circulatory Support: A JACC Scientific Statement from the ACC.

Season 3 – Episode 16
Controversies and Consensus with Atrial Fibrillation: An Experts’ Roundtable

Join a roundtable with two prominent Central Ohio electrophysiologists, Dr. Ralph Augostini from The Ohio State University, and Dr. Anish Amin from OhioHealth, as they discuss current practices, controversies, and management strategies for patients with atrial fibrillation. They address risk factor management, the rationale for early rhythm control, and the role of left atrial appendage exclusion in these challenging patients.

This episode is dedicated to the memory of Dr. Albert Waldo, master clinician, educator, researcher, and mentor.

Season 2 – Episode 15
A Focus on the CV Team: Innovative Programs and Improved Outcomes

In episode 15 of the CardiOhio Podcast, we focus on the role of the cardiovascular team to create innovative programs, and improve patient access and outcomes. We are joined by Andrea Robinson, CNP at OhioHealth and current CV Team state representative for the Ohio Chapter-ACC, as well as Kelly Bartsch, PharmD, a specialty practice pharmacist at The Ohio State University. We discussed several innovative programs led by the CV team, including a unique walk-in ambulatory clinic for atrial fibrillation.

Season 2 – Episode 14
Steven Nissen: Reflections of a Master Clinical Trialist

In episode 14 of the CardiOhio Podcast, we interview a legendary clinician, teacher, and trialist in American cardiology, Dr. Steven Nissen from the Cleveland Clinic. We review his contributions to contemporary trials and lipids and diabetes, as well as his analytic approach to reviewing clinical studies. We then discuss his most recent contribution to the field of lipid therapy, the CLEAR outcomes study published earlier this year.

For additional information on the discussed studies:

Season 2 – Episode 13
Something In the Air: A New Risk Factor for Cardiovascular Disease

In episode 13 of the CardiOhio Podcast, we learn about a newly emerging risk factor for cardiovascular disease, air pollution, from a local expert, Dr. Sadeer Al-Kindi from University Hospitals in Cleveland. We review the sources of air pollution in both westernized and developing countries, and discuss the evidence for a causative role in the development of cardiovascular disease, as well as potential pathophysiologic mechanisms. We conclude by discussing strategies to mitigate risk both at the societal and individual levels.

For more information:
Air Pollution and Cardiovascular Disease: JACC State-of-the-Art-Review
The “Heart” of Environmental Justice

Season 2 – Episode 12
The New Troponins: A Highly Sensitive Topic

Join our host, Drs. Ben Alencherry and Andrew Hornick, along with Ohio-ACC President Dr. Kanny Grewal, clinical cardiologist from OhioHealth Riverside Hospital, as they discuss the practical use of high-sensitivity troponin assays. They review the key differences of the new assays, their role in diagnosis and risk stratification, and tips for transitioning from prior assays.

For more information, see the 2019 Scientific Expert Panel for Transitioning to High-sensitivity Troponin from ACC.

Season 2 – Episode 11
Minimize Burnout, Maximize Wellness: Strategies for the CV Workforce

Join our special guest, Dr. Laxmi Mehta, professor in the Division of Cardiovascular Medicine, director of the Lipid Clinics and section director of Preventative Cardiology and Women’s Cardiovascular Health at The Ohio State University Wexner Medical Center. We discuss her contributions to our understanding of physician burnout and maximizing provider wellness. We also discussed her newly appointed role as the Chief Wellness Officer for The Ohio State University Medical Campus.

Hosts: Kanny Grewal, MD, FACC, Ohio-ACC President & Ben Alencherry, MD, Ohio-ACC Fellow in Training Council Co-Chair

For more information, see the following:

Season 2 – Episode 10
Congenital Heart Disease: Transitioning the Adult Patient to the Adult Cardiac Provider

Join our special guest, Dr. Phil Barger, Director of Adult Congenital Heart Disease at University Hospitals of Cleveland, for a practical discussion of the management of adults with congenital heart disease, including tips on transitioning to adult providers, recognizing common complications in adult CHD patients, and co-management with adult cardiovascular providers.

Host: Kanny Grewal, MD, FACC, Ohio-ACC President

For more information, see the 2018 Adult Congenital Heart Disease (ACHD) guideline from ACC and AHA.

Season 2 – Episode 9
What’s New in the 2022 Aortic Disease Guidelines?

Join our special guest, Dr. Sagar Kalahasti from The Cleveland Clinic, for a practical overview of the recently published 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease. Dr. Kalahasti, who was a co-author of the document, reviews practical tips for diagnosis, imaging, medical management, and genetic testing in common aortic disorders, as well his experience contributing to the guidelines.

Hosts: Kanny Grewal, MD, FACC, Ohio-ACC President & Ben Alencherry, MD, Ohio-ACC Fellow in Training Council Co-Chair

References: 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease, Full 2022 Guidelines, & Summary Document of Key Points

Season 1

Season 1 – Episode 8
Heart Disease in South Asians

Guest: Santosh Menon, MD, FACC
Hosts: Kanny Grewal, MD, FACC, Ohio-ACC President & Ben Alencherry, MD, Ohio-ACC Fellow in Training Council Co-Chair

References: AHA Clinical Statement on Heart Disease in South Asians and the MASALA study website

Season 1 – Episode 7
Post-PCI Antiplatelets: A Patient-Centered Focus

Guest: Jagadish Khanagavi, MD, FACC
Hosts: Kanny Grewal, MD, FACC, Ohio-ACC President & Ben Alencherry, MD, Ohio-ACC Fellow in Training Council Co-Chair

Season 1 – Episode 6
HCM Update, part 2 – Management and New Therapies

Guests: Milind Desai, MD, MBA, FACC
Hosts: Kanny Grewal, MD, FACC, Ohio-ACC President & Ben Alencherry, MD, Ohio-ACC Fellow in Training Council Co-Chair

References: VALOR HCM Study
2020 ACC Guidelines for HCM,
Diagnosis and Evaluation of Hypertrophic Cardiomyopathy: JACC State-of-the-Art Review,
Management of Hypertrophic Cardiomyopathy: JACC State-of-the-Art Review,

Season 1 – Episode 5
HCM Update, part 1, Diagnosis, Testing, and Patient Perspective

Guests: Milind Desai, MD, MBA, FACC and Mike Papale
Hosts: Kanny Grewal, MD, FACC, Ohio-ACC President & Ben Alencherry, MD, Ohio-ACC Fellow in Training Council Co-Chair

References: 2020 ACC Guidelines for HCM,
Diagnosis and Evaluation of Hypertrophic Cardiomyopathy: JACC State-of-the-Art Review,
Management of Hypertrophic Cardiomyopathy: JACC State-of-the-Art Review,
A Big Heart – A Memoir” by Mike Papale, and
In A Heartbeat Foundation

Join us as we continue our discussion with Dr. Milind Y. Desai, an authority on hypertrophic cardiomyopathy and lead author of the highly touted VALOR-HCM study presented at ACC.22. In this second of two parts, we discuss patient management, including the role of new agents.

Season 1 – Episode 4
Ohio-ACC Spring Summit Recap

Guests: Ben Alencherry, MD, Joseph Pietrolungo, DO, FACC, and Andrea Robinson, MSN, ACNP, AACC
Host: Kanny Grewal, MD, FACC, President, Ohio-ACC
Reference: 2022 Spring Summit of the Ohio-ACC Chapte r

Join our guests Ben Alencherry, MD, Joseph Pietrolungo, DO, FACC, and Andrea Robinson, MSN, ACNP, AACC as they recap key points from the 2022 Spring Summit of the Ohio-ACC Chapter. They cover device selection for left atrial appendage closure, an overview of cardiac amyloidosis, and a review of the top five clinical trials from 2021.

Season 1 – Episode 3
The Symptomatic Athlete: Strategies for Evaluation and Return to Play

Guests: Michael Emery, MD, FACC and Simon Lee, MD, FACC
Host: Kanny Grewal, MD, FACC, President, Ohio-ACC
Reference: 2022 ACC Expert Consensus Decision Pathway on Cardiovascular Sequelae of COVID-19 in Adults

Join experts Dr. Michael Emery from the Cleveland Clinic and Dr. Simon Lee from Nationwide Children’s Hospital as they address common clinical scenarios in athletes of all ages – including post-COVID return to play, dizziness and syncope, and chest pain. Pearls in history taking and testing strategies are reviewed. They also address the incidence and treatment of atrial fibrillation in athletes.

Season 1 – Episode 2
Success with Failure: Practical Perspectives for Heart Failure Management

Guests: Lindsay Castle, DO and Kenneth Varian, MD, PhD
Host: Kanny Grewal, MD, FACC, President, Ohio-ACC
Reference: ACC Guideline Hub for Heart Failure

Season 1 – Episode 1
Putting the Chest Pain Guidelines into Practice: Practical Tips from Imaging Experts

Guests: Dennis Calnon, MD, FACC and Paul Cremer, MD
Host: Kanny Grewal, MD, FACC, President, Ohio-ACC
References: 2021 AHA/ACC/ASE/CHEST/SAEM/SCCT/SCMR Guideline for the Evaluation and Diagnosis of Chest Pain,
Guideline Education: Chest Pain: Who Needs Additional Testing Beyond ECG and Troponin? (JACC: Case Reports October 2021-2)

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