Podcasts about Asymptomatic

Patient is a carrier for a disease or infection but experiences no symptoms

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Asymptomatic

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Best podcasts about Asymptomatic

Latest podcast episodes about Asymptomatic

Ba'al Busters Broadcast
Asymptomatic Carrier Myth with Dr Glidden ND

Ba'al Busters Broadcast

Play Episode Listen Later Jun 9, 2026 82:15 Transcription Available


Dr Glidden is here: CLICK HERE Wednesdays to answer health questions.My site:https://SemperFryLLC.comEiffel 90: https://eiffelhealth.com Call and use ext. 101Join Dr. Glidden's Membership site here:https://leavebigpharmabehind.com/?via=pgndhealth⁠Code: baalbusters for 25% OFFMake Dr. Glidden Your DoctorUse Code BB5 here for your Whole Food 90 Essentials:https://www.azurestandard.com/shop/brand/azurewell/2326The Azure 90 are 1. Whole Food Multivitamin, 2. Alaskan Cod Liver Oil, 3. Fulvic-Humic Energy Blend, 4. IP6 Supreme. Use code BB5 for your discount.Become a supporter of this podcast: https://www.spreaker.com/podcast/ba-al-busters-broadcast--5100262/support.

Audible Bleeding
Landmark Paper Series: Asymptomatic Carotid Artery Stenosis

Audible Bleeding

Play Episode Listen Later May 31, 2026 34:29


Welcome back to the Audible Bleeding series: Landmark Papers in Vascular Surgery. In this episode, co-hosts John and Dr. Jesse Columbo are joined by our guest, Dr. Caitlin Hicks, to discuss one of the most studied—and most debated—topics in vascular surgery: asymptomatic carotid stenosis.   In this episode, we'll trace that evolution through three pivotal trials: ACAS and ACST-1, which established carotid endarterectomy as the standard of care; and the newly published CREST-2, which challenges us to reconsider everything we thought we knew. Along the way, we'll explore how advances in statin therapy, blood pressure control, and antiplatelet agents have fundamentally changed the natural history of this disease—and what that means for our patients today."   Links to Landmark Papers:  (ACAS) Endarterectomy for Asymptomatic Carotid Artery Stenosis   (ACST-1) 10-year stroke prevention after successful carotid endarterectomy for asymptomatic stenosis: a multicentre randomised trial    (CREST-2) Medical Management and Revascularization for Asymptomatic Carotid Stenosis    Guests: Dr. Caitlin Hicks, MD (@CaitlinWHicks); Associate Fellowship Program Director, Vascular Surgery & Endovascular Therapy at Johns Hopkins and Director of Research   Hosts: John Culhane, MD (@JohnCulhaneMD); General Surgery Resident, Abrazo Health Dr. Jesse Columbo, MD; Assistant Professor of The Dartmouth Institute, Geisel School of Medicine, Dartmouth Follow us @audiblebleeding,   Learn more about us at https://www.audiblebleeding.com/about-1/ and provide us with your feedback with our listener survey. *Gore is a financial sponsor of this podcast, which has been independently developed by the presenters and does not constitute medical advice from Gore. Always consult the Instructions for Use (IFU) prior to using any medical device. 

The Lead Podcast presented by Heart Rhythm Society
The Lead Episode 153: A Discussion of Exercise Capacity and Quality-of-Life Improvements after Catheter Ablation in Patients with Clinically Asymptomatic Persistent Atrial Fibrillation

The Lead Podcast presented by Heart Rhythm Society

Play Episode Listen Later May 28, 2026 18:08


In this episode of The Lead, host Melissa Middeldorp, MPH, PhD, FHRS is joined by Jenelle Dziano, PhD candidate, Clinical Exercise Physiologist and Adrian D. Elliott, PhD for a discussion of the recent journal article, Exercise Capacity and Quality-of-Life Improvements after Catheter Ablation in Patients with Clinically Asymptomatic Persistent Atrial Fibrillation. Together, they explore the study findings and discuss the impact of catheter ablation on exercise capacity and quality of life in patients with clinically asymptomatic persistent atrial fibrillation. Learning Objectives Review the key findings from the journal article examining exercise capacity and quality-of-life outcomes after catheter ablation in patients with clinically asymptomatic persistent atrial fibrillation. Discuss the potential clinical implications of catheter ablation for patients who may not report traditional atrial fibrillation symptoms. Explore the role of exercise capacity and quality-of-life measures in evaluating treatment outcomes for persistent atrial fibrillation. Podcast Contributors: Host: Melissa Middeldorp, MPH, PhD, FHRS Guests: Jenelle Dziano, PhD candidate, Clinical Exercise Physiologist and Adrian D. Elliott, PhD Host and Contributor Disclosure(s): M. Middeldorp: Nothing to disclose J. Dziano: Nothing to disclose A. Elliiott: Nothing to disclose

DC EKG
Dr. Redfield's Warning: Hantavirus| Bird Flu| Long COVID and More

DC EKG

Play Episode Listen Later May 18, 2026 49:11


In Episode 134 of DC EKG, former CDC Director Dr. Robert Redfield joins Joe Grogan to discuss his new book, Redfield's Warning, and break down three major threats to public health: Long COVID, Hantavirus, and bird flu. Dr. Redfield explains the persistent viral reservoirs in long COVID patients, the cognitive dysfunction and autonomic dysfunction that devastate these individuals, and why the federal government must partner with the private sector to develop meaningful treatments. He also walks through the current Hantavirus outbreak on a cruise ship, the human-to-human transmission of the Andes virus strain, and why bird flu is the most likely candidate for the next pandemic. Throughout, Dr. Redfield emphasizes the critical importance of antiviral development and the dangers of gain-of-function research.In This ConversationThe current Hantavirus outbreak on a cruise ship and human-to-human transmissionThe Andes virus strain and why it differs from Sin Nombre and Four Corners DiseaseTwo transmission routes: aerosolization and direct contaminationAsymptomatic transmission and the intrinsic bias in testingWhy has the US government not developed Hantavirus countermeasures in 70 yearsBird flu is the most likely candidate for the next pandemic.Gain-of-function research and the public disclosure of dangerous genetic dataLong COVID: viral reservoirs and the need for effective antiviral treatmentsWhy antivirals should be the priority over vaccines for emerging virusesOperation Warp Speed and the importance of private sector partnershipsThe dismissal of long COVID patients as psychosomatic and the need for validationKey Timestamps1:49 Details of the Hantavirus outbreak and cruise ship cases3:00 Two methods of transmission: aerosolization and direct contamination5:24 Asymptomatic transmission and testing bias10:35 The Hantavirus family and why the Andes virus goes from human to human12:35 How nervous should the public be16:43 Shifting to bird flu and Redfield's Warning19:00 Bird flu spread in US poultry and mammal populations22:00 The four amino acids for bird flu to infect humans23:30 The debate with Fauci over gain-of-function research27:55 Unregulated gain-of-function research worldwide33:35 Why antivirals should be the priority37:55 Long COVID viral reservoirs and treatment gaps42:37 The economic burden and need for solutions43:57 The story of Joy and psychiatric misdiagnosis of long COVID48:12 The solvability of long COVID and the importance of investingHantavirus, Hantavirus transmission, Andes virus, Sin Nombre virus, Four Corners Disease, cruise ship outbreak, bird flu, avian influenza, gain of function research, Dr. Robert Redfield, CDC Director, antivirals, vaccines, long COVID, pandemic preparedness, infectious disease, virology, Redfield's WarningAbout the GuestDr. Robert Redfield is the former Director of the Centers for Disease Control and Prevention. A trained virologist with decades of experience in infectious disease, he has been a leading voice on public health policy, pandemic preparedness, and biosecurity. He is the author of Redfield's Warning: What I Learned as CDC Director and What We Must Do to Be Prepared for the Next Pandemic, available on Amazon: https://www.amazon.com/Redfields-Warning-Learned-Couldnt-Might/dp/1510785051Podcast: DC EKG with Joe GroganEpisode: 134Guest: Dr. Robert Redfield, former CDC DirectorSponsor: Survivors for Solutions – https://survivorsforsolutions.orgExecutive Producer: John "CZ" Czwartacki, DC EKG PodcastProducer: Stay on Course Studios – https://www.stayoncourse.studio

Behind The Knife: The Surgery Podcast
Clinical Challenges in Vascular Surgery: Asymptomatic Carotid Artery Stenosis

Behind The Knife: The Surgery Podcast

Play Episode Listen Later May 7, 2026 33:15


For decades, a tight carotid stenosis felt like a ticking time bomb — a plaque waiting to throw an embolus and cause the next stroke. We were taught that severe narrowing meant surgery, and trials like ACAS and ACST-1 seemed to prove it. But medicine has changed. Statins, antiplatelets, tighter blood pressure control, even PCSK9 and GLP-1 therapies have quietly slashed stroke risk, and now newer data from CREST-2 suggest that for many asymptomatic patients, the knife — or the stent — may not add much at all. So if modern medical therapy works better than ever… who actually benefits from intervention anymore? Today, we unpack the evidence, the controversies, and how to counsel the patient who feels perfectly fine but has high-grade stenosis.Hosts: Carolyn Judge, Andrew Huang, Luciano Delbono, Frank Davis, Robert BeaulieuInstitution: University of Michigan, Department of Surgery, Section of Vascular SurgeryLearning objectives: Describe how modern intensive medical therapy has transformed the natural history of asymptomatic carotid stenosis and explain why contemporary patients experience substantially lower annual stroke risk than those in earlier eras. Interpret and compare the results of landmark trials—including ACAS, ACST-1, and CREST-2—to assess the relative benefits of medical therapy, endarterectomy, and stenting. Apply current evidence and guideline recommendations to patient care by selecting which asymptomatic patients are most likely to benefit from carotid revascularization versus optimized medical therapy alone. References:SVS Guidelines:Brook, R. D., et al. (2022). Society for Vascular Surgery clinical practice guidelines for management of extracranial carotid artery disease. Journal of Vascular Surgery, 75(1), e1–e67. https://doi.org/10.1016/j.jvs.2021.09.031CREST (1)Brott, T. G., Hobson, R. W., Howard, G., et al. (2010). Stenting versus endarterectomy for treatment of carotid-artery stenosis. New England Journal of Medicine, 363(1), 11–23. https://doi.org/10.1056/NEJMoa0912321CREST-2Brott, T. G., Howard, G., Fong, P., et al. (2024). Randomized trial of carotid artery stenting or carotid endarterectomy vs best medical therapy for asymptomatic carotid stenosis: CREST-2 results. [Manuscript in preparation]. ClinicalTrials.gov Identifier: NCT02089217. Retrieved from https://clinicaltrials.gov/ct2/show/NCT02089217ACST-1Halliday, A., Mansfield, A., Marro, J., et al. (2004). Randomised trial of carotid artery surgery for asymptomatic stenosis. Lancet, 363(9420), 1491–1502. https://doi.org/10.1016/S0140-6736(04)16153-1ACST-2Halliday, A., Bulbulia, R., Bonati, L. H., et al. (2021). Carotid artery stenting versus carotid endarterectomy in patients with asymptomatic carotid stenosis (ACST-2): A randomised trial. Lancet, 398(10291), 1065–1073. https://doi.org/10.1016/S0140-6736(21)01980-1ACASExecutive Committee for the Asymptomatic Carotid Atherosclerosis Study. (1995). Endarterectomy for asymptomatic carotid stenosis. JAMA, 273(18), 1421–1428. https://doi.org/10.1001/jama.1995.03520420033036Sponsor URL: https://www.goremedical.com/Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium: https://behindtheknife.org/premiumOral Board Review: https://behindtheknife.org/oral-boardOral Board Simulator: https://behindtheknife.org/oral-board/simulatorGeneral Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

Protrusive Dental Podcast
Why We Need to Take MRIs for TMJs! – PDP265

Protrusive Dental Podcast

Play Episode Listen Later May 6, 2026 49:44


When is it appropriate to consider an MRI for your TMD patient? What's actually involved in MRI of the TMJ? Can you use any MRI machine, or is the choice of imaging center crucial? And who should be reporting on these scans — does it really matter? (Hint: yes, it does!) Dr. Kevin Lotzof, a straight-talking radiologist, joins Jaz for a controversial deep dive into the role of MRI in Temporomandibular Disorders. While many experts downplay its importance, Kevin argues that TMJs are under-imaged and under-diagnosed — and that we may be missing critical pathology. They explore the practicalities of imaging, how to set expectations with your patients, and why strong but differing views in TMD care can ultimately help you refine your own clinical approach. https://youtu.be/-yo_Qx4Zg5Q Watch PDP265 on YouTube  Protrusive Dental Pearl: Adopt the mindset of “Find the cancer today.”When carrying out examinations—whether soft tissue or extraoral—approach it with the intention of detecting oral or skin cancers early. This mindset helps clinicians look beyond just teeth, catch unusual or suspicious lesions, and potentially save lives. Key Takeaways TMJ is often overlooked but is crucial for overall health. MRI is essential for accurate TMJ diagnosis. Cone beam CT cannot replace MRI for TMD assessment. Patients with headaches may have undiagnosed TMD. Education on TMJ imaging is lacking among dental professionals. Asymptomatic patients should still be scanned for TMJ issues. The quality of imaging directly impacts diagnosis accuracy. Patients often feel anxious about MRI procedures. Understanding patient perspectives can improve care. There is a need for better collaboration between dentists and radiologists. Highlight of the episode: 00:00 Teaser 00:55 Intro 05:20 Protrusive dental pearl 06:36 Interview with Dr. Kevin Lotzof 09:38 Under-Imaging and Differing Perspectives 13:27 Access and MRI Centers in the UK 17:51 TMJ MRI: Patient Expectations 22:17 Midroll 25:53 Open MRI Machines 27:26 Ideal Candidates for MRI Imaging 29:55 Cone Beam CT vs. MRI 31:53 Screening and Asymptomatic Patients 38:43 Centers with Reliable TMJ Imaging 41:27 Encouragement for General Dentists 46:33 Outro Where to Get Reliable TMJ Imaging ⭐ Top Pick: Orion, Wimpole Street, London(Full contact details available via the Protrusive Guidance App)

The Sports Medicine Project
The Stress Fracture Epidemic That Isn't

The Sports Medicine Project

Play Episode Listen Later May 1, 2026 12:22


Stress fractures feel like they're everywhere lately but I don't think its changing disproportionately. I dig into why, what's really going on, and which bits of the "epidemic" narrative I think hold up.Refs:Bennell KL, Malcolm SA, Thomas SA, Reid SJ, Brukner PD, Ebeling PR, Wark JD. Risk factors for stress fractures in track and field athletes: a twelve-month prospective study. American Journal of Sports Medicine. 1996;24(6):810–818.Knapik J, Montain SJ, McGraw S, Grier T, Ely M, Jones BH. Stress fracture risk factors in basic combat training. International Journal of Sports Medicine. 2012;33(11):940–946.Changstrom BG, Brou L, Khodaee M, Braund C, Comstock RD. Epidemiology of stress fracture injuries among US high school athletes, 2005–2006 through 2012–2013. American Journal of Sports Medicine. 2015;43(1):26–33.Rizzone KH, Ackerman KE, Roos KG, Dompier TP, Kerr ZY. The epidemiology of stress fractures in collegiate student-athletes, 2004–2005 through 2013–2014 academic years. Journal of Athletic Training. 2017;52(10):966–975.Shi BY, Castaneda C, Sriram V, Yamasaki S, Wu SY, Kremen TJ. Changes in the incidence of stress reactions and fractures among intercollegiate athletes after the COVID-19 pandemic. Journal of Orthopaedic Surgery and Research. 2023;18(1):788.Bergman AG, Fredericson M, Ho C, Matheson GO. Asymptomatic tibial stress reactions: MRI detection and clinical follow-up in distance runners. American Journal of Roentgenology. 2004;183(3):635–638.Kiuru MJ, Niva M, Reponen A, Pihlajamäki HK. Bone stress injuries in asymptomatic elite recruits: a clinical and magnetic resonance imaging study. American Journal of Sports Medicine. 2005;33(2):272–276.Hoenig T, Ackerman KE, Beck BR, Bouxsein ML, Burr DB, Hollander K, Popp KL, Rolvien T, Tenforde AS, Warden SJ. Bone stress injuries. Nature Reviews Disease Primers. 2022;8(1):26.AusPlay (Australian Sports Commission). National participation data on running and jogging, 2015–present. https://www.clearinghouseforsport.gov.au/research/ausplay

ESC TV Today – Your Cardiovascular News
Season 4 - Ep.8: Genetics and genetic testing in HCM - Asymptomatic aortic valve stenosis

ESC TV Today – Your Cardiovascular News

Play Episode Listen Later Apr 30, 2026 21:50


This episode covers: Cardiology This Week: A concise summary of recent studies Genetics and genetic testing in HCM Asymptomatic aortic valve stenosis Statistics Made Easy: Mediation analysis Host: Wilfried Mullens Guests: JP Carpenter, Caroline Coats, Marc Dweck Want to watch that episode? Go to: https://esc365.escardio.org/event/2564 Want to watch that extended interview on asymptomatic aortic valve stenosis, go to: https://esc365.escardio.org/event/2564?resource=interview   Disclaimer  ESC TV Today is supported by Novartis through an independent funding. The programme has not been influenced in any way by its funding partner. This programme is intended for health care professionals only and is to be used for educational purposes. The European Society of Cardiology (ESC) does not aim to promote medicinal products nor devices. Any views or opinions expressed are the presenters' own and do not reflect the views of the ESC. All declarations of interest are listed at the end of the episode. The ESC is not liable for any translated content of this video. The English language always prevails.  ESC TV Today uses a range of tools and resources (including AI) to support content production. All content is reviewed and approved by the editorial team. Statements and opinions expressed by guest speakers are their own.    Declarations of interests Stephan Achenbach, Yasmina Bououdina, Antonio Greco and Nicolle Kraenkel have declared to have no potential conflicts of interest to report. Carlos Aguiar has declared to have potential conflicts of interest to report: personal fees for consultancy and/or speaker fees from Abbott, AbbVie, Alnylam, Amgen, AstraZeneca, Bayer, BiAL, Boehringer-Ingelheim, Daiichi-Sankyo, Ferrer, Gilead, GSK, Lilly, Novartis, Pfizer, Sanofi, Servier, Takeda, Tecnimede. John-Paul Carpenter has declared to have potential conflicts of interest to report: stockholder MyCardium AI. Davide Capodanno has declared to have potential conflicts of interest to report: Abbott Vascular, Bristol Myers Squibb, Daiichi Sankyo, Edwards Lifesciences, Novo Nordisk, Sanofi Aventis, Terumo. Caroline Coats has declared to have potential conflicts of interest to report: in the last 5 years, consultant/advisor to Bayer, Bristol Myers Squibb, Cytokinetics, Sanofi, Roche Diagnostics. Marc Dweck has declared to have potential conflicts of interest to report: consultancy fees from Novartis, Silence, and AstraZeneca related to aortic stenosis and development of a medical therapy. David Duncker has declared to have potential conflicts of interest to report: lecture honoraria from Abbott, Astra Zeneca, Biotronik, Boehringer Ingelheim, Boston Scientifics, Bristol Meyers Squibb, CVRx, Daiichi Sankyo, Medtronic, Microport, Pfizer, Sanofi, Zoll. Konstantinos Koskinas has declared to have potential conflicts of interest to report: honoraria from MSD, Daiichi Sankyo, Sanofi. Felix Mahfoud has declared to have potential conflicts of interest to report: research grants from Deutsche Forschungsgemeinschaft (SFB TRR219), Deutsche Gesellschaft für Kardiologie (DGK), Deutsche Herzstiftung, Ablative Solutions, ReCor Medical. Consulting fees, payment honoraria lectures, presentations, speaker, support travel costs: Ablative Solutions, Astra-Zeneca, Novartis, Inari, Recor Medical, Medtronic, Philips, Merck. Steffen Petersen has declared to have potential conflicts of interest to report: consultancy for Circle Cardiovascular Imaging Inc. Calgary, Alberta, Canada. Emma Svennberg has declared to have potential conflicts of interest to report: Abbott, Astra Zeneca, Bayer, Bristol-Myers, Squibb-Pfizer, Johnson & Johnson.

ESC TV Today – Your Cardiovascular News
Season 4 - Ep.8: Extended interview on asymptomatic aortic valve stenosis

ESC TV Today – Your Cardiovascular News

Play Episode Listen Later Apr 30, 2026 9:36


Host: Wilfried Mullens Guest: Marc Dweck Want to watch that extended interview on https://esc365.escardio.org/event/2564?resource=interview Go to: Want to watch that episode? Go to: https://esc365.escardio.org/event/2564   Disclaimer ESC TV Today is supported by Novartis through an independent funding. The programme has not been influenced in any way by its funding partner. This programme is intended for health care professionals only and is to be used for educational purposes. The European Society of Cardiology (ESC) does not aim to promote medicinal products nor devices. Any views or opinions expressed are the presenters' own and do not reflect the views of the ESC. All declarations of interest are listed at the end of the episode. The ESC is not liable for any translated content of this video. The English language always prevails. ESC TV Today uses a range of tools and resources (including AI) to support content production. All content is reviewed and approved by the editorial team. Statements and opinions expressed by guest speakers are their own.   Declarations of interests Stephan Achenbach, Yasmina Bououdina, Antonio Greco and Nicolle Kraenkel have declared to have no potential conflicts of interest to report. Carlos Aguiar has declared to have potential conflicts of interest to report: personal fees for consultancy and/or speaker fees from Abbott, AbbVie, Alnylam, Amgen, AstraZeneca, Bayer, BiAL, Boehringer-Ingelheim, Daiichi-Sankyo, Ferrer, Gilead, GSK, Lilly, Novartis, Pfizer, Sanofi, Servier, Takeda, Tecnimede. John-Paul Carpenter has declared to have potential conflicts of interest to report: stockholder MyCardium AI. Davide Capodanno has declared to have potential conflicts of interest to report: Abbott Vascular, Bristol Myers Squibb, Daiichi Sankyo, Edwards Lifesciences, Novo Nordisk, Sanofi Aventis, Terumo. Marc Dweck has declared to have potential conflicts of interest to report: consultancy fees from Novartis, Silence, and AstraZeneca related to aortic stenosis and development of a medical therapy. David Duncker has declared to have potential conflicts of interest to report: lecture honoraria from Abbott, Astra Zeneca, Biotronik, Boehringer Ingelheim, Boston Scientifics, Bristol Meyers Squibb, CVRx, Daiichi Sankyo, Medtronic, Microport, Pfizer, Sanofi, Zoll. Konstantinos Koskinas has declared to have potential conflicts of interest to report: honoraria from MSD, Daiichi Sankyo, Sanofi. Felix Mahfoud has declared to have potential conflicts of interest to report: research grants from Deutsche Forschungsgemeinschaft (SFB TRR219), Deutsche Gesellschaft für Kardiologie (DGK), Deutsche Herzstiftung, Ablative Solutions, ReCor Medical. Consulting fees, payment honoraria lectures, presentations, speaker, support travel costs: Ablative Solutions, Astra-Zeneca, Novartis, Inari, Recor Medical, Medtronic, Philips, Merck. Steffen Petersen has declared to have potential conflicts of interest to report: consultancy for Circle Cardiovascular Imaging Inc. Calgary, Alberta, Canada. Emma Svennberg has declared to have potential conflicts of interest to report: Abbott, Astra Zeneca, Bayer, Bristol-Myers, Squibb-Pfizer, Johnson & Johnson.

Optimization Academy with Dr. Greg Jones
85. Long COVID, Spike Protein & Hidden Inflammation: What You Need to Know from Dr. Robin Rose

Optimization Academy with Dr. Greg Jones

Play Episode Listen Later Apr 7, 2026 60:05


Long COVID isn't one single diagnosis—it's a spectrum of post-viral patterns that can affect energy, cognition, immunity, circulation, and inflammation. In this episode, Dr. Greg Jones is joined by Dr. Robin Rose, a double board-certified physician (Internal Medicine + Gastroenterology) and a leading authority on the gut–brain–immune axis, to unpack what she's seeing clinically in patients with persistent post-COVID symptoms.Dr. Rose explains how Long COVID can present as fatigue, brain fog, immune dysregulation, clotting changes, and autoimmune-like patterns—and why symptoms can vary dramatically from person to person. She shares early lab trends she noticed during the pandemic, including shifts in white blood cell counts, abnormal iron storage markers, elevated D-dimer, and increased inflammatory signals.The conversation explores mechanisms being investigated in Long COVID, including how spike-related pathways may interact with cells and contribute to ongoing inflammation in some individuals. They also discuss microclots and circulation issues, gut-derived “toxin-like” peptides, advanced testing approaches, and why some protocols focus on binding strategies rather than aggressive breakdown.If you're trying to understand the lab patterns, symptom clusters, and root-cause frameworks being used in complex Long COVID cases, this episode provides a clinically grounded, mechanism-focused overview.

Dr. Baliga's Internal Medicine Podcasts
Rethinking Asymptomatic Aortic Stenosis: Early Knife, Better Survival

Dr. Baliga's Internal Medicine Podcasts

Play Episode Listen Later Mar 28, 2026 4:21


PodMed TT
Cooking and dementia, asymptomatic aortic stenosis, pediatric sepsis, and high-dose versus standard-dose flu vaccines

PodMed TT

Play Episode Listen Later Mar 27, 2026 12:29


Program notes:0:36 High versus standard-dose flu vaccines in older people1:36 Cardiovascular outcomes2:26 Also in those with previous CVD3:10 Cooking and dementia risk4:10 Cooking frequency and skills assessment5:10 Tasks relative to preparing a meal at home6:10 Encourage home cooking6:30 Asymptomatic aortic stenosis treatment7:30 Replace valve before symptoms8:30 Trained cardiologist can grade9:10 Pediatric sepsis in U.S. hospitals10:17 About 51,000 cases11:17 Adult criteria may not be in EHR12:29 End

Tales from the Heart
Are You Really Asymptomatic? Rethinking HCM Symptoms and Testing

Tales from the Heart

Play Episode Listen Later Feb 6, 2026 52:13


Host Lisa Salberg is joined by Dr. Milind Desai of Cleveland Clinic to discuss new research challenging how hypertrophic cardiomyopathy patients define “asymptomatic.” They break down what long-term data and stress testing reveal about hidden symptoms, why follow-up matters even when you feel well, and how new therapies are reshaping care during a rapidly evolving era in HCM treatment.   This conversation was recorded Jan. 30, 2026.

Urgentology by EB Medicine
Asymptomatic Hypertension

Urgentology by EB Medicine

Play Episode Listen Later Jan 26, 2026 15:10


In this episode, Tracey Davidoff, MD and Joe Toscano, MD discuss the December 2025 Evidence-Based Urgent Care article, An Evidence-Based Approach to Asymptomatic Hypertension in Urgent CareEpisode Overview: Asymptomatic HypertensionNew Guidelines and RecommendationsUnderstanding Blood Pressure NumbersEnd Organ Damage: The BARKH AcronymSafe Management of High Blood PressureLifestyle Modifications for HypertensionMedication Management in Urgent CareMeasuring Blood Pressure CorrectlySpecial Considerations: Pregnancy and HypertensionConclusion and Takeaways???? Subscribers, take the CME test here.✅️ Not a subscriber? Join here!

md takeaways hypertension cme asymptomatic evidence based approach joe toscano
Primary Care Update
Episode 198: Tirzepatide, using Beers, stent for carotid stenosis, and high dose flu vaccine

Primary Care Update

Play Episode Listen Later Jan 22, 2026 27:24


Join Mark, Kate, Henry and Gary as they discuss 4 new POEMs (Patient Oriented Evidence that Matters, studies with the potential to change practice): a summary of the evidence on tirzepatide (Zepbound) for weight loss, using the Beers list with your patients, high vs standard dose flu vaccine and the risk of hospitalization, and whether stent or endarterectomy are better than maximal medical therapy for patients with asymptomatic carotid stensosis. Here are the links:Essential Evidence Plus: www.essentialevidenceplus.comTirzepatide systematic review: https://pubmed.ncbi.nlm.nih.gov/41015578/ Tirzepatide vs dulaglutide: https://pubmed.ncbi.nlm.nih.gov/41406444/Applying the Beers list: https://pubmed.ncbi.nlm.nih.gov/40697073/ High vs standard dose flu vaccine: https://pubmed.ncbi.nlm.nih.gov/41115437/ Another high dose flu trial: https://pubmed.ncbi.nlm.nih.gov/39230284/ Asymptomatic carotid stenosis treatment: https://pubmed.ncbi.nlm.nih.gov/41269206/

The AOFAS Orthopod-Cast
Meet the 2025 Leonard Goldner Award Winner: Metabolic Activity at the Bone-Implant Interface Following Total Ankle Replacement: A Two-Year Cross-Sectional Study of Asymptomatic Patients Evaluated With 18F-NaF Positron Emission Tomography

The AOFAS Orthopod-Cast

Play Episode Listen Later Nov 26, 2025 9:13


Host Dr. Ben Jackson speaks with 2025 Leonard Goldner award paper authors Drs. Elizabeth Cody and Constantine Demetracopoulos. They discuss their work on metabolic activity after total ankle replacement. For additional educational resources, visit AOFAS.org

The mindbodygreen Podcast
625: Silent drivers of neuroinflammation | Robin Rose, D.O.

The mindbodygreen Podcast

Play Episode Listen Later Nov 23, 2025 51:55


“The spike protein from COVID is a true age accelerant,” explains Robin Rose, D.O. Rose, a double board-certified gastroenterologist, internal medicine specialist, and CEO of Terrain Health, joins us today to explain how lingering viral proteins from COVID can continue to affect the gut, brain, and immune system—and what we can do to identify and address their lasting impact. - What is Long COVID? (~2:00) - How to know if you have Long COVID (~3:45) - Which biomarkers can signal Long COVID (~7:05) - Asymptomatic presentations (~13:00) - The connection to neurodegenerative diseases (~18:50) - Why this is important for everyone (~21:50) - The impact of COVID on the body (~23:55) - How to detox from Long COVID (~28:15) - The impact on the gut (~38:00) - Conversations to have with your practitioner (39:45~) - The biomarkers to test (~41:50) - Final thoughts (~48:05)    Referenced in the episode:  - Follow Rose on Instagram (dr.robinrose) - Check out her clinic, Terrain Health (https://terrainhealth.org/)  We hope you enjoy this episode, and feel free to watch the full video on YouTube! Whether it's an article or podcast, we want to know what we can do to help here at mindbodygreen. Let us know at: podcast@mindbodygreen.com. Learn more about your ad choices. Visit megaphone.fm/adchoices

The Lead Podcast presented by Heart Rhythm Society
The Lead Episode 127 A Discussion of Remote Screening for Asymptomatic Atrial Fibrillation: The AMALFI Randomized Clinical Trial

The Lead Podcast presented by Heart Rhythm Society

Play Episode Listen Later Nov 20, 2025 16:50


Join host and HRS Digital Education Committee Member Melissa Middeldorp, MPH, PhD and her guests Rod Passman, MD, FHRS, and Emma Svenberg, MD, PhD, live at HRX 2025. In this episode, we explore the AMALFI Randomized Clinical Trial, which evaluated whether remote, wearable-based screening can effectively detect asymptomatic atrial fibrillation in high-risk adults. The discussion breaks down the study design, key findings, and implications for population-level AF screening strategies. It also examines how emerging digital health tools may integrate into routine cardiovascular prevention.    Learning Objectives Describe the design, patient population, and primary outcomes of the AMALFI Randomized Clinical Trial. Evaluate the effectiveness of remote wearable monitoring compared with usual care for detecting asymptomatic atrial fibrillation. Discuss the potential clinical and health-system implications of implementing large-scale remote AF screening in high-risk populations.   Article Authors Rohan Wijesurendra, DPhil, Guilherme Pessoa-Amorim, DPhil, Georgina Buck, MSc,Charlie Harper, DPhil, Richard Bulbulia, MD, Alison Offer, PhD, Nicholas R. Jones, DPhil, Christine A'Court, MA, Rijo Kurien, MSc, Karen Taylor, MSc, Barbara Casadei, DPhil, Louise Bowman, MD.   Podcast Contributors Melissa E. Middeldorp, MPH, PhD Rod S. Passman, MD, FHRS Emma Svennberg, MD, PhD   Article for Discussion  

Cardionerds
427. The Approach to Asymptomatic Severe Aortic Stenosis with Dr. Parth Desai and Dr. Tony Bavry

Cardionerds

Play Episode Listen Later Sep 11, 2025 18:04


CardioNerds (Drs. Amit Goyal, Elizabeth Davis, and Keerthi Gondi) discuss the approach to asymptomatic severe aortic stenosis with expert faculty Drs. Parth Desai and Tony Bavry.   They review the natural history of aortic stenosis, current guidelines for treating severe aortic stenosis, multiparametric risk stratification, trial data on aortic valve replacement for patients with asymptomatic severe aortic stenosis, and a practical approach for our patients today.   This episode was supported by an educational grant from Edwards Lifesciences. All CardioNerds education is planned, produced, and reviewed solely by CardioNerds.  Enjoy this Circulation Paths to Discovery article to learn more about the CardioNerds mission and journey.  US Cardiology Review is now the official journal of CardioNerds! Submit your manuscripts here.  CardioNerds Aortic Stenosis SeriesCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron!

PT Inquest
413: MRI Findings in Symptomatic Vs. Asymptomatic UCLs

PT Inquest

Play Episode Listen Later Sep 9, 2025 57:33


On this episode we were joined by special guest physical therapist Alec Hyde from Bridge PT & Performance! Microscopic Magnetic Resonance Imaging Comparing Asymptomatic and Symptomatic Ulnar Collateral Ligament Injuries in Baseball Players Hoshika S, Matsuki K, Takeuchi Y, et al. Am J Sports Med. 2024;52(9):2314-2318. doi:10.1177/03635465241259472 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Koal Challenge – Sam Roux

Protrusive Dental Podcast
Endodontics vs Implants with Omar Ikram – PDP238

Protrusive Dental Podcast

Play Episode Listen Later Sep 4, 2025 61:39


Should we be doing more to save questionable teeth? What if you could buy more time — without compromising patient care? Dr. Omar Ikram returns for a powerful episode diving into the real-world decision-making between endodontics and implants. Together with Jaz, they explore tough scenarios — like teeth with nasty cracks or minimal remaining structure — and ask the critical question: when is it truly time to extract? They break down concepts like retained roots, root burial, amputation, and a new term Jaz introduces — palliative endodontics. Because sometimes the best outcome isn't immediate replacement, but smart, strategic delay. https://youtu.be/5msP908JvuI Watch PDP238 on Youtube Protrusive Dental Pearl: When discussing treatment longevity with older patients, tailor your language to be more relatable. Instead of saying, “I plan my dentistry to age 100,” say, “I want this to last well into your eighties or nineties.” This makes the conversation more personal and realistic, helping patients better connect with the concept of long-term outcomes. Key Takeaways Understanding the limitations of implants compared to natural teeth is vital. Medical history significantly impacts dental treatment decisions. Managing patient expectations is crucial for satisfaction. Palliative endodontics can provide temporary relief and management. Reading and interpreting CBCT scans requires skill and experience. If it's not that five millimeter defect, it's up to you. The second molar is a good one because often second molars can't be replaced with an implant. Retaining roots is definitely a good way to go. You need to risk assess the patient before extraction. Palliative endo is technically always an option. Success in endo can be often difficult to achieve. Asymptomatic and functional is a good criteria. If endo is on the table, it's feasible. Highlights of this episode: 00:00 Teaser 00:35 Introduction 01:48 Protrusive Dental Pearl 04:15 Interview with Dr. Omar Ikram: Philosophy and Growth 10:17 Endodontics vs. Implants: Treatment Planning 16:35 Antidepressants and Dental Implant Failure 19:37 Managing External Cervical Resorption (ECR) 22:30 Patient Communication 24:16 Cracks and Complications in Endodontics 29:12 Endodontic Protocol 30:50 Challenges with CBCT and Cracks 32:07 Second Molars: Retain or Extract? 35:05 Retaining Roots for Future Implants 36:21 Root Burial and Special Cases 40:08 Root Amputation: A Niche Solution 40:57 Key Signs to Rethink Root Canal Treatment 43:17 Cracked Teeth: Poor Prognosis 47:08 Stained Crack Tooth 50:19 Success vs. Survival in Endodontics 56:02 Final Thoughts and Upcoming Events Want to sharpen your endo game even further? Watch Stop Being Slow at Root Canals! Efficient RCTs with Dr Omar Ikram – PDP163 Check out Specialist Endo Crows Nest — led by Dr. Omar Ikram, offering expert care, hands-on courses, and practical tips for real-world endodontics. This episode is eligible for 1 CE credit via the quiz on Protrusive Guidance.  This episode meets GDC Outcomes A and C. AGD Subject Code: 070 ENDODONTICS (Endodontic diagnosis) Aim: To help clinicians develop a deeper understanding of when to preserve a tooth through endodontic treatment versus when to consider extraction and implant placement. Dentists will be able to - Identify key red flags that may contraindicate definitive root canal treatment. Understand the concept of palliative endodontics and how it can be used to delay or defer implant placement responsibly. Recognize the value of retained roots in maintaining alveolar bone, particularly in medically compromised or high-risk patients. #PDPMainEpisodes #EndoRestorative #BreadandButterDentistry

VETgirl Veterinary Continuing Education Podcasts
You Hear a Heart Murmur in that Dog or Cat: Now What? with Dr. Anna McManamey, DACVIM (Cardiology) | VETgirl Veterinary Continuing Education Podcasts

VETgirl Veterinary Continuing Education Podcasts

Play Episode Listen Later Jun 25, 2025 19:41


In this VETgirl veterinary continuing education podcast, we interview Dr. Anna K. McManamey, DACVIM (Cardiology) about what to do if you hear a heart murmur in a dog or cat. Asymptomatic heart diseases can be silent killers--challenging to diagnosis and treat. Tune in to learn about the five ACVIM recognized stages of canine myxomatous mitral valve disease and feline cardiomyopathy, when we should medically treat cardiac disease, and how to work these commonly diagnosed heart murmurs up in practice!Sponsored By: Boehringer Ingelheim

dogs cardiology continuing education veterinary asymptomatic dacvim acvim heart murmur education podcasts vetgirl
VETgirl Veterinary Continuing Education Podcasts
You Hear a Heart Murmur in that Dog or Cat: Now What? with Dr. Anna McManamey, DACVIM (Cardiology) | VETgirl Veterinary Continuing Education Podcasts

VETgirl Veterinary Continuing Education Podcasts

Play Episode Listen Later Jun 25, 2025


In this VETgirl veterinary continuing education podcast, we interview Dr. Anna K. McManamey, DACVIM (Cardiology) about what to do if you hear a heart murmur in a dog or cat. Asymptomatic heart diseases can be silent killers--challenging to diagnosis and treat. Tune in to learn about the five ACVIM recognized stages of canine myxomatous mitral valve disease and feline cardiomyopathy, when we should medically treat cardiac disease, and how to work these commonly diagnosed heart murmurs up in practice!Sponsored By: Boehringer Ingelheim

dogs cardiology continuing education veterinary asymptomatic dacvim acvim heart murmur education podcasts vetgirl
The Runners Zone
Episode 66: Does zero pain mean you can run?

The Runners Zone

Play Episode Listen Later Jun 16, 2025 44:44


Chris and Nathan both have new online courses for you to check out.  Nathan's course Rebuild: BSI Management https://runningmatekc.com/rebuild-bone-stress-injury-online-course/ Chris's Course: Clinical Running Essentials https://chrisjohnsonpt.com/clinical-running-essentials/ In this episode, Chris and Nathan dive into  2:00 Does an absensce of pain mean you can start running?7:00 What if a physician gives the runners a green light?11:50 The research on asymptomatic BSIs12:45 Nathan's phases of BSI rehab17:15 What if running is too important to the patient?21:00 Avoiding distractions in recovery23:00 The George article32:00 Navigating symptoms during BSI rehab39:00 Should patients avoid social media? Warden article https://pubmed.ncbi.nlm.nih.gov/33962529/ George article https://pubmed.ncbi.nlm.nih.gov/39141251/ Asymptomatic tibial BSIs https://pubmed.ncbi.nlm.nih.gov/15333349/

PodMed TT
Breast And Colorectal Cancer, And CAR-T Therapy

PodMed TT

Play Episode Listen Later Jun 6, 2025 13:19


This week's topics include treating hot flashes in breast cancer survivors, a blood test for detecting colorectal cancer, exercise to improve survival after colorectal cancer treatment and CAR-T therapy for solid tumors.Program notes:0:40 CAR-Ts for solid tumors1:40 Advanced gastric or gastroesophageal cancer2:40 Cytokine release syndrome3:22 Exercise after treatment for colorectal cancer4:23 Disease free survival superior5:23 Currently not much exercise6:23 Potential mechanisms7:10 Treating hot flashes in breast cancer survivors8:10 Neurokinin receptors9:12 A blood test to screen for colorectal cancer10:12 Asymptomatic adults11:12 Will not replace FIT or screening colonoscopy12:12 Survival advantage due to polypectomy13:19 End

Critically Speaking
Dr. Joshua Weitz: Asymptomatic COVID-19 Spreaders

Critically Speaking

Play Episode Listen Later Apr 29, 2025 32:23


In this episode, Therese Markow and Dr. Joshua Weitz discuss his book "Asymptomatic: The Silent Spread of COVID-19 and the Future of Pandemics" and his work in understanding the risk of COVID spread from as early as spring of 2020. He highlights the double-edged sword of asymptomatic infections, discusses what governments could do to help mitigate at-risk populations, and what we, as individuals, can do to help keep everyone safe. Dr. Weitz criticizes early predictions of COVID-19's disappearance by mid-2020, attributing the error to underestimated infections and behavioral changes. He emphasizes the importance of public health measures, vaccination, and testing, especially in vulnerable populations. Finally, Dr. Weitz talks about the role of asymptomatic transmission in future pandemics and the need for proactive public health investments.    Key Takeaways: Not having symptoms doesn't mean that you never had COVID-19. Nearly 50% of cases in early 2020 were asymptomatic (though that number varies by age).  There was not one single group of modelers trying to make sense of the data coming out of the pandemic. As such, different projections can come out even from the same pandemic information. For infectious diseases, our behavior is correlated with the risk.  COVID is not the flu. COVID is not gone, and we now have a double seasonal burden from both flu and COVID. If everyone is asymptomatic or it was always mild, we wouldn't worry. We wouldn't have stopped things or been so upset just by cases or infections; it was the severe ones and the number of severe cases that dictated the approach to control, as the transmission potential by asymptomatic individuals was not considered.  "The double-edged sword is good news, in some sense, for individuals, but it's bad news for populations, because many more people can be infected. They're contagious and interact with more people. When we try to think from a public health perspective, not just a personal health perspective, then we have to be concerned." —  Dr. Joshua Weitz   Connect with Dr. Joshua Weitz: Professional Bio: https://biology.umd.edu/people/dr-joshua-weitz  LinkedIn: https://www.linkedin.com/in/joshua-weitz-5866599/  Substack: http://joshuasweitz.substack.com/    Website: https://weitzgroup.umd.edu/   Book: Asymptomatic: The Silent Spread of COVID-19 and the Future of Pandemics https://www.press.jhu.edu/books/title/53730/asymptomatic   Connect with Therese: Website: www.criticallyspeaking.net Threads: @critically_speaking Email: theresemarkow@criticallyspeaking.net Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.  

ReachMD CME
Clinical Conundrums in ARIA: How to Manage Asymptomatic ARIA

ReachMD CME

Play Episode Listen Later Mar 25, 2025


CME credits: 1.25 Valid until: 25-03-2026 Claim your CME credit at https://reachmd.com/programs/cme/clinical-conundrums-in-aria-how-to-manage-asymptomatic-aria/27043/ Amyloid-related imaging abnormalities (ARIA) represent a critical challenge in the management of Alzheimer's disease (AD), requiring a collaborative, interdisciplinary approach. This program, "Clinical Conundrums: Navigating Case Scenarios in Your Own Practice Setting," offers healthcare professionals concise, case-based microlearning episodes—each approximately 5 minutes long—designed to fit seamlessly into busy schedules. With real-world scenarios and expert-led discussions, this activity provides practical strategies to address diagnostic, monitoring, and therapeutic considerations, equipping participants to optimize patient care and outcomes in their respective fields.

MeatRx
Is Your Brain Switched On? | Dr. Shawn Baker & Vanessa Spina

MeatRx

Play Episode Listen Later Mar 9, 2025 53:06


Vanessa Spina is a Sport Nutrition Specialist (SNS) and the Best Selling author of Keto Essentials. She is a researcher who studied biomedical science at the University of Toronto, an international speaker and host of the wildly popular Optimal Protein Podcast, ranked in the Top 20 podcasts in the Nutrition category in the USA and globally #1-20. It has been nominated twice as a top 3 Best Podcast at the Metabolic Health Summit.  Vanessa founded Ketogenic Girl in 2015 with online audience of over half a million. Vanessa has created three innovative wellness products. The Tone device, a breath ketone analyzer which measures acetone, the ketone detected on the breath. The second is a new red light therapy line called the Tone LUX Collection. The third is a supplement line called Tone that includes Tone Protein, a protein powder that is scientifically formulated to initiate Muscle Protein Synthesis in every serving with the addition of leucine, and the new Tone Collagen which has clinical studies (RCTs) proving its effectiveness.  She has been featured as a nutrition expert in articles published in the Orlando Sentinel, Eat This, Parade, Reader's Digest and more. Instagram: @ketogenicgirl @optimalproteinpodcast @tonedevice @thetonelux Twitter: @ketogenicgirl Website: Www.ketogenicgirl.com Timestamps: 00:00 Trailer 01:12 Introduction 04:09 Children's innate eating wisdom 07:44 Rising awareness of food quality 10:29 European dietary habits and trends 15:02 Carnivore diet ended my food obsession 17:49 Revamped keto focus on ketones 19:03 Asymptomatic progress and protein satiety 22:26 MCT and ketone supplements for focus 27:36 Ketones: alternative brain fuel 31:53 High-fat foods and nutrition 33:23 Balanced diet preference over carnivore 38:02 Drunken attempt to avoid onions 41:05 New book on high-protein diets 44:28 Whey protein and insulin response 46:23 Whey protein isolate benefits 51:02 Red meat misconceptions persist 52:55 Where to find Vanessa Join Revero now to regain your health: https://revero.com/YT Revero.com is an online medical clinic for treating chronic diseases with this root-cause approach of nutrition therapy. You can get access to medical providers, personalized nutrition therapy, biomarker tracking, lab testing, ongoing clinical care, and daily coaching. You will also learn everything you need with educational videos, hundreds of recipes, and articles to make this easy for you. Join the Revero team (medical providers, etc): https://revero.com/jobs ‪#Revero #ReveroHealth #shawnbaker  #Carnivorediet #MeatHeals #AnimalBased #ZeroCarb #DietCoach  #FatAdapted #Carnivore #sugarfree Disclaimer: The content on this channel is not medical advice. Please consult your healthcare provider.

JACC Podcast
Aortic Valve Replacement vs Clinical Surveillance in Asymptomatic Severe Aortic Stenosis: A Systematic Review and Meta-Analysis | JACC

JACC Podcast

Play Episode Listen Later Mar 3, 2025 72:25


In this episode, Dr. Valentin Fuster summarizes the March 11, 2025 issue of the JACC, which features groundbreaking research on transcatheter aortic valve replacement (TAVR) and its expanding applications. The podcast delves into the latest studies on TAVR's impact on heart failure patients, the need for better patient selection, and how new findings are shaping the future of aortic stenosis treatment.

Mind & Matter
Public Health & Trust in Science in the Post-COVID Era | Martin Kulldorff | 210

Mind & Matter

Play Episode Listen Later Feb 26, 2025 38:03


Send us a textShort Summary: Insider's look at the COVID-19 pandemic response from a seasoned epidemiologist, unraveling myths and lessons with straightforward science.About the guest: Martin Kulldorff, PhD is an epidemiologist and biostatistician with decades of experience in infectious disease monitoring and vaccine safety. He was formerly a professor at Harvard Medical School. Note: Podcast episodes are fully available to paid subscribers on the M&M Substack. Partial versions are available elsewhere. Full transcript and other information on Substack.Episode Summary: Dr. Martin Kulldorff discusses the COVID pandemic response, reflecting on the controversial Great Barrington Declaration, which opposed lockdowns in favor of protecting the vulnerable. They explore the virus's fatality rates, asymptomatic spread, and vaccine efficacy, contrasting textbook epidemiology with real-world decisions. He critiques institutional failures, like the CDC's misleading claims. He shares optimism for future pandemics with better leadership and public awareness.Key Takeaways:Lockdowns ignored basic public health principles, causing collateral damage like missed cancer screenings, while Sweden's focused protection approach led to lower excess mortality.Early data showed COVID's risk was 1000x higher for older people, yet lockdowns didn't prioritize them, unlike textbook strategies.Asymptomatic spread made containment impossible, unlike Ebola, where isolation works due to clear symptoms.Natural immunity was downplayed despite 2500 years of evidence, leading to wasted vaccines on those already immune.CDC falsely claimed vaccines stopped transmission, eroding trust when people got sick anyway, fueling vaccine skepticism.mRNA vaccine boosters lack proper trials, and their long-term effects need rigorous study, not assumptions.Kulldorff's new Journal of the Academy of Public Health pushes open peer review to rebuild trust in science.Related episode:M&M #100: Infectious Disease, Epidemiology, Pandemics, Health Policy, COVID, Politicization Support the showAll episodes, show notes, transcripts, etc. at the M&M Substack Affiliates: Lumen device to optimize your metabolism for weight loss or athletic performance. Use code MIND for 10% off. Readwise: Organize and share what you read. Athletic Greens: Comprehensive & convenient daily nutrition. Free 1-year supply of vitamin D with purchase. KetoCitra—Ketone body BHB + potassium, calcium & magnesium, formulated with kidney health in mind. Use code MIND20 for 20% off any subscription. MASA Chips—delicious tortilla chips made from organic corn and grass-fed beef tallow. No seed oils or artificial ingredients. Use code MIND for 20% off. For all the ways you can support my efforts

Dr. Baliga's Internal Medicine Podcasts
The EVOLVED Trial - Early Intervention in Patients With Asymptomatic Severe Aortic Stenosis and Myocardial Fibrosis

Dr. Baliga's Internal Medicine Podcasts

Play Episode Listen Later Feb 17, 2025 2:23


The EVOLVED trial investigated whether early aortic valve intervention could improve outcomes in asymptomatic patients with severe aortic stenosis and myocardial fibrosis. The randomized, multicenter study of 224 patients found no significant difference in all-cause mortality or unplanned aortic stenosis-related hospitalizations between early intervention and guideline-directed conservative management. However, early intervention was associated with lower rates of NYHA class II-IV symptoms and fewer unplanned hospitalizations. The trial highlights the potential symptomatic benefits of early intervention but underscores the need for further research to assess long-term outcomes.

Dr. Baliga's Internal Medicine Podcasts
Early Intervention in Asymptomatic Aortic Stenosis?

Dr. Baliga's Internal Medicine Podcasts

Play Episode Listen Later Feb 17, 2025 4:47


Recent randomized trials, including EARLY TAVR, AVATAR, RECOVERY, and EVOLVED, suggest benefits of early aortic valve replacement (AVR) in asymptomatic severe aortic stenosis (AS). Early AVR reduces stroke, heart failure hospitalizations, and cardiovascular events, with a trend toward improved survival. The data support shifting from clinical surveillance to early intervention?

CRTonline Podcast
EVOLVED: Early Intervention in Patients with Asymptomatic Severe Aortic Stenosis and Left Ventricular Myocardial Fibrosis

CRTonline Podcast

Play Episode Listen Later Jan 7, 2025 19:00


EVOLVED: Early Intervention in Patients with Asymptomatic Severe Aortic Stenosis and Left Ventricular Myocardial Fibrosis

Emergency Medical Minute
Episode 938: AHA Policy on Management of Elevated Blood Pressure (BP) in the Acute Care Setting

Emergency Medical Minute

Play Episode Listen Later Jan 6, 2025 2:19


Contributor: Aaron Lessen, MD Educational Pearls: Many patients present to the ED with elevated BP Many are referred from outpatient surgery centers or present after an elevated measurement at home Persistent questions on the best way to treat these patients The AHA published a scientific statement on the management of elevated BP in the acute care setting Hypertensive emergencies: SBP/DBP >180/110–120 mm Hg with evidence of new or worsening target-organ damage Includes aortic dissection or subarachnoid hemorrhage  Require aggressive treatment Asymptomatic markedly elevated inpatient BP: SBP/DBP >180/110–120 mm Hg without evidence of new or worsening target-organ damage AND asymptomatic elevated inpatient BP: SBP/DBP ≥130/80 mm Hg without evidence of new or worsening target-organ damage No benefits to urgent treatment in the ED, but there are harms to treating patients in this manner These patients do not require IV medications  Provide reassurance and instructions on following up with their PCP to manage their BP in the outpatient setting Removed the term “hypertensive urgency” References Bress AP, Anderson TS, Flack JM, et al. The Management of Elevated Blood Pressure in the Acute Care Setting: A Scientific Statement From the American Heart Association. Hypertension. 2024;81(8). doi:https://doi.org/10.1161/hyp.0000000000000238 Summarized by Meg Joyce, MS1 | Edited by Meg Joyce & Jorge Chalit, OMS3  Donate: https://emergencymedicalminute.org/donate/  

JAMA Editors' Summary: On research in medicine, science, & clinical practice. For physicians, researchers, & clinicians.
Asthma Inhaled Reliever Therapies, Asymptomatic Aortic Valve Replacement, Review on Peptic Ulcer Disease, and more

JAMA Editors' Summary: On research in medicine, science, & clinical practice. For physicians, researchers, & clinicians.

Play Episode Listen Later Nov 1, 2024 9:27


Editor's Summary by Kirsten Bibbins-Domingo, PhD, MD, MAS, Editor in Chief, and Preeti Malani, MD, MSJ, Deputy Editor of JAMA, the Journal of the American Medical Association, for articles published from October 26-November 1, 2024.

JournalFeed Podcast
AHA On Asymptomatic HTN | Discharged Severe HTN Outcomes

JournalFeed Podcast

Play Episode Listen Later Oct 26, 2024 12:03


The JournalFeed podcast for the week of Oct 21-25, 2024.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Monday Spoon Feed:This article emphasizes the difference between hypertensive emergency and asymptomatic elevated blood pressure (BP). While hypertensive emergency requires prompt treatment to lower BP, treatment of asymptomatic elevated BP in acute care settings may be harmful. Tuesday Spoon Feed: This was a multi-hospital retrospective study of patients who presented to the emergency department with severe hypertension without end organ damage. The authors found that the 1 year rate of major adverse cardiovascular events (MACE) was 15.5%.

Heavy Lies the Helmet
Episode 123 - To Treat or Not to Treat: Hypertension

Heavy Lies the Helmet

Play Episode Listen Later Oct 21, 2024 60:03


It can be difficult to determine whether you should treat undifferentiated hypertension or not. Many clinicians are distracted the number rather than focusing on the patient in front of them. Asymptomatic hypertension, in particular, is often benign. In fact, treating asymptomatic hypertension in a patient who a primary medical history of hypertension can harm them. In this podcast, we discuss these adverse effects related to blood pressure physiology, acute versus chronic hypertension, and how you can determine whether anti-hypertensives or other forms of therapy are indicated. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: The views, information, or opinions expressed on the Heavy Lies the Helmet podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information available for listening on this platform. The primary purpose of this series is to educate and inform, but it is not a substitute for your local laws, medical direction, or sound judgment. --------------------------------------------  Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com

JACC Podcast
Asymptomatic versus symptomatic hypotension with sacubitril/valsartan in heart failure and reduced ejection fraction in PARADIGM-HF

JACC Podcast

Play Episode Listen Later Oct 21, 2024 10:25


In this episode, researchers explore how asymptomatic versus symptomatic hypertension affects heart failure patients on sacubitril valsartan, finding that both types are linked to worse outcomes, but the drug's benefits remain strong, suggesting clinicians should avoid stopping treatment based solely on blood pressure.

Optimize Your Flo
Is It Possible to Have an Asymptomatic Pregnancy? Pregnancy Update Episode 2

Optimize Your Flo

Play Episode Listen Later Sep 27, 2024 27:35


Discover the Secret to Peaceful, Predictable, & PMS Free Periods Here! If you enjoyed today's episode, make sure you leave a rating and review! Want to support the show even more? Grab Berri a Coffee! Mentioned in today's episode: Prenatal Berri's Taking Recommended Website for Pregnancy Support Equipment Berri's Breast Pump Berri's Compression Socks Berri's Pregnancy Support Band Connect with Berri Berri's YouTube Berri's Instagram Berri's TikTok

WudUpDoe Podcast
Episode 379: Asymptomatic Idiots

WudUpDoe Podcast

Play Episode Listen Later Sep 7, 2024 49:15


Wudupdoe! This week, topics include - Coworker drama - Amazon delivery gone bad - Getting fit - Covid is still around eh? and more

Clinical Chemistry Podcast
The Era of Early Detection and Treatment of Brain Amyloid Deposition in Asymptomatic Individuals?

Clinical Chemistry Podcast

Play Episode Listen Later Aug 29, 2024 16:32


National STD Curriculum
Can LGV Be Asymptomatic?

National STD Curriculum

Play Episode Listen Later Aug 12, 2024 12:46 Transcription Available


This episode discusses four recent articles about lymphogranuloma venereum (LGV) including the effectiveness of a 7-day doxycycline course and the increasing prevalence of asymptomatic LGV in the era of HIV PrEP. View episode transcript and references at www.std.uw.edu.This podcast is dedicated to an STD [sexually transmitted disease] review for health care professionals who are interested in remaining up-to-date on the diagnosis, management, and prevention of STDs. Editor and host Dr. Meena Ramchandani is an Assistant Professor of Medicine at the University of Washington (UW) and Program Director of the UW Infectious Diseases Fellowship Program. 

Behind The Knife: The Surgery Podcast
BTK Vascular Surgery Oral Board Review – Sample Episode 3 - Asymptomatic Carotid Stenosis

Behind The Knife: The Surgery Podcast

Play Episode Listen Later Aug 1, 2024 18:28


Our Vascular Surgery Oral Board Audio Review includes 72 high-yield scenarios that cover the majority of the VSCORE topics designed for Vascular Surgeons by Vascular Surgeons.   Scenarios are 5 to 7 minutes long and include a variety of tactics and styles. If you are able to achieve this level of performance in your preparation you are sure to pass the oral exam with flying colors. The second part introduces high-yield commentary to each scenario. This commentary includes tips and tricks to help you dominate the most challenging scenarios in addition to practical, easy-to-understand teaching that covers the most confusing topics we face as vascular surgeons. We are confident you will find this unique, dual format approach a highly effective way to prepare for the test. Learn more about the full set of 72 scenarios here: https://app.behindtheknife.org/course-details/vascular-surgery-oral-board-audio-review Our Vascular Surgery Oral Board Book is available on Amazon here: https://www.amazon.com/dp/B0CZ8ZBF83 Please visit behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  

SHEA
SHEA Journal Club Spotlight: Key Studies on Antibiotic Therapy & Asymptomatic Bacteriuria

SHEA

Play Episode Listen Later Jun 28, 2024 20:23


In this episode of The SHEA Podcast, SHEA Journal Club Chair and moderator Hannah Imlay is joined by guests Jennifer Cihlar and David Cluck to discuss two of the most impactful articles reviewed by the journal club this year. The first article, "Bacteremia From a Presumed Urinary Source in Hospitalized Adults With Asymptomatic Bacteriuria" by Advani SD, Ratz D, Horowitz JK, et al., examines the clinical implications of asymptomatic bacteriuria in hospitalized adults. The second article, "Identifying Effective Durations of Antibiotic Therapy for the Treatment of Carbapenem-resistant Enterobacterales Bloodstream Infections: A Multicenter Observational Study" by Soto CL, Hsu AJ, Lee JH, et al., explores optimal antibiotic treatment durations for these challenging infections. Join us for an in-depth discussion on the findings and clinical impacts of these studies.

treatments studies asymptomatic journal club antibiotic therapy carbapenem
Wise Traditions
473: Virus FAQs

Wise Traditions

Play Episode Listen Later May 6, 2024 50:26


How can we be sure viruses don't exist? What about the “patient 0” who transmits diseases at the start of nearly every pandemic? And do germs and microorganisms exist? What's making us sick, if not these things? Dr. Samantha and  Dr. Mark Bailey are the authors of “The Final Pandemic” and today they answer frequently asked questions about viruses. They explain how the medical community has been unable to prove that viruses make us sick or that they even exist in the first place. They also answer questions about the use of antibiotics and about whether germ theory and terrain theory can possibly coexist. Visit Sam and Mark's website: drsambailey.com Become a member of the Weston A. Price Foundation Members can get 5 free brochures "Timeless Principles of Healthy Traditional Diets" in private members space here Check out our sponsors: Nutrition Therapy Institute and Polyface Farms Two Days of Truth summit

EMCrit FOAM Feed
EMCrit 373 - Mike Weinstock with another Critical Care Bounceback: "Asymptomatic Hypertension"

EMCrit FOAM Feed

Play Episode Listen Later Apr 18, 2024 57:28