Muscular organ responsible for pumping blood through the circulatory system in most animals
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Steelers defeat The Ravens in Cardiac fashion to take the AFC North Championship Learn more about your ad choices. Visit megaphone.fm/adchoices
Global Practices in Cardiac Imaging for Cardiac Sarcoidosis Guest: Tahir Kafil, M.D. Host: Sharonne Hayes, M.D. Cardiac imaging is a cornerstone in the diagnostic work-up and management of cardiac sarcoidosis. However, indications and use of advanced cardiac imaging vary from institution to institution, and even between providers at the same institution. We conducted an international Delphi consensus study of 89 global experts in cardiac sarcoidosis to evaluate real-world clinical practices and use of advanced cardiac imaging. We developed consensus for use of advanced cardiac imaging in cardiac sarcoidosis. Areas lacking consensus were noted as priority areas for research. Topics Discussed: From a big picture perspective, how is cardiac sarcoidosis generally diagnosed? What exactly is the Delphi methodology your team used to build consensus? The suggested algorithm for imaging in suspected cardiac sarcoidosis uses pretest probability, how was that defined? Was cardiac MRI superior to PET in your study? Does one have to be first? How do experts decide how often to do follow up PET imaging in established cardiac sarcoidosis? What were areas of priority research that were identified? The research study cited by Dr. Kafil was published on June 2, 2025. Click the following link to view the paper: https://www.jacc.org/doi/full/10.1016/j.jcmg.2025.02.010 Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here.
Host McGraw Milhaven was joined by Jan Handzlik, former child star turned former federal prosecutor and now a defense attorney, to reflect on his remarkable career journey. First, Handzlik shared how his early life in Hollywood shaped his path, before transitioning into white-collar prosecution and ultimately into criminal defense, offering a rare behind-the-scenes look at both sides of the justice system. Next, Dr. Fahmi Farah, cardiologist, joined the conversation to discuss the role of aspirin in cardiovascular health. In particular, he addressed who may benefit from daily aspirin use, who should avoid it, and how evolving medical guidance is changing long-held assumptions about heart health. Then, the show lightened up with Theo Lewis Clark, Hollywood executive for a day, who returned for the weekly movie trivia segment, testing McGraw's film knowledge and engaging listeners with fun industry insights. Finally, Bill Clevin, founder of billontheroad.com, rounded out the episode by sharing travel stories and practical tips from his latest journeys across the country and beyond, offering inspiration for listeners planning their next adventure. Learn more about your ad choices. Visit podcastchoices.com/adchoices
This week we review a recent report on LV strain following the Ross operation. Can this sort of functional analysis help predict remodeling after aortic valve replacement? How can the type of Ross potentially affect heart function after the operation? Why might some parameters of LV strain improve but others not following surgery? Can preoperative strain measurements predict perioperative course? How does the addition of a Konno to a Ross change the outcomes of function? We speak with Chief of Cardiovascular Surgery at Primary Children's Hospital in Utah, Dr. S. Adil Husain and 3rd year integrated cardiac surgical resident Michal Schaffer of the University of Utah about these and other topics related to LV function following the Ross operation in children. · DOI: 10.1007/s00246-025-04124-9
To kick off the new year, Medic2Medic presents a Special Edition episode centered on survival, perspective, and purpose.In this powerful conversation, Steve sits down with career EMS professional and public safety technology leader Greg Howard, a sudden cardiac arrest survivor whose story reframes how we think about EMS, provider health, and what truly matters. With more than 25 years of experience across EMS, emergency medicine, fire service operations, and healthcare technology, Greg has helped EMS agencies nationwide improve care delivery, documentation, and data-driven decision-making. That professional journey took a deeply personal turn when Greg suffered and survived sudden cardiac arrest.This episode sets the tone for the year ahead by focusing on awareness, survivorship, and the responsibility EMS has not only to patients, but to its own people. In true Medic2Medic fashion, the conversation also takes a turn toward shared roots and relationships. Steve and Greg reflect on their Pittsburgh area EMS connections, swapping stories and names familiar to anyone shaped by that region's EMS culture. This Special New Year's Edition of Medic2Medic is a reminder that sudden cardiac arrest does not discriminate, even within EMS. It challenges listeners to start the year with intention, awareness, and renewed commitment to caring for both patients and providers.https://bit.ly/4skYJozGreg's path through EMS, flight medicine, leadership, and technologyThe experience of surviving sudden cardiac arrest as an EMS clinicianSeeing cardiac arrest care from the patient's perspective
Immediate Instantaneous Wave-Free Ratio Guided Versus Deferred Cardiac Magnetic Resonance Imaging Guided Revascularization of Non-Culprit Lesions
Bob Moats and Mike Wiemuth welcome IU historian and author Bill Murphy for a deep dive into the legendary 1967 IU football season - the "Cardiac Kids" who gave fans heart attacks every Saturday on their way to the Rose Bowl.Bill's Personal IU JourneyBill Murphy shares unforgettable stories from his youth as an IU superfan in the 1960s, including some decisions that seemed perfectly reasonable at the time. There's the 11-year-old refusing to wear his coat at halftime (mom got blamed for the loss), the 14-year-old challenging Bubba Smith to a fight outside the locker room, and the simple joy of $1 knothole tickets at a Memorial Stadium that looked completely different than it does today.Memorial Stadium and Old BloomingtonThe evolution of Memorial Stadium from its 1960 opening through the temporary bleachers era, plus what Bloomington looked like before it became a modern college town. The stadium was built to double capacity and prove IU was "a Big Ten team," while married student housing trailers sat where the south end zone parking is now. TV games were rare - maybe one per year if you were lucky - so most fans relied on radio broadcasts with Max Schumacher.John Pont's Revolutionary OffenseHow Pont's innovative system featuring dual-threat quarterbacks and remarkable player freedom created one of the most entertaining teams in IU history. Harry Gonso at 5'9" ran the option and rolled out to see over linemen, while John Isenbarger's notorious fake punts got him benched mid-game against Michigan - only to be brought back to score the winning touchdown after Gonso pleaded his case. "Punt, John, Punt!" became the rallying cry, and Terry Cole even predicted his own star performance the night before the Purdue game.The Cardiac Kids: Nine Games, Nine Near-Heart AttacksBill walks through a season where every game came down to the wire, featuring comebacks, fake punts gone wrong (and right), and a fumble on the 4-yard line that saved the season.Down 10-0 to Kentucky, scored twice in the 4th quarter (one called back, scored again anyway)Michigan: Blew 20-0 lead, Isenbarger benched for fake punt, brought back to score winning TDPurdue: Boilermakers on IU 4-yard line, 19-14, roses on the line - then the fumbleOnly blowout all season? Arizona at 42-7The 63-yard punt that sealed the Bucket Game and sent IU to PasadenaThe Forgotten 1945 Championship TeamA brief detour into the team that might deserve a share of a national title, featuring future MLB and NFL Hall of Famers returning straight from World War II. Bo McMillan had players hitchhiking from Camp Atterbury with discharge papers to make the season, and famously soaked footballs in hotel bathtubs the night before rain games. With Ted Kluszewski, Pete Pihos, and George Taliaferro on one roster, Galen Klaviyo thinks they deserve co-national champion recognition.Part 2 will cover the Rose Bowl game itself and the Branch McCracken basketball transition.On the mics: Bob Moats, Mike Wiemuth, and Bill MurphyThis episode brought to you by the Back Home Network and Homefield Apparel.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Esta semana, dedicamos una nueva sesión de Rebelión Sónica, exclusivamente a “LSD”, el nuevo álbum de la influyente banda británica, Cardiacs. Lanzado el 12 de septiembre por el sello Alphabet Business Concern, se trata del demorado último y sexto disco de estudio del grupo, tras la muerte de su líder histórico Tim Smith en 2020. Los miembros supervivientes de la agrupación y otros músicos trabajaron en el álbum doble de 17 temas bajo la tutela de Jim Smith, hermano del fallecido Tim. Junto al exmiembro Kavus Torabi -también de Gong y The Utopia Strong-, finalizaron el álbum que Smith comenzó a trabajar en 2005. "Algunas cosas son de archivo, de cuando Tim hizo algunos borradores en su estudio”, explicó Jim. "Durante todo el tiempo que estuvo enfermo, creo que tenía en la cabeza que lo terminaría al llegar a casa. Por desgracia, nunca lo acabó; así que supongo que se lo debíamos, la verdad. Ha sido un trabajo hecho con mucho cariño". Junto a Jim Smith y Torabi en el disco están el ex músico de Oceansize y Empire State Bastard, Mike Vennart (voz), Rose-Ellen Kemp (voz), Bob Leith (voz, batería) y Craig Fortnam de North Sea Radio Orchestra, quien se une a los compositores Torabi y Smith en la composición de arreglos de metales y cuerdas. “LSD” fue mezclado por Adam Noble y masterizado por Frank Arkwright en Abbey Road Studios y su edición física viene con un librillo con las letras y la historia del álbum en el texto llamado “Making Of de LSD”, además de entrevistas a personas clave involucradas en el proceso. Semana a semana, Rebelión Sónica se transmite por radio Rockaxis los jueves a las 10 y 22 horas, con la conducción de Héctor Aravena.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/MYA865. CME/MOC/AAPA/IPCE credit will be available until December 8, 2026.Hypertrophic Cardiomyopathy Care in the CMI Era: Elevating Outcomes With Cardiac Myosin Inhibitors In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an educational grant from Bristol Myers Squibb.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/MYA865. CME/MOC/AAPA/IPCE credit will be available until December 8, 2026.Hypertrophic Cardiomyopathy Care in the CMI Era: Elevating Outcomes With Cardiac Myosin Inhibitors In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an educational grant from Bristol Myers Squibb.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/MYA865. CME/MOC/AAPA/IPCE credit will be available until December 8, 2026.Hypertrophic Cardiomyopathy Care in the CMI Era: Elevating Outcomes With Cardiac Myosin Inhibitors In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an educational grant from Bristol Myers Squibb.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/MYA865. CME/MOC/AAPA/IPCE credit will be available until December 8, 2026.Hypertrophic Cardiomyopathy Care in the CMI Era: Elevating Outcomes With Cardiac Myosin Inhibitors In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an educational grant from Bristol Myers Squibb.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/MYA865. CME/MOC/AAPA/IPCE credit will be available until December 8, 2026.Hypertrophic Cardiomyopathy Care in the CMI Era: Elevating Outcomes With Cardiac Myosin Inhibitors In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an educational grant from Bristol Myers Squibb.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/MYA865. CME/MOC/AAPA/IPCE credit will be available until December 8, 2026.Hypertrophic Cardiomyopathy Care in the CMI Era: Elevating Outcomes With Cardiac Myosin Inhibitors In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported through an educational grant from Bristol Myers Squibb.Disclosure information is available at the beginning of the video presentation.
City officials and first responders are watching flood prone areas across San Diego County as our region prepares for our first winter storm of the season. CHP is launching it's maximum DUI enforcement period at 6:01 P.M. Christmas Eve. New data shows cardiac emergencies jump by about 30% on Christmas Eve. What You Need To Know To Start Your Wednesday.
Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Effect of Empagliflozin on Whole Body, Cardiac, and Renal Sympathetic Outflows in Type 2 Diabetes.
In this episode, Anthony J. Tortolani, MD, FACS, FACC, Cardiac and Thoracic Surgeon and Professor Emeritus of Clinical Cardiothoracic Surgery at Weill Cornell Medical College, discusses the realities of declining profit margins and how leaders are balancing financial pressures with clinical excellence. He explores practical applications of AI in clinical medicine, including improvements in efficiency and less invasive surgical approaches, and shares why aligning strategic vision with day-to-day tactical planning is essential for long-term success in cardiovascular care.
In this episode, we review the high-yield topic of Skeletal and Cardiac Muscle Contractions from the MSK section.Follow Medbullets on social media:Facebook: www.facebook.com/medbulletsInstagram: www.instagram.com/medbulletsofficialTwitter: www.twitter.com/medbullets
In this episode, Andrew Tang, MD, Cardiac Surgeon at Medical City Heart & Spine Hospitals, discusses the increase in open-heart surgery and what it signals about patient needs and cardiovascular care trends. He reflects on the critical role mentorship plays in surgical training and leadership development, and shares his perspective on maintaining a healthy work-life balance while navigating the demands of a high-acuity surgical career.
In this episode, Anthony J. Tortolani, MD, FACS, FACC, Cardiac and Thoracic Surgeon and Professor Emeritus of Clinical Cardiothoracic Surgery at Weill Cornell Medical College, discusses the realities of declining profit margins and how leaders are balancing financial pressures with clinical excellence. He explores practical applications of AI in clinical medicine, including improvements in efficiency and less invasive surgical approaches, and shares why aligning strategic vision with day-to-day tactical planning is essential for long-term success in cardiovascular care.
In this episode, Anthony J. Tortolani, MD, FACS, FACC, Cardiac and Thoracic Surgeon and Professor Emeritus of Clinical Cardiothoracic Surgery at Weill Cornell Medical College, discusses the realities of declining profit margins and how leaders are balancing financial pressures with clinical excellence. He explores practical applications of AI in clinical medicine, including improvements in efficiency and less invasive surgical approaches, and shares why aligning strategic vision with day-to-day tactical planning is essential for long-term success in cardiovascular care.
Today, we explore why heart attack deaths peak during the last week of December. We also learn how to enjoy the holiday season with pets ready for adoption. Plus, a local architecture studio receives a prestigious award.
Cardiac stress tests are utilized to show how the heart performs under pressure, whether that's from a walking on a treadmill or from a stress-inducing medication. In this episode, I share the key things a nurse needs to know about exercise and pharmacologic stress tests. Hit play on this episode and you'll learn: Why stress tests are ordered and what they are used to detect Key differences between exercise and cardiac stress testing Common meds used And more! ___________________ Full Transcript - Read the article and view references FREE CLASS - If all you've heard are nursing school horror stories, then you need this class! Join me in this on-demand session where I dispel all those nursing school myths and show you that YES...you can thrive in nursing school without it taking over your life! Study Sesh - Change the way you study with this private podcast that includes dynamic audio formats including podquizzes, case studies and drills that help you review and test your recall of important nursing concepts on-the-go. Free yourself from your desk with Study Sesh! NCLEX Study Plan - Not sure how to plan your NCLEX studying or which topics to focus on? Grab this free guide which details strategies based on how much time you have to prepare.
Pool Pros text questions hereIn this episode of Talking Pools, Wayne shares his harrowing experience with a cardiac event that nearly cost him his life. He discusses the support he received from his family and medical professionals, reflecting on the importance of health and recovery. The conversation then shifts to the implications of such health scares on life perspectives and the lessons learned. The hosts also delve into the complexities of insurance, particularly regarding hazmat liability in the pool service industry, emphasizing the need for proper coverage. Finally, they address communication challenges within the pool service team, highlighting the importance of clear communication with clients and among team members to ensure smooth operations and maintain trust.takeawaysWayne experienced a cardiac event that was life-threatening.The importance of immediate medical response and support from family.Health issues can change one's perspective on life.Insurance coverage is crucial for pool service businesses.Communication is key in maintaining client relationships.Employees must be responsible and communicate effectively.Trust between employers and employees is essential.Health scares can serve as wake-up calls for better self-care.Proper training and communication can prevent misunderstandings.It's important to engage with listeners and share experiences.Sound Bites"I am the walking dead right now""It's the weird stuff that happens""You can't babysit your employees"Chapters00:00Wayne's Health Scare: A Personal Journey05:51Recovery and Reflections on Life11:30Understanding Cardiac Events and Their Impact14:36Insurance Insights: Protecting Your Business20:39Communication Challenges in Pool Service32:31Navigating Employee Responsibility and Trust Roof Top Innovations the leading Roofing Company in Waco, Tomball surrounding areasWe focus on all types of roofing systems, with a focus on the best quality possible.Support the showThank you so much for listening! You can find us on social media: Facebook Instagram Tik Tok Email us: talkingpools@gmail.com
In this interview with an experienced cardiac nurse, we break down the heart health risks cyclists should understand, especially as we get older. You'll learn the clear difference between AFib (often manageable) and VFib (a medical emergency), why endurance athletes can be more prone to AFib, and how to reduce risk with smart, consistent training and better habits around hydration, sleep, stress, alcohol, and caffeine. We also cover what to do if you feel palpitations on a ride, including when to stop, when to get checked, and when to call 999. This is education, not medical advice, so always speak to your GP if symptoms are recurring or worrying.
In this episode of The Cardiac Recovery Room, moderator Vicki Morton, Director of Clinical and Quality Outcomes at Providence Anesthesiology Associates in North Carolina, USA, spoke with Alexander Gregory, a cardiovascular anesthesiologist and assistant professor in the Department of Anesthesiology, Perioperative and Pain Medicine, and the Libin Cardiovascular Institute at the Cumming School of Medicine, University of Calgary, Canada, and Dr. V. Seenu Reddy, a cardiothoracic surgeon at HCA's TriStar Cardiovascular Surgery in Nashville, Tennesee, USA, about the 10 things they hate about Enhanced Recovery After Surgery (ERAS). Chapters 00:00 Introduction 01:38 Overcomplication 05:29 Simple Barriers 08:54 Change Obstructionists 10:52 Status Quo 12:49 Messing with Protocol 14:21 Giving Up on Protocol 16:48 Need for Patient-Reported Outcomes 19:18 Struggle Into Cardiac Subspecialty 21:30 Takeaways The goal of this discussion was to identify specific challenges and propose potential solutions. They emphasize the importance of having two leaders—a champion and a co-champion—to effectively guide ERAS initiatives. Additionally, they discuss creating standing orders and issues related to microbarriers and resistance to change. They also highlight the need for customization of protocols, acknowledging the differences between surgeons who utilize ERAS and those who do not, as well as the tendency to maintain the status quo. Patient perspectives are another key focus, with a call to implement changes that enhance tracking and monitoring of patient outcomes. Furthermore, they explore the role of technology designed for patients, as well as applying ERAS principles to surgeries that fall “outside of the box.” The Cardiac Recovery Room is the place to hear the conversations colleagues are having after the meetings. Each month, a new episode will be released featuring a leadership panel from the ERAS Cardiac Society. Disclaimer The information and views presented on CTSNet.org represent the views of the authors and contributors of the material and not of CTSNet. Please review our full disclaimer page here.
New research shows that people with untreated sleep apnea experience a sharp nighttime drop in blood vessel function driven by the circadian system, increasing vulnerability to heart attacks and other cardiac events In a tightly controlled sleep-lab study, participants' arteries showed their worst ability to dilate around 3:00 a.m., revealing an 82% decline in vascular function during the biological night This impairment persisted even after adjusting for blood flow, sleep quality, and apnea severity, confirming the circadian system — not behavior or breathing events — directly weakens vascular health at night The findings help explain why people with sleep apnea experience more nighttime cardiac events, contrasting with the general population's morning peak in heart attacks and sudden cardiac death Researchers emphasize that understanding circadian timing may help refine cardiovascular treatments for sleep apnea patients, including optimizing medication schedules to enhance nighttime vascular protection
In this episode, the CardioNerds (Dr. Natalie Tapaskar, Dr. Jenna Skowronski, and Dr. Shazli Khan) discuss the process of heart transplantation from the initial donor selection to the time a patient is discharged with Dr. Dave Kaczorowski and Dr. Jason Katz. We dissect a case where we understand criteria for donor selection, the differences between DBD and DCD organ donors, the choice of vasoactive agents in the post-operative period, complications such as cardiac tamponade, and the choice of immunosuppression in the immediate post-operative period. Most importantly, we highlight the importance of multi-disciplinary teams in the care of transplant patients. Audio editing for this episode was performed by CardioNerds Intern, Dr. Julia Marques Fernandes. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls When thinking about donor selection, you need to consider how much physiologic stress your recipient can tolerate, and this may guide your selection of “higher risk” or “lower risk” donors. The use of DCD donors has increased the potential donor pool and shortened waitlist times with very similar perioperative outcomes to DBD transplantation. Post-operative critical care management rests on a fundamental principle to apply as much inotropic/vasoactive therapy as needed to achieve some reasonable physiologic hemostasis, and then getting “the heck out of the way!” There are no standard regimens as practices vary across centers, but rest on providing adequate RV support, maintaining AV synchrony, and early resuscitation. The RV is fickle and doesn't take a joke too well. RV dysfunction post-transplant is important to watch for, and it can be transient or require aggressive support. Don't miss assessing for cardiac tamponade which can require surgical evacuation- “where there's space, that space can be filled with fluid.” Induction immunosuppression post-transplant varies across centers, but some considerations for use may include (1) high sensitization of the patient, (2) high risk immunologic donor-recipient matching, and (3) recipient renal dysfunction to provide a calcineurin inhibitor (CNI) sparing regimen long term. Management of heart transplant patients is a multi-disciplinary effort that requires coordination amongst heart failure/transplant cardiologists, cardiac surgeons, anesthesiologists, pathology/immunologists and a slew of ancillary services. Without a dynamic and collaborative team, successful cardiac transplantation could not be possible. Notes Notes: Notes drafted by Dr. Natalie Tapaskar What are the basic components of donor heart selection? In practicality, it can be a very inexact science, but we use some basic selection criteria such as: (1) size matching (2) ischemic time (3) donor graft function (4) immunologic compatibility (5) age of the potential donor and recipient (6) severity of illness of the recipient (7) regional variation in donor availability When thinking about accepting older donors (>50 years old), we ideally would screen for donor coronary disease and try to keep ischemic times as short as possible. We may accept an older donor for a recipient who is highly sensitized, which leaves a smaller potential donor pool. There is no clear consensus on size matching, but the predicted heart mass is most used. We are generally more comfortable oversizing than under-sizing donor hearts. Serial echocardiography is important in potential donors as initially reduced ejection fractions can improve on repeat testing, and these organs should not be disregarded automatically. For recipients who are more surgically complex, (i.e. multiple prior sternotomies or complex anatomy), it's probably preferable to avoid older donors with some graft dysfunction and favor donors with shorter ischemic times. What is the difference between DBD and DCD? DBD is donation after brain death- these donors meet criteria for brain death. Uniform Determination of Death Act 1980: the death of an individual is The irreversible cessation of circulatory and respiratory functions or The irreversible cessation of all functions of the entire brain, including those of the brain stem DCD is donation after circulatory death- donation of the heart after confirming that circulatory function has irreversibly ceased. Only donors in category 3 of the Maastricht Classification of DCD donors are considered for DCD donations: anticipated circulatory arrest (planned withdrawal of life-support treatment). DCD hearts can be procured via direct procurement or normothermic regional perfusion (NRP). The basic difference is the way the hearts are assessed, either on an external circuit or in the donor body. For the most complex recipient, DCD may not be utilized at some centers due to concern for higher rates of delayed graft function, but this is center specific and data is still evolving. What are some features surgeons consider when procuring the donor heart? Visual assessment of the donor heart is key in DBD or NRP cases. LV function may be hard to assess, but visually the RV can be inspected. Palpation of the coronary arteries is important to assess any calcifications or abnormalities. Ventricular arrhythmias at the time of procurement may be concerning. Key considerations in the procurement process: (1) Ensuring the heart remains decompressed at all times and doesn't become distended (2) adequate cardioplegia delivery (3) aorta is cross-clamped properly all the way across the vessel (4) avoiding injury to adjacent structures during procurement What hemodynamic parameters should we monitor and what vasoactive agents are used peri-heart transplant? There is no consensus regarding vasoactive agent use post-transplant and practice varies across institutions. Some commonly seen regimens may include: (1) AAI pacing around 110 bpm to support RV function and preserve AV synchrony (2) inotropic agents such as epinephrine and dobutamine to support RV function (3) pulmonary vasodilators such as inhaled nitric oxide to optimize RV afterload Early post-transplant patients tend to have low cardiac filling pressures and require preload monitoring and resuscitation initially. Slow weaning of inotropes as the patient shows signs of stable graft function and hemodynamics. RV dysfunction may manifest as elevated central venous pressure with low cardiac index or hypotension with reducing urine output. Optimize inotropic support, volume status, metabolic status (acidosis and hypoxia), afterload (pulmonary hypertension), and assess for cardiac tamponade. Tamponade requires urgent take-back to the operating room to evacuate material. Refractory RV failure requires mechanical circulatory support, with early consideration of VA-ECMO. Isolated RV MCS may be used in the right clinical context. Why do pericardial effusions/cardiac tamponade happen after transplant? They are not uncommon after transplant and can be due to: Inherent size differences between the donor and recipient (i.e. if the donor heart is much smaller than the recipient's original heart) Bleeding from suture lines and anastomoses, pacing wires, and cannulation sites Depending on the hemodynamic stability of the patient and the location of the effusion, these effusions may require urgent return to the OR for drainage/clot evacuation via reopening the sternotomy, mini thoracotomy, and possible pericardial windows. What are the basics of immunosuppression post-transplant? Induction immunosuppression is variably used and is center-specific. Considerations for using induction therapy may include: (1) high sensitization of the patient (2) younger patients or multiparous women with theoretically more robust immune systems (3) crossing of recipient antibodies with donor antigens (3) renal function to provide a CNI sparing regimen long term Some considerations for avoiding induction may include: (1) older age of the recipient (2) underlying comorbid conditions such as infections or frailty of the recipient What are expected activity restrictions post-transplant? Sternal precautions are important to maintain sternal wire integrity. Generally avoiding lifting >10 pounds in the first 4-12 weeks, no driving usually in the first 4 weeks, monitoring for signs and symptoms of wound infections, and optimizing nutrition and physical activity. Cardiac rehabilitation is incredibly important as soon as feasible. References Kharawala A , Nagraj S , Seo J , et al. Donation after circulatory death heart transplant: current state and future directions. Circ: Heart Failure. 2024;17(7). doi: 10.1161/circheartfailure.124.011678 Copeland H, Knezevic I, Baran DA, et al. Donor heart selection: Evidence-based guidelines for providers. The Journal of Heart and Lung Transplantation. 2023;42(1):7-29. doi:10.1016/j.healun.2022.08.030 Moayedifar R, Shudo Y, Kawabori M, et al. Recipient Outcomes With Extended Criteria Donors Using Advanced Heart Preservation: An Analysis of the GUARDIAN-Heart Registry. J Heart Lung Transplant. 2024;43(4):673-680. doi:10.1016/j.healun.2023.12.013 Kharawala A, Nagraj S, Seo J, et al. Donation After Circulatory Death Heart Transplant: Current State and Future Directions. Circ Heart Fail. 2024;17(7):e011678. doi:10.1161/CIRCHEARTFAILURE.124.011678 Copeland H, Hayanga JWA, Neyrinck A, et al. Donor heart and lung procurement: A consensus statement. J Heart Lung Transplant. 2020;39(6):501-517.
Erwan Donal, MD, PhD / Nina Ajmone Marsan, MD, PhD - At the Cutting Edge of ATTR-CM: How Can We Leverage Advances in Multimodality Cardiac Imaging and Artificial Intelligence to Modernise Diagnosis and Monitoring?
Commentary by Dr. Jian'an Wang.
Commentary by Dr. Jian'an Wang.
Commentary by Dr. Peter van der Meer.
Dr. Centor discusses complications of cardiac implantable electronic devices with Dr. Peter Zimetbaum.
From the Evidence-based Perioperative Medicine (EBPOM) Conference in Dingle, Ireland, Desiree Chappell and Sol Aronson are joined by Alex Mittnacht, President and Founding Director, International Academy of Cardiac Anaesthesiologists (IACA), and Vice Chair of Anesthesiology and Chief of Pediatric and Adult Cardiac Anesthesia at Westchester Medical Center, New York, USA. Dr Mittnacht shares his fascinating professional journey and delves into the intricacies of paediatric cardiac anaesthesia, including its evolving training pathways, workforce challenges, and the increasing demands for specialized care. Discover how multidisciplinary care and the proper training of anaesthesiologists are crucial for effective patient management, particularly for those with congenital heart disease. What is future of this essential medical specialty?
With Joao Felipe Fernandes, King's College London, London - UK and Debbie Zhao, The University of Auckland, Auckland - New Zealand. Link to European Heart Journal paper Link to European Heart Journal editorial
Angela talks to special guest Dr Darshan Shah, M.D, about the multifaceted world of longevity and health optimisation. They delve into essential biomarkers for assessing longevity, including inflammation levels, metabolic health, and cognitive function, while emphasising the importance of a holistic approach to well-being. Dr. Shah also discusses the complexities surrounding LDL cholesterol, the significance of lifestyle factors like exercise and diet, and the role of hormone replacement therapy for women navigating menopause KEY TAKEAWAYS: Holistic Approach to Longevity: Longevity is not just about extending lifespan but also about enhancing health-span, which includes mental, physical, and emotional well-being Individualised Assessment of LDL: LDL cholesterol levels should be interpreted in the context of individual health Importance of Lifestyle Interventions: Lifestyle factors, including regular exercise, a balanced diet rich in whole foods, adequate sleep, and stress management, are foundational for improving health and reducing the risk of chronic diseases Role of Hormone Replacement Therapy: Hormone replacement therapy can significantly benefit women during perimenopause and menopause, improving metabolic biomarkers and overall health TIMESTAMPS AND KEY TOPICS: [00:04:05] LDL cholesterol's individual impact. [00:08:14] Cardiac risk biomarkers explained. [00:10:58] Lifestyle changes for plaque reduction. [00:23:08] Midlife metabolic health strategies. [00:24:37] Glucose spikes and metabolic health. [00:32:57] Liver detoxification myths. [00:35:13] Leaky gut and gut health. [00:45:48] Early cancer detection tools VALUABLE RESOURCES Join The High Performance Health Community Click here for discounts on all the products I personally use and recommend A BIG thank you to our sponsors who make the show possible ABOUT THE HOST Angela Foster is an award winning Nutritionist, Health & Performance Coach, Speaker and Host of the High Performance Health podcast. A former Corporate lawyer turned industry leader in biohacking and health optimisation for women, Angela has been featured in various media including Huff Post, Runners world, The Health Optimisation Summit, BrainTap, The Women's Biohacking Conference, Livestrong & Natural Health Magazine. Angela is the creator of BioSyncing®️ a blueprint for ambitious entrepreneurial women to biohack their health so they can 10X how they show up in their business and their family without burning out. CONTACT DETAILS Instagram Facebook LinkedIn Disclaimer: The High Performance Health Podcast is for general information purposes only and do not constitute the practice of professional or coaching advice and no client relationship is formed. The use of information on this podcast, or materials linked from this podcast is at the user's own risk. The content of this podcast is not intended to be a substitute for medical or other professional advice, diagnosis, or treatment. Users should seek the assistance of their medical doctor or other health care professional for before taking any steps to implement any of the items discussed in this podcast. This Podcast has been brought to you by Disruptive Media. https://disruptivemedia.co.uk/
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/RCF865. CME/AAPA credit will be available until December 8, 2026.Contemporary Insights on Diagnosing and Treating Transthyretin Cardiac Amyloidosis: How I Think, How I Treat In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from BridgeBio Pharma, Inc.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/RCF865. CME/AAPA credit will be available until December 8, 2026.Contemporary Insights on Diagnosing and Treating Transthyretin Cardiac Amyloidosis: How I Think, How I Treat In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from BridgeBio Pharma, Inc.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/AAPA information, and to apply for credit, please visit us at PeerView.com/RCF865. CME/AAPA credit will be available until December 8, 2026.Contemporary Insights on Diagnosing and Treating Transthyretin Cardiac Amyloidosis: How I Think, How I Treat In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from BridgeBio Pharma, Inc.Disclosure information is available at the beginning of the video presentation.
Carolina Panthers play by play commentator Anish Shroff joins the show and gives us the insider's perspective on the kitty cats. He speaks on Bryce Young's growth at quarterback, the Panthers' rollercoaster year, and what they need to do to win the NFC South.
Join Tina Baykaner, MD, MPH, HRS Digital Education Committee Vice-Chair, and her guests Mikhael F. El-Chami, MD, FHRS and Devi G. Nair, MD, FHRS for this week's Lead episode. This article summarizes the worldwide experience retrieving chronically implanted active helix-fixation leadless ventricular pacemakers (the Aveir/Abbott platform) across regulatory clinical trials. The authors assess real-world feasibility, procedural techniques, success rates, and complications of retrieval after long dwell times, demonstrating that devices can be removed safely and effectively even years after implant—up to about 9 years in follow-up. Overall, chronic retrieval success remained high with a low rate of serious adverse events, supporting helix-fixation leadless systems as a manageable long-term pacing strategy when replacement or removal is needed. Learning Objectives Explain the clinical indications for chronic retrieval of helix-fixation leadless pacemakers and how these differ from tine-fixation platforms. Summarize the reported worldwide chronic retrieval success rates, implant-duration range, and key procedural or anatomic reasons for retrieval failure. Identify practical procedural considerations (e.g., docking-button access, retrieval catheter use, imaging support) that improve the likelihood of safe long-term leadless pacemaker removal. Article for Discussion: Worldwide Chronic Retrieval Experience of the Helix Fixation Leadless Cardiac Paccemaker Article Authors and Podcast Contributors Article Authors Derek V. Exner, Reinoud E. Knops, Daniel J. Cantillon, Pascal Defaye, Rajesh Banker, Paul Friedman, Chris Hubbard, Stephanie M. Delgado, Anuradha Bulusu, and Vivek Y. Reddy Podcast Contributors Tina Baykaner, MD, MPH Mikhael F. El-Chami, MD, FHRS Devi G. Nair, MD, FHRS Faculty Disclosures Host Disclosure(s): T. Baykaner •Honoraria/Speaking/Consulting: Volta Medical, Medtronic, Pacemate, Johnson and Johnson, Abbot Medical, Boston Scientific •Research: NIH Contributor Disclosure(s): M. El-Chami •Research: Medtronic, Boston Scientific •Speaking/Teaching/Consulting: Medtronic, Boston Scientific D. Nair •Speaking/Teaching/Consulting: Sieman's Healthineers •Membership on Advisory Committees: Biosense Webster, Medtronic, Abbott Medical, Boston Scientific Staff Disclosure(s) (note: HRS staff are NOT in control of educational content. Disclosures are provided solely for full transparency to the learner): S. Sailor: No relevant financial relationships with ineligible companies to disclose.
Interview with Alfred E. Buxton, MD, and Marie-France Poulin, MD, authors of Mechanisms Underlying Alterations in Cardiac Conduction After Transcatheter Aortic Valve Replacement. Hosted by Kristen K. Patton, MD. Related Content: Mechanisms Underlying Alterations in Cardiac Conduction After Transcatheter Aortic Valve Replacement
In March 2022, Dr. Joseph Fraiman taped an internal call between FDA directors and physicians who were concerned about mRNA side effects in their patients – including the cardiac arrest and sudden death of a 7-year-old days after being injected with Pfizer's mRNA vaccine. “This was a top level meeting of directors,” Dr. Fraiman revealed to Ask Dr. Drew in Sept 2023. “This entire meeting terrified my entire work group.” The call – legally recorded by Dr. Fraiman – included FDA Director Dr. Peter Marks, Dr. Peter Doshi, Dr. Celia Witten, Dr. Sarah Walinsky, Dr. Lorrie McNeill, and many other experts. “What they're saying here is they're not doing statistical testing on adverse events. This is really insane to me,” Dr. Fraiman continued. “You know there's a problem if the vaccine group has a higher rate of them.” Dr. Joseph Fraiman, MD is an emergency physician and clinical researcher focused on harm-benefit analysis. He served as Medical Manager of Louisiana's Urban Search Rescue Disaster Task Force 1 and is lead author of a widely known re-analysis of mRNA vaccine serious harms. Follow at https://x.com/josephfraiman Dr. Stephanie Venn-Watson is Co-CEO and Co-Founder of Seraphina Therapeutics. She is a veterinary epidemiologist and author of “The Longevity Nutrient” (March 2025). Her background includes DARPA, the U.S. Navy Marine Mammal Program, and research on nutritional C15:0 deficiencies. Learn more at https://drdrew.com/fatty15 「 SUPPORT OUR SPONSORS 」 • AUGUSTA PRECIOUS METALS – Thousands of Americans are moving portions of their retirement into physical gold & silver. Learn more in this 3-minute report from our friends at Augusta Precious Metals: https://drdrew.com/gold or text DREW to 35052 • FATTY15 – The future of essential fatty acids is here! Strengthen your cells against age-related breakdown with Fatty15. Get 15% off a 90-day Starter Kit Subscription at https://drdrew.com/fatty15 • PALEOVALLEY - "Paleovalley has a wide variety of extraordinary products that are both healthful and delicious,” says Dr. Drew. "I am a huge fan of this brand and know you'll love it too!” Get 15% off your first order at https://drdrew.com/paleovalley • VSHREDMD – Formulated by Dr. Drew: The Science of Cellular Health + World-Class Training Programs, Premium Content, and 1-1 Training with Certified V Shred Coaches! More at https://drdrew.com/vshredmd • THE WELLNESS COMPANY - Counteract harmful spike proteins with TWC's Signature Series Spike Support Formula containing nattokinase and selenium. Learn more about TWC's supplements at https://twc.health/drew 「 ABOUT THE SHOW 」 Ask Dr. Drew is produced by Kaleb Nation (https://kalebnation.com) and Susan Pinsky (https://twitter.com/firstladyoflove). This show is for entertainment and/or informational purposes only, and is not a substitute for medical advice, diagnosis, or treatment. Executive Producers • Kaleb Nation - https://kalebnation.com • Susan Pinsky - https://x.com/firstladyoflove Content Producer & Booking • Emily Barsh - https://x.com/emilytvproducer Hosted By • Dr. Drew Pinsky - https://x.com/drdrew Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode, we explore a new study examining whether antidepressants and antipsychotics truly increase the risk of torsades de pointes, a potentially fatal cardiac arrhythmia. What does the evidence say about using multiple psychiatric medications together, and when should we actually be concerned? Faculty: Scott Beach, M.D. Host: Richard Seeber, M.D. Learn more about our membership here Earn 0.75 CMEs: Quick Take Vol. 75 Torsades de Pointes: Impact of Antidepressants and Antipsychotics
Welcome to Dev Game Club, where this week we try something a little different. Unattached to any particular game, we chat with Ed Fries, a long-time video game developer most well-known for his work shepherding the early days of Xbox and Microsoft Game Studios. We talk about five games of his early years that particularly affected him. Dev Game Club looks at classic video games and plays through them over several episodes, providing commentary. Podcast breakdown: 1:16:35 Break 1:16:48 Outro Issues covered: a new model for interviews, productivity software wars, a child of engineers, Lunar Lander on a calculator, 6800-based kit computer and programming in assembly, cardboard computer, jumping from BASIC to assembly language, using a print terminal, modem sounds, competitive Asteroids, the first real video game, oscilloscopes and radar, complaining to the dentist, inspiring a generation of programmers and engineers, learning by typing from magazines, the 8-bit microprocessor, getting a 6502 square root routine from Woz, using a computer terminal, an intro to Rogue and its procedural elements, a things-going-wrong simulator, "there were not that many games in the world," building a game for different player types, the D programming language and other alphabetic languages, a short remembrance of Dani Bunten Berry, Multiple Use Labor Elements, how M.U.L.E. plays, screwing your buddies, similarities to Euro strategy games, the auction phase, crystite mining, a literary game, the first original IP character in a video game, moving from real caves to fantasy, some connections, album covers from EA, expensive personal computers. Games, people, and influences mentioned or discussed: Frogger, ROMox, The Princess and the Frog, Ant Eater, Sea Chase, Tom and Ed's Bogus Software, Tom Saxton, Sucker Punch, Microsoft, Ender's Game, Phil Spencer, Xbox, Bungie, Ensemble Studios, Rare Limited, World of Warcraft, Gabe Newell, Atari 2600, Halo, 1Up Ventures Fund, Psychonauts, Keeper, Tim Schafer, Boeing, Digital Equipment Corporation, Lunar Lander, CARDIAC, Nintendo Labo, Apple ][, Atari 800, Space Wars, Asteroids, Nolan Bushnell, Ampex, Ted Dabney, Computer Space, Nutting Associates, Computer Trivia, Pong, Homeworld, Steve Wozniak, Rogue, Defeating Games for Charity, Dark Souls, HACK, PDP-11/VAX, Epyx, Walter Bright, Sid Meier, Civilization, Bruce Shelley, Age of Empires, M.U.L.E., Dani Bunten Berry, Seven Cities of Gold, Settlers of Cataan, Diplomacy, AJ Redmer, Maxis, Will Wright, Dungeon/Zork, Don Daglow, Tim Anderson, Colossal Cave Adventure/Advent, Infocom, Frank Cifaldi, Video Game History Foundation, Kate Willaert, Will Crowther, Don Woods, Mike Haas, Andrei Alexandrescu, 2001: A Space Odyssey, Populous, The Bard's Tale, Outer Wilds, Kirk Hamilton, Aaron Evers, Mark Garcia. Next time: TBA! or more Pikmin TTDS: 40m 6s Links: Ant Eater source Princess and Frog source Sea Chase source Nitro source Errata: I misspoke with respect to the co-inventor of D, it was Andrei Alexandrescu. We regret the error. Twitch: timlongojr and twinsunscorp YouTube Discord DevGameClub@gmail.com
Fewer than 20% of women take part in cardiac rehabilitation (CR) programs, which is one of the most proven ways to recover and prevent another heart event Women who complete cardiac rehab lower their risk of hospitalization by up to 42% and reduce their risk of death from heart disease by as much as 58%, gaining both longer life and better quality of life Referral bias is a major reason for low participation — women are referred for cardiac rehab less often than men, and rates are even lower among Black, Hispanic, and Asian women, where participation averages just 10% to 12% Automatic referrals, flexible scheduling, home-based or hybrid options, and women-only programs are powerful, research-backed strategies that dramatically increase enrollment and completion rates Cardiac rehab isn't just exercise — it's a personalized recovery plan that rebuilds heart strength, lowers stress, and restores confidence, giving women a structured way to take back control of their health and their future
Logan Davidson joins the show to talk about the fast-moving world of Ibogaine in American and why state-based leadership is shaping the future of psychedelic reform. Davidson is the executive director of Texans for Greater Mental Health, the legislative director at VETS, and a key strategist behind Texas' landmark interest in ibogaine research. He also advises for Americans for Ibogaine. His work sits at the intersection of science, policy, and lived experience, and this conversation offers a clear look into what is happening right now. Early Themes: The Rise of State Advocacy Davidson explains how he entered politics at nineteen and how his professional path merged with psychedelic policy work during the 2021 Texas legislative session. Through that first bill, he saw how science, bipartisan cooperation, and strong local leadership could advance major reform. Early discussion focuses on: How Texas became the first state to pass a major psychedelic research bill Why ibogaine became a central focus How the special operations community helped shift political momentum The personal mental health stories that shaped Davidson's commitment This section also highlights how Americans for Ibogaine entered the conversation through veterans, researchers, and state lawmakers who felt the urgency of the opioid crisis and traumatic brain injury. Core Insights: Ibogaine, Risk, and the New Research Model In the middle portion of the episode, Davidson breaks down the strategy, challenges, and promise behind ibogaine research and state-based policy innovation. Key insights include: The unique bipartisan environment in Texas Why stories from veterans and spouses moved lawmakers The importance of medical screening for cardiac risk Why research is essential for safety How states can use funding, revenue sharing, and public health goals to shape future access What policymakers are watching right now Effectiveness for opioid use disorder Data from traumatic brain injury studies Cardiac safety protocols The risk of untreated depression and addiction The national security implications of forcing service members to seek illegal care Davidson also explains why removing the psychedelic experience from the molecule remains controversial and why many researchers believe the full experience matters. Later Discussion and Takeaways: The Road Ahead for American Ibogaine In the final part of the conversation, Davidson speaks about the future of American Ibogaine and the broader psychedelic field. He outlines why local leadership matters, why federal funding, like what Psychedelic Medicine Coalition is supporting, could be the next major tipping point, and how big pharmaceutical companies may eventually enter the space through acquisitions or proprietary molecule development. Concrete takeaways include: States should expect clear benefits: lower-cost treatments, shared revenue, and local control Community leaders, not outsiders, often drive legislative wins The need for long-term safety data remains National security concerns highlight why regulated access must expand Federal research money could radically transform the pace and scale of studies He also encourages listeners to join or build local organizations, since nearly every major win comes from people who live in the state pushing from the ground up. Frequently Asked Questions Is Ibogaine safe? Ibogaine has cardiac risks that require medical screening and careful monitoring. Researchers stress that safety improves with proper protocols and more clinical data. Why is Ibogaine important for veterans? Many special operations veterans report major benefits for traumatic brain injury, PTSD, and addiction. Their stories have driven political momentum. How are states involved in Ibogaine research? States like Texas are funding clinical trials, drug development, shaping policy, and exploring revenue and access models to support long-term public health benefits. Will Ibogaine become federally supported in America? New federal interest, including major grants and bipartisan discussions, suggests that broader support may be coming in the next few years. Closing Thoughts This episode shows why the work of Logan Davidson sits at the center of today's psychedelic resurgence. It highlights a complex but hopeful moment where science, policy, and lived experience are beginning to align. As American Ibogaine research expands, state leaders, clinicians, veterans, and advocates all have a role in shaping a safer and more effective future for these treatments.
Enlace del curso: https://app.behindtheknife.org/premium/repaso-para-el-examen-de-certificaci-n-en-cirug-a-general Behind the Knife es el podcast quirúrgico líder en el mundo y una plataforma de educación quirúrgica. Nuestra misión es crear contenido innovador de educación quirúrgica que sea accesible para todos. Estamos muy emocionados de expandirnos al público hispanohablante y ofrecerles 4 episodios de muestra de nuestro Curso de Repaso para el examen de certificación de Cirugía General. Hoy, escucharás un caso de muestra de este curso de repaso en audio, que incluye 100 escenarios. El curso tiene un formato emocionante y completamente único. Cada uno de los 100 caso consta de dos partes. La primera parte es un caso oral perfectamente ejecutado que imita la realidad. Cada caso tiene una duración de cinco a siete minutos e incluye una variedad de tácticas y estilos. Si logras alcanzar este nivel de desempeño en tu preparación, seguramente aprobarás el examen de certificación con éxito. La segunda parte introduce comentarios de alto rendimiento para cada escenario. Estos comentarios incluyen consejos y trucos para ayudarte a dominar los escenarios más desafiantes, además de una enseñanza práctica y fácil de entender que cubre los temas más confusos que enfrentamos como cirujanos generales. Estamos seguros de que encontrarás este enfoque único de doble formato como una forma altamente efectiva de prepararte para el examen. Nuestro contenido está disponible en nuestras aplicaciones para iOS y Android y en nuestro sitio web (behindtheknife.org). Por favor, consulta las notas del programa para más información. Nos encantaría escuchar tus comentarios sobre este episodio enviando un correo electrónico a hello@behindtheknife.org y apreciamos tu ayuda para difundir la palabra entre tus colegas si disfrutas del material. Este contenido incluye 97 descripciones operatorias para todos los procedimientos comunes —y la mayoría de los poco comunes— incluidos en el Currículo de Cirugía General SCORE. Cada descripción está diseñada para ayudar a los candidatos a prepararse de manera eficaz para el Examen de Certificación en Cirugía General. presentadores de podcast: - Auri P. Garcia Gonzalez, MD PhD nació en San Juan, Puerto Rico, y se trasladó a los Estados Unidos en el 2012 para sus estudios graduados. Actualmente, es estudiante de post-grado en cirugía general en Duke University. - Diego Schaps, MD, MPH es un residente de cirugía general en Duke y nació en Miami, en el estado de la Florida. Sus padres nacieron en El Salvador. Disclaimer: Los productos de contenido de Behind the Knife son únicamente para fines educativos. No diagnosticamos, tratamos ni ofrecemos consejos específicos para pacientes. ------ Behind the Knife is the world's leading surgical podcast and surgical education platform. Our mission is to create innovative surgical education content that is accessible to all. We are very excited to expand into the spanish audience and bring you 4 sample episodes of our General Surgery Oral Board Review Course which will be released over the course of the next week. Today, you'll hear a sample scenario from this comprehensive audio review course which includes 100 scenarios. The course has an exciting and entirely unique format. Each of the 100 scenarios includes two parts. The first part is a perfectly executed oral board scenario that mimics the real thing. Scenarios are five to seven minutes long and include a variety of tactics and styles. If you're 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 that we face as general surgeons. We are confident you will find this unique dual format approach a highly effective way to prepare for the test. The course contains crisp, concise operative descriptions that cover all SCORE common topics and and most SCORE uncommon topics. Our content is available on our iOS and Android apps and website (behindtheknife.org). Please check the show notes for more information. We would love to hear your feedback by emailing hello@behindtheknife.org and appreciate your help spreading the word to your colleagues if you enjoy the material. Hosts: - Auri P. Garcia Gonzalez, MD PhD was born and raised in San Juan, Puerto Rico and moved to the US in 2012 for graduate studies. At present, she is a surgical resident at Duke University. - Diego Schaps, MD, MPH is a general surgery resident at Duke and was born in Miami, Florida. His parents were born in El Salvador. 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://app.behindtheknife.org/listen
Joined on this episode by two awesome guests. One of my favorite people on the planet in Chief Frank Leeb, and the other one that I am excited to meet and have an awesome conversation with in Kory Pearn. We plan to talk about all the issues that can blindside us in the fire-service. The mission of Crackyl magazine. Cancer, Cardiac, Physical fitness. How can we ensure that a young firefighter becomes an old firefighter! an informative conversation and as always the best laid plans of me and my guests was beautifully derailed by the awesome question from the Scrap audience.
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