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In this episode, Kurt Strudwick, System AVP of Operations for the Cardiovascular Service Line at Virtua Health, shares how emotional intelligence, structural clarity, and community-centered innovation are transforming cardiovascular care. He discusses expanding access to advanced services, building team trust, and leading with a mission-driven mindset in today's evolving healthcare landscape.
It's never too early--or too late--to focus on cardiovascular disease prevention. It is critically important at all stages of life, from addressing the health of those who are pregnant, to reducing risk in infancy and beyond. Guest Laura L. Hayman, PhD, RN, FPCNA, FAHA, FAAN focuses on working with individuals, families, and communities, and concentrating on social determinants of health to make a difference for all patients.PCNA Behavior Change Mini-Certificate: https://pcna.net/course/behavior-change-mini-certificate/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
With Emma Svennberg, Karolinska Institute, Stockholm - Sweden, Sabine Ernst, Royal Brompton Hospital, London - UK, Stefan Simovic, Faculty of Medical Sciences, University of Kragujevac, Kragujevac - Serbia and Dominik Linz, Maastricht University Medical Centre (MUMC), Maastricht - The Netherlands. During this podcast, Emma Svennberg, Sabine Ernst, Stefan Simovic and Dominik Linz will tackle EHRA–ESC–HRS scientific statement sets new standards for trustworthy AI in electrophysiology, using a 29-item reporting checklist. EP Europace: State of the Art of Artificial Intelligence in Clinical Electrophysiology in 2025: A Scientific Statement of the European Heart Rhythm Association (EHRA) of the ESC, the Heart Rhythm Society (HRS), and the ESC Working Group on E-Cardiology
In this powerful episode, I sit down with Dr. Jeremy London—a board-certified cardiothoracic surgeon with over 26 years of experience—to uncover the often-overlooked truths about cardiovascular disease, especially in women. Dr. London shares why menopausal women face triple the risk for heart disease, and what you can do to protect yourself. From the life-saving power of simply moving your body to the three essential tests everyone should be asking for, this conversation breaks down complex health topics into clear, actionable steps. Whether you're navigating midlife or looking to take preventative measures, this episode is a must-listen for anyone ready to take control of their heart health. About Dr. Jeremy London: Dr. Jeremy London is a Board-Certified Cardiothoracic Surgeon with over 26 years of clinical experience. He earned his medical degree from the Medical College of Georgia and completed his surgical training in Denver and Charlotte. A passionate advocate for patient education, Dr. London is on a mission to make health information more accessible through his newsletter, podcast, and social media. He lives in Savannah, Georgia with his wife and their three sons. *** Subscribe to The Neuro Experience for more conversations at the intersection of brain science and performance. I'm committed to bringing you evidence-based insights that you can apply to your own health journey. *** A huge thank you to my sponsors for supporting this episode. Check them out and enjoy exclusive discounts: Caraway: www.caraway.com/neuro for an additional 10% off your purchase LMNT: Use code drinklmnt.com/neuro to get a free 8-count Sample Pack of LMNT's most popular drink mix flavors with any purchase. MUDWTR - The coffee alternative. If you're ready to ditch the crash and sip smarter, go to mudwtr.com and use code NEURO to get 43% off + free shipping. David's Protein: Buy four cartons and get your fifth one completely free | Head to www.davidprotein.com/neuro Branch Basics: www.branchbasics.com to shop their Premium Starter Kit and save 15% | Code: NEURO *** Topics discussed: 00:00:00: Why women's cardiovascular risk triples after menopause 00:03:40: Two out of three Alzheimer's disease patients are women 00:04:47: What are lipid panels 00:05:20: Cardiovascular disease is the number one cause of death worldwide 00:06:13: The three buckets of heart disease 00:07:27: Cholesterol 00:08:47: ApoB 00:10:15: Plaque 00:10:53: Lp(a) 00:14:39: Louisa's mother's lab results 00:16:09: Going beyond lab work: Screen tests 00:17:39: Cardiac catheterization 00:19:49: Carotid ultrasound 00:21:07: What is atrial fibrillation and how is it diagnosed? 00:26:37: What you can do yourself to diagnose Afib 00:31:14: What was COVID like in the cardiovascular department? 00:35:47: Blood pressure 00:41:48: AI in the medical field 00:48:07: Exercise to minimize risk of cardiovascular disease 00:53:21: Healthy nutrition to minimize risk of cardiovascular disease 00:55:01: Can supplement eliminate plaque? 00:56:09: Changing our lifestyle and diet to mitigate diseases 00:57:31: Sleep quality to minimize risk of cardiovascular disease *** I'm Louisa Nicola — clinical neuroscientist — Alzheimer's prevention specialist — founder of Neuro Athletics. My mission is to translate cutting-edge neuroscience into actionable strategies for cognitive longevity, peak performance, and brain disease prevention. If you're committed to optimizing your brain — reducing Alzheimer's risk — and staying mentally sharp for life, you're in the right place. Stay sharp. Stay informed. Join thousands who subscribe to the Neuro Athletics Newsletter → https://bit.ly/3ewI5P0 Instagram: https://www.instagram.com/louisanicola_/ Twitter : https://twitter.com/louisanicola_
Kidney Translation Podcast discusses cardiovascular and kidney disease studies: CKM syndrome stages and mortality prediction, cardiac risk prediction in patients with kidney failure undergoing noncardiac surgery, and SGLT2 inhibition in type 1 diabetes.
La Casa Blanca confirmó que el presidente de Estados Unidos, Donald Trump, padece insuficiencia venosa crónica, una condición que ha generado interés tras la aparición de hematomas en su mano. Para entender de qué se trata esta enfermedad y cómo impacta en la vida cotidiana, conversamos con la Dra. Ihara Fernández, cirujana cardiovascular y presidenta del capítulo de cirugía cardiovascular de la Sociedad Dominicana de Cardiología. Temas que abordamos en este episodio:¿Qué es la insuficiencia venosa crónica y cuáles son sus causas?¿A qué edad puede aparecer y qué tan común es?Etapas de la enfermedad y síntomas principales.¿Se puede llevar una vida normal con este diagnóstico?Consecuencias en el cuerpo y tratamientos recomendados.
Marcela Belleza, Caio Bastos e Nathalie Santana para conversar sobre incidentaloma adrenal em 4 clinicagens:- Avaliação de malignidade- Há produção de hormônio?- Tem indicação de cirurgia?- Como fazer o acompanhamentoReferências:1. Vassiliadi DA, Delivanis DA, Papalou O, Tsagarakis S. Approach to the Patient With Bilateral Adrenal Masses. J Clin Endocrinol Metab. 2024 Jul 12;109(8):2136-2148. doi: 10.1210/clinem/dgae164. PMID: 38478374.2. Martin Fassnacht, Stylianos Tsagarakis, Massimo Terzolo, Antoine Tabarin, Anju Sahdev, John Newell-Price, Iris Pelsma, Ljiljana Marina, Kerstin Lorenz, Irina Bancos, Wiebke Arlt, Olaf M Dekkers, European Society of Endocrinology clinical practice guidelines on the management of adrenal incidentalomas, in collaboration with the European Network for the Study of Adrenal Tumors, European Journal of Endocrinology, Volume 189, Issue 1, July 2023, Pages G1–G42, https://doi.org/10.1093/ejendo/lvad0663. Rowe NE, Kumar R, Schieda N, Siddiqi F, McGregor T, McAlpine K, Violette P, Bathini V, Eng M, Izard J. Diagnosis, Management, and Follow-Up of the Incidentally Discovered Adrenal Mass: CUA Guideline Endorsed by the AUA. J Urol. 2023 Oct;210(4):590-599. doi: 10.1097/JU.0000000000003644. Epub 2023 Aug 9. PMID: 37556768.4. Yip L, Duh QY, Wachtel H, Jimenez C, Sturgeon C, Lee C, Velázquez-Fernández D, Berber E, Hammer GD, Bancos I, Lee JA, Marko J, Morris-Wiseman LF, Hughes MS, Livhits MJ, Han MA, Smith PW, Wilhelm S, Asa SL, Fahey TJ 3rd, McKenzie TJ, Strong VE, Perrier ND. American Association of Endocrine Surgeons Guidelines for Adrenalectomy: Executive Summary. JAMA Surg. 2022 Oct 1;157(10):870-877. doi: 10.1001/jamasurg.2022.3544. PMID: 35976622; PMCID: PMC9386598.5. Di Dalmazi G, Vicennati V, Garelli S, Casadio E, Rinaldi E, Giampalma E, Mosconi C, Golfieri R, Paccapelo A, Pagotto U, Pasquali R. Cardiovascular events and mortality in patients with adrenal incidentalomas that are either non-secreting or associated with intermediate phenotype or subclinical Cushing's syndrome: a 15-year retrospective study. Lancet Diabetes Endocrinol. 2014 May;2(5):396-405. doi: 10.1016/S2213-8587(13)70211-0. Epub 2014 Jan 29. PMID: 24795253.6. Rafael B Giorgi, Marcelo V Correa, Flávia A Costa-Barbosa, Claudio E Kater, Cyclic Subclinical Hypercortisolism: A Previously Unidentified Hypersecretory Form of Adrenal Incidentalomas, Journal of the Endocrine Society, Volume 3, Issue 3, March 2019, Pages 678–686, https://doi.org/10.1210/js.2018-00385
Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Effect of Frailty on Cardiovascular Clinical Trials: A Systematic Review and Meta-Analysis.
Send us a textThe thought of losing our memories and cognitive abilities strikes deep fear in many of us. In fact, for people over 55, Alzheimer's disease has become the most feared diagnosis of all. But what if simple lifestyle choices could significantly reduce your risk?In this eye-opening conversation with dementia expert Lisa Skinner, we dive into the crucial differences between dementia (a collection of symptoms) and Alzheimer's (a specific brain disease). Lisa shares a powerful personal story about her grandmother that launched her 30-year career in dementia care, revealing how this devastating condition affects not just patients but entire families who essentially "lose their loved ones twice."The episode breaks down the risk factors into those we can't control (age, biological sex, genetics, and ethnicity) and those we can modify through lifestyle changes. Cardiovascular disease tops the list of modifiable risks, followed by diabetes, sleep apnea, and surprisingly, hearing loss. We explore why women face significantly higher risk than men—a complex interplay of hormonal changes, exercise habits, sleep patterns, stress management, and nutrition.Most compelling is the evidence that exercise has double the protective effect of brain games for preventing cognitive decline, while combining physical activity with mental stimulation triples the benefit. We discuss why proper sleep is non-negotiable for brain health, how strength training preserves cognitive function, and why supplementing with creatine monohydrate might be worth considering.With Alzheimer's cases projected to triple in the next 25 years, this conversation couldn't be more timely. The choices you make today directly impact your brain's future—and while nothing provides absolute protection, the science is clear that we have more control than we might think.Take charge of your cognitive future. Subscribe to learn more about how fitness truly is medicine for both body and mind.Support the showLearn More at: www.Redefine-Fitness.com
This week we review a recent important longitudinal follow up study of patients who have undergone palliation for the treatment of HLHS at The Children's Hospital of Philadelphia over the past 35+ years. What are the 'transplant-free' survival numbers at 35 years follow up following newborn palliation? Are there differences between hybrid and traditional "Norwood/Stage I" palliation? What factors explain the group of HLHS patients who do are 'super-Fontan's'? What accounts for the marked variability in outcomes of these complex patients? Dr. J. William Gaynor shares his deep insights both from his large scale paper and long-term experience caring for patients with HLHS.doi: 10.1016/j.jacc.2025.04.028
In this episode of It Takes Balls, Mayo Clinic's Dr. Chris Ray (cardio-oncology specialist) and Dr. Bryan Taylor (exercise physiologist) break down what every testicular cancer patient and survivor should know about protecting their heart, rebuilding their strength, and monitoring long-term health after treatment.The discussion dives into how certain chemotherapies - especially those used for testicular cancer - can quietly weaken blood vessels and heart tissue, even in young men. With cardiovascular disease being the leading long-term cause of death in cancer survivors, Dr. Ray explains why testicular cancer treatment should always include proactive cardiac screening and long-term fitness monitoring.Dr. Taylor adds depth by explaining the science of VO₂ testing and why cardiorespiratory fitness is one of the most powerful predictors of overall health. The doctors make a compelling case for “exercise as medicine,” outlining how even light movement during chemo, and structured training after, can dramatically reduce risk and speed up recovery.The episode also covers important topics like testosterone replacement therapy, understanding elevated heart rates during recovery, and why many survivors feel “ten years older on the inside” after chemo. Both experts emphasize that rebuilding your fitness is a long game, but one worth investing in early and consistently.Whether you're newly diagnosed or 10 years out, this conversation offers actionable guidance on improving quality of life, extending longevity, and asking your care team the right questions to protect your whole-body health starting with your heart.Have a question for a future expert guest? Submit here:https://www.testicularcancerawarenessfoundation.org/it-takes-balls-question-submissionWant to be a guest? Apply here:https://www.testicularcancerawarenessfoundation.org/it-takes-balls-submissionsFollow Testicular Cancer Awareness Foundation:https://www.testescancer.orghttps://www.twitter.com/testescancerhttps://www.instagram.com/testescancerhttps://www.facebook.com/tca.orgDr. Ray:https://www.mayoclinic.org/biographies/ray-chris-m-d/bio-20470913Dr. Taylor:https://www.mayoclinic.org/biographies/taylor-bryan-j-ph-d/bio-20527883Follow Steven Crocker:https://www.twitter.com/stevencrockerhttps://www.instagram.com/stevencrockerhttps://www.facebook.com/steven.crocker2Theme song: No Time Like Now - Tom Willner www.tomwillner.com
Public health and clinical practice are closely connected. Guest Erin Ferranti, PhD, MPH, RN, CDCES,FAHA, FPCNA, about the importance of public health for all patients, and how to get more involved.Resources:PCNA Advocacy Resources: https://pcna.net/news/pcna-advocacy-paving-the-way-for-cardiovascular-health-through-policy-action/ Life's Essential 8 (TM): https://www.heart.org/en/healthy-living/healthy-lifestyle/lifes-essential-8 Association of Public Health Nurses: https://www.phnurse.org/ American Public Health Association: https://www.apha.org/ Health Resources & Services Administration: https://www.hrsa.gov/ National Institutes of Health: https://www.nih.gov/ See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Cardiovascular disease, including heart attacks and strokes, remains the number one cause of death in the United States, yet many people who should be taking medicines to lower their risk by lowering cholesterol aren't. That's according to a study by … The gap between recommendations and who is actually taking medicines to lower cardiovascular disease risk is huge, Elizabeth Tracey reports Read More »
With Francesca Coraducci Marche Polytechnic University of Ancona, Ancona - Italy, Marco Guglielmo, University Medical Center Utrecht, Utrecht - The Netherlands, and Anna Giulia Pavon, Cardiocentro Ticino Institute, Lugano - Switzerland. Link to editorial Link to paper
This week we review a recent surgical paper on the 'off-label' use of the Melody valve for replacement of the AV valve in small infants and children. How effective and safe was this procedure? What factors were associated with the need for reintervention and what sorts of reinterventions were most common? Why was catheter based reintervention rarely employed? What sort of anti-coagulation protocol seems best to protect these valves? Assistant Professor of Pediatrics at the University of Nebraska, Dr. Samantha Gilg shares the insights from her work this week. DOI: 10.1007/s00246-024-03538-1
Lucía Prieto habla con ayuda de los especialistas de Mundo Natural de cómo fortalecer la salud cardiovascular.
This is a really exciting conversation with Dr. Davide D'Amico from Timeline, where we're taking a closer look at Urolithin A and heart health. It should come as no surprise that this mitochondrial wonderkin of a nutrient is showing promise here—especially when you consider that 40% of the heart's weight is mitochondria. That's an extraordinary factoid, and one that really shifts how we think about aging in the cardiovascular system. What's particularly compelling in this new preclinical research is that restoring mitochondrial function may do more than just improve ejection fraction. It may also have ripple effects on other hallmarks of aging—like chronic inflammation, cellular stress signaling, and impaired autophagy. I'm thrilled Timeline is continuing to invest in both preclinical and clinical research on this front—and yes, I'm totally nerding out over what they're up to. ~DrK Check out the show notes at https://www.drkarafitzgerald.com/fxmed-podcast/ for the full list of links and resources. GUEST DETAILS Davide D'Amico, PhD: Director of Discovery and Translational Research at Timeline. With over 15 years of experience in mitochondrial and aging biology, he contributed to developing Urolithin A as a science-backed, clinically validated nutritional product to enhance mitochondrial and muscle health. THANKS TO OUR SPONSOR Timeline: http://Timeline.com/kara10 Email: care@timeline.com EXCLUSIVE OFFER FOR NEW FRONTIERS LISTENERS Mitopure is making impressive strides for cellular health and longevity. Get 10% off your first order at http://Timeline.com/kara10 with code Kara10. CONNECT with DrKF Want more? Join our newsletter here: https://www.drkarafitzgerald.com/newsletter/ Or take our pop quiz and test your BioAge! https://www.drkarafitzgerald.com/bioagequiz YouTube: https://tinyurl.com/hjpc8daz Instagram: https://www.instagram.com/drkarafitzgerald/ Facebook: https://www.facebook.com/DrKaraFitzgerald/ DrKF Clinic: Patient consults with DrKF physicians including Younger You Concierge: https://tinyurl.com/yx4fjhkb Younger You book: https://tinyurl.com/mr4d9tym Better Broths and Healing Tonics book: https://tinyurl.com/3644mrfw
Host Doug Stephan and Dr. Ken Kronhaus of Lake Cardiology (352-735-1400) cover a number of topics affecting our health. First up, Doug and Dr. Ken discuss the biggest news stories in the medical world, starting with a focus on good news that heart attack deaths have dropped by nearly 90% since the 1900s, in large part to implementing knowledge of the fundamental risk factors of heart disease.Additionally, a new study suggests a better way to measure weight over BMI (body mass index). The problem with it is that muscle and bone are a lot heavier than fat, which can give a false elevated BMI reading. A BMI over 30 is obesity. There are now high tech devices that can better measure body fat more accurately. Moving on, regular exercise in children isn't only fighting childhood obesity, but also childhood anxiety and depression.Next up, new hope of inverse vaccines that target a specific part of the immune system to suppress, and possibly reverse, autoimmune disease.The next item of interest is what the Health and Human Services is doing with the food and drink products containing synthetic dyes and just how many food products they're actually added to, and the most common is Red 40.Then the question -- how beneficial are pets for our health if we're allergic? Turns out, pet allergens are found in nearly all homes, even homes without pets. Pet allergens are from the pet dander, not their fur, and symptoms of pet allergies often mimic colds or seasonal allergies — sneezing, running nose, nasal congestion, red and/or itchy eyes, coughing, wheezing, shortness of breath, and hives or eczema. Immunotherapy is the only, ultimate relief of pet allergies. If you're looking to reduce allergy symptoms to pets, that would include keeping the pets out of the bedroom, use HEPA air filters, wash hands after petting animals, bathe your pet regularly, and use a vacuums with a double or micro-filter bag.Lastly, Doug and Dr. Ken answer listener questions, including low levels of a common drinking water contaminant linked to premature birth, low birth weight babies, and interference of the bloods ability to carry oxygen. Plus, are juice classes as healthy as we're led to believe? Doug and Dr. Ken discuss that, too. In tandem with that, foods that are filled with microplastics include apples and carrots (most commonly used in juice cleanses). Other foods with higher levels of microplastics include rice, pink Himalayan sea salt, sugar, tea, plant-based nuggets, fish sticks, shrimp, and water. Website: GoodDayHealthShow.comSocial Media: @GoodDayNetworks
In this episode of JACC This Week, Editor-in-Chief Dr. Harlan Krumholz summarizes key studies from the July 15 issue, focused on cardiovascular interventions. Topics include new insights on plaque vulnerability in acute coronary syndromes, virtual flow reserve after PCI, long-term data on FFR-guided revascularization, and stent thrombosis risk. This issue delivers high-impact, practice-relevant research for interventionalists, imaging specialists, and general cardiologists alike.
Dr. Nathan Jenkins is the new labs analyst for RAPID Health Optimization. He was previously a tenured professor of exercise science, and has worked for many years as a nutrition coach with over 1000 clients to date. Dr. Jenkins blends evidence-based practices and real-world experience, with academic expertise in lifestyle modification for chronic disease prevention, and a passion for helping clients optimize body composition and develop sustainable health habits for longevity. Work With Us: Arétē by RAPID Health Optimization Links: Dr. Nathan Jenkins on Instagram Anders Varner on Instagram Doug Larson on Instagram Coach Travis Mash on Instagram
This week Dr. Nadine Choueiter of Mount Sinai hosts a special episode of Pediheart: Pediatric Cardiology Today in which we speak with emeritus Professor of Pediatrics at the University of Toronto, Dr. Brian McCrindle about his career and life. How did he develop a love of pediatric cardiology? Who were some of his early mentors? How did he develop the international Kawasaki Disease Registry and how has he cultivated it despite minimal funding? How did he develop an interest in preventive cardiology? How can a young person make their clinical work also their academic work? Dr. McCrindle also shares some insights into navigating a successful life as well as retirement. This is a rare opportunity to be inspired by one of the great pediatric cardovascular researchers of the past 3 decades.
This episode originally aired as #395 on 1/13/24. It's an oldie but goodie so we are sharing it again! What is Aged Garlic Extract (A.G.E.) and how is it different from the garlic we eat? Can this one thing actually lower cholesterol, improve insulin resistance, keep bones strong, boost immunity and detoxification, and prevent dementia? We tend to compartmentalize our bodily systems, but they are all connected and the cardiovascular system is at the head of them all. Learn the science behind how A.G.E. can impact all of our systems, how to take it, how much to take, and what the research actually shows, on this episode of Vitality Radio, where Jared interviews Jim LaValle all about Kyolic Aged Garlic Extract. You'll learn its many benefits and how to use it to improve your overall health. Products:Kyolic Aged Garlic ProductsAdditional Information:#278: The Incredible Benefits of Aged Garlic ExtractLipid tests discussed: NMR LipoProfile® TestCardio IQ®Visit the podcast website here: VitalityRadio.comYou can follow @vitalitynutritionbountiful and @vitalityradio on Instagram, or Vitality Radio and Vitality Nutrition on Facebook. Join us also in the Vitality Radio Podcast Listener Community on Facebook. Shop the products that Jared mentions at vitalitynutrition.com. Let us know your thoughts about this episode using the hashtag #vitalityradio and please rate and review us on Apple Podcasts. Thank you!Just a reminder that this podcast is for educational purposes only. The FDA has not evaluated the podcast. The information is not intended to diagnose, treat, cure, or prevent any disease. The advice given is not intended to replace the advice of your medical professional.
How can health care organizations promote cardiovascular nursing leadership and practice to improve patient care and outcomes? Learn from Janette Sendin, MSN, APRN-CNS, CCNS, PCCN, of Orlando Health Orlando Regional Medical Center (recipient of the PCNA Institutional Award) about the Center's education, training, and other opportunities that can be implemented in other locations of various sizes.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Commentary by Dr. Jian'an Wang.
Commentary by Dr. Meihan Guo.
Commentary by Dr. Jian'an Wang.
With Stefan Simovic, Faculty of Medical Sciences, University of Kragujevac, Kragujevac - Serbia, Jacopo Francesco Imberti, Modena Polyclinic Modena University Hospital, Modena - Italy, Haran Burri, Cardiology Department, University Hospital of Geneva - Switzerland and Michael Glikson, Jesselson Integrated Heart Center of Shaare Zedek Medical Center, Jerusalem - Israel. In this podcast, Haran Burri, Michael Glikson, Stefan Simovic and Jacopo Imberti will discuss Conduction system pacing indications. This 2025 EHRA Cardio Talk Keep the rhythm podcast series is supported by Medtronic in the form of unrestricted financial support. The discussion has not been influenced in any way by its sponsor.
Contributor: Alec Coston, MD Educational Pearls: For patients presenting to the emergency room with hypertension, clinicians should determine if it is isolated and uncomplicated, or involves comorbidities with more complex underlying pathophysiology. For uncomplicated and isolated hypertension, first-line treatment is thiazide diuretics. How do thiazide diuretics work to treat hypertension? Thiazide diuretics work by blocking sodium and chloride resorption in the kidneys. “Where sodium goes, water follows,” thus promoting diuresis and lowering blood pressure. Examples of thiazide diuretics and their benefits? Hydrochlorothiazide (HCTZ): First-line medication in uncomplicated and chronic hypertensive states. Cheaper and fewer significant adverse effects compared to chlorthalidone. HCTZ can be associated with decreased risk of stroke and myocardial infarction. However, for more complicated hypertension, especially in the setting of heart failure, Angiotensin Converting Enzyme (ACE) Inhibitors should be considered. How do ACE Inhibitors manage blood pressure? The body's kidneys drive the Renin-Angiotensin-Aldosterone-System (RAAS) to regulate blood pressure. It is easiest to understand RAAS as being pro-hypertensive as a response to decreased renal perfusion. As renal perfusion decreases, renin is released and activates angiotensin I, which is converted by ACE to Angiotensin II, which causes release of aldosterone. ACE Inhibitors prevent the conversion of Angiotensin I to Angiotensin II, thus decreasing the kidneys' production of Angiotensin II and Aldosterone levels. Why, in the context of heart failure, are ACE Inhibitors preferred? In heart failure, especially left-sided or left-ventricular heart failure, a vicious cycle can develop wherein the left ventricle fails to perfuse the kidneys due to over-dilation. The kidneys are hypoperfused and activate RAAS to try to retain volume and increase peripheral vasoconstriction, promoting renal perfusion. The increase in blood pressure puts further strain on the heart, thereby further decreasing cardiac output. The cycle develops, and extremely elevated blood pressures can develop. ACE Inhibitors can directly block this cycle, hence their preference in heart failure. Big takeaway? In uncomplicated hypertensive patients, consider thiazide diuretics. When comorbidities, especially heart failure, are introduced, then consider ACE Inhibitors. References Carey RM, Moran AE, Whelton PK. Treatment of Hypertension: A Review. JAMA. 2022;328(18):1849-1861. doi:10.1001/jama.2022.19590 Fan M, Zhang J, Lee CL, Zhang J, Feng L. Structure and thiazide inhibition mechanism of the human Na-Cl cotransporter. Nature. 2023;614(7949):788-793. doi:10.1038/s41586-023-05718-0 Hripcsak G, Suchard MA, Shea S, et al. Comparison of Cardiovascular and Safety Outcomes of Chlorthalidone vs Hydrochlorothiazide to Treat Hypertension. JAMA Internal Medicine. 2020;180(4):542-551. doi:10.1001/jamainternmed.2019.7454 Yu D, Li JX, Cheng Y, et al. Comparative efficacy of different antihypertensive drug classes for stroke prevention: A network meta-analysis of randomized controlled trials. PLoS One. 2025;20(2):e0313309. doi:10.1371/journal.pone.0313309 Summarized by Dan Orbidan, OMS2 | Edited by Dan Orbidan & Jorge Chalit, OMS4 Donate: https://emergencymedicalminute.org/donate/
Cardiovascular disease has been one of the top causes of death in the U.S. for decades, making it clear that heart health is critical for longevity. But are there sustainable ways to truly improve cardiovascular health? In this episode, Mark Young, a serial entrepreneur and health tech innovator, dives deep into how isometric exercise can enhance heart health and overall wellness. Mark is the CEO of Ryze Agency, a Florida-based marketing firm, and a passionate advocate for functional fitness. His ventures span industries such as health tech, fitness, advertising, and even professional auto racing.
In this episode, Dr. Rena Malik, MD is joined by Dr. Mohit Khera for an in-depth discussion about testosterone, erectile dysfunction, and men's overall health. The conversation explores the realities and myths of testosterone therapy, revealing which patients are most likely to benefit from treatment and the importance of evaluating underlying health conditions. Dr. Khera and Dr. Malik review recent clinical trials, address common misconceptions about testosterone's impact on erectile function, and highlight the significant role of lifestyle factors such as weight loss, sleep, and stress reduction in boosting testosterone levels naturally. Become a Member to Receive Exclusive Content: renamalik.supercast.com Schedule an appointment with me: https://www.renamalikmd.com/appointments ▶️Chapters: 00:00 Testosterone and Erectile Dysfunction 04:05 Major Clinical Trials Overview 08:57 Cardiovascular and Prostate Safety 12:48 Lifestyle Changes and Testosterone 17:29 Stress, Sleep, and Hormonal Health 21:00 Broader Health Impacts of Low Testosterone 25:15 Anabolic Steroids and Estrogen Management Stay connected with Dr. Mohit Khera on social media for daily insights and updates. Don't miss out—follow him now and check out these links! INSTAGRAM - https://www.instagram.com/drmohitkhera/?hl=en X - https://x.com/drmohitkhera?lang=en WEBSITE - https://drmohitkhera.com/ Let's Connect!: WEBSITE: http://www.renamalikmd.com YOUTUBE: https://www.youtube.com/@RenaMalikMD INSTAGRAM: http://www.instagram.com/RenaMalikMD TWITTER: http://twitter.com/RenaMalikMD FACEBOOK: https://www.facebook.com/RenaMalikMD/ LINKEDIN: https://www.linkedin.com/in/renadmalik PINTEREST: https://www.pinterest.com/renamalikmd/ TIKTOK: https://www.tiktok.com/RenaMalikMD ------------------------------------------------------ DISCLAIMER: This podcast is purely educational and does not constitute medical advice. The content of this podcast is my personal opinion, and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of information contained in this podcast including but not limited to economic loss, injury, illness or death. Learn more about your ad choices. Visit megaphone.fm/adchoices
Doug Ryan, CEO of Arineta, describes the advancements in cardiac CT imaging technology and how their ultra-fast scanning is revealing more accurate and higher-quality imaging of the heart. Using wide-area coverage and deep learning image reconstruction, the Arineta platform can detect arterial occlusions and coronary plaque buildup, which is a significant risk factor for sudden cardiac events and is often missed when relying solely on calcium scoring. The development of a mobile cardiac CT scanning unit is improving access to this technology, particularly in rural and underserved areas. Doig explains, "What you're trying to do is to stop the most complex organ inside the human body. The human heart translates, rotates, and beats somewhere between 60 and 100 beats per minute. So you really need advanced CT technology that comprises a great many areas, but the most important things are coverage speed and the ability to reconstruct it very quickly." "You're using advanced algorithms like our DLIR, our deep learning image reconstruction, which focuses on high-contrast, high-spatial, low-noise reconstructions that can then be put into what we call a multiplanar format. So you can look at these coronary arteries from all angles and do the diagnostic." "So it's actually a combination of several things. Ultra FAST is, of course, very important because you are literally trying to stop a bird mid-flight and get an accurate picture of it, but it's also the ability to encompass and see the entire heart in a single rotation. So, one of the secrets of the SpotLight and SpotLight Duo is both the ultra-fast rotation and the wide area coverage that we get with our detector system." #Arineta #CTImaging #CardiovascularDiagnostics #Cardiology #DeepLearningImageReconstruction Arineta.com Listen to the podcast here
Doug Ryan, CEO of Arineta, describes the advancements in cardiac CT imaging technology and how their ultra-fast scanning is revealing more accurate and higher-quality imaging of the heart. Using wide-area coverage and deep learning image reconstruction, the Arineta platform can detect arterial occlusions and coronary plaque buildup, which is a significant risk factor for sudden cardiac events and is often missed when relying solely on calcium scoring. The development of a mobile cardiac CT scanning unit is improving access to this technology, particularly in rural and underserved areas. Doig explains, "What you're trying to do is to stop the most complex organ inside the human body. The human heart translates, rotates, and beats somewhere between 60 and 100 beats per minute. So you really need advanced CT technology that comprises a great many areas, but the most important things are coverage speed and the ability to reconstruct it very quickly." "You're using advanced algorithms like our DLIR, our deep learning image reconstruction, which focuses on high-contrast, high-spatial, low-noise reconstructions that can then be put into what we call a multiplanar format. So you can look at these coronary arteries from all angles and do the diagnostic." "So it's actually a combination of several things. Ultra FAST is, of course, very important because you are literally trying to stop a bird mid-flight and get an accurate picture of it, but it's also the ability to encompass and see the entire heart in a single rotation. So, one of the secrets of the SpotLight and SpotLight Duo is both the ultra-fast rotation and the wide area coverage that we get with our detector system." #Arineta #CTImaging #CardiovascularDiagnostics #Cardiology #DeepLearningImageReconstruction Arineta.com Download the transcript here
With Frank Flachskampf, Uppsala University, Uppsala - Sweden, and James Thomas, Northwestern University, Chicago - USA. Link to editorial Link to paper
Renowned cardiologist and researcher, Anmol Kapoor, MD, brings an advanced, unique, scientific, and evidence-based approach to reducing cardiovascular disease and mortality. Genetic testing and personalized therapies are becoming increasingly mainstream and are important in targeting individual risks and addressing the root cause of all diseases and therapies. Your choice of testing should be safe, comprehensive, reliable, and evidence-based. Dr. Kapoor is a pioneer in developing and delivering solutions that are personalized to your quest for not only quantity of life but quality. See omnystudio.com/listener for privacy information.
In this episode, CardioNerds Dr. Gurleen Kaur, Dr. Richard Ferraro, and Dr. Jake Roberts are joined by Cardio-Rheumatology expert, Dr. Monica Mukherjee, to discuss the role of utilizing multimodal imaging for cardiovascular disease risk stratification, monitoring, and management in patients with chronic systemic inflammation. The team delves into the contexts for utilizing advanced imaging to assess systemic inflammation with cardiac involvement, as well as the role of imaging in monitoring various specific cardiovascular complications that may develop due to inflammatory diseases. Audio editing by CardioNerds academy intern, Christiana Dangas. CardioNerds Prevention PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls - Cardiovascular Multimodality Imaging & Systemic Inflammation Systemic inflammatory diseases are associated with an elevated CVD risk that has significant implications for early detection, risk stratification, and implementation of therapeutic strategies to address these risks and disease-specific complications. As an example, patients with SLE have a 48-fold increased risk for developing ASCVD compared to the general population. They may also develop disease-specific complications, such as pericarditis, that require focused imaging approaches to detect. In addition to increasing the risk for CAD, systemic inflammatory diseases can also result in cardiac complications, including myocardial, pericardial, and valvular involvement. Assessment of these complications requires the use of different imaging techniques, with the modality and serial studies selected based on the suspected disease process involved. In most contexts, echocardiography remains the starting point for evaluating cardiac involvement in systemic inflammatory diseases and can inform the next steps in terms of diagnostic study selection for the assessment of specific cardiac processes. For example, if echocardiography is completed in an SLE patient and demonstrates potential myocardial or pericardial inflammation, the next steps in evaluation may include completing a cardiac MRI for better characterization. While no current guidelines or standards of care directly guide our selection of advanced imaging studies for screening and management of CVD in patients with systemic inflammatory diseases, our understanding of cardiac involvement in these patients continues to improve and will likely lead to future guideline development. Due to the vast heterogeneity of cardiac involvement both across and within different systemic inflammatory diseases, a personalized approach to caring for each individual patient remains central to CVD evaluation and management in these patients. For example, patients with systemic sclerosis and symptoms of shortness of breath may experience these symptoms due to a range of causes. Echocardiography can be a central guiding tool in assessing these patients for potential concerns related to pulmonary hypertension or diastolic dysfunction. Based on the initial echocardiogram, the next steps in evaluation may involve further ischemic evaluation or right heart catheterization, depending on the pathology of concern. Show notes - Cardiovascular Multimodality Imaging & Systemic Inflammation Episode notes drafted by Dr. Jake Roberts. What are the contexts in which we should consider pursuing multimodal cardiac imaging, and are there certain inflammatory disorders associated with systemic inflammation and higher associated CVD risk for which advanced imaging can help guide early intervention? Systemic inflammatory diseases are associated with elevated CVD risk, which has significant implications for early detection, risk stratification, prognostication, and implementation of therapeutic strategies to address CVD risk and complicat...
This week we speak with Professor Vladimiro Vida of U. Padua about a recent ECHSA large scale study assessing surgical outcomes of newborn cardiac surgery in Europe. What trends have become apparent in the past 10 years and why are outcomes generally better overall in this complex patient group? Why have outcomes for single ventricle surgery not improved as much as other newborn surgeries? Is there a relationship between center volume and outcomes? What interventions might result in improvements in outcomes of Norwood palliation? Dr. Vida provides his insights this week. https://doi.org/10.1016/j.athoracsur.2024.07.023
HEALTH NEWS Effects of High-Intensity Intermittent Training Combined with Asparagus Extract Supplementation on Cardiovascular and Pulmonary Function What 300 grams of ultra-processed food a day does to your diabetes risk New study from landmark trial suggests avocados may play a role in sleep, a key factor in cardiovascular health Longer walks linked to lower risk of chronic low back pain Natural Compound in Fruit and Vegetables Found To Slash Heart Disease and Diabetes Risk Cannabis use linked to doubling in risk of cardiovascular disease death
Cardiovascular disease has been among the leading causes of death in America for decades. It's clear that optimizing the human heart is critical for longevity – but are there really sustainable ways to achieve this? In this episode, Mark Young joins us to discuss how isometric exercise can improve cardiovascular health and overall wellness. Mark Young is a serial entrepreneur, health tech innovator, and marketing expert with a passion for functional fitness. He serves as CEO of Ryze Agency, a Florida-based marketing firm that helps brands grow through strategic storytelling and data-driven marketing. Always eager to inspire action, Mark leads eight high-impact ventures spanning advertising, retail distribution, out-of-home TV networks, real estate development, angel investing, health and fitness, and professional auto racing. Dive in now to discover: The benefits of making non-pharmaceutical decisions. The link between isometrics and blood pressure. How isometric exercise differs from other forms of exercise. What happens when blood flow is increased in the body. Are you ready to take control of your heart health and unlock a stronger, longer-lasting version of yourself? Hit play now! Stay connected with Mark's work by visiting his website or following him on Instagram @themarkyoung. And to learn more about how cardiovascular conditioning is achieved with isometric exercise, www.zona.com should be your first stop! Episode also available on Apple Podcasts: http://apple.co/30PvU9C
Dr. Kirk Milhoan is a pediatric cardiologist and senior fellow at the Independent Medical Alliance. He has been treating children with myocarditis and other cardiovascular issues associated with COVID-19 and the COVID-19 vaccines.“Four years later, five years later, I'm seeing this constant and dramatic change in who I'm seeing coming to see me. They're complaining their heart doesn't beat normally. And it beats fast for no reason at all,” says Dr. Milhoan. “Specifically after the second dose of the new platform for the COVID vaccine, we were seeing an increase in myocarditis in children that we've never seen before with any vaccine product in children.”In this episode, we dive into the apparent rise of cardiovascular conditions in children and how to better address and understand them.“We need to return the idea of a patient-doctor relationship,” says Dr. Milhoan. “You're not a consumer. We've made this too marketing-oriented. We need to go back to: ‘I'm a physician who cares for you because I have compassion for you. And because of my compassion, I want you to do well, and I want you to be healthy.'”Views expressed in this video are opinions of the host and the guest and do not necessarily reflect the views of The Epoch Times.
Story at-a-glance Recent data show U.S. maternal mortality rates increased by 27.7% between 2018 and 2022, with one-third of pregnancy-related deaths occurring after the standard six-week postpartum care period Significant disparities exist in maternal death rates by state, race, and ethnicity. American Indian/Alaska Native women face a nearly four times higher risk than white women Cardiovascular disorders are the leading cause of late maternal deaths, followed by cancer and endocrine conditions. Drug and alcohol-related issues and mental or behavioral disorders are also significant contributors U.S. infant mortality also increased by 3% from 2021 to 2022, the first rise in 20 years, with deaths from maternal complications rising 8.6% and newborn bacterial sepsis up 13.7% To reduce maternal mortality risk, track your symptoms after birth, push for care beyond the standard six-week visit, and make informed decisions throughout pregnancy and postpartum
In this episode, I sit down with Mark Young, CEO of Zona Health, for a conversation that bridges the worlds of health tech, personal growth, and taking radical ownership of your wellbeing.With a career spanning multiple startups and a passion for education, Mark shares how his mission at Zona is not just about product innovation—but empowering people to make informed, sovereign choices about their health. We explore how the Zona Plus supports cardiovascular function, nervous system regulation, and vagal tone in just minutes a day—without medication. Mark also unpacks why so many people outsource their health to insurance companies and governments, and why reclaiming personal responsibility is the real path to vitality.This is a deep dive into the psychology of behavior change, the myth of "rulers" coming to save us, and how micro-decisions shape your long-term outcomes. If you're looking for an honest conversation about sovereignty, science, and self-reliance, this one's for you. Visit zona.com/lukestorey and use code LUKE100 to save $100 off Zona Plus.DISCLAIMER: This podcast is for educational purposes only and not intended for diagnosing or treating illnesses. The hosts disclaim responsibility for any adverse effects from using the information presented. Consult your healthcare provider before using referenced products. This podcast may include paid endorsements.THIS SHOW IS BROUGHT TO YOU BY:LIMITLESS LIVING MD | Book your free consultation today at limitlesslivingmd.com/luke and use code LUKE for 12% off your first order.SUNLIGHTEN | Save up to $600 when you go to lukestorey.com/sunlighten and use code LUKESTOREY in the pricing form.LEELA QUANTUM TECH | Go to lukestorey.com/leelaq and use code LUKE10 for 10% off their product line.NUCALM | Go to nucalm.com and use code LUKE for 15% off!MORE ABOUT THIS EPISODE:(00:00:00) Redefining Radical Generosity(00:05:29) The Physiology of Generosity & the Power of Identity(00:22:21) Identity, Recovery, & the Power of Words(00:31:23) Heart Health, Zona, & Preventative Wake-Up Calls(00:48:04) Zona Demo, Fighter Pilots, & the Real Science Behind Isometric Training(01:07:50) Resetting Your Blood Pressure: Potassium, Endothelium, & the Real Fix(01:30:50) Salt, Science, & Questioning the Narrative(01:40:37) No One's Coming to Save You: Personal Sovereignty & Health Ownership(01:49:55) Zona Protocols, Nervous System Benefits, & the Bona Zona RevelationResources:Website: zona.comWebsite: ryzeagency.comInstagram: instagram.com/themarkyoungInstagram: instagram.com/zonahealthFacebook:
My guest is Dr. Melissa Ilardo, Ph.D., professor of biomedical informatics at the University of Utah. We discuss the interplay between genes and behaviors, including how certain behaviors can improve resilience by changing gene and organ function, as well as natural selection events happening in humans today. We also discuss the immune system–related reasons people find the smells of potential mates attractive—or not. We explore how physical and psychological traits are passed from one generation to the next, and the specific behaviors that can influence gene expression to improve health and performance. Melissa explains her lab's pioneering research on breath-hold training and how activation of the dive reflex through breath holding can significantly improve oxygen availability by changing spleen size and function. We also delve into the medical uses and ethics of gene editing to cure disease in both babies and adults. For those interested in genes and inheritance, human performance, immune system function, and natural selection, this episode illustrates the remarkable interplay between human nature and nurture. Read the episode show notes at hubermanlab.com. Thank you to our sponsors AG1: https://drinkag1.com/huberman Joovv: https://joovv.com/huberman Eight Sleep: https://eightsleep.com/huberman LMNT: https://drinklmnt.com/huberman Function: https://functionhealth.com/huberman Timestamps 00:00:00 Melissa Ilardo 00:02:35 Nature vs Nurture, Gene Expression, Eye Color 00:07:06 Sponsors: Joovv & Eight Sleep 00:10:24 Epigenetics, Trauma, Mutations; Hybrid Vigor, Mate Attraction 00:15:47 Globalization; Homo Sapiens, Mating & Evolution; Mutations 00:25:28 Sea Nomads, Bajau & Moken Groups; Free Diving, Dangers & Gasp Reflex 00:32:52 Cultural Traditions, Free Diving & Families; Fishing 00:35:36 Mammalian Dive Reflex, Oxygen, Spleen, Cold Water & Face; Exercise 00:42:43 Sponsors: AG1 & LMNT 00:46:00 Free Diving, Spleen, Thyroid Hormone, Performance Enhancement 00:52:00 Dive Reflex, Immune System; Swimming & Health; Coastal Regions & Genetics 00:55:17 Female Free Divers, Haenyeo, Cold Water, Age, Protein 01:03:20 Human Evolution & Diet, Lactase, Fat 01:05:07 Korean Female Free Divers & Adaptations, Cardiovascular, Pregnancy 01:10:13 Miscarriages & Genetic Selection; Bajau, External Appearance, Mate Selection 01:17:15 Sponsor: Function 01:19:03 Free Diving, Underwater Vision; Super-Performers & Genetics 01:25:01 Cognitive Performance, Autism, Creativity; Genetic Determinism & Mindset 01:36:30 Genetics & Ethics, CRISPR, Embryo Genetic Screening 01:44:36 Admixture, Genetics; Are Humans a Single Species? 01:49:39 Zero-Cost Support, YouTube, Spotify & Apple Follow & Reviews, Sponsors, YouTube Feedback, Protocols Book, Social Media, Neural Network Newsletter Disclaimer & Disclosures Learn more about your ad choices. Visit megaphone.fm/adchoices