Podcasts about Circulation

With the holidays in full swing and the New Year just around the corner, we're reflecting on all the great times we've had in 2025. Kick back and enjoy these highlights from the past year as we take a little winter break!

Investigative Journalist Kat Espinda joins Stew with receipts showing Mitch Snow is an innocent man.

Nutritional support for chronic venous insufficiency

With the holidays in full swing and the New Year just around the corner, we're reflecting on all the great times we've had in 2025. Kick back and enjoy these highlights from the past year as we take a little winter break!

This week, please join our guest hosts Peter Kennel and Gurleen Kaur as they interview the recipient of the 2025 James T. Willerson Award, Michael Waight and discuss his article, "Personalized Heart Digital Twins Detect Substrate Abnormalities in Scar-Dependent Ventricular Tachycardia." For the episode transcript, visit: https://www.ahajournals.org/do/10.1161/podcast.20251229.893259

Nutritional support for chronic venous insufficiency Struggling with leg pain, swelling or varicose veins? Listen to the latest episode of Live Foreverish with Drs. Mike and Crystal to learn what chronic venous insufficiency is, what causes it, how to spot symptoms early, and which natural nutrients may support vein health and blood flow. #LELearn #EDULiveforeverish

durée : 00:03:26 - Petit à petit l'A64 rouvre à la circulation Vous aimez ce podcast ? Pour écouter tous les autres épisodes sans limite, rendez-vous sur Radio France.

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With the holidays in full swing and the New Year just around the corner, we're reflecting on all the great times we've had in 2025. Kick back and enjoy these highlights from the past year as we take a little winter break!

Pools don't fail just from age or weather; they fail when chemistry, circulation, and surface type don't match. We dig into the real-world differences between vinyl, fiberglass, plaster, and pebble finishes, showing how each material changes your approach to water balance, sanitizer levels, and maintenance. From ground prep that keeps nutgrass from piercing vinyl to the warranty risks of using trichlor tablets with fiberglass, we share the practical moves that help surfaces last and water stay clear.We talk through why vinyl and fiberglass often hold pH more steadily than plaster, and how colored plaster's mottling can be an installation issue, not a chemistry fix. For pebble and exposed aggregate pools, we explain why texture invites calcium scale and algae, how diamond polishing reduces crevices, and why circulation time and brushing frequency matter more than quick, short filter cycles. If your above‑ground kit shipped with a tiny filter, a weak pump, and no timer, you'll learn why upgrading equipment is the fastest path to clarity and chemical efficiency.Our central takeaway: set free chlorine based on cyanuric acid, not a fixed chart. Aiming at 7.5 percent of CYA offers reliable algae control even in high‑stabilizer water, and adding borates to 50 ppm makes it harder for algae to start in the first place. Pair this with thoughtful calcium targets—lower for vinyl and fiberglass, higher for plaster—plus consistent pH control and solid circulation, and you'll prevent stains, scale, and blooms before they begin. • Prep and support for vinyl liners, including nutgrass control• Why acid damages vinyl color and trichlor tablets stain fiberglass• How vinyl and fiberglass differ from plaster in pH and alkalinity behavior• Target calcium levels: lower for vinyl and fiberglass, higher for plaster• Undersized equipment in above‑ground kits and smart upgrades• Pebble challenges with calcium and algae and how polishing helps• Circulation time, brushing and robotic cleaners to stop footholds• Chlorine as 7.5 percent of Send us a textSupport the Pool Guy Podcast Show Sponsors! HASA https://bit.ly/HASAThe Bottom Feeder. Save $100 with Code: DVB100https://store.thebottomfeeder.com/Try Skimmer FREE for 30 days:https://getskimmer.com/poolguy Get UPA Liability Insurance $64 a month! https://forms.gle/F9YoTWNQ8WnvT4QBAPool Guy Coaching: https://bit.ly/40wFE6y

Un nouvel épisode du Pharmascope est disponible! Dans ce 169e épisode dédié aux questions de nos auditeurs, Nicolas et Olivier tentent de pondre des réponses intelligentes à vos excellentes questions. Au menu : trouble d'usage lié à l'alcool, mélatonine et insuffisance cardiaque, taux sérique et hautes doses de vitamine D… et hypertension artérielle chez les plus jeunes! Les objectifs pour cet épisode sont les suivants: Discuter de la combinaison de naltrexone et de gabapentine en trouble d'usage lié à l'alcool Examiner les risques allégués de la mélatonine pour l'insuffisance cardiaque Discuter de la façon d'établir des seuils dits « normaux » de taux sériques de vitamine D Présenter les résultats de certaines études concernant l'innocuité de doses élevées de vitamine D Examiner les bénéfices du traitement de l'hypertension dans une population pédiatrique Ressources pertinentes en lien avec l'épisode Anton RF, et coll. Gabapentin combined with naltrexone for the treatment of alcohol dependence. Am J Psychiatry. 2011 Jul;168(7):709-17. Nnadi, et coll. Abstract 4371606: Effect of Long-term Melatonin Supplementation on Incidence of Heart Failure in Patients with Insomnia. Circulation. 2025; 152(Suppl_3). Institute of Medicine (US) Committee to Review Dietary Reference Intakes for Vitamin D and Calcium. Dietary Reference Intakes for Calcium and Vitamin D. Sanders KM, et coll. Annual high-dose oral vitamin D and falls and fractures in older women: a randomized controlled trial. JAMA. 2010 May 12;303(18):1815-22. Burt LA, et coll. Effect of High-Dose Vitamin D Supplementation on Volumetric Bone Density and Bone Strength: A Randomized Clinical Trial. JAMA. 2019 Aug 27;322(8):736-745. Dionne JM, et coll; Hypertension Canada Guideline Committee. Hypertension Canada’s 2017 Guidelines for the Diagnosis, Assessment, Prevention, and Treatment of Pediatric Hypertension. Can J Cardiol. 2017 May;33(5):577-585. Chaturvedi S ,et coll. Pharmacological interventions for hypertension in children. Cochrane Database Syst Rev. 2014 Feb 1;2014(2):CD008117.

With the holidays in full swing and the New Year just around the corner, we're reflecting on all the great times we've had in 2025. Kick back and enjoy these highlights from the past year as we take a little winter break! The Tyler Robinson rooftop sniper hoax is crumbling after video evidence showing Israel's signature exploding lavalier mic blasting Charlie Kirk's throat, with accomplices snatching the bomb and detonator like pros in a heist. These Mossad monsters, fresh off their pager terrorism, think they can off Americans and have our puppet FBI bury it like JFK— but we're ripping the veil off this demonic plot, patriots, so lock and load for the truth bomb that's gonna make these pedo-perps pay.  

CardioNerds (Dr. Colin Blumenthal, Dr. Kelly Arps, and Dr. Natalie Marrero) discuss anti-arrhythmic drugs in the management of atrial fibrillation and atrial flutter with electrophysiologist Dr. Andrew Epstein. We discuss two major classes of anti-arrhythmic drugs, class IC and class III, as well as digoxin. Dr. Epstein explains their mechanisms of action, indications and specific patient populations in which they would be particularly helpful, efficacy, adverse side effects, contraindications, and key drug-drug interactions. We also elaborate on defining clinical trials and their clinical implications. Given the large burden of atrial fibrillation and atrial flutter in our patient population and the high prevalence of anti-arrhythmic drug use, this episode is sure to be applicable to many practicing physicians and trainees. Audio editing by CardioNerds academy intern, Grace Qiu.  Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Atrial Fibrillation PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls Anti-arrhythmic drugs should not be thought of as an alternative to ablation but, instead, should be considered an adjunct to catheter ablation.   Class IC anti-arrhythmic drugs, flecainide and propafenone, are highly efficacious for acute cardioversion and a great option for patients with infrequent episodes of AF who do not have a history of ischemic heart disease.    Class III anti-arrhythmic drugs like ibutilide, sotalol, and dofetilide, are highly effective for acute conversion; however, they require hospitalization for close monitoring during initiation and dose titration given the risk of prolonged QT.   Amiodarone should not be used as a first line agent given its toxicities, prolonged half-life, large volume of distribution, and drug-drug interactions.   Dr. Epstein notes that, “All drugs are poisons with a few beneficial side effects,” when highlighting the many adverse side effects of anti-arrhythmic drugs, particularly amiodarone, and the importance of balancing their benefit in rhythm control with their side effect profile.   Notes Notes: Notes drafted by Dr. Natalie Marrero. What are the Class IC anti-arrhythmic drugs and what indications exist for their use?   Class IC anti-arrhythmic drugs are anti-arrhythmic drugs that work by blocking sodium channels and, thereby, prolonging depolarizing.   Class IC anti-arrhythmic drugs include flecainide and propafenone.   Class IC anti-arrhythmic drugs are good agents to use in patients that have infrequent episodes of AF and do not want daily dosing as these agents can be used by patients when they feel palpitations and desire acute conversion back to sinus rhythm (“pill in the pocket” approach).    What are the adverse consequences and/or contraindications to using a class IC agent?  Class IC anti-arrhythmic agents are contraindicated in patients with a history of ischemic heart disease based on increased mortality associated with their use in these patients in the CAST trial.   Given the results of the CAST trial, providers should screen annually for ischemia via a functional stress test in patients on these drugs at risk for coronary disease.   These drugs can increase 1:1 conduction of atrial flutter and, therefore, require concomitant use of a beta blocker.   These agents are generally well-tolerated without any organ toxicities; however, they can precipitate heart failure in patients with cardiomyopathies, cause sinus node depression, and unmask genetic arrythmias such as a Brugada pattern.   What are the class III agents and what are indications for their use?   Class III agents are drugs that block the potassium channel, prolonging the QT, and include Ibutilide, Sotalol, and Dofetilide.    Class III agents can be considered in patients with or without a history of ischemic heart disease that desire effective acute chemical cardioversion and are willing to go to the hospital for close monitoring during dose initiation and titration.   Other specific circumstances in which one can use these agents, specifically Ibutilide, are in patients with recurrent atrial fibrillation and Wolf Parkinson White (due to slowed conduction via the accessory pathway).  What are the adverse consequences and/or contraindications to using a class III agent?  Ibutilide, Sotalol, and Dofetilide prolong the QT and increase the risk of torsade de pointes, which is why they require ECG monitoring in-patient during drug initiation and dose titration.    These agents are generally well-tolerated.   Sotalol should be avoided or used cautiously in patients with left ventricular dysfunction, while dofetilide can be used and has dose-response beneficial effects in patients with left ventricular dysfunction.   Both sotalol and dofetilide are renally cleared with specific creatinine clearance cutoffs (CrCl < 20 for dofetilide and CrCl

In this episode of Critical Matters, Dr. Sergio Zanotti discusses the management of acute type B aortic dissection. He is joined by Dr. Firas Mussa, a vascular surgeon and professor at McGovern Medical School at UTHealth Houston. Dr. Mussa also holds a joint appointment with Imperial College in London. Additional resources: Management of Acute Type B Aortic Dissection. FF Mussa and P Kougias. N Engl J of Med 2025: https://pubmed.ncbi.nlm.nih.gov/40902163/ 2022 ACC/AHA Guideline for the Diagnosis and Management of Aortic Disease: A Report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. EM Isselbacher, et al. Circulation 2022: https://pubmed.ncbi.nlm.nih.gov/36322642/ Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) Reporting Standards for Type B Aortic Dissections. JV Lombardi, et al. J Vasc Surg 2020: https://pubmed.ncbi.nlm.nih.gov/32001058/ Endovascular repair of type B aortic dissection: long-term results of the randomized investigation of stent grafts in aortic dissection trial. INSTEAD-XL Trial. CA Nienaber, et al. Circ Cardiovasc Inter 2013: https://pubmed.ncbi.nlm.nih.gov/23922146/ Books mentioned in this episode: A Dangerous Liaison: A Revelatory New Biography of Simon de Beauvoir and Jean-Paul Satre. By Carole Seymour-Jones: https://bit.ly/3L0pIov A Time For All Things: The Life of Michael E. DeBakey. By Craig Miller, et al.: https://bit.ly/44B2uMw

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Flu season is here — and so are the questions. In this Own Your Health Q&A episode, Katie Brindle answers your most urgent winter health concerns, from how to strengthen immunity naturally, to what actually helps restless legs at night, and how to cope emotionally with empty nest syndrome and life transitions. Katie shares practical, holistic advice rooted in Chinese medicine, seasonal eating, circulation, sleep support, and emotional wellbeing. You'll learn the biggest immunity mistakes people make in winter, simple daily habits that protect your health, natural remedies that may stop illness before it takes hold, and gentle tools to help when life feels lost or uncertain. Whether you're battling coughs and colds, struggling with sleep, or navigating a new chapter of life, this episode offers grounded, compassionate guidance you can start using immediately. Like, subscribe and share — and if you have a question for a future Q&A, message us. Chapters: 00:00 – Welcome & Winter Health Q&A Introduction 01:10 – Flu Season: First Steps to Strengthen Immunity 02:30 – Why Sugar Weakens Your Immune System 04:10 – The Winter Diet Mistake Most People Make 05:45 – Best Seasonal Foods for Immune Support 07:20 – Dressing for Winter & Protecting Your Immune Defences 08:45 – Foot Baths, Acupressure & Daily Immune Habits 10:05 – Natural Immune Supplements & When to Use Them 12:20 – Restless Legs: Why It Happens (And Why It's Worse at Night) 13:50 – Liver Health, Circulation & Sleep Solutions 16:40 – Simple Night-Time Rituals to Calm Restless Legs 18:30 – Empty Nest Syndrome: Why It Feels Like Grief 21:00 – Emotional Reset: The ‘I Love List' Exercise 24:30 – Finding Meaning, Energy & Direction Again 27:40 – Letting Go, Decluttering & Preparing for a New Chapter -------------------------------------------- More information here: https://katiebrindle.com/ Subscribe to my newsletter: https://katiebrindle.com/newsletter-s... Buy 'Yang Sheng: The Art of Chinese Self-Healing' at https://www.hayoumethod.com/product/y... Buy the Hayo'u tools at https://www.hayoumethod.com/products/ Hayo'uFit at https://hayoufit.com

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This week, join author Marcely Bonatto and Associate Editor Torbjørn Omland as they discuss the article "Sacubitril-Valsartan for the Prevention of Anthracycline Cardiotoxicity in Patients With Elevated Cardiac Troponin I Concentration During Chemotherapy: A Double-Blind Randomized Placebo-Controlled Clinical Trial: The SARAH Trial." For the episode transcript, visit: https://www.ahajournals.org/do/10.1161/podcast.20251222.180775

Erika Kirk implodes on stage at AmFest without her script, proving she's a scripted Zionist plant grifting millions off Charlie's blood. The fireworks and rock star act can't hide her family's Israeli ties to the Fort Huachuca plot. Trump spewed garbage on national TV claiming he ended wars from Gaza to Thailand and brought eternal Middle East peace, but Israel keeps slaughtering Lebanese civilians and US forces choke Venezuela's oil for foreign interests. Former VA nurse Laura Hartman joins Stew to expose how the corrupt VA death machine poisoned her own veteran father with a contaminated bioweapon shot, exploding his cancer to stage four while they left him to die in backlog hell.  

Erika Kirk is a proven liar covering up Charlie's murder while her Zionist-connected family hijacks Turning Point USA for foreign cash.   Andrew Swedger  exposes Pfizer CEO Albert Bourla calling jabs "bioweapons" as part of Big Pharma's satanic destruction plan. The enemy poisoned our food and water to crush testosterone, turning men into weak, feminized shells. It's a deliberate war on masculinity. Christopher Key exposes the attack and shows how natural deer antler IGF-1 at getIGF1.com and use the Promo code "STEW" on check out  

The avalanche of blatant lies from Erika Kirk and Turning Point USA about Charlie's assassination and their own histories proves they're hiding something massive while cashing in on his death—America's had enough of this disgusting grift. Tonight body language expert Bluemontauk joins me to dissect Candace Owens' closed-door meeting with Erika and read every tell that exposes the truth these snakes don't want you to see. The same death cult doctors who wanted your kids masked and jabbed forever just got demolished. Red light therapy is healing completely. Jonathan Otto joins me tonight to show you how his devices are reversing autism, cancer, blindness, and chronic pain while the entire medical mafia screams for it to be banned. Hawaii's dictator governor uses biosecurity laws to seize property without due process and pushes forced vaccines on kids exposed by author Michelle Melendez. From Maui's DEW massacre to endless emergencies, Melendez reveals citizen remedies to fight this criminal takeover crushing American freedoms. Hospitals turned into kill camps during the scamdemic, pushing remdesivir poison while blocking real cures. Dr. Jay Bernstein exposes how childhood jabs loaded with neurotoxins are causing massive autism and chronic disease surges.  

Muslim terrorists gunned down Jews lighting Hanukkah candles on Bondi Beach. The Christmas coronary effect is slamming Americans with deadly heart attacks from stress turning blood to sludge and fat choking organs. John Jubilee exposes the truth and reveals how Energized Health's patented cellular hydration reverses its fast melting fat, rejuvenating your heart, and guaranteeing results or your money back.   Shane “Shaggy G” Graybeal joins Stew to expose how the Zionist machine has brainwashed us from childhood, medicating kids who question and isolating adults who speak truth. Millions like him are now fully J-pilled, refusing to stay silent as this Jewish criminal war empire hijacks our government and wages endless slaughter for the fake state of Israel.  

  The American people are being brutally gaslit about the cold-blooded assassination of Charlie Kirk while his widow Erica and Turning Point USA scramble to bury the truth and protect their massive Zionist donor cash flow. Jimmy Dore joins Stew to rip apart the endless anomalies, the sealed courtroom farce, the crocodile tears, and the deep Mossad infiltration   These Zionist fake pastors like Greg Locke are finally getting dragged into the light, with insiders blowing the whistle on their spiritual abuse, financial scams, and total betrayal of Jesus Christ. We're tearing down these anti-Christ operations one by one, exposing the crooks who bow to Israel.  

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.

Send us a message with this link, we would love to hear from you. Standard message rates may apply. In this episode of Your Checkup, we break down lipoprotein(a) — a largely inherited form of cholesterol that can significantly increase the risk of heart disease and stroke, even when standard cholesterol numbers look normal. We talk about what Lp(a) is, why it matters, who should be tested, and how it helps explain “unexpected” heart events in otherwise healthy people. While Lp(a) can't currently be lowered with diet or exercise, knowing your level allows you and your care team to be more intentional about prevention by aggressively managing other risk factors like LDL cholesterol, blood pressure, and diabetes. We also discuss what the numbers mean, why most people only need to be tested once, and the promising treatments currently being studied that may change care in the future. References (for Show Notes)Nordestgaard BG, Langsted A. Lipoprotein(a) and Cardiovascular Disease. Lancet. 2024;404(10459):1255-1264.Reyes-Soffer G, et al. AHA Scientific Statement on Lipoprotein(a). Arterioscler Thromb Vasc Biol. 2022;42(1):e48-e60.Di Fusco SA, et al. Lipoprotein(a): Risk Factor and Emerging Target. Heart. 2022;109(1):18-25.Nasrallah N, et al. Lp(a) in Clinical Practice. Eur J Clin Invest. 2025:e70127.Greco A, et al. Lipoprotein(a) as a Pharmacological Target. Circulation. 2025;151(6):400-415.Bess C, Mehta A, Joshi PH. All We Need to Know About Lipoprotein(a). Prog Cardiovasc Dis. 2024;84:27-33.Support the showSubscribe to Our Newsletter! Production and Content: Edward Delesky, MD & Nicole Aruffo, RNArtwork: Olivia Pawlowski

This week, join author Vivek Reddy and Senior Associate Editor Sana Al-Khatib as they discuss the article "High-Voltage Focal Pulsed Field Ablation to Treat Scar-Related Ventricular Tachycardia: The First-in-Human VCAS Trial." For the episode transcript, visit:  https://www.ahajournals.org/do/10.1161/podcast.20251215.75602

America is not a free country, it's a Jewish colony! Tonight Stew exposes Speaker Mike Johnson for kissing the ring of tunnel-digging Chabad rabbis.   They murdered Charlie Kirk the second he turned against endless wars and the Zionist agenda that he once shilled. Makia Freeman joins Stew to discuss the clown show. Hurricane Helene was deliberately steered over America's biggest lithium deposit so BlackRock could seize it after drowning our people. Rep. Monty Fritts exposes the treasonous weather warfare and vows to crush the globalist beasts running Tennessee. Your phone just got hijacked by the same Jews who hijacked our government. We've got the receipts, the numbers, and the proof that Mossad and the CIA are one and the same.

America just committed an act of war against Venezuela by commandeering its largest oil tanker like a band of 18th century pirates. Dr. Michael Rectenwald, founder of Anti-Zionist AZAPAC, joins Stew to expose how Trump's Jewish handlers are dragging us into WW3 while Trump brags like the good little Shabbos-goy he is.   Venezuela, Oil Tanker Raid, Trump, Piracy, International Waters, ZOG, Jewish Influence, Israel, BRICS, Iran, Hezbollah, BlackRock, Rothschild, Ronald Lauder, World Jewish Congress, AIPAC, AZAPAC, Dr Michael Rectenwald

The HSE is warning of high-strength MDMA in circulation this Christmas. MDMA is a synthetic drug also known as Ecstasy. Highly potent versions of the drug have been linked to several deaths. Rachel was joined by Professor Eamon Keenan, HSE National Clinical Lead for Addiction Services.

Trump and Hegseth are gearing up to send your kids to die for Israel. Venezuela is the next domino to fall. America's churches have been turned into Israeli fundraising centers and Third-Temple death cults run by fake Khazar “Jews” and their bought-off goy preachers. Pastor Chuck Baldwin joins Stew to burn the entire satanic system straight to hell.   The criminal cabal is using YOUR money to bomb kids overseas and replace us with third-world invaders, all funded by the biggest lie ever told: federal income tax. Peymon Mottahedeh joins Stew tonight to prove there's NO LAW requiring you to file or pay, and shows you exactly how to legally cut them off tomorrow and starve the beast.   The COVID “vaccine” was a military grade bioweapon attack on humanity and the monsters who mandated it are still in power. Paul Rozell lost his 28 years at United Airlines for refusing the poison jab.   Erika Kirk is exploiting Charlie's tragic assassination to push a phony narrative that he secretly lived a Jewish lifestyle and observed Shabbat, all while hawking his posthumous book to promote Judaism and Israel over real Christianity. The truth is Charlie was waking up to the cabal, rejecting their wars and influence, but now his untrustworthy inner circle is rewriting history for power and millions.

Corrie Bignell watched Trudeau turn Canada into a giant euthanasia camp and refused to become a killer for the regime, so they stripped her of everything. Corrie joins Stew live from Nicaragua to expose the COVID holocaust.   Erika Kirk just threw a $10k-a-plate victory party at Epstein's old playground while her husband's body still isn't in the ground. Jake GTV joins Stew with receipts to discuss TPUSA's financials.

America is being dragged into another bloody, senseless war with Venezuela so the Rothschild cabal and Israel can steal their oil while your kids get sacrificed to the beast system. Scottie Nell Hughes joins Stew to blow the lid off this treason. We've been lied to every day since Charlie Kirk was assassinated in broad daylight, with the government, media, and influencers pushing a fake narrative to protect the real killers. On The Stew Peters Show, we're exposing the cabal, the contaminated crime scenes, and the Jewish operatives behind it all, because the truth about this spiritual war for our nation's survival won't be silenced.   John Jubilee joins Stew to expose how gluttony is the silent sin killing Christian men while fat preachers stay silent and 70% of guys can't even do one pull-up. Energized Health, the protocol John Jubilee built, is reversing jab injuries, turbo cancers, and obesity so real warriors actually live long enough to lead their families instead of dying in a reinforced coffin.

Dr. Nathan Bryan is an international expert in nitric oxide biochemistry and molecular medicine. With more than two decades of groundbreaking research, Dr. Bryan has made numerous seminal discoveries, holds dozens of U.S. and international patents, and has created technologies that have improved patient care worldwide. He earned his B.S. in Biochemistry from the University of Texas at Austin and his Ph.D. from LSU School of Medicine, followed by post-doctoral training at Boston University's Whitaker Cardiovascular Institute under Nobel Laureate Dr. Ferid Murad. In this episode, Coach Debbie Potts and Dr. Bryan explore: ✅ What nitric oxide is and why it's vital for cardiovascular, metabolic, and brain health ✅ Why nitric oxide production declines with age and modern lifestyle habits ✅ How to naturally restore nitric oxide through nutrition, sunlight, exercise, and targeted supplements Learn more about Dr. Bryan's work and nitric oxide-based innovations at www.N1O1.com (save with code COACHDEBBIEPOTTS), www.drnathansbryan.com, and www.nitricoxideinnovations.com. Connect with Dr. Bryan on Instagram @drnathansbryan | Twitter @drnitric | LinkedIn @drnathansbryan.

This week, join author Sara Moura-Ferreira and Associate Editor Ntobeko Ntusi as they discuss the article "Prognostic Value of Exercise Right Ventricular-Pulmonary Arterial Coupling in Primary Mitral Regurgitation." For the episode transcript, visit:  https://www.ahajournals.org/do/10.1161/podcast.20251208.238882

Previously aired: The Israeli demons didn't use a .30-06 to take out Charlie Kirk, they used an exploding lavalier mic, and every traitor from the media to the feds is scrambling to bury the truth! John Bray exposes this vile assassination plot with undeniable proof that shatters their pathetic narrative.   Brian Ference exposes how Israel whacked Charlie Kirk for ditching their Greater Israel scam, using fake Christian tech fronts to geofence and spy on TPUSA patriots. These synagogue of Satan operatives are tracking your phones, pumping pro-Israel psyops into your feeds, and building AI dossiers to control us all—it's time to wake up and fight back!

Trump's “Institute of Peace” is dropping bombs in eight countries and quietly putting boots on the ground in Venezuela, the same Zionist war machine, new puppet, more White blood for the cabal. They injected you with spike protein bioweapons and called the damage “irreversible.”   Jonathan Otto just proved them all liars by showing red light therapy completely heals myocarditis, vaccine-induced AIDS, and brain destruction faster than they can say “booster.” The Zionist controlled Turning Point USA snakes just invited Candace Owens to Phoenix in a blatant ambush while they rake in blood money off Charlie Kirk's corpse and hide Israeli assassins, Egyptian jets, and pedophile grift inside their fake “conservative” empire.

In this episode, the CardioNerds (Dr. Naima Maqsood, Dr. Akiva Rosenzveig, and Dr. Colin Blumenthal) are joined by renowned educator in electrophysiology, Dr. Joshua Cooper, to discuss everything atrial flutter; from anatomy and pathophysiology to diagnosis and management. Dr. Cooper's expert teaching comes through as Dr. Cooper vividly describes atrial anatomy to provide the foundational understanding to be able to understand why management of atrial flutter is unique from atrial fibrillation despite their every intertwined relationship. A foundational episode for learners to understand atrial flutter as well as numerous concepts in electrophysiology. Audio editing for this episode was performed by CardioNerds intern Dr. Bhavya Shah.  CardioNerds Atrial Fibrillation PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls "The biggest mistake is failure to diagnose”. Atrial flutter, especially with 2:1 conduction, is commonly missed in both inpatient and outpatient settings so look carefully at that 12-lead EKG so you can mitigate the stroke and tachycardia induced cardiomyopathy risk  Decremental conduction of the AV node makes it more challenging to rate control atrial flutter than atrial fibrillation  Catheter Ablation is the first line treatment for atrial flutter and is highly successful, but cardioversion can be utilized as well prior to pursuing ablation in some cases.  Class I AADs like propafenone and flecainide may stability the atrial flutter circuit by slowing conduction and thus may worsen the arrhythmia. Therefore, the preferred anti-arrhythmic medication in atrial flutter are class III agents.  Atrial flutter can be triggered by firing from the left side of the heart, so in patients with both atrial fibrillation and flutter, ablating atrial fibrillation makes atrial flutter less likely to recur.  BONUS PEARL: Dr. Cooper's youtube video on atrial flutter is a MUST SEE!  Notes Notes: Notes drafted by Dr. Akiva Rosenzveig  What are the distinguishing features of atrial fibrillation and flutter?  Atrial flutter is an organized rhythm characterized by a wavefront that continuously travels around the same circuit leading to reproducible P-waves on surface EKG as well as a very mathematical and predictable relationship between atrial and ventricular activity  Atrial fibrillation is an ever changing, chaotic rhythm that consists of small local circuits that interplay off each other. Consequently, no two beats are the same and the relationship between the atrial activity and ventricular activity is unpredictable leading to an irregularly irregular rhythm  What are common atrial flutter circuits?  Cavo-tricuspid isthmus (CTI)-dependent atrial flutter is the most common type of flutter. It is characterized by a circuit that circumnavigates the tricuspid valve.  Typical atrial flutter is characterized by the circuit running in a counterclockwise pattern up the septum, from medial to lateral across the right atrial roof, down the lateral wall, and back towards the septum across the floor of the right atrium between the IVC and the inferior margin of the tricuspid valve i.e. the cavo-tricuspid isthmus. Surface EKG will show a gradual downslope in leads II, III, and AvF and a rapid rise at end of each flutter wave.   Atypical CTI-dependent flutter follows the same route but in the opposite direction (clockwise). Therefore, we will see positive flutter waves in the inferior leads   Mitral annular flutter is more commonly seen in atrial fibrillation patients who've been treated with ablation leading to scarring in the left atrium.  Roof-dependent flutter is characterized by a circuit that travels around left atrium circumnavigating a lesion (often from prior ablation), traveling through the left atrial roof, down the posterior wall, and around the pulmonary veins  Surgical/scar/incisional flutter is seen in people with a history of prior cardiac surgery and have iatrogenic scars in right atrium due to cannulation sites or incisions  How does atrial flutter pharmacologic management differ from other atrial arrhythmias?  The atrioventricular (AV) node is unique in that the faster it is stimulated, the longer the refractory period and the slower it conducts. This characteristic is called decremental conduction. In atrial fibrillation, the atrial rate is so fast that the AV node becomes overwhelmed and only lets some of those signals through to the ventricles creating an irregular tachycardia but at lower rates. In atrial flutter, the atrial rate is slower, therefore the AV node has more capability to conduct allowing for higher ventricular rates. Therefore, to achieve rate control one will need a higher dose of AV blocking medications. Atrial tachycardia may require even higher doses due to the increased ability of the AV node to conduct, as the atrial rates are slower than in atrial flutter.  Sodium channel blockers (Class I) such as flecainide and propafenone slow wavefront propagation, making it easier for the AV node to handle the atrial rates. This will end up leading to increased ventricular rates which can be dangerously fast. That is why AV nodal blockers should be used in conjunction with flecainide and propafenone.  What is the role of cardioversion in atrial flutter management?  Due to high success rate with atrial flutter ablation, ablation is the first line treatment. However, sometimes cardioversion may be utilized in patients depending on how symptomatic they are and how long it will take to get an ablation. Cardioversion may also be utilized preferentially when the atrial flutter was triggered by infection or cardiac surgery to see if it will come back.   If cardioversion is pursued, the patient will need to be anticoagulated due to the stroke risk after the procedure due to post-conversion stunning.  How effective is atrial flutter ablation?  The landmark Natale et al study in 2000 demonstrated 80% success rate after radiofrequency ablation as compared to 36% in patients on anti-arrhythmic therapy. The LADIP study in 2006 further corroborated these findings. Contemporary data shows above 90% success rate of atrial flutter ablation.  In patients who have had both atrial fibrillation and atrial flutter, most electrophysiologists would ablate both. However, in patients with atrial fibrillation, the atrial flutter usually is initiated by trigger spots firing in the left atrium. Once the atrial fibrillation is ablated, the flutter will become less likely. Therefore, there are those who say there's no need to ablate the flutter circuit as well. Alternatively, if a patient has severe comorbidities and/or is high risk for ablation, one may consider performing the atrial flutter ablation only since atrial flutter is harder to manage medically compared with atrial fibrillation.   How do you manage atrial flutter in the acute inpatient setting?  In the inpatient setting, electrical cardioversion is often limited by blood pressure and the hypotensive effects of the sedatives required. If one is awake and too hypotensive, chemical cardioversion can be pursued. The most effective anti-arrhythmic for this is ibutilide. Amiodarone is not effective for acute cardioversion. Since ibutilide prolongs refractoriness in atrial and ventricular tissue, there's a risk of long QT induced torsades de pointes. Pretreating with magneisum reduces the risk to 1-2%.  References Jolly WA, Ritchie WT. Auricular flutter and fibrillation. 1911. Ann Noninvasive Electrocardiol. 2003;8(1):92-96. doi:10.1046/j.1542-474x.2003.08114.x  McMichael J. History of atrial fibrillation 1628-1819 Harvey - de Senac - Laënnec. Br Heart J. 1982;48(3):193-197. doi:10.1136/hrt.48.3.193  Lee KW, Yang Y, Scheinman MM; University of Califoirnia-San Francisco, San Francisco, CA, USA. Atrial flutter: a review of its history, mechanisms, clinical features, and current therapy. Curr Probl Cardiol. 2005;30(3):121-167. doi:10.1016/j.cpcardiol.200  2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2024;149(1):e167. doi:10.1161/  Cosío F. G. (2017). Atrial Flutter, Typical and Atypical: A Review. Arrhythmia & electrophysiology review, 6(2), 55–62. https://doi.org/10.15420/aer.2017.5.2  https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-11/Atrial-flutter-common-and-main-atypical-forms Natale A, Newby KH, Pisanó E, et al. Prospective randomized comparison of antiarrhythmic therapy versus first-line radiofrequency ablation in patients with atrial flutter. J Am Coll Cardiol. 2000;35(7):1898-1904. doi:10.1016/s0735-1097(00)00635-5  Da Costa A, Thévenin J, Roche F, et al. Results from the Loire-Ardèche-Drôme-Isère-Puy-de-Dôme (LADIP) trial on atrial flutter, a multicentric prospective randomized study comparing amiodarone and radiofrequency ablation after the first episode of symptomatic atrial flutter. Circulation. 2006;114(16):1676-1681. doi:10.1161/CIRCULATIONAHA.106.638395  https://www.acc.org/Membership/Sections-and-Councils/Fellows-in-Training-Section/Section-Updates/2015/12/15/16/58/Atrial-Fibrillation#:~:text=The%20first%20'modern%20day'%20account,in%20open%20chest%20animal%20models.&text=In%201775%2C%20William%20Withering%20first,(purple%20foxglove)%20in%20AFib.

The satanic globalist cabal and their puppet Mark Zuckerberg just permanently assassinated Stew's Instagram and Facebook despite no rules having been broken.   One year in and Trump's biggest promise is exposed as pure Zionist theater while the third-world horde keeps pouring across the border to finish erasing White America. Sheriff Richard Mack lays it out crystal clear: forget waiting on the occupied federal government—your county sheriff answers only to the Constitution and it's time to force him to start rounding up and expelling every last illegal alien and domestic enemy. They're dumping poison from jets, steering superstorms like guided missiles, and laughing while entire bloodlines are erased. Kathryn Saari is here with the smoking-gun evidence that Helene was a lithium land grab massacre.

VACCINE HORROR EXPOSED! Groundbreaking Docu-Series Reveals CDC Schedule's Deadly Secrets – Autism Spike, Big Pharma Bribes & More – Exclusive for Supporters at StewPeters.tv The same Zionist assassins who took out Charlie Kirk just got the green light from the homosexual Macron regime to put Candace Owens in the ground for telling the world his “wife” is a man who groomed him as a child. Charlie Kirk was slaughtered the moment he walked away from Israel, and now his fake-grieving wife Erica has handed Turning Point USA's millions of white Christian kids straight to Jewish-Mormon Noahide control. Diana Ketterman exposed the Raytheon Israel family that slept next to Charlie while plotting his execution. Big Food and Big Pharma are tag teaming to make you a fat, sick, med dependent slave this holiday season.  John Jubilee reveals the protocol that's already freeing thousands from diabetes, depression, and decades of prescription chains. America just adopted Israel's Satanic double-tap doctrine and used it on Venezuelan fishermen the same tribe that attacked the USS Liberty now runs our Pentagon. Eric Moutsos joins me to connect the dots from Caracas to the next “Hezbollah” false flag they're getting ready to pull right here at home.

Lee el blogpost completo en: https://ecctrainings.com/la-evolucion-del-coach-de-rcp-y-el-carro-de-paro-modificado/ Tema Principal: Impacto del "Coach de RCP y carro de paro modificado" en la reanimación pediátrica Referencia Principal: Daigle, H. et al. (2025). Circulation, 152(Suppl_3). https://doi.org/10.1161/circ.152.suppl_3.4340497 Puntos a cubrir: Breve resumen del estudio presentado en la Resuscitation Science Symposium Problemas comunes en la calidad de la RCP pediátrica ¿Qué es un Coach de RCP? Su rol y valor en el equipo de reanimación Resultados del estudio: mejora en conocimiento y preparación del personal entrenado Carro de paro modificado: ventajas ergonómicas y logísticas Experiencia de los participantes del estudio con ambos carros de paro Implicaciones educativas y clínicas Cómo ECCtrainings está integrando estos hallazgos en los cursos de PALS Invitación a visitar el blogpost completo en el website Promoción de ECCtrainings, ECCnetwork y ECCpodcast Llamados a la acción en audio: Inscríbete en nuestros cursos de PALS en www.ecctrainings.com Lee el blogpost completo en ecctrainings.com/la-evolucion-del-coach-de-rcp-y-el-carro-de-paro-modificado Únete al ECCnetwork: Regístrate gratis en https://ecctrainings.circle.so Suscríbete al podcast en Apple y Spotify: https://www.eccpodcast.com/subscribe

Marjorie Taylor Greene just dropped the mother of all red pills and resigned from Congress, admitting Trump is a total fraud, both parties are owned by the same Jewish billionaires, and there is NO PLAN to save America. Tonight we go full nuclear on the AIPAC stranglehold, the Epstein blackmail tapes they're hiding, and the child-trafficking orphanages their networks run from Romania to Tel Aviv.   Donald Trump Jr. was caught red-handed in a secret Romanian backroom deal with Israel's ex-intelligence minister whose family built the Hezbollah exploding pagers, while America's children are trafficked and Gaza is bulldozed for Jewish luxury resorts bearing the Trump name. The same Zionist cabal that murdered Charlie Kirk and tried to silence Candace Owens is now running the White House through cocaine-fueled Shabbos goys and their Israeli handlers, proving once again that every road of treason leads straight back to Tel Aviv.   Tonight we rip the mask off the Military Industrial Complex's Zionist pipeline running straight through the University of Cincinnati and right into Charlie Kirk's own bedroom through his handler wife Erika and her Raytheon connected, geofencing spook mother Lori Frantzve.

Visit https://purgestore.com and use promo code "STEW".   Join Stew Peters as he uncovers the ongoing Covid scamdemic, the latest fear campaign with the Stratus variant, and shocking autopsy evidence revealing vaccine deaths. With Dr. Bryan Ardis and insights from Dr. Peter McCullough, we expose the truth behind the masks, boosters, and the biggest genocide in history!