Cardiac Consult: A Cleveland Clinic Podcast for Healthcare Professionals

Physiologic pacing is an approach to treat patients with complete heart block that minimizes pacing induced cardiomyopathy and heart failure. Dr. Oussama Wazni, Section Head, Cardiac Electrophysiology and Pacing, and Dr. Roy Chung, Director of Physiologic Pacing Center, discuss physiologic pacing at Cleveland Clinic: outcomes, indications, benefits, patient selection and contraindications of this type of pacing.

Dr. Jennifer Hargrave provides an overview of the Blood Conservation in Cardiac & Vascular Surgery Tall Rounds® session.

Alcohol septal ablation has been performed at Cleveland Clinic since the late 1980’s. Dr. Samir Kapadia describes optimal patients for this procedure and outcomes of septal ablation vs. surgery (septal myectomy). Alcohol septal ablation is a good treatment option for appropriately selected patients. Hypertrophic cardiomyopathy (HCM) requires a team approach involving cardiologists, surgeons and genetic counselors to plan the best procedure for each individual patient.

Dr. L. Leonardo Rodriguez provides an overview of the Aortic Valve and Root Surgery in Young Patients: Complex Considerations Tall Rounds® session.

Obstructive sleep apnea is related to various types of cardiovascular disease. Cardiologist Dr. Michael Faulx and Dr. Reena Mehra, Director of Sleep Disorders Research in the Sleep Center, have worked together to investigate this relationship. It is important to ask the right questions and look for risk factors to determine if there are underlying sleep disorders in the patient with cardiovascular disease. The STOP-BANG questionnaire can be used to test for high probability for sleep apnea but there are limitations. Testing for sleep apnea can be done at home – or in lab; and there are many ways it can be treated. Treating sleep apnea can improve cardiovascular disease, especially atrial fibrillation and high blood pressure.

Dr. Peter Aziz and Dr. Oussama Wazni highlight the contemporary & collaborative management of inherited arrhythmia’s.

Evan Harmon MD, Cardiovascular Medicine Fellow, presents two rare cases of patients with myopericarditis following COVID 19 vaccine. This is followed by a discussion of the mRNA vaccine, who is at risk for myopericarditis, diagnostic testing and management. An expert panel led by Dr. Allan Klein, Director of the Pericardial Center discuss the case and issues surrounding the topic.

Dr. Eric Roselli and Dr. Joanna Ghobrial discuss the importance of collaboration, and the adult congenital heart disease - pulmonary hypertension combined clinic.

Scott Cameron, vascular medicine physician and cardiologist focused on aortic disease management. Melin Desai, medical director of an Aortic Center who coordinates acute and longitudinal care. They discuss rapid triage and cloud image sharing, pre-review workflows that speed preparation, blood pressure monitoring after discharge, endovascular and surgical timing strategies, genetics and lifelong telehealth follow-up.

Dr. Paul Cremer provides an overview of the Rescue from Cardiac Arrest Tall Rounds® session.