heart bmj

In this episode of the Heart podcast, Digital Media Editor Dr. James Rudd visits Professor Darrel Francis and Dr. Rasha Al-Lamee at "Orbita HQ" at Imperial College, London to discuss their groundbreaking trial. In a wide-ranging discussion they cover why the trial was desperately needed, the barriers to getting started and what the startling and unexpected results might mean for PCI in stable coronary artery disease. The second half of the podcast will be released in two weeks.

Link to published paper: 
Orbita trial : http://linkinghub.elsevier.com/retrieve/pii/S0140673617327149 

Editorial mentioned during the discussion : https://www.pcronline.com/eurointervention/127th_issue/volume-13/number-12/217/swimming-against-the-tide-insights-from-the-orbita-trial.html

The Orbita Trial - the inside scoop - Part 1

In this episode of the Heart podcast, Digital Media Editor Dr. James Rudd visits Professor Darrel Francis and Dr. Rasha Al-Lamee at "Orbita HQ" in Imperial College, London to discuss their groundbreaking trial. This is the second part of a wide-ranging discussion during which they cover why the trial was desperately needed, the barriers to getting started and what the startling and unexpected results might mean for PCI in stable coronary artery disease. The concept of post-publication ‘trial by Twitter’ rounds out their chat.

Link to published paper: 
Orbita trial : http://linkinghub.elsevier.com/retrieve/pii/S0140673617327149 and editorial mentioned during the discussion : https://www.pcronline.com/eurointervention/127th_issue/volume-13/number-12/217/swimming-against-the-tide-insights-from-the-orbita-trial.html

The Orbita Trial - the inside scoop - Part 2

In this episode of the Heart podcast, Digital Media Editor Dr James Rudd is joined by Dr Paul Sainsbury from Bradford Royal Infirmary. They discuss his recent Education in Heart paper all about refractory angina. Paul is an expert in this area and runs one of the few specialist services in the UK.

Please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: http://heart.bmj.com/content/103/23/1911

Link to the Bradford specialist clinic mentioned during the podcast: http://refractoryangina.uk/

Refractory angina - how can we improve our service to patients?

In this episode of the Heart podcast, Digital Media Editor Dr James Rudd is joined by Dr Dana Dawson from Aberdeen Royal Infirmary in Scotland. They discuss the clinical features, pathology and latest research on this common, fascinating condition. Please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 if you enjoy the episode.

Link to published papers: Heart review by Dr Dawson: http://heart.bmj.com/content/104/2/96. Education in Heart paper by Dr Lyon:  http://heart.bmj.com/content/103/18/1461. European position paper by Dr Lyon: http://onlinelibrary.wiley.com/doi/10.1002/ejhf.424/abstract

An update on Takotsubo’s syndrome - a stress-induced cardiomyopathy

In this episode of the Heart podcast, Digital Media Editor Dr James Rudd is joined by Dr Praveen Mehrotra, an echo expert from Thomas Jefferson University Hospital in Philadelphia. They discuss his recent paper that explores whether we need a new cut-off to define severe aortic stenosis. Please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: Clinical features and prognosis of patients with isolated severe aortic stenosis and valve area less than 1.0 cm2 -  http://heart.bmj.com/content/104/3/222

Aortic stenosis - How severe is 'severe'?

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Charlotte Warren-Gash from the London School of Hygiene and Tropical Medicine. They discuss the links between respiratory infections and subsequent heart attacks and strokes.
If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2
Link to published paper: https://www.lshtm.ac.uk/newsevents/news/2018/respiratory-infections-could-increase-risk-heart-attack-and-stroke

Respiratory infections and subsequent heart attacks and strokes

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd is joined by Professor David Newby from Edinburgh University. They discuss the landmark SCOT-HEART trial, which demonstrated that a CT-guided investigation strategy for chest pain could reduce future myocardial infarction risk. How might this be the case? What does it mean for future guidelines? And should we ditch the treadmill test?

If you enjoy the show, please subscribe to the podcast in your favourite podcast app to get episodes automatically downloaded to your phone or computer. Also, please consider leaving us a review if you enjoy the show. It really helps (https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2).

Links to published papers:
Original study - https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(15)60291-4/fulltext#seccestitle10
5 year outcome study - https://www.nejm.org/doi/full/10.1056/NEJMoa1805971

The SCOT-HEART trial - a discussion with Professor David Newby

In this episode of the Heart podcast, Digital Media Editor Dr James Rudd, is joined by Professor Bernard Prendergast from St Thomas' Hospital, London. They discuss his recent publication in Heart concerning the ability of the stethoscope to detect important valve disease in asymptomatic primary care patients. They also cover POCUS, the feasibility of screening elderly patients for valve disease and whether Bernard still uses a stethoscope in real life.

If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: 
Primary paper: https://heart.bmj.com/content/early/2018/07/24/heartjnl-2018-313082
Editorial: https://heart.bmj.com/content/early/2018/05/24/heartjnl-2018-313474
The Oxvalve study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5216199/

Do we still need stethoscopes?

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Arjun Ghosh (Twitter: @Arjunkg) from Bart's Hospital in London. They discuss the essentials of cardio-oncology and in this episode, ongoing trials, how to get trained and set up a service and what the active areas of research are in cardio-oncology.
If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2
Link to published paper: https://openheart.bmj.com/content/5/2/e000774

Cardio-oncology - the essentials (Part 1)

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Arjun Ghosh from Bart's Hospital in London. They discuss the essentials of cardio-oncology - what it is, why it's important and some common clinical scenarios.

If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://openheart.bmj.com/content/5/2/e000774

Cardio-oncology - the essentials (Part 2)

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Puja Mehta from Emory University, Atlanta, Georgia, USA. They discuss the concept of myocardial infarction with non-obstructed coronary arteries (MINOCA).
If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2
Link to published paper: 
https://heart.bmj.com/content/early/2018/11/27/heartjnl-2018-314012
https://academic.oup.com/eurheartj/article/38/3/143/2967570

Myocardial infarction with normal coronary arteries, what next?

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Professor Perry Elliott from UCL and Bart's in London, a world leader in cardiomyopathy care and research. They discuss the essentials of the arrhythmogenic cardiomyopathies, genetic testing, new drugs and hopes for a cure.
If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://heart.bmj.com/content/early/2019/02/21/heartjnl-2017-311160

Cardiomyopathies - a comprehensive overview from Professor Perry Elliott

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Professor Catherine Otto from Seattle. They discuss the latest in aortic stenosis treatments in the low-risk post PARTNER 3 era. They also highlight a recent Heart journal supplement all about aortic stenosis and pick out highlights.
If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at: https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2
Link to published supplement: https://heart.bmj.com/content/105/Suppl_2

Aortic stenosis - how should we treat it in 2019?

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by eminent statistician Professor David Spiegelhalter from Cambridge University. They discuss how we can better communicate medical risks to our patients, why the p-value may have had its day and how we should evaluate medical AI before using it in daily practice.

If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone or computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to David’s website and his book on the art of statistics : 

https://wintoncentre.maths.cam.ac.uk/

https://amzn.to/2TQyhSb

Statistics and risk - what’s my heart age?

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Stephen Weng from the University of Nottingham. They discuss his Heart paper "Sub-optimal cholesterol response to initiation of statins and future risk of cardiovascular disease".
If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2
Link to published paper: https://heart.bmj.com/content/early/2019/04/16/heartjnl-2018-314253

Cholesterol - the lower the better?

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Scott Murray, President of the British Association of Cardiac Prevention and Rehabilitation. They discuss why Scott finds plenty of value in calcium scoring, plus what's on the horizon for the most powerful intervention after an MI - cardiac rehabilitation.
If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

The Power of Zero with Dr Scott Murray

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Marcio Bittencourt from Sao Paolo University. They discuss an editorial he wrote on pre-op cardiac testing using CT.
If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2
Link to published papers: 
https://heart.bmj.com/content/105/17/1300
https://heart.bmj.com/content/105/17/1335

Pre-operative cardiac testing - how should we do it?

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Marc Deyell from the University of British Columbia. They discuss his Heart paper "Outcomes of untreated frequent premature ventricular complexes with normal left ventricular function" and how it might influence practice.
If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2
Link to published paper: 
https://heart.bmj.com/content/105/18/1408
https://heart.bmj.com/content/105/18/1386

Frequent PVCs - to treat or not to treat?

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Thomas Butler from the University of Chester. They discuss his Review paper in Heart entitled "Optimum nutritional strategies for cardiovascular disease prevention and rehabilitation (BACPR)".

If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published paper: https://heart.bmj.com/content/106/10/724

Diet after a heart attack - what should we tell patients?

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Dr Alexandra Freeman and Dr Gabriel Reccia from The Winton Centre at the University of Cambridge. They discuss their paper which is about how best to communicate risks to cardiology (and other) patients.
Link to published paper: 
1. https://wintoncentre.maths.cam.ac.uk/
2. https://heart.bmj.com/content/early/2020/08/11/heartjnl-2020-317593
If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

heart bmj

Nelson Amaral