A US-based cardiology podcast created in 2019 by Dr Amit Goyal and Dr Daniel Ambinder. It provides in-depth discussions of clinical cardiology topics, current guidelines, and expert interviews to enhance cardiology education and patient care.
Coronary CT angiography answers anatomical questions, while stress echocardiography, nuclear perfusion imaging, positron emission tomography and stress cardiac magnetic resonance assess ischaemia and function. Test selection depends on pre-test likelihood, symptoms, comorbidity, exercise capacity, ECG findings and local expertise.
Right-sided congestion may reflect primary, atrial functional, ventricular functional or device-related tricuspid regurgitation. Assessment combines volume optimisation, multimodality imaging, right-heart haemodynamics and right ventricular reserve before a valve team chooses medical, surgical or transcatheter treatment.
Pregnancy planning in someone with cardiovascular symptoms or known disease requires more than a generic risk score. Symptoms, exercise tolerance, family history, lesion-specific physiology, medication safety and previous adverse pregnancy outcomes guide targeted testing, contraception advice and early multidisciplinary pregnancy heart team input.
Cardiology, acute medicine, primary-care and renal teams get a phenotype-led approach to exertional dyspnoea and congestion in patients with obesity, diabetes, atrial fibrillation, obstructive sleep apnoea and chronic kidney disease. It links symptoms, natriuretic peptides and echocardiography with diuresis, SGLT2 inhibition, cardiac rehabilitation, weight management and coordinated treatment of cardiometabolic drivers.
Cardiology, general-practice and endocrinology clinicians get a prevention-focused approach to hypertension, diabetes, obesity and early cardiac remodelling. It frames heart failure as a continuum from risk factors to structural change and symptoms, linking reliable blood-pressure measurement, urine albumin-creatinine ratio, natriuretic peptides, echocardiography and parallel cardiometabolic treatment to earlier action.
Cardiology, respiratory and critical-appraisal teams get an evidence update on intermediate-risk pulmonary embolism. It separates anticoagulation from catheter-directed thrombolysis and mechanical thrombectomy while keeping right ventricular dysfunction, biomarkers, oxygen requirement, bleeding risk, clinical deterioration endpoints, multidisciplinary PERT decisions and post-PE symptoms in view.
Cardiology, emergency and acute medicine clinicians get a focused update on recurrent angina despite non-obstructive coronary angiography. ANOCA, INOCA and MINOCA are separated clearly, with microvascular dysfunction, vasospasm, SCAD, myocarditis, Takotsubo, early cardiac MRI, risk-factor treatment and cardiac rehabilitation kept in view.
Cardiology, emergency and acute medicine teams get a focused update on late-presenting ST elevation myocardial infarction. A stable, pain-free patient with completed infarction more than 24 hours after symptom onset does not routinely benefit from opening an occluded infarct-related artery, but ongoing ischaemia, shock, severe heart failure or life-threatening arrhythmia changes the decision.
Cardiology, respiratory and acute medicine teams get a structured approach to persistent symptoms after pulmonary embolism. It differentiates post-PE impairment, chronic thromboembolic disease and chronic thromboembolic pulmonary hypertension, linking follow-up to symptom scoring, V/Q imaging, echocardiography, functional assessment and individualised anticoagulation decisions.
ACS angiography planning should not stop at choosing the wrist. Radial access is preferred when feasible, but femoral backup, crossover triggers, radial spasm and possible mechanical circulatory support need to be anticipated before the case becomes unstable.
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