Patient Pulse

<p>At Patient Pulse, we aim to improve understanding of difficult topics in cardiology and medicine. Easy enough for the layman, but detailed enough for someone who wants to know more about their condition or that of a loved one. Available on Apple Podcasts, Spotify, YouTube and most other services. Subscribe to have new podcasts sent directly to your player and please email us with any comments.  We would love to hear from you.</p>

Inflammation and Cardiovascular Disease with Dr Nehal Mehta

Let us know your thoughts. We would love to hear from you. In this conversation, Dr. Nehal Mehta and Dr. Thomas Nero discuss the critical relationship between systemic inflammation and cardiovascular health, particularly in patients with psoriasis. He emphasizes the importance of understanding how an overactive immune system can lead to increased risks of heart disease and other health issues. The discussion also covers lifestyle changes that can help manage inflammation, including diet, exe...

12-15
07:52

Coronary Inflammation, Heart Attack Risk and use of CT angiography With Dr Stefan Neubauer

Let us know your thoughts. We would love to hear from you. Prof. Stefan Neubauer and Dr. Thomas Nero discuss two recent papers on the utility of coronary inflammation imaging on CT coronary angiography and how that translates to increased heart events. Beyond cholesterol, coronary inflammation is being revealed to be a significant risk factor with future treatments under development. Prof. Neubauer is the head of the Division of Cardiovascular Medicine and Director of the Oxford...

06-23
09:27

How to Read and Understand Clinical Trials with Dr C. Michael Gibson

Let us know your thoughts. We would love to hear from you. Dr Nero and Dr Gibson discuss how to understand the information when looking at clinical trial data. Is it meaningful for a patient? Did the trail population match the patient's risks and medical problems? The also discuss the importance of Shared Decision Making and the use of Absolute Risk Reduction and Number Needed To Treat when interpreting the results. Yes, this is about statistics, but it isn't bo...

02-29
10:33

Improving Cardiac Health, A Fireside Chat with Jeff Scott and Dr Thomas Nero

Let us know your thoughts. We would love to hear from you. Jeff Scott, CEO of Section 810 communication, interviews Dr. Nero on ways to improve cardiac health. The cover a wide range of topics, from diet and exercise to medical therapy and advanced testing. Some future research topics are also discussed. Section 810 Communications is a training and development company based in Greenwich, CT. The interview was recorded on January 18th, 2024 and is also available ...

02-20
01:01:10

Lipoprotein a with Dr. Steven Nissen

Let us know your thoughts. We would love to hear from you. Dr Steven Nissen and Dr Thomas Nero discuss the importance of Lipoprotein a -aka Lp(a)- and its clinical importance as a special type of LDL cholesterol which dramatically increases your cardiovascular risk. They also covers why it important to get it tested at least once and what you can do to lower your risk of heart attack if you have it. If you enjoy this episode you may want to take a listen to the research or...

02-13
11:08

Exercise and Coronary Artery Disease With Dr Aaron Baggish

Let us know your thoughts. We would love to hear from you. Dr Nero discusses coronary artery disease and exercise with Dr. Aaron Baggish. Dr Baggish was the founder of the Cardiovascular Performance Program at the Mass General Hospital and is one of the best known sports cardiologists in the world. They discuss the importance of exercise, coronary artery disease in the endurance athlete and current cardiovascular testing.

02-01
14:16

Treatment of Atrial Fibrillation with Dr John Mandrola

Let us know your thoughts. We would love to hear from you. Dr. Thomas Nero interviews Dr. John Mandrola on his approach to treating atrial fibrillation. In addition to a nuts and bolts approach they discuss how to assess risk and shared decision making.

12-26
12:28

Coronary Calcium Scores and CT Angiograms with Dr. Mathew Budoff

Let us know your thoughts. We would love to hear from you. Dr Mathew Budoff discusses the importance of Coronary Artery Calcium Scoring and CT Coronary Angiography to prevent and treat heart disease with Dr. Thomas Nero. In addition they discuss new goals for treating cholesterol based on the CAC. If you enjoy this podcast you can also listen to a longer, in depth discussion on FUTURE PULSE CARDIOLOGY.

12-03
08:36

African American Heart Study with Dr Elizabeth Ofili and Iyana Liburd

Let us know your thoughts. We would love to hear from you. Dr. Ofili and Iyana discuss their experience with the African American Heart Study and why it is so important to be involved.

11-26
17:38

Blood Thinners in Atrial Fibrillaiton and Coronary Atery Disease with Dr.Michael Gibson

Let us know your thoughts. We would love to hear from you. Dr Gibson from Harvard's Baim Institue discusses anticoagulants for atrial fibrillation and coronary artery disease with Dr. Thomas Nero. The also discuss the concern about bleeding with current medical therapy and future options for patients.

06-25
14:14

Weight Loss and CV Outcomes with Ozempic, Munjaro and Similar Drugs with Dr. Peter Toth

Let us know your thoughts. We would love to hear from you. Dr Peter Toth discusses with Dr. Thomas Nero the new classes of diabetes medications, SGLT2 inhibitors (eg Jardiance) and GLP1 receptor agonists (eg Ozempic and Munjaro.) These drugs have been in the news due to an impressive effect on weight reduction, but they also improve cardiovascular outcomes in diabetic and non-diabetic patients.

04-30
07:22

Reducing Heart Attack Risk with Dr. Peter Toth

Let us know your thoughts. We would love to hear from you. In this brief discussion, Dr. Toth discusses the current recommendations on decreasing cardiovascular risk and where we are headed to decrease your risk of a heart attack.

04-16
07:47

Inflammation, Coronary Artery Disease and hs-CRP with Dr Paul Ridker

Let us know your thoughts. We would love to hear from you. Coronary inflammation is the final pathway for the development of coronary artery disease. Dr. Paul Ridker discusses the role of inflammation, hs-CRP and therapies with Dr. Thomas Nero.

04-10
12:19

Evolve MI and Pragmatic Clinical Trials with Dr. Christopher Cannon

Let us know your thoughts. We would love to hear from you. Dr Christopher Cannon discusses the EVOLVE-MI trial to decrease cholesterol with Evolocumab early after Myocardial Infarction as well as the rational for a less intensive way to study patients with open label, pragmatic clinical trials.

12-13
09:30

Spontaneous Coronary Artery Dissection and Heart Disease in Women

Let us know your thoughts. We would love to hear from you. Dr Kebrina Bartley discuses Spontaneous Coronary Artery Dissection (SCAD) and Heart Disease in Women with Dr Sharonne Hayes, Professor of Medicine at the Mayo Clinic. Their wide ranging conversation discuses SCAD, the difference between SCAD and atherosclerotic heart disease and approaching the female patient who presents with chest pain. The also take a brief dive into the importance involving women in clinical research ...

08-20
16:24

How To Be A Better Patient

Let us know your thoughts. We would love to hear from you. Dr. Kabrina Bartley interviews Dr. Thomas Nero on ways patients can improve their outcomes by understanding their medical issues and becoming more involved with their care. These a a few very simple steps anyone can do

07-21
07:36

Evaluation of Coronary Artery Disease and Inflammation

Let us know your thoughts. We would love to hear from you. Dr. Nero discusses with ways to evaluate coronary artery disease with Dr. Cheerag Shirodaria from Oxford. Dr. Shirodaria and his team at Caristo Diagnostics have developed a ground breaking technology that allows us to evaluate not just the severity of a coronary artery lesion, but also how inflamed it is and how likely it is to cause a heart attack in the future. We also briefly discuss the role of CT coronary calcium sc...

05-05
08:15

Cholesterol Management and Statin Associated Muscle Symptoms

Let us know your thoughts. We would love to hear from you. Dr. Kebrina Bartley discusses cholesterol management with Dr. Thomas Nero. They go over the important roll that statins play in coronary artery disease prevention especially in association with diet and exercise. The also discuss other options for lowering cholesterol and briefly discuss the approach to treating patients who feel that they may be having side effects from the medications

04-02
16:56

Medical Statistics

Let us know your thoughts. We would love to hear from you. If you REALLY want to understand what your doctor is telling you and how she came to the decisions that she did, then you have to know a little bit about medical statistics. In this episode, we will go over how we make a diagnosis with testing, how to measure benefit of a treatment in relative vs absolute risk reduction , and how to "judge" a study is from a statistical point of view. These concepts are ...

03-27
07:41

Cholesterol, LDL, Apo B and Lp(a)

Let us know your thoughts. We would love to hear from you. Understanding cholesterol is an important part of understanding your risk of heart disease and stroke. Your total cholesterol is made up of LDL (The bad cholesterol), HDL (the good cholesterol) and Triglycerides (which are also bad). Since it is made up of both bad and good parts, total cholesterol can be misleading. In this episode we introduce, Non-HDL cholesterol and Apolipoprotein B as better measures of cardiac...

03-17
13:06

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