show episodes
 
With a unique perspective honed by his own extraordinary journey, Paul crafts thought-provoking questions that delve deep into the hearts and minds of his guests, unearthing profound truths and authentic insights. Born with only half a functioning heart, Paul Cardall's story is one of resilience and triumph. Despite enduring a lifetime of medical procedures and miraculous open-heart surgeries, culminating in a life-saving transplant, Paul channels his experiences into music that resonates wi ...
  continue reading
 
Loading …
show series
 
This week we delve into the worlds of cardiac critical care and neurodevelopment when we review a recent report from the team at Children's Hospital of Philadelphia assessing an association between postoperative opioid exposure in infants following CHD surgery and neurodevelopmental outcomes. What might be the biological basis for an association be…
  continue reading
 
This week we review a recent large scale study on catecholaminergic polymorphic ventricular tachycardia (CPVT) in children which is based on two large international registries. How do outcomes differ between those symptomatic CPVT patients treated with or without an ICD? Who amongst symptomatic CPVT pediatric patients likely warrant an ICD? What so…
  continue reading
 
In the episode of The Paul Cardall Podcast featuring Kris Hammons, a motivational speaker with dwarfism, the two discuss Kris’s journey and his mission to help others face challenges, find their community, and focus on their purpose. As a “Grit Coach for Burned Out High Achievers,” Kris shares insights into his personal experiences with dwarfism an…
  continue reading
 
This week we listen in on a lecture by Assistant Professor of Pediatrics at the University of Pennsylvania, Dr. Christopher Janson, on the novel agent ivabradine. How does this agent work and in what circumstances can it be used in pediatric arrhythmia management? Is this safe to use for critical arrhythmias despite the fact that it is, at present,…
  continue reading
 
This week we listen in on a wonderful review lecture on fetal arrhythmias by noted fetal cardiologist Professor Bettina Cuneo. In this lecture Dr. Cuneo reviews the basics of fetal tachycardias and bradycardias and how these arrhythmias are diagnosed and sometimes treated. This is a lecture that was delivered on 9/20/24 by Dr. Cuneo at the Pedirhyt…
  continue reading
 
In this week's replay episode from 2 years ago, we review the important topic of troponin levels in children. What is an abnormal high sensitivity troponin level in children and do the levels vary based upon the assay? What are the differences between high sensitivity troponin I and T levels? Are there differences between boys and girls? Why would …
  continue reading
 
This week we listen in on a debate from the PICS 2024 Symposium that occurred two weeks ago in San Diego. Today's debate is between master surgeon, Professor of Surgery at UCLA, Dr. Glen S. Van Arsdell taking the position of superiority of primary TOF repair and going up against Dr. Van Arsdell is noted master interventional cardiology expert, Prof…
  continue reading
 
This week we speak with noted interventional cardiologist Dr. Shyam Sathanandam of LeBonheur Children's Hospital in Memphis, TN about novel, 'off-label' uses of the Amplatzer Piccolo device in children. In what sorts of lesions does Dr. Sathanandam believe this device offers distinct advantages for vascular closure? What is the feature of this devi…
  continue reading
 
This week’s episode reviews the notion of the underrepresented in medicine physician and the decision to pursue pediatric cardiology. How would improved representation amongst the congenital heart work force result in better outcomes for patients? How does a diverse workforce foster improved communication with patients? What are some practical step…
  continue reading
 
This week we speak with Dr. John Brown who is the Harris B. Schumacker Professor Emeritus of Surgery at the University of Indiana. A congenital heart surgeon for over 45 years, Dr. Brown has performed more than 15,000 pediatric heart operations at Riley Hospital for Children and another 5000 heart operations in adults at IU and Methodist Hospitals.…
  continue reading
 
This week we delve into the world of the single ventricle when we speak with Dr. David Hoganson, Assistant Professor of Surgery at Harvard Medical School about a recent work he co-published with investigators from Boston Children’s Hospital on computational fluid dynamic modeling in the planning of the Fontan operation. Single ventricle heterotaxy …
  continue reading
 
This week we turn back the clocks to re-review a recent research letter from the team at the Harvard Congenital Heart Program about venous insufficiency in the Fontan patient. Why do patients with Fontan circulation develop chronic venous insufficiency and what are the implications of this problem in the Fontan patient? What sort of evaluation shou…
  continue reading
 
This week we delve into the world of heart failure and transplantation when we review a recent PHTS study assessing the impact of ischemic time on outcomes of pediatric heart transplantation. What is considered to be a long ischemic time and what is the impact on outcomes in the pediatric patient undergoing transplant? Why does it appear as the imp…
  continue reading
 
This week we review a recent report assessing LV function and properties in the Ebstein's anomaly patient using CMR. How often is LV dysfunction observed in the Ebstein's patient who is about to undergo surgical Cone repair? How often did the echo underestimate LV dysfunction in comparison to the 'gold standard' CMR? How often is LV non-compaction …
  continue reading
 
This week we delve into the world of electrophysiology and review a recent report from the team at Primary Children’s hospital on the use of intravascular ultrasound for EP ablation procedures in children. How is this technology useful for ‘routine’ ablations in kids? Are there some forms of tachycardia where its use is more important than others? …
  continue reading
 
This past week marked the passing of the great pediatric cardiology pioneer, Dr. Sylvia Griffiths. Dr. Griffiths was a trainee of Dr. Ruth Wittemore of Yale University and was one of the founders of the pediatric cardiology program at NY Presbyterian Hospital in the mid 1950's with Dr. Sidney Blumenthal. Her career spanned 7 decades, all at NY Pres…
  continue reading
 
This week we review a recent paper from last 2023 about outcomes of cardiac transplantation in the adult congenital heart patient (ACHD). Little has been written on this topic until this very robust and large scale report. How do single ventricle ACHD patients fair at transplant and how do they compare to non-ACHD heart transplant recipients? Why m…
  continue reading
 
This week we go back in time to 20222 to re-review an episode focusing on gender disparities in salary in the field of congenital electrophysiology. To what degree are female electrophysiologists paid less than their male counterparts despite similar levels of education, work effort and seniority? What interventions could be enacted to help 'mind t…
  continue reading
 
This week's topic is ductal stenting in a low resource environment. We review a recent report from the team at Amrita Institute in Kerala, India about their large, over 10 year experience in ductal stenting. Why has this approach superceded BTTS in this environment? How does the team determine if a patient is a candidate and what morphologies of du…
  continue reading
 
This week we review a novel multivariable model used to predict mortality in the repaired tetralogy of Fallot patient. Can this model identify who amongst the repaired TOF patients is at risk for death in the coming years? What are the most important inputs to this model? Why does the use of a validation cohort provide greater strength to this mode…
  continue reading
 
This week we listen in to a wonderful roundtable discussion with 3 of the pioneers in the world of pediatric electrophysiology, namely Dr. John Triedman, Dr. J. Philip Saul and Dr. Edward P. Walsh. All three were 'there at the beginning' and share their memories of how they helped to shape the field of pediatric EP. How did Drs. Walsh and Saul choo…
  continue reading
 
This week we review a recent editorial commentary from multiple congenital heart surgical leaders in the US today. The topic of their expert opinion piece is the concept of public reporting of results and their 'amplification' through organizations such as US News and World Report, to name one. How has the use of the database from STS been sometime…
  continue reading
 
In this week's podcast, we discuss a work that tries to challenge convention when we review a recent work from the team at Emory University about anticoagulation following left sided ablation of SVT in children. A short course of aspirin is commonly prescribed in this setting but what is the evidence for this? How do patients who receive aspirin fa…
  continue reading
 
This week we review a recent large scale, multicenter study of the Pediatric Cardiac Intensive Care Society Investigators on outcomes of pulmonary atresia with intact ventricular septum (PA/IVS) in the present era. How are patients faring in the present era in comparison to the prior 1-2 decades? What are the most important factors to account for i…
  continue reading
 
In this replay of our milestone 200th episode of Pediheart, we review a 2005 paper from the team at Nicklaus Children's Hospital on how lactate level was used to monitor oxygen delivery and consumption in the postop congenital heart patient and the impact that a protocol involving frequent monitoring and response to this value improved outcomes in …
  continue reading
 
This week we delve into the world of interventional cardiology and congenital heart surgery when we review a recent report from the team at Toronto Sick Children's Hospital about their experience with interventions in the pulmonary arteries following the arterial switch operation. How often are branch or main pulmonary artery narrowings serious eno…
  continue reading
 
This week we review a report from Italy regarding the observation of RA disk thrombus formation in some patients following GORE Cardioform ASD closure. How common is this complication seen and are there some patient or device characteristics that would be considered higher risk for this complication? How does this information square with the Assure…
  continue reading
 
This week we delve into the world of antibiotic prophylaxis for dental procedures. What are the data to support its use in the congenital heart patient? Why has this been such a difficult topic to study? What do we now know about this topic and what still remains unanswered? Given the low prevalence but dire consequences of this disease, how can in…
  continue reading
 
Paul Cardall welcomes his friend, USA Today bestselling author, pastor, and keynote speaker Craig Cooper. ABOUT CRAIG Craig Allen Cooper is a USA Today bestselling author and keynote speaker. He co-wrote the book "Glad You're Here" with Grammy-nominated country singer and songwriter, Walker Hayes. "Glad You're Here" instantly became a Publisher's W…
  continue reading
 
This week we review a recent work on the use of sodium-glucose cotransporter 2 inhibitors in the ACHD heart failure patient from Europe. Can these agents impact heart failure outcomes in this patient group? What is the mechanism by which they may improve outcomes? Are there data on their effects on the single ventricle patient? What sorts of side e…
  continue reading
 
This week we delve into the world of fetal cardiology when we review a recent large, multicenter study on the impact of prental diagnosis of 22.q11 deletion syndrome. How did the prenatally diagnosed patients differ from those diagnosed postnatally in regards to degree of heart disease and postnatal morbidity and mortality? What is the role of cell…
  continue reading
 
This week we delve into the world of cognitive bias when we review a recent review of this topic by the team at the University of Arkansas. What are some of the more important common cognitive biases that plague humans and are particularly deleterious for good decision making in 'case management/surgical' conference? What are some approaches to red…
  continue reading
 
This week we review a recent survey study on the topic of junctional rhythm and sinus node dysfunction in the Fontan. How important is this finding in our Fontan patients? When should a patient with a Fontan undergo pacemaker insertion? Is the loss of AV synchrony the more important hemodynamic effect of junctional rhythm or is it chronotropic inco…
  continue reading
 
This week we delve into the world of interventional cardiology and the Fontan when we review a recent report from the Children's Hospital of Philadelphia on the use of the "MitraClip" for the treatment of AV valve regurgitation in the congenital heart patient. Who would be a good candidate for this novel approach? What are the steps in planning or …
  continue reading
 
Fouad Masri talks with Paul Cardall about Islam's Ramadan, Fasting, and how his ministry is helping Muslims understanding more about Jesus. They discuss where the Bible is banned and how few have read the Quran. by Fouad Masri https://fouadmasri.com/ THE SAHARA CHALLENGE Engaging, in-depth training in ministry to Muslims, led by experienced leaders…
  continue reading
 
This week we review an episode from 2022 in the world of cardiac surgery and pediatric pharmacology when we review a work from Australia on levels of cefazolin during and after surgery. Is there an optimal dose regimen that will achieve proper MIC levels of drug? What should the goal of therapy be in regards to MIC levels? Are there novel means of …
  continue reading
 
Matt Hammitt is a singer, songwriter, author, and speaker. Matt was the lead singer for the band Sanctus Real from 1996-2016. He has been the recipient of three Dove Awards and has been nominated for two Grammy Awards, for his work with Sanctus Real. Matt has written over fifteen chart topping songs, performed by Sanctus Real and other musical arti…
  continue reading
 
This week we review a recent work in the artificial intelligence/deep learning space when we review a recent report from the team at Boston Children's Hospital on a novel model trained to predict LV characteristics in children from the ECG. How does such a program identify LV dilation, dysfunction or hypertrophy from a test (the ECG) not designed t…
  continue reading
 
Ep. 90 The Chosen: Best of Episodes with Dallas Jenkins, Jonathan Roumie, Noah James, and Jordan Walker Ross ABOUT THIS PODCAST: The fourth season of "The Chosen" is now showing in theaters across the country. Previous episodes of The Paul Cardall Podcast have featured Dallas Jenkins, the creator, writer, and director of this widely acclaimed bibli…
  continue reading
 
This week we enter the world of the adult congenital heart patient when we discuss Fontan associated liver disease with an ACHD expert, Dr. Katia Bravo-Jaimes of the Mayo Clinic. In this episode we discuss the role of intrahepatic transcriptomics and how genetic analysis of liver biopsy tissue may provide new insights into the pathophysiology of th…
  continue reading
 
This week we review a recent report from the Boston fetal intervention group about fetal aortic valvuloplasty. What fetal/maternal factors are associated with improved outcomes or technical success of this procedure? What factors are associated with serious adverse events? Who is the 'optimal' candidate for this type of intervention? Why is larger …
  continue reading
 
In the motion picture 'Ordinary Angels,' Oscar-winning actress Hilary Swank portrays Sharon Evans, a hair dresser in a small town who works miracles to help a little girl named Michelle get a liver transplant. Sharon and Ashley Schmitt, Michelle's older sister join Paul to talk about the film on the 89th episode of The Paul Cardall Podcast. Not inc…
  continue reading
 
Former Chief Creative Officer at Ramsey Solutions (Dave Ramsey’s Company) Luke LeFevre is my guest on Ep. 88. We explore Luke’s expertise on with the powerful tool of Journaling that allows us to delve into the depths of our thoughts, emotions, and experiences. It is a form of reflective writing that helps us gain clarity, insight, and personal gro…
  continue reading
 
This week we review a recent report on the development of valvular obstruction due to intimal tissue ingrowth in the Harmony valve. How common is this problem? What factors may predispose a Harmony valve patient to develop this rare complication? Does the location of the valve implant matter in regards to this complication? How should Harmony valve…
  continue reading
 
On the 87th episode of the Paul Cardall podcast, Paul teams up with his friend Ryan Morris. Being part of the Recording Academy, Paul dives into topics like the Grammy awards, Taylor Swift, and the Super Bowl. They discuss Ryan's project: The Giants and Smalls. ABOUT RYAN MORRIS Meet Ryan, an entrepreneur and mentor from Salt Lake City. He is a dev…
  continue reading
 
This week we go back in time to 2019 to re-review an important episode in the world of ACHD and review a registry study assessing outcomes in adults with ASD and elevated PVR who underwent ASD closure. Who was a good candidate for this approach? What were the long term outcomes of this form of therapy? Did ASD closure in this setting confer a survi…
  continue reading
 
8 Ways to Cope with Guilt & Grief LISTEN TO A GRIEF OBSERVED (Song by Paul Cardall) Spotify: https://shorturl.at/ftQX6 Amazon: https://shorturl.at/ajsX2 iTunes: https://shorturl.at/EFV01 Apple Music: https://shorturl.at/insER Pandora: https://shorturl.at/aoJQ0 Deezer: https://shorturl.at/DLTV2 GET THE SHEET MUSIC https://paulcardall.com/sheet-music…
  continue reading
 
This week we delve into the world of cardiovascular surgery when we review a recent review of STS data on the pulmonary artery band (PAB). The STS assigns a STAT category of 4 to this operation, denoting higher risk for mortality. Is this warranted? Are all PAB candidates equal? What features are associated with higher or lower mortality rates in p…
  continue reading
 
How to understand and observing the stages of grief. LISTEN TO A GRIEF OBSERVED (Song by Paul Cardall) Spotify: https://shorturl.at/ftQX6 Amazon: https://shorturl.at/ajsX2 iTunes: https://shorturl.at/EFV01 Apple Music: https://shorturl.at/insER Pandora: https://shorturl.at/aoJQ0 Deezer: https://shorturl.at/DLTV2 GET THE SHEET MUSIC https://paulcard…
  continue reading
 
Loading …

Hurtig referencevejledning