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CRTonline Podcast

CRTonline Podcast

By CRTonline Podcast
CRTonline Podcast is a collection of interviews with well renowned physicians on medical journals and on-going issues around the world of medicine.
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The King and I - Episode 13: Discussing In-Stent Restenosis
A paper published in the Journal of the American College of Cardiology reports that about 10% of the PCIs performed in the U.S. between 2009 and 2017 were for in-stent restenosis. Drs. Ron Waksman and Spencer King discuss this paper, and the overall topic of treating ISR, in this episode of “The King and I.” Dr. King points out that ISR has been a known issue with PCI since the days of interventional cardiology pioneer Dr. Andreas Gruentzig. Watch on CRTonline
25:18
September 25, 2020
COVID-19 Focused Discussions: Histopathology of COVID -19 Myocarditis - One on One with Dr. Aloke Finn
In our latest COVID-19 Focused Discussion, Drs. Aloke Finn and Ron Waksman discuss STEMI and microthrombi in COVID-19 patients. In a paper recently published in Circulation, Dr. Finn and co-authors presented the case of a 43-year-old woman who died of COVID-19 at a hospital during the height of the initial surge of infections in Italy. This case showed the potential for microvascular thrombi to cause acute myocardial infarction in the setting of COVID-19, showing a novel mechanism by which the disease can cause cardiac injury. Watch on CRTonline
16:09
September 17, 2020
COVID-19 Focused Discussions: COVID-19 Registry at Yale - One on One with Dr. Manan Pareek
In the latest of Dr. Ron Waksman’s COVID-19 Focused Discussions, Dr. Manan Pareek discusses Yale University’s COVID-19 registry. While the registry’s focus is cardiovascular variables, Yale has collected data on a number of non-cardiovascular factors and outcomes as well. Data on the first 485 patients were presented at the European Society of Cardiology (ESC) 2020 virtual congress, which that these patients had a high burden of cardiovascular risk factors, including diabetes, obesity, hypertension and hyperlipidemia and that nearly half had a history of cardiovascular disease.
24:45
September 16, 2020
The King and I - Episode 12: Freedom Is Not an Entitlement When It Comes to Healthcare
Drs. Ron Waksman and Spencer King discuss Dr. King’s latest monthly column for Cardiovascular Revascularization Medicine (CRM), titled “Freedom Is Not Entitlement.” In this column, which is scheduled to appear in the December issue of CRM, Dr. King says that “freedom” to not wear a mask in public during the COVID-19 pandemic actually infringes on the freedom of others to not be infected with the novel coronavirus. Dr. Waksman is the Editor-in-Chief of CRM, and Dr. King is Editor-at-Large. Watch on CRTonline
20:50
September 15, 2020
New STEMI ESC Guidelines
Drs. Ron Waksman and Holger Thiele discuss new guidelines for treating patients with ST-elevation myocardial infarction (STEMI), which were released during the European Society of Cardiology 2020 virtual congress. Among the changes in guidelines they discuss are how to use high-sensitivity cardiac troponin, elimination of one risk category (moderate) for patients with non-ST-elevation myocardial infarction (NSTEMI), and the role of electrocardiograms in stratifying risk level. Watch the interview on CRTonline
37:28
September 11, 2020
Treatment for Patients with Stable Ischemic Heart Disease and Heart Failure
Drs. Ron Waksman and Renato Lopes discuss the results of a study presented as a late-breaking trial at the European Society of Cardiology 2020 virtual congress. This study examined whether medical therapy or more or an invasive strategy was better for patients with intermediate heart failure (ejection fraction of 35% to 45%) and stable ischemic heart disease. When compared with patients with ischemia but without heart failure, stable ischemic patients with heart failure saw a benefit from invasive intervention. Watch the interview on CRTonline
10:57
September 11, 2020
BRACE CORONA: Continuing vs. Suspending ACE Inhibitors and ARBs in COVID-19 with Dr. Renato Lopes
Drs. Ron Waksman and Renato Lopes discuss the results of the BRACE CORONA study, which was presented as a late-breaking trial at the European Society of Cardiology virtual congress. The study examined the difference between continuing or suspending ACE inhibitors and angiotensin receptor blockers in COVID-19 patients. Dr. Lopes provides insights into the top-line findings, which is that there were no significant differences between the two treatment regimens. Watch the interview on CRTonline
12:29
September 11, 2020
The King and I - Episode 11: Role of Colchicine in CAD
Drs. Ron Waksman and Spencer King discuss these and whether now, with two trials indicating that colchicine may be effective in treating CAD being released within the last year, cardiologists should start using this medication more widely. One question they ponder: Where does colchicine fit into the armamentarium of therapies, including statins, PCSK9 inhibitors, fish oil, and Lp(a)? Another question that those creating treatment guidelines should consider: What patients benefit the most from which therapies? Watch on CRTonline
20:36
September 4, 2020
LoDoCo2: Low-Dose Colchicine in Coronary Disease Trial Discussion
Drs. Ron and Waksman and Aernoud Fiolet discuss the LoDoCo 2 trial, which was presented at the European Society of Cardiology 2020 virtual congress on Aug. 31, 2020. The study found that low-dose colchicine reduces the risk of cardiovascular events in patients with chronic coronary disease. The European Society of Cardiology 2020 virtual congress included three studies that examined the role of colchicine, a gout medication, in treating coronary artery disease. Drs. Ron Waksman and Spencer King discuss these and whether now, with two trials indicating that colchicine may be effective in treating CAD being released within the last year, cardiologists should start using this medication more widely. One question they ponder: Where does colchicine fit into the armamentarium of therapies, including statins, PCSK9 inhibitors, fish oil, and Lp(a)? Another question that those creating treatment guidelines should consider: What patients benefit the most from which therapies? Watch the interview
17:31
September 2, 2020
The King and I - Episode 10: Taking on Complete Revascularization
When patients suffer a STEMI, should clinicians revascularize only the culprit lesion or any lesions that the patient has? This has been an ongoing debate for some time in the field. Dr. Spencer King says complete revascularization is a good goal, but it is not necessarily critical – or better for the patient – that all lesions be revascularized immediately after treating the infarct-related vessel. Watch on CRTonline
20:15
August 26, 2020
The King and I - Episode 9: Taking on Periprocedural MI
The latest angle in the ongoing heated debate around the EXCEL trial, comparing percutaneous coronary intervention (PCI) and coronary artery bypass grafting for revascularization of the left main coronary artery, concerns how important a role periprocedural myocardial infarction (MI) should play in this comparison. Drs. Spencer King and Ron Waksman take on this topic and say, in part, that perhaps the endpoints in these studies of PCI and surgery need to be re-examined. Watch on CRTonline
18:19
August 26, 2020
COVID-19 Focused Discussions: Anticoagulation in Patients with Covid-19: One-on-One with Dominick Angiolillo
Dr. Waksman discuss with Dr. Dominick Angiolillo about Anticoagulation in Patients with COVID-19. Listen in on this riveting one on one discussion.  Watch in the interview on CRTonline
28:11
August 20, 2020
The King and I - Episode 8: Tips and Tricks to Submitting to an Academic Journal
Drs. Ron Waksman and Spencer King, discuss the contents of Dr. King's last editorial published in the CRM Journal: The Official Journal of CRT. In doing so, they also offer tips and tricks to submitting to an academic journal. Watch the video on CRTonline
27:59
August 7, 2020
The King and I - Episode 7: Physicians Taking Care of VIP Patients
Hear Drs. Ron Waksman and Spencer King, III as they discuss physicians taking care of VIP patients. You'll all get an insight on Spencer King's experience with an actress Jessica Tandy.  Watch the video on CRTonline
18:21
August 5, 2020
The King and I - Episode 6: Remembering John Lewis
We are deeply saddened by the loss of a great civil rights icon and politician, John Robert Lewis. Watch or listen to Dr. Spencer King describe his personal relationship with John Lewis, and let's continue the conversation in his remembrance. Watch the video on CRTonline
21:45
July 31, 2020
COVID-19 Focused Discussions: One-on-One with Dan Chertow: NIH View and Research on COVID -19
Dr, Waksman talks with Dan Chertow on NIH's view and research on COVID-19 and more.  Watch the interview videos on CRTonline
40:46
July 27, 2020
COVID-19 Focused Discussions: On the Frontline of COVID-19
Several months into the COVID-19 pandemic, Dr. Ben Kenigsberg of MedStar Washington Hospital Center discusses how the intensive care unit has functioned and adapted to a stream of COVID-19 patients. During an interview with Dr. Ron Waksman, Dr. Kenigsberg also discusses the state of COVID-19 treatments, including hydroxychloroquine and remdesivir, and how patient protocols changed as the pandemic has continued. Watch the interview videos on CRTonline
21:08
July 21, 2020
The King & I - Episode 5: In Person vs. Virtual Meetings
As virtual meetings become the norm during the COVID-19 pandemic, Drs. Ron Waksman and Spencer King discuss the advantages and disadvantages of virtual conferences as opposed to in-person gatherings. Dr. King says the presentations are fine virtually or in person, but the traditional meetings in conference centers and hotels have the opportunity for interaction and networking that is lost when everything goes online. Watch the video on CRTonline
29:47
July 17, 2020
COVID-19 Focused Discussions: My Experience as a Commentator during COVID-19
Dr. Jonathan S. Reiner has been a commentator for varies news outlets during the COVID-19 pandemic. Hear him one on one with Dr. Ron Waksman giving a detailed insight on his experience.  Watch this video on CRTonline
37:18
July 16, 2020
COVID-19 Focused Discussions: One-on-One with Dr. Azeem Latib
Dr. Azeem Latib of Montefiore Medical Center in the Bronx, New York, recalls when COVID-19 came to his center. In an interview with Dr. Waksman, Dr. Latib discusses how his hospital prepared and when he, and eventually a number of his colleagues and his own family members, became infected with the novel coronavirus in spring 2020. Watch the interview video on CRTonline
25:09
July 16, 2020
The King & I - Episode 4: The Politics of COVID-19
Drs. Spencer King and Ron Waksman discuss the politics of the COVID-19 pandemic. Dr. King postulates that part of it is a human need to blame somebody for a major problem such as what the outbreak has become, whether the blame is China, President Trump or even Dr. Anthony Fauci, director of the National Institute of Allergy and Infectious Diseases, who has been criticized by both Democrats and Republicans. Dr. Waksman notes that the pandemic is taking black with the backdrop of a hotly contested U.S. presidential election.  Watch this episode on CRTonline
21:15
July 15, 2020
The King & I - Episode 3: Social Injustice and Racial Disparities
Drs. Ron Waksman and Spencer King discuss the social justice protests that have swept the U.S. and the world. Dr. King remembers growing up in the Jim Crow South and the fact that even a century after the Civil War, integrating society continued to be a struggle. He expresses hope that the current movement will result in lasting change because of its magnitude and the involvement of politicians to a degree not seen after similar protests in recent years. Drs. King and Waksman also note that more journal articles concerning racial disparities in medicine have been published, which Dr. King says is a natural response of researchers trying to incorporate current events into their manuscripts. Watch this episode on CRTonline
18:13
July 14, 2020
The King & I - Episode 2: Demonstration of Anticoagulation Regimen
Drs. Ron Waksman and Spencer King discuss a recent editorial that Dr. King wrote for Cardiovascular Revascularization Medicine concerning the many iterations of anticoagulation regimens. Dr. King notes the conflicting signals from different trials examining antithrombotic therapy after PCI in patients presenting with different conditions. One key point is the search for the right balance between bleeding and thrombotic risk, but does this mean lower doses of antithrombotic agents, a shorter duration of antiplatelet therapy, or something else? The struggle is real. Watch this episode on CRTonline
15:59
July 14, 2020
The King & I - Episode 1: Fellows and Fellowship
CRT 2021 Course Chairman Ron Waksman, MD, kicks off a new series of video discussions with Spencer B. King III, MD, professor emeritus at Emory University, called “The King and I.” Dr. King is the Editor-at-Large of Cardiovascular Revascularization Medicine, the official peer-reviewed journal of CRT Meeting, and he is an interventional cardiology pioneer. He writes a monthly column, “The Last Word with Spencer King,” for the journal. The first episode of “The King and I” was recorded July 1, which is the first day of the new academic year, so Drs. King and Waksman discuss the state of interventional cardiology fellowships today, including effects of the COVID-19 pandemic. Watch this episode on CRTonline
15:52
July 13, 2020