New A-Fib Guidelines: NOACs Over Warfarin
From March 2020, Mailbag March MadnessIt is now recommended that NOACs are chosen over warfarin, in patients with atrial fibrillation, except in patients with moderate to severe mitral valve stenosis or a mechanical heart valve. •
19min 1Tarlan Hedayati, MD, Neda Frayha, MD, and Matthew DeLaney, MD, FACEP, FAAEM
COPD vs CHF Crossover
From March 2020, Mailbag March MadnessWhen a patient with COPD and CHF presents with shortness of breath, how do we know what’s causing it? The heart? The lungs? Both? Neda discusses the best approach for this diagnostic conundrum with Dr. Sam Ashoo, ED physician and dyspnea expert. •
21min 5Sam Ashoo, MD and Neda Frayha, MD
Takotsubo Cardiomyopathy
From February 2020, Don't Go Breaking My HeartBroken hearts? Octopus traps? What’s the deal with Takotsubo cardiomyopathy? Matt DeClerck and Neda Frayha dive into the details of this interesting condition in this introduction segment. •
17min 55Matthieu DeClerck, MD and Neda Frayha, MD
DVT Nuances: Advanced Care
From December 2019, Anxious AdolescentsRegardless of your clinical setting, DVT’s are a common entity that we need to be very comfortable working up and treating. And though on the surface the workup and Tx is seemingly straightforward...the truth is there are some nuances and special cases that aren’t completely intuitive...Mizuho …
20min 8Mizuho Morrison, DO and Salim Rezaie, MD
DVT Nuances: The Essentials
From December 2019, Anxious AdolescentsRegardless of your clinical setting, DVT’s are a common entity that we need to be very comfortable working up and treating. And though on the surface the workup and Tx is seemingly straightforward...the truth is there are some nuances and special cases that aren’t completely intuitive...Mizuho …
13min 31Salim Rezaie, MD and Mizuho Morrison, DO
Cardiac Surgery Pre-Op Part 2
From November 2019, Just Say No To TeratogensWe all know what to do in pre-op visits for non-cardiac surgery. But guidelines on the pre-op management of cardiac surgery patients are hard to find. Neda sat down with Dr. Michael Grant, a cardiac anesthesiologist at the Johns Hopkins University School of Medicine, to learn what we need to worry …
9min 40Michael Grant MD and Neda Frayha, MD
Cardiac Surgery Pre-Op Part 1
From November 2019, Just Say No To TeratogensWe all know what to do in pre-op visits for non-cardiac surgery. But guidelines on the pre-op management of cardiac surgery patients are hard to find. Neda sat down with Dr. Michael Grant, a cardiac anesthesiologist at the Johns Hopkins University School of Medicine, to learn what we need to worry …
25min 37Michael Grant MD and Neda Frayha, MD
Peripartum Cardiomyopathy
From November 2019, Just Say No To TeratogensPeripartum cardiomyopathy accounts for 10% of maternal deaths in the United States. How do we know when to suspect it? How do we manage it? Regular contributor Michael Baca-Atlas sits down with Neda for a primer on all things PPCM. •
18min 48Michael Baca-Atlas, MD and Neda Frayha, MD
Lipid Guideline Update
From September 2019, Are We Better in the Morning?Another year, another lipid guideline! The latest ACC/AHA guidelines on managing lipids have quite a few changes from what we’re used to. So, Neda sat down with Dr. Robert Reilly, general internist and Medical Director of The Villages Health, to break down the new recommendations.
25min 14Robert Reilly MD and Neda Frayha, MD
Hospitalist Corner: Lightning Round #2 - CV Topics
From September 2019, Are We Better in the Morning?Our hospitalist corner lightning round is back! This time with four common clinical scenarios involving the cardiovascular system. Buckle your seatbelts as Drs. Maj Cina and Neda Frayha take us on a tour of cardiac biomarkers, diuresis in acute congestive heart failure, and so much more.
18min 34Maj Cina, MD and Neda Frayha, MD
Pediatric Murmur: Innocent or Not?
From August 2019, Primary Care Gets Some LovePediatric cardiologist Pierangelo Renella discusses with Sol how to distinguish between innocent and pathologic heart murmurs. •
24min 41Pierangelo Renella, MD and Solomon Behar, MD
Chagas Disease
From August 2019, Primary Care Gets Some LoveChagas disease is on the rise in the United States and becoming more widespread. Why? How do these patients present, and how do we make the diagnosis and then treat them appropriately? How can we prevent further transmission? In this segment, Drs. Mizuho Morrison and Neda Frayha review the ins and …
17min 24Neda Frayha, MD and Mizuho Morrison, DO
Asymptomatic Hypertension: ED or No ED?
From February 2019, Into Thin HairWhen a patient comes into your practice with blood pressures of 180/100 but they feel totally fine, what should you do? How much evaluation should they undergo? Should they be treated in the office? Or should they be referred to the ED? In this segment, Dr. Joseph Martinez chats with our own Mizuho …
17min 25Joe Martinez, MD, Mizuho Morrison, DO, and Matthew DeLaney, MD, FACEP, FAAEM
Medicolegal Risks of Low Risk Chest Pain
From January 2019, Hello, New Year! Bye Bye, PPIs?Amal Mattu discusses two large branches of pitfalls in patients being evaluated for ACS: EKG pitfalls and HISTORY red flags. We discuss pitfalls and red flags relating to medical legal risks when dealing with chest pain. • Additional talking points: • ECG: 25-50 % misses, look closer …
22min 45Matthew DeLaney, MD, FACEP, FAAEM, Amal Mattu, MD, and Mizuho Morrison, DO
ACE vs ARB
From December 2018, Clots and OCP'sAndrew Buelt has often wondered why clinicians are so quick to prescribe ACE inhibitors over ARBs. In this segment, he looks at the literature to investigate whether or not this is actual best practice.
10min 8Andrew Buelt, DO
Hypertensive Disorders of Pregnancy
From December 2018, Clots and OCP'sThere are four main types of hypertensive disorders in pregnancy, and there are nuances to how each should be managed differently. In this segment, Drs. Megan Jones and Neda Frayha walk us through these four categories, how to tell them apart from one another and how to manage them, including when …
20min 55Megan Jones, MD and Neda Frayha, MD
Syncope Updates: Risk and Workup
From November 2018, Those Clots are So SuperficialThe latest guidelines on the workup and management of syncope are over 278 pages long. Good thing Hippo Education is here to distill all that down into a Primary Care RAP segment! Dr. Sam Ashoo joins our own Mizuho Spangler to give us all a little spoon-fed loveliness. In this segment, they talk …
9min 14Sam Ashoo, MD and Mizuho Morrison, DO
Syncope Updates: H&P and EKG
From November 2018, Those Clots are So SuperficialThe latest guidelines on the workup and management of syncope are over 278 pages long. Good thing Hippo Education is here to distill all that down into a Primary Care RAP segment! Dr. Sam Ashoo joins our own Mizuho Spangler to give us all a little spoon-fed loveliness. In this segment, they talk …
15min 46Sam Ashoo, MD and Mizuho Morrison, DO
Thoracic Aortic Aneurysms
From September 2018, Retrieve Those FiltersWhen a listener wrote us that he’s been noticing a lot of incidental thoracic aortic aneurysms on his patients’ calcium scoring CT scans, our Andrew Buelt couldn’t wait to dig into the literature on how best to monitor and manage these incidental TAAs. In this segment, he shares everything he …
9min 29Andrew Buelt, DO
IVC Filter Removal
From September 2018, Retrieve Those FiltersA listener wrote in wondering if and when she should refer her patients with IVC filters to have these filters removed. Andrew Buelt and Neda Frayha look to the literature for some answers.
14min 41Andrew Buelt, DO and Neda Frayha, MD
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