Coffee + Cardiology: Recent Episodes
UW Heart Institute
Start every other Monday morning (or whenever you listen) with some coffee and cardiology. Dr. Jim Kirkpatrick and John Michael host the University of Washington Heart Institute faculty for discussions around their passions in the clinic and outside of it. If you would like to contact any guests or for follow-up information please contact uwheart@uw.edu.
Have you ever wondered how a WWII MASH surgeon's legacy could shape a modern-day cardiologist's career? Get ready to be inspired as Dr. Kelley Branch from the University of Washington Division of Cardiology shares his incredible journey into medicine, deeply influenced by his grandfather's remarkable history. Join us for engaging personal anecdotes, from his childhood in San Diego to his transformative research at UCLA with Nobel laureate Louis Ignarro, all of which shaped his passion and expertise in cardiology.
We then turn the spotlight on the revolutionary advancements in cardiac imaging technology. Discover the fascinating backstory of the CT scanner's development, thanks in part to the Beatles' success, and follow its evolution from single-slice models to the latest photon-counting CT technology. These cutting-edge innovations are providing doctors with higher resolution images at lower radiation doses, transforming how we diagnose and treat heart diseases. Hear how these advancements could potentially reduce the need for invasive procedures and improve patient care.
Finally, we delve into the critical realms of post-resuscitation care and clinical research. Learn about the groundbreaking Sudden Death CT scan and the ongoing trials focused on lipoprotein A (LP(a)), a significant marker for early cardiovascular events. Dr. Branch also shares a thrilling adventure in Beirut, blending high-stakes experiences with his signature humor. This episode is a heartfelt tribute to the profound impact of innovative cardiology and the dedicated professionals who drive it forward—don't miss it!
Dive deep into the heart of cardiology with our esteemed guest, Jennifer Beckman, MSN, ARNP, CHFN as she shares her transformative journey from a nursing assistant to a key player at the University of Washington Heart Institute. Her passion for patient care and clinical excellence is palpable as she talks about the advances in mechanical circulatory support that she's witnessed and contributed to. She is committed to maintaining a delicate balance between her administrative responsibilities and her direct work with patients, where the heartbeat of her mission lies.
The landscape of LVAD programs and heart allocation systems has rapidly evolved, and Jennifer offers a front-row seat to understanding the complexities of this shift. With the 2018 UNOS policy revision, we explore the nuances of qualifying for LVAD and how this affects patient treatment decisions. Bleeding risks, comorbidities, and the ethics of patient care—it's all under the microscope. Jennifer's insights reveal the critical importance of a tailored, patient-centered approach in the ever-advancing field of cardiology.
David Dichek's pioneering work in gene therapy for cardiovascular disease at the University of Washington Division of Cardiology left an indelible mark. In the warm glow of his memory, special guests Drs. Anne-Marie Schmidt, Daniel Yang, and Farid Moussavi-Harami join me to share the profound influence he had not only on their careers but on their scientific philosophy. We weave a tapestry of personal stories highlighting David's meticulous nature and his unwavering commitment to excellence, which continue to guide us in our quest for truth in research.
From the rolling hills of Montana to the bustling heart of Seattle's medical community, Dr. David Elison's journey is nothing short of inspiring. As a structural interventional cardiologist at the University of Washington, Dr. Elison opens up about the winding road that led him from a potential future as a biology teacher to a lifesaver in the cardiology department. His tale is a vivid illustration of how mentorship can shape a career, and how a profession in healthcare can evolve through the years, adapting to new challenges and discoveries. Tune in for a rich narrative that traverses educational crossroads, personal growth, and the mechanics of the human heart.
Parenting and a career often tug life in opposite directions, but Dr. Elison shares how they can harmoniously coexist in the demanding world of cardiology. He draws an intimate portrait of the 'carpenter' and 'gardener' approaches to raising children while balancing the scales of a new attending's life, all echoed in his own experiences. His personal insights into the symbiotic relationship between home life and the cath lab, alongside a deep dive into the distinctions between interventional and structural cardiology, paint a compelling picture of the modern medical professional's life.
Our episode wraps up with a peek into the future of heart valve technology, where Dr. Elison's humor shines through stories of Montanan misconceptions and the Seattle transition. The conversation pivots to the vital transition period for medical trainees becoming attending physicians, underscoring the criticality of mentorship, supportive work cultures, and proactive steps to avert physician burnout. Dr. Elison's heartfelt gratitude towards his mentors leaves us with a stirring reminder of the profound impact that guidance and camaraderie have on both doctors and the patients they serve. Join us for these heartfelt revelations and candid conversations that get to the very pulse of what it means to be a healer.
We sit down with Chris Burke, MD about his role in the Multidisciplinary Thoracic Aortic Program (MTAP) and specifically his expertise in the Ross Procedure. We also learn about how Fly Fishing offers him peace away from the operating room.
Christopher R. Burke, MD, is a board-certified cardiothoracic surgeon, Associate Program Director of the Cardiothoracic Surgery Residency Program, Co-Director of the Multidisciplinary Thoracic Aortic Program, and an Assistant Professor of Cardiac Surgery who did a postgraduate aortic surgery fellowship under Dr. Joseph Bavaria, a world renowned expert in the surgical repair of the ascending aorta and aortic arch using open and “hybrid” approaches (where open surgery is combined with endovascular stenting at the same operation.) Dr. Burke brings a wealth of experience at new techniques for valve sparing root repair and open arch repair with and without concomitant stenting. He has a particular clinical interest in aortic valve preservation surgery (aortic valve repair).
In a new season of Coffee and Cardiology Podcast and to celebrate the International Day of Listening happening on September 21, 2023, Dr. Kirkpatrick and John Michael sit down with Lori Joubert and Dr. Nazem Akoum to discuss the topic of Listening.
Lori is responsible for managing administrative activities and program events for the Electrophysiology and Cardiac Imaging Subspecialty Programs across UW Medicine clinical sites. She also utilizes her education and training in listening skill development to facilitate monthly listening circle cafés to build team connection and networking by creating safe spaces for dialogue and connection with our peers and the sharing of resources.
In this episode she helps guide us through a conversation about the power of listening, especially in how professionals interact in meetings and how providers listening with patients can make significant impacts.
Below are resources to support the conversation and deeper dives into the topic of listening.
ILA is also hosting a free mini-series (for the public) in support of International Day of Listening https://listen.org/page-1860403
Kate Murphy’s “You’re Not Listening: What You’re Missing and Why it Matters” https://www.journalistkatemurphy.com/
Music: An Underutilized Tool In Neurocardiology? https://www.youtube.com/watch?v=7oSdvgv3JMQ - how listening to music may be similar or different then listening to (or reading) heart rhythm or how listening to music may improve one’s ability to listen beyond the “noise” in clinical settings from your perspectives.
Perceptions of Health Care Providers Communication – This article emphasizes the connection between Uncertainty reduction theory (URT) and Patient Centered Communication (PCC). It highlights PCC behaviors that relate to satisfaction to include empathy and listening (see pp 4-5).
What is empathy and can it be taught? By Howard Spiro, MD
Dr. Lorenzo Azzalini is an exciting addition to our star studded cast of complex coronary interventionalists. Lorenzo Azzalini, MD PhD MSc FACC FSCAI is an interventional cardiologist and Director of Interventional Cardiology Research at UW Medical Center - Montlake. He has published over 180 peer-reviewed manuscripts, received numerous international awards, is member of the editorial board of the Canadian Journal of Cardiology, Eurointervention, Cardiovascular Revascularization Medicine, and Minerva Cardiology and Angiology, and is guest reviewer for other twenty journals. In his free time, Dr. Azzalini enjoys spending time with his family, traveling, cooking, and sailing.
0:55 - A Global Perspective of Medicine
9:55 - Passion for Research
14:30 - Where is percutaneous interventional research today?
22:30 - Era of the siloed interventionalist is over
27:10 - Atherectomy
38:05 - Twitter and the Impact of Information Sharing
51:00 - A word of advice for an aspiring researcher
54:15 - Signing off in 4 Languages
Follow or reach out to Dr. Azzalini on Twitter:
@LAzzaliniMD
Paul Hlava Ceballos is one of UW Medicine Heart Institute's cardiac sonographers and also a National Book Critics Circle Award-nominated author of banana [ ] which reveals the extractive relationship the United States has with the Americas and its people through poetic portraits of migrants, family, and memory.
1:15 - The Journey to Sonography and Poetry
5:00 - banana []
19:30 - Sonography as Poetry
28:00 - a reading from banana []
35:00 - Connecting in conversation
48:40 - a 2nd reading from banana []
uwheart@uw.edu
Gabriel Aldea, MD, FACS, FACC, is a board-certified cardiothoracic surgeon, Chief of Cardiac Surgery, the William K. Edmark Professor of Cardiothoracic Surgery, and the Surgical Director of the UW Medicine Heart Institute.
Dr. Aldea is a nationally recognized leader with expertise in cardiac valve replacement and repair, management of aortic aneurysms, as well as catheter-based minimally invasive valve and aortic therapies.
0:46 - Dr. Aldea's Attraction to Cardiac Surgery
2:44 - More than Technicians
6:10 - Surgical Subspecialization
9:30 - Excelling in Complex Care Collaboration and Innovation
12:05 - Three Paradigm Shifts in Surgery
18:40 - TAVR Cardiac Surgeon Resistance
20:20 - Forecasting Therapies in 10 years
23:00 - Creativity in Cardiac Surgery
26:30 - Maintaining Quality (Mitral Valve Reference Center)
30:45 - Designation to Incentivize Implementation Science
38:00 - Frailty and Pre-Hab
45:30 - Endocarditis & Drug Use
55:00 - A Reader, Swimmer and Father of a Fellow
uwheart@uw.edu
Alec J. Moorman, MD, FACC, is aAlec J. Moorman, MD, FACC, is triple board certified in Echocardiography, Cardiovascular Disease and Internal Medicine. His clinical interests include primary and secondary prevention of coronary artery disease, heart failure, echocardiography, valvular heart disease, hypertension and lipid disorders. His research focus is serving as principal investigator for the International Study of Comparative Health Effectiveness with Medical and Invasive Approaches (ISCHEMIA), and ISCHEMIA-Chronic Kidney Disease clinical trials.
0:43 - Medical School vs. Architecture
4:35 - Why Cardiology
10:00 - Role in Fellowships at UW Heart
11:45 - What makes a great Clinical Cardiologist?
14:00 - Preparing for Clinical Practice
18:55 - Pre-Kidney Transplant Evaluations
26:00 - Valvular Interventions in Pre-Kidney Transplant Patients
29:30 - Imaging Innovations on the Horizon
32:20 - Husky Superfan
34:10 - Road Cycling
uwheart@uw.edu
The regular schedule for Coffee and Cardiology will be back in 2 weeks.
Dr. Bill Lombardi was our first episode guest on Coffee and Cardiology and is now expanding the UW Heart Institute media empire in a new format with live Q&A.
The series will include special guests from around the country and focus on topics blending the technical and mental sides of healthcare.
"Fear & Confidence" will be episode #1 with Aaron Grantham and we hope you will join for a live recording on Twitter Spaces - March 9th at 4pm PST to answer any questions or contribute to the conversation.
https://twitter.com/i/spaces/1yoKMZBBNXjGQ
Larry Dean, M.D., F.A.C.C., M.S.C.A.I., is an expert in general cardiology, cardiac catheterization and interventional cardiology. Dr. Dean is Founding Director of the UW Medicine Regional Heart Center and current Medical Director of Outreach and Clinical Integration of the UW Medicine Heart Institute.
1:00 - Roll Tide
2:05 - Follow the Opportunities
6:35 - A retrospective of UW Cardiology
10:00 - Teaching Mission
11:25 - Ready for Transcatheter Aortic Valve Replacement (TAVR)
13:15 - Collaboration in the Region
17:30 - Bed Capacity & Certificate of Need (CON)
26:10 - Workflow Crisis
30:15 - Mental Health through the diversity of practice.
31:15 - PNW Cyclist
36:50 - https://www.theeatingplaces.com/41:15 - The Profession of Medicine
46:15 - Hippocratic Oath
51:22 - Changes in Healthcare Tensions
54:30 - Investing in Balance
58:00 - IT as a resource
uwheart@uw.edu
Dr. Zachary Steinberg, MD, is a board-certified Interventional Cardiologist and Adult Congenital Heart Disease specialist with the UW Medicine's Heart Institute.
Dr. Steinberg specializes in the care of adults born with heart defects and performs transcatheter intervention on this complex patient population. He has a wide array of interventional expertise including complex coronary artery revascularization, transcatheter valve implantation, septal defect closure, and balloon pulmonary angioplasty for patients with chronic thromboembolic pulmonary hypertension (CTEPH).
00:55 - Dr. Specialization
13:00 - "A Profession of Lifelong Learning"
15:10 - Intervention Cardiology First
19:45 - A Day in the Life - Chronic thromboembolic pulmonary hypertension
28.25 - Learning Chronic Pulmonary Angioplasty
36:45 - Approaching Orphan Diseases
37:30 - Our Interventional Team
39:50 - Repairing Congenital Defects
uwheart@uw.edu
Babak Nazer, MD directs the UW Translational Electrophysiology Laboratory, where his research focuses on the diagnosis and treatment of ventricular arrhythmias (premature ventricular complexes (PVCs) and ventricular tachycardia (VT). In collaboration with acoustic physicists and biomedical engineers, his laboratory develops new diagnostic and therapeutic ablation tools for the treatment of PVCs and VT, particularly those using ultrasound as an energy source. As Director of the UW Multidisciplinary Ventricular Arrhythmia Program, he collaborates with psychologists to investigate the psychosocial symptoms associated with VT and defibrillator shocks, and therapies to alleviate these symptoms.
bnazer@uw.edu
Eric Krieger, MD, FACC, is a board certified Adult Congenital Heart Disease (ACHD) Cardiologist at UW Medicine's Heart Institute. He directs the Adult Congenital Heart Disease Program and ACHD fellowship training program. He practices at the University of Washington and Seattle Children's Hospital.
1:05 - From Philosophy to Medicine
4:20 - The Why
6:15 - Advanced Fellowships in Boston
7:15 - Growing the UW ACHD Program
9:00 - The unique nature of the UW ACHD Fellowship
12:35 - Collaboration with Seattle Children's Hospital
14:35 - Importance of Trust in Congenital Heart Disease
17:15 - Patients' Transition of Care (Pediatric to Adult)
24:00 - The intangibles of an ACHD Cardiologist
26:00 - "No Jerks"
29:30 - Supporting WAMI Region (Washington, Alaska, Montana, Idaho)
32:00 - Centrality of Imaging in ACHD
35:35 - Role of Specialized Cardiac Sonographers & Other Imagers
37:40 - How to define and best care for "Complex Congenital Heart Disease"
ekrieger@uw.edu
Robb MacLellan, MD is the Director of the UW Medicine Heart Institute and our Division Head of Cardiology. Since 2011 he has ensured our faculty and research goals are aligned with the needs and opportunities in the hospital. In addition to those important responsibilities, he is an active attending physician and Robert A. Bruce Endowed Chair in Cardiovascular Research.
Robb's research interests include:
- Understand the molecular mechanisms that regulate cardiac failure and develop therapies to regenerate myocardium
- Use genetic mouse models in an attempt to correlate molecular insights with whole organ physiology
- Develop stem cell and tissue engineering strategies to repair the heart
1:15 - The Canadian Researcher
6:00 - Why Cardiology
7:27 - Research Training
10:45 - Research Fundamentals
13:15 - First Trial to the Lab Today
26:40 - Complimentary Teamwork Success
30:55 - Advice to the Future Academic
35:50 - The Argument for the Physician Scientist
41:20 - Struggle for Balance in Training and Future Need
46:55 - Looking back as Division Head and Director
52:30 - Regional Heart Center to Heart Institute
56:30 - A new role in Department of Medicine
Carrie Boom is an advanced registered nurse practitioner since 2001 who has clinical experience throughout the continuum of inpatient and outpatient Cardiology and Cardiac Surgical care. As the Senior Lead Advanced Practice Provider in the Division of Cardiology, she focuses her leadership efforts on building high-quality multidisciplinary teams who focus on providing high quality, safe patient care to high acuity Cardiology patients.
1:15 - From Iowa to UW
7:15 - The Draw to Acuity
8:15 - The Creation of Boom's Legion
15:50 - Structured Multidisciplinary Rounds
20:10 - Advanced Practice Provider (APP) Teams in the ICU
25:45 - Future Goals in the ICU
28:00 - Pulmonary Artery (PA) Catheter Management
34:00 - CCU APP Evolution
38:43 - Communicating ICU Culture Forward
42:45 - Impact Potential of the Multidisciplinary Team
47:15 - Mental Health in the ICU
50:20 - Pillar of Strength
Email: cboom@uw.edu
Christopher T. Longenecker, MD is a non-invasive cardiologist and Associate Professor in the Division of Cardiology and Department of Global Health at the University of Washington School of Medicine. He is the inaugural Director of the Global Cardiovascular Health Program, a joint initiative of cardiology and global health. Clinically, he attends on the Harborview cardiology consultative service and is director of a unique HIV-Cardiology clinic within the Madison Clinic at Harborview.
1:20 - A Global Citizen
3:00 - The Journey to Global Health by way of HIV/AIDS
6:40 - Cardiovascular Global Health
8:20 - An Interdisciplinary Global Cardiovascular Health Program at UW
16:55 - Leveraging HIV Infrastructure to Treat Rheumatic Heart Disease
20:15 - Stakeholders in Global Cardiovascular Health
27:30 - Advocacy for Funding
31:05 - Misconceptions in Global Health
34:10 - Building Relationships by Fostering Trust
36:50 - Fostering Trust with Relationships
38:30 - Advice for a future in Global Health
41:30 - Reciprocal Mentoring
43:45 - Relationships as a bridge to advancement
46:00 - A Global Standard of Care? Warfarin v. Rivaroxaban Example
49:15 - Skills for Success in Global Health
51:20 - Advice for the practicing clinician
Email: ctlongen@uw.edu
Twitter: @hivcardiodoc
Global Cardiovascular Health Program Website
Yonatan Buber, MD earned his M.D. from Ben Gurion University in Israel. Dr. Buber specializes in all forms of congenital heart disease, pregnancy in women with heart disease, pulmonary hypertension and exercise physiology.
0:40 - Dr. Buber's Journey from Israel
3:05 - A week that inspired an Adult Congenital Heart Disease career
5:00 - Differences in ACHD Care Israel vs. US
7:40 - Recruiting persistence of Drs. Krieger and Stout
10:05 - Cardiopulmonary Exercise Testing, Cardio-Obstetrics, Aortopathy Clinic
14:30 - Cardio-Obstetrics
22:15 - Global Health Collaborations
26:30 - Regional ACHD Care
30:20 - Diffusing Bombs in Israel
36:30 - Advice for future cardiologists
Email: bubery@uw.edu
Laurie Soine, PhD, ARNP, is a board-certified nurse practitioner in the UW Medicine Department of Medicine and serves in the role of Chief ARNP for UWMC. In 2013, she was awarded the UW School of Nursing Distinguished Practitioner Award for demonstrating nursing care excellence. She is also a UW School of Medicine teaching associate and is a clinical assistant professor in the School of Nursing. Laurie's research interests include the impact of what patients know and its effect on clinical outcomes, and describing factors associated with creating robust models of advanced practice nursing.
0:30 - Who is Laurie Soine
2:15 - Move to the Nuclear Lab
6:20 - The changes in Nuclear Cardiology
9:45 - Patient Interactions
12:30 - Clinical Secrets
15:25 - Patients understanding the Why
21:00 - Move to (CPET) Cardio-Pulmonary Exercise Testing
24:00 - Why a CPET
26:40 - What is CPET like for a patient
27:34 - Testing for Lung vs. Heart
32:50 - Dr. Robert Bruce - "Father of exercise cardiology"
35:00 - Future of diagnostics and CPET for Covid-19
40:15 - Advanced Practice Provider's (APP) Research
42:25 - Quantifying Impact of APP's
46:00 - Taking the administrative role
51:30 - Growth from 2 to 50 APPs
53:00 - Primary to Specialty Roles in APP Realm
59:20 - Advice to Cardiology Fellows
Contact Laurie: lsoine@uw.edu
In this episode we have Maziar "Maz" Khorsandi, MD a cardiothoracic surgeon at the UW Medicine Heart Institute. Dr. Khorsandi is originally from Iran and now an MCS/Transplant surgical specialist. In addition, he helps run our weekly multidisciplinary coronary conference.
0:00 - Iran to the UK
3:40 - Why Cardiac Surgery
6:30 - Transplants in UK vs. USA
9:20 - Evolution in Mechanical Circulatory Support
12:27 - "Don't suffer in Silence"
14:06 - LVAD Operation (Left Ventricle Assist Device)
19:45 - LVAD Patient Care
21:40 - End of Suction Events
29:15 - DCD - Donation after Circulatory Death
33:45 - OCS - Organ Care System
40:00 - Haggis
42:00 - Weekly Multidisciplinary Coronary Conference
44:20 - FAME3 from Cardiac Surgeon
52:10 - Low ejection fraction coronary revascularization
LVAD Operation Video Link:
https://www.youtube.com/watch?v=-Ze7e-u-6rw
DCD Press Release:
https://newsroom.uw.edu/news/patient-receives-regions-1st-dcd-heart-transplant
Haggis:
https://en.wikipedia.org/wiki/Haggis
Grand Rounds:
Low ejection fraction coronary revascularization: A surgical perspective
https://youtu.be/tz2l8Fe1e1s
Dr. Maziar Khorsandi Profile - https://www.uwmedicine.org/bios/maziar-khorsandi
Email: mkhors@uw.edu
In this episode we sit down with Kate Kearney, MD an interventional cardiologist with a specialization in high risk coronary artery treatments. This specialization is a fellowship training pathway at UW Medicine Heart Institute called a CHIP fellowship, in which Dr. Kearney thrived in 2018 and now teaches. She is also focused on SCAD (Spontaneous Coronary Artery Dissection) as well as the diagnosis and treatment of women's coronary artery disease.
1:34 - Background
3:15 - Choosing Intervention
4:40 - Unique Make-up of Fellowship
6:00 - Specialization within Interventional Cardiology
9:10 - The draw to Chronic Total Occlusions
10:45 - Impact of Work
13:00 - Benefits of academic team culture - shout out Cath Lab team
14:00 - Better every year
16:10 - CHIP * Complex High-Risk Indicated PCI.
17:35 - Collaboration between surgeons and interventionalists
19:25 - Hybrid Coronary Interventions
24:35 - Devices in Circulatory Support + Stenting
30:10 - Coronary and other device evolution
32:40 - STAR (Subintimal tracking and reentry)
37:10 - The MONGO Story - To be discussed in a future episode
37:30 - A growth mindset
40:15 - SCAD (Spontaneous Coronary Artery Dissection)
45:32 - Women + Chest Pain
52:28 - Teaching the Mindset
54:50 - Past-Fellow Shout Out
58:50 - Work-Life Balance (Boundaries)
Contact Dr. Kearney - kek35@uw.edu
Fellowship Program
22:50 - Dr. Kirkpatrick Grand Rounds - Cardioethics of Heart Procurement after Cardiac Death
In this epidsode April S. Stempien-Otero, MD, FACC sits down to discuss her path the UW Medicine Heart Institute the disparities between women and men in cardiovascular care and the goals in developing a fully integrated Women's Heart Health Program.
0:30 - East Coast to West Coast
2:32 - Disparities in care between men and women
4:40 - Diabetes and Women
5:50 - Heart failure with preserved ejection fraction (HFPEF) and Women
7:42 - Diagnosis disparity reasons
9:52 - Public vs Clinical Education
11:00 - Treatment disparities
13:10 - Take care of yourself
15:17 - Impact and current development of studies specific to women
18:05 - History of Estrogen in Cardiovascular Disease
22:40 - Approximately 20% of new investigators are Women
26:05 - Need for Women's Heart Health Program
28:55 - Program's impact on research
30:55 - A personal passion for the PNW
32:48 - Integration of Advanced Practice Providers - Tracy Fowler
You can learn more about the program and contact Dr. Stempien-Otero here:
UW Medicine
@Heart_Dr_April
April@uw.edu
In this episode we sit down with Jordan M. Prutkin, MD, MHS, FACC, FHRS who directs our ambulatory clinic for the UW Medicine Heart Institute. He is also an Electrophysiologist with a passion for sports cardiology and at the forefront of understanding how wearables and other patient data centered technologies might support cardiovascular care.
2:00 - The Journey
4:14 - What is the best part of Electrophysiology - Supraventricular tachycardia (SVT)
6:20 - Implantable Challenges
9:22 - Collaboration and camaraderie
11:05 - Director of Ambulatory Clinic during Covid
15:28 - Wearables and data in patient care
19:30 - Managing remote monitoring
23:24 - Data Ownership
24:00 - Sports Cardiology
27:12 - Sports and Sudden Death
31:04 - Navigating risk of sudden death
Kayla Burt's Story
36:15 - Leading the Covid-19 Return-to-Play * Follow the data
41:40 - Mental health
You can reach Dr. Prutkin here:
@jordanprutkin
jprutkin@uw.edu
In this episode we sit down with Jeanne E. Poole, MD, FACC. She led our Cardiac Electrophysiology section from 2000-2021 and currently Editor-in-Chief of HeartRhythm O2 Journal. http://heartrhythmopen.com.
We get into all where implantable defibrillation has come and where it's headed. In addition we talk about what characteristics make an exceptional electrophysiologist and how journals can better include allied professionals.
0:38 - A child of Boeing
1:57 - Impact of Dr. Leon Green
4:15 - Development of Implantable Cardiac Monitoring
8:11 - Collaboration with Harborview
11:40 - Patients and Uncertainty
12:35 - How implantable defibrillators work
14:25 - Discussion with patients and use of defibrillators
18:35 - End stage terminal disease and implantable conversations
20:50 - Cardiac Resynchronization Therapy (CRT)
25:30 - Non-response reasons
29:00 - Avoiding long leads
33:18 - Indications for advanced technologies
36:45 - Building and leading the Electrophysiology team
43:00 - Identifying a good candidate for Electrophysiology career track
46:00 - Founder and Editor in Chief of Heart Rhythm Society O2 Journal
50:00 - Allied Professionals access to journal - APP Publishing Resources
You can reach Dr. Poole here:
@jepoolemd
JPoole@uw.edu
In this episode we sit down with Karen K. Stout, MD, FACC the founder of our Adult Congenital Heart Disease (ACHD) program at the UW Medicine Heart Institute and currently our associate chief of cardiology.
She has helped formalize the ACHD sub-specialty and now is leading our team creating a culture in a rapidly changing work environment. Her thoughts on all that and much more.
1:12 - History of formalizing Adult Congenital Heart Disease
4:11 - Adult vs. Pediatric Care
7:07 - Seattle Children's and UW Medicine Relationship
9:55 - Transitions in Care
12:55 - Day in the life of an ACHD Cardiologist
16:16 - General Cardiology's role in congenital disease care
19:15 - Partnerships with Multidisciplinary teams
22:44 - Outreach Clinics in PNW Region
25:14 - Living in a van down by the river
29:00 - Arizona
33:15 - Leadership and Culture
Adult Congenital Heart Disease at UW Medicine
stoutk@uw.edu
In this week's episode we sit down with Nazem Akoum, MD, MS, FACC, FAHA, FHRS.
Dr. Akoum is now the UW Medicine Heart Institute's Electrophysiology Section Chief. Before he made it to this incredible accomplishment, he was a child that grew up through the Lebanese Civil War and experienced loss of his brother with an aortic dissection from Marfan syndrome. As the director of our Atrial Fibrillation clinic, he will be helping lead the way into its future as our section chief.
1:28 - How the journey began
8:08 - Passion for EP
11:45 - Math and EP
13:30 - Adjunct Professor in Bio-Engineering
22:10 - Multidisciplinary Research
23:49 - Atrial Fibrillation
26:13 - AFib Treatment Decision Making
30:28 - What imaging tells us
33:10 - Scarring and Ablation
36:12 - Lone Afib
38:38 - Embolic Stoke of Undetermined Source
41:21 - Stroke Prevention hitting close to home
43:05 - EP Leadership
45:35 - Future of UW EP
You can contact Dr. Akoum at nakoum@uw.edu
In this week's episode we sit down with Christine Chung, MD.
Dr. Chung's early interest in teaching evolved into an academic medicine career that is now helping to teach the next generation of interventional cardiologists. She is excited to have a procedural focus with so much opportunity for innovation. As a part of our structural heart team, she will be helping lead the way into its future.
0:40 - From the beginning
3:18 - Ms. Chung the Teacher?
4:04 - Drawn to Procedural Cardiology
5:15 - Why Structural Heart
7:30 - The path to Structural Heart
9:20 - Mentorship
10:48 - Role as a Mentor
13:10 - "Not just mentorship, but also sponsorship"
14:50 - The other career and mental health
19:25 - Anticoagulation and TAVR
23:20 - Valve-in-Valve
25:41 - Anatomic Considerations
29:12 - Aortic Regurgitation
32:35 - Shout out to Robert Lederman and Adam Greenbaum
33:35 - Risk of mortality vs. benefits of intervention
39:25 - Unpacking deal-breakers
42:01 - Left Atrial Appendage Closure/Occlusion (LAAC/LAAO)
45:00 - Good Candidates for LAAO
50:20 - Industry Education (Commercial Referenced)
Dr. Chung can be reached at her email:
cjchung1@uw.edu
In this week's episode we sit down with David T. Linker MD, FACC, FESC, FASE.
Dr. Linker's career has uniquely tied his engineering background with cardiology to help design the future of cardiac diagnostic technologies. His commitment is to ensure these critical tools are accessible to everyone who needs it. From speaking 6 languages to building new technologies, the common thread is his aspiration of mastery. This aspiration is now focused on his mastery of teaching complex topics like transesophageal echocardiography with his recently published book High-Quality Transesophageal Echocardiography.
Timestamps:
0:40 - Cardiology & Engineering
4:08 - Development of Ultrasound Imaging
7:45 - European and American Models
8:30 - Icelandic, English, Spanish, French, Norwegian, & Dutch
9:44 - World-wide Collaboration
14:10 - Aspiring for Mastery * High-Quality Transesophageal Echocardiography
18:30 - The why rather than just the how
19:45 - Learning how to teach better "Cognitive Load"
21:20 - Detection of Atrial Fibrillation
26:35 - Democratization of Diagnosis
27:25 - Contributions to the Seattle Heart Failure Model
32:10 - Commercialization without preventing access
34:14 - David Linker's television travelogue series available on Smithsonian Digital Catalog
39:00 - Impact of Legacy
42:15 - Mental Health through the outdoors
Please feel free to reach out to Dr. David T. Linker directly here:
dtlinker@uw.edu
Others Mentioned:
Bjorn Angelsen
Dr. Wayne Levy
Dr. Jill Steiner, an Adult Congenital Heart Disease (ACHD) cardiologist at UW Medicine, sits down this week to talk about what palliative care really means, understanding and supporting resilience for a unique patient population, and how she has created resiliency for herself.
Timestamps:
0:30 - Career at a glance
2:40 - All things ACHD
3:54 - Palliative Care and ACHD
4:36 - "I just think it's cool."
6:00 - Impact of palliative care in ACHD patients
8:49 - Palliative care research
11:00 - What is Resilience
16:00 - Multi-morbidity and Frailty
20:32 - Transitions from pediatrics to adult
25:10 - An ACHD's cardiologist special sauce
34:47 - ACC Cardiology Palliative Care Working Group and CMEs
38:47 - Tools for tough conversations
40:50 - Supporting yourself after
45:43 - "Life is not worth surviving, it's worth living"
You may find resources mentioned in the episode below:
- Palliative Care Work Group: https://www.acc.org/Membership/Sections-and-Councils/Geriatric-Cardiology-Section/Get-Involved/Pallitive-Care-Work-Group
- Dr. Steiner's Bio: https://www.uwmedicine.org/bios/jill-steiner
- Dr. Steiner's Twitter: https://twitter.com/steiner_md
- Dr. Steiner's email: jills8@uw.edu
This week the creator of the Seattle Heart Failure Model and Seattle Proportional Risk Model, Dr. Wayne Levy, joins us to discuss how the models were built, the continued evolution of the models, and future of these tools to support clinical decision making with guideline directed therapy.
1:20 - Seattle Heart Failure Model from the beginning
7:30 - Working with Statisticians
8:37 - Making Life Expectancy easier to understand
10:40 - Clinical Applications of the Model
11:35 - Feedback from Clinicians
16:00 - Challenges and successes in building a global model
19:10 - Upkeep and Evolution
22:22 - Barriers to new clinical datesets
23:50 - Future vision of the Model
25:11 - Why not the Levy Model
27:50 - Clinical Insights for risk prediction
33:40 - Defibrillator Paradox
36:15 - Seattle Proportional Risk Model
42:06 - Guideline directed therapy
46:50 - Play with the model
48:44 - Where is the model's future
53:40 - Use across the globe
57:45 - Access the tool and information - See below
Seattle Heart Failure Model
Seattle Proportional Risk Model
Dr, Levy can be reached at levywc@uw.edu
Dr. Kenta Nakamura joins us on this week's episode to discuss the history of stem cell research and how he plans to help lead it into the future. His educational foundation in stem cell biology has intersected with an interventional clinical focus at UW Medicine to now lead a new clinical trial with human vascular endothelial growth factor (VEGF) to induce therapeutic angiogenesis (revascularization).
Episode topics:
0:38 - Stem Cell Biology and Interventional Cardiology Career
3:55 - Rocky Road of Stem Cell Therapies
9:25 - Thoughtful process of new clinical trials
10:20 - Techniques and delivery of stem cells
17:50 - Diagnostically measuring success
21:43 - EXACT Clinical Trial - Refractory Angina
26:20 - Patient Criteria
32:20 - Potential for Young Patients
37:29 - Motivation for Medicine
39:47 - Advice for Translational Basic Science Careers
43:28 - Outside of work
45:50 - Referrals for Trial
https://clinicaltrials.gov/ct2/show/NCT04125732
@KentaMD
nakamur@uw.edu
Dr. Shakirar "Lara" Oyetunji, MD, MPH, is a cardiothoracic surgeon with a clinical expertise in the treatment of Hypertrophic Cardiomyopathy at the UW Heart Institute and chief of cardiac surgery at Veterans Administration Puget Sound Health Care System.
Before all that, she heard a lot of “Perhaps you should consider something else — nursing, dentistry, nutrition, pharmacy…” Growing up in Nigeria, she had a role model in her father to believe in her own abilities. She hopes to inspire that same belief in others through her role in UW's Doctor for a day where she provides underserved K-12 students in the Seattle and Greater Seattle area exposure to medicine and surgery. In addition to that, her work abroad helping to create of a training program for cardiac surgeons in Nigeria and Rwanda demonstrates a true commitment to nurturing a healthier world, both here and abroad.
Topics:
:18 - From the beginning
4:25 - What would you tell resident you
7:15 - Training and Mentorship Approach
9:47 - Barriers and Bias
16:22 - Addressing Bias
22:20 - Equity vs. Equality
23:41 - Global Health Initiatives
37:45 - Chief of Surgery at the VA
44:47 - The latest in Cardiac Surgery (Hypertrophic Cardiomyopathy)
52:00 - Heart Team Approach
Some links to the topics discussed:
UW's Doctor for a Day Program
TAKE A TEST - Implicit Bias
Implicit Bias in Healthcare Study
Operation Giving Back (OGB) - ACS
Society of Black Academic Surgeon
Dr. Oyetunji's email: oyetunji@uw.edu
Oscar Bailon, MD, FACC, is a board-certified cardiologist that supports the UWMC Northwest and Mill Creek Clinics. Dr. Bailon believes that best patient care outcomes are achieved incorporating patient preferences, needs and values. For this episode he brought the instruments he has carried with him since he was in high-school. He used these instruments to help pay his way through medical school and now to break the ice with his patients. Additionally, he has played an important role on a regional radio show discussing cardiovascular issues and Covid science for our Spanish speaking population. His music is magical and you can hear for yourself how he is able to break down barriers.
0:37 - Intro to Peruvian Music and Instruments
2:25 - Beginnings in Peru
4:14 - Song
5:44 - Impact of Song
8:00 - Radio Show
11:06 - Medicine and Music
15:15 - Focus on Purpose
19:30 - Why Cardiology
26:45 - How Radio Improves Healthcare
30:30 - How to connect with different cultures in healthcare
35:00 - Song
35:30 - Integration of song into hospital
37:00 - Instrument descriptions
38:40 - Song
41:40 - Song
43:00 - Learned by ear
46:35 - Song
48:30 - El Rey Radio - SeaMar
53:20 - Song
You can contact Dr. Bailon at uwheart@uw.edu or by reaching out to us at hipaa.jotform.com/uwheart/referrals
In this episode we host Dr. Stephanie Cooper. From her start at the center of the AIDS epidemic in San Francisco to how she empowers patients with autonomy in their healthcare decisions at Harborview Medical Center. This is a must listen for tips on how to navigate those conversations.
1:50 - Becoming Dr. Cooper
4:10 - Beginning of Palliative Care
9:55 - Importance of Communication Skills in Medical Training
11:15 - Trauma informed care
14:55 - Communication Best Practices (Cooper's Touch)
19:45 - Shared Decision Making
21:40 - Patient Autonomy
26:00 - Methamphetamines and the Heart: a historical perspective, update, and considerations of care37:48 - Investments in Care Needed
46:00 - Trust in Healthcare Team
48:00 - Rocky - Dr. Cooper's Dog
Dr. Cooper is an assistant professor of medicine in the Division of Cardiology.
In addition to practicing general cardiology, she practices palliative medicine within the Department of Medicine at Harborview Medical Center.
She earned her bachelor’s degree at the University of California at Berkeley and earned her M.D. at the University of California at San Francisco. She completed a medical residency at UCSF and then came to Seattle to complete a fellowship in cardiology and interventional cardiology at University of Washington Medical Center. She was an interventional cardiologist in private practice for 10 years before returning to the UW system to complete a fellowship in palliative medicine.
She is board certified in cardiovascular disease and palliative medicine.
To reach her about her practice and/or research: SCooper@uw.edu
Dr. Cooper's Grand rounds can be found at the UW Cardiology Youtube Page: Methamphetamines and the Heart: a historical perspective, update, and considerations of care
In this episode we welcome back Dr. Jay Pal our new Surgical Director of MCS and Transplant.
4:00 VAD's past & present
5:16 Patients & VAD
7:34 Future VADS
8:43 Artificial Heart
12:24 Surgery In's and Out's
14:35 Best Practices from Experience
17:00 Why Back to UW?
18:41 What's in the water at Duke?
20:10 Regional Partners
21:20 Partnering with Complexity in Care
24:16 Future of VADs
27:20 Thoughts on Allocation Changes
29:45 Nepal
37:32 Personal Benefits of Global Health
Jay Pal, MD, PhD is the Surgical Director of the Heart Transplantation and Mechanical Circulatory Support programs in the Division of Cardiothoracic Surgery. His clinical and research interests lie in the surgical treatment of heart failure, including transplantation and mechanical circulatory support systems.
He completed his general surgical residency at the UCSF Easy Bay program and his thoracic surgery residency at Duke University, where he developed an interest in heart failure. He has held faculty positions at the University of Texas Health Science Center San Antonio and the University of Colorado, as well as at the UW School of Medicine from 2013-2017.
In addition, Dr. Pal has been coordinating an international medical effort in Nepal for several years and will continue this work in collaboration with the Department of Global Health at the University of Washington.
He can be reached any time at jaydpal@uw.edu
or you can use our digital front door: https://hipaa.jotform.com/uwheart/referrals
Thanks for listening!
Coffee and Cardiology with Interventional Cardiologist Dr. Jamie McCabe to talk about what it takes to complete 150 mitraclip procedures, redefining how outcomes are measured, what leadership means to him and his crossroads between furniture making and medicine.
2:57 - Mitraclip
5:30 - Structural Heart Team
7:05 - Dynamics of multidisciplinary teams
9:40 - Volumes (Both sides)
16:40 - TAVR Returns
19:00 - TAVR Patient Selection
22:10 - Physician Report Cards
25:00 - Risk Treatment Paradox
29:40 - Leadership philosophy
33:45 - Vision of the Cath lab
37:23 - Impact of Covid
41:06 - Outside of the Lab
42:43 - The furniture maker?
49:08 - The pinnacle of structural heart
Dr. James (Jamie) McCabe grew up in Boston, Massachusetts, graduated magna cum laude from Bowdoin College and received his medical degree from Yale University. He has completed 10 years of post-medical school training including internal medicine training and general cardiology fellowship at University of California, San Francisco (UCSF) and interventional cardiology fellowship as well as an advanced interventional fellowship in structural and peripheral treatments at Brigham and Women's Hospital / Harvard Medical School. He is board certified in Internal Medicine, Cardiology, and Interventional Cardiology.
Dr. McCabe joined the University of Washington Medical Center in 2013. He became medical director of the Cardiac Cath Labs in 2015 and subsequently was named Chief of Interventional Cardiology for the UW System in 2020. His clinical practice leverages his knowledge and experience in clinical cardiovascular medicine and complex coronary and valvular heart interventions. Dr. McCabe is an international leader in structural heart interventions including repair or replacement of all heart valves using catheter-based methods. He also treats all forms of coronary artery blockage and cardiogenic shock. He is an internationally recognized clinician educator and investigator in transcatheter therapies for valvular heart disease. His research interests focus on quality and performance metrics for cardiovascular procedures and novel transcatheter therapies to address unmet needs in the structural heart space.
He has been the site principal investigator for dozens of clinical trials and has authored more than 100 original manuscripts and multiple book chapters related to his work. He lectures frequently at national and international meetings including at Transcatheter Cardiovascular Therapeutics (TCT), Trancatheter Valve Therapeutics (TVT), American College of Cardiology (ACC) and Society for Cardiac Angiography and Intervention (SCAI), amongst others. He has also been asked to perform live televised procedures for national and international audiences across multiple continents.
He has been recognized as an Emerging Leader in Medicine by SCAI and the ACC, named one of three finalists for the Linnemeier Award, and voted a “Top Doc” in cardiology multiple years in a row by Seattle Magazine and Seattle Met Magazine.
To reach Dr. Jamie McCabe you can email him at jmmccabe@uw.edu.
Or send a referral or consult request here: https://hipaa.jotform.com/uwheart/referrals
Coffee and Cardiology with Interventional Cardiologist Dr. Bill Lombardi to talk about FAME3, mental health and his passions for patient care.
Episode Markers:
1:40 TCT Live Cases - Why do them?3:30 Risk of CTO’s in Live Cases
6:21 Balancing Academics with Procedural Focus
8:50 What Bill learns from Teaching
11:05 Taking a break
13:55 Boundary setting
15:40 How to see the boundaries
16:27 FAME3
25:00 FAME3 Variables in Outcomes
27:21 Training the next generation
31:35 - Get in touch - ccpcc@uw.edu or email uwheart@uw.edu for his direct contact information.
Dr. Bill Lombardi is a world-renowned expert in Complex Coronary Disease Therapies, performing over 500 interventions a year, including 250 CTOs.
He continues to develop novel chronic total occlusion (CTO) techniques and technologies, including the inception of a “hybrid algorithm” that facilitates successful, reproducible outcomes in CTO and complex lesion PCI. He has been involved with over 20 new technologies to improve PCI, including guide wires, micro-catheters, specialty balloons and novel approaches to reduce radiation and orthopedic injuries to operators.
He continues to innovate at the University of Washington Medical Center as clinical professor and Director of the Complex Coronary Disease Therapies Program.
Dr. Lombardi’s focus remains improving outcomes through numerous collaborations with his colleagues, industry, and teaching the next generation of CTO operators.
On his free time Dr. Lombardi enjoys spending time with his family on their boat “Lioness”, fishing, and exploring the outdoors.
Find Bill on Twitter @DrBillLombardi
To refer a patient complete this form https://hipaa.jotform.com/uwheart/referrals or reach out to ccpcc@uw.edu