heart valve disease

It's part of our Cardio Nerds Academy curriculum, where we pair deep dive podcast discussions with peer-reviewed scholarship.

Speaking of which, a companion review article on the hemodynamics of valvular heart disease will be published in US Cardiology Review.

Be sure to check out the show notes for that link once it's live.

Today we're tackling one of the most intellectually rich topics in cardiology, the hemodynamics of valvular heart disease.

Leading today's discussion is Dr. Joseph Kassab.

He was born and raised in Lebanon, where he completed medical school at St. Joseph University of Beirut.

He then completed a two-year postdoc cardiology research fellowship at Cleveland Clinic before matching into internal medicine at UT Southwestern in Dallas, where he's currently a PGY-2.

He's a CardioNerds fellow in House Eindhoven, passionate about structural and interventional cardiology, which most of his research focused on valvular heart disease.

So when you hear King Charles Cavalier, what is the issue that comes to mind?

So when, when I hear about the breed, the m- the first thing comes in my mind is the mitral valve disease.

Okay.

And so that's- [laughs]

[laughs]

Like mitral valve disease.

Yes.

Yes.

welcome back to the atomic anesthesia podcast this is week two of our 12-week cnce podcast series where we're going to be following the atomic anesthesia cnce study plan week by week so last week was pharmacology and this week we're moving into cardiovascular I'm going to start with a topic that is pretty much guaranteed to show up on your boards, which is valvular heart disease.

Now, quick reminder on how this series works.

Every week, we release three episodes.

Here's my promise for this episode.

I'm not going to hand to you four separate lists to memorize.

Valvular heart disease feels a lot like a memorization topic because every review book is going to give you a table of arrows for each lesson.

But these arrows aren't super random.

If you understand two ideas, you can rebuild this entire table from scratch in the middle of your exam.

In our pregnancy series, we've covered the heart in pregnancy, gestational diabetes, and gestational hypertension.

Today, we go deeper into one of the most challenging situations in cardiac obstetrics, valvular heart disease in pregnancy.

We'll talk about how to diagnose it, which valve lesions are dangerous, the complications, how to treat them, including anticoagulation for mechanical valves and procedures during pregnancy, and what a pregnant woman with valve disease should eat.

My guest is senior interventional cardiologist, author and educator, and founder of the Academy of Elite Doctors, Dr.

Welcome back.

Thank you, Samantha.

In India and many low and middle income countries, valvular heart disease, mainly rheumatic heart disease, is the commonest cause of heart disease in pregnant women, and important cause of maternal death.

Many young women have rheumatic valve disease that was never diagnosed, and pregnancy is the first time it reveals itself, often dramatically, with pulmonary edema in the second trimester.