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<div class="span index">1</div> <span><a class="" data-remote="true" data-type="html" href="/series/accidental-ceo-podcast">Accidental CEO Podcast</a></span>


Dive into the heart of creativity and business with the Accidental CEO Podcast, your go-to audio hangout for turning passion into a thriving business. Hosted by Nata Salvatori, a seasoned wedding photographer and savvy business educator, this podcast peels back the curtain on the accidental journey from creative professional to CEO. Whether you stumbled upon the role of entrepreneur or have always dreamt of leading your own venture, this podcast is crafted for you. Each episode is a blend of inspiring stories, practical strategies, and real-world advice to navigate the complexities of running a creative business. From building a brand that resonates with your ideal clients to mastering the art of sustainable growth, Nata and a roster of guest experts offer insights into making the leap from creative to CEO not just possible, but profitable and fulfilling. The Accidental CEO Podcast is more than just a podcast; it's a community of creative minds eager to transform their accidental titles into intentional successes. So, if you're passionate about what you do but unsure how to fall in love with the business side of things, let Nata guide you. Subscribe to the Accidental CEO Podcast and join a vibrant community of creative entrepreneurs ready to make their mark on the business world. Together, let's turn your passion project into your success story. Connect with Nata: accidentalceopod.com instagram.com/accidentalceopod
The Leap Year Gene of Kit McKinley with Shelley Wood, Bestselling Author & Editor-in-Chief of TCTMD
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Content provided by Parallax by Ankur Kalra and Radcliffe Cardiology. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Parallax by Ankur Kalra and Radcliffe Cardiology or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.
In this week’s Parallax, Dr Ankur Kalra welcomes back Shelley Wood, best known for her work in the cardiology community as the editor-in-chief of TCTMD and Editorial Director of CRF. They discuss her work as a creative author and her second novel, "The Leap Year Gene of Kit McKinley " set to be published by Harper Collins in Canada and Union Square Press in the US in August 2024. Blending the intrigue of a medical thriller with a sweeping overview of the twentieth century, "The Leap Year Gene of Kit McKinley" tells the story of Kit McKinley, whose rare genetic condition causes her to age one year for every four. In this rich discussion, Ms Wood shares how her extensive experience as a medical writer and editor shaped her approach to crafting the novel. Dr Kalra and Ms Wood also explore one of the book’s central themes: eugenics, tracing its historical roots and examining its long shadow on medicine. Ms Wood, who balances a demanding full-time job with her creative writing, shares candid insights into her routine and the challenges of writing and publishing fiction. Tune in for an inspiring conversation about creativity, the human condition, and balancing responsibilities. To pre-order Shelley Wood new novel search for The Leap Year Gene/ The Leap Year Gene of Kit McKinley in your favourite independent bookshop or click here: https://www.unionsquareandco.com/9781454956297/the-leap-year-gene-of-kit-mckinley-by-shelley-wood/
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140 episodes
Manage episode 424084617 series 2657277
Content provided by Parallax by Ankur Kalra and Radcliffe Cardiology. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Parallax by Ankur Kalra and Radcliffe Cardiology or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://ppacc.player.fm/legal.
In this week’s Parallax, Dr Ankur Kalra welcomes back Shelley Wood, best known for her work in the cardiology community as the editor-in-chief of TCTMD and Editorial Director of CRF. They discuss her work as a creative author and her second novel, "The Leap Year Gene of Kit McKinley " set to be published by Harper Collins in Canada and Union Square Press in the US in August 2024. Blending the intrigue of a medical thriller with a sweeping overview of the twentieth century, "The Leap Year Gene of Kit McKinley" tells the story of Kit McKinley, whose rare genetic condition causes her to age one year for every four. In this rich discussion, Ms Wood shares how her extensive experience as a medical writer and editor shaped her approach to crafting the novel. Dr Kalra and Ms Wood also explore one of the book’s central themes: eugenics, tracing its historical roots and examining its long shadow on medicine. Ms Wood, who balances a demanding full-time job with her creative writing, shares candid insights into her routine and the challenges of writing and publishing fiction. Tune in for an inspiring conversation about creativity, the human condition, and balancing responsibilities. To pre-order Shelley Wood new novel search for The Leap Year Gene/ The Leap Year Gene of Kit McKinley in your favourite independent bookshop or click here: https://www.unionsquareandco.com/9781454956297/the-leap-year-gene-of-kit-mckinley-by-shelley-wood/
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1 EP 139: The Genetic Revolution in HCM: Mapping Family Risk to Targeted Treatment 28:29
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In this essential episode of Parallax, Dr Ankur Kalra is joined by Dr Carolyn Ho, Professor of Medicine at Harvard Medical School and Medical Director of the Cardiovascular Genetics Program at Brigham and Women's Hospital, for a comprehensive discussion on how genetic testing is reshaping hypertrophic cardiomyopathy management. The conversation explores the VANISH HCM trial results, which showed that valsartan can slow disease progression in young, asymptomatic individuals with early sarcomeric HCM. Dr Ho discusses how this evidence influenced the 2024 HCM guidelines and created new opportunities for disease-modifying therapy before clinical symptoms appear. The episode also examines emerging gene-based therapeutics, from current adeno-associated virus approaches to future CRISPR technologies that could address the underlying genetic causes of HCM. Dr Ho addresses practical considerations for clinicians, including when to initiate genetic testing, how to manage family screening, and the promise of AI-assisted screening tools. The discussion highlights both current therapeutic options and the evolving landscape of precision medicine in inherited cardiovascular disease. Questions and comments can be sent to "podcast@radcliffe-group.com" and may be answered by Ankur in the next episode. Host: @AnkurKalraMD and produced by: @RadcliffeCardio Parallax is Ranked in the Top 100 Health Science Podcasts (#48) by Million Podcasts.…

1 EP 138: Mapping the Heart's Hidden Code: How 3D Chromatin Structure Shapes Cardiac Disease 37:49
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In this insightful episode of Parallax, Dr Ankur Kalra explores the emerging field of cardiac epigenetics with Dr Manuel Rosa-Garrido, assistant professor of medicine at the University of Alabama in Birmingham. Their conversation examines how the three-dimensional organization of DNA within the cell nucleus influences heart disease development beyond traditional genetic sequencing. Dr Rosa-Garrido shares his pioneering work using Hi-C technology to map genome structure, revealing that DNA arrangement plays a crucial role in cardiac pathology. The discussion covers key concepts including chromatin loops, topologically associating domains, and compartmentalization—explaining how these structures regulate gene expression and how their disruption contributes to cardiovascular disease. The episode explores practical implications for clinical practice, from early biomarker identification to potential CRISPR-based therapies that could target chromatin structure. Dr Rosa-Garrido outlines how this research could transform cardiovascular care within the next decade, offering new approaches to both inherited cardiomyopathies and environmentally-influenced conditions like atherosclerosis. Valuable insights for cardiologists interested in precision medicine and the evolving understanding of how genetic architecture influences cardiovascular risk and treatment strategies. Questions and comments can be sent to "podcast@radcliffe-group.com" and may be answered by Ankur in the next episode. Host: @AnkurKalraMD and produced by: @RadcliffeCardio Parallax is Ranked in the Top 100 Health Science Podcasts (#48) by Million Podcasts.…

1 EP 137: Redefining ACS Care: From Guideline Updates to Clinical Excellence 53:26
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In this essential episode of Parallax, Dr Ankur Kalra is joined by Dr Michelle O'Donoghue, cardiologist at Brigham and Women's Hospital and co-author of the recently updated AHA/ACC acute coronary syndrome guidelines. Together, they explore the revolutionary changes reshaping ACS management in 2025. Dr O'Donoghue shares insights from the landmark guideline development process that unified non-ST elevation ACS and ST elevation MI recommendations into a single comprehensive document. The conversation covers game-changing updates including new risk stratification approaches, the shift toward selective invasive strategies, and the introduction of bivalirudin as an alternative anticoagulation option. The discussion highlights the groundbreaking "lower is better" approach to LDL management with new targets below 55 mg/dL, evolving antiplatelet therapy strategies, and the emerging role of ticagrelor monotherapy. Dr O'Donoghue also addresses future directions in cardiovascular care, from GLP-1 agonists to mechanical circulatory support devices, emphasizing how these guidelines represent a fundamental shift toward more personalized, evidence-based ACS management. Questions and comments can be sent to "podcast@radcliffe-group.com" and may be answered by Ankur in the next episode. Host: @AnkurKalraMD and produced by: @RadcliffeCardio Parallax is Ranked in the Top 100 Health Science Podcasts (#48) by Million Podcasts.…

1 EP 136: The Sacred and the Scientific: Integrating Spirituality in Cardiovascular Care 41:34
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In this profound episode of Parallax, Dr Ankur Kalra welcomes Dr Pam Taub, Professor of Medicine and Director of Preventive Cardiology at UC San Diego, for an enlightening conversation about integrating spirituality, purpose, and scientific curiosity in cardiovascular practice. Dr Taub shares her unique philosophical foundation, shaped by exposure to diverse religions in South India. This experience fostered her belief that all faiths fundamentally center on being a good person and serving others. She explores how this spiritual perspective transforms medicine from a profession into a sacred calling, where patient interactions become profound privileges that fuel her desire to make meaningful impact beyond individual achievements. The episode highlights Dr Taub's groundbreaking work with POTS (Postural Orthostatic Tachycardia Syndrome), demonstrating how scientific curiosity serves as a spiritual path. Her research journey—from recognizing misdiagnosed conditions to conducting the first clinical trial for ivabradine in POTS—exemplifies how deeper questioning and evidence-based inquiry can transform patient lives on a broader scale. The episode also explores Dr Taub's research on time-restricted eating, connecting modern scientific evidence to fasting practices across many faiths. Questions and comments can be sent to "podcast@radcliffe-group.com" and may be answered by Ankur in the next episode. Host: @AnkurKalraMD and produced by: @RadcliffeCardio Parallax is Ranked in the Top 100 Health Science Podcasts (#48) by Million Podcasts.…

1 EP 135: Beyond Wearables: How Network Data are Transforming Healthcare 53:22
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In this insightful episode of Parallax, Dr Ankur Kalra is joined by Dr Leslie Saxon, a professor of medicine at Keck School of Medicine USC and executive director for the USC Center for Body Computing. Together, they explore the potential network data have in transforming healthcare delivery and patient survival. Beginning with the origin and aim of the USC Center for Body Computing, the episode dives into the benefits of a network of connected implantable devices to engage patients in their own care. Dr Saxon also shares her vision of overseeing "life care” as well as "sick care" by collecting data on the mind and body, providing insights into her work with professional athletes and the military to understand how the body functions as a system. The discussion later turns to the evolution of computing devices and how we are moving past the concept of "wearables" with AI-centric devices designed specifically for continuous health monitoring.…

1 EP 134: Advancing Interventional Cardiology: Dr Naidu's Presidential Blueprint for SCAI 56:12
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In this inspiring episode of Parallax, Dr Ankur Kalra engages with Dr Srihari S. Naidu, current President of the Society for Cardiovascular Angiography and Interventions (SCAI) and tenured professor at New York Medical College. Their conversation explores Dr Naidu's compelling journey from his formative years and family influences to his strategic vision for elevating interventional cardiology's national profile. Dr Naidu shares his innovative "LINK" philosophy—Leadership, Innovation, Networking, and Knowledge—which has guided his approach to medicine and leadership. The discussion delves into SCAI's remarkable growth in education, publications, and advocacy under his stewardship, while addressing the critical need to increase public understanding of interventional cardiologists' life-saving contributions to healthcare. The conversation offers valuable insights on career progression in medicine, exploring the delicate balance between knowledge and wisdom across different career stages. Dr Naidu provides thoughtful perspectives on the "sweet spot" of mid-career practice, the importance of cross-generational learning, and SCAI's commitment to fostering diversity by removing barriers for women and underrepresented groups in the field. Essential listening for cardiologists at all career stages, healthcare leaders, and those interested in the evolving landscape of interventional cardiology and its impact on patient care and public health. Buy the SCAI Cap here. (https://shop.scai.org/) Questions and comments can be sent to "podcast@radcliffe-group.com" and may be answered by Ankur in the next episode. Host: @AnkurKalraMD and produced by: @RadcliffeCardio Parallax is Ranked in the Top 100 Health Science Podcasts (#48) by Million Podcasts.…

1 EP 133: South Asian Heart Health: Unveiling Risk Patterns and Prevention Strategies 55:07
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In this compelling episode of Parallax, Dr Ankur Kalra explores South Asian cardiovascular health with preventive cardiology experts, Dr Jaideep Patel from Johns Hopkins, and Dr Romit Bhattacharya from Massachusetts General Hospital. The conversation begins with both specialists sharing personal motivations behind their focus on South Asian heart health, from family losses to scientific curiosity about potential genetic and metabolic distinctions. They examine whether South Asians truly face different cardiovascular risks - discussing observations of earlier disease onset, unique lipid patterns, and metabolic dysfunction at lower BMIs - while emphasizing that fundamental prevention strategies remain effective across populations. The episode culminates with powerful closing insights on prevention as an investment—how small, consistent lifestyle modifications can prevent cardiovascular disease onset even in those with genetic predispositions, ultimately enabling fuller, more functional lives in later years. Questions and comments can be sent to "podcast@radcliffe-group.com" and may be answered by Ankur in the next episode. Host: @AnkurKalraMD and produced by: @RadcliffeCARDIO…

1 EP 132: The Heart of the Game: Cardiovascular Risk in Athletes 43:42
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In this illuminating episode of Parallax, Dr Ankur Kalra engages with Dr Jonathan Drezner, Director of Sports Cardiology at the University of Washington, who explores the complex world of cardiovascular risk in competitive athletes. Dr Drezner traces the evolution of sports cardiology from watershed moments involving high-profile athletes like Hank Gathers and Reggie Lewis to today's sophisticated screening protocols. The conversation reveals startling statistics about sudden cardiac death—particularly among specific athlete populations where risks are significantly higher than previously thought. The discussion delves into the limitations of traditional screening questionnaires versus the enhanced detection capabilities of ECG testing, highlighting how proper interpretation has dramatically reduced false positives. Dr Drezner articulates the shift from universal disqualification to personalized risk assessment for athletes with cardiac conditions, emphasizing the critical elements of effective emergency action plans that can mean the difference between life and death on the playing field. Listeners will gain valuable insights into both common and rare cardiac conditions affecting athletes, from hypertrophic cardiomyopathy to anomalous coronary arteries, while understanding the three pillars of modern sports cardiology: epidemiology, screening, and management. This episode offers essential knowledge for cardiologists, sports medicine physicians, and other healthcare professionals involved in athlete cardiac care. Questions and comments can be sent to “podcast@radcliffe-group.com” and may be answered by Ankur in the next episode. Host: @AnkurKalraMD and produced by: @RadcliffeCARDIO Parallax is Ranked in the Top 100 Health Science Podcasts (#48) by Million Podcasts: https://www.radcliffecardiology.com/news/parallax-podcast-ankur-kalra-recognised-among-top-medical-podcasts?language_content_entity=en…

1 EP 131: Beyond Weight Loss: GLP-1s as Cardioprotective Game-Changers in 2025 40:45
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In this episode of Parallax, host Dr Ankur Kalra sits down with Dr Ambarish Pandey to explore the transformative role of GLP-1 receptor agonists in cardiovascular medicine. Beyond their well-known effects on weight management, Dr Pandey reveals how these "blockbuster drugs" are fundamentally reshaping cardiovascular disease prevention and treatment, with compelling evidence from the landmark SELECT trial. The discussion navigates through real-world clinical scenarios where GLP-1s deliver significant cardiovascular benefits, from post-acute coronary events to established atherosclerotic disease. Dr Pandey provides nuanced, evidence-based recommendations for GLP-1 therapy across various heart failure phenotypes, while addressing common comorbidities like atrial fibrillation and obstructive sleep apnea. Recognizing practical challenges, the conversation offers actionable strategies for medication initiation, dose optimization, and navigating insurance hurdles. The episode concludes with an exciting look toward emerging frontiers, including GLP-1 benefits in chronic kidney disease and innovative metabolic accelerators that could complement existing therapies. For clinicians seeking to optimize cardio-metabolic care in 2025, this discussion provides essential insights into both current best practices and promising therapeutic horizons. Disclosures: Dr Ambarish Pandey is a consultant for Novo Nordisk, Eli Lilly, Roche, and Rivus Pharma. Questions and comments can be sent to “podcast@radcliffe-group.com” and may be answered by Ankur in the next episode. Host: @AnkurKalraMD and produced by: @RadcliffeCARDIO Parallax is Ranked in the Top 100 Health Science Podcasts (#48) by Million Podcasts: https://www.radcliffecardiology.com/news/parallax-podcast-ankur-kalra-recognised-among-top-medical-podcasts?language_content_entity=en…

1 EP 130: Precision Cardiology: Promise, Barriers, and Breakthroughs 47:17
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Join Dr Ankur Kalra on Parallax as he explores the evolving landscape of precision medicine in cardiology with Dr Calum MacCrae, Vice Chair for Scientific Innovation at Brigham and Women’s Heart and Vascular Center. Dr MacCrae reflects on how the promise of matching treatments to individual risk and disease mechanisms has evolved, from its roots in molecular medicine to today’s data-driven aspirations, revealing why progress has lagged behind expectations. The discussion dissects the complexities of modern cardiology, challenging assumptions about therapeutic precision by examining barriers like incomplete disease understanding, flawed electronic health records, and the high cost of integrating biomarkers into practice. Listeners will value Dr MacCrae’s incisive breakdown of precision medicine’s ecosystem, and how innovations at each level could redefine treatment strategies. The episode delivers practical insights for clinicians, while posing critical questions about how systemic inertia and fragmented healthcare delivery can impede meaningful change.…

1 EP 129: The Heart of Healthcare: Rebuilding Physician Resilience 44:53
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This week's edition of Parallax features an illuminating conversation between host, Dr Ankur Kalra, and Dr Clif Knight. From practicing family physician to passionate advocate for systemic change, Dr Knight's remarkable career journey provides a unique lens through which to examine physician well-being in contemporary healthcare environments. Dr Knight shares how his early observations of colleagues struggling without adequate support systems sparked his dedication to addressing the fundamental inefficiencies and structural barriers undermining physician resilience. The discussion examines how the healthcare landscape has evolved over generations, challenging simplistic narratives about millennial physicians' susceptibility to burnout by contextualizing how documentation burdens, technological implementations, and regulatory frameworks have created unprecedented complexity. Listeners will appreciate Dr Knight's nuanced analysis of the physician ecosystem's five distinct levels and how interventions at each stage—from organizational leadership priorities to individual behavioural practices—can meaningfully enhance well-being. The episode offers actionable insights for healthcare professionals seeking to recalibrate their relationship with medical practice, while also raising important questions about how commercial influences in healthcare delivery may affect both physician autonomy and patient care. For anyone interested in sustainable healthcare systems that support both practitioners and patients, this discussion provides essential perspective on rebuilding resilience at personal and institutional levels. Resources: Action Collaborative on Clinician Well-Being and Resilience, National Academy of Medicine (https://nam.edu/our-work/programs/clinician-resilience-and-well-being/) Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being, National Academy of Medicine (https://nap.nationalacademies.org/catalog/25521/taking-action-against-clinician-burnout-a-systems-approach-to-professional) Joy in Medicine™ Health System Recognition Program, AMA ASSN (https://www.ama-assn.org/practice-management/physician-health/joy-medicine-health-system-recognition-program)…

1 EP 128: Cinema's Cardiac Crisis: Examining MI Representation in Popular Film 34:15
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In this thought-provoking episode of Parallax, Dr Ankur Kalra explores the unexpected intersection of cardiology and popular culture with Dr Kristen Shaw and Dr Kevin Harris from the Minneapolis Heart Institute. Their conversation centers around their recently published systematic analysis, "Portrayal of Acute Myocardial Infarction in Popular Film: A Review of Gender, Race, and Ethnicity". Through examination of 100 popular films, our guests unpack striking statistics: 90% of on-screen heart attacks occur in men, and symptom presentation is dramatically overplayed compared to clinical reality. The conversation delves into how these media portrayals potentially shape both patient behavior and public health outcomes, particularly for underrepresented populations. From exploring the stark disconnect between cinematic drama and clinical presentation to discussing practical solutions for improving public health messaging, this episode offers crucial insights for healthcare providers working to bridge the gap between media perception and medical reality. The discussion extends into broader themes of healthcare mistrust in the post-pandemic era, offering valuable perspectives on how improved representation could enhance patient education and emergency response outcomes. Essential listening for cardiologists, healthcare educators, and anyone interested in how media shapes public understanding of cardiovascular disease.…

1 EP 127: Redefining Cardiology Culture: LGBTQ+ Perspectives in Practice 38:20
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In this eye-opening episode of Parallax, Dr Ankur Kalra sits down with Dr Stephen Cook to explore groundbreaking research on LGBTQ+ experiences in cardiology. Drawing from Dr Cook's recently published JACC Advances paper "Experiences of Lesbian, Gay, Bisexual, Transgender, and Queer Cardiology Physicians and Fellows in Training", they unpack crucial findings about workplace harassment, professional development, and the evolution of inclusivity in cardiac care. From examining the stark statistics on workplace experiences to discussing the importance of SOGI data collection, this conversation reveals both challenges and opportunities for positive change. Learn how the landscape shifts from medical school to fellowship, why mentorship matters, and what steps the American College of Cardiology is taking to create a more inclusive environment for all cardiac professionals. Whether you're a healthcare professional, trainee, or ally, this episode offers valuable insights into building a more equitable future in cardiology.…

1 EP 126: Cardiology at a Crossroads: Building Resilient Practice Models 41:33
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The COVID-19 pandemic forced cardiology practices to rapidly evolve - but which changes are here to stay? Join Dr Ankur Kalra in conversation with Dr Edward Fry, former President of the American College of Cardiology, as they explore how the pandemic catalyzed lasting changes in cardiovascular care delivery. From the rapid adoption of telehealth and remote monitoring to the repurposing of CT scan technology, discover how cardiology practices are innovating in response to unprecedented challenges. Dr Fry shares crucial perspectives on pressing issues including the growing workforce shortage amid an aging specialty, the complexities of private equity investment in comprehensive cardiology practices, and the critical need for value-based care solutions in an evolving reimbursement landscape. This episode offers vital insights into rebuilding patient trust through collaborative decision-making and physician advocacy. Dr Fry draws from his leadership experience during this challenging period to outline how cardiologists can actively shape healthcare's future through education, research, and policy engagement - providing an essential roadmap for healthcare leaders navigating the post-pandemic landscape.…

1 EP 124: Coronary Interventions and Evolving Technologies: The Year 2024 In Review with Dr Sukh Nijjer 1:02:26
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In this week's Parallax, Dr Ankur Kalra welcomes back Dr Sukhjinder Nijjer for their much-anticipated annual review of advancements in cardiovascular medicine that defined the year 2024. Dr Nijjer, a Consultant Cardiologist in the UK, serves as the President of the Royal Society of Medicine and is an Honorary Senior Clinical Lecturer at Imperial College London. This episode focuses on recent developments in interventional cardiology, covering coronary interventions, new device technologies and challenging patient populations. Drs Kalra and Nijjer share their perspectives and experiences, offering valuable insights, practical tips and considerations when interpreting this year’s most impactful trials: REDUCE-AMI PREVENT FAVOR III ORBITA-COSMIC DANGer SHOCK SENIOR-RITA NOTION 3 What are the most impactful cardiovascular trials of 2024? How do Dr Kalra and Dr Nijjer integrate the latest information into their daily practices?…
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1 EP 125: Structural Interventions and Emerging Pharmacotherapies: The Year 2024 In Review with Dr Sukh Nijjer 40:43
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In this week's Parallax, Dr Ankur Kalra welcomes back Dr Sukhjinder Nijjer for their much-anticipated annual review of advancements in cardiovascular medicine that defined the year 2024. Dr Nijjer, a Consultant Cardiologist in the UK, serves as the President of the Royal Society of Medicine and is an Honorary Senior Clinical Lecturer at Imperial College London. This episode explores emerging trends in the treatment of valvular heart disease, focussing on TAVI procedures and transcatheter interventions. It also covers recent advancements in pharmacological management for cardiovascular conditions. Drs Kalra and Nijjer share their perspectives and experiences, offering valuable insights, practical tips and considerations when interpreting this year’s most impactful trials: EARLY TAVR RESHAPE 2 MATTERHORN TRILUMINATE TOPSPIN FINEARTS-HF What are the most impactful cardiovascular trials of 2024? How do Dr Kalra and Dr Nijjer integrate the latest information into their daily practices?…
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1 Ep 123: Redefining Cardiology Careers: Flexibility, Equity and Advancement with Dr Sharonne Hayes 58:51
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In this compelling episode of Parallax, host Ankur Kalra sits down with Dr Sharonne Hayes, a trailblazing Professor of Cardiovascular Medicine and the vice chair for academic advancement and faculty development at Mayo Clinic. Together, they explore the critical intersections of career flexibility, diversity, and inclusion in modern medicine. Drawing from her extensive experience, Dr Hayes challenges traditional career paradigms in cardiology, offering a nuanced perspective on professional growth that prioritizes personal well-being and systemic change. The conversation delves deep into the complex landscape of medical careers, addressing unconscious biases, workforce equity, and the transformative power of inclusive leadership. Listeners will gain profound insights into strategic career navigation, practical strategies for achieving academic recognition, and the critical importance of health equity in cardiovascular care. Throughout the episode, Dr Hayes provides a masterclass in professional development, sharing her unique approach to career management that balances personal priorities with professional aspirations. From founding the Women's Heart Clinic to her groundbreaking research on academic rankings, she offers a roadmap for cardiologists seeking meaningful and flexible career paths. A must-listen for medical professionals, educators, and anyone passionate about creating more equitable and supportive healthcare environments.…
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1 EP 122: Beyond the Clinic: Addressing Social Determinants of Cardiovascular Health With Dr Karen Joynt Maddox 45:57
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In this thought-provoking episode of Parallax, Host, Dr Ankur Kalra engages in an illuminating conversation with Dr Karen Joynt Maddox, a distinguished cardiologist and health policy researcher at Washington University School of Medicine in St. Louis. Together, they navigate the complex intersection of cardiovascular medicine, health economics, and public health policy. Dr Joynt Maddox shares her unique journey into health economics research, offering valuable insights for cardiologists considering this vital career path. The discussion delves deep into the need for enhanced collaboration between clinicians and policymakers, emphasizing how physicians' frontline experiences can inform more effective healthcare policies. In examining the growing presence of private equity in cardiology practices, Dr Joynt Maddox provides nuanced insights into this transformative trend. Through thoughtful analysis, she explores how this financial model shapes healthcare delivery, innovation, and patient outcomes. The conversation extends to broader economic challenges in cardiovascular medicine, particularly the intricate balance between fostering medical innovation and ensuring accessible, affordable care for patients. Drawing from her extensive research experience, Dr Joynt Maddox emphasizes the role of social determinants in cardiovascular health outcomes. The episode concludes with a compelling discussion on integrating public health principles into medical education, offering a vision for a more holistic approach to cardiovascular care.…
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1 EP 121: OMI/NOMI: A Paradigm Shift in Myocardial Infarction Diagnosis With Dr Stephen Smith 39:19
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In this week's episode of Parallax, host Dr Ankur Kalra engages in a thought-provoking discussion with Dr Stephen Smith, a pioneer in electrocardiography and myocardial infarction diagnosis. They delve into the groundbreaking OMI/NOMI paradigm (Occlusion MI vs Non-Occlusion MI), challenging the traditional STEMI vs non-STEMI terminology that has long been the cornerstone of acute coronary syndrome management. Dr Smith presents compelling evidence highlighting the limitations of ST-elevation as a marker for acute coronary occlusion, discussing his recently published review paper: "From ST-Segment Elevation MI to Occlusion MI: The New Paradigm Shift in Acute Myocardial Infarction". The conversation explores the proposed shift to the OMI/NOMI terminology and the specific ECG criteria for diagnosing occlusion MI. Dr Smith discusses the challenges in disseminating this new paradigm and teaching these refined ECG interpretation skills to clinicians. Dr Kalra and Dr Smith explore exciting developments in AI-assisted OMI detection and ongoing studies aimed at validating the OMI/NOMI approach. How can clinicians effectively implement the OMI/NOMI criteria into daily practice? What challenges exist in teaching these new ECG interpretation skills, and how can they be overcome? What advice does Dr Smith have for our listeners? Full source library for this episode can be found on radcliffecardiology.com.…
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1 EP 120: Rewiring Health: Behavioral Science Meets Nutrition Education With Dr Aggarwal 45:18
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This week on Parallax, Dr Ankur Kalra welcomes Dr Brooke Aggarwal to dive deep into the fascinating intersection of behavioural science and nutrition education. Dr Brooke Aggarwal, an Assistant Professor at Columbia University Medical Center, focuses her research on how behavioural and psychological factors influence adherence to cardiovascular disease prevention guidelines. In this episode, Dr Aggarwal shares insights from a groundbreaking study she worked on, the Family Intervention Trial for Heart Health (FIT Heart), unveiling the crucial role of social support and caregiver dynamics in maintaining healthy behaviours. Dr Kalra and Dr Aggarwal discuss innovative techniques such as motivational interviewing and cognitive behavioural therapy that are transforming the landscape of nutrition counselling. Dr Aggarwal shares her insights into the practical applications of behavioural science in clinical settings, emphasising the importance of addressing cognitive distortions with evidence-based approaches. The discussion highlights the need for healthcare providers to adapt their language to enhance accessibility, creating a supportive environment for sustainable lifestyle changes within patients. Join us as we explore how combining behavioural science with nutrition knowledge can empower individuals to take control of their health and create meaningful, sustainable improvements in their lives.…
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1 EP 119: ESC 24 in Review with Dr Purvi Parwani: The Trials That Are Changing Cardiovascular Care 1:06:14
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In this episode of Parallax, Dr Ankur Kalra reunites with Dr Purvi Parwani for a deep dive into the groundbreaking data unveiled at ESC Congress 2024. Dr Parwani, Director of the Women's Cardiovascular Disease Clinic and a leading expert in her field, serves as Associate Professor of Medicine and Director of the Echocardiography Laboratory for Advanced Cardiovascular Imaging at Loma Linda University Health. Dr Parwani offers a comprehensive analysis of the most impactful trials presented at the congress. She delves beyond the headlines, exploring the practical implications these findings hold for the future of patient care. Dr Kalra and Dr Parwani engage in a stimulating discussion, comparing the new data to prior research and exploring how these insights can be translated into real-world improvements for our patients. Key Trials included: MATTERHORN: Transcatheter versus surgical mitral valve repair in patients with heart failure and secondary mitral regurgitation (NCT02371512) RESHAPE-HF2: Percutaneous repair of moderate-to-severe or severe functional mitral regurgitation in patients with symptomatic heart failure (NCT02444338) TRI FR: Multicentric randomised evaluation of the transcatheter edge-to-edge repair in the treatment of severe isolated secondary tricuspid regurgitation (NCT04646811) RHEIA: Transcatheter versus surgical aortic valve replacement in women with severe aortic stenosis (NCT04160130) SENIOR RITA: Older patients with non-ST segment elevation myocardial infarction randomised interventional treatment trial…
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1 EP 118: The Power of Storytelling: Lindsay's Big Heart and HCM Awareness 39:09
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In this week's episode, Dr Ankur Kalra welcomes authors Dr Srihari Naidu and Lindsay Davis to discuss their newly published children's book, Lindsay's Big Heart. A leading interventional cardiologist, Dr Naidu, and patient advocate, Ms Davis, have collaborated to bring the complex heart condition hypertrophic cardiomyopathy (HCM) to life for young readers. Lindsay Davis shares her personal journey with HCM, offering a firsthand perspective on the challenges and triumphs of living with the condition. Dr Srihari Naidu discusses the importance of translating complex medical information into a format that children can understand and appreciate. As a parent himself, he was inspired to create a resource that would help families navigate the complexities of HCM. The authors share the challenges and rewards of bringing Lindsay's Big Heart to publication, from securing a publisher to finalising the illustrations. They believe that the book can help children feel more informed and empowered, reducing fear and anxiety associated with HCM. Additionally, they hope the book will raise awareness of the condition and encourage early diagnosis and treatment. Join us as we delve into the inspiration behind the book, the writing process, and the importance of accurate and engaging medical education for children.…
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1 EP 117: Transforming Cardiac Surgery Recovery: Evidence-Based Insights with Dr Gerdisch 40:47
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This week on Parallax, Dr Ankur Kalra welcomes Dr Marc Gerdisch to discuss a groundbreaking study on reducing opioid use after cardiac surgery. Dr Marc Gerdisch is the Chief of Cardiovascular and Thoracic Surgery and Co-Director of the Heart Valve Center and Atrial Fibrillation Program at Franciscan St. Francis Health. He is a senior partner at Cardiac Surgery Associates and a Clinical Assistant Professor of Thoracic and Cardiovascular Surgery at Loyola University Medical Center in Chicago. Dr Gerdisch shares insights into his research on rigid sternal fixation and enhanced recovery protocols, which have shown promising results in postoperative pain management and patient recovery. In this episode, Dr Kalra and Dr Gerdisch discuss the specifics of the study, including the four-cohort design and the steps taken to expedite opioid-free recovery. Dr Gerdisch also shares valuable advice on overcoming physician inertia and building a strong case for implementing such a programme, including cost-benefit analysis considerations. What motivated the study? How can a holistic approach to cardiac surgery recovery be implemented? What advice does Dr Gerdisch have for our listeners? Sources: Gerdisch MW, et al. Ann Thorax Surg 2024. Rigid Sternal Fixation and Enhanced Recovery for Opioid-Free Analgesia After Cardiac Surgery. DOI: 10.1016/j.athoracsur.2024.06.032 CE Cox. TCTMD 2024. Holistic Approach to Cardiac Surgery Can Sharply Cut Opioid Use. Available at: https://www.tctmd.com/news/holistic-approach-cardiac-surgery-can-sharply-cut-opioid-use. Accessed August 12, 2024.…
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1 EP 116: Navigating the Realities of Guideline Directed Medical Therapy with Dr Chahoud and Dr Israel 45:06
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In this enlightening episode of Parallax, which focuses on guideline directed medical therapy (GDMT), Dr Ankur Kalra is joined by two guests, Dr Georges Chahoud, a Heart Failure Cardiologist at St. Louis Cardiology Consultants in the US, and Dr Carsten Israel, Chief of Cardiology at Bethel-Clinic in Germany. Building on their expertise, they share insights on how they would personally consult colleagues on how to manage patients with new onset acute decompensated heart failure (ADHF) and how to optimise this management in the hospital setting. They cover key topics such as why early initiation of GDMT even before hospital discharge is important, what other imaging modalities can help in better stratifying patients at risk of sudden cardiac death and they address the management and assessment of the risk for sudden cardiac death in patients on quadruple backbone GDMT. This episode is a must-listen for all healthcare professionals dedicated to advancing their understanding and treatment of heart failure. This series is supported by ZOLL and is intended for Health Care Professionals.…
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1 EP 115: Navigating Cultures and Cardiology: Dr Janarthanan Sathananthan's Global Journey 48:15
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In this compelling episode of the Parallax Podcast, host Dr Ankur Kalra sits down with Dr Janarthanan Sathananthan, an interventional and structural cardiologist and the Chief Medical Officer of Interventional Cardiology at Boston Scientific. Dr Sathananthan recounts his life's journey, from being born in Sri Lanka during the civil war, and moving to Zimbabwe, New Zealand, Canada, and finally North America. He shares how his diverse upbringing profoundly shaped his career in cardiology. Together, Dr Kalra and Dr Sathananthan delve into cultural challenges and lessons learned from Dr Sathananthan’s father, a dentist who experienced significant discrimination throughout his career. They explore Dr Sathananthan's decision to pursue interventional cardiology, and his passion for the intersection of technology and medicine. This episode also delves into Dr Sathananthan's role as Chief Medical Officer at Boston Scientific, focusing on global initiatives to expand coronary therapies and the growth of PCI in the Asia-Pacific region. They also touch on the ongoing struggle to balance work and personal life in a demanding field. Listeners are invited to submit questions and comments to podcast@radcliffe-group.com, which may be addressed by Dr Kalra in the next episode. Join us for this insightful conversation with Dr Janarthanan Sathananthan on the Parallax Podcast. Guest: @J_Sathananthan Host: @AnkurKalraMD Produced by: @RadcliffeCARDIO…
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1 The Leap Year Gene of Kit McKinley with Shelley Wood, Bestselling Author & Editor-in-Chief of TCTMD 42:24
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In this week’s Parallax, Dr Ankur Kalra welcomes back Shelley Wood, best known for her work in the cardiology community as the editor-in-chief of TCTMD and Editorial Director of CRF. They discuss her work as a creative author and her second novel, "The Leap Year Gene of Kit McKinley " set to be published by Harper Collins in Canada and Union Square Press in the US in August 2024. Blending the intrigue of a medical thriller with a sweeping overview of the twentieth century, "The Leap Year Gene of Kit McKinley" tells the story of Kit McKinley, whose rare genetic condition causes her to age one year for every four. In this rich discussion, Ms Wood shares how her extensive experience as a medical writer and editor shaped her approach to crafting the novel. Dr Kalra and Ms Wood also explore one of the book’s central themes: eugenics, tracing its historical roots and examining its long shadow on medicine. Ms Wood, who balances a demanding full-time job with her creative writing, shares candid insights into her routine and the challenges of writing and publishing fiction. Tune in for an inspiring conversation about creativity, the human condition, and balancing responsibilities. To pre-order Shelley Wood new novel search for The Leap Year Gene/ The Leap Year Gene of Kit McKinley in your favourite independent bookshop or click here: https://www.unionsquareandco.com/9781454956297/the-leap-year-gene-of-kit-mckinley-by-shelley-wood/…
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1 EP 113: Your Guide to Radiation Hygiene: Insights from Manufacturer and Users 46:27
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This week on Parallax, Dr Ankur Kalra welcomes Eric Radtke, Vice President at Worldwide Innovations & Technologies, Inc, and Barbara Breininger, a cardiovascular radiologic technologist and clinical manager with 26 years of experience. This special episode dives deep into the crucial topic of radiation hygiene, exploring it from the perspectives of both manufacturers and users of radiation safety products. Barbara Breininger shares her experiences traveling nationwide to educate healthcare professionals on radiation safety, emphasizing the need for collective awareness and best practices in cath labs. Eric Radtke discusses the company's evolving focus on radiation safety, the origins of their initiatives, and the concerning impacts of radiation exposure as revealed by recent studies. We'll also explore practical steps to enhance safety and delve into the RADPAD tools that can shield interventional cardiologists and allied professionals from exposure. How can we protect ourselves from radiation in the Cath lab? How can we raise awareness of radiation hygiene? Trials mentioned in the episode: Aizer A, Qiu JK, Cheng AV, et al. Utilization of a Radiation Safety Time-Out Reduces Radiation Exposure During Electrophysiology Procedures. JACC EP 2019; 5:5:626-634. https://doi.org/10.1016/j.jacep.2018.12.002 Ahmad IM, Abdalla YM, Moore TA, et al. Healthcare Workers Occupationally Exposed to Ionizing Radiation Exhibit Altered Levels of Inflammatory Cytokines and Redox Parameters. Antioxidants 2019; 8:1. https://doi.org/10.3390/antiox8010012 Support: This episode is supported by Radcliffe Cardiology; it received no funding from Worldwide Innovations & Technologies.…
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1 EP 112: Just One Heart: Burnout, Positive Mindset & Leadership with Dr Fisher 50:24
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In this week’s Parallax, host Dr Ankur Kalra welcomes back Dr Jonathan Fisher, a cardiologist, organizational well-being leader, and bestselling author of Just One Heart: A Cardiologist’s Guide to Healing, Health, and Happiness. In this compelling conversation, Dr Fisher shares his personal experience with burnout within the US healthcare system. He provides a concise overview of the roots of Western medicine's culture and the current epidemic of physician burnout and depression. Dr Kalra then invites him to explore solutions for reversing these negative trends and enhancing patient care. Dr Fisher discusses the workshops he leads, emphasizing core principles like positive attitude, compassion, connection, and teamwork. He also offers a sneak peek into his new book that extends the discussion to a wider audience. Tune in for a rich discussion on the future of healthcare, well-being, and rediscovering the human connection at the heart of medicine. Just One Heart: A Cardiologist’s Guide to Healing, Health, and Happiness is available to order here: https://www.amazon.com/Just-One-Heart-Cardiologists-Happiness-ebook/dp/B0D1526W7D…
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1 EP 111: ACC 24 in Review With Dr Vallabhajosyula: 5 Trials That Will Change Your Practice 1:11:26
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Dr Ankur Kalra’s guest this week is Dr Saraschandra Vallabhajosyula, Interventional and Critical Care Cardiologist, Assistant Professor of Medicine at the Warren Alpert Medical School of Brown University and the Director of the Cardiac Intensive Care Unit at Rhode Island Hospital, the Miriam Hospital and Lifespan Cardiovascular Institute. In this episode of Parallax, they delve into the latest insights from ACC.24 through the lens of five pivotal late-breaking trials. Dr Vallabhajosyula offers a deep dive into the nuances of each study. Together, Dr Kalra and Dr Vallabhajosyula distil the complexities of these trials into key messages for practice, grounded in their own clinical experiences. In the spotlight are five key trials: 1. DanGer Shock: Microaxial Flow Pump or Standard Care in Infarct-Related Cardiogenic Shock 2. RELIEVE-HF: Safety and effectiveness of the V-Wave® Ventura® Interatrial Shunt for the treatment of heart failure (HF) 3. PREVENT: Preventive PCI or medical therapy alone for vulnerable atherosclerotic coronary plaque 4. REDUCE AMI: Decreased usage of beta-blockers after acute myocardial infarction 5. ORBITA-COSMIC: Coronary sinus reducer for the treatment of refractory angina Dr Kalra and Dr Vallabhajosyula dissect the practical implications of these trials, answering pressing questions and addressing emerging dilemmas. What are the key takeaways from ACC.24? How do these findings shape contemporary clinical practice?…
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1 EP 110: Cultivating Leadership, Civic Duty & the Presidential Leadership Programme with Dr Sinha 43:28
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In this week’s episode of Parallax, Dr Ankur Kalra welcomes Dr Shashank Sinha. Dr Sinha is an Advanced Heart Failure, Mechanical Circulatory Support, and Transplant Cardiologist at Inova Fairfax Medical Campus, where he serves as Co-Medical Director of the Cardiac Intensive Care Unit and Director of the Cardiovascular Critical Care Research Program. Additionally, he holds the position of Assistant Professor of Medical Education at the University of Virginia School of Medicine. In this episode, Dr Sinha shares his insights on leadership after participating in the prestigious Presidential Leadership Scholars Programme. This programme, designed for mid-career professionals with 10+ years of experience, aims to foster bipartisan, action-oriented leaders. Dr Sinha discusses what motivated him to apply for the programme and guides us through the practical details of the process. Ankur asks him about his modules and the lessons he derived from this multidisciplinary programme. Dr Sinha and Dr Kalra discuss civic duty and the values that can be nurtured to make a difference on a larger scale. Dr Kalra also asks about Dr Sinha's approach to conflict management and combating inherent bias. What is the Presidential Leadership Programme? What qualities constitute a good leader? How can individuals foster their leadership skills?…
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