Obstructive hypertrophic cardiomyopathy therapy and septal reduction therapy via alcohol septal ablation and surgical myectomy is discussed by interventional cardiologist Dr. Amar Krishnaswamy and surgical perspective from cardiothoracic surgeon Dr. Per Wierup. Amit joins Dr. Laura Young to take a pulse check with these great experts. Flutter moment by Crystal Silbak, RN.
CardioNerds (Amit Goyal & Daniel Ambinder) join Virginia Commonwealth University (VCU) cardiology fellows (Ajay Pillai, Amar Doshi, and Anna Tomdio) for a delicious skillet breakfast and amazing day in Richmond, VA! They discuss a fascinating case of a patient with Wolff-Parkinson-White (WPW) and hypertrophic cardiomyopathy (HCM). Dr. Keyur Shah provides the E-CPR and program director Dr. Gautham Kalahasty provides a message for applicants. Episode notes were developed by Johns Hopkins internal medicine resident Colin Blumenthal with mentorship from University of Maryland cardiology fellow Karan Desai.
CardioNerds (Amit Goyal & Daniel Ambinder) join Brown University cardiology fellows (Greg Salber, Vrinda Trivedi, and Esseim Sharma) for a gorgeous coastal boat ride in Providence, RI. They discuss an educational case of hypertrophic cardiomyopathy with superimposed stress cardiomyopathy. Dr. Katharine French provides the E-CPR and program director Dr. Raymond Russell provides a message for applicants. Episode notes were developed by Johns Hopkins internal medicine resident Evelyn Song with mentorship from University of Maryland cardiology fellow Karan Desai.
CardioNerds Rounds Co-Chair, Dr. Karan Desai, joins Dr. Michelle Kittleson (Director of Postgraduate Education in Heart Failure and Transplantation, Director of Heart Failure Research, and Professor of Medicine at the Smidt Heart Institute at Cedars-Sinai) to discuss challenging cases of hypertrophic cardiomyopathy. As a guideline author on the 2020 ACC/AHA Hypertrophic Cardiomyopathy Guidelines, Dr. Kittleson shows us how the latest evidence informs our management of HCM patients, while sharing many #Kittlesonrules and pearls on clinical care. Come round with us today by listening to the episodes now and joining future sessions of #CardsRounds!
Schematics and Figures
Hypertrophic Cardiomyopathy Case Video
Video case demonstrating classic findings of obstructive hypertrophic cardiomyopathy.
- Systolic anterior motion (SAM) of the mitral valve
- Echo and cardiac MRI.
- Alcohol septal ablation
- Brockenbrough-morrow-braunwald phenomenon
Meet our guest hosts and experts
Fatimah Alkhunaizi, MD
Dr. Alkhunaizi completed her undergraduate degree in Neuroscience at Johns Hopkins University, medical school at Columbia University and she returned to the Johns Hopkins Hospital for Internal Medicine residency. She enjoys reading and taking long cathartic runs.
Dr. Jose Madrazo is a top notch cardiologist in the Johns Hopkins Hospital, and an assistant professor of medicine at the Johns Hopkins School of Medicine. He received his medical degree from the University of Puerto Rico School of Medicine and completed his residency at the Baylor College of Medicine in Houston, TX. He completed his cardiology and advanced echo fellowship at the Washington University in STL School of Medicine before joining the Hopkins faculty.
Dr. Edward K. Kasper, is a graduate of the Johns Hopkins University with a B.A. in Natural Sciences. He earned his M.D. at the University of Connecticut School of Medicine. His internship and residency in Internal Medicine and assistant chief of service (ACS) of the Thayer service as well as his fellowship in Cardiology, were completed at the Johns Hopkins Hospital, where he then joined the faculty in 1993. He is currently the E. Cowles Andrus Professor of Cardiology and Director of Clinical Cardiology at Johns Hopkins Medicine.
Dr. Amar Krishnaswamy earned his medical degree at Yale University. He completed his internal medicine residency training at the Osler Program at Johns Hopkins where he remained to serve as the assistant chief of service (ACS) of the Barker Firm. His general cardiology and interventional cardiology fellowships were completed at the Cleveland Clinic where he remained as staff. He is the program director of the interventional cardiology training program and the section head of the division of interventional cardiology at the Cleveland Clinic.
Per Wierup, MD
Dr. Per Wierup received his graduate education and residency training at Lund University in Sweden and completed his advanced cardiac surgery training at the Cleveland Clinic. He then returned to Europe where he worked hard to become the world class surgeon he is today. He returned to the Cleveland Clinic where he continues to take incredible care of his patients. Dr. Wierup is a talented pianist and enjoys alpine skiing and show jumping!
Laura Young, MD
Dr. Laura Young earned her medical degree from the Royal College of Surgeons in Ireland and completed her internal medicine residency training at the Cleveland Clinic where she remained for general cardiology fellowship. She is looking forward to interventional cardiology training at the Cleveland Clinic.
Meet our guest hosts and experts
Virginia Shalkey Hahn, MD
Dr. Virginia Shalkey Hahn is a fourth-year Cardiology fellow at Johns Hopkins in Baltimore, MD. She earned her medical degree from the Perelman School of Medicine at the University of Pennsylvania, where she stayed for residency. She moved to Johns Hopkins for Cardiology fellowship (after a 1 year hiatus as an ICU hospitalist). During fellowship, she completed 2 years on the NIH T32 Training grant and one year as chief fellow. She feels passionate about translational heart failure research and mothering her 2 young children.
Saman Nematollahi, MD
Saman grew up in Tucson, Arizona. He completed his undergrad at the University of Arizona with dual degrees in Physiology and Spanish Literature. He spent some time after undergrad working in a neuroscience lab before starting med school at the University of Arizona. He then moved to NYC where he completed residency at Columbia. His clinical interests include management of immunocompromised hosts, and his research interest is in medical education. He loves to play soccer with his wife and son. He is master educator, appeared on and has authored many important tweetorials (links below). He has also appeared on the hit medical podcast, The Clinical Problem Solvers.
Sid Schechet, MD
Dr. Sid Schechet is an ophthalmologist and retinal specialist in Baltimore, Maryland, at the Elman Retina Group. He received his medical degree from Baylor College of Medicine, and completed residency at The University of Maryland. He pursued an extra two-year fellowship in vitreoretinal surgery at The University of Chicago before joining the Elman Retina Group. Aside from fixing eyeballs and retinas, he enjoys making educational, exciting, and entertaining surgical retina videos catered to both ophthalmologists and non-ophthalmologists alike. He also often can be found dusting off and polishing his- what do you call it again?- old stethoscope from med school.