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Dr. Hussien Heshmat

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Cardio BuzzCardio BuzzDiabetes and Heart Disease. Latest Updates, Part 22023-10-1520 minCardio BuzzCardio BuzzDiabetes and Heart Disease. Latest updates: Part 1#diabetes #blood sugar #heart #insulin 2023-09-2019 minCardio BuzzCardio Buzzالكورونا واللقاح وأشياء أخرىلدينا جميعاً شعور أن حالات الموت المفاجئ ☠️ دون سابق إنذار قد زادت  بين أوساط الشباب والرياضيين 🏃‍♂️🏃‍♂️ وعندما اجتاحتنا الكورونا 😷😷😷 في سنة ألفين وعشرين وزادت معها معدل الوفيات طبعا وزاد معها شعورنا بكثرة حالات الموت المفاجئ ونسبها البعض الى الكورونا نفسها ونسبها البعض الآخر للتطعيمات أو اللقاحات واختلط في ذلك العلم.. بتأويلات مدّعي العلم وبنظريات المؤامرة فهل هناك علاقة بين الإصابة بالكورونا والموت المفاجئ   وماذا عن اللقاحات وأثرها؟💉💉 الإجابة المباشرة والقصيرة هي نعم  هناك ارتباط بين الإصابة بالكورونا وأمراض القلب والموت المفاجئ 💔💔❤️‍🩹 ونعم هناك ارتباط بين لقاحات الكورونا وبعض أمراض القلب 💔  ولكن دعونا نبدأ القصة من البداية  2023-09-1411 minCardio BuzzCardio Buzzالجينات؟ أَم العادات؟في قديم الزمان ، كان البشر يعتقدون أن أقدارهم محددة في النجوم والأفلاك والكواكب ولايزال الكثير ممن أعرفهم يعتقدون أن أبراجهم الفلكية ترسم شخصياتهم وتحدد مصيرهم في الحياة  أما في الطب الحديث، وبدلاً من رسم خرائط الأبراج الفلكية ، يمكننا رسم خرائط للجينات.  وقد خريطة الجينات هذه على التنبؤ بمن سيمرض ومتى سيمرض وبأي مرض سيصاب.  ولكن أيهما أكثر تأثير على خطر الإصابة بأمراض القلب؟ جودة الجينات أم جودة العادات؟  هل يمكن إن وَرّثنا آباؤنا طفرات جينية واقية أن تحمينا من أثر العادات الصحية السيئة؟  وعلى العكس هل يمكن لنمط الحياة الصحي أن يحد من تأثير الطفرات الجينية المؤذية الموروثة؟ 2023-09-0808 minCardio BuzzCardio BuzzTop 7 Cardiology Breakthroughs from ESC Amsterdam 2023Welcome to ESC this year from Amsterdam, the city known of charming canals, cycling, and attractive architecture. There were 5 new guidelines, tens of session and 30 late-breaking clinical trials. In this episode, I've handpicked just seven trials. The choice was made based on the importance of the topics, the ability of the results to shake up the practice and challenge some cardiology dogmas. Some of the trials were positive, others were negative, but we learn in both cases. I'll be presenting the trials in ascending order of importance, saving the most impactful one for last. Here we go...2023-09-0311 minCardio BuzzCardio Buzzالأسبرين بعد الأربعينهل يجب أن نتناول الأسبرين بعد سن الأربعين لمنع النوبات القلبية والسكتات الدماغية أم لا؟ هل هو مفيد أم مضر؟ 2023-08-3109 minCardio BuzzCardio Buzzالقلب وهُرمون الذكورةتستوستيرون هو هرمون الذكورة الذي يمنح الرجال القوة والدافع والعزيمة لتحقيق الأهداف. انخفاض مستويات التستوستيرون يؤدي الى فتور الرغبة الجنسية وضعف الانتصاب والإرهاق وضعف العضلات والاكتئاب والدوار وانخفاض كثافة العظام.  هل يؤثر ذلك على صحة القلب؟ ماذا يحدث إذا قمنا بتصحيح نقص التستوستيرون باستخدام التستوستيرون الخارجي؟ هل سيؤذي القلب أم يشفيه؟ ماذا تخبرنا أحدث الأبحاث عن تعويض التستوستيرون وتأثيره على القلب؟ 2023-08-3106 minCardio BuzzCardio BuzzA Breakthrough Treatment for High Blood PressureHypertension affects one third of humans. Untreated hypertension, shortens life expectancy by five years because it's a major cause of heart failure, renal failure, strokes, and coronary disease. The mortality due to hypertension has increased  more than 30% in the last three decades. And the sad fact is that hypertension is uncontrolled in the majority of hypertensive patients, but it seems there's a breakthrough treatment. Angiotensinogen is a protein, it's mainly produced by the liver. If we stop the production of Angiotensinogen in the liver, then the whole. Renin angiotensin system will be silenced. And we have the r...2023-08-1309 minCardio BuzzCardio BuzzTestosterone! Mens’ health and Hearts’ Health...Testosterone is the primal essence of manhood. Testosterone is the gift that gives men the strength, the drive, and the resolve to achieve goals. It's part of what makes man a man.   But what happens when testosterone levels drop? Does that affect the heart's health? What happens if we correct testosterone deficiency with exogenous testosterone? Will it damage the heart or heal it?  What does the latest research on testosterone replacement tell us?  2023-07-1606 minCardio BuzzCardio BuzzIs cholesterol really the devil?What is the difference between cholesterol and LDL cholesterol?  What evidence do we have that link cholesterol and heart disease? How convincing is that evidence? Is it a myth created by the drug industry or is it a fact backed by science? Let's answer all of these questions in this episode 2023-07-0410 minCardio BuzzCardio BuzzThe Science Behind… How do we know the cause of a disease I've got several questions and comments all related to the cause of atherosclerosis. Most of the questions and comments were skeptical and  doubting the causal effect of cholesterol atherosclerosis. In this episode we elaborate more on how modern science arrives at conclusions on the cause of diseases, especially chronic degenerative diseases like atherosclerosis. 2023-06-1812 minCardio BuzzCardio BuzzIs vaping safe for the heart?Vaping, or electronic cigarette use, is becoming increasingly popular, especially among youth and young adults. While it is perceived as safer than tobacco cigarettes, the exact composition of the liquids used in e-cigarettes is not publicly known, making it difficult to predict the health effects. E-cigarette contents include nicotine, flavors, chemical additives, and a solvent. Studies have shown that vaping can have negative effects on cardiovascular health, such as higher arterial stiffness, impaired endothelial function, and increased blood pressure. However, clinical studies were inconclusive, and long-term trials were not available. It is also unclear if e-cigarettes can be effectively used...2023-04-1608 minCardio BuzzCardio BuzzLipoprotein aLipoprotein a is a molecule produced by the liver, similar to LDL in structure, with a peculiar protein that gives it wide variability. Elevated lipoprotein little (a) is causal of atherosclerotic disease, recurrent strokes, and aortic calcification. Smaller forms of LPa are riskier. LPa is not a risk factor for venous thromboembolism The levels are determined genetically with minimal impact from lifestyle. Normal values are 125 nmol/L) Levels should not be converted from mg to mmol or vice versa Levels should be measured once in the lifetime The excess risk of LPa elevation can be mitigated by additional LDL lowering...2023-01-0213 minCardio BuzzCardio BuzzSleep For Your HeartSleep is the single most effective way to reset our brain and body health each day. Sleep is a foundational element of human biology and is a requirement for life. We spend roughly one-third of our lives asleep. A famous quote is, “Happiness is nothing more than getting enough sleep”. Sleep disturbance is a common condition in modern society, with evidence showing that people sleep on average 1.5 hr less than a century ago. one-third of the general population suffers from sleep-related problems And now, we better understand the relationship between poor sleep and poor health, especially card...2022-08-1408 minCardio BuzzCardio BuzzSmart Wearables & heart beats Part 3: AFib and VTacHow can wearables and smartwatches guide the diagnosis and management of serious arrhythmias like atrial fibrillation and ventricular tachycardia?2022-07-2408 minCardio BuzzCardio BuzzSmart Wearables & Heartbeats Part 2: AthletesAthletes also can have heart disease and can collapse in the field. How can wearable digital devices help an athlete who has suspected arrhythmia?2022-07-2409 minCardio BuzzCardio BuzzWearables & Heart Beats: Part 1Smart gadgets are all around, in TVs, phones, cameras, cars, kitchens, and also on our skin! Bands, watches, rings, earbuds, and even shirts can monitor our bodies and give insights into our health and disease. The global Wearable Technology Market size was worth about 115.8 (USD billion) in 2021 and is predicted to grow to around 380.5 (USD billion) by 2028 Wearables can measure the pulse and can even tell the heart rhythm. How can wearable technology’s ability to monitor rate and rhythm help in medicine? How accurate are they? Can physicians rely on them in the diagnosis and tr...2022-06-1811 minCardio BuzzCardio BuzzWhat is Precision Medicine?How to tailor medicine for each and every individual person? Mixing clinical variables, genetic variants, and molecular profiles, all into Artificial Intelligence can lead to "Precision Medicine"... Interviewing Prof Maha Saber-Ayad, Professor of Pharmacology at Sharjah University on Pharmacogenomics and the quest for precision medicine.2022-06-0417 minCardio BuzzCardio BuzzThe cathlab of Tomorrow. Hot from Paris Euro PCR 2022Paris is not only the city of light, love, and culture but it is also the home of the biggest interventional cardiology meeting Paris Course on Revascularization PCR. Last week, the meeting was back in person after two years of COVID-imposed virtual attendance. Eight thousand attendees inside the “Palais de Congress”, tens of sessions, live cases, and industry stands. This version of Euro PCR celebrated 30 years of radial cath and 20 years of transcatheter aortic valve interventions (TAVI). I had the chance to attend, meet the experts, and present my cases. And I am here bringing to the cardio buzz audience, who...2022-05-2315 minCardio BuzzCardio Buzz20: Is The Fault in our Genes?Drawing a map of genes might help us predict who will get sick and when we will get sick of heart disease or cancer. And we have seen Angelina Jolie, the famous actress, going for a preventive mastectomy because she had a faulty gene for breast cancer. But Is it the inevitable destiny, or can we change it? Do genes decide who will have heart disease? Who is to be blamed for heart disease? The genes we inherit, or the environment where we grow and live?Can your good genes protect you from your unhealthy lifestyle? Can a good lifestyle b...2022-05-1509 minCardio BuzzCardio Buzz19: You Hit 40! Should You start Aspirin?With all its health benefits, cheap, and with few side effects, Aspirin is in every house. Aspirin reduces mortality in acute myocardial infarction. It is intuitive to use it for prevention, not only for treatment. Some studies supported that practice.But in the 21st century, we realize that aspirin is a gastric irritant and can cause bleeding. We got better pain killers and more potent platelet inhibitors, and we started questioning aspirin's protective effect compared to other drugs. So what’s the truth about Aspirin? Should people above 40 with no heart or vascular disease take Aspirin to prevent heart attacks an...2022-05-0711 minCardio BuzzCardio Buzz18: What’s new in the latest heart failure guidelines? Part 2The new heart failure guidelines were released this month. Last week, we summarized staging, classification, and diagnostic workup points. You can find the contents of the first part as an audio in the last week of cardio buzz or on the Cardio Buzz Youtube channel.This week we will summarize the management of heart failure. Bring in your coffee because, again, this article will be rich in information and will need all our attention.Guidelines Full Text  👉 https://www.ahajournals.org/doi/10.1161/CIR.0000000000001063Cardio Buzz on YouTube 👉 https://www.youtube.com/c/DrHussienheart-talks/featuredCardio Buzz on LinkedIn 👉 https://www.linkedin.com/newsle...2022-04-3020 minCardio BuzzCardio Buzz17: What’s new in the latest heart failure guidelines? Part 1The AHA, ACC, and HFSA have all joined efforts and just released the latest guidelines on heart failure. If you are a clinician, a nurse, or a healthcare provider involved in the care of patients with HF then these guidelines are for you. The full text comes in a big document of 138 pages. I will summarize the main points here over two episodes. The first episode will be on staging, classification, clinical assessment, and diagnostic workup. The second episode will describe the basics of treatment. So bring in your coffee because the episode will be rich in information and will...2022-04-2315 minCardio BuzzCardio Buzz16: A Guardian in the Cathlab. Dr. Lorenz Azzalini on mechanical circulatory support devicesWe all know that heart disease is the number 1 killer worldwide. And patients die either because of acute coronary syndromes (myocardial infarction) or because of left ventricular dysfunction (heart failure). And, as an interventionist, being trapped with both evils; severe coronary stenosis and left ventricular dysfunction is scary. The only solution then is usually revascularization but it also comes with risks of myocardial injury and impaired organ perfusion. There is already an entire system with bypass surgery that perfuses the organs while the heart is paralyzed, the bypass machine. Unfortunately, surgery is not always available, many patients refuse surgery, and...2022-04-1627 minCardio BuzzCardio Buzz15: Live from Washington DC. What were the top trials in ACC 2022?Washington was calm, cold, and rainy in the first days of Ramadan but it was totally worth it because the American college of cardiology ACC meeting was back in person after two years of virtual attendance.In this episode of cardio buzz, we are bringing you, what we think are, the best late-breaking trials announced in the ACC meeting last week. More than 20 trials were announced as late-breaking as well as another bunch of featured clinical research. I decided to choose only 5 trials to present here. Choosing the top 5 articles was challenging. I chose the ones that I felt will...2022-04-0916 minCardio BuzzCardio Buzz14: Ramadan Kareem! Should your patient fast or not?It is the first day of Ramadan, the holy blessed month observed by 1.8 billion Muslims around the world. This is a month with a mix of religious rituals, historical traditions, and family gatherings. It happens also to be an occasion for big meals, TV serials, and commercials! So I must say to all of you… Ramadan KareemBut when patients ask me “doctor, what should I do in Ramadan” I get a bit anxious. The answer to that question involves and mix of science and religious teachings. Even if you are a devout Muslim doctor, the answer won’t come easy as you n...2022-04-0214 minCardio BuzzCardio Buzz13: Dr. Nizar Atallah on new hopes for renal patients, fasting ramadan and cardiorenal medicineLots of interactions between the kidneys and the heart. Cardiometabolic medicine is evolving with exciting news for both cardiac and renal patients.Should a patient with kidney disease fast in Ramadan or not.All these questions were answered in this interview with Dr. Nizar Atallah.2022-03-2624 minCardio BuzzCardio Buzz12: Don’t Leave Your Mom Alonehttps://jamanetwork.com/journals/jamanetworkopen/fullarticle/2788582We are in March, a month that marks international women’s day and also mothers’ day in the middle east, some African countries, and many European countries. Speaking of women's health, we tend to focus emotionally on depression, breast cancer, and osteoporosis. Whereas in fact, cardiovascular disease is the leading cause of death in women with roughly one out of every five deaths being due to CV disease.And we are familiar with the classic risk factors for coronary artery disease are diabetes, hypertension, dyslipidemia, smoking, etc but other factors can also modify the deve...2022-03-1907 minCardio BuzzCardio Buzz11: Imagine What a Smart Stethoscope Can Do!It was back in the 19th century, exactly in the year 1816, Rene Laënnec, a French doctor was walking alone in the Louvre Palace in Paris. The 35-year-old physician and surgeon, observed two children playing by sending signals to each other using a long piece of solid wood and a pin. One child scratched a pin on a side of the wooden piece and the other child placed his ear on the opposite end of the wooden piece and received the amplified sound of the pin. Laennec loved the idea as he was a gifted musician who used to make a...2022-03-1209 minCardio BuzzCardio Buzz10: Salt and Hypertension. Expert Interview.https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-22/salt-and-hypertension-current-viewsWhen you hear the word “salt”      What’s the first thing that comes to the mind White crystals that give food its taste, pickles, potatoe chips, snacks, high blood pressure and low blood pressure…Whatever came across your mind, we must admit that salt is deeply rooted in our culture. In the roman times, it was called the white gold. A famous roman saying “Trust no one unless you have eaten much salt with him”. We say we have eaten bread and salt so we will remain faithful forever.But when it comes to medicine, man...2022-03-0518 minCardio BuzzCardio Buzz10: Salt and Hypertension. Expert Interview.https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-22/salt-and-hypertension-current-viewsWhen you hear the word “salt”      What’s the first thing that comes to the mind White crystals that give food its taste, pickles, potatoe chips, snacks, high blood pressure and low blood pressure…Whatever came across your mind, we must admit that salt is deeply rooted in our culture. In the roman times, it was called the white gold. A famous roman saying “Trust no one unless you have eaten much salt with him”. We say we have eaten bread and salt so we will remain faithful forever.But when it comes to medicine, man...2022-03-0518 minCardio BuzzCardio Buzz9: The Minions in Hypertension!You probably recognize the minions. Those tiny yellow characters featured in three motion pictures. I personally love them. Capsule-like small creatures with wide eyes, blue overalls and peculiar cheerful funny laughs and squawks. And I share with them their love for bananas!Kevin, Stuart, Dave and Bob are four of the most familiar minions. Individually they are small but each one has a special talent and when they work together they can create marvelous tools and solve the most difficult problems for the film’s main character.Speaking of difficult problems, hypertension is one problem that affects billions of people. Mo...2022-02-2706 minCardio BuzzCardio Buzz8: Mercury, Seafood and Your HeartSeafood is a classic heart-healthy food. It is part of the Mediterranean diet that can lower blood pressure. Fish consumption was shown in several studies to lower the risk of death in patients with coronary artery disease. Seafoods are traditionally low in saturated fats, rich in iron, iodine and in omega-3 fatty acids. But also seafoods contain Methyl mercury which is produced by microorganisms in water and soil, and accumulates in fish. Recently, many people choose to limit their seafood consumption because of fear of mercury exposure from seafood. Excessive mercury may adversely affect the nervous system in infants and...2022-02-2006 minCardio BuzzCardio Buzz7: CABG in a Nutshell!Surgical revascularization “coronary bypass” known as CABG is the most commonly performed cardiac surgery procedure worldwide with roughly one million procedures annually. We have seen in previous episodes that Cardiac surgery community was not happy the latest ACC revascularization guidelines. However, these guidelines have got lots to say on the performance of cardiac surgery. Let’s see what the ACC/AHA guidelines recommend on the optimal performance of coronary bypass graft.Hi everyone my name is Hussain Hishmat I’m an Interventional cardiologist. Welcome to my podcast Cardio Buzz. We provide doctors and anyone who is interested in cardiology a brief an...2022-02-1310 minCardio BuzzCardio Buzz6: Dr Hani Sabbour on 2022 Middle East Recommendations for Lipid Management.The middle east is not only an area of diversity and brisk transformations, it is also a region where cardiovascular diseases are rampant. Traditional risk factors for atherosclerotic disease are more prevalent than most regions around the globe; In the middle east, one in five will have either diabetes, obesity, hypertension, or smoking. Dyslipidemia, which is a recognized cause of atherosclerosis, is even more common. That’s why I decided to shed some light on Consensus clinical recommendations for the management of plasma lipid disorders in the Middle East: 2021 update published this month in Atherosclerosis journal.https://doi.org/10.1016/j.at...2022-01-3032 minCardio BuzzCardio Buzz5: Ten Questions on Coronary Angioplasty. ACC AHA Updated Guidelines. Part 3Fixing coronary blockade without opening the chest is an attractive option to patients and their families… No surprise, Percutaneous coronary intervention PCI growing steadily since 1980s. 4 million PCIs are performed annually round the globe. A market size of 10 billion dollars!! What’s the best practice in PCI? Access, Assessment, gadgets, adjunctive medications. Let’s see what does the ACC/AHA guidelines recommend….2022-01-2416 minCardio BuzzCardio Buzz4: The surgical clash! ACC AHA guidelines on Coronary Revascularization. Part 2A big question in revascularization, surgical or percutaneous? In the last decade, advanced technology has granted PCI more of the surgical territories. But what does the evidence say on choosing CABG versus PCI? Let’s see what the new ACC AHA guidelines have to tell us.Why the surgical community refused to endorse these guidelines?2022-01-1908 minCardio BuzzCardio Buzz3: ACC AHA Updated Guidelines on Coronary Revascularization. Part 1Coronary revascularization; the bread and butter of modern cardiology practice and it got new guidelines! Jointly issued by the American Heart Association, American College of cardiology and the sky, and also reviewed by American Association for Thoracic Surgery, the guideline document was published simultaneously in JACC and in circulation less than a month ago. Noteworthy that these are first guidelines on the topic in 10 years. Several practice-changing trials were published in the same period.  This long-waited document comes to replace or retire five guidelines partially or totally, not only 2011 PCI and CABG guidelines, but also will replace sections in STEMI g...2022-01-0213 minCardio BuzzCardio Buzz2: FDA approves new cholesterol injection. Good news or is it too early to celebrate?Big news this week. The FDA approves a new therapy for cholesterol lowering “inclisiran”.  So what is this new therapy? Why did the FDA approve it and to whom? What does it mean for patients and where does the new therapy stand among other similar lipid lowering drugs currently available?2021-12-2405 minCardio BuzzCardio Buzz1: The best heart failure recipeHeart failure is like cancer. The mortality is high and the burden on the economy is huge. We have almost  dozen  medications to treat heart failure and most of them work. So what  combination of drugs  give the best effect in heart failure? A new research suggests a "fantastic four" approach to be the best. Listen here to know the answer! 2021-12-2405 min