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From the Experts

Editor's Corner
04/29/2019

Morton Kern, MD, MSCAI, FACC, FAHA
Clinical Editor; Chief of Medicine
Long Beach VA Medical Center
Long Beach, California;
Associate Chief Cardiology,
University of California, Irvine Medical Center, Orange, California
mortonkern2007@gmail.com

Morton Kern, MD, MSCAI, FACC, FAHA Cl...
Last month(1), we reviewed the hemodynamics of mitral regurgitation and the changes seen with the mitral clip percutaneous repair on the left atrial pressure waves. In Part 2 of our brief hemodynamic review for structural heart interventions,...
Last month(1), we reviewed the hemodynamics of mitral regurgitation and the changes seen with the mitral clip percutaneous repair on the left atrial pressure waves. In Part 2 of our brief hemodynamic review for structural heart interventions,...
Last month(1), we reviewed the...
04/29/2019
Cath Lab Digest
Editor's Corner
03/14/2019

Morton Kern, MD, MSCAI, FACC, FAHA
Clinical Editor; Chief of Medicine
Long Beach VA Medical Center
Long Beach, California;
Associate Chief Cardiology, 
University of California, Irvine Medical Center, Orange, California
mortonkern2007@gmail.com

Morton Kern, MD, MSCAI, FACC, FAHA Cl...
Our fellows mentioned that a review of basic hemodynamics and interpretation of pressure waveforms would be helpful. With this in mind, let’s briefly review hemodynamics that might be seen during MitraClip (Abbott Vascular) implantation for...
Our fellows mentioned that a review of basic hemodynamics and interpretation of pressure waveforms would be helpful. With this in mind, let’s briefly review hemodynamics that might be seen during MitraClip (Abbott Vascular) implantation for...
Our fellows mentioned that a...
03/14/2019
Cath Lab Digest
Editor's Corner
02/28/2019

Morton J. Kern, MD and Arnold H. Seto, MD, MPA

Dr. Seto is Chief, Cardiology, Long Beach VA Medical Center, Long Beach, California.

Morton J. Kern, MD and Arnold H. Seto...
A coronary perforation is a rare but frightening event in the cardiac cath lab.
A coronary perforation is a rare but frightening event in the cardiac cath lab.
A coronary perforation is a rare...
02/28/2019
Cath Lab Digest
Clinical Editor's Corner
01/31/2019

Morton Kern, MD, MSCAI, FACC, FAHA, et al

Clinical Editor; Chief of Medicine
Long Beach VA Medical Center
Long Beach, California;
Associate Chief Cardiology,
University of California, Irvine Medical Center, Orange, California
mortonkern2007@gmail.com

Morton Kern, MD, MSCAI, FACC, FAHA, e...
Dr. Kirk Garrett, Christiana Hospital, Wilmington, Delaware, asks the cardiac cath expert group about the way emergency medical services (EMS) transmits electrocardiograms (ECGs) to the hospital for ST-elevation myocardial infarction (STEMI)...
Dr. Kirk Garrett, Christiana Hospital, Wilmington, Delaware, asks the cardiac cath expert group about the way emergency medical services (EMS) transmits electrocardiograms (ECGs) to the hospital for ST-elevation myocardial infarction (STEMI)...
Dr. Kirk Garrett, Christiana...
01/31/2019
Cath Lab Digest
ORIGINAL CONTRIBUTION
01/14/2019
Rotational atherectomy (RA) is a useful tool for modification of calcified plaque prior to PCI. We report our experience with RA for severely calcified left main coronary artery disease.
Rotational atherectomy (RA) is a useful tool for modification of calcified plaque prior to PCI. We report our experience with RA for severely calcified left main coronary artery disease.
Rotational atherectomy (RA) is a...
01/14/2019
Journal of Invasive Cardiology
Editor's Corner
12/31/2018

Morton J. Kern, MD, MSCAI, FACC, FAHA

Morton J. Kern, MD, MSCAI, FACC, FAHA...
I’m going out on a limb here, but I would say that most cath lab staff at one time or another have gone to work with a sleep debt and muscled their way through the day (or night) while overcoming the ill effects of sleep deprivation.
I’m going out on a limb here, but I would say that most cath lab staff at one time or another have gone to work with a sleep debt and muscled their way through the day (or night) while overcoming the ill effects of sleep deprivation.
I’m going out on a limb here,...
12/31/2018
Cath Lab Digest
Clinical Editor's Corner
11/27/2018

Morton J. Kern, MD, with commentary from Drs. Malcolm Bell, Rochester, Minnesota; Jim Blankenship, Harrisburg, Pennsylvania; Sam Butman, Cottonwood, Arizona; David J. Cohen, Kansas City, Missouri; Lloyd Klein, Chicago, Illinois, and Sonoma, California; Bernie Meier, Berne, Switzerland; Duane Pinto, Boston, Massachusetts; Jeffrey Popma, Boston, Massachusetts; Gurpreet Sandhu, Rochester, Minnesota; Habib Samady, Atlanta, Georgia; Sunil Rao, Raleigh, North Carolina; Arnold Seto, Long Beach, California; Pinak Shah, Boston, Massachusetts; Adhir Shroff, Chicago, Illinois; Molly Szerlip, Plano, Texas; James Tcheng, Raleigh, North Carolina; Paul Teirstein, La Jolla, California.

Morton J. Kern, MD, with commentary f...
I asked for words of wisdom from our cath lab expert group regarding their experience with same-day discharge at their center. What are the obstacles to SDD? Who are the champions and why are we not doing it more?
I asked for words of wisdom from our cath lab expert group regarding their experience with same-day discharge at their center. What are the obstacles to SDD? Who are the champions and why are we not doing it more?
I asked for words of wisdom from...
11/27/2018
Cath Lab Digest
Clinical Editor's Corner
11/05/2018

Morton Kern, MD, MSCAI, FACC, FAHA

Morton Kern, MD, MSCAI, FACC, FAHA ...
Historically, compared with American College of Cardiology (ACC)/American Heart Association (AHA)/Society for Cardiovascular Angiography and Interventions (SCAI) guidelines, the ESC guidelines have been faster to change in response to new...
Historically, compared with American College of Cardiology (ACC)/American Heart Association (AHA)/Society for Cardiovascular Angiography and Interventions (SCAI) guidelines, the ESC guidelines have been faster to change in response to new...
Historically, compared with...
11/05/2018
Cath Lab Digest
Clinical Editor's Corner
10/08/2018

Compiled by Morton J. Kern, MD, from conversations with Steven R. Bailey, MD, University of Texas Health Sciences Center at San Antonio, San Antonio, Texas; James Blankenship, MD, Geisinger Cardiovascular Center for Clinical Research, Harrisburg, Pennsylvania; Kirk N. Garratt, MD, Christiana Care, Wilmington, Delaware; Mitchell W. Krucoff, MD, Duke University, Raleigh, North Carolina; Jeffrey Moses, MD, Columbia University, New York City, New York; Gregg W. Stone, MD, Columbia University, New York City, New York; Bonnie Weiner, MD, University of Massachusetts, Worchester, Massachusetts; Barry Uretsky, MD, University of Arkansas, Little Rock, Arkansas; Peter Ver Lee, MD, Bangor, Maine; Fred Welt, MD, Salt Lake City, Utah.

Compiled by Morton J. Kern, MD, from ...
For STEMI patients, what labs (e.g., glucose, electrolytes, lactate or pH) are being obtained prior to the patient going to the cath suite? More importantly, are POC labs being done in the emergency department prior to the STEMI patient going...
For STEMI patients, what labs (e.g., glucose, electrolytes, lactate or pH) are being obtained prior to the patient going to the cath suite? More importantly, are POC labs being done in the emergency department prior to the STEMI patient going...
For STEMI patients, what labs...
10/08/2018
Cath Lab Digest
Clinical Editor's Corner
09/04/2018

Morton Kern, MD, MSCAI, FACC, FAHA

Morton Kern, MD, MSCAI, FACC, FAHA ...
“When is the right time to accept the fractional flow reserve (FFR) during the adenosine hyperemic recording?” I thought this issue had been settled a few years ago, but after speaking with Arnold, we thought we should revisit some of the...
“When is the right time to accept the fractional flow reserve (FFR) during the adenosine hyperemic recording?” I thought this issue had been settled a few years ago, but after speaking with Arnold, we thought we should revisit some of the...
“When is the right time to...
09/04/2018
Cath Lab Digest

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