Clinical Editor's Corner: Kern

Editor's Corner

A Brief Review of Hemodynamics for Structural Interventions Part 1: Mitral Regurgitation

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...

03/14/2019

Cath Lab Digest

Editor's Corner

Your Wire Went Where? Coronary Perforation With Tamponade and What to Do Next

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...

02/28/2019

Cath Lab Digest

Clinical Editor's Corner

Are You HIPAA Compliant for STEMI ECGs? E-Communicating With EMS

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...

01/31/2019

Cath Lab Digest

Clinical Editor's Corner

Conversations in Cardiology: Same-Day Discharge for Elective PCI — Ready for Prime Time

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...

11/27/2018

Cath Lab Digest

Clinical Editor's Corner

Updates on PCI Guidelines and Trials From the European Society of Cardiology (ESC) Congress

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...

11/05/2018

Cath Lab Digest

Clinical Editor's Corner

Conversations in Cardiology: Should We Wait for Labs Before Taking the STEMI Patient Directly to the Cath Suite?

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...

10/08/2018

Cath Lab Digest

Clinical Editor's Corner

Revisiting Best Practices for an Accurate FFR and Non-Hyperemic Pressure Ratios (NHPR)

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...

09/04/2018

Cath Lab Digest

Clinical Editor's Corner

From Hand to Bands: Should We Be Doing More Manual Radial Artery Compression?

07/08/2018

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

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

Recently, manual compression has emerged as a potentially viable alternative to shorter radial artery hemostasis times.

Recently, manual compression has...

07/08/2018

Cath Lab Digest

Clinical Editor's Corner

A Primer on Chronic Total Occlusion (CTO) Percutaneous Coronary Intervention for the Cath Lab

05/29/2018

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

Dr. Seto is the Chief of Cardiology at Long Beach VA Medical Center, in Long Beach, California.

Morton J. Kern, MD, and Arnold H. Set...

A question came from one of our cath lab staff, who asked if we could describe how chronic total occlusion (CTO) percutaneous coronary intervention (PCI) is done and what the options are for a successful procedure.

A question came from one of our...

05/29/2018

Cath Lab Digest

Clinical Editor's Corner

What Should We Do With an Anomalous Coronary Artery (ALCA) With a Malignant Left Main Course in an Asymptomatic Patient?

05/07/2018

Morton J. Kern, compiler, with contributions from Andrew Doorey, Christiana Hospital, Delaware; Kirk Garratt, Christiana Hospital, Delaware; John Hirshfeld, University of Pennsylvania Medical Center, Philadelphia, Pennsylvania; David Kandzari, Piedmont Hospital, Atlanta, Georgia; Michael Lim, St. Louis University, St. Louis, Missouri; Jeffery Moses, Columbia University, New York, New York; Pinak Bipin Shah, Brigham and Women’s Hospital, Boston, Massachusetts; Will Suh, University of California, Los Angeles, California; Paul Teirstein, Scripps Clinic, La Jolla, California; Chris White, Ochsner Medical Center, New Orleans, Louisiana; George Vetrovec, Medical College of Virginia, Richmond, Virginia; Jeannie Yu, VA Long Beach, California

Morton J. Kern, compiler, with contri...

Dr. Paul Teirstein, Chief of Cardiology, at Scripps Clinic, La Jolla, California, asked our cath lab experts for their opinions on what to do with an asymptomatic executive who had a screening CTA (Figure 1).

Dr. Paul Teirstein, Chief of...

05/07/2018

Cath Lab Digest