Clinical Editor's Corner: Kern

Nitroglycerin Revisited: Update for the Cath Lab*

07/31/2017

Nitroglycerin produces significant coronary vasodilation, increasing vessel caliber and to a lesser extent, flow responses, and at the same time, reduces afterload (systemic arterial dilation) and preload due to venodilation. Practically...

Nitroglycerin produces...

07/31/2017

Cath Lab Digest

Clinical Editor's Corner

An Implantable Pulmonary Artery Pressure Monitoring Sensor to Improve Outcomes in Heart Failure Patients

07/11/2017

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

The PA pressure sensor technology now is simple and easily implemented in the cath lab. Caveats aside, this looks like a game changer for our patients with difficult-to-manage CHF.

The PA pressure sensor...

07/11/2017

Cath Lab Digest

Clinical Editor's Corner

Interventional Coronary Physiology: A 30-Year Overnight Success Story

06/07/2017

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

This year, the Society for Cardiovascular Angiography and Interventions (SCAI) celebrated the “40 for 40” event; that is, the 40th anniversary of percutaneous coronary intervention and the 40th anniversary year of the founding of the SCAI. On...

This year, the Society for...

06/07/2017

Cath Lab Digest

Clinical Editor's Corner

iFR - The New Kid in Coronary Physiology. Results of 2 Outcome Trials: DEFINE-FLAIR and SWEDEHEART

04/30/2017

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

iFR is non-inferior to FFR and associated with fewer stents/CABG procedures. However, compared to FFR, there are no long-term outcome or independent ischemic testing validation data. Currently, FFR remains the comparative standard for iFR.

iFR is non-inferior to FFR and...

04/30/2017

Cath Lab Digest

Clinical Editor's Corner

For Cardiogenic Shock Patients, Should We Be Thinking of “S2S” (Shock to LV Support) or “DTU” (Door to Unloading) Time Rather Than D2B Time?

04/10/2017

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

For patients in cardiogenic shock, LV mechanical support, depending on the hemodynamic profile of the device, can restore and support the systemic circulation, an especially beneficial effect if instituted early, an action that may improve...

For patients in cardiogenic...

04/10/2017

Cath Lab Digest

Clinical Editor's Corner

Do You Know Your Patient’s Risk of Bleeding on DAPT? A Look at the DAPT Score

03/06/2017

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

We prescribe these drugs to reduce the rates of stent-related thrombosis in both the short and long term, and we must weigh the risk of stent thrombosis against the risk of bleeding. This balancing act is not always straightforward.

We prescribe these drugs to...

03/06/2017

Cath Lab Digest

Clinical Editor's Corner

Small Innovations Can Make a Big Difference: The Role of Staff Initiatives to Drive Efficiency in the Cath Lab

02/07/2017

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

Every cardiac cath lab around the world is staffed with hardworking men and women of various backgrounds, experiences, education, and work ethics. Every lab strives to be its best at all times. Each team member has the opportunity (or should...

Every cardiac cath lab around...

02/07/2017

Cath Lab Digest

Clinical Editor's Corner

Conversations in Cardiology: Thrombus Troubles During STEMI

01/11/2017

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

The management of a patient with a large intracoronary thrombus during ST-elevation myocardial infarction (STEMI) or acute coronary syndromes (ACS) has remained troublesome and controversial.

The management of a patient with...

01/11/2017

Cath Lab Digest

Editor's Corner

Lessons in Life as Taught by the Cath Lab

12/05/2016

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

The title of this editor’s page is the same as that of a brief viewpoint article that I recently read by Dr. Haider Javed Warraich, a cardiovascular fellow in training at Duke University.

The title of this editor’s page...

12/05/2016

Cath Lab Digest

Clinical Editor's Corner

Radial Access Failure: When Should We Go Ulnar?

11/02/2016

Arnold H. Seto , MD, MPA, CCDS, FACC, FSCAI;

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

Dr. Seto hypothesized that a small, tortuous radial artery might be associated with a larger ulnar artery, providing a straighter and more negotiable course for catheter passage.

Dr. Seto hypothesized that a...

11/02/2016

Cath Lab Digest