Acc Cardiacast

In this episode, Drs. George Stergiou and Florian Rader discuss the use of home blood pressure monitoring in the diagnosis, management, and treatment of hypertension. This panel will specifically focus on the differences between home and ambulatory blood pressure monitoring, the clinical situations in which these should be utilized, and the interpretation of this data by clinicians. Further, these experts will review how to discuss home blood pressure monitoring with patients and how to address common questions that arise.

In this episode, Dr. Brian Olshansky and Dr. Roopinder Sandhu discuss the initial assessment of patients with syncope, considering: the importance of medical history, distinguishing cardiac and non-cardiac causes of syncope, and risk stratification.

In this episode, Dr. Brian Olshansky and Dr. Satish Raj discuss autonomic function testing in patients with syncope and suspected postural orthostatic tachycardia syndrome (POTS).

In this episode, Dr. Deepak Bhatt and Dr. George Bakris discuss the diagnosis of resistant hypertension, strategies to manage patient lifestyle, and the use of combination therapy.   Educational grant support provided by Medtronic. To visit the hub for the Overcoming Challenges in Hypertension Management grant, click here.   Subscribe on iTunes | Subscribe on Google Play |

In this episode, Dr. Suzanne Oparil and Dr. Sandra Taler discuss strategies to address deteriorating control rates of hypertension, including leveraging combinations of antihypertensive drugs, improving patient adherence, and increasing clinician inertia.   Educational grant support provided by Medtronic. To visit the hub for the Overcoming Challenges in Hypertension Management grant, click here.   Subscribe on iTunes | Subscribe on Google Play |

In this episode, Keith Ferdinand, MD and Chloe Villavaso, APRN discuss strategies to improve adherence in hypertensive patients, including communication tactics, shared decision making, and monitoring blood pressure outside of the office.   Educational grant support provided by Medtronic. To visit the hub for the Overcoming Challenges in Hypertension Management grant, click here.   Subscribe on iTunes | Subscribe on Google Play |

Much of our dietary evidence comes from non-randomized epidemiologic data. In this episode, Robert Ostfeld, MD, MSc, FACC, and Walter Willett, MD, DrPH, discuss why findings from prospective, epidemiologic cohort studies are important in informing dietary recommendations, and what dietary principles are healthful across multiple populations, including the following key takeaways: Personal and planetary health are equally important for our own well-being and for that of future generations; a healthy, predominantly plant-based diet can achieve both of these goals. Although sustainable diets are necessary for planetary health, they are not sufficient; improvements in agricultural production, reduction in food waste, and rapid conversion to green energy are all needed. For more, visit www.acc.org/CardioNutrition Subscribe to CardiaCast

In this episode of CardioNutrition, Robert Ostfeld, MD, MSc, FACC, discusses a clinical case from Montefiore’s Cardiac Wellness Program highlighting the potential impact of dietary change on systolic dysfunction, noting that a plant-based dietary pattern was temporally associated with normalization of left ventricular ejection fraction in a patient with heart failure and reduced ejection fraction. For more, visit www.acc.org/CardioNutrition Subscribe to CardiaCast

It’s a wrap! In this episode of CardioNutrition, Robert Ostfeld, MD, MSc, FACC, recaps the journey through the CardioNutrition program from macronutrient nuts and bolts, to specific dietary patterns, and through application to daily practice. For more, visit www.acc.org/CardioNutrition Subscribe to CardiaCast

How do you incorporate nutrition counseling into your already busy clinical life? What are some specific, time-effective suggestions that busy clinicians can use? In this episode, Robert Ostfeld, MD, MSc, FACC, and Eugenia Gianos, MD, FACC, discuss ways to incorporate nutrition counseling into busy clinical practice, including the following key takeaways: Nutrition counseling is at the core of doctoring, and a healthful diet is recommended by the ACC’s prevention guidelines. Incorporating educational hand-outs, short educational videos, and screening questionnaires into practice is feasible. Incorporating nutrition counseling into your practice may improve patient outcomes and make practicing more rewarding. For more, visit www.acc.org/CardioNutrition.

We must keep the lights on, so how do we get reimbursed for nutrition counseling? In this episode, Robert Ostfeld, MD, MSc, FACC; Penny Kris-Etherton, PhD, RD; and Geeta Sikand, MA, RDN, CDE, CLS, discuss CardioNutrition on the front lines, including the following key takeaways: Registered dieticians (RDs) can bill for medical nutrition therapy for a number of conditions when patients are referred to RDs by a physician. The number of conditions RDs can bill for medical nutrition therapy would expand if the Medical Nutrition Therapy Act is passed into law. Physicians can incorporate their time spent counseling patients on nutrition into time-based billing. RDs and physicians working together can help optimize patient outcomes. For more, visit www.acc.org/CardioNutrition. Subscribe to CardiaCast

In this episode, Robert Ostfeld, MD, MSc, FACC, discusses a case from the Cardiac Wellness Program at Montefiore where dietary change was associated with improved angina, including the following key takeaways: Healthful dietary patterns share common traits: reducing highly processed foods and increasing fruits and vegetables. Even small healthful dietary changes are associated with improved health outcomes. In this case, a gentleman’s progressive angina gradually resolved when he began consuming a minimally processed plant-based diet. For more, visit www.acc.org/CardioNutrition.   Subscribe to CardiaCast

Intermittent fasting has become very popular, but what are the data to support that it is effective and/or safe? In this episode, Robert Ostfeld, MD, MSc, FACC, and Ethan Weiss, MD, discuss an intermittent fasting dietary pattern, including the following key takeaways: Although animal studies show promise, we await additional human data prior to potentially recommending this eating pattern. In a randomized controlled human trial, time-restricted eating did not lead to greater weight loss than did eating without time restriction. For more, visit www.acc.org/CardioNutrition.   Subscribe to CardiaCast

What is a plant-based diet? How do you recommend counseling patents to adopt more of a plant-based diet? In this episode, Robert Ostfeld, MD, MSc, FACC, and Danielle Belardo, MD, discuss a plant-based dietary pattern. For more, visit www.acc.org/CardioNutrition.

What is a ketogenic diet? Is a low-carb diet healthful? In this episode, Robert Ostfeld, MD, MSc, FACC, and Kevin Hall, PhD, and discuss a ketogenic dietary pattern. For more, visit www.acc.org/CardioNutrition.

The recent prevention guidelines from the American College of Cardiology recommend for all adults a healthy diet that emphasizes consuming vegetables, fruits, nuts, whole grains, lean vegetable or animal protein, and fish and minimizes the intake of trans fats, processed meats, refined carbohydrates, and sweetened beverages. In this episode, Robert Ostfeld, MD, MSc, FACC, and Erin Michos, MD, MHS, FACC, discuss a Mediterranean dietary pattern. For more, visit www.acc.org/CardioNutrition.

Nutrition is the most effective tool in the cardiovascular clinician's arsenal! In this episode, Robert Ostfeld, MD, MSc, FACC, and Andrew Freeman, MD, FACC, discuss our protein needs, protein sources and their healthfulness, and how plant-based foods can be excellent protein sources. For more, visit www.acc.org/CardioNutrition.

In this CardioNutrition episode, host Robert Ostfeld, MD, MSc, FACC, Director of Preventive Cardiology at Montefiore Health System, and Professor of Medicine at the Albert Einstein College of Medicine, introduces the CardioNutrition program. For more, visit www.acc.org/CardioNutrition.  

In this CardioNutrition episode, Robert Ostfeld, MD, MSc, FACC, and Kim Allan Williams, Sr., MD, MACC, discuss what the ACC dietary guidelines say. For more, visit www.acc.org/CardioNutrition.

Substantial confusion exists about types and amounts of fat in the diet and their impact on cardiovascular risk. Understanding fats and their food sources, along with some of the inherent challenges in studying nutrition, may help practitioners and consumers wade through the confusion. In this CardioNutrition episode, Robert Ostfeld, MD, MSc, FACC, and Kevin Klatt, PhD, RD, discuss the skinny on fats and omega 3s. For more, visit www.acc.org/CardioNutrition.