Explore the Pomegranate Health Podcast library
Browse all episodes below, starting with the most recent releases.
Latest episodes
[Case Report] 75 yo with a porcelain aorta
A 75 year-old man with severe aortic stenosis and hypertrophic cardiomyopathy is deemed unsuitable for surgery because of a porcelain aorta. Additional complications force an experimental two-in-one procedure.
Ep131: The semantics of CPR
In this podcast we discuss some low-value care that has come about from semantic decay in the specificity of the terms “cardiac arrest” and “cardiopulmonary resuscitation”.
Ep66: Gendered Medicine- Heart Disease
Cardiovascular disease is the leading cause of death for women in most of the industrialized world. Women who suffer from this die at significantly higher rates than men because of discrepancies in the quality of care they receive. In this episode we explore the subtle biases that nudge male and female patients down different health pathways.
Ep36: Acute Coronary Syndrome Part 2—Secondary Prevention
This is the second of two episodes about ACS, and deals with secondary prevention and adherence to therapy. One-fifth of people given a diagnosis of acute coronary syndrome (ACS) have another ischaemic event with six months of discharge. For secondary prevention, guidelines recommend pharmacotherapy, cardiac rehabilitation and lifestyle management. However, many patients are discharged from hospital without best-practice care, setting a trend for inadequate therapy long-term. Cardiac rehabilitation also needs to be modernised and personalised to keep patients engaged.
Ep35: Acute Coronary Syndrome Part 1—Diagnosis
Chest pain and other symptoms suggestive of acute coronary syndrome (ACS) make up the majority of presentations to hospital, but no more than 17 per cent of patients end up having the diagnosis confirmed. Diagnosing acute coronary is complex, and should be guided by the 2016 guidelines of the Cardiac Society of Australia and New Zealand. This podcast outlines how ECG is used to diagnose ST segment elevation myocardial infarction, and which life-threatening differential diagnoses to look for. The role of high sensitivity troponin assays is also discussed, in the differentiation of non-STEMI and unstable angina, and also in risk stratification of patients for safe discharge.