Rephonic
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Cardiogenic Shock
Mechanical Circulatory Support
Acute Myocardial Infarction
Cardiac Arrest
Mechanical Ventilation
Spontaneous Coronary Artery Dissection
Acute Cardiac Care
Pulmonary Embolism
Danger Shock Trial
Echocardiography
Acute Coronary Syndrome
Gender Disparities In Healthcare
Beta Blockers
Coronary Angiography
Palliative Care
Intensive Care
Respiratory Failure
Non-Invasive Mechanical Ventilation
Beta-Blockers
Bleeding Complications

Experts discussion on the recent data on the usage of a combination of diuretics in AHF patients. Practical tips & tricks for preventing diuretic resistance, avoiding neurohormonal and metabolic overactivity, and individualising therapy depending on electrolyte disturbances, kidney dysfunction or respiratory failure.

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Artwork for ACVC Cardio Talk

Latest Episodes

With Frederik Verbrugge, University Hospital (UZ) Brussels, Brussels - Belgium and Jan Biegus, Institute of Heart Diseases, Wroclaw - Poland.

In this podcast, Frederik Verbrugge and Jan Biegus discuss the modern approach to the treatment of AHF.

With Janine Poess, Heart Center of Leipzig, Leipzig - Germany and Rafael Vidal Perez, A Coruna University Hospital Complex, A Coruna - Spain.

In the podcast, we will discuss the most relevant abstracts from the ACVC Congress in Lisbon, 2026.

With Milica Aleksic, University Hospital Medical Center Bezanijska Kosa, Belgrade - Serbia and Christian Jung, Heinrich Heine University, Duesseldorf - Germany.

In this episode, Milica Aleksic and Christian Jung discuss the importance of assessing ... more

With Chiara Robba, University of Genoa, Genoa - Italy and Pablo Jorge Perez, University Hospital of the Canaries, Santa Cruz de Tenerife - Spain.

In this episode, Chiara Robba and Pablo Jorge Perez discuss the update of neuroprognostication after c... more

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Recent Guests

Jan Biegus
Cardiologist, expert in diuretics
Brokaw University, Poland
Episode: Acute heart failure- up to date (part I)
Christian Jung
Professor of Cardiology
Heinrich Heine University, Düsseldorf, Germany
Episode: Microcirculation in cardiogenic shock
Jan Belohlavek
Chief Cardiologist in Prague and specialist in ECMO for cardiac arrest
Episode: MCS complications - part 1
Dr. Vijay Kunadian
Professor of Interventional Cardiology
Newcastle University, UK
Episode: Differences in the management of acute MI in older people- one size does not fit everyone!
Andrew Sharp
Professor of cardiology at University College Dublin and Maserikode University Hospital
University College Dublin, Maserikode University Hospital
Episode: Catheter-directed therapies for acute pulmonary embolism

Host

Chiara Robba
Consultant and professor at the University of Genoa

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Talking Points

Recent interactions between the hosts and their guests.

Acute heart failure- up to date (part I)
Q: What is your take on the urine sodium threshold and how it guides diuretic therapy in acute heart failure?
The threshold may be higher than previously thought; values around 80–90 mEq/L after the first dose seem more predictive of adequate diuretic response, though individual factors like urine concentration and kidney function must be considered.
Acute heart failure- up to date (part I)
Q: How do you see the four phenotypes evolving in routine practice, and how should clinicians apply hemodynamic profiling?
Clinicians should integrate the four phenotypes with a dynamic, hemodynamic framework (wet/dry, warm/cold) and adjust therapy based on real-time markers like urine sodium and signs of filling pressures, recognizing that congestion evolves during treatment.
The best of the ACVC Congress in Lisbon 2026
Q: Can you tell us about the STEMI vs OMI debate and its implications for clinical practice?
The discussion highlighted that while STEMI remains the standard due to its simplicity and validated outcomes, newer concepts like occluded neocardial artery presentations and AI-assisted ECG interpretation are prompting clinicians to rethink workflows to identify occlusions that don't present with classic ST elevations.
Microcirculation in cardiogenic shock
Q: What are practical treatment considerations when microcirculatory failure is diagnosed?
Discuss volume status and vasopressor needs to balance macrocirculation with microcirculatory perfusion, consider vasodilators when feasible, and use inotropes like dobutamine if cardiac output is impaired; transfusion may improve oxygen delivery in anemia, and there is no one-size-fits-all strategy—bedside discussion is essential.
Microcirculation in cardiogenic shock
Q: How can we predict microcirculatory failure in cardiogenic shock and what monitoring tools exist?
Clinical assessment by staff (skin perfusion, capillary refill), serum lactate levels as a key laboratory marker, and adjunct imaging or skin perfusion devices provide a spectrum of tools; lactate kinetics offer prognostic value beyond single values, with eight-hour lactate levels after admission helping differentiate response to treatment.

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Frequently Asked Questions About ACVC Cardio Talk

What is ACVC Cardio Talk about and what kind of topics does it cover?

A clinically focused series featuring leading cardiology and critical care professionals discussing the latest data and practical approaches in acute cardiovascular care. Episodes cover microcirculation in shock, neuroprognostication after cardiac arrest, gender equity in heart disease, mechanical ventilation strategies in cardiology settings, and the management of mechanical circulatory support and valvular emergencies. The conversations balance bedside applicability with evolving guidelines, device-specific considerations, and emerging technologies such as AI-assisted decision making. Listeners likely include clinicians, researchers, and healthcare leaders seeking evidence-based insights, practical tips, and policy-relevant discussion on ... more

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Which podcasts are similar to ACVC Cardio Talk?

These podcasts share a similar audience with ACVC Cardio Talk:

1. HFA Cardio Talk
2. ESC Cardio Talk
3. CardioPractice Cardio Talk
4. JHLT: The Podcast
5. Cardionerds: A Cardiology Podcast

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ACVC Cardio Talk launched 3 years ago and published 24 episodes to date. You can find more information about this podcast including rankings, audience demographics and engagement in our podcast database.

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What guests have appeared on ACVC Cardio Talk?

Recent guests on ACVC Cardio Talk include:

1. Jan Biegus
2. Christian Jung
3. Jan Belohlavek
4. Dr. Vijay Kunadian
5. Andrew Sharp

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