Cardiac MRI guideline indications in patients with cardiovascular disease

30 Oct 2023

This talk by Mr Espeed Khoshbin focuses on on managing post cardiac surgical patients in the primary care setting.

Focusing on the role of primary care physicians in managing post operative complications and secondary prevention after coronary artery bypass grafting (CABG), with reference to antiplatelet agents and lipid-lowering medications. Management of hypertension, diabetes mellitus, smoking cessation, weight loss, and cardiac rehabilitation.

Learning Objectives

1. Understanding common adult cardiac surgical procedures
2. Understanding common complications after cardiac surgery and how they present
3. Understanding the role of primary care physicians in risk factor modification after coronary surgery
4. Understanding current evidence on preventive therapies after CABG.

Mr Espeed Khoshbin Background

Mr Espeed Khoshbin is a consultant in cardiac surgery transplantation and mechanical circulatory support at Royal Brompton and Harefield hospitals. He is also an honorary clinical senior lecturer at Imperial College and The National Heart and Lung Institute (NHLI) in London.

Firstly, he qualified from Aberdeen Medical School with an MB ChB and achieved a post graduate research doctorate (MD) from the University of Leicester.

Further to his studies, mr Khoshbin began his training in cardiac surgery at St Marys Hospital in London as part of east Thames rotation. As a national trainee in cardiac surgery, he achieved a fellowship of The Surgical Royal Colleges of Great Britain and Ireland (FRCS CTh). He was later on appointed to the UK’s prestigious National Peri-CCT Fellowship in cardiothoracic transplantation.

He was also awarded a travelling scholarship through the International Society of Heart and Lung Transplantation to the University College Los Angeles (UCLA), California.

Moreover, he is the national lead for heart and lung transplant education, local lead for cardiac surgical training and an examiner for the board of examiners of the European and UK cardiac surgery.

Mr Khoshbin is the NHS lead for organ utilisation at Royal Brompton and Harefield Hospitals.

Mr Khoshbin performs a variety of major cardiac procedures. He is specialised in surgical therapy for heart and lung diseases through transplantation and ventricular assist device technologies.

Mr Espeed Khoshbin

• Curated For : Primary care doctors & Students
• Subject : Cardiac surgery & Cardiology 1 Hour

26 Oct 2023

This talk by professor Mona Bafadhel focuses on eosinophilis in COPD as a major healthcare burden and cause of mortality worldwide.

Learning Objectives

1. Eosinophilis in COPD
2. COPD as a major healthcare burden and cause of mortality worldwide
3. Exacerbations are a hallmark of COPD
4. Damage from exacerbations goes beyond the lungs
5. Biology-led approaches in COPD
6. Eosinophilic and non-eosinophilic COPD: Blood
7. COPD and Asthma
8. Monoclonal antibodies in eosinophilic COPD?

Professor Mona Bafadhel Background

Mona Bafadhel holds the positions of Chair in Respiratory Medicine at King’s College London and Director of the recently established King’s Centre for Lung Health. Additionally, she works as a consultant respiratory physician at the Guy’s and St. Thomas’ NHS Foundation Trust. Her areas of interest in both clinical and research are asthma and chronic obstructive pulmonary disease (COPD). With a strong desire to use clinical research to better patient outcomes, Mona is a leading international academic in the field of respiratory medicine. Her research on COVID-19 and COPD has changed therapeutic practices that impact millions of people worldwide. The Royal College of Physicians bestowed to Mona the Goulstonian Lectureship in 2018 in recognition of her achievements in the clinical sciences. She is the first woman from an ethnic minority and just the fourth overall.

Professor Mona Bafadhel

• Curated For : Secondary care doctors & Students
• Subject : Respiratory medicine 45 Minutes

19 Oct 2023

This talks by Professor Nicholas Hopkinson covers COPD as a structural violence.

Professor Nicholas Hopkinson background

Nicholas Hopkinson is professor of respiratory medicine at Imperial College and an honorary consultant physician at Royal Brompton Hospital. He qualified in medicine at Cambridge University and the London Hospital Medical College and went on to train in respiratory and general internal medicine at St George’s Hospital and St Thomas’ Hospital.

Professor Hopkinson is clinical lead for chronic obstructive pulmonary disease (COPD) at Royal Brompton Hospital. This includes systematic evaluation of patients within a multidisciplinary team and addressing issues such as: hypoxia, recurrent exacerbations, alpha one antitrypsin deficiency, early onset disease.

His major research interest looks at the causes of exercise limitation in patients with COPD, and his publications have looked at the: effect of pulmonary rehabilitation, influence of genetic polymorphisms, the effect of dietary nitrate supplementation, lung volume reduction techniques for emphysema, singing for lung health as an approach to relieve breathlessness in COPD and other conditions.

Working with the NW London Collaboration for Leadership in Applied Health Research (CLAHRC), Professor Hopkinson has developed a more systematic Care Bundle for COPD patients as they are discharged. Addittionally, he has published work on tobacco uptake among children and in support of tobacco control measures, such as standardised packaging and smoke-free legislation.

Moreover, the NIHR, Medical Research Council, Wellcome Trust, European Union, British Lung Foundation, and Moulton Foundation have all funded professor Hopkinson’s work.

Professor Nicholas Hopkinson

• Curated For : Secondary care doctors & Students
• Subject : Respiratory medicine 1 Hour

19 Oct 2023

This talk by Dr Rigby covers the significance of chest pain in children and adolescents.

Dr Rigby explains how chest pain is common in children and adolescent ages 8 to 18. This leads to the importance of aetiology which is often evident when taking a detailed history of the patient.

The talk explains the most common type of chest pain and next steps to take when dealing with patients with those symptoms.

Dr Michael Rigby Background

Dr Michael Rigby is a consultant paediatric cardiologist at Royal Brompton Hospital, specialising in interventional cardiac catheterisation in congenital heart disease in children and young adults.

Prior to this role, Dr Rigby trained at the Killingbeck Hospital in Leeds, the Birmingham Children’s Hospital, John Radcliffe Hospital in Oxford and the Hospital for Sick Children in Toronto, Canada.

Dr Michael Rigby Consultant paediatric cardiologist

• Curated For : Primary care doctors & Students
• Subject : Cardiology 20 Minutes

16 Oct 2023

This talk by Dr Jamilah Meghji covers “the intersection of TB and Chronic Lung Diseases in LMIC”

Dr Jamilah Meghji Background 

Dr Jamilah Meghji is a Consultant Respiratory Physician in Cambridge, UK, with a special interest in tuberculosis and respiratory infection. Her research has used mixed methods to describe the burden and impact of post-TB lung disease on the lives and livelihoods of TB survivors in East Africa. She has an interest in the diagnosis and management of TB co-morbidities, including chronic respiratory diseases, within TB services in low-resource settings.

Jamilah Meghji

• Curated For : Secondary care doctors & Students
• Subject : Respiratory medicine 55 Minutes

12 Oct 2023

This talk by Dr James Allinson provides an overview of how early childhood respiratory infections are linked to adult respiratory disease.

Dr James Allinston Background 

Dr Allinson is a consultant respiratory physician at Royal Brompton Hospital, working in the fields of  chronic obstructive pulmonary disease (COPD) and respiratory failure.

Dr Allinson graduated in 2002 from St Peter’s College, University of Oxford and completed his postgraduate training at Oriel College, University of Oxford, in 2005. He trained in respiratory and general medicine in London and was awarded a PhD from Imperial College London in 2018.

Dr Allinson’s research interests include how airways disease develops across life and how to identify the early stages of COPD development. His research also addresses how to improve the management of already established COPD. Dr Allinson is the primary investigator on an Asthma + Lung UK Project Grant.

Dr James Allinson Consultant respiratory physician

• Curated For : Secondary care doctors & Students
• Subject : Respiratory medicine 40 Minutes

09 Oct 2023

This talk by Parris William focuses on “why we need to enmbed smoking cessation services into targeted lung health checks”.

Parris Williams

• Curated For : Secondary care doctors & Students
• Subject : Respiratory medicine 40 Minutes

27 Sep 2023

This talk by Dr Dexter J Wiseman covers “RSV as a Cause of COPD Exacerbation and Beyond: The Hidden Annual Epidemic“.

Dr Dexter Wiseman Background

Dr Dexter Wiseman has an honorary positions at the Royal Brompton and Harefield NHS trust and the National Heart and Lung Institute as clinical research fellows and senior practitioners, respectively.

Dexter is now working at Professor Jadwiga ‘Wisia’ Wedzicha’s lab as part of his research study. In the past, he assisted in managing the London COPD exacerbation cohort. His research interests include the role of viruses in COPD flare-ups. In order to complete his PhD, he examined the part that RSV (Respiratory Syncytial Virus) plays both during flare-ups and times of stability.

In order to better understand the immunological indicators of RSV susceptibility in COPD patients, Dexter collaborates closely with Professor Peter Openshaw and Dr. Ryan Thwaites through the international partnership RESCEU (Respiratory Syncytial virus partnership in Europe).

• Curated For : Primary care doctors & Students
• Subject : Respiratory medicine 45 Minutes

25 Sep 2023

This talk focuses on all aspects of COPD diagnosis and management, from primary to secondary care.

Learning objectives:

1. Definition of COPD
2. Diagnosis and Management in Primary and Secondary Care
3. Awareness of novel therapies available and referral pathways

Dr Justin Garner Background

Dr Justin Garner qualified from Imperial College School of Medicine, UK, in 2008. He trained as a respiratory specialist in the North-West Thames deanery and completed his PhD in Interventional Bronchoscopy under Professors Pallav Shah and Omar Usmani in 2020. He has worked as a consultant respiratory physician at the Royal Brompton Hospital since October 2021 in the department of lung cancer and interventional bronchoscopy. 

Dr Justin Garner has specialist expertise in: management of lung cancer and pulmonary nodules, lung volume reduction (e.g., endobronchial valves) and novel interventional therapies for chronic obstructive pulmonary disease (COPD). Bronchial thermoplasty for severe asthma and diagnostic and interventional bronchoscopy.  

Dr Justin Garner’s research interests include small airways disease, inflammatory biomarkers, and medical device innovation. 

Dr Justin Garner has published multiple articles and book chapters on various respiratory topics including interventional bronchoscopy techniques for severe COPD (including endobronchial valves), severe asthma, and lung cancer. 

Dr Justin Garner

• Curated For : Primary care doctors & Secondary care doctors & Students
• Subject : Respiratory medicine 1 Hour

19 Sep 2023

This talk by Prof Paul Friedman focuses on Artificial intelligence and the ECG. More specifically, how the power of AI can transform electrocardiography for enhance diagnosis and prognosis.

Professor Paul Friedman Background

Professor Paul Friedman is the Norman Blane and Billie Jean Harty Chair, Mayo Clinic Department of Cardiovascular Medicine Honouring Robert L. rye, MD. Since 1998 he is consultant in the Division of Heart Rhythm Services and the Department of Physiology and Biomedical Engineering. Dr Friedman is recognised with the distinction of the Edward W. and Betty Knight Scripps Professorship in Cardiovascular Medicine in Honour of George M. Gura, Jr., M.D.

NIH grants and multi-centre international studies supported Prof Friedman research on procedural treatment of arrhythmia. He has contributed to over 40 patents. Additionally he has built a team focusing on AI to improve the diagnosis and treatment of CV diseases. He is prolific author of articles, books, chapters, editorials, abstracts and letters, servers on the editorial boards of many prestigious journals and has received many awards and honours.

In addition to his clinical and research activities, Dr Friedman has contributed extensively to education through curriculum and couse development and teaching. He holds teaching/examining privileges in Clinical and Translational Science at Mayo Clinic Graduate School of Biomedical Sciences.

Professor Paul Friedman

• Curated For : Secondary care doctors & Students
• Subject : Cardiac surgery & Cardiology 55 Minutes

18 Sep 2023

This talk covers the topic of Spirometry and race-based medicine past and present.

Dr Gabrielle Liu Background

Dr. Gabrielle Liu, MD is a Pulmonologist in Chicago. She graduated from The Univeristy of Chicaco Hospital – Roosevelt University. Dr Liu is currently an Instructor of Medicine at Northwestern University in the Division of Pulmonary and Critical Care Medicine. She engages in research on early predictors of interstitial lung disease under the NIH F32 grant. Her interests span from interstitial lung disease, population health, environmental health, to understanding the transition from lung health to lung disease.

Gabrielle Liu

• Curated For : Primary care doctors & Students
• Subject : Respiratory medicine 1 Hour

11 Sep 2023

This talk covers the topic of primary care and the cardiac patient. This is a broad subject which Professor Rosen has narrowed down to cover the below 5 topic.

1. Primary prevention of coronary disease
2. Secondary prevention of coronary artery disease
3. Management of hypertension in primary care
4. Antipltelet therapy
5. What’s new in heart failure

Professor Stuart Rosen Background

Professor Stuart Rosen is a consultant cardiologist who along with Dr Lyon and Dr Sharma set up the UK’s first cardio-oncology unit at Royal Brompton Hospital.

The unit provides bespoke care for those patients who have developed cardiac problems or are at risk of cardiotoxicity as a result of their cancer treatment.

Professor Rosen is also passionate about education and teaching his peers on cardiology where he speaks on topics such as cardiac pain, heart failure and neurocardiology.

Professor Stuart Rosen is a consultant cardiologist specialising in treating difficult hypertension, syncope, heart failure and all aspects of general adult cardiology.

Additionally, his expertise in technical skills include stress echo, ultrafiltration for decompensated heart failure, tilt testing and autonomic assessment and transoesophageal echocardiography

Professor Stuart Rosen Consultant cardiologist

• Curated For : Primary care doctors & Students
• Subject : Cardiology 30 Minutes