Free Daily Podcast Summary
Hu Said: Cardiology Board Review Series: Daily Summaries Delivered
by Ruey Hu, MD, MPH
Welcome to Hu Said, a cardiology #MedEd podcast. Every episode cuts straight to the core of the topic, delivering the high-yield information you need to know for your exams. In this 2nd season of the podcast, new topics have been added, with >100 total topics. Whenever possible, evidence-based statements from the latest ACC/AHA/HRS/HFSA/SCAI guidelines are interwoven. Whether you are a resident, fellow, or re-certifying cardiologist, subscribe for precise, curated pearls. Ensure you get maximum knowledge in minimal time, because your time is valuable. X: @ruey_hu Materials: rueyhu.com/MedEd
Latest Episodes
The most recent episodes — sign up to get AI-powered summaries of each one.
- Mar 14, 20261h 12m
2026 ACC/AHA Dyslipidemia Guideline
When should apoB be measured? In whom should lipoprotein(a) be measured? Should LDL-C be calculated by the Friedewald, Martin-Hopkins, or Sampson-NIH equations? How do the PREVENT-ASCVD equations differ from the Pooled Cohort Equations? How long is a coronary artery calcium (CAC) score of 0 "good for"? How should CAC scoring be used to guide statin initiation and intensity? What are the new LDL-C, non-HDL-C, and apoB targets for secondary prevention? What counts as "very high-risk" ASCVD, and how does treatment differ? In which patients should bempedoic acid, inclisiran, or olezarsen be added? Watch for answers to these key questions and more in this "deep dive" of the 2026 ACC/AHA Guideline on the Management of Dyslipidemia.Watch on YouTube: https://youtu.be/yHXL_dH8zCoDifficulty Level: EasyYou are listening to Hu Said: Guideline LifelinePlease subscribe, rate, and support the channel! Ads help keep materials free for everyone.More MedEd resources available at www.rueyhu.comUpdates at Twitter/X: @Ruey_Hu
- Feb 21, 20261h 16m
2026 AHA/ACC Acute Pulmonary Embolism Guideline
What is the new 2026 classification for acute pulmonary embolism? What is the respiratory modifier? What category encompasses normotensive shock? What is the difference between the PESI score, sPESI score, Hestia score, and CPES score? Should LMWH or unfractionated heparin be used for initial parenteral anticoagulation for PE? What anticoagulation agent for PE is recommended in patients with antiphospholipid syndrome, chronic kidney disease, brain tumors, or pregnancy? In which patients is systemic lysis, catheter-directed thrombolysis, mechanical thrombectomy, or surgery appropriate? How should clot-in-transit be managed? Is there a role for pulmonary vasodilators? How should vasopressors be dosed in acute PE? How is CTEPD different from CTEPH? How long should anticoagulation be continued after PE? Watch for answers to these key questions in this "deep dive" of the 2026 AHA/ACC/ACCP/ACEP/CHEST/SCAI/SHM/SIR/SVM/SVN Guideline for the Evaluation and Management of Acute Pulmonary Embolism in Adults — the first-ever dedicated AHA/ACC guideline on acute PE.This episode also available on YouTube: https://youtu.be/rE-I4Jwq1UADifficulty Level: EasyYou are listening to Hu Said: Guideline LifelinePlease subscribe, rate, and support the channel! Ads help keep materials free for everyone.More MedEd resources available at www.rueyhu.comUpdates at Twitter/X: @Ruey_Hu
- Dec 21, 202549 min
2025 ACC/AHA Adult Congenital Heart Disease Guideline
What right ventricular end-systolic volume should guide timing of pulmonary valve replacement in tetralogy of Fallot? At what pulmonary vascular resistance can closure be pursued for an atrial septal defect in patients with pulmonary hypertension? How often should Fontan patients receive liver imaging and alpha-fetoprotein screening? Should patients with Eisenmenger syndrome be routinely anticoagulated? What is the maternal mortality risk for pregnancy in Eisenmenger syndrome? Should most pregnant patients with adult congenital heart disease undergo cesarean delivery? Should cyanotic ACHD patients undergo prophylactic phlebotomy? Can ACHD patients participate in competitive sports? Watch for answers to these key questions in this "deep dive" of the 2025 ACC/AHA Guideline for the Management of Adults with Congenital Heart Disease.Difficulty Level: AdvancedThis episode also available on YouTube: https://youtu.be/IYTn5bjiHqYDifficulty Level: IntermediateYou are listening to Hu Said: Guideline LifelinePlease subscribe, rate, and support the channel! Ads help keep materials free for everyone.More MedEd resources available at www.rueyhu.comUpdates at Twitter/X: @Ruey_Hu
- Aug 17, 202548 min
2025 AHA/ACC High Blood Pressure Guideline
What is the new term for hypertensive urgency? When is single-pill combination antihypertensive indicated? Do ACEI/ARB, MRA, and thiazide or potassium-sparing diuretics need to be held for initial testing of primary aldosteronism? In what neurologic condition should systolic BP be acutely lowered to 130-139 mmHg for 7 days, but not lower than 130 mmHg? Does BP control reduce the risk of dementia? In whom is renal denervation indicated and not indicated? Tune in for answers to these questions in this "deep dive" of the 2025 AHA/ACC Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults.Watch on YouTube: https://www.youtube.com/watch?v=BkObt8kU9EsDifficulty Level: EasyYou are listening to Hu Said: Guideline LifelinePlease subscribe, rate, and support the channel! Ads help keep materials free for everyone.More MedEd resources available at www.rueyhu.comUpdates at Twitter/X: @Ruey_Hu
- May 4, 202526 min
Special Episode: Music of the Heart: Arrhythmias
Can music help us understand cardiac arrhythmias? 🎵💓 In this special podcast episode, I explore how musical notation can be used to visualize and "hear" ECG rhythms, providing an intuitive and structured approach to learning atrial fibrillation, AV blocks, ventricular tachycardia, and more. By "hearing" arrhythmias and "reading" them in a musical framework, trainees can develop an alternative approach to ECG interpretation, reinforcing pattern recognition through both visual and auditory learning modalities.Musical score published in JACC Clinical Electrophysiology: https://doi.org/10.1016/j.jacep.2025.02.022📖 Musical notation as a novel framework for ECG teaching:🎼 Atrial activity (P waves) = High-pitched chimes🥁 Ventricular beats (QRS complexes) = Low-pitched snare drumNote Durations Reflect Physiological Intervals:🔹 P wave = 32nd note → Approximates a normal PR interval (120-200 ms)🔹 PR prolongation (1° AV block) = 16th note → Reflects delay in AV node conduction🔹 Dropped beats (2° AV block) = Missing notes → Represent non-conducted impulses🔹 Rapid rhythms (VT, SVT) = Increased tempo → Matches clinical tachycardia rates🔹 Irregular rhythms (AFib, MAT) = Variable note spacing → Captures unpredictable R-R intervalsThis lecture is designed for medical students, cardiology fellows, electrophysiologists, and music lovers who want to experience a new way of learning cardiology! I have also provided this talk to JACC: Clinical Electrophysiology as a Supplemental Video. Please see the paper here.Tweetorial: https://x.com/ruey_hu/status/1919074533354656101🔔 Subscribe for more cardiology and medical education content!📢 Leave a comment below: What other arrhythmias can be represented through classical music notation? Let’s discuss!#Cardiology #MedicalEducation #ECG #Arrhythmia #MusicAndMedicine #Electrophysiology #HeartRhythm
- Mar 2, 202548 min
2025 Acute Coronary Syndromes Guideline
Should non-culprit lesions be revascularized in STEMI and NSTEMI? Should revascularization of non-culprit lesions occur in a simultaneous or staged manner? How do these recommendations differ when acute MI presents with cardiogenic shock? When DAPT is reduced to SAPT, which P2Y12 inhibitor is favored for monotherapy? When is de-escalation from ticagrelor/prasugrel to clopidogrel reasonable? In post-PCI patients requiring antithrombotic therapy, what should the duration of triple therapy be, and what is the P2Y12 inhibitor of choice? What is the role of Impella, IABP, and VA-ECMO in ACS with cardiogenic shock? Tune in for answers to these questions in this "deep dive" of the 2025 AHA/ACC Guideline for the Management of Patients with Acute Coronary Syndromes. Bonus – Accompanying YouTube Talk: https://www.youtube.com/watch?v=MccydgyxK_IDifficulty Level: IntermediateYou are listening to Hu Said: Guideline LifelinePlease subscribe, rate, and support the channel! Ads help keep materials free for everyone.More MedEd resources available at www.rueyhu.comUpdates at Twitter/X: @Ruey_Hu
- Oct 25, 202414 min
11.12 Single Ventricle
In this episode, we review congenital single ventricle, including physiology, surgical repair, and long-term management. What are the different types of univentricular heart defects, and how do they affect the systemic and pulmonary circulations? What are the three steps of staged surgical repair for single ventricle, and what are the indications for each? What is the difference between classic (unidirectional) Glenn surgery and bidirectional Glenn surgery? What is the difference between classic Fontan surgery, direct RA-to-PA Fontan, lateral tunnel Fontan, and extracardiac Fontan? What are the common post-repair complications, including arrhythmias, Fontan-associated liver disease (FALD), and thrombosis, and how are these complications managed? Tune in for answers to these questions. Difficulty Level: Advanced You are listening to Hu Said: Cardiology Board Review Series (2024-2025 Season) Please subscribe, rate, and support the channel! Ads help keep materials free for everyone. More MedEd resources available at www.rueyhu.com Updates at Twitter/X: @Ruey_Hu
- Oct 24, 202417 min
11.11 Transposition of the Great Arteries and Truncus Arteriosus
In this episode, we review transposition of the great arteries (TGA), including the physiology, imaging, repair strategies, and potential complications. What is the difference between D-TGA (complete TGA) and L-TGA (congenitally corrected TGA), and why are they named D- and L-? How does blood flow through the heart in D-TGA, and why is a shunt necessary for survival? What imaging features help identify what is serving as a right ventricle versus a left ventricle? What do the atrial switch (Mustard, Senning), arterial switch (Jatene), and Rastelli surgeries entail, and what are their complications? In what subset of D-TGA patients is the Rastelli surgery indicated? How can you distinguish truncus arteriosus from tetralogy of Fallot with pulmonary atresia on imaging? Tune in for answers to these questions. Difficulty Level: Advanced You are listening to Hu Said: Cardiology Board Review Series (2024-2025 Season) Please subscribe, rate, and support the channel! Ads help keep materials free for everyone. More MedEd resources available at www.rueyhu.com Updates at Twitter/X: @Ruey_Hu
About Hu Said: Cardiology Board Review Series
Welcome to Hu Said, a cardiology #MedEd podcast. Every episode cuts straight to the core of the topic, delivering the high-yield information you need to know for your exams. In this 2nd season of the podcast, new topics have been added, with >100 total topics. Whenever possible, evidence-based statements from the latest ACC/AHA/HRS/HFSA/SCAI guidelines are interwoven. Whether you are a resident, fellow, or re-certifying cardiologist, subscribe for precise, curated pearls. Ensure you get maximum knowledge in minimal time, because your time is valuable. X: @ruey_hu Materials: rueyhu.com/MedEd
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