228. Narratives in Cardiology: Radiation Safety & Women in Interventional Cardiology with Dr. Sheila Sahni New Jersey Chapter

Published: Aug. 17, 2022, 2:56 a.m.

In this episode, Daniel Ambinder (CardioNerds Co-Founder), Dr. Gurleen Kaur (Director of CardioNerds Internship and medicine resident at Brigham and Women\u2019s Hospital), Dr. Eunice Dugan (Cardiology fellow at Cleveland Clinic) and Dr. Zarina Sharalaya (Interventional and Structural Cardiologist at North Texas Heart) learn from the Dr. Sheila Sahni (Interventional Cardiologist and Director of The Women\u2019s Heart Program at The Sahni Heart Center) regarding radiation safety in the cath lab and methods of reducing radiation exposure to the operator. She also discusses radiation safety for the pregnant interventional cardiologist and how to safely manage pregnancy during the gestational period. We hear her inspirational journey as a female interventional cardiologist and her experience in starting the Women\u2019s Heart Program at Sahni Heart Center. Special message by Dr. Jeff Lander, New Jersey ACC Chapter Governor. Audio editing by\xa0CardioNerds Academy Intern,\xa0Pace Wetstein.\n\n\n\nThe\xa0PA-ACC & CardioNerds Narratives in Cardiology\xa0is a multimedia educational series jointly developed by the\xa0Pennsylvania Chapter ACC, the\xa0ACC Fellows in Training Section, and the CardioNerds Platform with the goal to\xa0promote diversity, equity, and inclusion in cardiology. In this series, we host inspiring faculty and fellows from various ACC chapters to discuss their areas of expertise and their individual narratives. Join us for these captivating conversations as we celebrate our differences and share our joy for practicing cardiovascular medicine. We thank our project mentors Dr. Katie Berlacher and Dr. Nosheen Reza.\n\n\n\nVideo Version\xa0\u2022\xa0Notes\xa0\u2022\xa0Production Team\n\n\n\nClaim free CME just for enjoying this episode! There are no relevant disclosures for this episode. \n\n\n\n\n\n\n\n\n\nThe PA-ACC & CardioNerds Narratives in Cardiology PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll\n\n\n\n\n\nCardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron!\n\n\n\n\n\n\n\n\n\nVideo version - Radiation Safety & Women in Interventional Cardiology with Dr. Sheila Sahni \n\n\n\n\nhttps://youtu.be/iIwnsu6qJ4k\n\n\n\n\nTweetorial - Radiation Safety & Women in Interventional Cardiology with Dr. Sheila Sahni \n\n\n\n\nhttps://twitter.com/gurleen_kaur96/status/1563608232211296256?s=21&t=iay5zosSBDjPBLWJ4kWIAw\n\n\n\n\nQuoatables - Radiation Safety & Women in Interventional Cardiology with Dr. Sheila Sahni \n\n\n\n\u201cHaving anyone who can believe in you when you are really passionate about something is really all you need\u2026 the passion is what\u2019s going to carry you through. It\u2019s not about being male or female or pregnant or not pregnant, it\u2019s about what you love to do and how can you master it.\u201d\n\n\n\n\u201cOur careers can wait, but family planning cannot. If you are fortunate enough to have the opportunity to start a family even if it\u2019s during your training, you should\u201d.\n\n\n\nNotes - Radiation Safety & Women in Interventional Cardiology with Dr. Sheila Sahni \n\n\n\nWhat are procedural techniques to utilize during a heart catheterization to reduce radiation exposure to the operator?\n\n\n\nDecrease number and length of cine acquisitions and fluoroscopy timeDecrease the frame rate - halving the frame rate reduces radiation dose by 50%Decrease the distance between the image intensifier and the patientLimit steep LAO angulationsApply collimation as much as possible which reduces overall patient dose and scatter radiationLimit digital magnification which can increase skin dose exposure by 50%\n\n\n\nWhat are the important dose limits to consider for a pregnant female and her fetus in the cath lab?\n\n\n\nThe US Nuclear Regulatory Commission (NRC) regulatory equivalent dose limit is 5mSv during the entire pregnancy of the declared pregnant woman.The annual natural background radiation dose in the US is 3mSv.The average under-lead dose to a working pregnant interventionalist over the entire gestation is ~0.3mSv.The fetus of a working pregnant interventionalist is estimated to ...