PODCAST · health
The Murmur Pod
by MurmurMD
The Murmur Pod is hosted by Dr. Aidan Raney III and Dr. Joe Walsh. Specializing in interventional cardiology, they explore happenings in the cardiology and medical communities, discuss interesting cases, review new technology, and more.This podcast is presented first in the MurmurMD App! Work in the cath lab? Reach out to join the private community there!
Episodes
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Cardiogenic Shock MCS: Device Selection, Weaning, and RV Failure featuring Dr. Afzal
Choosing mechanical circulatory support in cardiogenic shock is not simply about picking the device that provides the most flow. In this MurmurMD discussion, Dr. Aasim Afzal and Dr. Chris Brown break down how temporary MCS should be tailored to the patient’s shock phenotype and ultimate goal —...
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WATCHMAN, Ablation, and Stroke Prevention: How to Guide AFib Patients After CHAMPION and OPTION
AFib stroke prevention is evolving quickly, but the hardest part may be translating the data into real conversations with patients. In this MurmurMD discussion, Dr. Megan Coyle Wright, an interventional cardiologist, speaks with Dr. Emily Zeitler, an electrophysiologist, about how new data from...
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LAAC Discussion: Concomitant Ablation, Valve Clinics, and Program Growth- Dr. Waggoner & Dr. Depta
Left atrial appendage closure is entering a new phase. In this MurmurMD discussion, Dr. Thomas Waggoner speaks with Dr. Jeremiah Depta about how LAA closure is evolving in the era of pulse field ablation, concomitant ablation + LAAO, CHAMPION AF, OPTION, structural heart clinics, and changing...
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The New TAVR NCD Explained: What Changed for Heart Teams, Operators, and Programs
The new TAVR National Coverage Determination brings some of the biggest changes structural heart programs have seen in years. In this MurmurMD discussion, Dr. Andrei Pop, Dr. Jeremiah Depta, and Samantha Ramos break down the new CMS TAVR NCD and what it means for patients, operators, and valve...
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The Business of Cardiology: Private Practice, APPs, Site Neutrality, and Physician Advocacy
Cardiology is changing: clinically, operationally, financially, and politically.In this MurmurMD discussion, Dr. Andrei Pop speaks with Cathleen Biga, past president of the American College of Cardiology and former president of Cardiovascular Management of Illinois, about the forces reshaping...
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SEISMIQ 4CE Coronary IVL Device: A New Calcium Modification Device with Dr. Price and Dr. Borges
Coronary IVL has changed how many operators treat calcified coronary disease, but the technology is still evolving. In this MurmurMD discussion, Dr. Nyal Borges speaks with Dr. Matthew Price from Scripps about SEISMIQ, Boston Scientific’s investigational IVL catheter, and where it may fit in the...
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Mechanical Support Before Shock: A Surgeon’s Strategy for Impella 5.5 and ECMO
Mechanical circulatory support in cardiac surgery is not just a bailout strategy- it can be a way to prevent the shock cascade before it becomes difficult to reverse. In this MurmurMD discussion, Dr. Chris Brown speaks with Dr. Robert Farivar about how he uses mechanical support before, during…
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Why BTK Intervention Is So Hard: Calcium, Recoil, IVL, and Limb Salvage with Dr. S Jay Mathews and Dr. Sameh Sayfo
Below-the-knee disease remains one of the most difficult areas in vascular intervention: small vessels, severe calcification, acute recoil, aggressive restenosis, and patients who often present with CLTI, diabetes, CKD, wounds, and limited surgical options. In this MurmurMD discussion, Dr. Sameh...
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TAVR CODE Explained: Coaxiality, Orientation, Depth, and Expansion
As TAVR moves into younger patients, the first implant is no longer just about getting a good result today, it may determine every future option. In this MurmurMD discussion, Dr. Nathan Frogge and Dr. Andrei Pop review the concept of optimizing the index TAVR implant, using the CODE framework:...
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NSTEMI, Brain Bleed, and Calcified Left Main: A High-Risk PCI Strategy
This MurmurMD case discussion features Dr. Chris Brown and Dr. Christian McNeely walking through a high-risk PCI case where the hardest part was not just the calcium, it was deciding when and how to intervene safely. The patient was an 82-year-old frail female who presented with chest pain and...
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Everything You Need to Know About ICE Guided TTVR with Dr. Sameer Gafoor
Transcatheter tricuspid valve replacement is quickly becoming a real option for patients with severe symptomatic TR, but the decision-making is still nuanced. In this MurmurMD discussion, Dr. Aidan Raney speaks with Dr. Sameer Gafoor, about a Septuagenarian female with severe non-rheumatic...
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Tricuspid Regurgitation: Imaging, Patient Selection, and the Repair-First Strategy
Tricuspid regurgitation is no longer just a disease managed with diuretics and observation. In this MurmurMD discussion, Matt Summers is joined by Dr. Josh Cohen, structural heart imaging director, to discuss the rapid growth of tricuspid valve intervention, the central role of imaging, and how...
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LV Pacing for TAVR: Why SoloPace May Simplify Deployment and Improve Safety
LV pacing during TAVR can simplify workflow, reduce reliance on RV temporary pacing, and potentially avoid one of the most dreaded complications in the cath lab: RV perforation and tamponade. In this MurmurMD discussion, Dr. Aidan Raney speaks with Dr. Thom Dahle, Director of the Valvular Heart...
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Complex TriClip Cases, Leads, and TTVR Strategy with Dr. Cohen and Dr. Summers
Tricuspid intervention is not just a device procedure, it is an imaging-driven, two-person operation. In this MurmurMD case discussion, Dr. Summers and Dr. Cohen walk through a series of tricuspid valve repair and replacement cases that highlight how procedural success depends on imaging…
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Valve Clinics, Early Discharge, and Patient-Centered Care: The Clinician Role Explained
Successful valve programs are not built by procedures alone. In this MurmurMD discussion, Dr. Andrei Pop speaks with Sandra Lauck, a valve specialist in British Columbia at the Center for Heart Valve Innovation, about the essential role of valve program clinicians in building efficient,...
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Solutions for Complex Reverse CART: IVL and Subintimal Calcium Modification
What do you do when a calcified RCA CTO case stalls, your equipment will not deliver, and conventional reverse CART strategy becomes difficult? In this MurmurMD discussion, Dr. Chris Brown and Dr. Eric Rothstein review a challenging CTO case involving a 57-year-old patient with five years of...
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TAVR Explant Is Changing: Outcomes, Risk, and the Case for TAVR-First with Dr. Pop and Dr. Fukuhara
TAVR explant was once viewed as a procedure to avoid almost at all costs. Early national data showed very high mortality, creating fear among both physicians and patients. In this MurmurMD discussion, Dr. Andrei Pop speaks with Dr. Shinichi Fukuhara, from the University of Michigan, about how the...
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Unprotected Left Main, Low EF, and No Blood Products: How Much PCI Risk Is Acceptable?
Some complex PCI cases are difficult because of the anatomy. Others are difficult because the margin for error is almost zero. In this MurmurMD discussion, Dr. Chris Brown and Dr. Christian McNeely walk through a high-risk NSTEMI case involving an elderly Jehovah’s Witness patient with severe...
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Below-the-Knee IVL: Javelin, E8, and Real-World CLTI Cases with Dr. Michael Siah & Dr. Sameh Sayfo
Below-the-knee CLTI is rarely straightforward especially in patients with diabetes, dialysis, medial arterial calcification, toe wounds, gangrene, and misleading ABIs. In this MurmurMD discussion, Dr. Sameh Sayfo is joined by Dr. Michael Siah, vascular surgeon at UT Southwestern, to review...
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Aero Deliverability, Calcium Fracture, and Real-World Cases
Coronary IVL has changed the way operators approach calcified coronary disease, but the mechanism is often underappreciated because the device is so simple to use. In this MurmurMD discussion, Dr. Chris Brown and Dr. Yousif Ahmad walks through a complex calcified coronary case and then breaks…
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Future of Left Atrial Appendage Closure- ARCH presentation and discussion featuring Dr. Huded
In this MurmurMD discussion, Dr. Chetan Huded reviews the major trial data shaping modern LAA closure decision-making, including PROTECT AF, PREVAIL, PRAGUE-17, CLOSURE-AF, OPTION, and CHAMPION AF. The conversation focuses on the real clinical question facing physicians today: Can LAA closure…
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The DCB Playbook: Imaging, Vessel Prep, and Complex Coronary Decisions
Drug-coated balloons are creating new options in complex coronary intervention, but only when the lesion is prepared correctly. In this MurmurMD discussion, Dr. Nyal Borges and Dr. Pratik Sandesara walk through a practical, case-based approach to contemporary DCB use, focusing on ISR, calcific...
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Aero IVL: The Device Upgrade Changing Coronary Calcium Modification- Case Reviews
For years, the biggest limitation of coronary IVL wasn’t its ability to modify calcium- it was deliverability. In this MurmurMD discussion, Dr. Yousif Ahmad and Dr. Chris Brown review early real-world experience with Aero, @ShockwaveMedical IVL platform designed to improve crossability,...
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How Transcatheter Arterialization of Deep Veins Saves Limbs with Dr. Vargas Estrada
What happens when a patient has critical limb-threatening ischemia, severe calcification, no distal targets, and has failed traditional endovascular therapy? In this MurmurMD discussion, Dr. Andres Vargas Estrada and Dr. Sameh Sayfo explain the evolution of Deep Vein Arterialization (DVA/TADV)…
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Removing Intracardiac Masses Without Surgery: Transcatheter Techniques Explained
Intracardiac masses have traditionally meant high-risk surgery — but transcatheter approaches are changing what’s possible in structural and endovascular intervention. In this MurmurMD discussion, Dr. Abdallah El Sabbagh and Dr. Andrei Pop review the evolving role of transcatheter removal of...
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How Top LAAO Programs Scale Faster: Efficiency, Workflow, and Growth Strategies
Building a successful LAAO program requires more than procedural skill — it depends on workflow efficiency, team coordination, and scalable systems. In this MurmurMD discussion, Dr. Vijay Iyer and Dr. Joe Walsh break down the key drivers behind LAAO program efficiency and growth, focusing on how...
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Real-World Reintervention Rates Among TAVR Low-Risk Medicare Patients with Dr. Robert Yeh and Dr. Matthew Summers
As TAVR expands into younger and lower-risk patients, one question continues to drive decision-making: how durable are transcatheter valves over time? In this MurmurMD discussion, Dr. Robert W. Yeh reviews his late-breaker at CRT26, the Evolut valve durability data, focusing on long-term outcomes...
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When PCI Gets Dangerous: How LV Support Changes High-Risk Cases
High-risk PCI isn’t just about technique — it’s about protecting the patient while you fix the artery. In this MurmurMD discussion, Dr. Chris Brown and Dr. Yousif Ahmad walk through the role of left ventricular (LV) support in complex PCI, focusing on when to escalate, how to think about...
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Champion AF Explained: Can LAA Closure Beat DOACs? Ft. Dr. Saibal Kar and Dr. Tom Waggoner
The Champion AF trial is one of the most important studies in structural heart — directly comparing left atrial appendage closure (LAAC) to DOAC therapy in patients with atrial fibrillation. In this MurmurMD discussion, Dr. Saibal Kar and Dr. Thomas Waggoner break down the Champion AF data,...
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Stent Thrombosis Management: IVUS-Guided Strategy and When to Use DCB
Stent thrombosis is one of the most high-stakes complications in PCI — and getting the mechanism right is everything. In this MurmurMD case discussion, Dr. Nyal Borges and Dr. Joe Walsh walk through a real-world case of stent thrombosis, focusing on how intravascular imaging (IVUS) guides…
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Case Discussion- TAVR Valve Implantation Techniques: Positioning, Deployment and Procedural Strategy
Successful TAVR depends on precise positioning, controlled deployment, and a clear procedural strategy. In this MurmurMD discussion, Dr. Nathan Frogge and Dr. Matthew Summers review key TAVR valve implantation techniques (highlighting Cusp Overlap), focusing on how to optimize positioning, manage...
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Two Layers of Stent in the Ostial RCA: Strategy, Imaging, and PCI Decision Making
Ostial RCA disease can be one of the most unforgiving lesions in coronary intervention — especially when multiple layers of stent are already present. In this MurmurMD case discussion, Dr. Nyal Borges and Dr. Joe Walsh review a challenging PCI involving two layers of stent at the ostial right...
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Cusp Overlap Technique for SEV: Deep Dive on Controlling Implant Depth and Conduction Risk with Dr. Frogge and Dr. Summers
The cusp overlap technique has become an important strategy during TAVR with self-expanding valves to improve implant depth control and reduce conduction disturbances. In this MurmurMD discussion, Dr. Nathan Frogge and Dr. Matthew Summers walk through how and why they use the cusp overlap...
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TAVR Valve Durability: Long-Term Outcomes, Unknowns, and Clinical Decision Making with Dr. Curtiss Stinis and Dr. Andrei Pop
As TAVR expands into younger and lower-risk populations, valve durability has become a central question in structural heart care. In this MurmurMD discussion, Dr. Curtiss Stinis and Dr. Andrei Pop review current understanding of TAVR valve durability, focusing on how clinicians interpret…
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When a Patient is told they have no options: Complex Coronary Intervention Case with Dr. Brown and Dr. Rothstein
Complex coronary PCI often requires careful planning, imaging, and stepwise escalation of technique to achieve a safe and durable result. In this MurmurMD case discussion, Dr. Chris Brown and Dr. Eric Rothstein review a challenging coronary intervention and walk through the decision-making…
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LAVA ECMO in Structural Heart Procedures: Hemodynamic Support Strategy Explained with Dr. Giustino and Dr. Pop
Structural heart interventions increasingly involve patients with severe ventricular dysfunction, valvular shock, or limited hemodynamic reserve. In these cases, maintaining stability throughout the procedure can be the biggest challenge. In this MurmurMD discussion and case review, Dr. Gennaro...
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Cardiogenic Shock Case Discussion: Recognizing Shock Physiology and Escalating Support with Dr. Walsh and Dr. Mcneely
Cardiogenic shock cases demand rapid recognition, structured thinking, and decisive escalation of support. In this MurmurMD case discussion, operators review a complex patient presentation with cardiogenic shock and walk through the clinical reasoning that guided management decisions. The...
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Iliac CTO Case Series: Radial R2P, Externalization, IVUS, and Covered Stent Strategy with Dr. Mohan and Dr. Sameh Sayfo
Iliac CTO interventions follow patterns — but recognizing them in real time is what separates a difficult case from a controlled one. In this MurmurMD case discussion, Dr. Jay Mohan and Dr. Sameh Sayfo walk through two iliac CTO interventions, highlighting practical lessons in access strategy,...
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TAVR Explant: When, Why, and How to Safely Remove a Transcatheter Valve with Dr. Clinton Kemp and Dr. Matt Summers
As TAVR expands into younger and lower-risk populations, TAVR explant is no longer a theoretical problem — it’s a real and growing clinical scenario. In this MurmurMD discussion, Dr. Clinton Kemp and Dr. Matt Summers walk through the indications, technical challenges, and operative considerations...
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Iliac CTO Masterclass: Access, IVUS, Re-Entry, IVL, and Stent Strategy with Dr. Jay Mohan and Dr. Sameh Sayfo
Iliac CTOs are among the highest-risk, highest-reward procedures in peripheral intervention. In this MurmurMD session, Dr. Jay Mohan joins Dr. Sameh Sayfo to break down their full approach — from diagnosis and CTA planning to crossing strategies, re-entry methods, IVUS, vessel prep, and stent...
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BiPella in Acute MI Shock: When Biventricular Unloading Beats Inotropes
Not all cardiogenic shock after acute MI is left-sided — and treating it like it is can be fatal. In this MurmurMD case discussion, Dr. Chris Brown walks through a young patient with acute MI, progressive shock, and severe right ventricular failure, highlighting how early recognition and...
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How to Build a High-Functioning Valve Clinic: Structure, Workflow, and Real-World Lessons
A successful valve program isn’t built in the cath lab alone — it’s built in the clinic, the workflow, and the team structure behind the scenes. In this MurmurMD discussion, Dr. Andrei Pop and Caitlin O'Callaghan Reen, CNP, FACC walk through how they’ve structured and scaled a high-functioning...
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Watchman TruSteer deep dive & Cases Steering, Coaxiality, and Deployment Efficiency in LAAC
In this MurmurMD discussion, Dr. Raghava Gollapudi and Dr. Arvin Narula break down how the Watchman TruSteer sheath changes left atrial appendage occlusion (LAAO) workflows — from transeptal access to final device deployment. The conversation focuses on real-world use, and highlights when…
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Common Femoral Disease Without Surgery? Two High-Risk Cases and Modern Endovascular Strategy with Dr. Sayfo and Dr. Mouawad
Redo groins, radiation injury, prior infection, and failed bypasses make common femoral artery disease some of the most difficult decisions in vascular care. In this case-based discussion, Dr. Nick Mouawad and Dr. Sameh Sayfo walk through two challenging common femoral artery cases where...
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Leaflet Modification: Basilica, Shortcut, and the Future of Coronary Protection with Dr. Toby Rogers and Dr. Andrei Pop
Leaflet modification has rapidly evolved from niche innovation to a cornerstone of lifetime TAVR management. In this discussion, Dr. Toby Rogers joins Dr. Andrei Pop to explore the latest data, device advances, and clinical decision-making behind Basilica, Shortcut, and emerging techniques like...
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Fixing a Calcified LIMA: Rota, Shockwave, and DCB in a Tortuous Distal LAD with Dr. Arvin Narula and Dr. Joe Walsh
LIMA interventions are rare, high-risk, and technically unforgiving. In this MurmurMD case session, Dr. Arvin Narula and Dr. Joe Walsh walk through an extremely challenging LIMA-to-LAD lesion involving heavy calcification, tortuosity, failed prior PCI, device entrapment, rotational atherectomy,...
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Mastering PASCAL in Complex Mitral Anatomy: Strategy, Technique, and Real-World Lessons: SWAC Nov 25
Complex mitral valve anatomy continues to challenge even the most experienced TEER operators. In this month's SWAC conference, Dr. Sergio Garcia, Dr. Tom Waggoner, Dr. Mark Bieniarz, and Dr. Aidan Raney walk through how to approach PASCAL therapy in anatomies where leaflet length, clefts…
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Common Femoral Artery Intervention: Surgery vs IVL – Dr. Mouawad & Dr. Sayfo
The common femoral artery has always been considered a surgical zone—but with today’s endovascular technology, should that dogma be challenged? In this MurmurMD session, vascular surgeon Dr. Nick Mouawad joins Dr. Sameh Sayfo for a deep dive into how modern tools (IVUS, intravascular lithotripsy,...
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CTO PCI Simplified: Dr. Robert Riley’s Step-by-Step IVUS Sighted ADR Technique with Dr. Chris Brown
ADR (Antegrade Dissection and Re-Entry) has historically been viewed as unpredictable — but with a structured, IVUS-sighted approach, it becomes one of the most consistent and controllable CTO PCI techniques. In this detailed case walkthrough, Dr. Robert Riley demonstrates how he performs an...
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TAVR Valve Choice, Coronary Access, and the Lifetime Valve Mindset: Case discussion with Dr. Matt Summers and Dr. Aidan Raney
TAVR isn’t just a procedure anymore — it’s a lifetime management decision. In this in-depth case discussion, Dr. Matt Summers and Dr. Aiden Raney dive into how hemodynamics, modeling tools, and device design are reshaping how operators approach valve selection, coronary access, and reintervention...
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ABOUT THIS SHOW
The Murmur Pod is hosted by Dr. Aidan Raney III and Dr. Joe Walsh. Specializing in interventional cardiology, they explore happenings in the cardiology and medical communities, discuss interesting cases, review new technology, and more.This podcast is presented first in the MurmurMD App! Work in the cath lab? Reach out to join the private community there!
HOSTED BY
MurmurMD
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Frequently Asked Questions
How many episodes does The Murmur Pod have?
The Murmur Pod currently has 71 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is The Murmur Pod about?
The Murmur Pod is hosted by Dr. Aidan Raney III and Dr. Joe Walsh. Specializing in interventional cardiology, they explore happenings in the cardiology and medical communities, discuss interesting cases, review new technology, and more.This podcast is presented first in the MurmurMD App! Work in...
How often does The Murmur Pod release new episodes?
The Murmur Pod has 71 episodes. Check the episode list to see recent publication dates and frequency.
Where can I listen to The Murmur Pod?
You can listen to The Murmur Pod on PodParley by clicking any episode. We provide an embedded audio player for direct listening, and you can also subscribe via your preferred podcast app using the RSS feed.
Who hosts The Murmur Pod?
The Murmur Pod is created and hosted by MurmurMD.
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