Mayo Clinic Cardiovascular CME

Updated Guidelines for Perioperative Cardiovascular Management for Noncardiac Surgery

Updated Guidelines for Perioperative Cardiovascular Management for Noncardiac Surgery

 

Guest: Michael Cullen, M.D.

Host: Kyle Klarich, M.D.

 

This episode of Mayo Clinic’s “Interviews With the Experts” reviews the assessment of patients with known or suspected cardiovascular disease undergoing noncardiac surgery.  Dr. Michael Cullen discusses recommendations from 2024 ACC/AHA perioperative guidelines regarding medication management before and after noncardiac surgery, including recommendations for antiplatelet therapy and bridging anticoagulation.  Finally, he highlights new recommendations in the recent 2024 ACC/AHA perioperative guidelines and compare these guidelines to the 2022 European Society of Cardiology perioperative guidelines.

 

Topics Discussed:

• How should clinicians approach the assessment of a patient prior to noncardiac surgery?
• How should physicians and APPs manage cardiac medications around the time of noncardiac surgery?
• What are some of the new recommendations in the 2024 ACC/AHA guidelines for perioperative management prior to noncardiac surgery?
• How do the 2024 ACC/AHA perioperative guidelines differ from the 2022 ESC noncardiac surgery guidelines?

 

Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices.

LinkedIn: Mayo Clinic Cardiovascular Services

Cardiovascular Education App:
The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today!

No CME credit offered for this episode.

 

Podcast episode transcript found here.

Obesity, Hypertension, and Risk Factors in Terms of Prevention and Decreasing the Risk of HfpEF

Obesity, Hypertension, and Risk Factors in Terms of Prevention and Decreasing the Risk of HfpEF

 

Guest: Affan Irfan, M.D., Ph.D.

Host: Stephen L. Kopecky, M.D.

 

HFpEF is a type of heart failure where the heart pumps normally but becomes stiff. This leads to fatigue, shortness of breath, and fluid retention. It is closely linked to obesity, hypertension, and metabolic disorders, with cases rising as these conditions become more common.

 

Topics Discussed:

• What is HFpEF and its risk factors?
• How common are obesity and hypertension, and how often do they lead to HFpEF?
• How do you diagnose HFpEF?
• How effective are weight loss, diet, and exercise in preventing HFpEF?
• What medical and public health strategies help reduce these risk factors and HFpEF cases?

  

Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices.

LinkedIn: Mayo Clinic Cardiovascular Services

Cardiovascular Education App:
The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today!

No CME credit offered for this episode.

 

Podcast episode transcript found here.

Aortic Regurgitation: Beyond the Valve

Aortic Regurgitation: Beyond the Valve

 

Guest: Vidhu Anand, M.B.B.S.

Host: Kyle Klarich, M.D.

 

In this episode of Mayo Clinic’s “Interviews With the Experts,” Dr. Klarich and Dr. Anand discuss evolving approaches to assessing left ventricular remodeling in chronic aortic regurgitation. Dr. Vidhu Anand discusses research showing that LV volumes, global longitudinal strain, and myocardial fibrosis can detect dysfunction earlier than traditional guideline thresholds. Listeners can expect to better understand the role of multimodality imaging, extra valvular involvement, and practical steps echocardiographers can take to optimize AR assessment. 

 

Topics Discussed:

• What imaging markers help detect early myocardial dysfunction in AR, and how do they assist in risk stratification?
• Guidelines traditionally focus on LV dimensions and ejection fraction for surgical decision-making in AR. Is there any data that guidelines may not be capturing patients at the optimal time?
• Is there a role of multimodality imaging in AR?

• What practical steps can a sonographer or echocardiographer today to bring their AR assessment closer to what your research suggests is optimal?  

 

Please reference Dr. Anand's research article(s) here:

https://pubmed.ncbi.nlm.nih.gov/39545891/

https://pubmed.ncbi.nlm.nih.gov/33253815/

https://pubmed.ncbi.nlm.nih.gov/39218370/

 

Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices.

LinkedIn: Mayo Clinic Cardiovascular Services

Cardiovascular Education App:
The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today!

No CME credit offered for this episode.

 

Podcast episode transcript found here.

Presentation, Evaluation, and Management of Premature Ventricular Contractions

Presentation, Evaluation, and Management of Premature Ventricular Contractions

 

Guest: Alan M. Sugrue, M.B., B.Ch., B.A.O.

Host: Anthony H. Kashou, M.D.

 

In this episode, Dr. Anthony Kashou and Dr. Alan Sugrue cover a practical, evidence-based approach to premature ventricular contractions (PVCs), from incidental findings to high-burden, high-risk presentations. Listeners will gain tools to differentiate benign from pathologic PVCs, understand when to monitor versus refer, and recognize the role of catheter ablation in improving outcomes.

 

Topics Discussed:

• PVCs show up on Holters and ECGs all the time — how do you decide when they matter?
• How often do PVCs cause cardiomyopathy, and when should we act?
• When should we consider ablation even if the patient is asymptomatic?
• What’s the biggest misconception about PVC ablation today?

Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices.

LinkedIn: Mayo Clinic Cardiovascular Services

Cardiovascular Education App:
The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today!

No CME credit offered for this episode.

Podcast episode transcript found here.

Tricuspid Regurgitation: New Insights and Implications for Clinical Practice

Tricuspid Regurgitation: New Insights and Implications for Clinical Practice

 

Guest: Vidhu Anand, M.B.B.S.

Host: Kyle Klarich, M.D.

 

This episode of Mayo Clinic’s “Interviews With the Experts,” explores new insights into tricuspid regurgitation and its implications for clinical practice. Dr. Vidhu Anand discusses the dynamic nature of TR, its impact on prognosis, and the importance of close monitoring even when the condition appears to improve. The conversation highlights evolving guideline considerations, patient risk stratification, and how AI and machine learning may soon support earlier, more personalized interventions. Listeners will gain practical takeaways on when to escalate care and how to optimize long-term outcomes for TR patients.

 

Topics Discussed:

• How has our understanding of the natural history of tricuspid regurgitation changed, and what does this mean for the way we monitor and counsel patients?

• What are the current indications for intervention in isolated TR?

• How is TR currently classified? Are there any novel classifications based on patient’s risk profile, since comorbidities play an important role in TR?

• Review of Mayo Clinic study using AI/machine learning and outcomes in TR.

 

Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices.

LinkedIn: Mayo Clinic Cardiovascular Services

Cardiovascular Education App:
The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today!

No CME credit offered for this episode.

 

Podcast episode transcript found here.

Cardiovascular Diet Myths

Cardiovascular Diet Myths

 

Guest: Stephen Kopecky, M.D.

Host: Sharonne Hayes, M.D.

 

Since 2018, Trans-Fats are prohibited from being a food additive in the US. In this episode of “Interviews With the Experts,” Dr. Stephen Kopecky discussed how trans fats are still in our food, just not as much as pre-2018, and the main sources of trans fat are ultra-processed foods. Listeners will learn what foods scan raise your blood cholesterol (LDL-C) levels, increase heart attack risk, accelerate the aging process, and slow the aging process.

 

Topics Discussed:

• Are some trans-fats still sneaking into our food?
• If a person eats food high in cholesterol, can blood levels of cholesterol (LDL-C) go up?
• Which artificial sweeteners increase CV risk?
• Can diet actually speed up or slow down the aging process?

  

Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices.

LinkedIn: Mayo Clinic Cardiovascular Services

Cardiovascular Education App:
The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today!

No CME credit offered for this episode.

 

Podcast episode transcript found here.

Evolving Treatment Landscape in Transthyretin Cardiac Amyloidosis

Evolving Treatment Landscape in Transthyretin Cardiac Amyloidosis

 

Guest: Rosalyn Adigun, M.D., Pharm.D.

Host: S. Allen Luis, M.B.B.S., Ph.D.

 

In this episode of Mayo Clinic’s “Interviews With the Experts,” Dr. Allen Luis interviews Dr. Rosalyn Adigun on transthyretin cardiac amyloidosis. Listeners will come away with a detailed overview of the evolution of treatment options for patient diagnosed with transthyretin amyloid cardiomyopathy, highlighting historical perspectives, early registration studies, current treatment options, and an outlook on future directions in the management of transthyretin cardiac amyloidosis.

 

Topics Discussed:

• Overview of the historical perspectives on the diagnosis and management of transthyretin amyloidosis.
• Current treatment options available for transthyretin amyloid cardiomyopathy, and factors that should guide a clinician's decision regarding the choice of therapy.
• Treatment options in the coming years.
• Ongoing research initiatives in the management of cardiac amyloidosis.

  

Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices.

LinkedIn: Mayo Clinic Cardiovascular Services

Cardiovascular Education App:
The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today!

No CME credit offered for this episode.

 

Podcast episode transcript found here.

Radiation Therapy and its Effect on the Heart and Cardiac Devices

Radiation Therapy and its Effect on the Heart and Cardiac Devices

 

Guest: Nicholas Tan, M.D., M.S.

Host: Anthony H. Kashou, M.D.

 

Mayo Clinic electrophysiologist Dr. Nicholas Tan joins Dr. Anthony Kashou on this episode of “ECG Making Waves” to discuss how radiation therapy can impact the heart and heart rhythm. After listening to this podcast, listeners will have developed awareness of the complexities behind managing cardiac devices in cancer patients.

 

Topics Discussed:

• What effect does radiation therapy have on the heart?
• What arrhythmias can be seen with radiation therapy?
• How can radiation therapy impact cardiac device management?

Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices.

LinkedIn: Mayo Clinic Cardiovascular Services

Cardiovascular Education App:
The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today!

No CME credit offered for this episode.

Podcast episode transcript found here.

When to Consider Intervention for Peripheral Arterial Disease

When to Consider Intervention for Peripheral Arterial Disease

 

Guest: Stan Henkin, M.D.

Host: Malcolm Bell, M.D.

 

Although optimal medical therapy is key to decrease the risk of major adverse cardiac events in patients with peripheral artery disease (PAD), lower extremity arterial revascularization also plays an important role in management of symptoms and prevention of amputation. Thus, it is important to recognize the optimal timing for patient to be referred for lower extremity arterial revascularization. This podcast will discuss when patients with established PAD should be considered for peripheral revascularization.

 

Topics Discussed:

• Can you tell us about clinical subsets of PAD and what symptoms may be expected with each subset?
• Recent BEST-CLI trial garnered a lot of attention and press. Can you tell us more about this trial and why results are important for treatment of patients with CLTI?
• When should a patient with claudication be referred for revascularization?

  

Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices.

LinkedIn: Mayo Clinic Cardiovascular Services

Cardiovascular Education App:
The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today!

No CME credit offered for this episode.

 

Podcast episode transcript found here.

Heart Healthy Diet: How to Evaluate Your Patients

Heart Healthy Diet: How to Evaluate Your Patients

 

Guest: Kyla Lara-Breitinger, M.D.

Host: Stephen L. Kopecky, M.D.

 

Nutrition counseling plays a vital role in cardiovascular care, and even brief conversations can make a meaningful impact. Rapid dietary screeners offer a practical way to assess how heart healthy a patient’s eating pattern is, helping providers initiate valuable discussions. While no single cardioprotective diet stands above the rest, emphasizing reduced intake of ultra-processed foods and ensuring adequate protein—primarily from plant-based sources and lean animal proteins like poultry, fish, and seafood—can support heart health. These dietary priorities become especially important in later life stages, when maintaining lean muscle mass is critical to reducing risks of frailty, morbidity, and mortality.

 

• How do you evaluate whether your patient is following a heart healthy dietary pattern?
• What makes a cardioprotective diet different from other diets?
• Is there a best diet or go-to-diet that is superior to all?
• When discussing nutrition with patients, what key advice should you prioritize?

 

Easily check your diet with mini-eat.org as discussed by Dr. Lara-Breitinger and Dr. Kopecky! 

 

Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices.

LinkedIn: Mayo Clinic Cardiovascular Services

Cardiovascular Education App:
The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today!

No CME credit offered for this episode.

 

Podcast episode transcript found here.