Mayo Clinic Cardiovascular CME

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The Cardiovascular CME podcast is a free educational offering from Mayo Clinic, featuring content geared towards physicians, physician assistants, and nurse practitioners who are interested in exploring a multitude of cardiology-related topics. Tune in and subscribe to explore today’s most pressing cardiology topics with your colleagues at Mayo Clinic and gain valuable insights that can be directly applied to your practice. No CME credit offered for podcast episodes at this time.

Episodes

2 hours ago

Chronic Total Occlusion in 2025

2 hours ago

Chronic Total Occlusion in 2025

Guest: Gregory Barsness, M.D.

Host: Malcolm Bell, M.D.

Chronic (>3 months) complete epicardial coronary obstructive lesions, often referred to as CTOs, are recognized in a large minority of those referred for coronary angiography yet historically represent <5% of coronary intervention attempts. Improving tools, techniques and strategies have allowed greater access to percutaneous management of symptomatic coronary disease with improved procedural safety and technical and clinical success.

Topics Discussed:

What is a CTO and who do they affect?
What are the management options for those with CTO?
How are candidates for CTO PCI identified?
What are the risks and anticipated clinical benefits of CTO PCI and can these be anticipated and results optimized?
What does the future hold for those with symptomatic chronic coronary occlusions?

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.

Tuesday Jun 03, 2025

Supplements for Cardiovascular Prevention

Tuesday Jun 03, 2025

Supplements for Cardiovascular Prevention

Guest: Lisa M. Gilman, APRN, C.N.P.

Host: Stephen L. Kopecky, M.D.

Supplement use is a growing industry in which patients seek additional potential benefit of reducing disease burden and improving overall health. This presentation will be an overview of supplements used to address cardiovascular disease prevention

Topics Discussed:

Our patients will often inquire if there are any supplements that would help their heart health. How do you approach this topic?
What supplements have been suggested to help improve cardiovascular health?
Patients may ask, how do we know if we are purchasing a good supplement?
Are there any other considerations to be thinking of to instruct our patients about supplements?

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

No CME credit offered for this episode.

Podcast episode transcript found here.

Tuesday May 27, 2025

Role of Genetics in the Heart Failure Clinic

Tuesday May 27, 2025

Role of Genetics in the Heart Failure Clinic

Guest: Naveen Pereira, M.D.

Host: Kyle Klarich, M.D.

Genetic testing for heart failure is most beneficial for patients with cardiomyopathies. It aids in personalized treatment, early diagnosis, and family risk assessment, although its uptake has been slow due to costs, access, and interpretation challenges. Ongoing research into genetic mutations and their role in cardiomyopathy pathophysiology could lead to new therapeutic targets and improved disease management.

Topics Discussed:

Which patients with heart failure should get genetic testing?
Why should genetic testing be performed?
How is genetic testing performed?
Why has there been a slow uptake in genetic testing for patients with cardiomyopathy? And what are some possible solutions?
Can genetics provide new insight into the pathophysiology of disease, specifically cardiomyopathies?
Can this information then be used to help developed new therapeutic targets?
What are some of the uncertainties in the field that research should be focused on?

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

No CME credit offered for this episode.

Podcast episode transcript found here.

Tuesday May 20, 2025

Assessing Recurrence Following Pulsed Field Ablation for Atrial Fibrillation

Tuesday May 20, 2025

Assessing Recurrence Following Pulsed Field Ablation for Atrial Fibrillation

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

Host: Anthony H. Kashou, M.D.

Pulsed field ablation has been rapidly adopted across the United States since FDA approval was granted 1 year ago, due to its excellent acute efficacy, favorable safety profile, and fast workflow. However, recurrences post-ablation are comparable to that of previously established modalities, making this a significant hurdle that has yet to be overcome. Changes to mapping/ablation strategies, updates to PFA parameters, autonomic modulation, and combination modality ablations (PFA/RFA) offer some avenues for improvement

Topics Discussed:

What is pulsed field ablation (PFA) and how does it differ from previously established modalities of ablation such as radiofrequency and cryoablation?
What are the recurrence rates post-PFA and how do they compare with other modalities?
In patients who undergo redo ablations following an index PFA procedure, what are the most common causes (i.e. reconnection of pulmonary veins versus new sites)?
How do you think PFA will evolve in the coming years

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

No CME credit offered for this episode.

Podcast episode transcript found here.

Tuesday May 13, 2025

Hybrid Procedures Collaboration with Interventional Cardiology

Tuesday May 13, 2025

Hybrid Procedures Collaboration with Interventional Cardiology

Guest: Jason Anderson, M.D.

Guest: Elizabeth Stephens, M.D., Ph.D.

Host: Malcolm Bell, M.D.

Increasingly, collaboration between interventional cardiology and congenital cardiac surgeons has been used to optimize care for patients with congenital heart disease. Multi-disciplinary care is key, and “hybrid” procedures can be part of that collaboration. Effective use of catheter-procedures can help decrease the number of cardiac operations for many patients and new technologies are continually being developed in this space.

Topics Discussed:

What are “hybrid procedures” in cardiac surgery?
What age and diagnoses of congenital heart disease patients are candidates for hybrid procedures?
I’ve heard of the heart team approach or emphasis of multi-disciplinary approach at Mayo, what does that mean and is that important for parents and patients to look for?
Can you discuss how you decide whether a surgical or catheter approach is better?
A recent advancement is pulmonary flow regulators – can you explain what those are and how they have been used?

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

No CME credit offered for this episode.

Podcast episode transcript found here.

Tuesday May 06, 2025

Interval Training – What Does the Science Tell Us About the Benefits Versus Continuous Activity

Tuesday May 06, 2025

Interval Training – What Does the Science Tell Us About the Benefits Versus Continuous Activity

Guest: Amanda R. Bonikowske, Ph.D.

Host: Stephen L. Kopecky, M.D.

Learners will gain insights into the health and fitness benefits of high-intensity interval training (HIIT). They will explore various approaches to HIIT and learn strategies for integrating it into a well-rounded exercise program. Additionally, the podcast will offer a concise overview of current research on the enjoyment of HIIT and how this knowledge can inform effective HIIT prescriptions.

Topics Discussed:

What are the benefits of HIIT?
What are the different approaches to HIIT?
How can HIIT be incorporated into a comprehensive exercise program?
What do we know about enjoyment of HIIT?

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

No CME credit offered for this episode.

Podcast episode transcript found here.

Tuesday Apr 29, 2025

Secrets to Achieving CAD Regression

Tuesday Apr 29, 2025

Secrets to Achieving CAD Regression

Guest: Stephen Kopecky, M.D.

Host: Sharonne Hayes, M.D.

Coronary artery disease regression can occur in lipid rich plaque. Calcified and fibrotic plaque are essentially scars and cannot regress; however, they also are not associated with plaque rupture, which can lead to myocardial infarction. Studies with invasive angiography or CT angiography that have shown successful regression of CAD have addressed risk factors including hypertension, smoking, hyperlipidemia, and diabetes. They also address lifestyle, including healthy diet such as DASH or Mediterranean diet, regular physical activity, and stress mitigation.

Topics Discussed:

Can all types of coronary plaque (calcified, fibrotic, lipid rich) regress?
How can we assess coronary artery disease regression?
What have studies told us the best way to achieve CAD regression?

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

No CME credit offered for this episode.

Podcast episode transcript found here.

Tuesday Apr 22, 2025

Association Between COVID-19 Vaccination and Atrial Arrhythmias in Individuals with Cardiac Implantable Electronic Devices

Tuesday Apr 22, 2025

Association Between COVID-19 Vaccination and Atrial Arrhythmias in Individuals with Cardiac Implantable Electronic Devices

Guest: Malini Madhavan, M.B.B.S.

Host: Anthony H. Kashou, M.D.

In a study of over 7000 individuals with a cardiac implanted device in the Biotronik CERTITUDE registry, the burden of device detected AF was noted to be higher in the 3 months after covid vaccination compared to the 3 months preceding vaccination. A similar trend was observed for Influenza vaccinated individuals. However, when comparing a propensity matched group of controls without COVID vaccination, the trend towards increased burden of AF was similar in the 2 groups. This led the authors to conclude that the observed increase in AF burden represents the natural progression of AF risk rather than vaccine related changes.

Topics Discussed:

The study of atrial fibrillation burden after COVID vaccination, including the conclusion.
How the incidence of AF after COVID 19 vaccination compares to that after influenza vaccination.
Other studies that have investigated arrhythmia occurrence after COVID vaccination.
Safety for patients with cardiovascular disease to get vaccinated for COVID 19.

References:

https://www.heartrhythmjournal.com/article/S1547-5271(22)00914-6/fulltext

https://onlinelibrary.wiley.com/doi/epdf/10.1111/jce.16372

https://pmc.ncbi.nlm.nih.gov/articles/PMC9175153/#:~:text=A%20total%20of%202611%20events,COVID%2D19%20vaccine%20doses%20administered

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

No CME credit offered for this episode.

Podcast episode transcript found here.

Tuesday Apr 15, 2025

Updates in Left Atrial Appendage Closure

Tuesday Apr 15, 2025

Updates in Left Atrial Appendage Closure

Guest: Ammar Killu, M.B.B.S.

Host: Sharonne Hayes, M.D.

In today’s episode of “Interviews With the Experts, listeners will learn how to select patients that may benefit from left atrial appendage occlusion. Listeners will understand the major differences between currently available commercial devices.

Topics Discussed:

What is left atrial appendage closure?
Who may benefit from left atrial appendage closure and is there expansion of indications?
What devices are currently approved for LAA closure? Are there any newer devices on the horizon?
What are the post device anticoagulation/ antithrombotic regimens?

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

No CME credit offered for this episode.

Podcast episode transcript found here.

Tuesday Apr 08, 2025

Lifestyle Modification in the Setting of New Prevention Therapies

Tuesday Apr 08, 2025

Lifestyle Modification in the Setting of New Prevention Therapies

Guest: R. Scott Wright, M.D.

Host: Stephen L. Kopecky, M.D.

Cardiovascular prevention has largely focused on new pharmaceutical therapies over the past several decades. Often overlooked are the critical roles of diet, exercise, sleep and other individual behaviors which underpin all of preventive measures for improved health. The podcast will discuss how busy clinicians can emphasize and incorporate these measures in their daily practices and lives.

Topics Discussed:

Is diet still important?
What is the best heart healthy diet?
What are the benefits of a healthy diet outside of lipid lowering?
How do new therapies work with good vs. poor dietary adherence?

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

No CME credit offered for this episode.

Podcast episode transcript found here.