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Category: Education

The Cardiovascular CME podcast is a new 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.

September 29, 2022

Computerized Left Ventricular Hypertrophy Detection

Computerized Left Ventricular Hypertrophy Detection

Guest: Bob Farrell, Ph.D.  

Hosts: Anthony H. Kashou, M.D. (@anthonykashoumd)

When the heart in the human body's source to pump blood has decreased, it is referred to as the left ventricle. Furthermore, the hypertrophy or the heart's wall eventually loses its firmness, which leads to a higher risk of hypertension or high blood pressure. Often, the heart tends to lose its ability to pump blood. In addition, some signs to stay aware of are feeling fatigued, dizziness, fainting, and frequent chest pain. Patients affected by Left Ventricular Hypertrophy are more at risk of becoming diagnosed if they experience decreased or increased heart rhythm signals or congestive heart failure. Therefore, when the doctor recommends testing, an Electrocardiogram is used to record signals to test the heart rhythm and abnormalities. In addition, an MRI or Echocardiogram is used to test Computerized Left Ventricular Hypertrophy as well.

Joining us today to discuss Computerized Left Ventricular Hypertrophy Detection is Bob Farrell, M.D., professor of medicine at Queen’s University in Kingston, Ontario, Canada. Furthermore, Dr. Farrell is currently a member of the board of directors of the International Society of Computerized Electrocardiology.

Specific topics discussed:

  • With other modalities available to clinicians (e.g., echo, cardiac MR), is ECG still relevant in the discussion of LVH?
  • You have recently made some updates in the GE “12SL” program related to LVH. What drove the changes that you made?
  • Customer feedback, opaqueness of the criteria, ACC/AHA recommendations to manufacturers
  • So what were the changes you made?
  • How did you pick which of the many criteria out there to use and how important was it to explicitly list the positive criteria in the interpretation?
  • You mentioned earlier that ECG-LVH is an entity in its own right and is associated with poorer outcomes. Can you talk about ECG-LVH and risk prediction, and how the changes you’ve made in the GE 12SL program aid in the risk prediction?

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

Facebook: MayoCVservices

LinkedIn: Mayo Clinic Cardiovascular Services

NEW 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.

September 27, 2022

Role of 3D Imaging in Complex Structural Heart Procedures (Screening/Suitability and Guidance)

Role of 3D Imaging in Complex Structural Heart Procedures (Screening/Suitability and Guidance)

Guest: Jeremy J. Thaden, M.D. (@JeremyThaden)

Host: Kyle W. Klarich, M.D. (@KyleWKlarich)

The role of 3D imaging is used to capture images of the heart in “real-time.” Structural heart procedures are usually completed by Echocardiographers.  Heart valve disease is the most common structural heart disease. In addition, an Echocardiologist should be familiar with Artificial Intelligence and how it works under 3D Images, focusing on Complex Structural Heart procedures.  When doctors conduct screening, it is important to have raw images for reformatting purposes. 

Joining us today to discuss the Role of 3D Imaging in Complex Structural Heart Procedures (Screening/Suitability and Guidance is Dr. Jeremy J. Thaden, M.D., Assistant Professor of Medicine in the Department of Cardiology at Mayo Clinic in Rochester Minnesota. Dr. Jeremy Thaden is an expert imager. Furthermore, Dr. Thaden offers his assistance in guiding the Structural Heart Procedures.

Specific topics discussed:

  • Broadly, what do you think 3D adds to structural echocardiographic imaging?
  • Who should be doing the screening and procedural guidance for structural heart procedures?
  • What is the best way to learn to do 3D echocardiography?

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

NEW 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.

September 20, 2022

Surgical Planning For Bioprosthetic Implantation With a View to Future Transcatheter Valve-in-Valve Implantation

Surgical Planning for Bioprosthetic Implantation with a View to Future Transcatheter Valve-in-Valve Implantation

Guest: Juan A. Crestanello, M.D.

Host: Kyle W. Klarich, M.D. (@KyleWKlarich)

A Bioprosthetic Implantation is an implanted device to replace a defective heart valve. Furthermore, a Transcatheter Valve-in-Valve Implantation procedure is considered more effective for patients. In addition, a Transcatheter VIV is a redo surgery for patients who have experienced failure of Aortic Bioprosthesis. The transcatheter VIV is less harmful to the human body than Aortic Valve Replacement. Before performing a Transcatheter VIV, doctors consider measurements of the valve and implant position to prevent future complications. Knowing the size and height of the coronary arteries helps prevent the patient from being exposed to coronary obstruction.

 

Joining us today to discuss Surgical Planning for Bioprosthetic Implantation with a View to Future Transcatheter Valve-in-Valve Implantation is Juan A. Crestanello, M.D., chair of the department of cardiovascular medicine, cardiovascular surgery, and the professor of surgery at Mayo Clinic in Rochester, Minnesota.

Specific topics discussed:

  • How often ViV is performed compared with redo AVR?
  • What are the limitation that prevent performance of ViV?
  • What is the risk and who is at risk for coronary obstruction during ViV?
  • What is the risk of patient prosthesis mismatch?
  • What are the measures you take when performing a surgical AVR to allow for valve in valve in the future?

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

NEW 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.

September 15, 2022

Emerging ECG Methods for Ischemia Detection

Emerging ECG Methods for Ischemia Detection

Guest: Salah Al-Zaiti (@al_zaiti)  

Hosts: Anthony H. Kashou, M.D. (@anthonykashoumd)

The accuracy of the 12-lead ECG in detecting ischemia will be discussed, as well as the emerging approaches to enhance ECH sensitivity to acute myocardial ischemia. The use of AI for ECG interpretation and how it can help boost the diagnostic yield of the 12-lead ECG for ischemia detection will be reviewed along with the research and future opportunities and recommendations.

Joining us today to discuss Emerging ECG Methods for Ischemia Detection is Salah Al-Zaiti, M.D., Associate Professor of Nursing, Emergency Medicine in Cardiology, Vice Chair of Research, at the Dept. of Acute and Tertiary Care at the Univ. of Pittsburgh School of Nursing.

Specific topics discussed:

  • The 12-lead ECG is one of the most widely used noninvasive assessments of acute myocardial ischemia in symptomatic patients, namely those with chest pain. However, the ECG remains a suboptimal tool in diagnosing ischemia in this population, requiring the use of numerous diagnostics and assessments. But how accurate exactly is the 12-lead ECG for detecting ischemia? And what are the potential pitfalls of this suboptimal diagnostic accuracy?
  • Let’s go back to the basics then, what are the ECG basis of acute ischemia? In other words, what are the processes and the mechanistic links between diminished coronary blood flow at the myocardial level and potential manifestations on the surface ECG?
  • In your most recent commentary paper on the topic at Journal of Electrocardiology, you discuss four emerging approaches to enhance the ECG sensitivity to acute myocardial ischemia: (1) techniques based on novel ECG signatures of ischemia beyond ST-segment and T wave amplitudes; (2) techniques that maximize the spatial coverage of the ECG; (3) techniques based on ECG imaging; and (4) techniques based on artificial intelligence (AI) and machine learning. Using novel ECG signatures of ischemia is an intuitive approach, can you elaborate further on this?
  • Let’s talk a little bit about the second group of approaches, how can we maximize the spatial coverage of the 12-lead ECG and how would this enhance the ECG sensitivity to ischemia?
  • Let’s move on to the third approach, what exactly is ECG imaging and how it can be used to detect acute myocardial ischemia?
  • The use of AI for ECG interpretation is growing exponentially, can you comment on how we can use AI to boost the diagnostic yield of the 12-lead ECG for ischemia detection?
  • Finally, what should the research in this area focus on and what are the future opportunities and recommendations?

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

Facebook: MayoCVservices

LinkedIn: Mayo Clinic Cardiovascular Services

NEW 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.

September 13, 2022

Delivery of ASCVD Secondary Prevention Strategies for Rural Communities

Delivery of ASCVD Secondary Prevention Strategies for Rural Communities

Guest: Adelaide Arruda-Olson, M.D.

Host: Stephen Kopecky, M.D. (@DrSteveKopecky)

Dr. Steve Kopecky talks with Dr. Arruda-Olson on the Health of Rural Communities and how to improve our delivery of ASCVD preventive care to rural communities. They will define the rural communities and will talk about how to define secondary prevention. Discussion on why rural communities have more risk factors and how the barriers will be addressed in the Mayo Clinic Health Systems.

Joining us today to discuss Delivery of ASCVD Secondary Prevention Strategies for Rural Communities is Adelaide Arruda-Olson, M.D., Associate Professor of Medicine, Department of Cardiovascular Medicine, Rochester, MN

Specific topics discussed:

  • What is secondary prevention?
  • How do you define rural communities?
  • Rural communities have an older population, lower income, hospitals are sparse, with less providers & services offered. How can we overcome these issues when trying to achieve secondary prevention?
  • Why do rural communities have more diabetes, obesity, HTN, tobacco, inactivity, obesity among children, drug overdose death?
  • Rural communities tend to be whiter than Urban communities but 54% of native Americans live in rural communities. Are there any special approaches you have for the native American group? 
  • Why do rural communities have worse health outcomes?
  • What are the SOLUTIONS?
  • It appears that it needs to be multifactorial-not only providers, pharmacist APCs, ENTs, but also payment structures for rural care, Telehealth, bricks and mortar for hospitals, and certainly more research ?

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

NEW 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.

September 6, 2022

In Whom Should LVOT/Aortic Root Enlargement Be Performed at the Time of AVR

In Whom Should LVOT/Aortic Root Enlargement Be Performed at the Time of AVR

Guest: Juan A. Crestanello, M.D.

Host: Kyle W. Klarich, M.D. (@KyleWKlarich)

Whom should an LVOT and/or Root Enlargement be performed at the time of an aortic value replacement? You will learn what a root enlargement is, why and how it is done, things to avoid, what to allow for in the future. You will hear what the risks of performing a root enlargement are and if it can be done in a redo surgery as well as its alternatives. 

Joining us today to discuss In Whom Should LVOT/Aortic Root Enlargement Be Performed at the Time of AVR is Juan A. Crestanello, M.D., Professor of Surgery, Chair of the Department of Cardiovascular Surgery at Mayo Clinic in Rochester, Minnesota.

Specific topics discussed:

  • What is an aortic root enlargement? How is it done?
  • Why do a root enlargement? Avoid patient prosthesis mismatch, allow for ViV in the future, prevent structural valve deterioration
  • What is the risk of performing a root enlargement?
  • Can you do a root enlargement in a redo surgery?
  • What are the alternatives to a root enlargement?

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

NEW 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.

September 1, 2022

Improving ECG Literacy

Improving ECG Literacy

Guest: Adrian Baranchuk, M.D. (@adribaran)

Hosts: Anthony H. Kashou, M.D. (@anthonykashoumd)

Learn through this podcast what recommended teaching methods should be applied to ECG interpretation in learning this skill. Is there any value of continual medical education in ECG and what is the role of digital platforms in ECG Education? Learn also the benefits of ECG Books and what the International Society of Electrocardiology (ISE) -Young Community can do for learners of ECG?

Joining us today to discuss Improving ECG Literacy is Dr. Adrian Barnachuk, professor of medicine at Queens University in Kingston, Ontario, Canada. He serves as the editor-in-chief of the "Journal of Electrocardiology and "JACC" in Spanish. He is the past president of the International Society of Electrocardiology, the current vice president of the The International Society for Holter and Noninvasive Electrocardiology, and he's the president-elect of the Interamerican Society of Cardiology. His contribution to the medical field is undeniable by anyone, with more than 600 authored medical articles, 57 book chapters and counting, and 10 books.

Specific topics discussed:

  • What teaching methods should we apply to teach ECG?
  • Any value of continual medical education on ECGs?
  • What’s the role of digital platforms in ECG Education?
  • Why did you create the ISE-Young Community…what is it? How young colleagues or residents can join?
  • Any value of new ECG books these days?

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

Facebook: MayoCVservices

LinkedIn: Mayo Clinic Cardiovascular Services

NEW 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.

August 30, 2022

AI in Echocardiography: Any Role for the Physician?

AI in Echocardiography: Any Role for the Physician?

Guest: Patricia A. Pellikka, M.D. (@pattypellikka)

Host: Paul A. Friedman, M.D. (@drpaulfriedman)

Learn about the current practice of echocardiography and how artificial Intelligence (AI) is used today. You will hear about the developments that are underway and the advantages of AI methods applied in echocardiography, as well as how AI will help increase the accuracy and precision in a complicated exam. Will AI replace physician interpreters of echocardiography, listen to this podcast to hear what Dr. Pellikka has to say.

Joining us today to discuss AI in Echocardiography: Any Role for the Physician? is Patricia A. Pellikka, M.D., professor of medicine, editor of the Journal of The American Society of Echocardiography and previous chair of the division of cardiac ultrasound at Mayo Clinic in Rochester, Minnesota.

Specific topics discussed:

  • Tell about the current practice of echo: Is AI currently being used? If so, how?
  • What developments are underway in AI and echo?
  • What are the advantages of AI methods applied to echo?
  • Will AI replace physician interpreters of echocardiography?

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

NEW 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.

August 23, 2022

Inflammation in Cardiovascular Disease

Inflammation in Cardiovascular Disease

Guest: Cornelia Weyand, M.D., Ph.D.

Host: Paul A. Friedman, M.D. (@drpaulfriedman)

Ever wonder how someone can suffer from cardiovascular diseases such as Heart Failure, Coronary artery disease, and Cardiomyopathy? Common risk factors for suffering from cardiovascular diseases are the effects of hypertension and high cholesterol. Furthermore, inflammation in cardiovascular diseases is a risk factor as well. Inflammation is the response to injuries or bacteria in the body’s immune system. However, inflammation can tend to work against the body’s immune system. At times, various amounts of plaque enter the arteries as a response it could trigger inflammation.

Joining us today to discuss Inflammation in Cardiovascular Diseases is Cornelia Weyand, M.D., Ph.D. professor of medicine and immunology and has an appointment in Cardiovascular Medicine at Mayo Clinic in Rochester, Minnesota.

Specific topics discussed:

  • Should we classify and treat coronary artery disease as an inflammatory condition?
  • What are the drivers of the immune cells that accumulate in the atherosclerotic lesions?
  • Besides metabolic syndrome, are there other risk factors that predispose individuals to atherosclerotic disease?
  • During the COVID pandemic, individuals with cardiovascular disease were at particularly high risk for severe infection or death. What are the underlying mechanisms?
  • As we recognize atherosclerosis as an immune-mediated disease, what are the therapeutic implications?

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

NEW 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.

August 18, 2022

PVC Localization and Management

PVC Localization and Management

Guest: William G. Stevenson, M.D.

Hosts: Anthony H. Kashou, M.D. (@anthonykashoumd)

Joining us today to discuss PVC Localization and Management is William G. Stevenson, M.D., professor of medicine at Vanderbilt University Medical School, in Nashville Tennessee.

Specific topics discussed:

  • What are some of the initial concerns of Premature Ventricular Complexes?
  • How do you classify the alarming features you mentioned, what should we be thinking about?
  • How are prolonged ECG recordings evaluated?
  • How do you make the call to send the patient to the EP Lab or for an Ablation?
  • Is there ever a case of a young person with the probability of channelopathy or ion disorder?
  • What is your approach to working to localize these pvs's on the ECG?
  • Is there an area that we should be looking for with more alarming pvc's and they are coming from?
  • Using your approach and from the 12-lead EKG, how do you translate those to mapping during a electrophysiology test?

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

Facebook: MayoCVservices

LinkedIn: Mayo Clinic Cardiovascular Services

NEW 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.