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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
Tuesday Aug 23, 2022
Tuesday Aug 23, 2022
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.
Thursday Aug 18, 2022
Thursday Aug 18, 2022
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.
Tuesday Aug 16, 2022
Tuesday Aug 16, 2022
Contemporary Topics in SCAD
Guest: Marysia S. Tweet, M.D., M.S. (@marysia_tweet)
Host: Malcolm R. Bell, M.D.
SCAD, also known as Spontaneous Coronary Artery Dissection, is defined as a tear in an artery wall within the heart, which decreases blood flow to the heart. In addition, patients without treatment are at risk of having a heart attack or chances of experiencing cardiac arrest. 90% of SCAD cases were found in women. However, men can also experience SCAD. Some triggers that can lead to SCAD are intense weightlifting, severe high blood pressure, emotional stress, and more.
Joining us today to discuss Contemporary Topics in SCAD is Marysia S. Tweet, M.D., M.S associate professor of medicine and consultant in the Division of Ischemic Heart Disease as well as joint appointment in the Division of Cardiovascular Ultrasound at Mayo Clinic in Rochester, Minnesota.
Specific topics discussed:
- What do you tell patients when they ask will SCAD happen again?
- How do you advise regarding exercise after SCAD?
- What do you tell women of childbearing age regarding future pregnancy after SCAD?
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.
Tuesday Aug 09, 2022
Tuesday Aug 09, 2022
Chronic Thromboembolic Pulmonary Hypertension
Guest: Vidhu Anand, MBBS, FACC, FASE (@vidhu_anand)
Host: Malcolm R. Bell, M.D.
Patients with Chronic Thromboembolic Pulmonary Hypertension have a life expectancy of one to three years if left untreated. CTPH is usually caused by blood clots that are prolonged in the body for a certain period. In addition, the blood tends to back up into the lungs, which increases the patient's blood pressure. Some risk factors that can lead to CTPH are obesity, smoking, and cancer.
Joining us today to discuss Chronic Thromboembolic Pulmonary Hypertension is Vidhu Anand, MBBS, FACC, FASE, assistant professor of medicine at Mayo Clinic in Rochester, Minnesota.
Specific topics discussed:
- What is chronic thromboembolic pulmonary hypertension?
- How is it diagnosed?
- What are different treatment options for management of CTEPH?
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.
Thursday Aug 04, 2022
Thursday Aug 04, 2022
Manual Methods to Differentiate Wide Complex Tachycardias
Guest: Adam M. May, M.D.
Hosts: Anthony H. Kashou, M.D. (@anthonykashoumd)
Joining us today to discuss Manual Methods to Differentiate Wide Complex Tachycardias is Adam M. May, M.D. cardiac intensivist, and assistant professor of medicine at Washington University School of Medicine in St. Louis, Missouri.
Specific topics discussed:
- Can you give us a broad overview of the different types of manual methods that clinicians have at their disposal to differentiate WCTs?
- You mentioned multi-step algorithms, which are commonly recognized and one of the utilized manual approaches. What do you think are the more common algorithms, and maybe you can share some of the overarching rationale behind their formulation?
- You made mention of VT AS A DEFAULT DIAGNOSIS. What do you mean by this and what is its rationale?
- How about some of the simple one-step methods such as the R-wave-to-peak time? Can you define this method, and share what you think about this method along with how you use it clinically?
- It appears that in many cases, VT and SWCT cannot be confidently distinguished using a single criterion alone and so many authors devise alternative approaches (like point-based algorithms). Can you go over the rationale for these methods and describe some of the options that might be helpful to use in clinical practice?
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.
Tuesday Aug 02, 2022
Tuesday Aug 02, 2022
Peripheral Artery Disease (PAD) Treatment
Guest: Robert D. McBane, II M.D.
Host: Stephen Kopecky, M.D. (@DrSteveKopecky)
Most patients, who have Peripheral Artery Disease, do not experience the symptoms right away. However, patients affected with PAD will likely experience symptoms such as pain in the legs during walking and loss of hair. PAD limits the blood flow from the vessels to the heart. Without the proper treatment, the effects of PAD can lead to amputation of the foot or legs. Major amputation can potentially lower the life expectancy of patients that are affected with PAD.
Joining us today to discuss Peripheral Artery Disease (PAD) Treatment is Robert D. McBane, II M.D. professor of medicine in the department of cardiovascular medicine at Mayo Clinic in Rochester, Minnesota.
Specific topics discussed:
- How do you define PAD?
- Is invasive or noninvasive imaging diagnosis required? Or can be based on ABI? Or is physical exam adequate with a bruit in the carotids, renals, or femorals?
- In PAD, are risk factors the same as in cardiovascular or cerebrovascular disease?
- Why is having PAD a greater risk factor for cardiovascular morbidity and mortality than coronary artery disease or cerebrovascular disease?
- Do any risk factors predominate in PAD? (e.g., is smoking more prevalent?)
- Are you checking lipoprotein a in patients with PAD at an early age?
- Has treatment of risk factors been shown to significantly reduce CV morbidity or mortality in patients with PAD?
- When is ABI indicated and when is toe-brachial index indicated? (What is the definition of noncompressible vessels?)
- When should we do exercise ABI?
- For treatment, other than treating the risk factors of lipids, smoking, hypertension, diabetes, or other treatments indicated such as anti-platelet and if so his aspirin adequate, what dose, or other anti-platelet agents indicated?
- Clopidogrel should be added when? Can be given in place of aspirin?
- When is cilostazol recommended? Can you give with heart failure-HFpEF and HFrEF? Does this improve outcomes-walking distance or also overall morbidity and mortality?
- What home walking program is best to recommend for patients with PAD?
- Do patients with PAD get as aggressive treatment for risk factor control as do CV or cerebrovascular disease patients?
- Why are patients with PAD less often treated aggressively for risk factor control? Is that the patient or the caregiver?
- Any other new drugs available that are beneficial?
- When is revascularization helpful to consider?
- There is emerging evidence that lower LDL cholesterol (LDL less than 60) significantly benefits patients with CAD-is there any evidence lower LDL is beneficial in PAD?
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.
Tuesday Jul 26, 2022
Tuesday Jul 26, 2022
Aortic Regurgitation
Guest: Vidhu Anand, MBBS, FACC, FASE (@vidhu_anand)
Host: Paul A Friedman, M.D. (@drpaulfriedman)
Joining us today to discuss Aortic Regurgitation is Vidhu Anand, MBBS, FACC, FASE, assistant professor of medicine at Mayo Clinic in Rochester, Minnesota.
Specific topics discussed:
- What is aortic regurgitation, how prevalent is it, and how are patients diagnosed and followed-up?
- Is there role of MRI in diagnosis and follow up of these patients?
- What are the different treatment options? Valve repair and replacement. We can discuss the very low operative mortality at centers of excellence, such as Mayo Clinic and option for valve repair which is particularly attractive for young patients who want to avoid anticoagulation
- Why is it important to refer patients early for intervention before there is onset of significant myocardial injury?
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.
Thursday Jul 21, 2022
Thursday Jul 21, 2022
The ECG in Lyme Carditis
Guest: Adrian Baranchuk, M.D. (@adribaran)
Hosts: Anthony H. Kashou, M.D. (@anthonykashoumd)
Joining us today to discuss ECG in Lyme Carditis is Adrian Baranchuk, M.D., professor of medicine at Queen’s University in Kingston, Ontario, Canada.
Specific topics discussed:
- What is the role of the ECG in the diagnosis of Lyme carditis?
- Once suspected, what would you suggest doing to monitor heart rate?
- Any role for subsequent ECGs?
- If not treated, what could happen to a patient with first degree AV block?
- Do all patients with Lyme carditis need a pacemaker?
- How do you follow treated patients with Lyme carditis? What is the role of the ECG?
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.
Tuesday Jul 19, 2022
Tuesday Jul 19, 2022
Echo in the OR
Guest: Hector Michelena, M.D. (@michelenahector)
Host: Kyle W. Klarich, M.D. (@KyleWKlarich)
Joining us today to discuss Echo in the OR is Hector Michelena, M.D., professor of medicine and research director for the division of structural heart disease and cardiovascular ultrasound at Mayo Clinic in Rochester, Minnesota.
Specific topics discussed:
- What is perioperative echo?
- What evidence supports intra-operative TEE?
- What are the crucial junctures during IOTEE and what are their principles?
- You said that valvular surgery was a critical aspect of IOTEE, what are the principles of IOTEE in valvular surgery?
- What didactic resources would you recommend for the echocardiographer learning IOTEE
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.
Tuesday Jul 12, 2022
Tuesday Jul 12, 2022
Why Quantitative Measures Matter in Valvular Heart Disease
Guest: Jeremy J. Thaden, M.D. (@JeremyThaden)
Host: Kyle W. Klarich, M.D. (@KyleWKlarich)
Joining us today to discuss Why Quantitative Measures Matter in Valvular Heart Disease is Jeremy Thaden, M.D., assistant professor of cardiovascular medicine and vice chair for the division of cardiac ultrasound at Mayo Clinic in Rochester, Minnesota.
Specific topics discussed:
- How do you use valve quantification in echo and what are specific examples of quantitation in valvular heart disease?
- What is the benefit of quantifying valvular lesions?
- Where do you see echo quantitation going 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.