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

Thursday Feb 17, 2022

The Journal of Electrocardiology And A Future Glimpse

Thursday Feb 17, 2022

The Journal of Electrocardiology And A Future Glimpse

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

Hosts: Anthony H. Kashou, M.D. and Peter A. Noseworthy, M.D. (@noseworthypeter)

The Journal of Electrocardiology has documented the evolution of the field since 1968. The peer-reviewed medical journal remains a go-to resource for physicians around the world.

Joining us today to discuss why and how the electrocardiogram (ECG) has withstood the test of time and where he envisions the field heading is Adrian Baranchuk, M.D., Journal of Echocardiology editor-in-chief. Guest host Peter A. Noseworthy, M.D., Cardiovascular Medicine, at Mayo Clinic in Rochester, Minnesota, also joins the conversation.

Specific topics discussed:

Baranchuk's experience and involvement with electrocardiology and how it led to his position as editor-in-chief
Challenges faced to ensure the journal remains a leader in the field
Fascination with the ECG and features responsible for its enduring role in medicine
Baranchuk's current research and vision for the future of 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 Feb 15, 2022

Pre-Operative Evaluation Prior to Non-Cardiac Surgery

Tuesday Feb 15, 2022

Pre-Operative Evaluation Prior to Non-Cardiac Surgery

Guest: Michael W. Cullen, M.D. (@mwcullen)

Host: Malcolm R. Bell, M.D.

Cardiovascular preoperative evaluation of patients with known or suspected heart disease who are in need of noncardiac surgery is a common scenario.

Joining us today to discuss cardiovascular preoperative evaluation prior to noncardiac surgery is Michael W. Cullen, M.D., Cardiovascular Ultrasound, at Mayo Clinic in Rochester, Minnesota.

Specific topics discussed:

Five-step algorithm for evaluation of patients in the outpatient clinic
Evaluation of patients with no symptoms receiving high-risk procedures
When additional testing is necessary
Data strength regarding improved outcomes from revascularization prior to noncardiac surgery
Medications to add or remove before surgery

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

Resource(s): Prevention of Complications in the Cardiac Intensive Care Unit: A Scientific Statement From the American Heart Association

No CME credit offered for this episode.

Podcast episode transcript found here.

Tuesday Feb 08, 2022

Role of Imaging in Known or Suspected Infective Endocarditis

Tuesday Feb 08, 2022

Role of Imaging in Known or Suspected Infective Endocarditis

Guest: Michael W. Cullen, M.D. (@mwcullen)

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

The diagnosis and treatment of patients with infective endocarditis can be complex. Successful outcomes require multidisciplinary support for imaging, management and therapy.

Joining us today to discuss the use of imaging in the initial evaluation and management of infective endocarditis is Michael W. Cullen, M.D., a cardiologist and expert echocardiographer at Mayo Clinic in Rochester, Minnesota.

Specific topics discussed:

Risk factors, signs and symptoms that raise the suspicion of infective endocarditis
Comprehensive physical examinations necessary for diagnosis
Hospitalization, blood cultures and antibiotics required for evaluation
Imaging types and considerations for use
Potential complications and their diagnosis
Role of imaging in the management of infective endocarditis
Surveillance imaging and follow-up

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

No CME credit offered for this episode.

Podcast episode transcript found here.

Thursday Feb 03, 2022

Why Wide Complex Tachycardia Differentiation Matters

Thursday Feb 03, 2022

Why Wide Complex Tachycardia Differentiation Matters

Guest: Adam M. May, M.D. (@A_May_MD)

Host: Anthony H. Kashou, M.D.

Ventricular tachycardia or supraventricular tachycardia? Accurate diagnosis of wide complex tachycardia impacts patient care and outcomes. Conventional algorithms plus automated methods and approaches provide solutions to the challenging issue of differentiation.

Joining us today to discuss wide complex tachycardia differentiation is Adam M. May, M.D., a cardiac intensivist at Washington University in St. Louis. Dr. May completed his residency at Mayo Clinic in Rochester, Minnesota.

Specific topics discussed:

Wide complex tachycardia definition and history
May's experience with wide complex tachycardia differentiation
Clinical implications for misdiagnosis of ventricular tachycardia versus supraventricular tachycardia
Common methods and tools available for diagnosis
Algorithm use challenges and limitations
Typical presentation scenarios
Automated tools and approaches for differentiation
Diagnostic tools help the clinician arrive at correct diagnoses
Performance comparison: automated tools versus manual algorithms
Recommended approach to diagnosis today

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

No CME credit offered for this episode.

Podcast episode transcript found here.

Tuesday Feb 01, 2022

Transcatheter Mitral Edge to Edge Repair

Tuesday Feb 01, 2022

Transcatheter Mitral Edge to Edge Repair

Guest: Mackram F. Eleid, M.D.

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

Transcatheter mitral valve edge-to-edge repair has proved to be a safe and effective treatment for many patients with secondary (severe) mitral regurgitation.

Joining us today to discuss mitral regurgitation and transcatheter mitral valve repair is Mackram F. Eleid, M.D., Cardiovascular Diseases, at Mayo Clinic in Rochester, Minnesota.

Specific topics discussed:

Differences between primary and secondary mitral regurgitation
Treatment for patients with secondary mitral regurgitation
Assessment of mitral regurgitation to determine use of mitral valve clip
Clinical trial outcomes in edge-to-edge repair for secondary mitral regurgitation
Resynchronization for device pacing in practice at Mayo Clinic
Current role for mitral valve edge-to-edge repair
Alternative clinical trials for patients not eligible for edge-to-edge repairs
Common complications in mitral valve edge-to-edge repair
Patient recovery and improvement

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

No CME credit offered for this episode.

Podcast episode transcript found here.

Tuesday Jan 25, 2022

Echo Guided Pericardiocentesis

Tuesday Jan 25, 2022

Echo Guided Pericardiocentesis

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

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

Pericardiocentesis is a lifesaving diagnostic that for many physicians can cause some measure of anxiety: It's not commonly done, and there are potential risks.

Joining us today to discuss pericardiocentesis is S. Allen Luis, M.B.B.S., Ph.D., cardiologist and co-director of the Pericardial Disease Clinic at Mayo Clinic in Rochester, Minnesota.

Specific topics discussed:

Indications for use of pericardiocentesis
Common diagnoses and labs ordered
Pericardiocentesis techniques and approach with echocardiography-guided imaging
Patient placement (supine position) and bed angulation
Standard care pathways following fusion drainage
Injection of lidocaine into the pericardial space for pain relief
Drain removal considerations
Complications following pericardiocentesis
Follow-up medications and treatment
Issues related to steroid use
Follow-up testing recommendations

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

No CME credit offered for this episode.

Podcast episode transcript found here.

Thursday Jan 20, 2022

Pull Back the Curtains with Mayo Clinic’s Cardiac Monitoring, ECG Laboratory, and Inpatient Team

Thursday Jan 20, 2022

Pull Back the Curtains with Mayo Clinic's Cardiac Monitoring, ECG Laboratory, and Inpatient Team

Guests: Zachery (Zach) D. Linn, M.S., CRAT; Joshua (Josh) T. Krell, CRAT; Chad E. Schmitz, M.H.A., CRAT; Joshua K. Busby, CRAT; Jill M. Culp, CCT, CRAT

Hosts: Anthony H. Kashou, M.D. and Tara A. Gosse, M.S.

Mayo Clinic's cardiac monitoring practice is being transformed — growing quickly and adapting to rapid change in the field to improve patient care. Joining us today to discuss that transformation, from the Heart Rhythm and Physiological Monitoring Laboratory at Mayo Clinic in Rochester, Minnesota, are:

Zachery (Zach) D. Linn, M.S., CRAT, remote cardiac monitoring

Joshua (Josh) T. Krell, CRAT, cardiac monitoring

Chad E. Schmitz, M.H.A., CRAT, electrocardiogram (ECG) laboratory

Joshua K. Busby, CRAT, cardiac monitoring interpretation

Jill M. Culp, CCT, CRAT, retired education specialist

Specific topics discussed:

Remote cardiac monitoring team services
The ideal patient for remote cardiac monitoring
Early detection of rhythm disorders with mobile cardiac telemetry and decreased standard device wear time for patients
ECG Holter monitoring and placement
ECG laboratory scope and services
Inpatient telemetry monitoring
Training and education for staff certification and care of patients in the hospital setting
Remote communication with physicians, nurses and patients

Resources: Heart Rhythm and Physiological Monitoring Laboratory

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

No CME credit offered for this episode.

Podcast episode transcript found here.

Tuesday Jan 18, 2022

Exercise for Cardio-Oncology Patients

Tuesday Jan 18, 2022

Exercise for Cardio-Oncology Patients

Guest: Ray W. Squires, Ph.D.

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

Mayo Clinic launched its cardio-oncology rehabilitation (CORE) program in 2017. In 2019, the American Heart Association, with endorsement from the American Cancer Society, published a rationale supporting partnerships with existing cardiac rehabilitation programs to bring patients with cancer into those programs for supervised exercise training and modification of cardiac risk factors. In 2021, Dr. Squires and fellow researchers published the article, "Cardio-oncology rehabilitation (CORE) exercise prescription and programming: A practical guide in the Journal of Cardiopulmonary Rehabilitation and Prevention."

Joining us today to discuss cardio-oncology rehabilitation is Ray W. Squires, Ph.D., Cardiovascular Medicine and director of the Cardiovascular Rehabilitation Program at Mayo Clinic in Rochester, Minnesota.

Specific topics discussed:

Heightened cardiovascular risk for patients with diverse cancers
Studies supporting exercise training for patients with cancer to improve cardiorespiratory fitness
The No. 1 cause of death for patients with cancer
CORE program individualization to provide motivation and exercise management for patients already exhausted by chemotherapy and radiation therapy
Avoiding long sedentary periods and other considerations for patients with cancer
CORE and the electrocardiogram age of patients with cancer
Reimbursement considerations and CORE programs nationally

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

Resource(s): Cardio-oncology rehabilitation (CORE) exercise prescription and programming: A practical guide in the Journal of Cardiopulmonary Rehabilitation and Prevention

No CME credit offered for this episode.

Podcast episode transcript found here.

Tuesday Jan 11, 2022

Prevention of CICU Complications

Tuesday Jan 11, 2022

Prevention of CICU Complications

Guest: Jacob C. Jentzer, M.D.

Host: Malcolm R. Bell, M.D.

The traditional coronary care unit was designed and implemented for patients with ST elevation myocardial infarction (MI). At Mayo Clinic, that model has evolved into a complex, multidisciplinary cardiac intensive care unit (CICU) that cares for patients with an array of both acute and chronic cardiovascular diseases and, often, complex comorbidities.

Joining us today to discuss CICU complications and their prevention is Jacob C. Jentzer, M.D., Cardiovascular Medicine, at Mayo Clinic in Rochester, Minnesota. Dr. Jentzer co-authored Prevention of Complications in the Cardiac Intensive Care Unit: A Scientific Statement from the American Heart Association, published in Circulation in 2020.

Specific topics discussed:

Common and preventable complications treated in the CICU
Common health care-associated infections addressed in the CICU
Key steps to prevent health care-associated infections
Increased complexity of patients' conditions
Best practices for ventilator management, A through F
Pain management practices that prevent complications
CICU multidisciplinary team members
Benefits of a career in cardiac critical care

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

Resource(s):

https://www.ahajournals.org/doi/10.1161/CIR.0000000000000909

No CME credit offered for this episode.

Podcast episode transcript found here.

Thursday Jan 06, 2022

ECG Interpretation and if the Application of Artificial Intelligence May be Helpful

Thursday Jan 06, 2022

ECG Interpretation and if the Application of Artificial Intelligence May be Helpful

Guest: Peter A. Noseworthy, M.D. (@noseworthypeter)

Host: Anthony H. Kashou, M.D. and Tara A. Gosse, M.S.

Electrical signals can inscribe valuable information about a patient. The world of ECG is evolving rapidly. Research from Mayo Clinic documents 66 discrete labels — from various rhythms, conduction disturbances, ischemia, hypertrophy — obtained from a standard 12-lead electrocardiogram (ECG).

Joining us today to discuss ECG interpretation and the application of artificial intelligence (AI) is Peter A. Noseworthy, M.D., Cardiovascular Medicine, at Mayo Clinic in Rochester, Minnesota. Dr. Noseworthy is the director of the Mayo Clinic Heart Rhythm and Physiological Monitoring Laboratories.

Specific topics discussed:

Critical ingredients necessary to apply AI to the ECG
AI interpretation versus current interpretation software
Improvements to clinical workflow, benefits to staff and added value for clinicians
Potential applications for resource-limited regions of the U.S.
AI as an adjunct to the clinician

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

No CME credit offered for this episode.

Podcast episode transcript found here.