Mayo Clinic Cardiovascular CME

Pre-Pregnancy Risk Assessment for CV Patients

Guest: Katie A. Young, M.D.

Hosts: Malcolm R. Bell, M.D.

In this podcast we will review the importance of specialized care in Cardiovascular Obstetrics and the role of the Pregnancy Heart Team in pregnancy risk assessment and pre-conception counseling.

Topics Discussed:

• With maternal mortality rates being 2 fold higher in the US compared to other developed countries, how can we work to decrease maternal mortality rates?

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.

Cardio-oncology: What is the Big Picture, What Drugs to Use, and What Tests to Follow

Guest: Chadi Ayoub, M.B.B.S., Ph.D.

Hosts: Sharonne N. Hayes, M.D.

In this podcast, we will describe more frequent cardiotoxic effects associated with cancer therapies. Identify imaging modalities that can be used to detect and evaluate cardiotoxicity and common adverse cardiac events associated with immune checkpoint inhibitors. As well review currently available treatment options to address cardiovascular toxicity.

Topics Discussed:

• What are the main chemotherapy agents that cause cardiotoxicity?What testing can be done to screen for and diagnose cardiotoxicity, and when should it be done?

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.

Clinical Quantification of Myocardial Blood Flow Using PET

Guest: Panithaya Chareonthaitawee, M.D.

Hosts: Malcolm R. Bell, M.D.

In this podcast, we will describe the clinical applications of PET MBF quantitation and discuss the strengths and limitations of PET MBF quantification.

Topics Discussed:

• Why has PET myocardial perfusion imaging seen such growth?

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.

3D Visualization of the Heart in Immersive Technology Like Mixed Reality

Guest: Dr. Klaudia Proniewska

Host: Anthony H. Kashou, M.D. 

The most commonly applied way of teaching students the foundations of human anatomy and physiology involves textbooks and lectures. This method of transmitting knowledge causes difficulties for students, especially in the context of three-dimensional imaging of organ structures, and as a consequence, translates into difficulties with imagining them. Even with the rapid uptake of knowledge dissemination provided by online materials, including courses and webinars, there is a clear need for learning programs featuring first-hand immersive experiences tailored to individual study paces. In my research, I present an approach to enhance a classical study program by combining multi-modality data and representing them in a Mixed Reality (MR)-based environment. The advantages of the proposed approach have been proven by the conducted investigation of the relationship between heart anatomy, its electrophysiological characteristics, and resulting wave morphology on the electrocardiogram (ECG). Another part of the research focuses on the role of the anatomy of the heart, e.g., the sinoatrial node, in ECG formation, while the MR-based visualization of combined imaging data with non-invasive CineECG (by Peter van Dam) imaging demonstrates the educational application of these advanced technologies for teaching cardiac anatomy and ECG correlations.

Topics Discussed

• Can you explain why three-dimensional structures are important to teach electrophysiology of the heart?

LinkedIn: Mayo Clinic Cardiovascular Services

Podcast episode transcript found here.

Marfan Surgery

Guest: Alberto Pochettino, M.D.

Hosts: Paul A. Friedman, M.D.

Topics Discussed:

• Which patients with Marfan syndrome should be evaluated for aortic disease?

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.

Hypertensive Disorders of Pregnancy and CV Risk 

Guest: Thais D. Coutinho, M.D.

Hosts: Paul A. Friedman, M.D.

Hypertensive disorders of pregnancy are common and are associated with a significant increase in the risk of future cardiovascular diseases. Despite the well-established statistics, this increase in risk is not well recognized by patients or healthcare providers. The objectives of this podcast are to highlight the cardiovascular risks associated with hypertensive disorders of pregnancy, describe strategies to identify and mitigate this risk, and identify knowledge gaps and research opportunities in the field.

Topics Discussed:

• Can you explain what are the hypertensive disorders of pregnancy?

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.

Genomics in Inflammatory Cardiomyopathies

Guest: Naveen L. Pereira, M.D.

Hosts: Kyle W. Klarich, M.D

Patients with heart failure and ventricular arrhythmias can have inflammatory heart disease such as myocarditis or sarcoidosis. The diagnosis is typically made by imaging studies including cardiac MRI and PET scans. However, it is critical to performed genetic testing in such patients given that genetic cardiomyopathy can often present as an inflammatory heart disease phenotype which may have important prognostic and therapeutic implications.

Topics Discussed:

• How do inflammatory cardiomyopathies typically present? When do you suspect inflammation as a cause of cardiomyopathy?

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.

Understanding ECG Waveforms: Normal vs. Abnormal

Guest: Dr. Peter van Dam

Host: Anthony H. Kashou, M.D. 

The ECG interpretation is majorly driven by event detection, i.e. QRS onset and end, QT time, P wave etc. From these we can determine the normal heart rhythm, and some performance measures, like heart rate etc. The ECG waveforms, however, are much less understood. This is a pity, as ECG waveforms, provide instantaneous information on the electrophysiological and structural function of the heart. In this respect it is interesting to know if there is something like a normal ECG waveform or normal PathECG (CineECG). This latter technique is a vector-based method to estimate the electrical position of a moving vector within the heart. Similar normal distributions can be created to compare to the normal ECGs.

• How can we define a normal ECG waveform? (ECGs from healthy normal people for different age groups, I used about 6000 normal ECGs, correction for heart rate by resampling to standard QT time (400 ms for instance, these ECGs can be used to create a distribution of amplitudes and derived signals (CineECG) to compare an ECG too)

LinkedIn: Mayo Clinic Cardiovascular Services

Podcast episode transcript found here.

Recurrent Pericarditis: when is surgical pericardiectomy indicated

Guest: Kevin L. Greason, M.D.

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

Upon completion of this podcast, the reviewer will understand that pericardiectomy is an important treatment option for patients with recurrent pericarditis, particularly where refractory to medical therapy. The outcomes of surgery are good with low morbidity and reduction of recurrent pericarditis episodes.

Topics Discussed:

• Which recurrent pericarditis patients should have pericardiectomy and How effective is it?

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.

Surgical Pericardiectomy for Constrictive Pericarditis

Guest: Kevin L. Greason, M.D.

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

Upon completion of this podcast, the reviewer will understand that pericardiectomy is an important treatment option for patients with constrictive pericarditis. Extensive and complete pericardial resection is important to ensure good surgical outcomes and resolution of heart failure.

Topics Discussed:

• When is a pericardiectomy indicated?

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.