Chronic Thrombo-Embolic Pulmonary Hypertension

Guest: Robert P. Frantz, M.D.

Host: Kyle Klarich, M.D.

In this episode, the experts discuss chronic thrombo-embolic pulmonary hypertension. Chronic thromboembolic pulmonary hypertension results from unresolved emboli in the lungs, causing increased resistance, right heart strain, and shortness of breath. Listeners will learn more about three different treatments available, including surgery, balloons, and medication.

Topics Discussed:

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.

Arrhythmias in Pregnancy

Guest: Katie A. Young, M.D.

Guest: Abhishek J. Deshmukh, M.B.B.S.

Host: Paul A. Friedman, M.D.

This episode dives into the complex and fascinating world of arrhythmia management during pregnancy, exploring how unique physiological changes can increase arrhythmia risk and impact treatment approaches. We’ll discuss common and high-risk arrhythmias, management strategies and the importance of a collaborative care approach involving specialists across disciplines.

Topics Discussed:

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.

AI ECG Updates

Guest: Francisco Lopez-Jimenez, M.D., M.S. 

Host: Anthony H. Kashou, M.D. 

There have been many recent developments regarding AI-ECG, with some algorithms able to identify common and very relevant medical conditions like CAD and diastolic disfunction. There are major limitations implementing AI-ECG, including regulatory, technical and clinician-related. Algorithms meant to detect rare diseases, when used indiscriminately, may lead to many false positive results. The future of AI-ECG is optimizing its implementation through seamless integration in workflows, use of point of care or wearables getting ECG signals, and using multimodality AI, where AI-ECG would be just one of several signals used to detect cardiac and non-cardiac conditions, aging, and to predict cardiovascular events. 

Topics Discussed:

• What is new on AI ECG these days? What new algorithms have been developed that you see may change clinical practice in the future? (although structured as 2 questions, its actually one)

LinkedIn: Mayo Clinic Cardiovascular Services

Podcast episode transcript found here.

Optimal Medical Therapy in Peripheral Artery Disease

Guest: Stan Henkin, M.D.

Host: Malcolm R. Bell, M.D.

Atherosclerosis of peripheral (ie, non-coronary) arteries, also known as peripheral artery disease (PAD), affects more than 8 million Americans. Unfortunately, compared to coronary artery disease (CAD), PAD is often underdiagnosed and undertreated. In this podcast, experts discuss optimal medical therapy in patients with PAD.

Topics Discussed:

• What is peripheral artery disease? What are the most common symptoms of PAD?

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.

Dyspnea After Pulmonary Embolism: Optimal Medical Therapy in Peripheral Vascular Disease

Guest: Stan Henkin, M.D.

Host: Malcolm R. Bell, M.D.

Historically, majority of clinical and research focus has been on acute management of pulmonary embolism (PE). However, long-standing functional impairment after PE is common, occurring in up to 50% of individuals with history of PE. This is termed post-PE syndrome – an underrecognized, underdiagnosed, and undertreated entity. In this podcast, experts discuss epidemiology, pathophysiology, diagnosis, and treatment of post-PE syndrome.

Topics Discussed:

• What is Post-PE syndrome? How common 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.

MINOCA: Myocardial Infarction with Non-Obstructive Coronary Arteries

Guest: Claire E. Raphael, M.B.B.S., Ph.D.

Host: Sharonne Hayes, M.D.

MINOCA is a myocardial infarction with no obstructive coronary artery disease.  This podcast will discuss the underlying causes of MINOCA, how to and who to investigate and discuss contemporary management strategies.

Topics Discussed:

• What is MINOCA?

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.

An AI-ECG Algorithm for Left Ventricular Diastolic Dysfunction

Guest: Jae Oh, M.D. 

Host: Anthony H. Kashou, M.D. 

Diastolic function assessment is crucial in diagnosing, managing, and predicting outcomes in various cardiac conditions. It provides insight into heart health, particularly in diagnosing heart failure. Shortness of breath, a common patient complaint, often indicates elevated diastolic filling pressure if linked to a cardiac condition. Echocardiography is the primary method for assessing diastolic function, but it is operator-dependent and not always available. In contrast, ECGs are standardized and widely accessible. Although subtle changes in ECGs are not easily detectable by the human eye, artificial intelligence can identify specific conditions reflected in the ECG. By training an AI model with labeled ECGs based on diastolic function determined through echocardiography, researchers achieved high accuracy in detecting diastolic dysfunction. AI-enhanced ECGs can significantly impact the identification of both asymptomatic and symptomatic cardiac conditions, potentially streamlining diagnostic strategies and reducing costs. Future developments may enable patients to monitor their heart health using simple wearable devices, enhancing the management of heart failure and other conditions.

Topics Discussed:

• Your special clinical academic interest is echocardiography. Why are you interested in ECG AI in diastolic function?

LinkedIn: Mayo Clinic Cardiovascular Services

Podcast episode transcript found here.

Novel Mitral Therapies

Guest: Arman Arghami, M.D., M.P.H.

Guest: Mayra Guerrero, M.D.

Host: Kyle Klarich, M.D.

And the end of this podcast, the listener should understand how to identify new minimally invasive procedures to treat patients with mitral valve disease, delineate the difference between minimally invasive surgery versus percutaneous transcatheter interventions for mitral valve disease, and recognize when to refer patients for mitral valve interventions.

Topics Discussed:

• What are the minimally invasive intervention options to treat patient with mitral valve 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.

Myocarditis - Presentation and Recent Advances

Guest: Drew Rosenbaum, M.D. 

Host: Sharonne Hayes, M.D.

Through this podcast, listeners should understand how myocarditis manifests, both in the hospitalized patients as well as in clinical practice in order to facilitate recognition of the disease to initiate the appropriate work and achieve a diagnosis.  The treatment strategies depend highly on the underlying condition.  Although current strategies for treatment are evolving, a conceptual framework for which patients may benefit from anti-inflammatory therapies and which may not is critical to appropriate select therapies for patients affected by myocarditis.

Topics Discussed:

• What is the spectrum of manifestations of myocarditis?

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.

Valve Disease in Pregnancy

Guest: Katie Young, M.D.

Hosts: Sharonne Hayes, M.D.

In this podcast we will review the medical management of native valvular heart disease in pregnancy, highlighting the importance of specialized care through a Pregnancy Heart Team approach.

Topics Discussed:

• What are the anticipated physiologic changes of pregnancy and their importance to individuals with valvular heart 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.