September 30th, 2014 · Leave a Comment

Test Your Knowledge Tuesday #20

By Amy Beeman

Dr. Carole Warnes tests us this week with a case study on congenital heart disease.

Question:

A 50 year-old man presents with increasing dyspnea over the last three years with occasional dizziness. He was diagnosed with some type of congenital heart disease in childhood but had no follow-up after being told he was "fine." His ECG is shown.

tykt-20

 

 

 

 

 

 

 

 
 

 

 

The most likely diagnosis is:

A. Ebstein’s anomaly
B. Congenitally corrected transposition
C. Eisenmenger syndrome
D. Tetralogy of Fallot
E. Tricuspid atresia

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Tags: congenital heart disease, Dr Carole Warnes, Test Your Knowledge Tuesday, TYKT


September 23rd, 2014 · Leave a Comment

Test Your Knowledge Tuesday #19

By Amy Beeman

Today Dr. Peter Brady offers a case study on the use of antiarrhythmic drugs.

Question:

A 55 year-old male comes to your office for follow-up. He was recently started on flecainide 100 mg twice daily for recurrent (symptomatic) atrial fibrillation (AF). He is tolerating the drug well and has experienced no further episodes.

His past medical history includes hypertension, coronary artery disease (CAD) with prior myocardial infarction (MI) and COPD. His renal function is normal.

What do you advise at this point?

A. Continue the current course of treatment, see again in 3 months
B. Switch to propafenone
C. Switch to amiodarone
D. Consider dofetilide

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Tags: atrial fibrillation, CAD, COPD, Coronary Artery Disease, Dr Peter Brady, hypertension, myocardial infarction, Test Your Knowledge Tuesday, TYKT


September 22nd, 2014 · Leave a Comment

Mayo Clinic CV Board Review Course Now Available Online

By Amy Beeman

cvbr-online
Mayo Clinic’s popular CV Board Review course is now available in an online, interactive format. This course provides the cardiologist and internist with an overview of all aspects of cardiovascular medicine. Well-known experts in give in-depth didactics via streaming video.

Each lecture has a pre- and post- question and answer session. This course is designed specifically to prepare the cardiovascular specialist for the Cardiovascular Boards. But the course also provides the practicing cardiologist or internist with an update on the latest knowledge and advances in cardiovascular medicine.

Product features include:

  • Board review course videos
  • Personalized online study guide
  • Self assessment test
  • 150+ ABIM-approved MOC medical knowledge questions
  • Access to slides via PDF format
  • Online ECG coding module

To purchase the course, visit Mayo Clinic’s CV CME Self Study information page

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September 18th, 2014 · Leave a Comment

Repair or Replace: A Discussion on Mitral Valve Treatment

By Amy Beeman

In this video originally posted on Medscape’s TheHeart.org, Dr. R. Jay Widmer and Dr. Rakesh Suri discuss the findings from a recent study comparing valve repair with valve replacement in patients with severe ischemic mitral regurgitation.

Follow Dr. Widmer on Twitter:  @DrArgyle

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Tags: Dr R Jay Widmer, Dr Rakesh Suri, ischemic mitral regurgitation, mitral valve treatment, video


September 16th, 2014 · Leave a Comment

Test Your Knowledge Tuesday #18

By Amy Beeman

For our latest board prep question, Dr. Nandan Anavekar offers a case study:

Question:

An 86-year-old woman with a past medical history of significant hypertension presents with inferior STEMI. At angiography the culprit lesion is found to be the distal RCA. She is treated with stent placement and appropriate adjunctive medical therapy. She has an uneventful course and is up walking by day two of hospitalization.

Prepatory to dismissal, she is undergoing left ventricular functional assessment with transthoracic echocardiography, and is found to have a small pericardial effusion. Subsequently, she feels nauseous, becomes pale and loses consciousness. Which of the following is the most likely etiology of her current presentation?

A. Ventricular septal defect
B. Vasovagal syncope from too much pressure from the echo probe
C. Free wall rupture
D. Papillary muscle rupture
E. Complete heart block

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Tags: Dr Nandan Anavekar, hypertension, STEMI, Test Your Knowledge Tuesday, TYKT


Upcoming Events

Update in Nephrology and Kidney Transplantation
September 19 - 20, 2014

Echo at the Arch: Practical Review of Valvular Heart Disease
September 20 - 21, 2014

Cardiovascular Review for the Cardiology Boards and Recertification - Online
September 22, 2014 - October 9, 2015

Mayo Clinic Interventional Cardiology Board Review
September 26 - 28, 2014

Advances in Cardiovascular Pathophysiology and Emerging Novel Therapeutic Strategies
October 10 - 11, 2014

Echo in Pediatric and Adult Congenital Heart Disease Symposium
October 15 - 19, 2014

Advanced Catheter Ablation: New Tips, Techniques, and Technologies for Complex Arrhythmias
October 18 - 21, 2014

Cases in Echocardiography, Cardiac CT, and MRI
October 22 - 25, 2014

Innovation Summit: Cardiology + Structural Heart Disease
November 5 - 6, 2014

Coronary Artery Disease: Case-Based Learning
November 21 - 23, 2014

Echo on Marco Island: Case-Based Approach
December 4 - 7, 2014

The Heart Beat of Cardiology
December 11 - 13, 2014

Cardiology Update at South Beach: A Focus on Prevention
January 7 - 10, 2015

Hawaii Heart 2015
January 26 - 30, 2015

Arrhythmias & the Heart: A Cardiovascular Update
February 2 - 6, 2015

Cardiovascular Conference at Snowbird
February 13 - 16, 2015

Cardiology at Cancun: Topics in Clinical Cardiology
February 23 - 27, 2015

Echocardiographic Workshop on 2-D and Doppler Echocardiography at Vail
March 9 - 12, 2015

Heart Failure Management for Nurse Practitioners, Physician Assistants, and Primary Care Providers
March 19 - 21, 2015

Innovative Valve and Structural Heart Disease
April 2 - 4, 2015

Case Studies from the Heart of Manhattan: A Mayo Clinic Cardiovascular Update
April 16 - 18, 2015

Imaging in Adult Congenital Heart Disease: Pearls for All Cardiac Providers
April 24 - 26, 2015

Echocardiography in the Nation's Capital
May 8 - 10, 2015