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

Read the rest of this entry »

View full entry · Comment on this

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


September 11th, 2014 · Leave a Comment

Erectile Dysfunction: Harbinger of Heart Disease?

By Amy Beeman

In this video originally posted on TheHeart.org, Dr. Charanjit (Chet) Rihal and Dr. Stephen Kopecky discuss how erectile dysfunction (ED) can be an indicator of coronary disease, especially in middle-aged men.

Dr. Kopecky’s research has shown that men in their 40s with ED have a 40 to 50 times higher risk for coronary disease than other men their age.  Dr. Kopecky encourages physicians to talk with patients about ED and recognize it as a blood flow issue, which may portend coronary disease.

View full entry · Comment on this

Tags: Dr Chet Rihal, Dr Stephen Kopecky, erectile dysfunction, video


September 9th, 2014 · Leave a Comment

Test Your Knowledge Tuesday #17

By Amy Beeman

Dr. Paul Friedman tests us this week on recent clinical trial findings regarding treatment options for atrial fibrillation (AF).

Question:

Which of the following therapies for AF has been shown to reduce the incidence of cardiovascular events (hospitalizations):

A. Sotalol
B. Amiodarone
C. Dronedarone
D. Radiofrequency catheter ablation

Read the rest of this entry »

View full entry · Comment on this

Tags: atrial fibrillation, Dr Paul Friedman, Test Your Knowledge Tuesday


September 4th, 2014 · Leave a Comment

The Heart Beat of Cardiology – Dec. 11-13 in Chicago

By Amy Beeman

HeartbeatBrochurepicMayo Clinic, in conjunction with the University of Chicago Medical Center, will hold its 7th annual The Heart Beat of Cardiology course Dec. 11-13, 2014 in Chicago.

Mayo Clinic cardiologist Dr. Steve Ommen serves as a course director for this premier course on echocardiography in clinical practice.

Unique features of the course include an audience response system to enhance immediate feedback, easy access to faculty members and one-on-one interaction.

This program is designed for adult cardiologists, cardiovascular surgeons, anesthesiologists, radiologists, nurses, cardiac sonographers and fellows in training. Participants should have practical knowledge of echocardiography.

Mayo Clinic College of Medicine designates this live activity for a maximum of 16.75 AMA PRA Category 1 Credits™. A certificate of attendance will be provided for other health care professionals for requesting credits.

Upon completion of the course, participants should be able to:

  • Identify and quantitate valvular heart disease severity, apply current guidelines, and use the ASE standard for quantification
  • Apply conventional and tissue Doppler techniques to diastolic function analysis
  • Interpret stress echocardiographic examinations
  • Differentiate athletes heart from hypertrophic cardiomyopathy
  • Evaluate application of 3-D echocardiography

Registration for this course is online. Click here to learn more or to register.

View full entry · Comment on this

Tags: cardiologist, course, Heart Beat of Cardiology


September 2nd, 2014 · Leave a Comment

Test Your Knowledge Tuesday #16

By Amy Beeman

This week’s board prep topic is pregnancy and the heart. Dr. Heidi Connolly offers a question covering the physiologic changes that occur during pregnancy.

Question:

A 32-year-old female, 22 weeks pregnant, presents for a prenatal evaluation. This is her first pregnancy. She has no symptoms and no known prior cardiovascular disease. She is taking prenatal vitamins.

Her blood pressure is 110/76 mmHg, heart rate is 80 beats per minute. There is a grade 2 systolic murmur detected at the left sternal border. The character does not change with maneuvers. The lower extremity pulses are normal. No abdominal bruits are identified. The rest of the examination is unremarkable. The electrocardiogram is normal.

Which of the following is the most likely cause of the murmur?

A. Physiologic murmur related to pregnancy
B. Mitral valve prolapse with mitral regurgitation
C. Outflow murmur related to hypertrophic cardiomyopathy
D. Aortic valve regurgitation related to bicuspid aortic valve

Read the rest of this entry »

View full entry · Comment on this

Tags: Dr Heidi Connolly, heart murmur, pregnancy, Test Your Knowledge Tuesday


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