October 21st, 2014 · Leave a Comment
We continue our weekly series testing your CV knowledge. Today, Dr. John Bresnahan offers a case study covering mechanical complications of acute myocardial infarction.
A 76-year-old woman is admitted to your service with an acute inferior myocardial infarction. In addition to chest pain, she complains of shortness of breath. On examination, her blood pressure is 96/50, pulse is 94 and she has an elevated jugular venous pressure to the angle of her jaw in the supine position with the head of bed elevation at 30 degrees. Her lungs are clear and her heart sounds demonstrate normal first and second heart sounds with a soft S3 at the left lower sternal border. No murmurs are noted.
Which of the following drugs would be the most appropriate at this time in the management of this patient?
A. IV furosemide
B. IV phenylephrine
C. Bilevel positive airway pressure
D. Inhaled nitric oxide
E. One liter of IV saline
October 16th, 2014 · Leave a Comment
Mayo Clinic will be hosting three free educational symposia this year at the American Heart Association Scientific Sessions 2014 in Chicago, Nov. 15-19. AMA PRA Category 1 Credits ™ are available for these activities. Registration is available onsite only.
Preventive Cardiology - Trendy Topics in Preventive Cardiology — Saturday, Nov. 15 1:55-4 p.m.
Faculty will discuss topics that are applicable in daily practice. The talks will be case based and provide practical take-home messages for practitioners.
Genetics and Genomics in Cardiovascular Disease: An Update — Sunday, Nov. 16 7-9 p.m.
Session will explore the important role of genetics in the diagnosis and treatment of diseases affecting the heart and major blood vessels. Complimentary dinner will be served.
Hot Topics in Arrhythmia Management: What the Practitioner Needs to Know — Monday, Nov. 17 7-9 p.m.
Experts will use a case-based approach to provide concise updated information in the management of atrial fibrillation, idiopathic ventricular tachycardias, and non-responders to cardiac resynchronization.
For complete information on Mayo Clinic sessions, see our Educational Symposia Brochure.
Hyatt Regency McCormick Place
2233 S. Drive Martin Luther King Jr. Drive
Chicago, IL 60616
All Mayo Clinic Symposia take place in the Regency Ballroom CDE.
While at AHA, visit the Mayo Clinic booth #1017.
For more information on AHA 2014, visit: American Heart Association Scientific Sessions 2014.
October 14th, 2014 · Leave a Comment
This week Dr. Naveen Pereira uses a case study to highlight treatment of systolic heart failure.
A 56-year-old male with a prior history of myocardial infarction presents with progressively increasing dyspnea and edema of lower extremities. An ICD-CRT was implanted two years prior.
Following is his medication regimen:
On examination, he is afebrile, his heart rate is 62, blood pressure is 86/60 mm Hg, jugular venous pressures are significantly elevated with prominent v waves. Lungs are clear, 3/6 pan systolic murmur over the precordium, S3 is present, 3+ pitting edema and cool extremities are noted.
Laboratory tests reveal a hemoglobin of 8, sodium 126 mmol/L, potassium 4.5 mmol/L, BUN 42 mg/dl and creatinine 1.6 mg/dl. His ECG shows a 100 percent A-V-paced rhythm. He was admitted to the hospital for further management.
Regarding treatment for this patient, all of the following statements are true except:
A. Hold or decrease carvedilol until the patient is hemodynamically stable.
B. Right heart catheterization may be indicated.
C. Adding metolazone 5 mg orally daily may improve symptoms.
D. Starting IV low dose dopamine may improve renal blood flow.
E. IV furosemide as a continuous infusion is superior in diuretic efficacy to 12-hour bolus dosing.
October 9th, 2014 · Leave a Comment
By Amy Beeman
In a video originally posted on Medscape’s TheHeart.org, Dr. Robert Simari and Dr. Rajiv Gulati discuss the innovation of renal denervation, a minimally-invasive catheter-based procedure for treating hypertension. Dr. Gulati addresses the ongoing Symplicity-HTN3 trial and where interventional cardiology may be headed in the future.
October 7th, 2014 · Leave a Comment
By Amy Beeman
Today, Dr. Alfredo Clavell offers us a case study on cardiac device and replacement therapy.
A 45-year-old female was transplanted ninety days ago. Two weeks ago, mycophenolate was discontinued due to diarrhea and anemia. She reports feeling unwell the last 48 hours.
She presents with low-grade fever, fatigue and palpitations. An EKG documents right bundle branch block with intermittent high-grade atrioventricular block. Biopsy confirms severe rejection. At this point you should consider:
A. Plasma exchange
C. Methylprednisolone 1mg/kg IV
D. Coronary angiography
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
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
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