Mayo Clinic Cardiovascular CME

Ischemia with No Obstructive Arteries (INOCA) in 2024 

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

Host: Sharonne Hayes, M.D.

INOCA is a common condition. It is an acronym that stands for ischemia with non-obstructive coronary artery disease. We discuss when to consider a diagnosis of INOCA, how to diagnose it and how to treat patients.

Topics Discussed:

• What is INOCA?
• Who is at risk for INOCA?
• How do we manage INOCA?

Statin Myopathy

Guest: Stephen Kopecky, M.D.

Host: Sharonne Hayes, M.D.

Statins are very helpful to lower LDL cholesterol and subsequently lower cardiovascular risk.  Studies of statins have excluded subjects that are statin intolerant which is usually due to muscle symptoms such as aches, called myalgias, muscle cramps, or weakness.  One of the most significant predictors of statin intolerance is the dose -the higher the dose,...

Recent Updates in AF Guidelines

Guest: Christopher DeSimone, M.D., Ph.D.

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

Host: Anthony H. Kashou, M.D.

There have been several recent publications from major societies (ACC/HRS/EHRA/ESC) regarding atrial fibrillation management updates.  These include updates to treatment interventions in patients with AFib such as catheter ablation, medical therapy, heart failure, and timing of intervention.

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Patient Selection and the Role of Echo Imaging for Tricuspid Structural Heart Procedures

Guest: Jeremy Thaden, M.D.

Host: Paul Friedman, M.D.

This podcast will give an overview of the growth of transcatheter structural heart procedures in recent years and the co-evolution of structural heart imaging (echocardiography) for patient selection and guidance.

Topics Discussed:

• Mayo’s experience ...

What is ECG Age Vs. Chronological age, and How to Use it in Your CV Prevention Practice

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

Host: Stephen L. Kopecky, M.D.

After listening to this episode of the CV Prevention segment of Mayo Clinic’s podcast “Interviews with the Experts,” listeners will better understand why it is important to differentiate between biological and chronological age. This is something that may help identify...

Robotic Cardiac Surgery

Guest: Phillip Rowse, M.D.

Guest: Marty Unruh, APRN, C.N.P., D.N.P.

Host: Kyle Klarich, M.D.

In this episode of “Interviews With the Experts,” listeners will hear a discussion on the most important questions patients should ask as they consider whether or not to pursue a robotic-assisted approach for surgical treatment of their valvular heart disease.  It is clarified how robotic heart surgery works, inc...

Anticoagulation with AF and Cancer

Guest: Nicholas Tan, M.D., M.S.

Host: Anthony H. Kashou, M.D.

In today’s episode of ECG Making Waves, Dr. Anthony Kashou interviews Dr. Nicholas Tan on how to manage anticoagulation in patients with cancer. They discuss the importance of appreciating the challenging balance in managing stroke risk in patients with cancer and atrial fibrillation. After listening to this episode, listeners will ...

Ceramide Risk Score: How to Incorporate it Into Your CV Prevention Practice

Guest: Vlad Vasile, M.D., Ph.D.

Host: Stephen L. Kopecky, M.D.

Ceramides score is a blood test used to assess the risk of heart attacks and stroke. Most patients evaluated for cardiovascular risk benefit from this test, particularly patients deemed at intermediate risk by other assessments. Score is reported as numbers: the higher the score, the higher ...

CT Scan for Coronary Artery Calcification Window

Guest: Thomas C. Gerber, M.D., Ph.D.

Host: Stephen L. Kopecky, M.D.

Coronary artery calcification (CAC) scanning can help improving our assessment of the risk of heart attack or stroke in thoughtfully selected patients. Not everyone needs a CAC scan! The results of a CAC scan can be particularly helpful in deciding whether a patient should start medications to reduce their risk. ...

Management of Postoperative Pericarditis.

Guest: Melissa Erdman, P.A.-C.

Guest: Juan Crestanello, M.D.

Host: Sharonne Hayes, M.D.

In this podcast, Mayo Clinic experts explore the complexities of diagnosing and managing postoperative pericarditis, a condition that presents unique challenges compared to other forms of pericarditis. The discussion delves into how this complication differs in presentation and progression, outlines ...

How a Years Worth of Experience of PFA for AF has Revolutionized My Practice

Guest: Christopher DeSimone, M.D., Ph.D.

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

Host: Anthony H. Kashou, M.D.

Patients most commonly have undergone traditional catheter ablation for AF via a thermal energy source. A newer energy modality is called Pulsed Field Ablation – using very high energy pulsation of strong voltages to destroy tissue responsible for ...

Lipoprotein (a) Elevation: What Does it do to CV Risk and What do You Need to Know About Treatment

Guest: Vlad Vasile, M.D., Ph.D.

Host: Stephen L. Kopecky, M.D.

Lipoprotein (a) is a blood biomarker that poses independent risk of heart attacks and stroke when elevated. All patients should be screened for this biomarker. Currently, there are no efficient treatments for lipoprotein (a) elevations, but likely the scenery will chan...

How to Tell Patients about Adding in Intervals to Their Physical Activity Program

Guest: Kate Russell, C.E.P.

Host: Stephen L. Kopecky, M.D.

Intervals are a hugely beneficial addition to any exercise program. As with any exercise topic, finding good information can be difficult and overwhelming. We will discuss how to modify intervals to fit patients of all ages, fitness levels, and limitations

Topics Discussed:

• How do I...

Role of Thrombophilia Testing in Venous Thromboembolism

Guest: Ana Casanegra, M.D., M.S.

Host: Kyle Klarich, M.D.

Thrombophilia testing identifies inherited or acquired conditions that increase the risk of abnormal blood clotting. Sometimes it can help us guide management decisions for patients, but who and when to test are key questions to address before making this decision.

Topics Discussed:

• What is thrombophilia, wha...

Electrophysiology Considerations in Oncology Patients

Guest: Nicholas Tan, M.D., M.S.

Host: Anthony H. Kashou, M.D.

In today’s episode of ECG Making Waves, Dr. Anthony Kashou interviews Dr. Nicholas Tan on how clinicians should consider electrophysiology in the patient with cancer. After listening to this episode, learners will understand the relationship between cancer and heart rhythm disorders, as well as begin to appreciate...

Chronic Total Occlusion in 2025

Guest: Gregory Barsness, M.D.

Host: Malcolm Bell, M.D.

Chronic (>3 months) complete epicardial coronary obstructive lesions, often referred to as CTOs, are recognized in a large minority of those referred for coronary angiography yet historically represent <5% of coronary intervention attempts.  Improving tools, techniques and strategies have allowed greater access to percutaneous managemen...

Supplements for Cardiovascular Prevention

Guest: Lisa M. Gilman, APRN, C.N.P.

Host: Stephen L. Kopecky, M.D.

Supplement use is a growing industry in which patients seek additional potential benefit of reducing disease burden and improving overall health.  This presentation will be an overview of supplements used to address cardiovascular disease prevention

Topics Discussed:

• Our patients will often inquire if there are an...

Role of Genetics in the Heart Failure Clinic

Guest: Naveen Pereira, M.D.

Host: Kyle Klarich, M.D.

Genetic testing for heart failure is most beneficial for patients with cardiomyopathies. It aids in personalized treatment, early diagnosis, and family risk assessment, although its uptake has been slow due to costs, access, and interpretation challenges. Ongoing research into genetic mutations and their role in cardiomyopathy path...

Assessing Recurrence Following Pulsed Field Ablation for Atrial Fibrillation

Guest: Nicholas Tan, M.D., M.S.

Host: Anthony H. Kashou, M.D.

Pulsed field ablation has been rapidly adopted across the United States since FDA approval was granted 1 year ago, due to its excellent acute efficacy, favorable safety profile, and fast workflow. However, recurrences post-ablation are comparable to that of previously established modalities,...