DIVISION OF CARDIOLOGY - SUMMARY OF WEEKLY ROUNDS SCHEDULE MONDAY, OCTOBER 19 to FRIDAY, OCTOBER 23, 2015 Monday, October 19: 8:00-9:00 12:00-1:00 12:00-1:30 Aud B UH & B2-116 VH Cardiovascular Grand Rounds Presenter: R. Whitlock Title of Presentation: Challenging Dogma in AF: LAAOS III trial and SOLAR on the horizon. Learning Objectives: OTN Event # 46507325 1. Review current evidence supporting LAA occlusion for stroke prevention. 2. Understand the design of LAAOS III. 3. Review the rationale and design for a stand-alone LAA occlusion trial. Aud C B6-115 UH DOM Therapeutic Session: Aortic Valve Presenter: K. Awan Adult Congenital Cardiac Surgery Rounds - Videoconference from Toronto Cases & Learning Objectives: OTN Event # 39269005 Case 1 – Dr. Hickey Dx: Coarctation repair. Saccular aneurysm at the site of aortic coarctation. To review CT scan and MRI. Surgical referral. Case 2 – Dr. Crean Dx: Prior clipping of multiple coronary cameral fistulae. Now presents with large vascular malformation in the RV. To review echo, cardiac MR, CT, cath and stress nuclear study. Management planning. Case 3 – Dr. Horlick Dx: Coarctation of the aorta, treated with stenting in 1996/97. Psuedoaneurysm across the stented segment. To review cath, echo and CT scan. Interventional referral. Case 4 – Dr. Horlick Dx: 23 year old female born with aortic stenosis and coarctation of the aorta. Repair with end-end anastomosis and aortic valve repair in 1992. Ross-Konno in 1997. Percutaneous PVR in 2009 for pulmonary regurg. Extertional chest pain. To review cath, echo, MRI and CP study. Surgical referral. Case 5 – Dr. Roche Dx: 48 year old female with trisomy 21, post repair of partial AVSD and subsequent left AV mechanical valve replacement. LV apical aneurysm; unrepaired coarctation of the aorta. Mild hypertension. To review cath, echo and CT scan. Interventional referral. Case 6 – Dr. Roche Dx: Metalic mitral valve since 1995. Chronic moderate mitral stenosis. Small hemodnamically insignificant residual restrictive peri-membranous VSD. Asymptomatic. To review TEE and cath. Management planning. Tuesday, October 20: 7:00-8:00 B6-115 UH OTN Event # 47647925 Complex Revascularization Rounds Presenters: CV Surgeons & Interventional Cardiologists Faculty Supervisors: D. Nagpal & P. Garg Case-based presentation and discussion Learning Objectives: 1. To develop a systematic approach to interpretation of coronary angiograms. 2. To discuss interesting case examples and their management. 3. To apply an evidence-based approach to complex revascularization cases in order to improve outcomes. 12:00-1:00 2:00-5:00 2:00-3:00 Aud C UH B6-128 UH B6-128 UH DOM ECG Session Presenter: EP Fellow DIDACTIC EDUCATION SESSIONS: Management of CHF: Pharmacology of digitalis and digoxin toxicity Presenter: B. Al-Sabeq Faculty Supervisor: S. Lavi Learning Objectives: 1. Review the mechanism of action of digoxin responsible for its therapeutic effects. 2. Highlight the need for vigilance when prescribing digoxin due to its complex drug interactions and narrow therapeutic range. 3. Review the diagnosis and management of digoxin toxicity with an emphasis on cardiac manifestations and indications/dosing of anti-digoxin Fab fragments. 3:00-4:00 B6-128 UH Management of CHF: Overall strategy: Evidence-based treatment approach Presenter: U. Manian Faculty Supervisor: L. Bergin Learning Objectives: 1. Review major trials that have influenced current pharmacological therapy of CHF and go over latest CCS guidelines. 2. Review trials of device therapy in CHF. 3. Look at future directions of CHF management and current gaps in therapy. 4:00-5:00 B6-128 UH Nuclear Rounds Presenter: W. Vezina Wednesday, October 21: 8:00-9:00 12:00-1:00 B6-115 UH EP Rounds: Device Rounds Presenters: Attendings & Fellows Learning Objectives: OTN Event # 47659236 1. To develop a systematic approach to device tracings. 2. To discuss interesting case examples. 3. To review programming features and troubleshooting. B6-115 UH & C2-504VH Adult Congenital Cardiac Teaching Rounds: Videoconference from Toronto Presenter: Dr. St. Jacques, Dr. Styra and Ms. Bailey Title of Presentation: Modified Yoga program (MY program) post cardiac surgery. OTN Event # 46452871 Thursday, October 22: 8:00-9:00 B6-128 UH Graphics Rounds: Cath Presenter: P. Teefy Friday, October 23: 8:00-9:00 B6-128 UH OTN Event # 48169499 EP Tracing Rounds: Case Presentations with ECG and Intra-cardiac tracings Presenters: Attendings & Fellows Learning Objectives: 1. To develop a systematic approach to EP tracings. 2. To discuss interesting case examples. 3. To review electrophysiology principles and concepts. Some of these educational activities/rounds are an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada, approved by the Division of Cardiology Education Committee - Western University. Supported by unrestricted grants-in-aid provided by: AstraZeneca Canada (Crestor®, Brilinta (Ticagrelor)), Bayer HealthCare (XARELTO® rivaroxaban tablet), Boehringer Ingelheim (Canada) Ltd. Pradax (Dabigatran), Twynsta (telmisartan/amlodipine)), Bristol-Myers Squibb Canada & Pfizer Canada Inc., (Eliquis (apixaban)), Medtronic Canada Ltd., Merck (Ezetrol, Olmetec®), Servier Canada Inc. (Coversyl).