DIVISION OF CARDIOLOGY - SUMMARY OF WEEKLY ROUNDS SCHEDULE MONDAY, NOVEMBER 9 to FRIDAY, NOVEMBER 13, 2015 Monday, November 9: 8:00-9:00 12:00-1:30 Aud B UH & B2-116 VH Cardiovascular Grand Rounds Presenter: D. Exner Title of Presentation: Risk Evaluation after Myocardial Infarction – Are We Doing Enough? Learning Objectives: OTN Event # 49824958 1. Review the most common modes of death after MI. 2. Appreciate the pros and cons of present risk assessment strategies. 3. Discuss new approaches to identify patients at risk. B6-115 UH Adult Congenital Cardiac Surgery Rounds - Videoconference from Toronto Cases & Learning Objectives: OTN Event # 39269164 Case 1 – Dr. Colman Dx: Repaired truncus arteriosus type II. Asyptomatic severe conduit stenosis. To review echo and MRI. Interventional referral. Case 2 – Dr. Wald Dx: Unrepaired coarctation of aorta. Significant narrowing in the proximal descending aorta. Asymptomatic. To review cath, echo, MRI, and EST. Interventional referral. Case 3 – Dr. Roche Dx: TOF PA. Severe PR. To review cath. Interventional referral. Case 4 – Dr. Bergin Dx: Dextrocardia/L-TGA. Previous ASD suture repair. Asymptomatic. Mod-severe LAVV regurg and decrease systemic right ventricular. To review echo, MRI, and CP study. Surgical referral. Case 5 – Dr. Wald Dx: Coarctation + bicuspid aortic valve and severe AI. To review echo, MRI, CT scan, ETT and CP study. Surgical referral. Tuesday, November 10: 7:00-8:00 B6-115 UH OTN Event # 47648581 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. 2:00-5:00 2:00-3:00 B6-128 UH B6-128 UH DIDACTIC EDUCATION SESSIONS: Resynchronization therapy (CRT) for chronic CHF: Technique, mechanisms, evidence for efficacy Presenter: A. Huitema Faculty Supervisor: G. Jablonsky Learning Objectives: 1. Discuss the technicalities of CRT implementation and therapy. 2. Review the mechanism of resynchronization. 3. Evaluate the guideline recommendations and therapeutic effectiveness of CRT. 3:00-4:00 B6-128 UH Invasive Rounds: Valves II – Mitral Regurgitation Presenter: S. Lavi Wednesday, November 11: 8:00-9:00 12:00-1:00 B6-115 UH B6-115 UH & C2-504 VH EP Rounds No rounds – Remembrance Day Adult Congenital Cardiac Teaching Rounds -Videoconference from Toronto No Rounds – Remembrance Day Thursday, November 12: 8:00-9:00 5:30 pm B6-128 UH The River Room – Museum London, 421 Ridout Street North, London. 519-850-2287 Graphics Rounds: STEMI Presenter: J. Brown Journal Club Attendance open to Residents, Fellows and Division Members. RSVP to Charlene Grass (ext. 33830 or email charlene.grass@lhsc.on.ca) Presenter: B. Al-Sabeq Faculty Supervisor: P. Diamantouros Paper for Presentation: Anticoagulant vs antiplatelet therapy in patients with cryptogenic stroke and patent foramen ovale: an individual participant data meta-analysis. D.M. Kent, I.J. Dahabreh, et al. European Heart Journal (2015) 36.2381-2389. Sponsor: Gregory Herriman, Servier Canada Inc. Learning Objectives: 1. Briefly review previous trials of medical therapy vs mechanical closure in cryptogenic stroke patients found to have a patent foramen ovale (PFO). 2. Review the recent meta-analysis comparing medical therapy strategies in cryptogenic stroke patients with PFOs. 3. Critically appraise the above meta-analysis. Friday, November 13: 8:00-9:00 B6-128 UH 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).