DIVISION OF CARDIOLOGY - SUMMARY OF WEEKLY ROUNDS SCHEDULE MONDAY, JANUARY 11 to FRIDAY, JANUARY 15, 2016 Monday, January 11: 8:00-9:00 12:00-1:30 Aud B UH, B2-116 VH & B2-075 St. Joseph’s OTN Event # 50409338 B6-115 UH OTN Event # 50896815 Cardiovascular Grand Rounds Presenter: D. Spence Title of Presentation: Cardioembolic Stroke: Everything has Changed Learning Objectives: 1. 2. 3. 4. The clinical diagnosis of presumed cardioembolic stroke. The frequency, importance, diagnosis and management of paradoxical embolism. Advances in diagnosis of intermittent atrial fibrillation. The role of renal impairment in understanding importance of homocysteine in stroke from atrial fibrillation. Adult Congenital Cardiac Surgery Rounds - Videoconference from Toronto Cases & Learning Objectives: Case 1 – Dr. Oechslin Dx: Unrepaired cyanotic congenital heart disease. Congenitally corrected transposition of the great arteries. Non-restrictive VSD. Right ventricular outflow tract obstruction. To review echo, MRI and CP study. Conservative management vs surgical repair. Case 2 – Dr. Gordon Dx: TOF with severe PI. Possible Noonan syndrome. Asymptomatic. To review echo and MRI. Interventional referral. Case 3 – Dr. Oechslin Dx: Univentricular heart with absent right ventricular AV connection. VSD. Hypoplastic right ventricle with VA discordance. Subvalvular pulmonary stenosis. RA-to-PA Fontan anastomosis with extracardiac Fontan conversion. Liver cirrhosis. Sinus node dysfunction. To review echo, cath and CT. Surgical referral. Case 4 – Dr. Roche Dx: Repaired coarctation with left subclavian flap. Bicuspid aortic valve post balloon valvotomy. Severe aortic regurg. Mildly dilated proximal ascending aorta. To review cath and MRI. Surgical referral. Case 5 – Dr. Silversides Dx: Secundum ASD. Cor triatrium dexter. To review TEE, echo and MRI. Surgical referral. Tuesday, January 12: 7:00-8:00 B6-115 UH OTN Event # 51364846 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: S. Alghofaili DIDACTIC EDUCATION SESSIONS: Lipids & lipoprotein physiology and metabolism & the biology of atherosclerosis (BSS) Presenter: S. Bakar Faculty Supervisor: G. Wisenberg Learning Objectives: 1. To review normal lipid and lipoprotein absorption, metabolism and elimination. 2. To review lipid metabolism in diseases states. 3. To review the pathobiology of atherosclerosis. 3:00-4:00 B6-128 UH ECHO: Aortic regurgitation Presenter: U. Manian Faculty Supervisor: S. Siu Learning Objectives: 1. Review of aortic regurgitation – acute and chronic forms. 2. Focus on hemodynamics and consequence of aortic regurgitation on cardiac function as assessed by echocardiography. 3. Brief discussion on management options in acute and chronic aortic regurgitation. 4:00-5:00 B6-128 UH Invasive Rounds: Valves II – Mitral Regurgitation Presenter: S. Lavi Wednesday, January 13: 8:00-9:00 12:00-1:00 1:00-4:00 B6-115 UH EP Rounds: Research Rounds Presenters: Attendings & Fellows Learning Objectives: OTN Event # 50200399 1. To review current and active EP research protocols at LHSC. 2. To summarize the findings of current EP research projects at LHSC. 3. To discuss new related research hypotheses and potential projects. B6-115 UH & C2-504 VH Adult Congenital Cardiac Teaching Rounds - Videoconference from Toronto Presenter: J. Granton Title of Presentation: ASD and PAH: When Can We Still Close OTN Event # 46453477 DSB1002 Western PGME Academic Half Day: Managing Politics & Hierarchy Thursday, January 14: 8:00-9:00 5:30 pm B6-128 UH The Springs Restaurant, 310 Springbank Drive, London 519-657-1100 Sponsor: Michael Riley, Novartis Pharmaceuticals Canada Inc. Graphics Rounds: Metabolic/Electrolytes Presenter: R. Yee Journal Club Attendance open to Residents, Fellows and Division Members. RSVP to Charlene Grass (ext. 33830 or email charlene.grass@lhsc.on.ca) Presenter: S. Bakar Faculty Supervisor: P. Diamantouros Paper for Presentation: Randomized Trial of Primary PCI with or without Routine Manual Thrombectomy S.S. Jolly, J.A. Cairns, et al, for the TOTAL Investigators N Engl J Med 2015;372:1389-98 Learning Objectives: 1. To review the history behind manual extraction techniques in primary PCI. 2. To review the prior evidence behind aspiration thrombectomy. 3. To consider how aspiration thrombectomy fits in the interventionalist’s current toolbox. Friday, January 15: 8:00-9:00 B6-128 UH OTN Event # 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: Aegerion Pharmaceuticals (Juxtapid (lomitapide)), Amgen Canada Inc. (Repatha), AstraZeneca Canada Inc. (Brilinta (Ticagrelor)), Bayer HealthCare Pharmaceuticals (XARELTO® rivaroxaban tablet), Boehringer Ingelheim (Canada) Ltd. (Pradax (dabigatran), Twynsta (telmisartan/amlodipine)), Bristol-Myers Squibb Canada & Pfizer Canada Inc., (Eliquis (apixaban)), Medtronic of Canada Inc., Merck (Ezetrol, Olmetec®), Novartis Pharmaceuticals of Candada Inc. (Entresto), Servier Canada Inc. (Coversyl)