DIVISION OF CARDIOLOGY - SUMMARY OF WEEKLY ROUNDS SCHEDULE MONDAY, DECEMBER 7 to FRIDAY, DECEMBER 11, 2015 Monday, December 7: 8:00-9:00 12:00-1:00 12:00-1:30 Aud B UH, B2-116 VH, & B2-075 St. Joseph’s OTN Event # 46508230 Aud C UH B6-115 UH OTN Event # 39269322 Cardiovascular Grand Rounds Presenter: M. McDonald Title of Presentation: The Machine Scene in Advanced Heart Failure: Case-based approach to critically sick patients Learning Objectives: 1. To discuss the appropriate use of different devices for patients with advanced heart failure. 2. To describe the limitations of current device technologies. 3. To develop an approach for supporting patients in critical cardiogenic shock. DOM Therapeutic Session: CAD Revascularization Presenter: Y. Parviz Adult Congenital Cardiac Surgery Rounds – Videoconference from Toronto Cases & Learning Objectives: Case 1 – Dr. Silversides Dx: Ebstein anomaly of the tricuspid valve. Bioprosthetic tricuspid valve with mod-severe TR. Bidirectional Glenn anastomosis. Patch closure of ASD with subsequent fenestration. Right atrial maze procedure. Paroxysmal supraventricular tachycardia. To review echo, CT scan and CP study. Surgical referral. Case 2 – Dr. Crean Dx: CCTGA with unrepaired VSD and sub PS. To review cath, echo, MRI and CP study. Management planning. Case 3 – Dr. Oechslin Dx: Post repair double outlet RV, reconnection of LPA to MPA-RPA confluence. RVOT reconstruction with monocusp transannular patch. Severe dilatation of RV. Mod-severe tricuspid regurg. Severe pulmonary regurg. To review echo, cath and MRI. Surgical referral. Case 4 – Dr. Wald Dx: Late repair of DORV with superior-inferior relationship. Subaortic and mid-muscular VSDs, RV-PA obstruction. LPA narrowing with flow redistribution. Possible residual muscular VSD. Symptomatic with decreased exercise capabilities. To review cath, echo, MRI, EST and CP study. Management planning. Case 5 – Dr. Roche Dx: Tricuspid atresia post Bjork Fontan, complicated by severe LV dysfunction, moderate RV dysfunction, mild MR and chronic atrial fibrillation. To review cath, echo, MRI, CT scan and CP study. Management planning. Case 6 – Dr. Silversides Dx: Secundum ASD. Cor triatrium dexter. To review TEE, echo and MRI. Surgical referral. Tuesday, December 8: 7:00-8:00 B6-115 UH OTN Event # 47649104 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: Cardiac transplantation: Indications, workup and acute transplant management Presenter: S. Alghofaili Faculty Supervisor: W. Kostuk Learning Objectives: 1. Review indications of cardiac transplantation. 2. Review contraindications of cardiac transplantation. 3. Review acute complications of cardiac transplantation. 3:00-5:00 B6-128 UH OSCE Presenter: P. Teefy Wednesday, December 9: 8:00-9:00 12:00-1:00 B6-115 UH EP Rounds: M&M Rounds Presenters: Attendings & Fellows Learning Objectives: OTN Event # 47660532 1. To review recent procedural complications and deaths. 2. To review the current literature surrounding such complications. 3. To discuss methods to minimize and avoid such complications. B6-115 UH & C2-504 VH Adult Congenital Cardiac Teaching Rounds - Videoconference from Toronto Rounds cancelled Thursday, December 10: 8:00-9:00 5:30 pm B6-128 UH The Springs Restaurant, 310 Springbank Drive, London 519-657-1100 Sponsor: Jon Newkirk, Amgen Canada Graphics Rounds: Technical Issues Presenter: L. Gula Journal Club Attendance open to Residents, Fellows and Division Members. RSVP to Charlene Grass (Ext. 33830 or [email protected]) Presenter: A. Sachedina Faculty Supervisor: P. Diamantouros Paper for Presentation: Effect of PCI on Long-Term Survival in Patients with Stable Ischemic Heart Disease S.P. Sedis, MD, et al. N Engl J Med 2015;373:1937-46 Learning Objectives: 1. To briefly review the evidence previously published regarding invasive vs medical management for stable angina. 2. To discuss this publication examining long-term survival in patients who have previously received invasive vs medical management for stable angina. 3. To critically appraise this publication. Friday, December 11: 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: Amgen Canada (Repatha), 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).