SMH Echo Rounds
Date: Thursday, December 15, 2022 Time: 08:00-09:00 ET Speaker: Ambika Tejpal MD University of Toronto Department of Medicine Cardiology Resident (PGY-4) Objectives: 1. Review the cardiac manifestations of sepsis 2. Discuss the mechanisms underlying cardiac dysfunction in sepsis 3. Discuss echocardiographic findings in sepsis
Date: Thursday, December 8, 2022 Time: 08:00-09:00 ET Speaker: Sameer Kushwaha MD University of Toronto Department of Medicine Cardiology Resident (PGY-5) Objectives: 1. Understand utility and limitations of TTE and TEE for rapid trauma assessment 2. Develop a systematic cardiac-focused approach to assessing the trauma patient 3. Recognize echocardiographic findings of key trauma presentations 4. Understand use of echo for hemodynamic assessment and resuscitation
Date: Thursday, December 1, 2022 Time: 08:00-09:00 ET Speakers: Fotis Katsikeris MD FRCPC Echo Fellow, St. Michael's Hospital Objectives: 1. Describe the cellular process of diastole 2. Outline the phases of diastole 3. Describe the echocardiographic parameters of the diastolic function 4. Review of the current recommendations of assessing diastolic dysfunction
Date: Thursday, November 24, 2022 Time: 08:00-09:00 ET Speakers: Taylor Petropoulos, MD, FRCPC Chief Cardiology Resident, University of Toronto Objectives: 1. Review the types of prosthetic valves 2. Review the Doppler Assessment of prosthetic valves 3. Review prosthetic valve complications 4. Review prosthetic valve monitoring guidelines 5. Review cases
Date: Thursday, November 10, 2022 Time: 08:00-09:00 ET Speakers: Patrick Prudhomme MD FRCPC Objectives: 1. Describe a systematic approach for cardiac mass assessment using echocardiography using case-based Learning. 2. List the possible limitations of echocardiography in performing the diagnosis of cardiac masses.
Core Curriculum Title: Echo assessment of post acute MI mechanical complications Date: October 20, 2022 Speaker: Dr. Hatem Alansari Cardiology Resident, University of Toronto Objectives: 1) Epidemiology and incidence of acute MI mechanical complications 2) Risk Factors for acute MI mechanical complications 3) Differential diagnosis of unstable acute MI 4) Echocardiographic findings of acute MI mechanical complications
Date: Thursday, October 13, 2022 Time: 08:00-09:00 ET Speakers: Waseem Hijazi MD FRCPC Cardiology Resident, University of Calgary Objectives: 1) Review the pathophysiology and epidemiology of cardiac amyloidosis 2) Introduce a case of cardiac amyloid on echocardiography, while reviewing basic principles of 2D, Spectral Doppler and Colour Echo as they apply to the case. 3) Discuss principles of differentiating cardiac amyloidosis from other infiltrative heart diseases/causes of wall thickening. 4) Discuss emerging concepts in evaluation of cardiac amyloidosis by echo.
Speaker: Dr. Ra Han, Pediatric Cardiologist, St. Michael's Hospital and The Hospital for Sick Children Learning Objectives 1) Review the components of a normal pediatric echocardiogram 2) Identify common critical congenital heart defects 3) Recognize red flags requiring urgent communication
Advanced Topics Title: Deciphering the Mystery of Agitated Saline Contrast Speaker: Howard Leong-Poi MD FRCPC FACC FASE, St. Michael's Hospital Objectives: 1) Discuss the basic principles behind agitated saline contrast studies. 2) Review features of intra-cardiac shunting (PFO) vs trans-pulmonary shunting (HHT) 3) Review challenging cases of agitated saline contrast studies
Speaker: Patrick Prud'homme MD FRCPC Echo Fellow, St. Michael's Hosptial Objectives: 1) Describe the strengths and limitations of echocardiography in imaging hypertrophic cardiomyopathy (HCM). 2) Choose alternative or complementary imaging methods in specific settings when evaluating HCM. 3) Identify management-changing imaging findings on echocardiography when considering the most recent guidelines
Advanced Topic Speaker: Géraldine Ong MD FRCPC Cardiologist, Structural Heart Program Staff Echocardiographer, St. Michale’s Hospital Echo Lab. Cardiologist, Structural Heart Program. Staff Echocardiographer, St. Michale’s Hospital Echo Lab Objectives: 1. Discuss the importance of tricuspid regurgitation in patients with heart failure 2. Describe who is suitable for TTVI (transcatheter TV interventions: TEER, TTVR)? 3. Present and discuss interesting cases
Core Curriculum Speaker: Ciara Pendrith MD C1, Cardiology Resident, St. Michael's Hospital Objectives: 1. Discuss etiologies of mitral stenosis 2. Describe the echocardiographic features and grading of the severity of mitral stenosis 3. Discuss etiologies of mitral regurgitation 4. Describe the echocardiographic grading of the severity of mitral regurgitation
Core Curriculum Speaker: Michael Ruiz MD C2, Cardiology Resident, St. Michael's Hospital Objectives: 1. Review principles of cardio-oncology and chemotherapy associated cardiac toxicity 2. Discuss left ventricular systolic function assessment with echocardiography in patients exposed to chemotherapy, including LVEF reproducibility, strain analyses and myocardial work indices 3. Describe the practical utilization of LVEF and strain analyses with chemotherapy management, including prevention and surveillance strategies
Core Curriculum Title: The Physics of echocardiography; How I learned to love AS Objectives: 1. Outline how ultrasound waves are created and used for US imaging 2. Discuss the physics and the relationship between pressure and flow 3. Outline the basic principles of measuring peak and mean pressures by echo 4. Outline the mathematical principles of the continuity equation to assess for valve area 5. Brief discussion about the discrepancies between cath and echo in the evaluation of AS
Core Curriculum Title: Overnight On Call Echo Assessments Date: Thursday, July 21, 2022 Time: 08:00-09:00 ET Speaker: Dr. Carol Graham Cardiology Resident, St. Michael's Hospital Objectives: 1) To recognize clinical situations that require urgent echocardiographic assessment. 2) To List echocardiographic measurements that can aid clinical assessment. 3) To describe pathology identified with echocardiography that require intervention.
peaker: Patrick Prud'homme, Echo Fellow, St. Michael's Hosptial Objectives: 1) Review main physics and pathophysiologic concepts that may contribute to imprecision in measurements during cardiac echocardiography. 2) Discuss common sources of error when assessing specific pathologies. 3) Discuss actions to take when confronted to possible sources of imprecision. 4) Review various pragmatic strategies for quality control and continuous improvements in the echocardiography lab.
Advanced Curriculum Title: Why transcutaneous mitral valve replacement (TMVR) isn’t transcatheter aortic valve intervention (TAVI) yet ? Date: Thursday, June 23, 2022 Time: 08:00-09:00 ET Speaker: Anas Merdad MBBS FRCPC Interventional Echo Fellow, St. Michael's Hospital Objectives: 1) Clinical considerations and indications of TMVR. 2) Pre-procedural evaluation and screening failures. 3) Valve design and future directions.
Speaker: Chi-Ming Chow MD MSc FRCPC FASE FCCS Director of Echo Lab, St. Michael's Hospital Professor in Medicine, University of Toronto Date: June 9, 2022 Objectives: 1) Describe what is amyloid and the cardiac involvement 2) Describe the classic echo features of cardiac amyloid 3) Describe the novel and emerging echo features of cardiac amyloid 4) Describe the artificial intelligence in the assessing cardiac amyloid
Speaker: Vesna Mihajlovic, M.D., FRCPC Cardiology, PGY7 Echocardiography Fellow, St. Michael's Hospital University of Toronto Date: May 19, 2022 Objectives: 1) Review the indications, contra-indications, safety, and diagnostic accuracy of stress echo 2) Review the workflow in a typical exercise stress echo and dobutamine stress echo 3) Review the principles of regional wall motion scoring 4) Review the prognostic implications of a normal and abnormal stress echo, and high risk features 5) Discuss the etiologies of false positive and false negative stress echo, and the prognosis of a false positive stress echo 6) Describe the use of stress echo in the perioperative setting 7) Describe the role of stress echo in the post ISCHEMIA trial era 8) Go over illustrative cases Reference: Guidelines for Performance, Interpretation, and Application of Stress Echocardiography in Ischemic Heart Disease: From the American Society of Echocardiography J Am Soc Echocardiogr. 2020 Jan;33(1):1-41.e8. doi: 10.1016/j.echo.2019.07.001