DIVISION OF CARDIOLOGY - summary OF WEEKLY ROUNDS SCHEDULE

MONDAY, NOVEMBER 30 to FRIDAY, DECEMBER 4, 2015

Monday, November 30:

8:00-9:00 / Aud B UH,
B2-116 VH &
B2-075
St. Joseph’s
OTN Event #
46508136 / Cardiovascular Grand Rounds Presenter: M. Grattan
Title of Presentation: Aortic Root Dilation – The Silent Killer…..
Learning Objectives:
1. To recognize the importance of aortic root and ascending aorta dilation in the pediatric population.
2. To review common pediatric disorders associated with aortic root and ascending aortic dilation.
3. To discuss recent research on bicuspid aortic valve associated aortopathy.
12:00-1:30 / B6-115 UH
OTN Event #
39269301 / Adult Congenital Cardiac Surgery Rounds - Videoconference from Toronto
Cases & Learning Objectives:
Case 1 – Dr. Oechslin Dx: Cor triatriatum sunistrum. To review cath, echo, MRI and TEE. Management planning.
Case 2 – Dr. Roche Dx: Post Mustard repair of TGA with 2 subsequent baffle revisions. Mild LV dysfunction, moderate RV dysfunction. Generally asymptomatic. To review echo, cath and cardiac CT. Management planning.
Case 3 – Hamilton Dx: Repaired DORV and AVSD. Severe PR and moderate PS. RPA stenosis. Down syndrome. To review echo, CT scan, cath and EST. Surgical referral.
Case 4 – Dr. Wald Dx: Kawasaki disease with giant aneurysm in LMS/LAD. Probable RCA stenosis or occlusion with stress perfusion defect. To review cath, echo, MRI and CT scan. Management planning.
Case 5 – Dr. Wald Dx: SIP Yasui procedure for aortic atresia, VSD, hypoplastic arch (1991). Residual conduit obstruction. Coartaction of the aorta SIP stent (2012). PV stenosis post Coles procedure. LCx to LA fistula. Recurrent syncope. To review cath, echo, MRI, CT scan and CP study. Surgical referral.
Case 6 – Dr. Silversides Dx: Surgically repaired partial AVSD. Residual small ASD at the level of septum primum. Progressive SOB. To review cath, echo, CT scan, EST and CP study. Management planning.
Case 7 – Dr. Silversides Dx: Ebstein anomaly of the tricuspid valve. Bioprosthetic tricuspid valve with moderate to severe TR. Bi-directional Glenn anastomosis. Patch closure of ASD with subsequent fenestration. Right atrial maze procedure. PSVT. To review echo, CT scan and CP study. Surgical referral.

Tuesday, December 1:

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.
2:00-5:30 / B6-128 UH / DIDACTIC EDUCATION SESSIONS:
2:00-4:00 / B6-128 UH / Resident Teaching Session Guest Presenter: H. Leong-Poi
4:30-5:30 / B6-128 UH/
B6-115 UH / Clinical Cardiology Rounds Presenter: U. Manian Faculty Supervisor: G. Jablonsky
Title of Presentation: A Difficult Case of Chest Pain
Learning Objectives:
1. Review current management options for a difficult cardiac condition.
2. Assess etiology of this patient’s cardiac condition.
3. Discuss future direction of care in the patient population.

Wednesday, December 2:

8:00-9:00 / B6-115 UH
OTN Event #
47660335 / EP Rounds: Device Rounds Presenters: Attendings & Fellows
Learning Objectives:
1. To develop a systematic approach to device tracings.
2. To discuss interesting case examples.
3. To review programming features and troubleshooting.
12:00-1:00 / B6-115 UH &
C2-504 VH
OTN Event #
46453024 / Adult Congenital Cardiac Teaching Rounds - Videoconference from Toronto
Presenter: M. Seed
Title of Presentation: Where it all Begins: Fetal MRI, The Other End of the CHD Spectrum

Thursday, December 3:

8:00-9:00 / B6-128 UH / Graphics Rounds: Echo Presenter: D. McCarty
6:30 pm / The River Room – Museum London, 421 Ridout Street, London
519-850-2287
Sponsor:
Suzanne Mather,
AstraZeneca Canada Inc. / Interventional Journal Club/AHA Update Attendance open to Interventional Cardiologists and Fellows, Residents, Research and Cath Lab Staff. RSVP to Charlene Grass (Ext. 33830 or email ).
Presenter: Y. Levi Faculty Supervisor: Shahar Lavi
Paper for Presentation: AHA Update
Learning Objectives:
1. Reviewing the main trials presented during this conference.
2. Reviewing previous data.
3. Implication of these studies on daily practice.
6:30 pm / 583 Eclipse Walk,
London / Electrophysiology Journal Club Attendance open to Electrophysiologists and EP Fellows, Residents and EP Research Staff. RSVP to Charlene Grass (Ext. 33830 or email )
Topic: Catheter Ablation for Persistent AF
Papers to be reviewed:
1. Umjeet Jolly: Approaches to Catheter Ablation for Persistent Atrial Fibrillation A Verma, et al. N Engl J Med 2015;372:1812-22
2. Ali Kazemi Saeid: No Benefit OF Complex Fractionated Atrial Electrogram (CFAE) Ablation in Addition to Circumferential Pulmonary Vein Ablation and Linear Ablation: BOCA Study K Wong, et al. Cir Arrhythm Electrophysiol 2015 Aug 17. pii: CIRCEP.114.002504 (Epub ahead of print)
3. Tuan Nguyen: Proven isolation of the pulmonary vein antrum with or without left atrial posterior wall isolation in patients with persistent atrial fibrillation. R Bai, et al. Heart Rhythm 2015 Aug 13. pii: S1547-5271(15)01033-4. Doi: 10.1016/j.hrthm.2015.08.019 (Epub ahead of print).
4. Kevin Ng: Cryoballoon Ablation for Pulmonary Vein Isolation in Patients With Persistent Atrial Fibrillation: One-Year Outcome Using Second Generation Cryoballoon B Koektuerk , et al. Circ Arrhythm Electrophysiol. 2015;8:1073-1079.
Learning Objectives:
1. To systematically appraise and assimilate scientific evidence from journal articles and how it can be applied to clinical practice and improvement in patient care.
2. To stay up to date with advances in biomedical and clinical evidence and to facilitate self-learning and professional development.
3. To provide a forum for discussion and peer-review between health care professionals on current best practice that is evidence based.

Friday, December 4:

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).