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What Do I Need to Know About Pulsed Field Ablation? Guest: Christopher DeSimone, Host: Anthony Kashou, M.D. In this episode of “ECG Making Waves, hosted by Dr. Anthony Kashou with guest Dr. Christopher DeSimone, the focus is on understanding the evolution of ablation technology, particularly why the field has shifted toward pulsed field ablation. The conversation explores the key differences between traditional thermal ablation methods and pulsed field ablation, highlighting mechanisms, safety profiles, and clinical advantages. Additionally, it provides insight into what patients and clinicians can expect on the day of an ablation procedure, as well as important considerations for post-procedure follow-up and recovery. Topics Discussed: What is pulsed field ablation? What are some of the differences between risks seen with thermal ablation vs. those seen with pulsed field ablation? How does efficiency of the procedure or speed of the procedure change what you do for ablation? Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here. Recorded on: 28-January-2026

Cardiovascular Care of the Masters Athlete Guest: Kathryn Larson, M.D. Host: Sharonne Hayes, M.D. In this podcast, Dr. Kathryn Larson will discuss current research on the influence of exercise on cardiovascular physiology and health. Specifically, she will discuss her research on the effects of life-long endurance exercise exposures on cardiac function and exercise capacity, particularly as it pertains to female masters athletes. This unique population can serve as an important model of healthy cardiovascular aging and offer therapeutic insights into how exercise truly is an effective therapy. Topics Discussed: On a “big picture” scale, what is interesting and unique about older adults who continue to maintain a high level of exercise training? Aging and the accumulation of cardiac and non-cardiac diseases clearly impact cardiovascular function over time. What lessons can we learn from masters athletes on how things like aging, menopause, and cardiovascular disease interact with a life-long habit of exercise? What are some of the challenges that come with studying masters athletes? Is there such a thing as “too much exercise?” Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here. Recorded on 09-December-2026.

Pregnancy, Labor and Delivery, and Postpartum Care in Women with Cardiovascular Disease Guest: Carl Rose, M.D. Guest: Katie Young, M.D. Guest: Katherine Arendt, M.D. Host: Marysia Tweet, M.D., M.S. Where patients deliver babies matters, particularly for women with cardiac disease. In this episode, Dr. Marysia Tweet interviews three experts on CVD, OB, and anesthesia. High-risk centers provide 24/7 in-house obstetric anesthesia and multidisciplinary resources that support anticipatory planning and rapid response to obstetric, cardiovascular, and anesthesia emergencies during labor and delivery. Whenever possible, cardiac obstetric patients should be managed by a multidisciplinary Pregnancy Heart Team from preconception to delivery to optimize planning and outcomes. Topics Discussed: Role of an obstetric anesthesiologist on a labor and delivery unit Coordination of cardiology, OB anesthesia, MFM, and nursing care during labor and delivery Cardiac indications for assisted vaginal delivery and cesarean delivery Telemetry and ICU level monitoring postpartum Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here. Recorded on: 19-February-2026

AI ECG for Valvular Disease and Diastolic Function Guest: Jae Oh, M.D. Host: Kyle Klarich, M.D. In this episode of “Interview With the Experts,” Dr. Kyle Klarich interviews Dr. Jae Oh on the use of AI ECG in his practice. ECG is widely available and standardized. AI ECG can be used for screening important left heart conditions and helpful in identifying asymptomatic patients with significant diastolic dysfunction or aortic stenosis. AI ECG can be a useful prognostic parameter when applied appropriately. Topics Discussed: How did you get involved in AI ECG for diastolic function and AS? How did you develop AI ECG algorithms? How does AI ECG perform for diastolic function and AS? What do you think is the optimal clinical application of AI ECG? Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here. Recorded on: 02-October-2025

Preconception Counseling for High-Risk Women Guest: Katie Young, M.D. Guest: Carl Rose, M.D. Host: Marysia Tweet, M.D. Preconception counseling for high-risk women focuses on identifying and optimizing cardiovascular, metabolic, and medical conditions before pregnancy to reduce maternal and fetal risk. This podcast highlights risk stratification, medication review, and delivery planning considerations that can meaningfully improve pregnancy and postpartum outcomes. Topics Discussed: Core components of a comprehensive preconception evaluation How do tools like modified WHO classification and CARPREG II inform counseling? Cardiac medications and pregnancy Cardiovascular surveillance across pregnancy in high-risk patients 2025 ESC Guidelines for the management of cardiovascular disease and pregnancy: https://academic.oup.com/eurheartj/article/46/43/4462/8234487 Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here. Recorded on: 08-January-2026

Common Scenarios in ACHD Guest: Maan Jokhadar, M.D. Host: Malcolm Bell, M.D. In this third and final episode discussing ACHD, Drs. Bell and Jokhadar review practical management considerations for adults with congenital heart disease, focusing on common conditions encountered in general cardiology and primary care. The discussion highlights bicuspid aortic valve disease and associated aortopathy, repaired tetralogy of Fallot and coarctation of the aorta, prosthetic valve management, anticoagulation and bridging decisions, and current recommendations for endocarditis prophylaxis. Emphasis is placed on surveillance, complication prevention, and thoughtful risk–benefit assessment in routine and procedural care. Be sure to listen to the previous two episodes, “The Hospitalized ACHD Patient” and “ACHD for the Primary Care Provider.” Topics Discussed: Bicuspid Aortic Valve (BAV) Coarctation of the Aorta (COA) Tetralogy of Fallot (TOF) Mechanical and Bioprosthetic Valves Anticoagulation Management Subacute Bacterial Endocarditis (SBE) Prophylaxis Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here. Recorded on: 04-November-2025

Menorrhagia Management in Women with Cardiovascular Disease Guest: Shannon Laughlin-Tommaso, M.D. Host: Marysia Tweet, M.D., M.S. Heavy menstrual bleeding is a condition that occurs before menopause and can be caused by both hormonal and structural conditions, like fibroids or adenomyosis. There are many medical and procedural options for treating bleeding which are safe in women with CVD. Although hysterectomy is a definitive option for HMB, it can increase risks of CVD in young women. Topics Discussed: What are the causes of heavy menstrual bleeding? what are the options for treating heavy menstrual bleeding in patients on or off anticoagulation? Is heavy menstrual bleeding a risk factor for CVD? Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here. Recorded 06-January-2026

ACHD for the Primary Care Provider Guest: Maan Jokhadar, M.D. Host: Malcolm Bell, M.D. This is the second of three episodes on adult congenital heart disease. Be sure to go back and listen to episode one, “The Hospitalized ACHD Patient.” In this episode, listeners will hear a primer on caring for adults with congenital heart disease (ACHD) in the primary care setting. Dr. Malcolm Bell and Dr. Maan Jokhadar discuss when ACHD patients should be referred for specialized evaluation, how to locate clinics, and which symptoms should raise concern. Key practical tips are shared to help avoid common pitfalls and ensure safe, effective care for this unique patient population. Topics Discussed: Do all patients with CHD need to be seen in an ACHD clinic? How to locate ACHD clinic? What are some alarm symptoms for ACHD? Common pitfalls to avoid Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here. Recorded on: 04-November-2025

Pacing and Defibrillation Without Leads Guest: Nicholas Tan, M.D. Host: Anthony Kashou, M.D. In this episode, listeners will hear about the history of pacemakers and defibrillators, both with and without leads. Potential risks and complications associated with transvenous cardiac devices are discussed. The listener should gain an awareness of leadless pacing and extravascular defibrillator systems. Topics Discussed: What are some of the risks associated with transvenous device implants? What is leadless pacing, and how is it generally performed? How does a defibrillator without transvenous leads work? When will you consider “transvenous-free” pacing or defibrillation systems? Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here. 09-December-2025

The Hospitalized ACHD Patient Guest: Maan Jokhadar, M.D. Host: Malcolm Bell, M.D. This is the first of three episodes on adult congenital heart disease. Adults with congenital heart disease are often admitted for a wide range of cardiac and non-cardiac issues, many of which carry unique management considerations. This episode emphasizes the importance of early ACHD consultation, especially in patients with cyanosis or prior complex repairs, and why even “simple” lesions deserve careful attention. We also touch on key bedside considerations that can significantly impact outcomes if overlooked. The goal is to build awareness and confidence when caring for this growing and complex patient population. Topics Discussed: Why are ACHD patients admitted? When should a practitioner consult ACHD for their patient? What are some of the common pitfalls to avoid? Connect with Mayo Clinic's Cardiovascular Continuing Medical Education online at https://cveducation.mayo.edu or on Twitter @MayoClinicCV and @MayoCVservices. LinkedIn: Mayo Clinic Cardiovascular Services Cardiovascular Education App: The Mayo Clinic Cardiovascular CME App is an innovative educational platform that features cardiology-focused continuing medical education wherever and whenever you need it. Use this app to access other free content and browse upcoming courses. Download it for free in Apple or Google stores today! No CME credit offered for this episode. Podcast episode transcript found here. Recorded on: 04-November-2025