Mayo Clinic Cardiovascular CME

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