Showing all 24 results

  • Advanced Coronary Angiography

    Description:
    Coronary angiography is probably the most critical aspect of cardiac catheterization and is required in multiple clinical settings. Patients may present with stable chest pain syndromes, acute coronary syndromes, or life-threatening myocardial infarction, with other cardiac abnormalities such as valvular heart disease, or with other non-cardiac conditions requiring knowledge of coronary anatomy for safe management.

    Authors:
    Michael Ragosta III, MD

    Credit/contact hours: .75

    Estimated time to complete: 45 minutes

    Publication Date: March 8, 2018

    Expiration Date: March 7, 2024

    $25.00
  • Complications of Percutaneous Coronary Intervention – PCI

    Description:
    Percutaneous coronary interventions are life-saving methods for many patients presenting with coronary or cardiac disease. Meticulous technique and attention to detail are of utmost importance. Many patients present with complex anatomy, difficult clinical scenarios, or challenging problems. In this lecture, Dr. Ragosta describes the risk factors, complications, and therapeutic responses that can occur during PCI.

    Authors:
    Michael Ragosta III, MD

    Credit/contact hours: 1

    Estimated time to complete: 60 minutes

    Publication Date: March 8, 2018

    Expiration Date: March 7, 2024

    $25.00
  • Aortic Stenosis

    Description:
    This lecture covers the large and complex topic of aortic stenosis. In this lecture, Dr. Ragosta discusses the natural history of the disease, typical clinical and hemodynamic findings, and cath lab management of patients with aortic stenosis. Note: This course is eligible for ACPE credit.

    Authors:
    Michael Ragosta III, MD

    Credit/contact hours: .75

    Estimated time to complete: 40 minutes

    Publication Date: March 8, 2018

    Expiration Date: March 7, 2024

    $25.00
  • Aorto-Ostial and Bifurcation Lesions

    Description:
    Percutaneous coronary intervention involves a wide range of complexity, from relatively straightforward Type A lesions in a C-shaped right coronary artery to much more complex anatomy. Ostial lesions and bifurcation lesions remain subsets that continue to challenge current interventional strategies and that can have increased risks of subacute closure and/or restenosis. Note: This course is eligible for ACPE credit.

    Authors:
    Michael Ragosta III, MD

    Credit/contact hours: .75

    Estimated time to complete: 40 minutes

    Publication Date: March 8, 2018

    Expiration Date: March 7, 2024

    $25.00
  • Aortography and Ventriculography

    Description:
    Aortography and ventriculography are more specialized imaging techniques used in the cardiac catheterization laboratory for specific diagnoses and for specific indications. Ventriculography is an important diagnostic imaging modality to assess left ventricular function, regional wall motion abnormalities, severity of mitral regurgitation, certain congenital and shunt conditions such as ventricular septal defect.

    Authors:
    Michael Ragosta III, MD

    Credit/contact hours: .75

    Estimated time to complete: 40 minutes

    Publication Date: March 8, 2018

    Expiration Date: March 7, 2024

    $25.00
  • Atrial Flutter Top 10

    Description:
    Atrial flutter is now known to be a "macro-reentrant" atrial tachycardia occurring in a counter-clockwise direction within the right atrium. The atrial rate is typically between 250 and 350 beats per minute. In general, the AV node conducts every other beat resulting in ventricular rates which are 50% of the atrial rate. Note: This course is eligible for ACPE credit.

    Authors:
    Andrew E Darby, MD

    Credit/contact hours: .5

    Estimated time to complete: 30 minutes

    Publication Date: March 8, 2018

    Expiration Date: March 7, 2024

    $25.00
  • Coronary Angiography

    Description:
    The cardiac catheterization laboratory has changed dramatically over the years as the focused has expanded from hemodynamic evaluation to include an extraordinary range of imaging modalities and rapidly increasing opportunities for therapeutic intervention. Note: This course is eligible for ACPE credit.

    Authors:
    Michael Ragosta III, MD

    Credit/contact hours: 1.0

    Estimated time to complete: 60 minutes

    Publication Date: March 8, 2018

    Expiration Date: March 7, 2021

    $25.00
  • Coronary Angiography Principles and Catheters

    Description:
    Coronary angiography is the definitive “gold standard” clinical technique for evaluating coronary anatomy in many patients. It provides accurate information regarding the location and severity of coronary disease, anomalies, and correlation with clinical syndromes.

    Authors:
    Michael Ragosta III, MD

    Credit/contact hours: 0.5

    Estimated time to complete: 30 minutes

    Publication Date: February 6, 2019

    Expiration Date: February 6, 2022

    $25.00
  • Coronary Angiography: A Primer

    Description:
    In this lesson, we will use three dimensional presentations of coronary anatomy to learn the most commonly used views for coronary angiography, ventriculography, and aortography.

    Authors:
    Lawrence W Gimple, MD

    Credit/contact hours: .5

    Estimated time to complete: 30 minutes

    Publication Date: February 6, 2019

    Expiration Date: February 6, 2022

    $25.00
  • Difficult STEMI

    Description:
    Not all STEMI cases are straightforward and interventional complexities are common, require experienced operators, and interventions are often nuanced and challenging. Note: This course is eligible for ACPE credit.

    Authors:
    Alan Johnson, MD and Lawrence W. Gimple, MD

    Credit/contact hours: .5

    Estimated time to complete: 30 minutes

    Publication Date: March 8, 2018

    Expiration Date: March 7, 2024

    $25.00
  • Fractional Flow Reserve Measurement

    Description:
    In this lesson, we will describe the technique of FFR and discuss the interpretation of results in a clinical context. Note: This course is eligible for ACPE credit.

    Authors:
    Michael Ragosta III, MD

    Credit/contact hours: .25

    Estimated time to complete: 20 minutes

    Publication Date: March 14, 2019

    Expiration Date: March 14, 2022

    $25.00
  • Introduction and Basics of Image Interpretation

    Description:
    Myocardial nuclear imaging provides valuable anatomic and prognostic information with respect to coronary heart disease. There are, however, important limitations to this imaging. To understand the proper clinical interpretation of perfusion imaging scans it is important understand the basic principles of coronary blood flow, atherosclerosis, and the principles underlying nuclear perfusion imaging.

    Authors:
    Jamieson M. Bourque, MD

    Credit/contact hours: 0.5

    Estimated time to complete: 30 minutes

    Publication Date: December 6, 2018

    Expiration Date: December 6, 2021

    $25.00
  • Learn Cardiology from the ECG!

    Description:
    Many medical students find studying the ECG to be a tedious and daunting task. This should not be the case. Note: This course is eligible for ACPE credit.

    Authors:
    Dr. Lawrence W. Gimple

    Credit/contact hours: .5

    Estimated time to complete: 50 minutes

    Publication Date: March 8, 2018

    Expiration Date: March 7, 2021

    $25.00
  • Left to Right Shunts: Atrial Septal Defects (ASD)

    Description:
    Atrial septal defects (ASD) are among the more commonly diagnosed congenital defects and can present at any age from infancy to late in life. Significant advances in imaging, interventional cardiology, and cardiac surgery allow for an array of potential therapies depending on the location of the defect. Note: This course is eligible for ACPE credit.

    Authors:
    Michael Ragosta III, MD and Andrew Bishop, MD FACC

    Credit/contact hours: .75

    Estimated time to complete: 45 minutes

    Publication Date: May 10, 2018

    Expiration Date: May 9, 2024

    $25.00
  • Measurement Methods of Hemodynamics

    Description:
    The cardiac catheterization laboratory is the traditional venue for measuring and defining a patient’s hemodynamics. In this course, we will describe the methods and pitfalls of hemodynamic assessment. Note: This course is eligible for ACPE credit.

    Authors:
    Michael Ragosta III, MD and Lawrence W Gimple, MD

    Credit/contact hours: .25

    Estimated time to complete: 10 minutes

    Publication Date: March 8, 2018

    Expiration Date: March 7, 2024

    $25.00
  • Mitral Stenosis: Basics

    Description:
    In this exercise, we review the causes of mitral stenosis and focus on the clinical presentation, physical exam, and natural history. Conditions associated with mitral stenosis are discussed. Note: This course is eligible for ACPE credit.

    Authors:
    Michael Ragosta III, MD

    Credit/contact hours: .5

    Estimated time to complete: 30 minutes

    Publication Date: Apr 21, 2020

    Expiration Date: Apr 21, 2023

    $25.00
  • Mitral Stenosis: Hemodynamic Tracing Interpretation

    Description:
    This lesson focuses on the hemodynamic measurements made in the cardiac catheterization laboratory in the evaluation of mitral stenosis. Measurement of simultaneous left atrial and left ventricular pressures during diastole is the most accurate method to hemodynamically assess the mitral valve gradient.

    Authors:
    Michael Ragosta III, MD

    Credit/contact hours: .5

    Estimated time to complete: 30 minutes

    Publication Date: Apr 21, 2020

    Expiration Date: Apr 21, 2023

    $25.00
  • Radiation Safety

    Description:
    The risks of cath lab radiation exposure and how to reduce them.

    Authors:
    Dr. Michael Ragosta III

    Credit/contact hours: .5

    Estimated time to complete: 40 minutes

    Publication Date: March 8, 2018

    Expiration Date: March 7, 2024

    $25.00
  • Subvalvular and Subvalvular Obstruction

    Description:
    Conditions other than hypertrophic cardiomyopathy or valvular aortic stenosis may be associated with obstruction and gradients involving the left ventricle and aorta. Note: This course is eligible for ACPE credit.

    Authors:
    Michael Ragosta III, MD

    Credit/contact hours: .25

    Estimated time to complete: 15 minutes

    Publication Date: Apr 21, 2020

    Expiration Date: Apr 21, 2023

    $25.00
  • The Role of Fractional Flow Reserve

    Description:
    This case analysis regards a patient with multivessel coronary heart disease who undergoes coronary angiography. Coronary artery bypass surgery is recommended. The patient undergoes additional evaluation with Fractional Flow Reserve (FFR) to define the hemodynamic significance of several of the coronary stenoses. Note: This course is eligible for ACPE credit.

    Authors:
    Adrian Loffler, MD

    Credit/contact hours: 1.0

    Estimated time to complete: 60 minutes

    Publication Date: March 8, 2018

    Expiration Date: March 7, 2024

    $25.00
  • Waveform Interpretation: Left Atrial, Aortic, Peripheral Arteries, Left Ventricular

    Description:
    Recording hemodynamic pressures from the left atrium can be straightforward in the presence of certain abnormalities such as atrial septal defect or patent foramen ovale, but will require trans-septal puncture in many patients. Note: This course is eligible for ACPE credit.

    Authors:
    Michael Ragosta III, MD and Lawrence W Gimple, MD

    Credit/contact hours: .25

    Estimated time to complete: 20 minutes

    Publication Date: March 8, 2018

    Expiration Date: March 7, 2024

    $25.00
  • Waveform Interpretation: Right Atrial, Right Ventricular, Pulmonary Artery

    Description:
    Many cardiac and critical care patients undergo right-heart catheterization to measure pressures and oxygen saturations in the right-sided cardiac chambers. In addition to the absolute value of these measurements, there is significant information about cardiac physiology and pathology that can be gained by examining the various waves and morphologies of the pressure recordings. Note: This course is eligible for ACPE credit.

    Authors:
    Michael Ragosta III, MD and Lawrence W Gimple, MD

    Credit/contact hours: .25

    Estimated time to complete: 20 minutes

    Publication Date: March 8, 2018

    Expiration Date: March 7, 2024

    $25.00
  • Waveform Interpretation: Simultaneous LV and RV Waveforms & Simultaneous LV and FA

    Description:
    In this lesson, we will review the principles of analysis of high-quality hemodynamic pressure recordings. We will focus on respiratory effects and simultaneous pressure recordings from left-sided and right-sided chambers. Note: This course is eligible for ACPE credit.

    Authors:
    Michael Ragosta III, MD and Lawrence W Gimple, MD

    Credit/contact hours: .25

    Estimated time to complete: 20 minutes

    Publication Date: March 8, 2018

    Expiration Date: March 7, 2024

    $25.00
  • Wide Complex Tachycardia

    Description:
    Tachyarrhythmias can present a significant clinical challenge. Patients presenting with fast heart rate may be unstable with chest pain, hypotension, or with myocardial ischemia, or they may be completely asymptomatic. The initial approach typically involves distinguishing between tachycardias with a wide QRS complex ("wide complex tachycardias") versus those with a narrow QRS complex ("narrow complex tachycardias"). Narrow complex tachycardias are always supra-ventricular in origin. Wide complex tachycardias are more complex as they may arise from supra-ventricular sources and conduct aberrantly (supra-ventricular tachycardia with aberrancy) or they may arise from ventricular sources (ventricular tachycardia). In this case, we will examine a patient presenting with tachycardia and work our way through a differential diagnosis. Note: This course is eligible for ACPE credit.

    Authors:
    Nishaki Mehta, MD, Ceshae Harding, MD, Araba Ofosu-Somuah, MD

    Credit/contact hours: .5

    Estimated time to complete: 30 minutes

    Publication Date: Apr 21, 2020

    Expiration Date: Apr 21, 2023

    $25.00