Onslow Medical Specialties Clinic
Jacksonville, NC  28546
Wake Forest University School of Medicine -
Mayo Clinic- American Society of
Echocardiography's  5 th Annual Team
Echocardiography:  The Heart of Cardiovascular
Medicine
, Hilton Head Island, SC  April 24-27, 2008

Medicine.

Pamela Burgess, BS,RCDS,RDMS,RVT,FASE
Clinical Manager, Cardiac Ultrasound and Stress Testing Lab, Wake Forest University/ NC Baptist
Hospital, Winston-Salem, NC

Dalane Kitzman, MD, FACC
Professor of Internal Medicine; Cardiology; Director of Echocardiography, Wake Forest University
School of Medicine, Winston-Salem, NC

Roger Click, MD,PhD,FACC
Associate Professor of Medicine, Mayo Clinic; Consultant, Division of Cardiovascular Diseases &
Internal Medicine, Mayo, Rochester, MN

Frederick Kremkau, PhD,FAIUM,FASA
Professor and Director, Center for Medical Ultrasound, Wake Forest University School fo Medicine

Roberto Lang, MD,FESC,FACC,FAHA,FASE
Professor of Medicine; Director, Noninvasive Cardiac Imaging Labs; Director -Cardiology
Fellowships, University of Chicago Hospitals

Steven Lester, MD,FACC,FRCPC
Associate Professor of Medicine, Mayo Clinic; Consultant, Division of Cardiovascular Diseases and
Internal Medicine; Director, Cardiovascular ultrasound Imaging and Hemodynamic Laboratory, Mayo
Clinic, Scottsdale, AZ.

Elizabeth Rodriguez, RDCS
Clinical Sonographer, Academic Lead Coordinator, Cardiovascular Ultrasound imaging and
Hemodynamic Laboratory, Mayo Clinic, Scottsdale, AZ

Vinay Trohan, MD
Associate Professor of Cardiology; Medical Director of Heart Failure and Cardiac Transplantation,
Matt Umland, RDCS
Advanced Clinical and Research Sonographer, Cardiovascular Ultrasound Imaging and
Hemodynamic Laboratory, Mayo Clinic, Scottsdale, AZ

Associate Professor of Medicine, Mayo Clinic; Program Director, Cardiology Fellowship, Mayo Clinic,
Scottsdale, AZ.

Joseph Blackshear, MD,FACC
Professor of Medicine, Mayo Clinic; Consultant, Division of Cardiovascular Diseases and Internal
Medicine, Mayo Clinic, Jackosnville, FL

Ronald Buono, RDCS,RDMS,RVT
Supervisor, Clinical and Research Sonographer, Cardiovascular Ultrasound Imaging and
Hemodynamic Laboratory, Mayo Clinic, Scottsdale, AZ

Susan Hamrick, RDCS,RDMS,RVT
Senior Staff Sonographer, Cardiac Ultrasound and Stress Testing Lab, Wake Forest University

Thursday - April 24, 2008

8:00 am  - Ultrasound                                              - Dr Kremkau
9:00 am  - Transducer                                             -  Dr Kremkau
10:00 am  Instruments                                            -  Dr Kremkau
11:30 am  Artifacts                                                    -  Dr Kremkau

For sonographers:  Basic 2 D Echocardiography and Hemodynamic Workshop
2:00 pm   - Basic 2 D Echo measurements for standard report: wall thickness, LV volume, Ejection
Fraction, Right ventricle. how to measure and what to measure.
- Ronald Buono, RDCS,RDMS,RVT
2:30 pm   -  Doppler Hemodynamics: Cardiac output, cardiac index, mean vs maximum gradient,
pulmonary artery pressure, RIMP, LIMP
-  Elizabeth Rodriguez, RDCS
3:00 pm   -  Regurgitant lesions: step-by-step approach to ERO, vena contracta, regurgitant volume -
guidelines for quatification of valvular regurgitation from ASE. what does ICAEL want?
- Pamela Burgess,BS,RDCS,RDMS,RVT
3:30 pm   -  Stenotic lesions: step-by-step approach to quantification of aortic stenosis, mitral
stenosis. what are the pitfalls?    -  Matt Umland, RDCS
4:30 pm  -  Advanced cardiac imaging:
Principles of Strain, Strain rate, speckle tracking, VVI
- Dr S. Lester
Evaluation of LV filling pressure, diastolic unction
- M. Umland, RDCS
Cases to illustrate diastolic dysfunction, strain, strain rate, speckle, VVI

Friday - April 25, 2008

7:00  am   - Principles of Doppler Ultrasound: oppler effect, flow,color and CW/pulsed spectral
instruments, aliasing            - Dr Kremkau
8:10 am    - Contrast 101  - Setting up the Lab, Billing, Logistics  - P. Burgess, RDCS
8:35 am    - Contrast-Enhanced Stress Echocardiography   -  D Kitzman, MD
9:00 am    - Case Studies in Contrast-enhance imaging      - J Blackshear, MD
9:25 am    - Future of Contrast Echocardiography- perfusion and more. - R Lang, MD
10:30 am -  Complications of MI and implications in Clinical practice - R Click, MD,PhD
10:55 am -  Stress Echocardiography - principles, technique, accuracy - J Blackshear, MD
11:20 am -  Illustrative cases in stress and dobutamine echocardiography: where it went wrong, use
in valvular heart disease, hypertensive response
1:15 pm   -  Masses in the heart: illustrative cases.
1:40 pm  -   Endocarditis and complications; illustrative cases   -  S Wilansky, MD
2:05 pm   -  Echocardiography in patient with heart failure. when it is appropriate to perform the
examination? how often should it be performed?
2:30 pm  -   CRT 2008: From hype to reality. role of echocardiography.  -S Lester, MD
2:55 pm  -  CRT: what does a sonographer need to obtain? how to obtain? - P Burgess,RDCS
3:20 pm  -  Case studies in CRT: what went wrong and what went right.  Umland & Dr Lester
3:50 pm  -  Devices in the very sick heart failure patients. Features you need to know.  Dr Trohan
5:00 pm  -  Workshops on Imaging Techniques

Saturday - April 26, 2008

8:00 am  -  Aortic stenosis: Evaluation of aortic stenosis by 3 D echo/doppler - B Khandheria, MD
8:20 am  -  Clinical challenges that can be reslved with cardivascular ultrasound. Case-based
learning.  what do I do about the patient with low gradient/low output? aortic stenosis? what about
patient with mild/moderate aortic stenosis who is going to undergo CABG?  - S Wilansky,MD
-  Asymptomstic moderate/severe aortic stenosis: necessary echo/doppler evidence to support
valve operation in asymtomatic patients  - B Khandheria, MD
8:40 am  - Rapid Fire Cases
Bicuspid aortic valves  - Dr Khandheria
Unicuspid aortic valves  - Rodriguez, RDCS
Quadricuspid aortic valve  - Dr Click
Aortic dissection and aortic regurgitation   - Dr Khandheria
what is the cause of AR in this patient?  Dr Click
9:15 am  - Asymptomatic severe mitral regurgitation - to operate or not to operate. - Dr Khandheria
9:35 am  - Pathoanatomy of mitral valve.  Intra-operative echo in mitral valve disease. - Dr Click
9:55 am  - Cases, cases, cases
Quantification of AR: That's the way to do it.  - Burgess
Quantification of MR      - Umland
How severe is the stenosis of this mitral valve?  - Buono
How to evaluate the PA pressure?   - Hamrick
11:00 am-Evaluating the patient prosthetic valve  - Dr Khandheria
11:20 am-Tricuspid valve: what can go wrong? pathognomonic echo features  Dr Click
11:40 am-How do I evaluate right ventricle?  - Dr Lester
12:00 pm- Illustrative cases of prosthetic valve abnormalities, tricuspid valve abnormalities and
prosthetic valve stenosis
1:30   pm- Myocardial function and architecture: new concepts   - Dr Khandheria
1:50 pm  - Diastolic heart failure: fact or fiction.   - Dr Kitzman
2:10 pm  - Practical approach to evaluation of diastolic function  - Dr Lester
2:30 pm  - Constrictive pericarditis:  evaluation and management in 2008
2:50 pm  - Illustrative cases of pericardial disease, myocardial disease.
4:00 pm  - 3-D Echocardiography: State of the Art 2008  - Dr Lang
4:20 pm  - Illustrative cases to highlight the value of 3-D echo

Sunday - April 27,2008

8:00 am  - Scanning workshops
Adult transthoracic: uncommon views
Carotid IMT
9:30 am  -  How to ace ICAEL?