CASE, a global, open access online journal, welcomes case reports where cardiovascular ultrasound is used to diagnose or help solve a clinical problem. Examples include cases where cardiovascular ultrasound was used as a critical component of a multimodality approach to disease diagnosis or evaluation or where it was used to detect unusual or atypical disease manifestations. Case-based learning (CBL) is an established approach used across disciplines where learners apply their knowledge to real-world scenarios, promoting higher levels of cognition. Case-based learning (CBL) uses stories about individuals facing decisions or dilemmas. The eCASE Learning based series consists of four “cases” from CASE that are topic specific relevant to what our current members/learners are requesting more education about.
This activity is designed for all cardiac sonographers, cardiovascular physicians, and cardiovascular pediatricians with a primary interest, and knowledge base in the field of echocardiography; in addition, residents, physician assistants, researchers, clinicians, intensivists, and other medical professionals.
The American Society of Echocardiography is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The American Society of Echocardiography designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 1.0 MOC point in the American Board of Internal Medicine's (ABIM). Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
Successful completion of this CME activity, which includes participation in the activity and individual assessment of and feedback to the learner, enables the learner to earn up to 1 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program.
ARDMS, CCI and Sonography Canada recognize ASE’s certificates and have agreed to honor the credit hours toward their registry requirements for sonographers.
Physician Assistants may claim category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by the ACCME or a recognized state medical society.
The American Society of Echocardiography is committed to ensuring that its educational mission and all sponsored educational programs are not influenced by the special interests of any corporation or individual, and its mandate is to retain only those authors whose financial interests can be effectively resolved to maintain the goals and educational integrity of the activity. While a monetary or professional affiliation with a corporation does not necessarily influence an author’s presentation, the Essential Areas and policies of the ACCME require that any relationships that could possibly conflict with the educational value of the activity be resolved prior to publication and disclosed to the audience. Disclosures of faculty and commercial support relationships, if any, have been indicated.
According to ACCME policy, ASE implemented mechanisms to resolve all conflicts of interest prior to the planning and implementation of this activity.
The following content consultant reported no actual or potential conflicts of interest in relation to this document: Andrew Pellett PhD, RDCS, FASE
The following CME reviewers and ASE Staff reported no actual or potential conflicts of interest in relation to this document: Mr. Eric Kallstrom MBA, ACS, RDCS, FASE,
Method of Participation: Online Only
Estimated Time to Complete this Activity: 1.0 hours
Receiving CME Credit:
To receive online CME credit for this activity, read the full activity then complete the posttest and evaluation. A score of 70% or higher is required for successful completion. You will be able to print your CME certificate immediately following successful completion of the posttest and evaluation.
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Fundamentals of Strain Imaging is a series of case-based video presentations featuring a practical “how-to” approach. It is intended for beginners to echocardiographic strain imaging to experienced users who wish to improve their skills. The appropriate audience include physicians, sonographers and other health care professionals involved in diagnostic echocardiography. The focus is on global longitudinal strain or GLS as a measure of cardiac function additive to left ventricular ejection fraction using different software. Because strain imaging technology is constantly changing and improving, contemporary approaches are demonstrated emphasizing steps for quality control and recognizing limitations. Strain imaging has transformed from a research tool to clinical acceptance and careful utilization will have an impact on the care of patients with cardiovascular diseases.
Authors: John Gorcsan III, MD, FASE, Chair; Vincent L. Sorrell, MD, FASE; Madeline Jankowski, RDCS, FASE
Release Date: November 25, 2019
CME End Date: November 25, 2022
CME Credit: 3.0 credits, 3.0 ABIM MOC Points, 3.0 ABA Part 2 CME (Lifelong Learning and Self-Assessment) Credits
Speaker Disclosure: John Gorcsan III, MD, FASE - Research Grants from GE, TOMTEC, Canon,V-Wave, EBR Systems; Vincent L. Sorrell, MD, FASE and Madeline Jankowski, RDCS, FASE have nothing to disclose.
This CME includes instructional modules on the use of strain from different vendors. Although trade names could not be totally excluded, an attempt has been made to provide education pertinent to strain modalities available through a variety of vendors
Commercial Support: None
Echocardiography plays an important role in the assessment of diastolic function in patients with known or suspected heart failure and patients presenting with dyspnea. Assessing Left Ventricular Diastolic Function is comprised of case-based lectures followed by case studies. The dedicated lectures include questions on the echo parameters used to assess diastolic function and the physiology of diastology. This educational tool also describes how to utilize the ASE and EACVI 2016 guideline on diastology to classify and grade diastolic function, estimate left atrial filling pressure in patients, and evaluate patients with indeterminate diastolic function. You will also learn about the differential diagnosis of patients presenting with dyspnea such as restrictive cardiomyopathy and constrictive pericarditis, as well as the physiology of diastolic function, and the pitfalls in the assessment of diastology.
This educational product is intended for cardiologists, anesthesiologists, cardiac sonographers, fellows, and other medical professionals interested in a comprehensive review of diastology and applying the updated diastology guideline in routine clinical practice.
Authors: Susan A. Mayer, MD, FASE, Chair; Hisham Dokainish, MD, FASE; S. Allen Luis, MD, FRACP, FACC, FASE; Menhel Kinno, MD, MPH; Kameswari Maganti, MD, FACC, FASE; Lena Mathews, MD; Sherif Nagueh, MD, FASE; Sithu Win, MD, MPH.
Release Date: February 28, 2019
CME End Date: February 28, 2022
CME Credit: 8.0
Speaker Disclosure: None
Commercial Support: None
Ultrasound contrast agents, also known as ultrasound enhancing agents, are composed of acoustically active microbubbles. These agents undergo cavitation in an acoustic field, thereby producing strong ultrasound signals that can be detected by unique contrast-specific imaging algorithms available on most ultrasound systems. Ultrasound contrast agents are used to enhance the blood pool, thereby improving patient care by: (1) improving accuracy for left ventricular (LV) volume and function assessment, (2) improving accuracy for detecting regional wall motion at rest and during stress, (3) increasing the ability to detect and characterize thrombi and other masses, and (4) improving accuracy for conditions that influence LV geometry (pseudoaneurysm, non-compaction cardiomyopathy, apical hypertrophic cardiomyopathy).
This educational program provides key information for both early users and established users of ultrasound enhancing agents and is intended to promote the adoption and appropriate use of contrast in echocardiography more broadly. The content of the lectures has been carefully selected by top experts in the field to provide valuable information regarding the contrast agents available, the methods used to detect them, policies and procedures necessary for integration of contrast echocardiography, appropriate indications for contrast using case-based approaches, and advanced uses such as perfusion imaging. The use of physician-sonographer teams in the live program is intended to stress the need for team-based implantation of contrast policies and procedures.
The duration of each of the lectures (20-25 min) has been intentionally designed to provide key information in a succinct fashion. We are confident that this program will be valued for both the quality of its didactic content and the “personal touch” of live webinars that allows individuals to have their questions addressed.
Authors: Jonathan R. Lindner, MD, FASE; Sharon L. Mulvagh, MD, FASE, FRCP(C); Thomas R. Porter, MD, FASE; Howard Leong-Poi, MD, FASE; Margaret Park, BS, ACS, RDCS, RVT, FASE; Rajesh Janardhanan, MD, MRCP, FACC, FASE; G. Monet Strachan, ACS, RDCS, FASE
Release Date: January 18, 2019
CME End Date: January 18, 2022
CME Credit: 6.0
Speaker Disclosure: Jonathan R. Lindner, MD, FASE - Investigator-initiated Grants from GE Healthcare, Lantheus, Pfizer, and Bracco; Sharon L. Mulvagh, MD, FASE, FRCP(C) - GE Healthcare (Research Grants), Lantheus Medical Imaging (Consulting), Bracco Diagnostics (Consulting); Thomas R. Porter, MD, FASE - Bracco Diagnostics (Speakers Bureau), Philips Healthcare (Equipment Support); Howard Leong-Poi, MD, FASE - Lantheus Medical Imaging (Speakers Bureau), Bracco (Clinical Trials); Margaret Park, BS, ACS, RDCS, RVT, FASE - Lantheus Medical Imaging (Speakers Bureau), Lantheus Medical Imaging (Speakers Bureau Advisory Board), Previous faculty and speaker for Northwest Imaging Forums (Sponsored by Bracco); Rajesh Janardhanan, MD, MRCP, FACC, FASE - Lantheus Medial Imaging (Speakers Bureau); G. Monet Strachan, ACS, RDCS, FASE - Lantheus (Speakers Bureau).
Commercial Support: This program was made possible by the funding of an unrestricted educational grant from GE Healthcare, Pharmaceutical Diagnostics.
Proper Echocardiographic Measurements: How and Why is a guideline-based product focused on the methods used to obtain measurements, including explanations describing why such methods are appropriate. This educational tool comprises a combination of didactic lectures and clinical questions. It can be used as a review for experienced sonographers, as well as a training tool for new or early-career sonographers and others who are interested in the practice of cardiovascular ultrasound. Topics include imaging measurements (2D vs. M-mode, LV linear dimensions, basal cardiac measurements, LV volume, LA volume, inferior vena cava, and right ventricle) as well as velocity measurements (spectral Doppler, mitral inflow, mitral annulus, pulmonary vein, mitral stenosis, tricuspid regurgitation, aortic valve, and HOCM).
Three-dimensional (3D) echocardiography has multiple advantages for the visualization of cardiac anatomy, chamber quantification, and guidance of transcatheter interventions.
In this DVD, experts in 3D echocardiography address essential topics in a case-based approach with multiple examples. The DVD begins with history of the technology and moves to the basics of image acquisition and display. Subsequent lectures focus on chamber quantification and valvular heart disease. The use of 3D echocardiography to guide transcatheter interventions is also examined in depth. Finally, a vision for the future of 3D echocardiography, including virtual reality, fusion imaging, and holographic display is presented.
This teaching tool has multiple benefits including the capacity to quickly gain knowledge and improve your understanding of the capabilities of this novel imaging technique, the aptitude to visualize dynamic images in our clinical work, and an understanding of the potential future of 3D echocardiography.
This 3D echocardiography lecture series was created to help instruct and expand your knowledge and confidence of interpretation of this imaging modality. We hope you enjoy this learning experience.
These case-based, educational tools are for anesthesiologists, cardiologists, fellows, surgeons, and other interested individuals currently performing and/or interpreting transesophageal echocardiography (TEE) for intraoperative procedures. Throughout these activities, surgical cases have been used to showcase the value of TEE in the perioperative setting. Topics include, but are not limited to: LV function, RV function, diseases of the aorta, aortic valve and root, LVOT (Including HCM), mitral valve stenosis, mitral valve regurgitation, tricuspid valve, atrial septum, and other intraoperative uses outside of monitoring and emergency diagnosis.
Welcome to Clinical Cases in Echocardiography: Focus on Congenital Heart Disease. Approved by both ABIM and ABP towards part II MOC requirements, this activity will provide cases reviewing the role of echocardiography in diagnosis and follow-up of a wide variety of different congenital heart diseases and defects, including, but not limited to: valve defects, atrial and ventricular septal defects, patent foramen ovale, patent ductus arteriosus, coarctation of the aorta, Ebstein's anomaly, pulmonary artery stenosis, Tetralogy of Fallot, transposition of the great arteries, etc. Cases will include symptomatic and asymptomatic diagnosis and treatment, as well as adult patients with repaired or palliated CHD.
Cardiovascular Point-of-Care Imaging for the Medical Student and Novice User introduces basic cardiac point-of-care ultrasound concepts for all stages of medical school. The curriculum is modular in format, allowing educators and learners to select the components needed to either enhance their existing ultrasound programming, or to use the modules as a starting point to deliver cardiovascular point-of-care education. Modules include anatomy, integration with the physical exam, pathology, 'teach the teacher', and testing themes. The Cardiovascular Point-of-Care Imaging for the Medical Student and Novice User is endorsed by ASE's partners, WINFOCUS and the Canadian Society of Echocardiography.
Critical Care Echocardiography Cardiac Case-based Instruction outlines how an echo lab may approach training non-cardiac healthcare professionals.
The curriculum is modular in format, allowing educators and learners to select the components needed to either enhance their existing ultrasound programming, or to use the modules as a starting point to deliver cardiovascular critical care echo education.
This product covers 12 disease states including Aortic Stenosis, Cardiac Arrest, Endocarditis, Heart Failure and Dilated Cardiomyopathy, Hypertrophic Cardiomyopathy, Increased Intrapericardial Pressure, Left Ventricular Thrombus, Mitral Regurgitation, Primary Pulmonary Hypertension, Pulmonary Embolism with Right Ventricular Strain, Sepsis, and Stress Cardiomyopathy.