Monday 25 April 2016

Cardiac Staff Matters 25/04/16

1. The Accreditation Canada surveyors have left the region! The CSP at SBH had a very successful accreditation survey last Wednesday.

A huge thank you to the "buddies" who acted as hosts for our three surveyors: Belinda Landry (CEI ICCS), Irene Nazarevich (CRN CSIU), Greg Vachon (CRN Pre/Post Area), Karen Coupland (CEI HCL) and Barb Knight (CRN Clinic).

The Intensive Care Cardiac Surgery (ICCS) unit was surveyed in the morning. The surveyor spoke with front line nurses and the ICCS Attending Physician, Dr. Arora. She interviewed several family members as well speaking with four different patients. She observed and asked questions at a Cardiac Surgery Inpatient Unit (CSIU) "Time Out" process and spent time attending bedside rounds. She reviewed the unit's paper and EPR documentation with one of our nurses. Dr. Jacobsohn also spent some quality time with her reviewing our medication reconciliation process.

A second surveyor spent time in CSIU and visited the Heart Catheterization Lab (HCL), the Pre- and Post-Procedure Area and the Electrophysiology Labs. She spoke with nurses, ward clerks, health care aides, physician assistants and surgeons. She watched the pre-operative "Time Out" of the TAVI case in the HCL and spent time with our Pacemaker CRN, Esther McGimpsey. She attended the Performance Huddle and interviewed two patients. She commented that the CSIU was a "well-oiled machine" and that the "staff are amazing and very engaged". Quite a compliment!

The Outpatient Clinic areas (which included Y2, Asper CR1 and CR3) were surveyed in the afternoon. The surveyor spent a few hours speaking with Barb Knight, Donna Lee Samson (Program Team Manager for the areas) and Reid Love (CSP Program Director) to gain insight into our program's history and structure. He then toured the area and spoke with nurses. He was impressed with the Congestive Heart Failure database and the Lipid clinic.

Once the surveyors' final report is received, planning will begin to determine our next steps. At this time, we need to acknowledge Lillian Koley, CSP Manager of Quality and Patient Safety, for all of the time and effort she put into ensuring that we as a program did all of the necessary background work and were well-prepared for the survey visit. Lil, you're the best!

2. Farewell and good luck to Colleen Bemister, who will be retiring at the end of this week! Colleen is currently the Charge Cardiology Technologist at HSC, though in her lengthy career in cardiology technology, she has also worked at Misericordia. Congratulations, Colleen, on your achievements and thank you for all your hard work. We all wish you well and hope you enjoy this well-deserved retirement!

3. This year's Department of Internal Medicine Resident Research Day was held on April 19 and there were a number of presentations by our Cardiology residents. See the attached listing for details. Kudos go to three residents in particular:

- Dr. Shuangbo Liu won 1st prize (Clinical Investigation, Poster presentation by a sub-specialty resident) for her presentation titled "Comparison of in-stent restenosis rates after percutaneous coronary intervention in patients with hemodialysis versus peritoneal dialysis"

- Dr. William McIntyre won 1st prize (Clinical Investigation, Podium presentation by a sub-specialty resident) for his presentation titled, "Risks of stroke and death according to pattern of atrial fibrillation: results from a 6-year cohort study (1948 2008)."

- Dr. Joel Scott-Herridge won the Emy Ozamoto Award for best quality improvement project for his presentation titled, "A multi-hospital analysis of patterns of anticoagulation for patients with actionable atrial fibrillation who attend the emergency department: results from a community hospital."

In addition, many of the Cardiologists supervised projects by residents in other Internal Medicine programs. Special recognition goes out to Dr. Colette Seifer for supervising a record number of research projects!

4. The Heart and Stroke Foundation has a new patient education resource entitled "Living Well with Heart Disease." This patient education booklet gives patients living with coronary artery disease comprehensive recovery information. We're proud of three CSP staff who were involved in the development of this national resource: Karen Throndson, CNS (co-lead, risk factor sub-committee), Lorraine Avery, CNS (member, risk factor sub-committee) and Travis Warner, pharmacist (lead, medication sub-committee). The new booklet is available for viewing or download here: http://bit.ly/1Sb8ZdO

5. A warm welcome is extended to Marlene Myketa-Girard, who has joined the program as of today as the Manager of Echocardiography at HSC. Happy to have you on board, Marlene!

6. And we wish farewell to Shalene Rochon, Business Improvement & Finance Officer for Cardiac Sciences at SBH. Thanks, Shalene, for all your support and work with the program, and best of luck in your new position!

Department of Internal Medicine
Resident Research Day
Cardiology Presentations
 
Clinical investigation
RISKS OF STROKE AND DEATH ACCORDING TO PATTERN OF ATRIAL FIBRILLATION: RESULTS FROM A 60-YEAR COHORT STUDY (1948 2008)
PRESENTED BY: Dr. William McIntyre, PGY6 Cardiology
SUPERVISORS: Dr. Phil St. John and Dr. Robert Tate

Clinical investigation
A MULTI-HOSPITAL ANALYSIS OF PATTERNS OF ANTICOAGULATION FOR PATIENTS WITH ACTIONABLE ATRIAL FIBRILLATION WHO ATTEND THE EMERGENCY DEPARTMENT: RESULTS FROM A COMMUNITY HOSPITAL
PRESENTED BY: Dr. Joel Scott-Herridge, PGY2 Internal Medicine
SUPERVISOR: Dr. Colette Seifer

Clinical investigation
PREDICTORS OF LONG-TERM PACEMAKER DEPENDENCY FOLLOWING CARDIAC SURGERY
PRESENTED BY: Dr. Anas Merdad, PGY2 Internal Medicine
SUPERVISOR: Dr. Clarence Khoo

Clinical investigation
INCREASING QRS DURATION OVER TIME IS ASSOCIATED WITH MORTALITY AND MORBIDITY IN AN OUTPATIENT HEART FAILURE POPULATION
PRESENTED BY: Dr. Hassan Alfraidi, PGY3 Internal Medicine
SUPERVISOR: Dr. Colette Seifer

Case report
POSTURAL TACHYCARDIA SYNDROME AND PLATYPNEA-ORTHODEOXIA: WHAT IS THE CONNECTION?
PRESENTED BY: Dr. Brittany Perija, PGY2 Internal Medicine
SUPERVISOR: Dr. Colette Seifer

Clinical investigation
PHYSICIAN DECISION MAKING IN ANTICOAGULATING ATRIAL FIBRILLATION: A PROSPECTIVE SURVEY OF A PHYSICIAN ALERT SYSTEM FOR ATRIAL FIBRILLATION DETECTED ON CARDIAC IMPLANTABLE ELECTRONIC DEVICES
PRESENTED BY: Dr. Justin Cloutier, PGY3 Internal Medicine
SUPERVISOR: Dr. Colette Seifer

Clinical investigation
PREDICTORS OF PHLEBOTOMY INDUCED VASOVAGAL SYNCOPE: A SYSTEMATIC REVIEW
PRESENTED BY: Dr. Scott Donald
SUPERVISOR: Dr. Colette Seifer and Dr. Arjuna Ponnampalam

Clinical investigation
CHARACTERISTICS OF ACUTE CORONARY SYNDROME PRESENTATION IN YOUNG PATIENTS IN MANITOBA
PRESENTED BY: Dr. Bill Ayach, PGY5 Cardiology
SUPERVISOR: Dr. Olga Toleva

Clinical investigation
QRS COMPLEX FRAGMENTATION AS A PREDICTOR OF LATERAL ¡§SCAR¡¨ IN PATIENTS WITH TRASTUZAMAB INDUCED CARDIOMYOPATHY
PRESENTED BY: Dr. Chris Hayes, PGY2 Internal Medicine
SUPERVISOR: Dr. Colette Seifer

Clinical investigation
VENOUS THROMBOEMBOLISM PROPHYLAXIS ON AN INPATIENT CARDIOLOGY WARD, WHO IS AT RISK OF UNDER TREATMENT?
PRESENTED BY: Dr. Chris Hayes, PGY2 Internal Medicine
SUPERVISOR: Dr. Colette Seifer

Clinical investigation
COMPARISON OF IN-STENT RESTENOSIS RATES AFTER PERCUTANEOUS CORONARY INTERVENTION IN PATIENTS WITH HEMODIALYSIS VERSUS PERITONEAL DIALYSIS PRESENTED BY: Dr. Shuangbo Liu, PGY5 Cardiology
SUPERVISOR: Dr. Malek Kass

Clinical investigation
IT'S SHOCKINGLY COLD: IMPLANTABLE CARDIOVERTER-DEBRILLATOR SHOCKS AND EXTREME COLD WEATHER
PRESENTED BY: Dr. Justin Cloutier, PGY3 Internal Medicine
SUPERVISOR: Dr. Colette Seifer

Clinical investigation
INCIDENCE AND OUTCOMES FOR ACTIONABLE ATRIAL FIBRILLATION IN A TERTIARY ELECTROCARDIOGRAM READING CENTRE
PRESENTED BY: Dr. Rae.Kiran Jhinger, PGY1 Internal Medicine
SUPERVISOR: Dr. Colette Seifer

Clinical investigation
THE DIAGNOSTIC YIELD OF IMPLANTABLE CARDIAC MONITORS IN OLDER VERSUS YOUNGER PATIENTS PRESENTING WITH SYNCOPE
PRESENTED BY: Dr. Karen Chu, PGY5 Cardiology
SUPERVISOR: Dr. Colette Seifer

Clinical investigation
ROTATIONAL ATHERECTOMY IN UNCROSSABLE AND UNDILATABLE LESIONS: OUTCOMES POST SECOND.GENERATION DRUG ELUTING STENTS
PRESENTED BY: Dr. Rahul Bhindi, PGY3 Internal Medicine
SUPERVISOR: Dr. Malek Kass

Clinical investigation
UTILITY OF NT-PRO BNP LEVELS IN PREDICTING THE SEVERITY OF AORTIC STENOSIS PRESENTED BY: Dr. Bill Ayach, PGY5 Cardiology
SUPERVISOR: Dr. Francisco Cordova

Clinical investigation
THE PREVALENCE AND IMPACT OF FRAILTY IN ICD AND CRT-D PATIENTS: EARLY RESULTS FROM THE FRAIL-D STUDY
PRESENTED BY: Dr. Christopher Lee, PGY3 Internal Medicine
SUPERVISOR: Dr. Colette Seifer

Case report
IMAGING MODALITIES TO CONFIRM PACEMAKER LEAD PLACEMENT IN AN INTERESTING CASE
PRESENTED BY: Dr. Lindsay Torbiak, PGY2 Internal Medicine
SUPERVISOR: Dr. Colette Seifer
Monday 11 April 2016

Cardiac Staff Matters 11/04/16

1. Dr. William McIntyre, one of our outstanding Cardiology residents, has been the recipient of a number of awards recently:

- He received the 2016 Sanofi / Heart and Stroke Foundation Award in Cardiology. This $10,000 annual prize is presented to a clinical resident who demonstrates academic excellence and pursues additional academic training beyond core cardiology.

- It was just announced that he was named as Resident of the Month for the month of December 2015. This award is bestowed by PARIM (Professional Association of Residents and Interns of Manitoba) on an outstanding resident nominated by one of his/her peers.

- Dr. McIntyre was also awarded a 2-year, $120,000 research award from the Canadian Stroke Prevention Network (C-SPIN). He will hold this award during his fellowship at McMaster University in Hamilton, which will begin July 1, 2016.

2. You'll see some new faces among the EKG staff at WRHA facilities this week, as we are joined by 6 students from the Stenberg College cardiology technology program who are doing their 12 week practicums. Each student will gain experience in Holter, EKG and stress testing. Welcome to all of them!

3. The countdown to the Accreditation Canada surveyor visit is in the single digits now - T minus 9 days until they're on-site at SBH to review Cardiac Sciences. As part of the final preparation, please review the attached newsletter.

4. We're pleased to announce that Mr. Gus Castaneda will be joining the Cardiac Sciences team at St. Boniface Hospital! He has accepted the position of Program Team Manager for the Intensive Care Cardiac Surgery unit and will begin in that position May 9.

5. Congratulations to Dr. Davinder Jassal, who was awarded the 2016 Doctors Manitoba Scholastic Award for scholarly activity in the health professions. This accomplishment will be recognized at the Doctors Manitoba Awards & Presidential Installation dinner on May 6.