January 23, 2013, Echo Hawaii Day 3

January 23, 2013, Echo Hawaii Day 3

 Wednesday was organized a bit different from the other days, as we decided to give the attendees the morning off for whale watching, snorkeling, or just sleeping in.  After some sandwiches at 11:30 AM, we launched into cases on valvular heart disease.  My case demonstrated the (not surprising) observation that severe AR and daily mega cocaine use is not good for LV function!  We continued the valve theme during the didactic lectures, and then shifted into ischemic heart disease and congenital heart disease.  Craig Broberg gave two fabulous talks, one on unrepaired congenital heart disease that adult cardiologists must be able to recognize, the other on the approach to the patient following surgery, focusing on three entities: tetralogy of Fallot, corrected transposition of the great vessels, and the Fontan procedure.  After David Prior educated us on the echo assessment of pulmonary hypertension, it was time for another highlight of Echo Hawaii, the Poster Reception, a sunset event in the breezeway, overlooking the vast Pacific Ocean.  We had a great turnout for this, and more posters than ever, 17.  All faculty discussed the research with the presenters and graded the posters for quality, significance, and originality; the scores were VERY tight.  In the end, the winner was Robert Olszewski, who had come all the way from Warsaw, Poland (7477 miles as the crow flies, if the crow could fly straight over the North Pole, even farther flying thru Frankfurt and San Francisco) to share his work on Portable Dynamic Ultrasound Phantoms of the Left Ventricle, something that we may be able to use in the strain standardization efforts being led by EACVI and ASE.  All agreed the reception was a wonderful opportunity to network, enjoy some food and drinks, and take in some high-quality research.  I tried to get pictures of all the presenters, but I apologize for missing the following posters:

Accuracy of Pocket Ultrasound in Assessing Left Ventricular Function
Lauren Roberts, Princess Alexandra Hospital, Brisbane, Queensland, Australia

Characteristics of Morphological 'Takotsubo Cardiomyopathy' With Significant Coronary Artery Disease
Sun Hwa Lee, MD, PhD, Chonbuk National University Medical School, Jeonju, Republic of Korea

The Evaluation of Pulmonary Venous Blood Flow by Transesophageal Echocardiography and Non-invasive Estimation of Left Ventricular Diastolic Function and Filling Pressure
Yong-Hyun Kim, MD, Korea University Ansan Hospital, Ansan-si, Republic of Korea

   The crowd beginning to gather for the Poster Reception.
   Won-tons or stuffed mushrooms for you?
   How about some incredibly fresh oysters?
   Or some nice shrimp with a spicy cocktail sauce?
   With my son Daniel, who served as photographer for the poster reception.
   Two of the posters: Epicardial Adipose Tissue: Predictor of Metabolic Syndrome in the Elderly by Valentin Suma, MD, FASE, North Shore University Hospital, Manhasset, New York, and Carotid Screening During Echocardiography by Murray Matangi, MB, ChB, Kingston Heart Clinic, Kingston, Ontario, Canada.  My apologies to all the presenters who I did not get photos with.
   Steve Goldstein and I with Chin-Pang Chan, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong, showing his work on Accuracy of Real-Time Three-Dimensional Transesophageal Echocardiography in the Assessment of Mitral Disease
   Steve Goldstein, David Prior and I with Dmitry Abramov, MD, Washington Hospital Center, Washington, DC, explaining Evaluation of Ventricular Assist Device Inflow Cannula Position by Transthoracic Echocardiography - Correlation with Cardiac CT.
   Here I am with Stefan Buchholz, MBBS, MD, Mackay Base Hospital, Mackay West, Queensland, Australia, showing Influence of Heart Rate Correction on Peak Instantaneous Pressure Gradients in Severe Aortic Valve Stenosis.
   We had a great turn-out this year from Korea, 16 in all. Here Debbie Agler and I are with our old research fellow (and now KSE President) Jun Kwan and Pacific Rim speakers (on the right) Jong-Min Song and Sang-Chol Lee with four young colleagues and fellows in front of Comparison of PISA Method With Conventional Volumetric Method for Quantification of Regurgitant Volume in Patients With Mitral Regurgitation.
   Bill Armstong and I with Scott Chadderdon, MD, Oregon Health & Science University, Portland, Oregon, discussing Temporal Assessment of Insulin Resistance, Inflammation, and Vascular Dysfunction in a Non-human Primate Model of Diet Induced Obesity.  Scott won the ASE Young Investigator competition in 2011, rewarded with trips to present in Budapest and Osaka…and now new research takes him to Hawaii!
   Reviewing Chordal Leaflet - Myocardial Interactions Using Applied Speckle-Tracking Echocardiography in Mitral Valve Prolapse with Sherryn Rambihar, MD, Women’s College Hospital / University of Toronto, Toronto, Ontario, Canada. My son Daniel was happy to hear that Sherryn’s husband works as an actuary, Daniel’s field.
   Here I am with Masahiro Maruyama, PhD, and his mentor (and Pacific Rim speaker) Takeshi Hozumi from the Osakafu Saiseikai Noe Hospital, Osaka, Japan, showing Simple Full-automated Three-dimensional Echocardiographic Assessment of Left Ventricular Volume and Ejection Fraction by Single-beat Full-volume Data Acquisition
   Donghan Kim, MD, St. Carollo Hospital, Suncheon, Korea, showing me Prognostic Value of Left Atrial Volume Index Change After Primary Coronary Intervention in Patient With ST-Elevation Myocardial Infarction.
   Shunsuke Sasaki, MD, Sakakibara Heart Institute, Tokyo, Japan, explaining his work on Determinant Factors of Elevated Plasma B-type Natriuretic Peptide Level in Severe Aortic Stenosis: Comparison Between Elderly and Younger Patients
   Sung-Hee Shin, MD, (2nd from R) Inha University Hospital, Seoul, Republic of Korea discussing with Sang-Chol Lee, Jun Kwan, me, and Jae Oh her work on Impact of Bariatric Surgery on Cardiac Mechanics in the Obese Patients
   Here are Becky Hanh and I reviewing Dobutamine Atropine Stress Testing Induced Atrial Fibrillation: Does It Predict Future Recurrence?, presented by Adurthy Shankar, MD, SUNY Medical University, Syracuse, New York.
   Another shot of me with Scott Chadderdon and his wife, Melanie.
   People really lingered at the poster reception this year.  Great camaraderie and great science!
   And the winner!  All the way from Poland, Robert Olszewski, MD, Medical Military Institute, Warsaw, presenting Portable Dynamic Ultrasound Phantoms of the Left Ventricle, here with the Cleveland Clinic crew, Jim Thomas, Debbie Agler, and Leonardo Rodriguez.
   And another great meal out in Kawaihae Harbor, just a couple miles north of Hapuna, at the Plantation Grill: Beth, Linn, Katarina, Kjetill, Turi, Yngvil, me, and Daniel.

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