Archives for March 2020

ASE Headquarters – COVID-19 Update

Beginning March 26, 2020, in compliance with the Durham County North Carolina order to “Stay at Home” due to the spread of coronavirus, the entire ASE staff will be working remotely through May 25. We are not suspending or closing operations; our employees will remain working and providing excellent customer service to our members and the cardiovascular ultrasound community. However, ASE will slightly modify its official open hours to 9 AM – 4 PM Eastern TimeMonday-Friday. Should you need to get in touch with a staff person, call our main office at 919-861-5574 and a phone list by department will be available. A staff directory is also available here. All general questions can also be sent through ASE@ASEcho.org. Thank you and our best wishes for your continued safety.

COVID-19 Recommendations

ASE Statement on Protection of Patients and Echocardiography Service Providers During the COVID-19 Outbreak

Over the past week a small group of experts commissioned by ASE leaders have prepared a statement to be shared with our members and the entire cardiovascular ultrasound community. This statement, which was approved by the ASE Executive Committee on March 17, 2020, addresses triaging and decision pathways for handling echocardiographic requests, as well as indications and recommended procedures to be followed for an echocardiographic assessment of cardiovascular function in suspected or confirmed COVID-19 cases. In addition, we list measures recommended to be used in the echo lab for prevention of spread of disease.

ASE is committed to the health, safety, and well-being of our members and the patients we serve. My colleagues James Kirkpatrick, MD, FASE, Smadar Kort, MD, FASE, Judy Hung, MD, FASE, and Cynthia Taub, MD, FASE, helped create this resource for sonographers, nurses, advance practice providers, and physicians who have a duty to care for patients and are at the frontlines in the battle against disease.

We thank you all for your tireless commitment to our patients and each other.

On behalf of the ASE leadership team,

Madhav Swaminathan, MD, FASE
Duke University Medical Center
ASE President

Download a PDF of the Statement (Updated March 25, 2020)

View on the website

COVID-19 & ASE Live Courses

Review Course

The health, well-being, and safety of our live course attendees is of the utmost importance, and to that end ASE is closely monitoring the coronavirus (COVID-19) situation. On March 17, 2020, the ASE Executive Committee decided to cancel the live ASCeXAM/ReASCE Review Course in Boston, MA, on May 9-12 and offer it as a virtual online course. For more information on registering to attend this meeting virtually, click here.

ASE Scientific Sessions

The ASE Executive Committee held a special call on Tuesday, March 31, and made the decision to cancel the ASE 2020 Scientific Sessions scheduled to be held in Denver, CO, on June 19-22, 2020.  The decision to cancel our Scientific Sessions was difficult, but the health, well-being, and safety of our members, staff, exhibitors, and attendees is of utmost importance during this COVID-19 pandemic. With the majority of our ASE members on the front lines, it was in the best interest of everyone that we cancel the meeting to ensure the safety of everyone.  We know that our Annual ASE Scientific Sessions are a time that our community, from all over the world, looks forward to every year. We greatly appreciate the effort our Program Planning Committee, led by course chairs Theodore Abraham, MD, FASE, and Sue Phillip, RCS, FASE, have put into creating the content for ASE 2020. We are currently working on a plan to deliver elements of the program and provide access to innovation, resources, and information that will advance your ability to improve patient care. We are also developing ways to recognize our award winners.

If you have any questions, please contact us at Registrar@ASEcho.org.

We  have created a COVID-19 Resources page for our members.

New Guideline on Congenital Coronary Anomalies Multimodality Assessment Guideline in March JASE

The March JASE contains, “Recommendations for Multimodality Assessment of Congenital Coronary Anomalies” Lead author Peter Frommelt, MD, FASE, of Children’s Hospital of Wisconsin and the Medical College of Wisconsin in Milwaukee said, “Congenital coronary artery anomalies, both in isolation and associated with other forms of congenital heart disease, have been recognized as having significant potential morbidity and mortality, including sudden cardiac death in children and adolescents. This document outlines specific strategies for imaging of each of the known congenital coronary anomalies, providing cardiac imaging specialists with a valuable resource to improve patient care and foster responsible utilization of diagnostic imaging modalities.”

Sinus of Valsalva Aneurysms: A State-of-the-Art Imaging Review” from Bo Xu, MB BS (Hons) FRACP, FACC, FASE, et al. is also in this issue. Clinical investigations explore contrast echocardiography, predicting heart failure risk from echocardiograms of coronary artery disease patients, topics in valvular heart disease, normal echocardiographic values in specific populations, and echocardiography in children. A pre-clinical investigation looks at how blood stasis imaging predicts cerebral microembolism during acute myocardial infarction.

Listen to the podcast by JASE social media team member, Amer M. Johri, MD, FASE, discussing “Association of Machine Learning-Derived Phenogroupings of Echocardiographic Variables with Heart Failure in Stable Coronary Artery Disease: The Heart and Soul Study” with co-author Geoffrey H. Tison, MD, MPH.

The President’s Message by Madhav Swaminathan, MD, MMCi, FASE, explores what differentiates ASE from other societies. Sue Phillip, RCS, FASE, writes in the Sonographers’ Communication about the Annual Scientific Sessions in Denver, and a special article by Drs. Ritu Thamman, Tejas Desai, David Wiener, and Madhav Swaminathan explores ASE’s Twitter Journal Club and how it is part of the changing paradigm in cardiology education.

Paying it Forward – Dr. Madhav Swaminathan’s March Presidential Blog

Madhav Swaminathan, MD, FASE, ASE President

“A few decades ago, I was offered a training position in another country. I was delighted to accept this offer, but there was one small problem. I couldn’t afford the cost of travel and accommodation for my family and I didn’t want to go alone. On learning about my predicament, an elderly gentleman, whom I vaguely knew, offered to help out. He provided me with the funds that enabled my family to travel with me. I was obviously concerned about the terms of this ‘loan’. While he didn’t ask for it to be returned, it did come with one condition – that one day when I am able to do so, I should pay it forward to another deserving trainee. In his words, he was making a worthwhile investment in the education of a deserving candidate, and hoped that its dividend would to be realized by a future trainee. He had no way of ensuring or guaranteeing that his transaction would reach its desired outcome, but relied on the goodwill and positive impact his act of kindness had created.” Read more here.

Join Us for a Live Webinar on Imaging in Obstructive Hypertrophic Cardiomyopathy

Please plan to join Jeremy James Thaden, MD, Ethan Rowin, MD, and Frederick Cobey, MD, MPH, FASE, for a LIVE webinar on Wednesday, March 18, 1:00 – 2:00 PM ET as they review Imaging in Obstructive Hypertrophic Cardiomyopathy: Utilizing Pre- and Peri-Procedure Echocardiography to Optimize Patient CareClick here to find out when the webinar is taking place in your time zone.

By the end of this educational webinar, viewers will be able to:

  • Recognize the dynamic nature of left ventricular outflow obstruction and the various provocative maneuvers that should be utilized in symptomatic patients without significant resting outflow gradient.
  • Understand the role of imaging and echocardiography in deciding appropriate invasive septal reduction therapy option for an individual patient.
  • Understand the role of imaging and echocardiography in helping guide surgical myectomy and alcohol septal ablation.
  • Identify the characteristic features of mitral regurgitation secondary to systolic anterior motion of the mitral valve and left ventricular outflow obstruction versus primary mitral valve disease and its implications in deciding appropriate treatment strategies.

Earn 1 AMA PRA Category 1 Credit™ for attending this live webinar event. Registration is free for ASE members.

Imaging Experts Publish New Guideline For Multimodality Asessment of Congenital Coronary Anomalies

March 3, 2020, Durham, NC – Experts in the medical imaging community have developed a landmark consensus document to optimize care of patients with congenital coronary anomalies. These defects of the blood vessels that supply blood to the heart muscles can be an important cause of a heart attack and sudden cardiac death in children and young adults, but historically they have been difficult to identify without cardiac catheterization. However, recent advances in multimodality imaging techniques have demonstrated increasing utility in the characterization of most congenital coronary anomalies in all age groups, and these techniques can complement or reduce the need for invasive angiography in many cases. Recommendations for Multimodality Assessment of Congenital Coronary Anomalies: A Guide from the American Society of Echocardiography provides guidelines for optimization of imaging for congenital coronary anomalies, with a review of the benefits and limitations of the different imaging techniques, including echocardiography, cardiac computed tomography, cardiac magnetic resonance imaging, nuclear myocardial perfusion imaging, and angiography. This guideline was developed in collaboration with the Society for Cardiovascular Angiography and Interventions, the Japanese Society of Echocardiography, and the Society for Cardiovascular Magnetic Resonance, and has also been endorsed by 17 ASE International Alliance Partners. Read more here.