Cardiac Catheterization Laboratory at Mayo Clinic
The Division of Cardiovascular Diseases at Mayo Clinic in Rochester, Minn., specializes in the prevention, diagnosis and treatment of diseases of the cardiovascular system. It is the largest practice of its kind in the U.S.
In an average year in Rochester, the division sees more than 60,000 cardiovascular patient visits and close to 10,000 inpatient visits, and refers 2,500 patients to cardiovascular surgeries. Daily volumes of 1,000 ECGs, 50 Holter monitors, 240 echocardiograms, 20 nuclear studies including cardiac PET scans, five to 10 interventional procedures including PCIs, and 15 electrophysiology and pacemaker procedures occur with state-of-the art equipment and facilities.
Patricia A. Pellikka, M.D.; Jae K. Oh, M.D.; and Fletcher A. Miller Jr., M.D.
The Division of Cardiovascular Diseases is organized around programmatic tracks that include:
- Ischemic heart disease
- Structural heart disease
- Heart rhythm disorders
- Vascular diseases
- Circulatory failure
- Comprehensive cardiology
The programmatic design of the practice allows vertical and horizontal integration of the basic patient care units to facilitate translational and clinical research and quality efforts. This ultimately translates into a continuously improving patient care environment that uses the newest forms of established diagnostic equipment and therapeutic methods, as well as advancing technologies.
Inpatient and outpatient care is provided by teams of physicians and allied health care professionals with comprehensive expertise and experience in all forms of cardiovascular diseases. Faculty members are diverse and cover expertise in all areas of cardiovascular disease. This group includes physician-scientists, clinical investigators, physician scholars, physician educators, and Ph.D.s engaged in health care delivery and discovery.
There are many learners, including medical students, residents, fellows, nursing students, pharmacy interns and other trainees in health science fields. The division collaborates with nurse practitioners, physician assistants, nursing specialists, pharmacists, social services and technicians to push the boundaries of medical knowledge and provide the best integrated care for patients.
Fellows are an integral part of the daily practice, which includes a robust outpatient and inpatient practice working shoulder to shoulder with faculty leaders in the field. The division's outpatient practices are organized along programmatic lines with high patient volumes in our subspecialty clinics.
Unique to training at Mayo Clinic, fellows actively participate in and learn from the lab-based curriculum focused in the first year. Fellows rotate in the dynamic diagnostic and interventional catheterization laboratory, where there is enormous expertise and emphasis on ischemic heart disease, structural heart disease interventions, hemodynamic assessment of heart failure, valvular heart disease and pulmonary hypertension.
During their rotation in the echocardiographic and hemodynamic laboratory, trainees learn from leaders in the field how to scan and interpret echocardiograms and assess the implications of noninvasive hemodynamics. The rotation in the Cardiovascular Health Clinic has an emphasis on prevention and stress testing, where the fellow will learn about basic stress testing, oxygen consumption stress testing, and cardiovascular risk factor assessment and management. This is integrated with imaging stress testing during the nuclear cardiology rotation.
There is an early exposure to electrophysiology on the heart rhythm service, where fellows see inpatient rhythm consults and pacing and electrophysiology procedures. After establishing a base understanding of all the major procedural laboratories, the fellow progresses to more advanced clinical cardiology training.
The second year fellows are afforded leadership responsibilities on the hospital consult and cardiology inpatient services, including the coronary care unit. There is also a robust exposure to outpatient electives designed to broaden the management of all types of cardiovascular disease processes, and these are tailored to the trainees' own special interests. The last clinical year is reserved for intensified expertise in their subspecialty interest of cardiology practice.
Our philosophy is that the highest quality care will depend upon being able to deliver timely, safe, patient-centered care while continuously working to advance scientific discovery through research and quality programs. A large range of resources are applied to generate new knowledge and discoveries that will improve patient care in the near future and for future generations of patients. It continues to be an exciting time to be in cardiology.
Advisers and mentors
Henry H. Ting, M.D.
Every fellow is assigned a faculty adviser who can provide comprehensive educational advice, help with career planning and personal support. Fellows meet with their advisers two to three times a year.
A research mentor is assigned to provide research and career development advice, assist you in aligning your research with your ultimate career academic goals and direction, and help you successfully complete your research project in your third year of fellowship.
The Department of Internal Medicine invites many prominent academic faculty members to visit Mayo each year. They present their work at Medical Grand Rounds and other conferences and participate in hospital rounds.
Once a year, the cardiovascular division's fellows select and invite a nationally recognized specialist in cardiovascular diseases to come to Mayo for a visiting professorship. The fellows are freed from clinical duties to spend time with the visiting professor, attending ward rounds, didactic lectures, presentations and social gatherings.
This has been a highly valued experience for both fellows and visiting professors. In addition to the fellows' visiting professor, outside recognized leaders and researchers are frequently invited to speak at various Mayo cardiovascular conferences.
Past visiting professors have included:
- 2013: Rita Redberg
- 2012: Michael Mendelsohn
- 2011: Patrick O'Gara
- 2010: Deepak Bhatt
- 2009: Valentin Fuster
- 2008: David Kass
- 2007: David Moliterno
- 2006: Kim Eagle
- 2005: Catherine Otto
- 2004: Elliott Antman
- 2003: Robert Califf
- 2002: Blase Carabello
- 2001: Shahbudin Rahimtoola
- 2000: Elizabeth Nabel
- 1999: Douglas Zipes
- 1998: Bernard Gersh
- 1997: Robert Bonow
- 1996: Kanu Chatterjee
Sept. 19, 2013