Mayo Clinic Cardiac Rhythm Device Summit Implantation, Management, and Follow Up 2025

June 19-21, 2025
The Cardiac Device Summit offers an essential update on the indications, follow-up care, and management of cardiac rhythm technologies, with a focus on clinical pearls to optimize patient outcomes. Every year, hundreds of thousands of patients receive cardiac rhythm devices to treat conditions such as bradyarrhythmias, tachyarrhythmias, and heart failure. The growing indications for implantable cardioverter defibrillators (ICDs) and cardiac resynchronization therapy (CRT) devices over the past decade highlight the expanding role of these interventions in clinical practice. With evolving technology, the programming complexity and management requirements of these devices have also increased. This program will provide expert insights into best practices for follow-up, troubleshooting, and optimizing device therapy to enhance patient care. Attendees will benefit from interactive sessions, case discussions, and a deep dive into the latest advancements in cardiac rhythm management.
LEARNING OBJECTIVES

Describe the current indications for pacemaker, ICD, subcutaneous ICD, and resynchronization therapies
Recognize upcoming technologies for cardiac devices
Interpret diagnostic material (electrocardiograms, impedance, radiography, and other sources) to troubleshoot suspected implantable device malfunction
Discuss factors that impart a higher risk for patients with cardiac implantable electronic device (CIED) undergoing MRI
Identify the current capabilities of remote monitoring to manage patients with cardiovascular risk and disease
Explain the appropriate management strategies for common CIED complications

INTENDED AUDIENCE
The symposium is designed for cardiologists, internists, family practitioners, physician’s assistants and cardiovascular nurse practitioners and technologists caring for patients with cardiac rhythm management.
 
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THURSDAY, JUNE 19, 2025

7:00 a.m.
Registration and Continental Breakfast | Pavilion Foyer

7:40 a.m.
Welcome and Pre-Test

Cardiac Rhythm Devices: Guidelines and Future Technologies in Pacemakers
Moderator: Fred Kusumoto, MD

7:55 a.m.

Case of the Day
Fred Kusumoto, MD

8:00 a.m.

Anatomy of the Conduction System: Recognize Underlying Anatomy to Minimize Complications and New Technology for Cardiac Devices
Samuel Asirvatham, MD

8:30 a.m.

Who Should Get a Single Chamber or Dual Chamber Leadless Pacemaker? How Should I Do It and What Should I Watch For?
Yong Mei Cha, MD

9:00 a.m.

Questions and Answers
Samuel Asirvatham, MD, Yong Mei Cha, MD

9:10 a.m.

Rapid Fire Cases (Bradycardia)
Samuel Asirvatham, MD, Yong Mei Cha, MD, Siva Mulpuru, MD, Christoff van Niekerk, MD
Moderator: Fred Kusumoto, MD

9:40 a.m.
Refreshment Break – Pavilion Foyer

Cardiac Rhythm Devices: Practical Clinical Challenges in ICDs.
Moderator: Siva Mulpuru, MD

10:00 a.m.

ICD for Sudden Death Prevention for Heart Failure in 2024
Fred Kusumoto, MD

10:20 a.m.

Inherited Arrhythmias: Who Should and Shouldn’t Receive and ICD
Komandoor Srivathsan, MD

10:40 a.m.

Choosing ICD Type: Single Chamber, Dual Chamber, Transvenous, Subcutaneous, or EV ICD
Win-Kuang Shen, MD

11:00 a.m.

How to Optimally Program ICDs
Christoff van Niekerk, MD

11:20 a.m.

Questions and Answers
Fred Kusumoto, MD, Win-Kuang Shen, MD, Komandoor Srivathsan, MD, Christoff van Niekerk, MD

11:30 a.m.

Rapid Fire Cases (ICD)
Fred Kusumoto, MD, Komandoor Srivathsan, MD, Christoff van Niekerk, MD
Moderator: Win-Kuang Shen, MD

12:10 p.m.
Lunch Break – Pavilion Lawn

Cardiac Rhythm Devices: Innovations and Practical Clinical Challenges
Moderator: Yong Mei Cha, MD

1:00 p.m.

Chest X-rays and Devices
Yong Mei Cha, MD

1:20 p.m.

Artificial Intelligence in Management of Devices
Siva Mulpuru, MD

1:40 p.m.

Syncope Who Should Get an Implantable Monitor or a Pacemaker?
Win-Kuang Shen, MD

2:00 p.m.

CIED Monitoring: Best Practices in 2025
Christine Kneeland, RN

2:20 p.m.

Cardiac Devices and Disparities in Care: Are We There Yet?
Melinda Barber, ARNP

2:40 p.m.

Question and Answers
Melinda Barber, ARNP, Win-Kuang Shen, MD
Moderator: Yong Mei Cha, MD

2:50 p.m.
Refreshment Break

3:00 p.m.

Rapid Fire Cases
Melinda Barber, ARNP, Christine Kneeland, RN, Siva Mulpuru, MD, Win-Kuang Shen, MD
Moderator: Yong Mei Cha, MD

3:40 p.m.

Case of the Day Discussion
Yong Mei Cha, MD

4:00 p.m.
Adjourn

4:00 p.m. – 5:00 p.m.
Welcome Reception

5:00 p.m. – 6:30 p.m.

Optional Workshop: Cardiac Anatomy for Implanters and Safe Lead Extraction
Samuel Asirvatham, MD

FRIDAY, JUNE 20, 2025

7:15 a.m.
Continental Breakfast

7:30 a.m.

Early Bird Session: Interesting ECGs: Physiological Pacing, CRT, and More
Abhishek Deshmukh, MBBS

Conduction System Physiological Pacing, Cardiac Resynchronization Therapy (CRT), and More
Moderator: Siva Mulpuru, MD

8:00 a.m.

Case of the Day
Siva Mulpuru, MD

8:05 a.m.

CRT in 2025: Obsolete?
Hicham El Masry, MD

8:20 a.m.

Conduction System Pacing: Too Much Hype?
Xiaoke Liu, MD, PhD

8:40 a.m.

Case Based Discussion: How I Manage Non-Responders to CRT or Conduction System Pacing
Vaibhav Vaidya, MBBS

9:00 a.m.

EP Issues in Cardiac Amyloid, sarcoid and end stage heart failure
Eric Steidley, MD

9:20 a.m.

Questions and Answers
Hicham El Masry, MD, Xiaoke Liu, MD, PhD, Eric Steidley, MD, Vaibhav Vaidya, MBBS

9:30 a.m.

Rapid Fire Cases (Physiologic Pacing): What Are The Options and What Should I Do?
Hicham El Masry, MD, Xiaoke Liu, MD, PhD, Eric Steidley, MD, Vaibhav Vaidya, MBBS
Moderator: Siva Mulpuru, MD

10:10 a.m.
Refreshment Break

CIED Lead Management, Infection, and Extraction
Moderator: Fred Kusumoto, MD

10:30 a.m.

CIED Lead Design considerations for implantation, management and extraction: How can we help patients with shared Decision Making on Lead Revision, Abandonment, or Extraction
Ulrika Birgersdotter-Green, MD

10:50 a.m.

Lead and Device Imaging: What’s Real and What’s Fake
Prajwal Reddy, MD

11:10 a.m.

CIED Related Infection: Early Diagnosis and Optimal Treatment
Danesh Kella, MBBS

11:30 a.m.

Lead Extraction: Technical Challenges, Tricks and Tips, and Outcomes
Siva Mulpuru, MD

11:50 a.m.

Questions and Answers
Ulrika Birgersdotter-Green, MD, Danesh Kella, MBBS, Siva Mulpuru, MD, Prajwal Reddy, MD

12:00 p.m.

Rapid Fire Device Infection Cases
Ulrika Birgersdotter-Green, MD, Yong Mei Cha, MD, Siva Mulpuru, MD, Prajwal Reddy, MD
Moderator: Danesh Kella, MBBS

12:40 p.m.

Case of the Day Discussion
Fred Kusumoto, MD

12:50 p.m.
Adjourn

SATURDAY, JUNE 21, 2025

6:50 a.m.
Continental Breakfast

7:00 a.m.
Cross-Cultural Communication (Requirement for meetings in California) Cultural and Linguistic Competency?

7:30 a.m.

Early Bird Session: Common Device Troubleshooting in the Device Clinic Case Presentations
Cynthia Dieterich, RN, Ashley Greathouse, APRN, Tamara Meyers-Laplace, RN, David Wasserman, MA, RN
Moderator: Fred Kusumoto, MD

8:10 a.m.
Post Test

8:25 a.m.

Case of the Day
Fred Kusumoto, MD

CIED Programming, Trouble Shooting, and Follow-up
Moderator: Siva Mulpuru, MD

8:30 a.m.

Leadless Pacemaker Programming and Troubleshooting
Hicham El Masry, MD

8:50 a.m.

ICD Programming and Troubleshooting
Abhishek Deshmukh, MBBS

9:10 a.m.

Cryptogenic Stroke: How Do We Investigate?
Fatima Ezzeddine, MD

9:30 a.m.

Hospital Management of CIEDs Outside of the EP Laboratory: MRI, Radiation, Surgery
Danesh Kella, MBBS

9:50 a.m.

Atrial High Rate Episodes: How Long is Too Long?
Vaibhav Vaidya, MBBS

10:10 a.m.

Advances in Device Therapy: Where Did We Come From and What to Expect in the Future?
Ulrika Birgersdotter-Green, MD

10:30 a.m.

Questions and Answers
Ulrika Birgersdotter-Green, MD, Abhishek Deshmukh, MBBS, Hicham El Masry, MD, Fatima Ezzeddine, MD, Danesh Kella, MBBS, Vaibhav Vaidya, MBBS

10:50 a.m.

Device Programming and Patient Management Potpourri
Cynthia Dieterich, RN, Ashley Greathouse, APRN, Tamara Meyers-Laplace, RN, David Wasserman, MA, RN
Moderators: Fred Kusumoto, MD, Siva Mulpuru, MD, Fatima Ezzeddine, MD, Yong Mei Cha, MD

11:15 a.m.

Case of the Day Discussion
Fred Kusumoto, MD

11:25 a.m.
Closing Remarks

11:30 a.m.
Adjourn