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A 78-Year-Old Female with Coronary Artery Disease

A 78-Year-Old Female with Coronary Artery Disease


Patient Case Study

Time to Complete

1.00 hour


February 1, 2017


February 1, 2018
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Maximum Credits

1.00 / AMA PRA Category 1 Credit(s)TM
1.00 / CE for Nurses

Accredited Provider

Provided by Albert Einstein College of Medicine and Montefiore Learning Network

Commercial Supporter

Supported by an educational grant from GE Healthcare


Produced by Haymarket Medical Education (HME)

Program Description

Echocardiography is an important imaging modality in the cardiac setting as it provides information that helps in diagnosis and prognosis as well as patient management. Although echocardiography allows for cardiac anatomical and physiological parameters to be obtained using a noninvasive, safe, and well-tolerated technique, suboptimal images are obtained in up to 30% of cases of performed. With the advent of contrast-enhanced ultrasound (CEUS), there is now a method available to convert these nondiagnostic images into accurate and clinically useful scans. This case study, of a 78-year-old female with coronary artery disease, shows the value of utilizing contrast imaging when noncontrast echocardiograms are suboptimal.

Intended Audience

Cardiologists, cardiac nurses, nurse practitioners, physician assistants, and other specialists who order and/or perform imaging tests to determine heart disease, including radiologists and sonographers

Educational Objectives

Upon completion of this activity, participants should be better able to:

  • Implement contrast-enhanced ultrasound (CEUS) into clinical practice by performing and obtaining optimal imaging in patients without contraindications
  • Manage the technical challenges that exist with CEUS using evidence-based guideline recommendations
  • Assess the risk of adverse reactions with ultrasound contrast agents (UCAs) for individual patients
  • Utilize UCAs in patients who may benefit from left ventricular function assessment or improved image quality


Anthony N. DeMaria, MD
Professor of Medicine
Judith and Jack White Chair in Cardiology
University of California
San Diego School of Medicine
San Diego, CA

Dr. DeMaria is a consultant for ResMed, is on the Scientific Advisory Board of the ResMed Foundation, and is on the speakers’ bureau of Zoll Pharmacy. Dr. DeMaria also receives research grant funding from Acusphere, Angioplast Systems, General Electric Medical Systems, Gilead, and Lantheus.

CME Course Advisor
Mario J Garcia, MD, FACC

Chief, Division of Cardiology
Professor, Medicine and Radiology
Co-Director, Montefiore-Einstein Center for Heart and Vascular Care
Albert Einstein College of Medicine
Bronx, NY

Dr. Garcia has nothing to disclose.

CE Course Advisor
Mary McLoughlin, RN-BC, MSN, CEN, CDE

Clinical Nurse Specialist
Montefiore Learning Network
The University Hospital for the Albert Einstein College of Medicine
Bronx, NY

Ms. McLoughlin has nothing to disclose.

CME Reviewer
Victor B. Hatcher, PhD

Research Director
Montefiore Medical Center
Associate Dean
Professor of Medicine and Biochemistry
The Albert Einstein College of Medicine

Dr. Hatcher has nothing to disclose.

Accreditor Disclosure

The staff of the Center for Continuing Medical Education of Albert Einstein College of Medicine and Montefiore Learning Network have nothing to disclose with regard to commercial support.

Publishing Staff Disclosures

Priya Wanchoo, MD, Ruchit Parikh, PharmD, and Lynne Callea, CHCP, of Haymarket Medical Education have nothing to disclose with regard to commercial support.




AMA PRA Category 1 Credit(s)TM

Accreditation Statement

The Albert Einstein College of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

Albert Einstein College of Medicine designates this enduring activity for a maximum of 1.00 AMA PRA Category 1 Credit(s)TM. Physicians should only claim credit commensurate with the extent of their participation in the activity.




CE for Nurses

Accreditation Statement

Montefiore Learning Network is an approved provider of continuing nursing education by New Jersey State Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Designation Statement

This activity is awarded 1.00 contact hour and is assigned provider number: NYP268-5/16-19.

Disclosure of Unlabeled Use

This educational activity may contain discussion of unapproved and/or investigational uses of agents that are not indicated by the FDA. GE Healthcare, Albert Einstein College of Medicine, Montefiore Learning Network, and Haymarket Medical Education do not recommend the use of any agent outside of the labeled indications.

The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of GE Healthcare, Albert Einstein College of Medicine, Montefiore Learning Network, and Haymarket Medical Education. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patients’ conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

For questions about CME and CPEU, please call Einstein CME at 718-920-6674.

For questions about CE, please call Montefiore Learning Network at 718-920-8580 or email

If you have any other questions relating to your certificate or other issues with this activity, please contact


To obtain credit, a score of 70% or better on the post-test is required. This activity is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.


Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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