This lecture will explore the growing role of minimally invasive cardiac surgery in the management of patients frequently encountered in everyday clinical practice. Many clinicians care for patients with cardiovascular conditions such as atrial fibrillation (AFib) or cardiac implantable electronic devices (CIEDs) who present for routine or unrelated medical concerns. While these conditions may appear stable or well-managed, they can have important long-term implications that warrant greater awareness and coordination with cardiac specialists.

The session will review how minimally invasive surgical approaches are changing the treatment landscape for structural heart disease and arrhythmias, and how these options may apply to patients seen in primary care, hospital medicine, and other specialties. Particular attention will be given to the clinical significance of controlled AFib, including when rhythm management, procedural therapy, or surgical referral may be appropriate.

The 2025-2026 Current Concepts in Hospital Medicine Lecture Series is designed to provide busy clinical staff with interdisciplinary updates on the latest advances in hospital medicine. Each lecture delivers high-yield, practical clinical information to support and enhance patient care in the hospital setting.

Hospitalists and other healthcare providers will gain increased awareness and knowledge of current guidelines and recommendations for managing disease states and conditions considered core competencies in hospital medicine. This series aims to improve clinical decision-making and optimize patient outcomes through evidence-based practice.

Target Audience

Hospitalists, internists, family practitioners, nurses, advanced practice providers and other interested healthcare providers.

Learning Objectives

• Identify appropriate candidates for minimally invasive cardiac surgical interventions among patients commonly encountered in routine clinical practice.
• Assess the clinical significance of controlled atrial fibrillation and determine when further cardiac evaluation or referral for procedural or surgical management may be indicated.
• Evaluate the long-term management considerations for patients with cardiac implantable electronic devices (CIEDs) who present for non-cardiac conditions.
• Apply interdisciplinary care strategies that facilitate collaboration between medical and cardiac surgical specialties to improve care coordination and reduce avoidable repeat healthcare utilization.
• Integrate knowledge of minimally invasive cardiac procedures and cardiac device therapies into clinical decision-making to optimize patient outcomes.

Faculty

Bryon A. Tompkins M.D.
Assistant Professor of Cardiothoracic Surgery
Herbert Wertheim School of Medicine/FIU
Baptist Health Heart and Vascular Care
Miami Cardiac and Vascular Institute

Disclosures And Resolution of Conflict of Interest

Bryon A. Tompkins M.D., faculty of this educational activity, has no relevant financial relationships with ineligible companies* to disclose, and has indicated that the presentation or discussion will not include off-label or unapproved product usage.

Tina Sanjar, M.D, and Seema Chandra, M.D., directors of this educational activity, have no relevant financial relationships with ineligible companies* to disclose, and have indicated that the presentation(s) or discussion(s) will not include off-label or unapproved product usage

All of the relevant financial relationships listed for this/these individual(s) has/have been mitigated.

*Ineligible companies – Companies whose primary business is producing, marketing, selling, re-selling or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Accreditation

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.

Baptist Health South Florida designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™ each.  Physicians should claim only the credit commensurate with the extent of their participation in the activity.   

This activity has been approved for 1.5 credit hours each, CE Broker Course #20-1226842, by the Florida Boards of Medicine, Osteopathic Medicine and Physician Assistants.

This activity has also been approved for 1.5 credits each for Nurses and Nurse Practitioners, Pharmacists and Techs and Respiratory Therapists.. Baptist Health South Florida CE Broker Provider #50-182.