Mayo Clinic Cardiac Rhythm Device Summit Implantation, Management & Follow-Up 2026

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• Target Audience: cardiologists, internists, family practitioners, physician assistants, cardiovascular nurse practitioners
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The Cardiac Device Summit delivers a comprehensive and practical update on the indications, management, and follow-up care of cardiac rhythm technologies. Designed for clinicians involved in the care of patients with implantable cardiac devices, this course emphasizes clinical pearls and real-world strategies to optimize patient outcomes.

Each year, hundreds of thousands of patients receive devices such as pacemakers, implantable cardioverter-defibrillators (ICDs), and cardiac resynchronization therapy (CRT) devices to treat conditions including bradyarrhythmias, tachyarrhythmias, and heart failure. As the indications for these devices continue to expand, so does the complexity of programming, troubleshooting, and long-term management.

LEARNING OBJECTIVES

Describe the current indications for pacemaker, ICD, subcutaneous ICD, and resynchronization therapies

Recognize upcoming technologies such as leadless and epicardial devices

Interpret diagnostic material (electrocardiograms, impedance, radiography, and other sources) to troubleshoot suspected implantable device malfunction

Discuss common issues seen in patients with cardiac implantable electronic devices

Identify the current capabilities of remote monitoring to manage patients with cardiovascular risk and disease

Recognize precise cardiac anatomy to facilitate lead placement

INTENDED AUDIENCE

This symposium is intended for cardiologists, internists, family practitioners, physician assistants, cardiovascular nurse practitioners, and technologists involved in the care of patients requiring cardiac rhythm management.

• Topics:

THURSDAY, JUNE 25, 2026

7:00 a.m.

Registration and Continental Breakfast

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 I: Understanding Underlying Anatomy to Minimize Complications and Implementation of New Technology

Fred Kusumoto, MD

8:20 a.m.

Applied Anatomy: Chest X-Rays and Devices

Paul Friedman, MD

8:40 a.m.

Who should get a Leadless Pacemaker? How should I do it and what should I watch for?

Alan Sugrue, MB, BCh, MSc

9:00 a.m.

Questions and Answers

Paul Friedman, MD, Alan Sugrue, MB, BCh, MSc

9:10 a.m.

Rapid Fire Cases

Yong Mei Cha, MD, Paul Friedman, MD, Siva Mulpuru, MD, Alan Sugrue, MB, BCh, MSc

Moderator: Fred Kusumoto, MD

9:40 a.m.

Refreshment Break

Cardiac Rhythm Devices: Practical Clinical Challenges in ICDs

Moderator: Siva Mulpuru, MD

10:00 a.m.

Are ICD’s for Primary Prevention Yesterday’s News?

Jeanne Poole, MD

10:20 a.m.

Inherited Arrhythmias: Who should and shouldn’t Receive an ICD

Komandoor Srivathsan, MD

10:40 a.m.

Choosing ICD Type: Single Chamber, Dual Chamber, Transvenous, Subcutaneous, or ?

Win-Kuang Shen, MD

11:00 a.m.

Atrial High Rate Episodes: How Long is Too Long?

Dan Sorajja, MD

11:20 a.m.

Questions and Answers

Anca Chiriac, MD, Jeanne Poole, MD, Win-Kuang Shen, MD, Komandoor Srivathsan, MD

11:30 a.m.

Rapid Fire Cases (ICD)

Jeanne Poole, MD, Win-Kuang Shen, MD, Dan Sorajja, MD, Komandoor Srivathsan, MD

Moderator: Siva Mulpuru, MD

12:10 p.m.

Lunch

Cardiac Rhythm Devices: Innovations and Practical Clinical Challenges

Yong Mei Cha, MD

1:00 p.m.

Artificial Intelligence and Cardiac Devices: Present and Future Applications

Paul Friedman, MD

1:20 p.m.

Pacemaker Programming and Troubleshooting

Fred Kusumoto, MD

1:40 p.m.

Syncope and Stroke: Everyone Should Get an Implantable Monitor?

Dan Sorajja, MD

2:00 p.m.

Wearables and Consumer Devices: Helpful or a Headache?

Komandoor Srivathsan, MD

2:20 p.m.

Questions and Answers

Paul Friedman, MD, Fred Kusumoto, MD, Win-Kuang Shen, MD, Komandoor Srivathsan, MD

Moderator: Yong Mei Cha, MD

2:40 p.m.

Case of the Day Discussion

Fred Kusumoto, MD

2:45 p.m.

Adjourn

Welcome Reception Faculty, Participants, and Guests are invited to attend

FRIDAY, JUNE 26, 2026

7:15 a.m.

Continental Breakfast

7:30 a.m.

Early Bird Session – Common Management Problems and Conundrums for CIED Patients in the Hospital and the Clinic

Melinda Barber, ARNP, Paul Bibby, APRN, ACNP-BC

Moderator: Fred Kusumoto, MD

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.

Special Session: Scientific Communication in a Sea of Information: Past, Present, and Future

Jeanne Poole, MD

8:40 a.m.

Conduction System Pacing for All?

Alan Sugrue, MB, BCh, MSc

9:00 a.m.

How Do I Achieve Conduction System Pacing?

Yong Mei Cha, MD

9:20 a.m.

Case Based Discussion: How I Manage Nonresponders to CRT or Conduction System Pacing

Dan Sorajja, MD

9:40 a.m.

Assessing Device Function from the ECG

Abhishek Deshmukh, MBBS

10:00 a.m.

Questions and Answers

Abhishek Deshmukh, MBBS, Jeanne Poole, MD, Dan Sorajja, MD, Alan Sugrue, MB, BCh, MSc

10:10 a.m.

Rapid Fire Cases (Physiologic Pacing)

Yong Mei Cha, MD, Abhishek Deshmukh, MBBS, Dan Sorajja, MD, Alan Sugrue, MB, BCh, MSc

Moderator: Siva Mulpuru, MD

10:50 a.m.

Refreshment Break

CIED Lead Management, Infection, and Extraction

Moderator: Yong Mei Cha, MD

11:10 a.m.

CIED Lead Management: Shared Decision Making on Lead Revision, Abandonment, or Extraction

Komandoor Srivathsan, MD

11:30 a.m.

Lead Extraction: Technical Challenges, Tricks and Tips, and Outcomes

Siva Mulpuru, MD

11:50 a.m.

The Infected CIED has been Removed: Now What and When?

Alan Sugrue, MB, BCh, MSc

12:10 p.m.

Lead Management: What does the Future Hold? New Recommendations from Society Documents

Yong Mei Cha, MD

12:30 p.m.

Questions and Answers

12:40 p.m.

Case of the Day Discussion

Siva Mulpuru, MD

12:50 p.m.

Adjourn

SATURDAY, JUNE 27, 2026

7:15 a.m.

Continental Breakfast

7:30 a.m.

Early Bird session: Common Device Troubleshooting in the Device Clinic Case Presentations

Melinda Barber, ARNP, Paul Bibby, APRN, ACNP-BC, Dean Engle, RN, Tamara Meyers-Laplace, RN

Moderator: Yong Mei Cha, MD

CIED Programming, Trouble Shooting, and Follow-Up

Moderator: Fred Kusumoto, MD

8:10 a.m.

Post Test

8:25 a.m.

Case of the Day

Fred Kusumoto, MD

8:30 a.m.

Devices and Adults with Congenital Heart Disease: What does the Adult Cardiologist Need to Know?

Anca Chiriac, MD

8:50 a.m.

ICD Programming and Troubleshooting

Abhishek Deshmukh, MBBS

9:10 a.m.

CIED Follow-Up: When and How, Best Practices in 2026

Christine Kneeland, RN

9:30 a.m.

Management of Patients with CIEDSs Before, During, and After Surgery

Monica Mordecai, MD

9:50 a.m.

How to Optimally Prime ICDs

Anca Chiriac, MD

10:00 a.m.

Cases and Questions and Answers

Abhishek Deshmukh, MBBS, Christine Kneeland, RN, Monica Mordecai, MD, Dan Sorajja, MD

Moderator: Fred Kusumoto, MD

10:30 a.m.

Device Programming and Patient Management Potpourri

Melinda Barber, ARNP, Paul Bibby, APRN, ACNP-BC, Yong Mei Cha, MD, Dean Engle, RN, Christine Kneeland, RN, Siva Mulpuru, MD, Dan Sorajja, MD

Moderator: Fred Kusumoto, MD

11:15 a.m.

Case of the Day Discussion

Fred Kusumoto, MD

11:25 a.m.

Closing Remarks

11:30 a.m.

Adjourn