Synopsis
Health City Cayman Islands has introduced a new medical education and training initiative aimed at Caribbean doctors. The program focuses on advanced clinical training, skill development, and exposure to modern healthcare practices. It seeks to strengthen regional medical capacity, improve patient care standards, and retain skilled professionals within the Caribbean healthcare system.
Health City Cayman Islands has officially launched its first continuing medical education (CME) online series, a regional initiative aimed at strengthening clinical knowledge and improving patient care outcomes across the Caribbean healthcare system. The program is designed to help physicians stay updated on the latest advancements in diagnosing and treating two major global health concerns, dementia and atrial fibrillation, the most common form of irregular heartbeat.
The inaugural virtual session, titled 'From Mind to Heart: Advances in Dementia and Atrial Fibrillation Treatment', focused on practical, evidence-based developments in emergency and acute-care management for both neurological and cardiovascular conditions. The one-hour program brought together medical professionals from across the region and awarded CME credits to participating physicians, reinforcing its value as a certified professional development platform.
The session was led by two senior specialists from Health City Cayman Islands, including Dr. Romnesh De Souza, consultant interventional neurologist, and Dr. Ravi Kishore, chief interventional cardiologist and electrophysiologist. Both experts shared insights into modern diagnostic tools, treatment strategies, and emerging technologies that are reshaping the management of complex diseases.
During the neurology segment, Dr. Romnesh De Souza highlighted the growing global burden of dementia, noting that millions of families worldwide are affected by the condition. He explained that current estimates suggest between 55 million and 57 million people are living with dementia, with approximately 10 million new cases diagnosed each year. Experts project that the global number could rise to 78 million by 2030 and exceed 139 million by 2050, with more than 60 percent of cases occurring in low- and middle-income countries.
Dr. De Souza emphasized that up to 40 percent of dementia cases may be preventable through the management of modifiable risk factors, including high blood pressure, diabetes, physical inactivity, poor nutrition, hearing loss, depression, and social isolation. He also discussed major advances in early detection technologies, particularly the use of blood-based biomarkers that can identify Alzheimer’s-related changes before symptoms become severe. In addition, artificial intelligence (AI) is increasingly being used to analyze brain imaging, allowing clinicians to track disease progression and tailor treatment plans more effectively.
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He further noted that newer medications are now capable of slowing cognitive decline by approximately 25 to 35 percent in early-stage Alzheimer’s patients, offering new hope for families affected by the disease. However, he stressed the importance of careful monitoring for potential side effects, including brain swelling and fluid buildup, which require regular MRI scans. “We can detect memory disorders much earlier than before, giving patients the greatest opportunity to benefit from treatment”, Dr. De Souza says, adding that “simple blood tests and more sophisticated imaging techniques now help us identify problems sooner and guide safer, more effective care for our patients”.
The second part of the session focused on cardiovascular health, led by Dr. Ravi Kishore, who discussed the clinical risks associated with atrial fibrillation (AFib). He explained that AFib significantly increases the likelihood of stroke, heart failure, and cognitive decline, while also contributing to reduced quality of life and higher hospitalization rates.
Dr. Kishore outlined several preventive health measures that can help reduce AFib-related risks, including weight management, regular moderate exercise, limiting alcohol consumption, treating sleep apnea through continuous positive airway pressure (CPAP) therapy, and maintaining strict control of blood pressure and blood glucose levels. He also discussed the role of medications in reducing stroke risk and emphasized the importance of individualized treatment approaches.
For patients requiring procedural intervention, he highlighted advancements in catheter ablation therapy, a minimally invasive procedure used to restore normal heart rhythm. In particular, he explained the benefits of electroporation technology, a newer technique that uses controlled electrical pulses rather than heat or cold energy to treat abnormal heart tissue. This approach reduces damage to surrounding structures, shortens procedure times, and improves patient recovery outcomes.
“A newer type of heart procedure is changing how we treat irregular heartbeats”, Dr. Kishore says. “It uses quick electrical pulses instead of heat or cold, works well for most patients, and typically requires less procedure time with fewer risks. Many patients feel better and return to normal life more quickly”.
The Health City Cayman Islands CME online series is designed to expand access to advanced medical education across the region by connecting specialists with healthcare professionals through a fully virtual platform. The initiative aims to bridge knowledge gaps, promote continuous learning, and strengthen the overall quality of care across Caribbean healthcare systems.
Future sessions will continue to explore additional medical specialties, reinforcing the institution’s commitment to medical education, clinical innovation, and regional collaboration. As Dr. Kishore noted, “By making these learning opportunities available across the Caribbean, we’re helping raise the standard of care for patients throughout the region. Knowledge sharing like this ultimately leads to better outcomes for families dealing with serious health conditions”.
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