XXVIII GIORNATE CARDIOLOGICHE TORINESI

ADVANCES IN CARDIAC ARRHYTHMIAS and

GREAT INNOVATIONS IN CARDIOLOGY

UNIVERSITÀ DEGLI STUDI DI TORINO

Directors

Fiorenzo Gaita Sebastiano Marra

Maria Pia Hospital

From Caliper to Catheter

Scientific Committee

Malcolm R. Bell, Usa Martin Borggrefe, Germany Leonardo Calò, Italy Amir Lerman, Usa Jean François Leclercq, France Dipen Shah, Switzerland

Organization Committee

Matteo Anselmino, Italy Carlo Budano, Italy Davide Castagno, Italy

JOINT MEETING OF CARDIOLOGY

Turin October 13-15, 2016 Centro Congressi Unione Industriale di Torino

UNDER AUSPICIES OF

UNDER AUSPICIES OF

INVITATION LETTER From October 13th through October 15th 2016, Torino will host the XXVIII edition of the conference entitled “Advances in Cardiac Arrhythmias and Great Innovations in Cardiology” – organized in collaboration with the Mayo Clinic in Rochester – during which the latest topics on prevention, diagnosis and treatment of heart diseases will be discussed, with special focus on electrophysiology. The Conference will be organized over three days and the speakers will be the most eminent Italian and international experts involved in the above mentioned areas. Sessions will tackle heart disease prevention, novelties in the AF management, sudden death also in athletes, stroke prevention, and the most recent novelties in the treatment of arrhythmias. There will be a dense parallel session dedicated to electrophysiology during which the most important aspects of this branch of physiology will be discussed in view of providing answers by analyzing the clinical practice as well; Lunch Sessions will focus on emerging topics such as the role of PCSK9 in the management of hypercholesterolemia and reversible anticoagulation.

INVITATION LETTER

Associazioni Regionali Cardiologi Ambulatoriali Piemonte

Thanks to the collaboration with the Mayo Clinic in Rochester, world-renowned Opinion Leaders will share their professional and research experience in heart treatments and on the future of research, with a look at the growing use of stem cells in cardiology.

Fiorenzo Gaita and Sebastiano Marra 2

Agnoletti Gabriella \ Torino Agosti Sergio \ Novi Ligure (Al) Ammash Naser M. \ Rochester, Usa Anselmino Matteo \ Torino Antonielli Emanuele \ Torino Arca Marcello \ Roma Atsma Douwe \ Leiden, The Netherlands Augello Giuseppe \ Milano Bell Malcolm R. \ Rochester, Usa Belli Riccardo \ Torino Bisignani Giovanni \ Castrovillari (Cs) Bo Mario \ Torino Bolognese Leonardo \ Arezzo Bongioanni Sergio \ Torino Bongo Angelo Sante \ Novara Borggrefe Martin \ Mannheim, Germany Boriani Giuseppe \ Modena Bovenzi Francesco \ Lucca Brignole Michele \ Lavagna (Ge) Bruna Claudio \ Mondovì (Cn) Budano Carlo \ Torino Calò Leonardo \ Roma Calvi Valeria \ Catania Caplice Noel \ Dublin, Ireland Caponi Domenico \ Asti Capucci Alessandro \ Ancona Castagno Davide \ Torino Cecchi Franco \ Firenze Cerrato Paolo \ Torino Cice Gennaro \ Napoli Colombo Antonio \ Milano Comoglio Chiara \ Torino Conte Maria Rosa \ Torino Crotti Lia \ Pavia 3

FACULTY

Curnis Antonio \ Brescia D’Amico Maurizio \ Torino D’Onofrio Antonio \ Napoli De Luca Leonardo \ Roma De Marco Federico \ Milano Del Greco Maurizio \ Rovereto (Tn) Della Bella Paolo \ Milano Dellavalle Antonio \ Alba (Cn) Di Pasquale Giuseppe \ Bologna Doronzo Baldassarre \ Savigliano (Cn) Ferraris Federico \ Torino Freggiaro Valerio \ Casale Monferrato Novi Ligure - Tortona (Al) Fresco Claudio \ Udine Friedman Paul \ Rochester, Usa Gaita Dan \ Timisoara, Romania Gaita Fiorenzo \ Torino Garcia Bolao Ignacio \ Pamplona, Spain Gasparini Maurizio \ Rozzano (Mi) Giustetto Carla \ Torino Golzio Pier Giorgio \ Torino Inama Giuseppe \ Cremona Leclercq Jean Francois \ Paris, France Lerman Amir \ Rochester, Usa Lombardi Federico \ Milano Lunati Maurizio \ Milano Lupi Alessandro \ Pallanza (Vb) Luzi Mario \ Ancona Marcolongo Marco \ Biella Marino Paolo \ Novara Marra Sebastiano \ Torino Martinelli Luigi \ Rapallo (Ge) Metra Marco \ Brescia Moretti Claudio \ Torino Muneretto Claudio \ Brescia Nardi Federico \ Verbania

PROGRAM

FACULTY

FACULTY PROGRAM

Program - 13th October - Thursday

Noussan Patrizia \ Torino Occhetta Eraldo \ Novara Oreto Giuseppe \ Messina Pecora Domenico \ Brescia Pentimalli Francesco \ Savona Perrone Filardi Pasquale \ Napoli Petrucci Ettore \ Busto Arsizio (Va) Piacenti Marcello \ Pisa Pisapia Andre \ Marseille, France Pistis Gianfranco \ Alessandria Pozzi Roberto \ Orbassano (To) Rametta Francesco \ Vercelli Rapezzi Claudio \ Bologna Riccardi Riccardo \ Pinerolo (To) Rinaldi Mauro \ Torino Romeo Francesco \ Roma Rordorf Roberto \ Pavia Rossetti Guido \ Cuneo Rovaris Giovanni \ Monza Scaglione Marco \ Asti Schwartz Peter \ Pavia Senatore Gaetano \ Ciriè - Ivrea (To) Shah Dipen \ Geneve, Switzerland Sharma Sanjay \ London, UK Sicuro Marco \ Aosta Sinagra Gianfranco \ Trieste Spinnler Maria Teresa \ Moncalieri (To) Temporelli Pier Luigi \ Veruno (No) Vado Antonello \ Cuneo Varbella Ferdinando \ Rivoli (To) Verdecchia Paolo \ Perugia Viola Giuseppe \ Rimini Zanon Francesco \ Rovigo Zanotto Gabriele \ Legnago (Vr) Zardini Marco \ Parma Zoni Berisso Massimo \ Genova

Sala Agnelli

Sala Piemonte

14.15

OPENING REMARKS

14.30

Congress Opening Lecture

Sala Piramide

15.00 From Prevention to Bench

16.40 17.00

Coffee break Lecture

17.30 Atrial Fibrillation: what’s new in 2016

18.50 19.20

Lecture DAY’S CLOSE

1. D. Shah - 2. M.R. Bell - 3. F. Gaita - 4. M. Borggrefe - 5. A. Lerman - 6. S. Marra

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Program - 14th October - Friday

9.50

Sala Piemonte

Common but still open issues in AF

New diagnostic standards in remote treatment and monitoring

Adult Congenital Heart Diseases

11.10

13.15 14.30

Magistral Lecture Heart Failure

CARTOSMARTTOUCH™ Technology for every patient, every physician every arrhythmia

Stroke prevention in atrial fibrillation

16.40

PCSK: future is already available

Sala Piramide

9.00 Interventional cardiology

NURSE SESSION: In hospital infection control

10.30 11.00 11.30

NURSE SESSION: In hospital infection control

13.10 13.40

Anticoagulation 3.0 Dabigatran & Idarucizumab: a new therapeutic standard

Difficult cases in EP lab

Coffee break Congress lecture What’s new in cardiology?

Cardiac Pacing in the 21st century: status quo and quo vadis

Congress Closing Lecture CLOSING REMARKS

Evolves who fits to changes: be effective in heart electric therapies

STEMI - ACS network in 2016

Coffee break

17.00 Sudden Cardiac Death

18.50

Update on arrhythmogenic syndrome Part 2

Sala Piemonte

Lecture

15.00

18.20

Sala Agnelli

Coffee break

11.30 11.55

Update on arrhythmogenic syndrome Part 1

Sala Piramide

Precise navigation and mapping: practical inference and clinical relevance

PROGRAM

8.30

Sala Agnelli

Program - 15th October - Saturday

Lecture DAY’S CLOSE

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Afternoon | 13TH OCT. | Thursday

14.15

OPENING REMARKS

CONGRESS OPENING LECTURE

Atrial Fibrillation: what’s new in 2016

Sala Agnelli

Chairpersons: F. Gaita, S. Marra

14.30

Chairpersons: D. Shah, R. Riccardi

5 important ischemic heart diseases trials in the last year \ M. R. Bell

From Prevention to Bench

17.30 17.50

Sala Agnelli

Chairpersons: M. Borggrefe, M. R. Conte

15.00 15.20 15.40 16.00

18.10

Cardiovascular prevention: state of the art in Piemonte \ S. Marra Relationship between obesity and cardiovascular desease \ D. Gaita Jogging and mortality: U curves is there a relationship? \ P. L. Temporelli Use of low dose IGF-1 for post-infarction myocardial repair

16.40

PROGRAM

Lecture

18.30

Prevention of AF progression by cathether ablation \ F. Gaita

Lecture

Sala Agnelli

Chairperson: S. Marra

Stem cell therapy in clinical practice D. Atsma

18.50

Update in stable coronary artery disease: clinical implications and management challenges \ G. Cice

19.20

DAY’S CLOSE

Coffee break Sala Agnelli

Chairperson: F. Gaita

17.00

Atrial Fibrillation: Epidemiology in the world and in Italy \ M. Zoni Berisso What’s the impact of risk factors management on atrial fibrillation incidence/recurrence? \ D.Caponi Can long acting antiarrhythmic therapy improve results and compliance? L. Calò

N. Caplice

16.20

Sala Agnelli

Right Ventricular Arrhytmogenic Cardiomiopathy \ C. Rapezzi

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Chairpersons: A. Pisapia, R. Pozzi

8.30

8.50

The hemodynamic impact of AF, still searching for the ideal heart rate to target \ A. Capucci Atrial Fibrillation and hypertension: mechanism and implication for management and correct therapy

8.30

9.30

8.50

Asymptomatic lone Atrial Fibrillation, should it be detected and, in case, how to manage? \ D. Shah Percutaneous left atrial appendage occlusion in patients with non-valvular Atrial Fibrillation: are indications expanding? \ P. Friedman

Adult Congenital Heart Desease

9.10

9.30

The role of AF monitoring in patients wearing a device: can the risk of thromboembolic stroke be anticipated or reduced ? \ G. Rovaris Reversible anticoagulation – a new therapeutic standard in thromboembolism prevention \ S. Agosti Remote monitoring in patients wearing a device within a therapeutic plan: hope or reality? \ M. Piacenti

Update on arrhythmogenic syndrome Part 1

Sala Agnelli

Chairpersons: G. Agnoletti, M. R. Bell

9.50

Implantable devices and remote monitoring: how frequently should diagnostic data be received?

C. Budano

P. Verdecchia

9.10

Sala Piemonte

Chairpersons: G. Bisignani, G. Senatore

Morning | 14TH OCT. | Friday

New diagnostic standards in remote treatment and monitoring

Sala Agnelli

Sala Piemonte

Chairpersons: J.F. Leclercq, M. Sicuro

9.50

Managment of Marfan’s Syndrome N. M. Ammash

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Treatment strategies in arrhythhmogenic right ventricular cardiomyopathy

PROGRAM

Common but still open issues in AF

Morning | 14TH OCT. | Friday

Sala Agnelli

10.10 10.30

Sala Piemonte

10.10

Contemporary approach to bicuspid Aortic valve \ C. Muneretto Congenital anomalies of coronary arteries: diagnosis and managment

10.30

N. M. Ammash

10.50

11.10

Transcatheter ablation of arrhythmias associated with congenital heart disease \ M. Scaglione Coffee break

10.50

Rationale and indication of transcatheter ablation in patients with Brugada Syndrome \ F. Ferraris The role of transcatheter atrial fibrillation ablation in hypertrophic cardiomyopathy \ D. Castagno Prognostic value of contrast-enhanced cardiovascular magnetic resonance for the evaluation of sudden death risk in patients with hypertrophic cardiomyopathy M. R. Conte - S. Bongioanni

11.10

Heart Failure

Magistral Lecture

Sala Agnelli

Chairpersons: P. Noussan, G. Sinagra

11.30

PROGRAM

11.50

Sala Piemonte

Chairperson: M. Marcolongo

What’s optimal medical therapy for heart failure? \ M. Metra How atrial fibrillation should be treated in the heart failure patient?

11.30

The Brugada ECG pattern \ G. Oreto

Update on arrhythmogenic syndrome Part 2

M. Anselmino

12.10

Coffee break

Sala Piemonte

Chairpersons: F. Gaita, G. Rossetti

Indications, evidence and future perspectives for secondary mitral regurgitation treatment \ C. Moretti

11.55 8

Asymptomatic short QT interval: when should we worry? \ C. Giustetto

12.30

Sala Piemonte

Treatment of severe tricuspid regurgitation: the interventional cardiologist point of view

12.15

Treatment of severe tricuspid regurgitation: the surgeon’s point of view \ M. Rinaldi

12.55

12.35

A. Colombo

12.50

Sala Agnelli

13.15

LUNCH SESSION - 1

CARTOSMARTTOUCH™ Technology for every patient, every physician every arrhythmia

New concepts for the management of the long QT syndrome \ P. Schwartz ECG markers of sudden death in Brugada syndrome \ L. Calò How the new technologies are changing genetic screening for sudden cardiac death? \ L. Crotti

Sala Piemonte

13.15

LUNCH SESSION - 2

PCSK9: a future is already available Chairpersons: C. Bruna. F. Nardi

Clinical impact of an optimized workflow for paroxysmal AF with CARTO©3 and SMARTTOUCH™ F. Pentimalli Can we reproduce the ablation strategy to standardize a successful paroxysmal AF treatment? F. Ferraris

Role of PCSK9 inhibitors in primary and secondary prevention M. Arca PCSK9 Inhibitors: a huge literature, now we are ready to use them \ P. Perrone Filardi

13.15

LUNCH SESSION - 3

Anticoagulation 3.0. Dabigatran & Idarucizumab: a new therapeutic standard Chairpersons: G. Pistis, F. Rametta Dabigatran: Total security L. De Luca Emergency management in patients treated with NOA F. De Marco

PROGRAM

How the combination of contact force technology and SF tip can improve efficiency of ablation procedures. \ D. Pecora

Sala Piramide

Morning | 14TH OCT. | Friday

Sala Agnelli

CONFIDENSE™: why high density mapping is becoming the standard treatment for complex ablation G. Augello

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Afternoon | 14TH OCT. | Friday

Lecture

STEMI - ACS network in 2016

Sala Agnelli

Chairperson: A. Lerman

14.30

15.00 15.20

Heart failure: how the natural history of dilated cardiomyopathy has changed? G. Sinagra

A. Lupi

Sala Piemonte

Chairpersons: E. Occhetta, G. Senatore

CHADs, CHADs VASC and HAS BLED: how they have been defined and what they mean in clinical practice Are all non-vitamine-K antagonist created equal? Dabigatran \ G. Boriani Apixaban \ M. Bo Rivaroxaban \ L. De Luca Edoxaban \ C. Fresco Coffee break

15.00

15.20

Minimal invasiveness, maximum safety: pacing therapy, evolves thanks to transcatheter pacing system \ A. Vado Adaptive-ness and effective- ness: the two primary goals to achieve in CRT R. Rordorf

15.40

16.00

16.20

PROGRAM

15.20 15.40 16.00 16.20 16.40

STEMI - ACS network in East Piemonte

Evolves who fits to changes: be effective in heart electric therapies

Sala Agnelli

Chairpersons: P. Cerrato, S. Marra, M.T. Spinnler

15.00

STEMI - ACS network in Turin \ F. Varbella STEMI - ACS network in South Piemonte A. Dellavalle

15.40 Stroke prevention in atrial fibrillation

Sala Piramide

Chairpersons: A. S. Bongo, B. Doronzo

Evolution of management of subclinical and not subclinical AF patients: monitoring to prevent \ G. Augello Atrial fibrillation: why it’s important to make opportunities diagnosis in single chamber ICD patients \ D. Pecora Cryoablation evolution: from selected patients therapy to a new standard treatment for pulmonary veins isolation M. Anselmino

16.40 10

Coffee Break

Precise navigation and mapping: practical inference and clinical relevance

Sala Agnelli

Chairpersons: V. Freggiaro, F. Gaita

17.00 17.20 17.40 18.00

Interplay between AF and sudden death \ M. Borggrefe Noninvasive sudden cardiac death risk stratification in 2016 \ F. Lombardi Sudden cardiac death prevention in the athlete \ S. Sharma Sudden cardiac death risk stratification in patients with Hypertrophic Cardiomyopathy \ F. Cecchi

Lecture

Sala Piemonte

Chairpersons: M. Scaglione, M. Zardini

17.00 17.20 17.40 18.00

High Density and Automated Mapping Technology in VT \ P. Della Bella High Density Substrate Mapping in AF A. Pisapia

gMPS Navigation and Mapping in ablation and CRT procedures \ G. Viola Contact force automatic characterization of lesion metrics in AF ablation \ E. Petrucci

Afternoon | 14TH OCT. | Friday

Sudden Cardiac Death

Sala Agnelli

Chairperson: D. Shah

18.20

The future of cardiovascular research A. Lerman

DAY’S CLOSE

PROGRAM

18.50

11

Morning | 15TH OCT. | Saturday

Interventional cardiology

Difficult cases in EP lab

Sala Agnelli

Chairperson: V. Calvi, M. Del Greco

Chairpersons: C. Comoglio, P. Marino, F. Romeo

9.00

Minimal invasive CABG

9.00

9.20

Myocardial bridging

9.20

9.50 10.10

L. Martinelli A. Lerman

TAVI: 8 years of experience in Piemonte \ M. D’Amico Non steroideal anti-inflammatory drugs and cardiovascular risk

9.40

Left ventricular endocardial pacing

10.00

Multiple premature ventricular contractions favouring heart failure in candidates to CRT: where do we start from? \ M. Gasparini High resolution mapping in treating arrhythmia \ I. Garcia Bolao Coffee break

Coffee break 10.20

Congress lecture

10.40

Sala Agnelli

History of ventricular tachycardia ablation \ M. Borggrefe

PROGRAM

11.00

Subclavian vein obstruction during device upgrading \ A. Curnis Difficult left ventricular lead implantation G. Zanotto

G. Di Pasquale

10.30

Sala Piemonte

12

Cardiac Pacing in the 21st century: status quo and quo vadis

Sala Agnelli

Chairpersons: E. Antonielli, R. Belli

11.30 11.50

Chairperson: M. Brignole, G. Inama

Stress cardiomyopathy: always benign? \ F. Bovenzi Arrhythmias and cardiomyopathy: which condition comes first?

11.30 11.50

M. Metra

12.10 12.30 12.50

Sala Piemonte

Management of Heart Failure in Adult Congenital HD \ N. M. Ammash Triple therapy: evidence in support and perils to fear \ L. Bolognese Heparin Induced TT and PCI

12.10

12.30

M. R. Bell

12.50 13.10

MRI in patients with pacemakers and defibrillators \ P. Friedman Device - Based optimization improve CRT patient outcome \ M. Lunati Pacing site in pacemaker dependent patients: should a septal lead position be used? \ F. Zanon Cardiac rythm device surgery with uninterrupted oral anticoagulation: the new standard? \ M. Luzi Patient selection and 3rd generation of subcutaneous defibrillator \ A. D’Onofrio Complexities in approaching infections in patients wearing devices

Morning | 15TH OCT. | Saturday

What’s new in cardiology?

P. G. Golzio

CONGRESS CLOSING LECTURE

Sala Agnelli

Chairperson: S. Marra

13.10

History of supraventricular arrhytmias ablation

13.40

PROGRAM

F. Gaita

CLOSING REMARKS

13

INFORMATIONS

INFORMATIONS

MAP

VENUE Centro Congressi Unione Industriale di Torino via Vela 17 - Torino

Ingresso da Autostrada A4 - Milano

C.M.E./ECM The Meeting has been submitted for approval for continuing education units to the Italian Health Ministry for: Doctors (Cardiologists, Cardiac Surgeons, Emergency Medicine Doctors, General Medicine Doctors and Interdisciplinary specializations.), Nurses, Radiology Technicians and Cardiovascular Perfusionists. CME Credits on October 13th: 2 CME Credits on October 14th- 15th : 6 Educational credits will be granted following effective attendance to the whole training programme, examination of learning and checking of attendance. The certificate of attendance with the number of CME credits assigned can be downloaded after 60 days from the date of the congress directly through the website www.aristea.com REGISTRATION The registration includes: entry to all scientific sessions, badge and congress kit, certificate of attendance, C.M.E. certificate. Simultaneous translation will be provided.

Ingresso da Autostrada A21 - Piacenza Organizing secretariat & provider: ARISTEA Via Roma, 10 - Genova | Tel. 010 553591 For informations and registrations: www.cardiologiamolinette.it or COMUNICARE c.so Sebastopoli, 37 - Torino | Tel. 011 6604284 Credits: Graphic by: Area-Pro s.a.s. - Torino | Printed by: M.G. di Umberto Mazzoni

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