Mayo Clinic Division of Cardiovascular Diseases
Challenges in Clinical Cardiology A Case-Based Update
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celinks.mayo.edu/cvchallenges2015 September 18-20, 2015 InterContinental, Chicago, IL Course Directors
Charles J. Bruce, M.D. Heidi M. Connolly, M.D.
COURSE DESCRIPTION
CREDIT
This annual course is designed to provide a case-based update on the diagnosis and treatment of commonly encountered cardiovascular conditions. Expert faculty will focus on challenging aspects of coronary artery disease, atrial fibrillation, congestive heart failure, valvular heart disease, congenital heart disease, pulmonary hypertension, obstructive sleep apnea, and preventive cardiology. This case-based review will address the relevant guidelines and latest treatment options for patients with these conditions.
Mayo Clinic College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
COURSE LEARNING OBJECTIVES Upon conclusion of this program, participants should be able to: • Summarize key aspects of the new valvular heart disease guidelines • Describe the assessment and treatment of prosthetic valve dysfunction • Review current pharmacologic and non-pharmacologic anticoagulation strategies in patients with atrial fibrillation • Describe how to manage patients with STEMI • Describe the contemporary treatment of heart failure • Review the evidence for treatments related to preventive cardiology • Describe how to evaluate and treat patients with pulmonary hypertension • Describe how to evaluate and treat patients with pericarditis • Describe how to treat patients with adult congenital heart disease undergoing non cardiac surgery • Describe how to treat patients with dilated ascending aorta • Review evaluation and treatment of patients with breast cancer and left ventricular function Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.
INTENDED AUDIENCE This course is appropriate for, but not limited to, cardiologists, internal medicine subspecialists, general internists, physician assistants, nurse practitioners, and other primary healthcare providers.
Mayo Clinic College of Medicine designates this live activity for a maximum of 17.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Other Health Care Professionals A certificate of attendance will be provided to other health care professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.
GRANTS AND EXHIBITS At the time of this printing, a complete listing of commercial supporters (financial or in-kind) was not available. Appropriate acknowledgment will be given to all supporters at the time of the meeting. Exhibits will be available for viewing at all scheduled breaks.
DATE AND LOCATION Challenges in Clinical Cardiology will be held September 18-20, 2015. Course headquarters will be located in the Grand Ballroom on the 7th floor of the InterContinental Chicago Hotel. At the InterContinental Chicago, discover a unique combination of old-world elegance and modern sophistication. Enjoy an unrivaled view of Michigan Avenue from the giant live video feed behind the reception desk or step outside to experience the live energy and attractions. Immerse yourself in the enchanting atmosphere of this prestigious hotel offering legendary service in a luxurious setting. The InterContinental Chicago features: • Direct entrance on to the Magnificent Mile • Just moments from the trolley and area attractions • Three distinct restaurants and lounges offering award winning cuisine and beverages • Modern spa and health club on two levels with three treatment rooms and a sauna • Junior Olympic indoor heated swimming pool, featuring a classic ornate design
LODGING ACCOMMODATIONS Guest rooms have been reserved for attendees and their guests with special course rates at InterContinental Chicago. In order to receive the special rate, reservations must be made before the room block is filled or before the expiration date of August 17, 2015, whichever comes first. Reservations will be taken following this date based on space and rate availability. Please identify yourself as a participant of the Mayo Clinic Challenges conference when making your reservation. InterContinental Chicago 505 North Michigan Avenue Chicago, IL 60611 Rate: $279 Phone Reservations: 1-800-628-2112 or 312-944-4100 Web Reservations: http://goo.gl/0Cmwp5 Lodging arrangements are the sole responsibility of the individual registrant. Mayo Clinic Cardiovascular CME is not responsible for expenses incurred by an individual who is not confirmed and for whom space is not available at the meeting. Costs incurred by the registrant such as airline or hotel fees or penalties are the responsibility of the registrant.
FACULTY DISCLOSURE As a provider accredited by ACCME, Mayo Clinic College of Medicine (Mayo School of Continuous Professional Development) must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course director(s), planning committee, faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.
FACULTY
Course Directors Charles J. Bruce, M.D. Heidi M. Connolly, M.D. Mayo Faculty Thomas G. Allison, Ph.D. Philip A. Araoz, M.D. J. Wells Askew, III, M.D. Malcolm R. Bell, M.D. Lori A. Blauwet, M.D. Daniel D. Borgeson, M.D. Juan M. Bowen, M.D. Thomas G. Brott, M.D. Yong-Mei Cha, M.D. Raul E. Espinosa, M.D. William K. Freeman, M.D. Jeffrey B. Geske, M.D. Joerg Herrmann, M.D. R. Todd Hurst, M.D. Garvan C. Kane, M.D., Ph.D. Suraj Kapa, M.D. Fred Kusumoto, M.D. Kevin Landolfo, M.D. Jane A. Linderbaum, APRN, CNP Francisco Lopez-Jimenez, M.D. Sunil V. Mankad, M.D. Verghese Mathew, M.D. Christopher J. McLeod, M.B., Ch.B., Ph.D. Hector I. Michelena, M.D. Siva K. Mulpuru, M.D. Vuyisile T. Nkomo, M.D., M.P.H. Peter A. Noseworthy, M.D. Sorin V. Pislaru, M.D., Ph.D. Margaret M. Redfield, M.D. Eduardo S. Rodrigues, M.D. Thom W. Rooke, M.D. Hartzell V. Schaff, M.D. D. Eric Steidley, M.D. Jeremy J. Thaden, M.D. Randal J. Thomas, M.D. Walter R. Wilson, M.D. Eric H. Yang, M.D.
NATIONAL PHYSICIAN PAYMENT TRANSPARENCY PROGRAM
Mayo Clinic College of Medicine complies with the requirements of the National Physician Payment Transparency Program OPEN PAYMENTS (Physician Payments Sunshine Act).
PROGRAM SCHEDULE Friday, September 18, 2015 7:00 a.m.
Registration and Continental Breakfast Grand Ballroom Foyer – 7th Floor
7:50 a.m.
Welcome and Introductions Charles J. Bruce, M.D. and Heidi M. Connolly, M.D.
Session Moderator: D. Eric Steidley, M.D. Surgical Perspective: Kevin Landolfo, M.D. 8:00 a.m.
State-of-Art Lecture: Heart Failure 2015: Implantable Pulmonary Artery Pressure Monitoring Margaret M. Redfield, M.D.
8:30 a.m.
Heart Failure with Preserved Ejection Fraction: Diagnosis and Management Daniel D. Borgeson, M.D.
8:55 a.m.
Is this Cardiomyopathy Reversible – And If So, How Long Should I Wait Before Recommending an ICD? D. Eric Steidley, M.D.
9:20 a.m. Challenging Cases in Heart Failure Management Panel: Drs. Redfield, Borgeson, Steidley Moderator: Daniel D. Borgeson, M.D. 9:50 a.m.
Refreshment Break
Session Moderator: Malcolm R. Bell, M.D. Surgical Perspective: Kevin Landolfo, M.D. 10:15 a.m.
STEMI Management: Should You Only Address the Infarct Related Artery? Eric H. Yang, M.D.
10:40 a.m.
Thrombolysis in a Patient on Warfarin Verghese Mathew, M.D.
11:05 a.m.
“Type 2” Myocardial Infarction: Is Management Different? J. Wells Askew, III, M.D.
11:30 a.m.
Clopidogrel and CAD: How Long Should I Take This? Malcolm R. Bell, M.D.
11:55 a.m.
Ischemic Heart Disease: My Most Challenging Case This Year Panel Presentation and Audience Discussion Drs. Bell, Askew, and Yang
12:25 p.m.
Lunch (Provided)
Session Moderator: Charles J. Bruce, M.D. 1:30 p.m.
Should I Transfuse this Patient? Eduardo S. Rodrigues, M.D.
1:55 p.m.
Should I Start a Beta Blocker in this Pre-op Patient? William K. Freeman, M.D.
2:20 p.m.
Would You Start an Aspirin in this Woman with A) Atrial Fibrillation and B) A Family History of CAD? Jane A. Linderbaum, APRN, CNP
2:45 p.m.
Cardiology and Carotid Disease: Endovascular or Medical Treatment for Asymptomatic High Grade Stenosis? Thomas G. Brott, M.D.
3:10 p.m.
Refreshment Break
Session Moderators: Heidi M. Connolly, M.D. and Fred Kusumoto, M.D. 3:40 p.m.
Exercise in the Cardiac Patient Thomas G. Allison, Ph.D.
4:05 p.m. Challenges in Hyperlipidemia: Pit Yourself Against the Panel Panel: Drs. Lopez-Jimenez, Thomas, and Hurst Moderator: Charles J. Bruce, M.D. 4:55 p.m.
Adjourn
Saturday, September 19, 2015 7:00 a.m.
Continental Breakfast
7:50 a.m.
Welcome and Announcements
Session Moderator: Charles J. Bruce, M.D. Surgical Perspective: Hartzell V. Schaff, M.D. 8:00 a.m.
Low Gradient Severe Aortic Stenosis Vuyisile T. Nkomo M.D.
8:30 a.m.
Severe Symptomatic Mitral Regurgitation in a High Surgical Risk Patient: What are the Options? Charles J. Bruce, M.D.
8:55 a.m.
Aortic Regurgitation: When to Intervene? Heidi M. Connolly, M.D.
9:20 a.m.
My Most Challenging Valve Case this Year: Panel Presentation and Audience Discussion Drs. Blauwet, Mankad, and Michelena
10:00 a.m.
Refreshment Break
Session Moderator: Heidi M. Connolly, M.D. Surgical Perspective: Hartzell V. Schaff, M.D. 10:30 a.m.
Should We Ignore Endocarditis Prophylaxis Guidelines? Walter R. Wilson, M.D.
10:55 a.m.
High Gradient and Bioprosthetic Valve: What is Your Approach to Evaluation? Sorin V. Pislaru, M.D., Ph.D.
11:20 a.m.
Progressive Dyspnea After the Ross Procedure Charles J. Bruce, M.D.
11:45 a.m.
Valve Surgery in the Patient with Liver Disease Jeffrey B. Geske, M.D.
12:10 p.m.
Lunch (Provided)
1:05 p.m.
Welcome Back
Session Moderators: Fred Kusumoto, M.D. and Heidi M. Connolly, M.D.
State-of-the-Art Lecture: Atrial Fibrillation: To Restore Sinus Rhythm or Not? Fred Kusumoto, M.D.
1:35 p.m.
Atrial Fibrillation: What to do When You Just Can’t Control the Rate! Siva K. Mulpuru, M.D.
2:00 p.m.
Post-Operative Atrial Fibrillation: Management Options Peter A. Noseworthy, M.D.
2:25 p.m.
CHA2DS2-VASc: What is It? Should We Use It? Christopher J. McLeod, M.B., Ch.B., Ph.D.
1:10 p.m.
2:50 p.m. Atrial Arrhythmias: Challenging Cases and Treatment Decisions Panel: Drs. Mulpuru, Noseworthy, and McLeod Moderator: Fred Kusumoto, M.D. 3:15 p.m.
Refreshment Break
Session Moderators: Charles J. Bruce, M.D. and Christopher J. McLeod, M.B., Ch.B., Ph.D. 3:40 p.m.
PVC’s and Mitral Valve Prolapse: Should I be Concerned? Suraj Kapa, M.D.
4:05 p.m.
When Pacing is the Problem: Clues to Diagnosis Christopher J. McLeod, M.B., Ch.B., Ph.D.
4:30 p.m.
Leadless Pacemaker: Who Should Get One? Yong-Mei Cha, M.D.
4:55 p.m.
Adjourn
Sunday, September 20, 2015 7:00 a.m.
Continental Breakfast
7:50 a.m.
Welcome and Announcements
Session Moderator: Heidi M. Connolly, M.D. 8:00 a.m. 8:25 a.m.
Pulmonary Hypertension: Is Pulmonary Thromboendarterectomy the Right Choice? Garvan C. Kane, M.D., Ph.D. The Curious Case of the Cartoonist’s Wife Thom W. Rooke, M.D.
Sinus of Valsalva Measures 47mm: Should I Refer for Surgery? Juan M. Bowen, M.D.
9:15 a.m.
Reduced EF in a Patient with Recurrent Breast Cancer: What is Your Approach? Joerg Herrmann, M.D.
9:40 a.m.
What is that Shadow on the X-Ray? Philip A. Araoz, M.D.
10:05 a.m.
Refreshment Break
8:50 a.m.
Session Moderator: Charles J. Bruce, M.D. 10:30 a.m.
How do You Treat Recurrent Pericardial Pain? Raul E. Espinosa, M.D.
10:55 a.m.
Papillary Fibroelastoma: When is Surgery Appropriate? Jeremy J. Thaden, M.D.
11:20 a.m.
Adult Congenital Heart Disease and Non-Cardiac Surgery: Pitfalls Heidi M. Connolly, M.D.
11:45 a.m.
Closing Comments
12:00 p.m.
Adjourn
REGISTRATION FORM Registration is available online at: celinks.mayo.edu/cvchallenges2015 Registration Fee: Full Fee (MD, PhD, DO, PharmD) $879 Reduced Fee (Fellow, Resident, RN, NP, PA, Sonographer) $779 Mayo Clinic Cardiovascular CME has implemented an online conference registration system. If this is your first time using the online system, you will need to create a profile and login account. The system will guide you through the profile and login process. An e-mail address is required upon registration. A letter of confirmation will be forwarded to this address upon receipt of payment and submitted registration. Present this letter of confirmation when checking in at the meeting registration desk. The registration fee includes tuition, electronic course syllabus, continental breakfasts, break refreshments, and lunches. Although it is not Mayo Cardiovascular Continuing Education (CV CME) policy to limit the number of registrants for a course, conference room facilities may necessitate closing of enrollment; therefore, early registration is advised. Enrollment for this program is limited. For additional information, contact: Cardiovascular Continuing Education 200 First Street SW – Gonda 6-472 Rochester, MN 55905 Website: celinks.mayo.edu/cvchallenges2015 E-mail:
[email protected] Phone: 800-283-6296 CANCELLATION POLICY If you cancel your participation in this course, your registration fee, less a $75 administrative fee, will be refunded when written notification is received by Mayo Cardiovascular CME before August 29, 2015 (email:
[email protected]). No refunds will be made on or after August 29, 2015. Canceled registrations are non-transferable. Mayo CV CME reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event Mayo CV CME must cancel or postpone this course, Mayo CV CME will refund the registration fee, but is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.
© 2015 Mayo Foundation for Medical Education and Research MC5234-32rev0415
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celinks.mayo.edu/cvchallenges2015
Register Online Today!
Course Highlights • Case-based lecture format • Live questions and answers • Access to course materials via the course website
InterContinental Chicago Chicago, IL
September 18-20, 2015
A Case-Based Update
Challenges in Clinical Cardiology
Mayo Clinic Division of Cardiovascular Diseases
200 First Street SW Rochester, MN 55905
MAYO CLINIC
Register Online Today!
