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21st Annual State-of-the-Art Arrhythmia Symposium: Arrhythmia Diagnosis & Treatment Standards 2013 and Leonard N. Horowitz, MD Memorial Lecture
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21st Annual State-of-the-Art Arrhythmia Symposium: Arrhythmia Diagnosis & Treatment Standards 2013 and Leonard N. Horowitz, MD Memorial Lecture

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  • 1. A CME-CERTIFIED COURSESaturday, September 7, 2013Hyatt Regency Philadelphiaat Penn’s Landing201 South Christopher Columbus BlvdPhiladelphia, PA 19106In Conjunction withHospital of the University of PennsylvaniaDepartment of Nursing EducationInnovation and Professional Developmentwww.penncmeonline.comCo-sponsored with:Twenty First AnnualState-of-the-ArtArrhythmia SymposiumArrhythmia Diagnosis & Treatment Standards 2013and Leonard N. Horowitz, MDMemorial Lecture
  • 2. This program is designed to provide electrophysiologists, cardiologists,internists, and associated professionals with state-of-the-art informationon invasive and non-invasive electrocardiographic and electrophysiologictools used in the diagnosis, evaluation, and treatment of cardiac rhythmdisorders. Attendees of the symposium will develop an understandingof the best practice approaches to diagnosing and treating patients withatrial fibrillation, other atrial and ventricular tachycardias, and riskfactors for sudden death.Learning ObjectivesUpon completion of this activity, participants should be able to:I Identify patients with inherited channelopathies such as long QTand Brugada syndromesI Discuss role of ablation for patients with atrial fibrillation includingcurrent recommendations and expected outcomesI Discuss the evaluation and treatment of syncopeI Identify the role arrhythmias play in cardiac dysfunctionI Discuss the evidence for and use of Vitamin K antagonists and thenovel anticoagulantsI Discuss new techniques and technologies used during complexEP device and ablation casesHosting DepartmentThe Twenty First Annual State-of-the-Art Arrhythmia Symposiumis hosted by the Department of Medicine, Division of Cardiology,Electrophysiology Section, University of Pennsylvania Health System.AccreditationPhysicians: The Perelman School of Medicine at the Universityof Pennsylvania is accredited by the Accreditation Council forContinuing Medical Education (ACCME) to provide continuingmedical education for physicians.Nurses: The Hospital of the University of Pennsylvania,Department of Nursing Education, Innovation and ProfessionalDevelopment is an approved provider of continuing nursingeducation by the PA State Nurses Association, and an accreditedapprover by the American Nurses Credentialing Center’sCommission on Accreditation.Designation of CreditPhysicians: The Perelman School of Medicine at the Universityof Pennsylvania designates this live activity for a maximum of7.25 AMA PRA Category 1 Credits™. Physicians should claimonly the credit commensurate with the extent of their participationin the activity.Nurses: Hospital of the University of Pennsylvania, Departmentof Nursing Education, Innovation and Professional Developmentawards this activity 7.25 contact hours.Certificates and Transcripts: A few days prior to the symposium,pre-registered participants will receive an email containingdirections, additional symposium information and a link to thesymposium pre-test, which is an anonymous, short questionnairethat will be used to gauge participant knowledge. After thesymposium has concluded, all participants will receive a follow-upemail containing a link to the post-test, symposium evaluation andrequest for credit (please note that certificates are not automaticallyissued). Once participants submit the request for credit, thecredit can be viewed on a transcript by logging ontowww.penncmeonline.com two weeks after the symposium.Additionally, a certificate will be mailed via the US postal service4-6 weeks after the symposium has concluded.Twenty First Annual State-of-the-ArtArrhythmia SymposiumArrhythmia Diagnosis & Treatment Standards 2013and Leonard N. Horowitz, MD Memorial LectureA CME-certified CourseSaturday, September 7, 2013Hyatt Regency at Penn’s Landing201 South Christopher Columbus Blvd.Philadelphia, PA 19106215-928-1234The Department of Medicine, Division of Cardiology,Electrophysiology ProgramAt the University of Pennsylvania Health SystemPresents
  • 3. Registration FeesThe registration fees for the Twenty First Annual State-of-the-ArtArrhythmia Symposium are $120 for physicians and industry employees,$100 for nurses and healthcare professionals, and $65 for residents,fellows and retired physicians. Penn Medicine employees, faculty, staffand students will receive special course rates of $100 for physicians,$65 for nurses, healthcare professionals, residents and fellows and$60 for students. A valid Penn Medicine ID is required to receive thespecial rate. The registration fee includes attendance to the symposium,a course booklet and a link to view the presentations online,continental breakfast, mid-morning and afternoon refreshments,lunch, post-symposium reception and garage-only parking at theHyatt Regency Philadelphia at Penn’s Landing.You may register online for the course by visitingwww.penncmeonline.com and click on CME Activities. You mayalso mail or fax your completed registration form and payment.Please see the top of the registration form for mailing and faxinginformation. All registrations will be confirmed in writing if yourregistration form and fee are received by August 23, 2013.Cancellation and Refund PolicyIn order to process refunds for course withdrawals, cancellationsmust be received in writing by August 23, 2013 (subject to a$15 service charge). No refunds will be issued thereafter.The University reserves the right to cancel or postpone any coursedue to unforeseen circumstances. In the event of cancellation orpostponement, the University will refund registration fees but is notresponsible for related costs or expenses to participants, includingcancellation fees assessed by hotels, airlines, and travel agencies.Services for the Disabled If special arrangements are required for an individual with a disability to attend thismeeting, please contact the Office of Continuing Medical Education no later than August 23, 2013, at 215-898-6400.Nondiscrimination Statement The University of Pennsylvania values diversity and seeks talented students,faculty, and staff from diverse backgrounds. The University of Pennsylvania does not discriminate on the basis of race,sex, sexual orientation, gender identity, religion, color, national or ethnic origin, age, disability, or status as a Vietnam EraVeteran or disabled veteran in the administration of educational policies, programs or activities; admissions policies;scholarship and loan awards; athletic, or other University administered programs or employment. Questions or complaintsregarding this policy should be directed to Executive Director, Office of Affirmative Action and Equal OpportunityPrograms, 3600 Chestnut Street, Sansom Place East Suite 228, Philadelphia PA 19104-6106 or 215-898-6993 (Voice) or215-898-7803 (TDD). www.upenn.edu/affirm-action.
  • 4. FacultyAll faculty are affiliated with thePerelman School of Medicineat the University of PennsylvaniaPhiladelphia, PARupa Bala, MDAssistant Professor of MedicineCardiac ElectrophysiologyDavid Callans, MDProfessor of MedicineCardiac ElectrophysiologyNancy Cash, CRNPNurse PractitionerClinical Cardiac ElectrophysiologyJoshua Cooper, MDAssociate Professor of MedicineCardiac ElectrophysiologyDonna Damm, CRNPNurse PractitionerClinical Cardiac ElectrophysiologyRajat Deo, MDAssistant Professor of MedicineCardiac ElectrophysiologyNimesh D. Desai, MDAssistant Professor of SurgeryDivision of Cardiovascular SurgerySanjay Dixit, MDAssociate Professor of MedicineDirector, Electrophysiology LaboratoryPhiladelphia VA Medical CenterAndrew Epstein, MDProfessor of MedicineChief, Cardiology SectionPhiladelphia VA Medical CenterDavid Frankel, MDAssistant Professor of MedicineCardiac ElectrophysiologyFermin Garcia, MDAssistant Professor of MedicineCardiac ElectrophysiologyMathew Hutchinson, MDAssistant Professor of MedicineCardiac ElectrophysiologyNancy Jacob, PA-CPhysician AssistantClinical Cardiac ElectrophysiologyYuli Kim, MDAssistant Professor of MedicineDirector, Adult CongenitalHeart Disease CenterDavid Lin, MDAssistant Professor of MedicineCardiac ElectrophysiologyMonica Pammer, PA-CPhysician AssistantClinical Cardiac ElectrophysiologyTara Parham, CRNPNurse PractitionerClinical Cardiac ElectrophysiologyRutuke Patel, PA-CPhysician AssistantClinical Cardiac ElectrophysiologyAllyson Prasad, CRNPNurse PractitionerClinical Cardiac ElectrophysiologyMichael Riley, MD, PhDAssistant Professor of MedicineCardiac ElectrophysiologyRobert Schaller, DOAssistant Professor of Clinical MedicineCardiac ElectrophysiologyGerilynn Schott, CRNPNurse PractitionerClinical Cardiac ElectrophysiologyGregory Supple, MDAssistant Professor of MedicineCardiac ElectrophysiologyErica Zado, PA-CPhysician AssistantClinical Cardiac ElectrophysiologyCourse DirectorFrancis Marchlinski, MDProfessor of MedicineDirector, Cardiac ElectrophysiologyUniversity of PennsylvaniaHealth SystemPhiladelphia, PAGuest FacultyEdward Walsh, MDProfessor of PediatricsDirector Cardiac ElectrophysiologyHarvard Medical SchoolBoston, MAAndrew Krahn, MDProfessor, Division of CardiologyLondon Health Sciences CenterLondon Cardiac InstituteLondon, OntarioPresident, Canadian HeartRhythm SocietyRobert Coyne, MDDirector, ElectrophysiologyLaboratory OperationsMorristown Medical Centerof Atlantic Health SystemMorristown, NJReginald Ho, MD, FACC, FHRSAssociate Professor of MedicineThomas Jefferson University HospitalElectrophysiology ServicePhiladelphia, PAJeffrey Luebbert, MDClinical Assistant ProfessorPennsylvania HospitalPhiladelphia, PAMaully J. Shah, MDAssociate Professor of PediatricsPerelman School of Medicineat the University of PennsylvaniaChildren’s Hospital of PhiladelphiaPhiladelphia, PACory Tschabrunn, CEPSResearch AssociateHarvard Medical SchoolHarvard-Thorndike ElectrophysiologyInstitute Beth Israel DeaconessMedical CenterBoston, MAMeeting Location and ParkingThe Twenty First Annual State-of-the-Art Arrhythmia Symposium will takeplace at the Hyatt Regency Philadelphia at Penn’s Landing, 201 SouthChristopher Columbus Boulevard, Philadelphia, PA. The hotel’s main number is215-928-1234. If you need overnight reservations, please call 1-800-233-1234.Please visit the Hyatt’s website at www.pennslanding.hyatt.com for directionsand additional information.The Hyatt parking garage is located just past the hotel’s main entrance.The parking fee is included in your registration fee. Your parking in the Hyattgarage will be validated at the registration desk on the day of the conference.For information on additional overnight accommodations or what todo or see while you’re in Philadelphia, please go to www.gophila.com.DisclosuresPerelman School of Medicine at the University of Pennsylvania, Office ofContinuing Medical Education, adheres to the ACCME Standards forCommercial Support. Faculty disclosure information will be made available inthe conference materials and syllabi. Faculty members are also expected todisclose to participants any discussions of off-label and/or investigational usesof pharmaceutical products within their presentations.
  • 5. Saturday, September 7, 2013Twenty First Annual State-of-the-Art Arrhythmia Symposium7:15 – 7:45 AMRegistration and Continental BreakfastGeneral CardiologyMorning Session – 7:45 – 11:00 AMModerator: Francis Marchlinski, MDWelcome & IntroductionFrancis Marchlinski, MD8:00 – 8:20 AMNew Outcome Data and ExpandedIndications for AF AblationFrancis Marchlinski, MD• Late AF recurrence after ablation –a benign syndrome• AF ablation as primary therapy – RAAFT Trial• AF catheter ablation in patients withprior mitral surgery• Long-standing AF – predictors ofablation success8:25 – 8:50 AMNovel Devices and TechniquesFermin Garcia, MD• Subcutaneous ICD lead system• Percutaneous left atrial occlusion• Renal artery denervation• Epicardial ablation8:55 – 9:15 AMUpcoming/Ongoing Trials orNew Technologies to ConsiderDavid Callans, MD• CABANA• ASPIRE• nCONTACT (hybrid AF ablation)• OAT AF9:20 – 10:00 AMCase Presentation/Audience Participation:Difficult AF Management IssuesModerator: Francis Marchlinski, MDPanel: Fermin Garcia, MD, Andrew Krahn, MD,David Callans, MD, Nimesh Desai, MD,Michael Riley, MD, PhD• Drug–drug interactions• When to consider left atrialappendage occlusion?• Surgery versus catheter ablation or both• Safely stopping anticoagulants – In whom?• When to bridge?10:00 – 10:25 AMInherited Arrhythmia Channelopathies:How to Recognize and TreatAndrew Krahn, MD• Long QT syndrome• Brugada syndrome• Short QT syndrome• Early repolarization• Catecholaminergic polymorphic VT10:30 – 11:00 AMBreak/Visit Exhibits4:00 – 5:00 PMCase Presentation/Audience Participation:Challenges and Controversies in ArrhythmiaManagement and DiagnosisModerator: Michael Riley, MD, PhDPanel: Andrew Epstein, MD, Rupa Bala, MD,Sanjay Dixit, MD, Gregory Supple, MD• Diagnosis of Brugada syndrome• Goals for rate control during AF• Identifying risk in asymptomatic WPW –when to ablate• Atrial flutter ablation-when to considerconcomitant AF ablation• Newly diagnosed cardiomyopathy-timing ofprimary prevention ICD• Atrial fibrillation and LV dysfunction-roleof rhythm controlAssociated Professional – 1:00 – 3:00 PMAfternoon Breakout SessionModerator – Gerilynn Schott, CRNP1:00 – 1:45 PMSelecting the Appropriate Device TherapyRutuke Patel, PA-C• ICD vs. pacemaker• Dual vs. single chamber• CRT• When to consider SubQ ICD?1:50 – 2:40 PMCommon Device and ECG Questions/Diagnostic ErrorsCory Tschabrunn, CEPS• Pacer spikes in the wrong place• Is the QT too long?• Is this heart block?• What is this wide rhythm?2:45 – 3:05 PM BreakAssociated ProfessionalAfternoon Breakout Session – 3:00 – 5:00 PMModerator – Monica Pammer, PA-C3:05 – 3:50 PMAntiarrhythmic Drug ChoicesTara Parham, CRNP• When to hospitalize for initiation• How to monitor/what to look for• Proarrhythmia• Interactions with common drugs and thecurrent regimen3:55 – 5:00 PMChallenges in Pre/post Procedure Management –Cases/Audience ParticipationNancy Cash, CRNP, Donna Damm, CRNP,Nancy Jacob, PA-C, Allyson Prasad, CRNP• Post procedure pain• Distinguishing atrial flutter from atrial fibrillation• Anticoagulation management• Managing procedural complications –when to worry11:00 AM – 12:00 PMLeonard N. Horowitz, MDMemorial LectureArrhythmias in the Adult withCongenital Heart DiseaseEdward Walsh, MD12:00 – 1:00 PM LunchGeneral CardiologyAfternoon Session – 1:00 – 3:00 PMModerator: David Callans, MD1:00 – 1:30 PMVasovagal Syncope/POTSAndrew Krahn, MD• Role of tilt table testing• Role of heart rate variability assessment• Appropriate treatment strategies1:35 – 1:55 PMAppropriate ECG Monitoring and EP Evaluationfor Patients with SyncopeRobert Schaller, DO• Pro and cons of different ECGmonitoring techniques• Clues from history that suggest that anEP evaluation is warranted• Important findings at EP study2:00 – 2:40 PMCase Presentation/Audience Participation:Difficult Syncope Management DecisionsModerator: David Callans, MDPanel: Andrew Krahn, MD, Reginald Ho, MDMathew Hutchinson, MD, Maully Shah, MD• When to ablate inappropriate sinus tachycardia?• What testing is optimal?• Who needs a defibrillator?• Who needs a neurologic evaluation?• Special considerations in children?2:45 – 3:05 PM BreakGeneral CardiologyAfternoon Session – 3:00 – 5:00 PMModerator: Michael Riley, MD, PhD3:05 – 3:30 PMImproving Outcome in Patients with Heart Failure:Role of the ElectrophysiologistDavid Lin, MD• Limiting RV pacing• Eliminating arrhythmiainduced cardiomyopathy• Predicting reversibility of heart failure• Indications for biventricular pacing3:35 – 4:00 PMNew Anticoagulants:Trial Data and Clinical ExperienceDavid Frankel, MD• RE-LY, ROCKET-AF and ARISTOTLE Trials• When and how to switch from warfarin?• When is warfarin the preferred agent?• Clinical considerations around the timeof surgeryAdvanced EPAfternoon Session – 1:00 – 5:00 PMModerator: Francis Marchlinski, MD1:00 – 1:45 PMPanel Discussion: Optimizing the Arrhythmia Care ofPatients with Congenital Heart Disease and FamilyMembers with ChannelopathiesModerator: Francis Marchlinski, MDPanel: Yuli Kim, MD, Maully Shah, MD,Rupa Bala, MD, Edward Walsh, MD, Rajat Deo, MD1:45 – 2:10 PMAtrial Fibrillation Ablation –Improving Contact and OutcomeGregory Supple, MD• Prerecorded highlights from cases• Intracardiac echo to identify thrombusand confirm contact• Use of JET ventilation• New information on the phrenic nerve• New techniques for identifying reconnected veins2:15 – 2:40 PMEpicardial Ablation –Indications, Access, Technique and RisksFrancis Marchlinski, MD• ECG and unipolar identification of epicardial VT• Gaining access• Identifying abnormal substrate• Targets and outcome2:45 – 3:05 PM Break3:05 – 3:30 PMArrhythmias in Hypertrophic CardiomyopathyMathew Hutchinson, MD• Apical aneurysms ECG• Is there still a role for RV pacing?• Managing arrhythmia risk• Outcome with AF ablation3:35 – 4:30 PMPanel Discussion –Complicated Ablation CasesModerator: Francis Marchlinski, MDPanel Members: Robert Coyne, MD,Reginald Ho, MD, Jeffrey Luebbert, MD4:30 – 5:00 PMSarcoidosis: What the EP Doc Needs to KnowJoshua Cooper, MD• Current understanding of pathogensis andanatomic distribution• How to diagnose• Common arrhythmia presentations• When to treat with steroids, ablation, ICD• Important registry data5:00 PM Adjourn5:00 – 6:00 PM Reception
  • 6. CME Registration FormTwenty First Annual State-of-the-Art Arrhythmia SymposiumArrhythmia Diagnosis and Treatment Standards 2013 andLeonard N. Horowitz, MD Memorial LectureSaturday, September 7, 2013To register online for the course please visit www.penncmeonline.comand click on CME ActivitiesYou May Also Mail or Fax Payment and Registration Information to:Conference Coordinator, Perelman School of Medicine at the University of PennsylvaniaOffice of Continuing Medical Education333 Blockley Hall, 423 Guardian Drive, Philadelphia, PA 19104-6021Phone: 215-898-6400 or 215-898-8005; Fax: 215-898-1888penncme@mail.med.upenn.eduPLEASE PRINT OR TYPE___________________________________________________________Name (First) (Last)___________________________________________________________Academic Degree___________________________________________________________Medical Specialty___________________________________________________________Affiliation (Hospital, Office, or Company)___________________________________________________________Address ( K affiliation K home)___________________________________________________________City State Zip___________________________________________________________Phone Fax___________________________________________________________E-mailBreakout Session Preference (Please Check One)K General Cardiology K Associated Professionals K Advanced EPRegistration Fees(pre-payment is required to be officially registered)K $120 Physicians or IndustryK $100 Nurses or Healthcare ProfessionalsK $100 Penn Medicine PhysiciansK $65 Residents and Fellows (Penn and Non-Penn)K $65 Retired PhysiciansK $65 Penn Medicine Nurses or Healthcare ProfessionalsK $60 Penn Medicine StudentsPenn Medicine ID # ______________________________________Payment MethodMake check payable to: Trustees of the University of Pennsylvania/CMEK Visa K MasterCard K Discover K American Express___________________________________________________________Authorization Signature___________________________________________________________Cardholder Name___________________________________________________________Card # Exp. Date Security CodePlease Note: Walk-in registrants must bring payment to the program.Seating may be limited for walk-in registrants.
  • 7. 21stAnnualState-of-the-ArtArrhythmiaSymposiumARRHYTHMIADIAGNOSISANDTREATMENTSTANDARDS2013ACME-certifiedCourseSaturday,September7,2013HyattRegencyPhiladelphiaatPenn’sLanding201S.ChristopherColumbusBlvd.Philadelphia,PA19106Non-ProfitOrg.U.S.PostagePAIDPermitNo.2563Phila.,PA19104333BlockleyHall|423GuardianDrivePhiladelphia,Pennsylvania19104-6021PHONE:215-898-9800FAX:215-898-1888