Cardiology Update 2012: A Patient Management Approach


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Cardiology Update 2012: A Patient Management Approach

  1. 1. Penn Cardiology atPenn Presbyterian Medical CenterPresentsC A R D I O L O G Y U P D AT E 2012A Patient Management Approach A CME-CERTIFIED COURSE Saturday and Sunday October 13-14, 2012 Revel Atlantic City, NJ Co urs e D ire c to rs Terry D. Friedman, MD, FACC John J. Ross, Jr., RDCS, RVS, RCS Harvey L. Waxman, MD, FACC
  2. 2. PROGRAM OVERVIEW& TA R G E T A U D I E N C EThis conference is designed for the primary care physician, cardiologist, and nursepractitioner with a special interest in cardiology. It will focus on practical and clinicalissues faced on a daily basis by the health care professional. There will be a combinationof case presentations and didactic lectures which will be used to provide an academicallysound and clinically relevant cardiology review. Additionally, full clinical data will bereviewed. If appropriate, an echocardiogram will be performed so that the attendees willsee the cardiac abnormality on a large projection screen. One can expect to see a myriad ofimportant clinical issues, both common as well as unusual. A panel of experts will discusseach particular problem and provide clinical recommendations.Specialists in their field will provide the lectures. Each presentation will focus on anupdate of the literature to allow the participating clinician to remain current on the latestinformation. Emphasis will be placed on question and answer sessions to encourageaudience participation.Guest faculty will join full-time faculty from the Perelman School of Medicine at theUniversity of Pennsylvania.Course ObjectivesUpon completion of this activity, participants should be able to:I Discuss minimally invasive mitral valve repair surgeryI Review the indications and long-term data regarding implantable cardioverter defibrillatorsI Explain appropriate use of transfusion in cardiovascular patientsI Discuss the current guidelines for reduction of embolic events in atrial fibrillationI Review recommended therapy for patients with atrial fibrillation and heart failureI Describe current management recommendations for thoracic aortic diseaseI Discuss the various approaches to the treatment of abdominal aortic aneurysmI Review the medical management of various lipid abnormalitiesI Describe the current approach to diastolic heart failureI Discuss the relationship of sleep apnea and cardiovascular diseaseI Review the indications for surgery in severe valvular heart diseaseI Explain the recommended clinical approach to patients with valvular heart disease
  3. 3. Disclosures Perelman School of Medicine at the University of Pennsylvania, Office of Continuing MedicalHosting Department and Organization Education, adheres to the ACCME Standards for Commercial Support. Faculty disclosureCardiology Update 2012: A Patient Management Approach is hosted by the Philadelphia information will be made available in the conference materials and syllabi. Faculty members areHeart Institute of Penn Presbyterian Medical Center and the Heart Institute of Southern also expected to disclose to participants any discussions of off-label and/or investigational uses ofNew Jersey. pharmaceutical products within their presentations.Accreditation Registration FeesThe Perelman School of Medicine at the University of Pennsylvania is accredited by the The registration fees for Cardiology Update 2012: A Patient Management Approach are $285Accreditation Council for Continuing Medical Education to provide continuing medical for physicians and $260 for residents, fellows, nurses, and other allied health for physicians. The fee includes course registration, continental breakfasts, luncheon and reception on Saturday, refreshment breaks, and a course syllabus on flash drive.The Perelman School of Medicine at the University of Pennsylvania, Office of HumanResearch is an approved provider of continuing education by the PA State Nurses Note: Complimentary parking vouchers (for non-valet only) for both days will be available at theAssociation, an accredited approver by the American Nurses Credentialing Center’s registration desk if you are pre-registered for the course.Commission on Accreditation.Designation of Credit You may register online for the course by visiting and click on CMEPhysicians: The Perelman School of Medicine at the University of Pennsylvania Activities. You may also mail or fax your completed registration form and payment. Please see thedesignates this live activity for a maximum of 11.5 AMA PRA Category 1 CreditsTM. bottom of the attached registration form for mailing and faxing information. All registrations willPhysicians should claim only the credit commensurate with the extent of their be confirmed in writing if your registration form and fee are received by September 28, 2012.participation in the activity. Cancellation and Refund PolicyNurses: This continuing nursing education activity is approved for 11.5 contact hours by In order to process refunds for course withdrawals, cancellations must be received in writinghe PA State Nurses Association, an accredited approver by the American Nurses by September 28, 2012 (subject to a service charge equivalent to 10% of the registration fee).Credentialing Center’s Commission on Accreditation. No refunds will be issued thereafter.Physician Assistants: AAPA accepts certificates of participation for educational activities The University reserves the right to cancel or postpone this course due to unforeseencertified for Category I credit from AOACCME, Prescribed credit from AAFP, and circumstances. In the event of a cancellation or postponement, the University will refundAMA PRA Category I Credits from organizations accredited by ACCME or a recognized registration fees but is not responsible for related costs or expenses to participants, includingstate medical society. cancellation fees assessed by hotels, airlines, and travel agencies.Cover Picture Legend Meeting LocationOn first impression, the world’s tallest animal the giraffe (Giraffa Camelopardalis), appears to be lankyand awkward in appearance. But, this twenty-foot tall, two ton magnificent creature can in fact out run Cardiology Update 2012: A Patient Management Approach will be held Saturday and Sunday,a horse for short distances reaching speeds of 35 MPH. With its six foot long neck and unevenly sized October 13 and October 14, 2012, at The Revel, 500 Boardwalk, Revel Beach, Atlantic City, NJ.front and rear legs, it cannot easily be mistaken for any other animal on earth. Even newborn giraffesare tall at six feet and arrive into the world dropping almost six feet to the ground at birth. Growing at Hotel Informationnearly a centimeter a day during the first week, they will quickly double their height within the first Revel is the only non-smoking casino resort in Atlantic City, NJ. It opened its doors in April 2012,year. The giraffe’s unusual musculoskeletal adaptation does however present certain cardiovascular boasts 1,800 guest rooms, and is the 2nd highest building in New Jersey. Revel features 20 uniquephysiologic problems that are so unique in nature that biomedical physiologist’s have devotedcountless hours of study to it. Linearly related to neck mass, the Giraffe’s heart is massive weighing retail shops and 13 restaurants. The hotel is on the boardwalk facing the Atlantic Ocean. Reveltwenty-five pounds. It beats 180 times a minute and generates an incredible 290/180 mmHg blood is offering “Penn Cardiology Update 2012” participants a special group rate (single or double-pressure at rest producing a cardiac output of 16 gallons per minute. The secret of the Giraffe’s cerebral occupancy) as follows: Wednesday - $159; Thursday - $189; Friday - $229; Saturday - $299.equanimity lies in the ability of its circulatory system to respond instantly to drastic changes in These rates do not include the 14% tax and $5 Tourism Fee charged per room per night.blood volume and pressure that can be produced as a result of raising or lowering its head to The special rates are available until September 10, 2012 or until the block has filled. Rates aresuch a great degree. Even NASA scientists are captivated by the way the Giraffe’s unique circulatory subject to availability. Please call Revel reservations directly at 1-855-348-0500. Please be suresystem can defy gravity. Dr. Alan Hargens, chief of the Gravitational Research Branch at NASA’s to identify yourself as a participant of “Penn Cardiology Update 2012”.Ames Research Center, is developing an artificially induced gravitational space suit that can adjust togravitational fields similar in design to the thick responsive arterial walls found in the Giraffe’s neck,and the “Rete Mirabile”; a remarkable dense network of adaptive arterial vessels located in theGiraffe’s brain that prevents intracranial rupture when it’s head is lowered to drink, or flash edema Services for the Disabled If special arrangements are required for an individual with a disability to attend this meeting, please contact the Office ofwhen raising its head to graze from towering tree vegetation. Continuing Medical Education no later than September 30, 2012 at 215-898-6400. Nondiscrimination Statement The University of Pennsylvania values diversity and seeks talented students, faculty, and staff from diverse backgrounds.John J. Ross Jr. 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 Era Veteran 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 complaints regarding this policy should be directed toGravitational Cardiovascular Adaptation in the Giraffe Executive Director, Office of Affirmative Action and Equal Opportunity Programs, 3600 Chestnut Street, Sansom Place East Suite 228,Philadelphia PA 19104-6106 orF Bonde-Petersen,et al. in The Physiologist (1990) Volume: 23, Issue: Suppl 6, Pages: S7-S10 215-898-6993 (Voice) or 215-898-7803 (TDD).
  4. 4. Course Faculty Michael A. Acker, MD Joseph E. Kelly, RDCS, RVSCourse Directors Chief, Division of Cardiothoracic Surgery University of Pennsylvania Health SystemTerry D. Friedman, MD University of Pennsylvania Health System Penn Presbyterian Medical CenterMedical Director, Penn Cardiology, Cherry Hill Hospital of the University of Pennsylvania Philadelphia, PAUniversity of Pennsylvania Health System Philadelphia, PAPenn Presbyterian Medical Center Alan S. Moak, MDPhiladelphia, PA Pavan Atluri, MD Endovascular Interventionalist University of Pennsylvania Health System University of Pennsylvania Health SystemJohn J. Ross, Jr., RDCS, RVS, RCS Penn Presbyterian Medical Center Penn Presbyterian Medical CenterDirector, Out Patient Non Invasive Cardiovascular Network Philadelphia, PA Philadelphia, PAUniversity of Pennsylvania Health SystemPenn Presbyterian Medical Center Gerard P. Aurigemma, MD Allan I. Pack, MDPhiladelphia, PA Director, Non-Invasive Cardiology Chief, Division of Sleep Medicine University of Massachusetts Medical School University of Pennsylvania Health SystemHarvey L. Waxman, MD Worchester, MA Hospital of the University of PennsylvaniaChief of Cardiology Philadelphia, PAUniversity of Pennsylvania Health System John Bullinga, MDPenn Presbyterian Medical Center Director, Electrophysiology Laboratory Wilson Y. Szeto, MDPhiladelphia, PA University of Pennsylvania Health System Surgical Director Penn Presbyterian Medical Center Transcatheter Cardio-Aortic Therapies Philadelphia, PA University of Pennsylvania Health Center Penn Presbyterian Medical Center Robert M. Bunting, RDCS Philadelphia, PA University of Pennsylvania Health System Penn Presbyterian Medical Center Richard L. Weiss, MD Philadelphia, PA Director, Echocardiography University of Pennsylvania Health System N E W L O C AT I O N Jeffrey L. Carson, MD Penn Presbyterian Medical Center Chief, Division of General Internal Medicine Philadelphia, PA UMDNJ-Robert Wood Johnson Medical School New Brunswick, NJ Ross R. Zimmer, MD Director, Heart Failure Program Alan Cheng, MD University of Pennsylvania Health System Director, Arrhythmia Device Service Penn Presbyterian Medical Center Johns Hopkins University School of Medicine Philadelphia, PA Spanning 6.3 million square feet and Baltimore, MD standing 47 stories tall in Atlantic City, Revel is bringing a true resort option to the Northeast. W. Clark Hargrove, III, MD The beachfront destination is smoke-free and Chief, Cardiothoracic Surgery features over 1,800 rooms with sweeping University of Pennsylvania Health System ocean views. Designed to embrace its natural Penn Presbyterian Medical Center surroundings, Revel curated a collection of Philadelphia, PA daylife and nightlife experiences crafted to bring the outside in and the inside out. Indoor Douglas S. Jacoby, MD and outdoor pools, gardens, lounges, and Director, Preventive Care 32,000-square-foot spa provide the guest University of Pennsylvania Health System with a relaxing resort, while an outstanding Penn Presbyterian Medical Center collection of 14 restaurant concepts, live Philadelphia, PA entertainment, nightclubs, an oceanfront dayclub, a casino that feels like a theatre and a collection of boutiques tailor to guests passions.
  5. 5. Sa turda y a nd Sunda y O c to be r 13-14, 2012 AGENDA 2:25 PM Current Management of Thoracic Aortic Disease This presentation includes guidelines for following these patients with non-invasive studies.Sa turday, October 13, 2012 Wilson Y. Szeto, MD7:15 AM Registration and Continental Breakfast 2:50 PM Abdominal Aortic Aneurysm: Evaluation and Treatment8:00 AM Welcome Remarks This presentation will review open aortic repair, EVAR (endovascular Terry D. Friedman, MD aneurysm repair), and PEVAR (percutaneous endovascular aneurysm repair). Alan S. Moak, MD8:10 AM Interactive Clinical Case Presentations Including History and Live Echocardiography with Audience Participation 3:15 PM Break Terry D. Friedman, MD, Moderator 3:30 PM Interactive Clinical Case Presentations Including History and Robert M. Bunting, RDCS, RVS, Echocardiographer Live Echocardiography Joseph E. Kelly, RDCS, RVS Terry D. Friedman, MD, Moderator John J. Ross, Jr., RDCS, RVS, RCS, Echocardiographer Robert M. Bunting, RDCS, RVS, Echocardiographer Panel Discussion: Joseph E. Kelly, RDCS, RVS Michael A. Acker, MD, Gerard P. Aurigemma, MD, Harvey L. Waxman, MD John J. Ross, Jr., RDCS, RVS, RCS, Echocardiographer Actual cardiac patients will be presented and histories will be obtained. Panel Discussion: Pavan Atluri, MD, Gerard P. Aurigemma, MD, Furthermore, echo will be completed. Discussion with emphasis on clinical Harvey L. Waxman, MD management will be held with an expert panel and open questions from the 5:00 PM Adjournment audience will be encouraged. 5:00 PM Cocktail Reception and Meet with Faculty9:45 AM Break10:00 AM Minimally Invasive Mitral Valve Repair: 1,000 and Counting… The presentation includes descriptions of techniques and results of this procedure. Sunda y, O c to be r 14, 2012 W. Clark Hargrove, III, MD 7:30 AM Continental Breakfast10:30 AM Implantable Cardioverter Defibrillators: Are They Really Saving Lives? 8:00 AM Lipid Management Cases The presentation includes discussions of indications for ICD, reviews actual Actual case histories will be presented with recommendations regarding long-term outcomes, and understanding of the latest recalls. appropriate treatment. Alan Cheng, MD Douglas S. Jacoby, MD11:00 AM Sleep Apnea and Cardiovascular Disease 8:50 AM Atrial Fibrillation and Heart Failure: Approach to Management in 2012 The discussion will include the potential role of sleep apnea in heart failure, This presentation will include a discussion of the impact of this arrhythmia hypertension, and cardiac arrhythmias. on heart failure and discuss treatments including AV nodal ablation and Allan I. Pack, MD biventricular pacing/ICD, atrial fibrillation ablation, and drug management. John R. Bullinga, MD11:30 AM Hypertriglyceridemia: How to Approach in 2012 This discussion will include rationale for treatment and recommendations 9:30 AM Diastolic Heart Failure: 2012 Update for the Clinician of current medications. This presentation will review the current approach to diastolic heart failure Douglas S. Jacoby, MD including diagnosis and treatment. Ross R. Zimmer, MD12:00 PM Lunch 9:45 AM Break1:00 PM Management of Atrial Fibrillation in 2012: Is There Anything New? 10:00 AM Clinical Case Study: Let’s Get to the Heart of the Matter This section will provide guidelines for risk stratification for thromboembolism This case presentation will illustrate the value of diagnostic techniques in with strategies for prevention and discussion of when to consider rate vs. arriving at the identification of a cardiac problem. rhythm control. Richard L. Weiss, MD Alan Cheng, MD 10:20 AM Interactive Clinical Case Presentations Including History and1:40 PM Transfusion Thresholds in Patients with Cardiovascular Disease: Live Echocardiography with Audience Participation How low can you go? Terry D. Friedman, MD, John J. Ross, Jr., RDCS, RVS, RCS This section includes discussions of guidelines of transfusion in acute coronary Harvey L. Waxman, MD syndrome, heart failure, and bypass patients. Jeffrey L. Carson, MD 12:15 PM Adjournment
  6. 6. CME Registration FormCARDIOL OGY UPDAT E 2012 Saturday and SundayA Patient Management Approach October 13-14, 2012To register online for the course please visit and 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: print or typeName (First) (Last)Academic DegreeMedical SpecialtyAffiliation (Hospital, Office, or Company)Address ( I Affiliation or I Home)City State ZipPhone FaxE-mailRegistration Fees (pre-payment is required to be officially registered) Includes two continental breakfasts, one luncheon, refreshment breaks, and a course syllabus (Seating is limited and early registration is recommended) I $285 for Practicing Physicians I $260 for Residents, Fellows and Allied Health Professionals I $260 for UPHS Physicians (with valid ID) I $225 for UPHS House Staff and Allied Health Professionals (with valid ID)Penn Medical ID # ______________________________________Payment MethodMake check payable to The Trustees of the University of Pennsylvania/CME I Visa I MasterCard I Discover I American ExpressAuthorization SignatureCardholder NameCard # Security Code Exp. Date Please Note: Walk-in registrants must bring payment to the program. Seating may be limited for walk-in registrants.
  7. 7. Non-Profit Org. U.S. Postage PA I D Permit No. 2563 Phila., PA 19104333 Blockley Hall | 423 Guardian DrivePhiladelphia, Pennsylvania 19104-6021 CARDIOLOGY UPDATE 2012 A Patient Management Approach A C M E - C E RT I F I E D C O U R S E Saturday and Sunday October 13-14, 2012 Revel 500 Boardwalk Atlantic City, NJ