Cases in Echocardiography, CT & MRIDocument Transcript
Register Online Now:http://www.mayo.edu/cme/cardiovascular-diseases-2013R016Program Directors:Heidi M. Connolly, M.D., F.A.C.C.Fletcher A. Miller, Jr., M.D., F.A.C.C., FASERick A. Nishimura, M.D., F.A.C.C.October 23-26, 2013 • The Meritage Resort • Napa, CACASES INECHOCARDIOGRAPHY,CARDIAC CT AND MRI23rd Annual
COURSE DESCRIPTIONThis advanced course is designed to providethe clinician and advanced sonographerwith an update on transthoracic, stress,and transesophageal echocardiography aswell as cardiac CT and MRI. It is not a“how-to” course, but instead willconcentrate on the application of thesemodalities to clinical decision making.The program consists primarily of clinicalcases which illustrate the problemscardiovascular specialists commonlyencounter. Multiple choice questionsaddressing the clinical utility andlimitations of echocardiography follow eachcase. In addition, faculty presents “rapidfire” and “unknown” cases. The audienceis also encouraged to bring unknown caseswhich will be shown during the sessions.Special breakout sessions are devoted tothe interpretation of Dopplerhemodynamics, diastolic function, stressechocardiography, congenital heartdisease, interventional and perioperativeechocardiography.This course is designed to encouragemaximum audience participation andinteraction with the faculty.COURSE LEARNINGOBJECTIVESUpon conclusion of this program,participants should be able to:• Optimize selection of imagingmodalities to aid in clinical decisionmaking for evaluation and managementof patients with valvular heart disease;• Identify normal and abnormal featuresof patients with prosthetic valves;• Identify the pitfalls of interpretationwith exercise and dobutamine stressechocardiography;• Apply Doppler hemodynamics intoclinical decision-making in patients withheart failure symptoms with bothnormal and abnormal systolic function;• Use a systematic approach toechocardiography for patients withcomplex congenital heart disease;• Recite the utility of echocardiography inpatients with acute ischemic syndromesand other acute illnesses requiringadmission to the intensive care unit; and• Identify common indications andpotential pitfalls for intraoperativetransesophageal echocardiography.Attendance at this Mayo course does notindicate nor guarantee competence orproficiency in the performance of anyprocedures which may be discussed or taughtin this course.INTENDED AUDIENCEThis course is intended for physicians andsonographers with an advancedbackground in echocardiography.CREDITCollege of Medicine, Mayo Clinic, isaccredited by the Accreditation Council forContinuing Medical Education to providecontinuing medical education forphysicians.College of Medicine, Mayo Clinic,designates this live activity for a maximumof 22.75 AMA PRA Category 1 Credits™.Physicians should claim only the creditcommensurate with the extent of theirparticipation in the activity.All or a portion of this educational activitymay meet the CME requirement for IAC(echocardiography) 20.5 accreditation.*Note, those asterisked below do not qualify.A certificate of attendance will beprovided to other health care professionalsfor requesting credits in accordance withstate nursing boards, specialty societies, orother professional associations.GRANTS AND EXHIBITSAt the time of this printing, a completelisting of commercial supporters (financialor in-kind) was not available. Appropriateacknowledgment will be given to allsupporters at the time of the meeting.Exhibits will be available for viewing at allscheduled breaks.DATE AND LOCATIONAll sessions will be held at The MeritageResort, 875 Bordeaux Way, Napa, CA94558. The general session will be inCarneros Ballroom. Exhibitors, breakfast,and refreshment breaks will be in pre-function area.Meeting site telephone: 707-251-1900 andfax: 707-254-8274.General Information
General InformationREGISTRATIONTo register online, visit http://www.mayo.edu/cme/cardiovascular-diseases-2013R016. The registration fee includestuition, comprehensive course syllabus,continental breakfasts, break refreshments,and welcome reception. Although it is notMayo School of Continuous ProfessionalDevelopment (CPD) policy to limit thenumber of registrants for a course,conference room facilities may necessitateclosing of enrollment; therefore, earlyregistration is advised. A letter ofconfirmation will be sent upon receipt ofpayment and completed registration form.Please present the confirmation letterwhen checking in at the meetingregistration desk.For additional information, contact:Mayo Clinic Cardiovascular Diseases200 1st Street SW/GO6-472Rochester, MN 55905 Phone: 800-283-6296 or 507-266-6703Fax: 507-266-7403E-mail: email@example.comWebsite: www.mayo.edu/cme/cardiovascular-diseases-2013R016CANCELLATION POLICYIf you cancel your participation in thiscourse, your registration fee, less a $75administrative fee, will be refunded whenwritten notification is received by MayoSchool of CPD before Wednesday, October9, 2013 (firstname.lastname@example.org or fax#: 507-266-7403). No refunds will be made on or afterWednesday, October 9, 2013. Canceledregistrations are non-transferable.Mayo School of CPD reserves the right tocancel or postpone any course due tounforeseen circumstances. In the unlikelyevent Mayo School of CPD must cancel orpostpone this course, Mayo School of CPDwill refund the registration fee, but is notresponsible for any related costs, charges,or expenses to participants, including feesassessed by airline/travel/lodging agencies.TRAVEL/TRANSPORTATIONAirlines:San Francisco International Airport(Approx. 55 mi.); Oakland InternationalAirport (Approx. 47 mi.); SacramentoInternational Airport – (Approx. 60 mi.).Travel arrangements are the soleresponsibility of the individual registrant.LODGINGACCOMMODATIONSLocated at the southern tip of the NapaValley, near where Napa and Sonoma meet,The Meritage Resort offers an experiencelike no other for wine enthusiasts, businesstravelers, and special events. With theworld’s only spa in a wine cave, theregion’s only private wedding chapel, andthe most expansive meeting space in theNapa Valley, The Meritage Resort bringstogether the perfect blend of services andfacilities for an unforgettable stay in one ofthe world’s most beautiful destinations.To secure your room at The Meritage Resort,please call 866-370-6272 or 707-251-1900and state that you will be attending theMayo Clinic Cases in Echocardiographyprogram. The room rate is $219 single/double a night. When reservations aremade, The Meritage will require a depositequal to the room rate and tax for the firstnight. Individual attendees will be chargedfor one night’s room and tax if they cancelwithin 7 days of arrival; cancellationsmade prior to 7 days will not be charged.The hotel room block is scheduled to beheld until Tuesday, October 1, 2013, butmay be sold out before this date.Therefore, we advise you to register forthe program and reserve your lodging assoon as possible. All hotel guests will beassessed a daily Resort Services Fee of$20.00 per night, per room. This resort feeincludes: welcome bottle of wine, bottledwater, local and 800 number toll free calls,daily newspaper in the lobby, resortbusiness center and fax service, in-roomhigh spend internet, shuttle to Eagle Vinesand Chardonnay Golf courses, andevening downtown Napa shuttle.When you make your reservation, pleasebe sure to ask about any additional fees,early departure fees, or cancellationpenalties.Check-in Time: 4:00 p.m.Check-out Time: 11:00 a.m.Lodging arrangements are the soleresponsibility of the individual registrant.Mayo School of CPD is not responsible forexpenses incurred by an individual who isnot confirmed and for whom space is notavailable at the meeting. Costs incurredby the registrant such as airline or hotelfees or penalties are the responsibility ofthe registrant.
General InformationPARKINGComplimentary parking is available at thehotel.SOCIAL PROGRAMWelcome ReceptionWednesday, October 23, 2013Attendees and their guest(s) are cordiallyinvited to join the course faculty for theWelcome Reception on Wednesday,October 23, 2013, from 5:00-6:00 p.m. onthe Vineyard Terrace. This casualreception welcomes you to Napa Valley,officially opens the course, and offers youthe perfect opportunity to makeconnections with existing and newcolleagues.RECREATION/LEISUREACTIVITIESFor a list of local attractions, please visit:http://www.napavalley.org/ or http://www.themeritageresort.com/local-attractions.phpFUTURE PROGRAM DATESNext year’s course will be held in Napa atThe Meritage October 22-25, 2014.FACULTYCourse DirectorsHeidi M. Connolly, M.D., F.A.C.C.Professor of Medicine, Mayo Clinic;Consultant, Division of CardiovascularDiseases and Internal Medicine; Director,Mayo Clinic Congenital Heart Center;Chair for Education, Division ofCardiovascular Diseases, Mayo Clinic,Rochester, MNFletcher A. Miller, Jr., M.D., F.A.C.C., FASEProfessor of Medicine, Mayo Clinic;Consultant, Division of CardiovascularDiseases and Internal Medicine; PastDirector, Cardiovascular UltrasoundImaging and Hemodynamic Laboratory,Mayo Clinic, Rochester, MNRick A. Nishimura, M.D., M.A.C.C., MACPJudd and Mary Morris Leighton Professorof Cardiovascular Diseases; Professor ofMedicine, Mayo Clinic; Consultant,Division of Cardiovascular Diseases andInternal Medicine, Mayo Clinic,Rochester, MNMayo FacultyMartin D. Abel, M.D.Professor of Anesthesiology, Mayo Clinic;Consultant, Department of Anesthesiology;Division of Cardiovascular and ThoracicAnesthesiology, Mayo Clinic, Rochester, MNNandan S. Anavekar, MB, B.Ch.Assistant Professor of Medicine, MayoClinic; Senior Associate Consult, Divisionof Cardiovascular Diseases and InternalMedicine, Mayo Clinic, Rochester, MNCharles J. Bruce, MBChB, FCP (SA), F.A.C.C., FASEProfessor of Medicine, Mayo Clinic;Consultant, Division of CardiovascularDiseases and Internal Medicine; Director,Mayo Clinic Structural Heart DiseaseCenter of Excellence, Mayo Clinic,Rochester, MNGuy S. Reeder, M.D., F.A.C.C.Professor of Medicine, Mayo Clinic;Consultant, Division of CardiovascularDiseases and Internal Medicine, MayoClinic, Rochester, MNHartzell V. Schaff, M.D., F.A.C.C., F.A.H.A.Stuart W. Harrington Professor of Surgery;Consultant, Thoracic and CardiovascularSurgery and Chair, Division ofCardiovascular Surgery, Mayo Clinic,Rochester, MNGuest FacultyWilliam F. Armstrong, M.D., F.A.C.C., FASEProfessor of Internal Medicine; Director,Echocardiography Laboratory; AssociateClinical Chief, Division of Cardiology;University of Michigan Health System,Ann Arbor, MI
WEDNESDAY, OCTOBER 23, 20137:30 a.m. Registration/Continental Breakfast – Carneros Prefunction8:00 a.m. Welcome and Course Overview Drs. Miller, Nishimura, and Connolly8:05 a.m. Pre-Test Dr. Miller8:15 a.m. Clinical Decision Making: Cases in Valvular Heart Disease and Endocarditis Cases 1-7 Drs. Nishimura, Connolly, and Miller10:15 a.m. Refreshment Break10:45 a.m. Lecture: Cardiac MRI and CT: Basic Principles for Non-Radiologists. When Should I Choose Which Test?* Dr. Anavekar11:15 a.m. Clinical Decision Making: Cases in Valvular Heart Disease, Prosthetic Valveand Endocarditis Cases 8-11 Drs. Bruce, Schaff, and Abel12:15 p.m. Lunch – Oakville and Rutherford Terrace1:15 p.m. Cases in Stress Echocardiography and MRI: Read with the Experts Cases 12-17 Drs. Armstrong, Bruce, and Anavekar2:45 p.m. Refreshment Break3:15 p.m. Cases in Aortic Disease Cases 18-21 Drs. Connolly, Anavekar, Bruce, Abel, and Schaff4:15 p.m. Rapid Fire Case Presentations – Test Your Skills All Faculty5:00- Welcome Reception – Vineyard Terrace6:00 p.m. All Faculty, Participants, and Exhibitors (Guests Invited)THURSDAY, OCTOBER 24, 20137:30 a.m. Continental Breakfast8:00 a.m. Clinical Decision Making: Cases from the ICU I Cases 22-27 Drs. Reeder, Schaff, Anavekar, and Abel9:30 a.m. Clinical Decision Making: Cases from the ICU II Cases 28-29 Dr. Anavekar10:00 a.m. Unknown Cases from Michigan Cases 30-31 Dr. Armstrong10:30 a.m. Refreshment Break11:00 a.m. Lecture: Echocardiography in Congenital Heart Disease: A SystematicApproach Dr. Connolly11:30 a.m. Cases in Congenital Heart Disease Cases 32-35 Drs. Connolly and Nishimura12:30 p.m. Lunch – Oakville and Rutherford TerraceProgram Schedule
1:30 p.m. Breakout Sessions (Attendees will rotate to three of the four sessions) A. Intraoperative and Perioperative Echocardiography Drs. Abel and Schaff (Salon AK) B. Congenital Heart Disease Dr. Connolly (Salon BJ) C. Stress Echocardiography Dr. Armstrong (Salon CH) D. 3-D and Interventional Echocardiography Dr. Bruce (Salon DEFG)3:30 p.m. AdjournmentFRIDAY, OCTOBER 25, 20137:30 a.m. Continental Breakfast8:00 a.m. Lecture: A Practical Approach to Evaluation of Diastolic Function of the Heartby Doppler Echocardiography Dr. Nishimura8:30 a.m. Clinical Decision Making: Cases in Heart Failure Cases 36-41 Drs. Nishimura, Miller, Schaff, Abel, and Bruce10:00 a.m. Refreshment Break10:30 a.m. Cases in Pregnancy and Heart Disease Cases 42-44 Drs. Nishimura and Connolly11:15 a.m. Rapid Fire Cases, Interesting Cases from the Audience Attendees and All Faculty12:30 p.m. Lunch – Oakville and Rutherford Terrace1:30 p.m. Breakout Sessions (Attendees will rotate to three of the four sessions) A. Diastole Dr. Nishimura (Salon AK) B. Hemodynamics for the Sonographers and Fellows Dr. Miller (Salon BJ) C. Multimodality Imaging* Dr. Anavekar (Salon CH) D. Echocardiography in the Cath Lab and ICU Dr. Reeder (Salon DEFG)3:30 p.m. AdjournmentSATURDAY, OCTOBER 26, 20137:30 a.m. Continental Breakfast8:00 a.m. Cases of Masses and Source of Embolism Cases 45-47 Drs. Reeder, Miller, and Anavekar9:00 a.m. Special Presentation – Echocardiographic Case of the Year. Audience votes forthe best case. Cases 48-57 All Faculty10:30 a.m. Refreshment Break10:50 a.m. Post-Test Dr. Miller11:00 a.m. Interesting Cases Participants and Faculty12:00 p.m. Closing Remarks and AdjournmentProgram Schedule
Register online at:http://www.mayo.edu/cme/cardiovascular-diseases-2013R016Registration Fee:Course Registration (MD, PhD, DO, PharmD) $730.00Course Registration (Fellows in Training, Sono, RN) $605.00One Day Fee (no refunds for the one-day fee) $300.00Mayo Clinic Division of Cardiology has recently implemented an online conferenceregistration system. If this is your first time using the online system, you will need to create aprofile and login account.Registration is only available online at:http://www.mayo.edu/cme/cardiovascular-diseases-2013R016Mayo Clinic Division of Cardiology implemented an online conference registration system inJanuary 2012. If this is your first time using the online system, you will need to create aprofile. The attendee’s email address is required upon registration. A letter of confirmationand receipt will be forwarded to this email address upon receipt of submitted registrationand payment. Please present the confirmation letter when checking in at the meetingregistration desk.The registration fee includes tuition, comprehensive course syllabus, continental breakfasts,break refreshments, and welcome reception.Although it is not Mayo School of Continuous Professional Development (CPD) policy tolimit the number of registrants for a course, conference room facilities may necessitate closingof enrollment; therefore, early registration is advised. Enrollment for this program is limited.For additional information, contact:Cardiovascular Continuing Education200 First Street SW - Gonda 6-472Rochester, MN 55905E-mail: email@example.comPhone: 800-283-6296 or 507-266-6703Website: http://www.mayo.edu/cme/cardiovascular-diseases-2013R016FACULTY DISCLOSUREAs a provider accredited by ACCME, College of Medicine, Mayo Clinic (Mayo School ofContinuous Professional Development) must ensure balance, independence, objectivityand 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 educationalactivity are required to disclose all relevant financial relationships with any commercialinterest related to the subject matter of the educational activity. Safeguards againstcommercial bias have been put in place. Faculty also will disclose any off-label and/orinvestigational use of pharmaceuticals or instruments discussed in their presentation.Disclosure of this information will be published in course materials so those participants inthe activity may formulate their own judgments regarding the presentation.REGISTRATIONFUTURE PROGRAM DATENext year’s course will be held in Napa atThe Meritage October 22-25, 2014