Challenges in Clinical Cardiology: A Case-Based Update
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  • 1. Mayo School of Continuous Professional DevelopmentA Case-Based UpdateOctober 4-6, 2013 • Swissotel, Chicago, ILCourse DirectorsCharles J. Bruce, M.D. & Heidi M. Connolly, M.D.Course DescriptionThis annual course is designed to provide a continuing case-based update on thediagnosis and treatment of commonly encountered cardiovascular conditions.Each year expert faculty focus on challenging aspects of coronary artery disease,atrial fibrillation, congestive heart failure, valvular heart disease, congenital heartdisease, pulmonary hypertension, obstructive sleep apnea, and preventivecardiology. The case-based review will address the relevant guidelines and latesttreatment options for patients with these conditions.Challenges inClinical CardiologyRegister Online Today!www.mayo.edu/cme/challenges2013
  • 2. Thursday, October 3, 20136:00 – 8:00 p.m. Early RegistrationFriday, October 4, 2013Moderator: Rajiv Gulati, M.D., Ph.D.Surgical Perspective: Hartzell V. Schaff, M.D.7:00 a.m. Continental Breakfast and Registration7:50 a.m. Welcome8:00 a.m. NSTEMI in a Patient with HIT: Treatment Options Malcolm R. Bell, M.D. 8:25 a.m. Chest Pain Due to Vasospasm: Evaluation and Treatment Rajiv Gulati, M.D., Ph.D.8:50 a.m. Acute Coronary Syndrome in a Patient on a Direct ThrombinInhibitor: Evaluation and Treatment Options Issam Moussa, M.D. 9:15 a.m. Coronary Artery Disease and Diabetes: PCI vs. CABG Panel: Malcolm R. Bell, M.D.; Hartzell V. Schaff, M.D.;Robert L. Frye, M.D. Moderator: Issam Moussa, M.D. 9:40 a.m. Refreshment BreakModerator: Grace Lin, M.D.Surgical Perspective: Soon J. Park, M.D.10:05 a.m. 40 Year Old Man with New Severely Decreased LVEF:Approach to Evaluation Farris K. Timimi, M.D. 10:30 a.m. Heart Failure and Preserved EF:Management Options Daniel D. Borgeson, M.D. 10:55 a.m. How do I Treat my Patient with HeartFailure and Renal Failure? Grace Lin, M.D.11:20 a.m. When Should I Refer my Patient for Cardiac Transplantation? D. Eric Steidley, M.D. 11:45 a.m. How do I Prevent my Heart FailurePatient from Being Re-Admitted in 30 Days? Panel: Alfredo L. Clavell, M.D., Lyle J. Olson, M.D.,Cindy R. Truex, R.N. Moderator: Grace Lin, M.D.12:10 p.m. Lunch (Provided) PROGRAM SCHEDULE
  • 3. PROGRAM SCHEDULEModerator: Charles J. Bruce, M.D. and Sharon L. Mulvagh, M.D.1:05 p.m. Preventive Cardiology in Women: Role of the Nurse Practitioner Kari A. Carter, C.N.P1:30 p.m. Chemotherapy and Cardiotoxicity: Evaluation and Treatment Joerg Herrmann, M.D.1:55 p.m. Palliative Care – When to Consider in CV Patients Keith M. Swetz, M.D. 2:20 p.m. Spontaneous Coronary Artery Dissection: Management Options Rajiv Gulati, M.D., Ph.D.2:55 p.m. Refreshment BreakModerators: Heidi M. Connolly, M.D. and Charanjit S. Rihal, M.D.3:20 p.m. Dual Antiplatelet Rx Plus Systemic Anticoagulation: BleedingRisk and Management Robert D. McBane, M.D.3:45 p.m. Non-Cardiac Surgery After PCI:What You and Your Patient Need to Know Charanjit S. Rihal, M.D.4:10 p.m. Medication Non Adherence:When Your Patient Can’t Afford Your Treatment Steven L. Kopecky, M.D. 4:35 p.m. Which Imaging Test Gives You the Best Bang for Your Buck?A Case Based Panel Discussion Panel: Nandan Anavekar, M.B., B.Ch.; Phillip M. Young, M.D.;Robert B. McCully M.D.; Todd D. Miller, M.D. Moderator: Susan Wilansky, M.D.5:00 p.m. AdjournSaturday, October 5, 20137:00 a.m. Continental Breakfast and Registration7:50 a.m. WelcomeModerator: Charles J. Bruce, M.D.Surgical Perspective: Rakesh M. Suri, M.D., D.Phil.8:00 a.m. Aortic Regurgitation: When to Intervene? Heidi M. Connolly, M.D.8:25 a.m. Transcatheter Aortic Valve Replacement (TAVR):Update and Options Charles J. Bruce, M.D.8:50 a.m. Low Gradient Low Output Aortic Stenosis Sorin V. Pislaru, M.D., Ph.D.
  • 4. PROGRAM SCHEDULE9:15 a.m. How do I Best Assess Mitral Regurgitation Etiology and Severity? Vuyisile T. Nkomo, M.D.9:40 a.m. Mitral Regurgitation: When Should I Refer for Robotic Repair? Rakesh M. Suri, M.D., D.Phil. 10:05 a.m. Refreshment BreakModerator: Charanjit S. Rihal, M.D.Surgical Perspective: Rakesh M. Suri, M.D., D.Phil.10:30 a.m. Radiation Induced Valvular Disease: Diagnosis and Management Hector I. Michelena, M.D. 10:55 a.m. Diagnosis of Prosthetic Mitral Valve Dysfunction Lori A. Blauwet, M.D.11:20 a.m. Valve in Valve Replacement: Patient Selection? Charanjit S. Rihal, M.D.11:45 a.m. Mechanical Heart Valves and Non-Cardiac Surgery Sorin V. Pislaru, M.D., Ph.D.12:10 p.m. Lunch (Provided)1:05 p.m. Welcome BackModerators: Samuel J. Asirvatham, M.D.and Heidi M. Connolly, M.D.1:10 p.m. Atrial Fibrillation (Part 1):Who Does NOT Need Treatment? Samuel J. Asirvatham, M.D. 1:35 p.m. Atrial Fibrillation (Part 2):Antiarrhythmic Update Peter A. Brady, M.B., Ch.B., M.D.2:00 p.m. Atrial Fibrillation (Part 3): How Effective is RadiofrequencyAblation Really? Paul A. Friedman, M.D.2:25 p.m. Atrial Fibrillation (Part 4): Beyond Warfarin: New Options forStroke Prevention Christopher J. McLeod, M.B., Ch.B., Ph.D.2:50 p.m. Atrial Fibrillation (Part 5): ChallengingCases and Treatment Decisions Panel: Samuel J. Asirvatham, M.D,Peter A. Brady, M.B., Ch.B., M.D.,Paul A. Friedman, M.D., andChristopher J. McLeod, M.B., Ch.B., Ph.D. Moderator: Heidi M. Connolly, M.D.3:15 p.m. Refreshment Break
  • 5. PROGRAM SCHEDULEModerators: Charles J. Bruce, M.D. and Paul A. Friedman, M.D.3:40 p.m. Frequent PVC’s: Should I be Bothered? Samuel J. Asirvatham, M.D.4:05 p.m. When Should I Worry About the QT Interval and How do IMeasure It? Michael J. Ackerman, M.D., Ph.D.4:30 p.m. Sudden Cardiac Death: Approach to Evaluation and Treatment Paul A. Friedman, M.D.4:55 p.m. AdjournSunday, October 6, 20137:00 a.m. Continental Breakfast and Registration7:50 a.m. WelcomeModerator: Heidi M. Connolly, M.D. Surgical Perspective: Joseph A. Dearani, M.D.8:00 a.m. Acute Pulmonary Embolism Garvan C. Kane, M.D., Ph.D. 8:25 a.m. Familial Thoracic Aortic Aneurysm: Diagnosisand Timing of Intervention Juan M. Bowen, M.D.8:50 a.m. Acute Aortic Dissection: Every Minute Counts! Peter C. Spittell, M.D.9:15 a.m. Hypertrophic Cardiomyopathy:Who is a Candidate for Myectomy? Kyle W. Klarich, M.D. 9:40 a.m. Cardiac Masses: Which Ones DON’TRequire Intervention? Rehka Mankad, M.D. 10:05 a.m. Refreshment BreakModerator: Charles J. Bruce, M.D.Surgical Perspective: Joseph A. Dearani, M.D.10:30 a.m. Constrictive Pericarditis: Clues to and Confirming the Diagnosis Raul E. Espinosa, M.D. 10:55 a.m. Stroke in my Patient with PFO: Innocent Bystander or SmokingGun? Treatment Update Guy S. Reeder, M.D.11:20 a.m. Non Cardiac Surgery in my Adult Congenital Heart DiseasePatient: Pitfalls to Avoid! Heidi M. Connolly, M.D.11:45 p.m. Wrap Up12:00 p.m. Adjourn
  • 6. COURSE LEARNINGOBJECTIVESUpon conclusion of this program,participants should be able to:• Summarize current treatment ofnon-ST elevation myocardial infarctionin patients with heparin inducedthrombophilia• Describe how to treat patients withcoronary artery disease and diabetes• Describe treatment of congestive heartfailure in patients with renaldysfunction and those with preservedejection fraction• Identify how to evaluate cardiotoxicityin patients on chemotherapy• Review current pharmacologic,non-pharmacologic andanticoagulation strategies in patientswith atrial fibrillation• Describe how to measure the QTinterval, and how to manage patientswith frequent PVCs• Describe how to evaluate and treatpatients with acute pulmonaryembolism.• Describe when to refer adults for PFOclosure• Describe how to make a diagnosis ofconstrictive pericarditis• Describe how to avoid pitfalls in caringfor patients with adult congenital heartdisease undergoing non cardiacsurgery.Attendance at this Mayo course does notindicate nor guarantee competence orproficiency in the performance of anyprocedures which may be discussed ortaught in this course.INTENDED AUDIENCEThe intended audience includescardiologists, internal medicine sub-specialists, general internists, nursepractitioners, physician assistants, andother primary healthcare providers.CREDITCollege of Medicine, Mayo Clinic, isaccredited by the Accreditation Councilfor Continuing Medical Education toprovide continuing medical educationfor physicians.College of Medicine, Mayo Clinic,designates this live activity for amaximum of 17.5 AMA PRA Category 1Credits™. Physicians should claim onlythe credit commensurate with the extentof their participation in the activity.DATE AND LOCATIONChallenges in Clinical Cardiologywill be held October 4-6, 2013. Courseheadquarters will be located in theZurich Ballroom of the Swissotel, 323 E.Wacker Drive, Chicago, IL.LODGINGACCOMMODATIONSGuest rooms have been reserved forattendees and their guests with specialcourse rates at the Swissotel, Chicago, IL.In order to receive the special rate,reservations must be made before theroom block is filled or before theexpiration date of September 9, 2013whichever comes first. Please identifyyourself as a part of the Mayo ClinicChallenges group when making yourreservation. Course headquarters will belocated in the Grand Ballroom of theSwissotel.Swissotel323 E. Wacker DriveChicago, IL 60601$259 single/doubleFor reservations go tohttps://resweb.passkey.com/go/mayoclinicchallengesOr call 888-73-SWISS, Group Name:Mayo ClinicLodging arrangements are the soleresponsibility of the individualregistrant.
  • 7. FACULTYCourse DirectorsCharles J. Bruce, M.D.Heidi M. Connolly, M.D.Mayo FacultyMichael J. Ackerman, M.D., Ph.D.Nandan S. Anavekar, M.B., B.Ch.Samuel J. Asirvatham, M.D.Malcolm R. Bell, M.D.D. Eric Steidley, M.D.Daniel D. Borgeson, M.D.Peter A. Brady, M.B., Ch.B., M.D.Lori A. Blauwet, M.D.Juan M. Bowen, M.D.Kari A. Carter, C.N.P.Alfredo L. Clavell, M.D.Joseph A. Dearani, M.D.Raul E. Espinosa, M.D.Paul A. Friedman, M.D.Robert L. Frye, M.D.Rajiv Gulati, M.D., Ph.D.Joerg Herrmann, M.D.Garvan C. Kane, M.D., Ph.D.Kyle W. Klarich, M.D.Steven L. Kopecky, M.D.Grace Lin, M.D.Rekha Mankad, M.D.Hector I. Michelena, M.D.Todd D. Miller, M.D.Robert D. McBane, M.D.Robert B. McCully, M.D.Christopher J. McLeod, M.B.,Ch.B., D.Phil.Issam Moussa, M.D.Sharon L. Mulvagh, M.D.Vuyisile T. Nkomo, M.D.Lyle J. Olson, M.D.Soon J. Park, M.D.Sorin V. Pislaru, M.D., Ph.D.Charanjit S. Rihal, M.D.Hartzell V. Schaff, M.D. Peter C. Spittell, M.D.Eric D. Steidley, M.D.Rakesh Suri, M.D., D.Phil.Keith M. Swetz, M.D.Cindy R. Truex, R.N.Farris K. Timimi, M.D.Susan Wilansky, M.D.Phillip M. Young, M.D.FACULTY DISCLOSUREAs a provider accredited by ACCME,College of Medicine, Mayo Clinic (MayoSchool of Continuous ProfessionalDevelopment) must ensure balance,independence, objectivity and scientificrigor in its educational activities. Coursedirector(s), planning committee, faculty,and all others who are in a position tocontrol the content of this educationalactivity are required to disclose allrelevant financial relationships with anycommercial interest related to the subjectmatter of the educational activity.Safeguards against commercial bias havebeen put in place. Faculty also willdisclose any off-label and/orinvestigational use of pharmaceuticals orinstruments discussed in theirpresentation. Disclosure of thisinformation will be published in coursematerials so those participants in theactivity may formulate their ownjudgments regarding the presentation.REGISTRATIONwww.mayo.edu/cme/challenges2013This course has sold out in the past;therefore, early registration is stronglyadvised!The registration fee includes tuition,electronic course syllabus, continentalbreakfasts, break refreshments, lunches,and a welcome reception.Registration Fees:MD, PhD, DO, PharmD $779Resident, Fellow, RN, NP, PA $679For additional information, contact:E-mail cvcme@mayo.eduPhone: 800-283-6296 or 507-266-0677Website: www.mayo.edu/cme/cardiovascular-diseases
  • 8. 200FirstStreetSWRochester,Minnesota55905ChallengesinClinicalCardiologyACase-BasedUpdate©2013MayoFoundationforMedicalEducationandResearch MC5234-32rev0413Register Online Now!October4-6,2013Swissotel,Chicago,ILCourseHighlights• Case-basedlectureformat• Livequestionsandanswers• AccesstocoursematerialsviathecoursewebsiteRegisterOnlineToday!www.mayo.edu/cme/challenges2013Ifyoualreadyreceivedacopyofthisbrochure,pleasegivethistoaninterestedcolleague.MayoSchoolofContinuousProfessionalDevelopment