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State of the Art Advanced Heart Failure and Arrhythmia Management: Integrating Devices and Pharmacotherapies
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State of the Art Advanced Heart Failure and Arrhythmia Management: Integrating Devices and Pharmacotherapies



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  • 1. Presented by the Division of Cardiology Department of Medicine School of Medicine University of California University of California, San Francisco San Francisco STATE OF THE ART ADVANCED HEART FAILURE AND ARRHYTHMIA MANAGEMENT: INTEGRATING DEVICES AND PHARMACOTHERAPIES (Formerly Update in Electrocardiography and Arrhythmias) October 27, 2012SATURDAY The Stanford Court COURSE CHAIRS Renaissance Hotel Teresa De Marco, MD San Francisco, CA Professor of Medicine and Surgery R.H. and Jane G. Logan Endowed Chair in Cardiology; Director, Heart Failure and Pulmonary Hypertension; Medical Director, Heart Transplantation University of California, San Francisco Melvin M. Scheinman, MD Professor of Medicine, Emeritus; Walter H. Shorenstein Endowed Chair in Cardiology, University of California, San Francisco Barbara J. Drew, RN, PhD Professor of Nursing and of Medicine, Division of Cardiology, University of California, San Francisco
  • 2. STATE OF THE ART ADVANCED HEART FAILURE The Stanford Court Renaissance HotelAND ARRHYTHMIA MANAGEMENT: San Francisco, CAINTEGRATING DEVICES ANDPHARMACOTHERAPIES October 27, 2012This one-day symposium is directed to providing an ACCREDITATIONoverview of the salient issues related to assessment and The University of California, San Franciscotreatment of the patient with advanced heart failure. In School of Medicineaddition, since heart failure and cardiac arrhythmias are (UCSF) is accredited byinextricably linked in the management of these patients, the Accreditation Council for Continuing Medicalthe course focuses on the intersection of treatment of Education to providepatients with both conditions. continuing medical education for physicians.There has been a very rapid explosion in the breadth of Physicians:both pharmacologic as well as device related therapies and UCSF designates this liveour main objective will be to review the indications for the activity for a maximum of 8 AMA PRA Category 1myriad pharmacologic as well as device interventions. CreditsTM.Based on previous experience, we have used small group Physicians shouldworkshops to further refine and focus our message to only claim credit commensurate withclinicians with various experiences in the management the extent of theirof these patients. We are very fortunate to have Dr. Kanu participation in the activity.Chatterjee, a world-renowned expert in the area of heart This CME activity meets the requirements underfailure and master clinician, to lecture and lead a panel California Assemblydiscussion related to challenging cases. In addition, Bill 1195, continuingfaculty will include members of the cardiac education and cultural and linguistic competency.electrophysiology and heart failure sections. Nurses: For theThis conference is presented by the Division of Cardiology, purpose of recertification,Department of Medicine, and is sponsored by the Office of the American Nurses Credentialing CenterContinuing Medical Education, University of California, accepts AMA PRASan Francisco. Category 1 CreditsTM issued by organizations. accredited by the ACCME. Physician Assistants:E D U C AT I O N A L O B J E C T I V E S Upon completion of this course, participants should be able to: AAPA accepts AMA PRA • Recognize the indications for anticoagulant therapy for Category 1 CreditsTM patients with atrial fibrillation; for organizations • Discuss the pathophysiologic process leading to the accredited by the development of heart failure with reduced and preserved ACCME. ejection fraction; • Manage advanced heart failure using contemporary pharmacologic and device based approaches; • Define the cardiorenal syndrome in acute heart failure and discuss patient management; • Apply current concepts for indications and patient selection for cardiac resynchronization therapy, implantable cardioverter defibrillator, left ventricular assist devices and heart transplantation in advanced heart failure.
  • 3. STATE OF THE ART ADVANCED HEART FAILURE AND ARRHINTEGRATING DEVICES AND PHARMACOTH October 27, 2012SATURDAY, OCTOBER 277:30 am Registration and Continental Breakfast8:00 Welcome and Opening Remarks Melvin ScheinmanModerator: Melvin Scheinman8:05 Heart Failure with Preserved EF: How is it Kanu Chatterjee Different from HF with Reduced EF and How Do We Treat it?8:35 Stage C/D Heart Failure with Reduced EF: Liviu Klein Optimal Pharmacotherapy9:10 Atrial Fibrillation in Heart Failure: Rate vs. Vasanth Vedantham Rhythm Control and Role of Newer Anticoagulants9:45 Ventricular Arrhythmias in Heart Failure: Edward Gerstenfeld Pharmacotherapies and Ablation10:15 BreakModerator: Teresa De Marco10:35 Selecting Patients for CRT: Lessons Learned Nitish Badhwar from New Trials11:10 Defining and Treating the Cardiorenal Syndrome Barry Massie in Acute Decompensated Heart Failure11:45 Ventricular Assist Devices to Treat Heart Failure: Dana McGlothlin Indications and Outcomes12:20 pm Course Luncheon and Lifetime Achievement Award for Dr. Kanu ChatterjeeModerator: Barbara Drew1:20 Heart Transplantation Update Teresa De Marco1:55 Concurrent Workshops participants will choose 2 sessions: A: Basic ECG Barbara Drew B: Advanced ECG Nora Goldschlager C: Preventing Re-hospitalization: Disease Nimi Tarango & Management/Heart Failure Monitoring Devices Liviu Klein D: VAD workshop and Case Discussion with Scot Merrick & Live Patient Dana McGlothlin3:05 Concurrent Workshop RepeatModerator: Kanu Chatterjee4:00 Challenging Case Presentations and Byron Lee & Van Selby Panel Discussion Panel: Edmund Keung Dana McGlothlin Scot Merrick Vasanth Vedantham4:45 New Frontiers in Heart Failure Research Robin Shaw5:15 Closing Remarks Melvin Scheinman5:20 pm Adjourn
  • 4. HYTHMIA MANAGEMENT:ERAPIES The Stanford Court Renaissance Hotel San Francisco, CA GENERAL INFORMATION REFUNDS Pre-registration is preferred to ensure that Refund Policy: Cancellations received in writing adequate course materials are available. before the first day of the course will be refunded, less a $75 administrative fee. No refunds will be HOW TO ENROLL made on cancellations received after that date. Tuition: $200 Physicians CONFERENCE LOCATION $175 Nurses / Allied Health Enjoy San Francisco’s renowned attractions such as Professionals the historic cable cars, shopping in Union Square, Registration fee includes course syllabus, or visit San Francisco’s culinary hub at the Ferry continental breakfast and lunch; additional Building. The Stanford Court Hotel is just steps meals and accommodations are not included. from Union Square. Payment may be made by Visa, MasterCard, A block of guestrooms has been reserved at the AmEx or check. special UCSF discounted conference rate of REGISTER VIA: $224.00 per night, single or double occupancy. Online: www.cme.ucsf.edu The contracted cut-off date is September 28, 2012, or until the group room block is filled, whichever Mail: Complete course registration form comes first. To make hotel reservations on-line, and send with payment to: go to www.stanfordcourt.com use code ELEELEA UCSF Office of CME By staying at the host hotel, you help the P.O. Box 45368 University of California meet its contractual San Francisco, CA 94145-0368 obligations and keep future registration fees Fax: Fax completed registration form to reasonable. Please take this into consideration (415) 502-1795. (Be sure to include when making your accommodation decisions. your credit card number) RENTAL CAR Phone: To register by phone or to inquire about Hertz is offering special rates for participants of this registration status, please call UCSF’s conference; simply call 800-654-2240 and refer to CME Registration Office at (415) 476-5808. identification number #03BW0131, or call your travel agent. You may also make reservations at On-Site Registration (if space allows) www.Hertz.com. Advance reservations are Time: 7:30 am recommended. Date: Saturday, October 27, 2012 AIR TRANSPORTATION UCSF has negotiated special fares with American Place: The Stanford Court Renaissance Hotel and United Airlines for our course attendees. 905 California Street You may use the following tour codes to book San Francisco, CA 94108 on your own: American (800) 433-1790 code: 77H2AZ United (800) 521-4041 code: 510CF Kanu Chatterjee, MB, FRCP was born in Bangladesh and moved to Calcutta as a refugee. He finished his undergraduate medicine education while still living in the refugee camp. He continued his training in England at St. George’s Hospital and Brompton Hospital in London. While at St. George’s Hospital he was the first to describe post pacing T-wave changes which were later termed “cardiac memory”. In collaboration with Drs. Jeremy Swan and William Ganz while faculty cardiologist at Cedar Sinai, Los Angeles, Dr. Chatterjee described the hemodynamic subsets of acute coronary syndrome and proposed therapeutic algorithms. He participated in investigations of cardiogenic shock and made major contributions to the literature. As Director of the Coronary Care Unit at the University of California, San Francisco (UCSF), he pioneered vasodilator therapy for acute and chronic heart failure. He was the first to describe the beneficial effects of sodium nitroprusside in mitral regurgitation. Other major contributions include investigations on the effects of a variety of pharmacologic agents on coronary hemodynamics, myocardial energetics and transmyocardial neurohormonal balance in heart failure and coronary artery disease. Dr. Chatterjee is a gentleman and a scholar who is widely regarded as a gifted teacher and master clinician. He has received many awards including Gifted Teacher Award of ACC, Lifetime Achievement Award by the Heart Failure Society of America, Holly Smith Award for Exceptional Service to School of Medicine at UCSF, Distinguished Scientist Award at University of Iowa, Lewis E. January Clinical Teaching Award, and University of Iowa Legacy Award. He is currently a Clinical Professor of Medicine at the Carver College of Medicine, University of Iowa. He is also Emeritus Professor of Medicine, University of California San Francisco.
  • 5. www.cme.ucsf.edu STATE OF THE ART ADVANCED HEART FAILURE MDM13A01 AND ARRHYTHMIA MANAGEMENT: INTEGRATING DEVICES AND PHARMACOTHERAPIES October 27, 2012 The Stanford Court Renaissance Hotel Mail to : UCSF Office of CME Online registration: www.cme.ucsf.edu P.O. Box 45368 Registration Information: (415) 476-5808 San Francisco, CA 94145-0368 Course Information: (415) 476-4251 Fax: (415) 502-1795 æ Dr. æ Mr. æ Mrs. æ Ms. _________________________________________________________________ Last Name First M.I. _________________________________________________________________ Degree Specialty _________________________________________________________________ Address _________________________________________________________________ City State Zip _________________________________________________________________ Daytime Phone Fax _________________________________________________________________ Email Address Label Code Letter (see address label: example, A, B, C, D, etc.)____________ Would you like to be on our priority email list? £ Yes £ No Date of birth to be used as OCME registrant number: ___ ___ /___ ___ / X X Month Day Please indicate if you have any special needs:_____________________________________ Registration Fees: £ $200 Physicians SAN £ $175 Nurses / Allied Health Professionals FRANCISCO BAY Lunch Lunch is included with your tuition, however pre-registration is required. £ I will attend lunch £ I will not attend PIER 39 Make checks payable to UC Regents Jefferson St FISHERMANS UNDERWATER WORLD AQUARIUM YOUTH WHARF Grant Av HOSTEL AQUATIC £ Visa £ MasterCard £ American Express for $ _______________ THE Beach St Please charge my credit card: CANNERY PARK MARITIME Kearny St FT. MASON MUSEUM Stockton St St Ma North Point Powell St VISITOR Mason St rin CENTER aB GHIRARDELLI FORT Th Jones St l ____________________________________________________|______/______ SQUARE eE Leavenwor St Francisco Hyde St mb MARINA MASON Bay St Larkin St Montgomery a rc Polk St ad CENTER er Taylor St Beach St Buchanan o Webster St Credit Card # Expiration Date th St St Chestnut North Pt SF ART Van Ness St St INSTITUTE Francisco Franklin St St Bay St Gough St STS PETER Lombard St _________________________________|________________________________ Octavia St AND PAUL Battery St Laguna St Sansome St Bay St St COIT Chestnut Av GEORGE R. D Fillmore St MOSCONE CROOKE NORTH BEACH Greenwich St TOWER STREET PLAYGROUND Name on Card (Please Print) St RECREATION CENTER Lombard Authorized Signature LEVIS PLAZACourse Registration Form St Filbert St TELEGRAPH Chestnut MICHELANGELO Union St Greenwich St PLAYGROUND HILL Refund Policy: Cancellations received in writing before the first day of theencourse will be refunded, 101 NORTH Gre St WASHINGTON SQUARE Lombard St Front St RUSSIAN less a $75 administrative fee.StNo refunds will be made on cancellations received after that date. Filbert BEACH Montgomery HILL BROADWAY Kearny St St Vallejo St Greenwich PIER Grant Av (Pedestrian) Union St Powell St Mason St COW Taylor St Filbert St Davis St Jones St Broadway St HOLLOW Stockton St Leavenwor On-Site Registration Green St Hyde St Larkin St Co Polk St Union St OCTAGON lu Pacific St Van Ness HOUSE mb WALTON (if space allows) Franklin St Vallejo St us PARK Gough St th St Landmarks Octavia St Av Drumm St Jackson St Laguna St St Green Buchanan Neighborhoods Webster St Av Fillmore St Broadway n St Time: Vallejo St 7:30 am Points of Interest CHINATOWN TRANSAMERICA PYRAMID BLDG. Washingto WORLD TRADE CTR. St Pacific St Parks JUSTIN r Line Cable Ca PORTSMOUTH Clay St EMBARCADERO HERMAN FERRY Date: Broadway Saturday, October 27,n St2012 Jackso Cable Car Lines SQUARE SHOPPING CENTER PLAZA BUILDING Th o St Sacrament eEm Pacific St n St NOB FINANCIAL EMBARCADERO Washingto ba DISTRICT Place: The Stanford Court HILL STATION rca teua St Renaissance California de Jackson St St ro t S BANK OF Battery St Clay St ke RINCON Sansome St AMERICA BLDG. r Renaissance Hotel Ma CENTER Montgomery GRACE Stanford Court rt n St St CATHEDRAL Sp Washingto St ea LAFAYETTE o St Sacrament rS Hotel ion PACIFIC 905PARKCalifornia Street Pine St t MASONIC s Ma Clay St HEIGHTS AUDITORIUM Mis in St St St California Be St San Francisco, CA 94108SAN FRANCISCO Bush St ale o St rd Kearny St Sacrament TRANSBAY wa St Grant Av Ho Fr TERMINAL Stockton St em e St Pin CROCKER Powell St on GOLDEN Mason St GALLERIA tS St GATE UNIV. Taylor St California 1s t Jones St t Leavenwor St Bush St Hyde St Post St Ne MONTGOMERY ST. St Pine St w STATION m Mo lso Sutter St Fo Buchanan UNION ntg Geary St th St SQUARE om 2n Bush St er dS yS t Post St t t Steiner St St St S Sutter St wy O’Farrell St ke t SF MUSEUM on JAPAN r ris rke Ma OF MODERN ART Ha r TOWN Geary St Yo ter Post St JAPANESE Ellis St Pe CULTURAL & 101 St CENTER FOR TRADE CENTER Sta O’Farrell THE ARTS AT ST. Ki YERBA BUENA rr wy MARYS ng GARDENS Geary Exp CATHEDRAL Wy POWELL ST. Ellis St STATION MOSCONE CONVENTION Larkin St Polk St SF SHOPPING CENTER NORTH & SOUTH Van Ness CENTRE Franklin St Eddy St Gough St 3r St O’Farrell dS Laguna St t OLD MINT Webster St Av Ellis St OF SF Fillmore St Turk St Pierce St rk Pa te St 4th Eddy St Golden Ga t uth tS St ke So r St CIVIC Ma 80 Turk St McAllister CENTER St St nt Octavia St ion SOUTH OF St ya 5 th te St WAR Fulton St s MARKET on Br Golden Ga SF Mis St MEM. MAIN rris FILLMORE THEATER CITY LIBRARY Ha St
  • 6. Symposium: Cardiology CME at (415) 476-4251 You may also reach us by calling the Office of UPCOMING COURSES 29th Annual Advances University of California, December 14-16, 2012 info@ocme.ucsf.edu. For more information www.cme.ucsf.edu. or to register online October 22-24, 2012 Recycled Paper visit our website at for the Practitioner San Francisco, CA San Francisco, CA in Heart Disease UCSF Box 0742 E Printed on San Francisco Office of CME Yosemite, CA 29th Annual 94143-0742 or emailing 0569COURSE CHAIRS C O U R S E FAC U LT Y C O U R S E FAC U LT Y ( C O N T ’ D )Teresa De Marco, MD (All UCSF faculty except where noted) Dana P. McGlothlin, MDProfessor of Medicine and Surgery Nitish Badhwar, MD, FACC, FHRS Assistant Professor of Medicine,R.H. and Jane G. Logan Endowed Associate Professor of Medicine Division of CardiologyChair in Cardiology; Director, Stone-Chamberlain Endowed Chair Scot H. Merrick, MDHeart Failure and Pulmonary in Cardiology; Director, Cardiac Helen and Charles SchwabHypertension; Medical Director, Electrophysiology Training Distinguished Professor in Surgery;Heart Transplantation Program; Associate Chief, Cardiac Chief, Division of AdultUniversity of California, Electrophysiology Cardiothoracic SurgerySan Francisco Edward P. Gerstenfeld, MD Van Selby, MDMelvin M. Scheinman, MD Associate Professor of Medicine Clinical Fellow, Department ofProfessor of Medicine, Emeritus Chief, Cardiac Electrophysiology MedicineWalter H. Shorenstein Endowed and Arrhythmia Service Robin Shaw, MD, PhDChair in Cardiology, University of Nora F. Goldschlager, MD, FACC Associate Professor of MedicineCalifornia, San Francisco Professor of Clinical Medicine; and CardiologyBarbara J. Drew, RN, PhD Director, Coronary Care Unit Director, Heart Failure ResearchProfessor of Nursing and of San Francisco General Hospital ProgramMedicine, Division of Cardiology, Edmund Keung, MD Nimaljeet (Nimi) Tarango, NPUniversity of California, Clinical Professor of Medicine Nurse Practitioner, The HeartSan Francisco Acting Chief, Cardiology Section Failure and Pulmonary San Francisco VA Medical Center Hypertension ClinicsG U E S T FAC U LT Y Liviu Klein, MD, MS Vasanth Vedantham, MD, PhDKanu Chatterjee, MB, FRCP Assistant Professor of Medicine Assistant Professor of MedicineClinical Professor of Medicine Byron K. Lee, MD Cardiac Electrophysiology andCarver College of Medicine Assistant Professor of Medicine Arrhythmia ServiceUniversity of Iowa; Emeritus Cardiac Electrophysiology andProfessor of Medicine, Arrhythmia ServiceUniversity of CaliforniaSan Francisco. Barry Massie, MD Professor of Medicine, Division of Cardiology