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Echo Fiesta: An In-Depth Review of Adult Echocardiography for Sonographers and Physicians


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Echo Fiesta: An In-Depth Review of Adult Echocardiography for Sonographers and Physicians

  1. 1. 6th Annual ECHO An In-Depth Review of Adult Echocardiography for Sonographers and Physicians neW LoCation & proGram Format! March 21 - 24, 2013 Hyatt Regency Hill Country San Antonio, Texas program Co-Directors: William K. Freeman, M.D., F.A.C.C., F.A.S.E. Steven J. Lester, M.D., F.A.C.C., F.A.S.E. Sabrina D. Phillips, M.D., F.A.C.C., F.A.S.E. register online today!
  2. 2. General InformationCOURSE DESCRIPTIONEcho Fiesta is designed to provide a practical review of the current uses and limitationsof two-dimensional echocardiography, Doppler and color flow imaging in theassessment of adult myocardial, ischemic, pericardial and valvular heart disease.Traditional topics in the field of echocardiography including the assessment of systolicand diastolic function, quantitative Doppler, and stress echocardiography will bepresented. In addition, newer techniques including 3D echo and Doppler and 2D strainimaging will be presented. The program will concentrate on practical points regardingdaily use of these techniques with illustrative examples from a wide variety ofcardiovascular disorders.COURSE LEARNING OBJECTIVESUpon conclusion of this program, participants should be able to:• Identify current two-dimensional, three-dimensional, and Doppler methods to assess left ventricular systolic function (LV volumes, ejection fraction, cardiac output, index of myocardial performance);• Develop an integrated approach to the assessment of valvular stenosis and valvular regurgitation, including quantitative assessment by the PISA method;• Apply echo imaging and Doppler hemodynamic principles to the systematic assessment of prosthetic heart valves;• Describe the diastolic filling patterns in diverse cardiac disorders including cardiomyopathies, systemic diseases, and pericardial disease;• Recognize echocardiographic findings of ischemic heart disease, including clinical applications and interpretation of stress echocardiography, detection of mechanical complications of myocardial infarction;• Define the role of echocardiography in the evaluation and management of the cardiomyopathies; and• Recognize the potential of new technology in the field of echocardiography, including 3D imaging and strain imaging.Attendance at this program does not indicate nor guarantee competence or proficiencyin the performance of any procedures which may be discussed or taught in this course.INTENDED AUDIENCEThis course is designed for cardiologists, cardiovascular trainees and cardiacsonographers who perform and interpret echo exams and wish to enhance theirknowledge of the echocardiographic assessment of adult cardiac disease. Participantswith a basic knowledge of echocardiographic techniques and applications will benefitmost from this program.Note: Bringing one’s personal laptop will also facilitate review of the electronic syllabus.Attendees are encouraged to come prepared with a fully charged battery as powersources will be limited. A central charging station will be available in the back of theroom for short term charging.CREDITCollege of Medicine, Mayo Clinic is accredited by the Accreditation Council forContinuing Medical Education to provide continuing medical education for physicians.College of Medicine, Mayo Clinic designates this educational activity for a maximum of20.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensuratewith the extent of their participation in the activity.
  3. 3. General InformationDATE AND LOCATIONEcho Fiesta will be held March 21 - 24, 2013 atthe Hyatt Regency Hill Country, 9800 HyattResort Drive, San Antonio, TX 78251. Theprogram will be in the Fredricksburg Ballroom.Step into an atmosphere of timeless charm at theHyatt Regency Hill Country. This location is theperfect blend of AAA Four Diamond pamperingand the natural beauty of the Texas HillCountry. A two hundred-acre wooded escapetucked away among the rolling hill of SouthwestTexas with Texas-style hospitality. Enjoy theon-site activities from the 27 holes of championship golf, world-class Windflower TheHill Country Spa and four-acre water park. Conveniently located, the hotel is adjacent toSeaWorld of Texas and a short drive from the historic Alamo, downtown San Antonio’sfamed River Walk and Six Flags Fiesta Texas Theme Park.LODGING ACCOMMODATIONSGuest rooms have been reserved for participants and their guests with special programrates at the Hyatt Regency Hill Country. In order to receive the special rate, reservationsmust be made before the room block is filled or before the expiration date ofWednesday, February 27, 2013, whichever comes first. Reservations will be takenfollowing this date based on space and rate availability. Please identify yourself as aparticipant of the Mayo Echo Fiesta continuing education program when making yourreservation. Lodging arrangements are the sole responsibility of the individualregistrant.Hyatt Regency Hill Country For Reservations Call:9800 Hyatt Resort Drive 888-421-1442San Antonio, Texas 78251 $194 single/double + $5 Resort FeeWebsite: resort service program provides the use of the resort activities and amenities toinclude: wireless internet, hard-wired internet, unlimited use of health club, unlimitedaccess local, 800, 888 calls, unlimited use of tennis courts, bicycles, chipping and puttinggreens, golf club storage, full access to golf practice facility, preferred golf tee times,complimentary personalized golf bag tag, outdoor activities, coffee, tea, in-room safeand local newspaper Monday through Friday and complimentary self-parking. The Hyatt Regency Hill Country requires that all reservations be guaranteed by a check or major credit card equal to one night’s room and tax. Cancellations must be made forty-eight (48) hours prior to the day of arrival. Reservations can only be canceled by calling the hotel directly and obtaining a cancellation number. No-shows will be charged accordingly.
  4. 4. General InformationFACULTYCourse DirectorsWilliam K. Freeman, M.D., F.A.C.C., F.A.S.E.Associate Professor of Medicine, College of Medicine; Consultant, Division ofCardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, MNSteven J. Lester, M.D., F.A.C.C., F.A.S.E.Associate Professor of Medicine, College of Medicine; Consultant, Division ofCardiovascular Diseases and Internal Medicine, Mayo Clinic, Scottsdale, AZSabrina D. Phillips, M.D., F.A.C.C., F.A.S.E.Assistant Professor of Medicine, College of Medicine; Consultant, Division ofCardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, MNMayo Clinic FacultyHarold M. Burkhart, M.D. Fletcher A. Miller, Jr., M.D., F.A.C.C., F.A.S.E.Associate Professor of Surgery, College of Professor of Medicine, College of Medicine;Medicine; Consultant, Division of Consultant, Division of CardiovascularCardiovascular Surgery, Mayo Clinic, Diseases and Internal Medicine; MayoRochester, MN Clinic, Rochester, MNKyle W. Klarich, M.D., F.A.C.C., F.A.S.E. Vuyisile T. Nkomo, M.D.Associate Professor of Medicine, College of Assistant Professor of Medicine, College ofMedicine; Consultant, Division of Medicine; Consultant, Division ofCardiovascular Diseases and Internal Cardiovascular Diseases and InternalMedicine, Mayo Clinic, Rochester, MN Medicine, Mayo Clinic, Rochester, MNRobert B. McCully, M.D, F.A.C.C. Samuel Unzek, M.D.Associate Professor of Medicine, College of Assistant Professor of Medicine, CollegeMedicine; Consultant, Division of of Medicine; Senior Associate Consultant,Cardiovascular Diseases and Internal Division of Cardiovascular Diseases andMedicine, Mayo Clinic, Rochester, MN Internal Medicine, Mayo Clinic, Scottsdale, AZFACULTY 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 participantsin the activity may formulate their own judgments regarding the presentation.
  5. 5. Course ScheduleTHURSDAY, MARCH 21, 20137:15 a.m. Registration and Continental Breakfast8:10 a.m. Welcome: Course Overview, Audience Survey, and Pre-Test Drs. Freeman and LesterLeft Ventricular Systolic and Diastolic FunctionModerator: William K. Freeman, M.D.8:30 a.m. Echo Assessment of Left Heart Chambers: 2-D and 3-D Echo for LV Volume, Systolic Function, and Cardiac Output; LA Volume Samuel Unzek, M.D.9:00 a.m. Echocardiographic Assessment of Diastolic Function Steven J. Lester, M.D.9:30 a.m. Strain Imaging for Assessment of Left Ventricular Function Fletcher A. Miller, Jr., M.D. 10:00 a.m. Questions and Comments Drs. Freeman, Lester, and Miller 10:15 a.m. Refreshment Break Concurrent Sessions Transesophageal Echocardiography: Workshop for Sonographers: Technique and Applications 3-D Imaging and Strain Imaging 10:40 a.m. Transesophageal Echocardiography 10:40 a.m. How to Perform 3-D (TEE): Indications, Technique, 2-D Imaging to Assess Left and 3-D Anatomic Correlation, Ventricular Size and Clinical Applications Function William K. Freeman, M.D. Ron A. Roth, R.D.C.S. 11:25 a.m. Transesophageal 11:25 a.m. How to Perform Strain Echocardiography: Utility in the Imaging; Practical Points Interventional Cardiac Laboratory and Pitfalls Vuyisile T. Nkomo, M.D. Paul M. Bastiansen, R.D.C.S.12:15 p.m. LunchLeft-Sided Valvular Heart Disease: Regurgitation and StenosisModerator: Steven J. Lester, M.D.1:15 p.m. Mitral Regurgitation: 2-D Assessment of Etiology and Quantitation of Severity by Doppler (PISA, Continuity Equation) Fletcher A. Miller, Jr., M.D.1:45 p.m. Mitral Stenosis: Comprehensive 2-D and Doppler Assessment Sabrina D. Phillips, M.D.2:15 p.m. Aortic Stenosis: Comprehensive 2-D and Doppler Assessment with both Normal and Abnormal LV Function: Implications in the Era of TAVR Robert B. McCully, M.D.2:45 p.m. Aortic Regurgitation: 2-D Assessment of Etiology and Quantitation of Severity by Doppler (PISA, Continuity Equation) Kyle W. Klarich, M.D.3:15 p.m. Questions and Comments Drs. Miller, Phillips, McCully, and Klarich
  6. 6. 3:25 p.m. Refreshment BreakRight Ventricular Function, Right Heart Hemodynamics, and Right-Sided Valvular DiseaseModerator: Steven J. Lester, M.D.3:45 p.m. Evaluation of Right Ventricular Function and Pressures: Implications for the Management of Pulmonary Hypertension Robert B. McCully, M.D.4:25 p.m. Tricuspid and Pulmonary Valve Disease: 2-D Assessment and Doppler Quantitation of Severity; Prognostic Implications Kyle W. Klarich, M.D.5:00 p.m. AdjournFRIDAY, MARCH 22, 20137:30 a.m. Continental BreakfastSpecial Topics in Valvular Heart DiseaseModerator: William K. Freeman, M.D.8:00 a.m. Echocardiographic Evaluation of Prosthetic Valve Dysfunction: Incorporation of the ASE Guidelines Fletcher A. Miller, Jr., M.D. 8:30 a.m. Endocarditis: TTE and TEE 2-D and Doppler Echo for Diagnosis, Evaluation, and Management William K. Freeman, M.D.9:00 a.m. Valvular Heart Disease: When Symptoms and Findings Don’t Correlate – What More Can Echo Offer? Vuyisile T. Nkomo, M.D.9:30 a.m. Valvular Disease: Uncommon Etiologies (Systemic Disease, Radiation & Drug-Induced) William K. Freeman, M.D.10:00 a.m. Questions and Comments Drs. Miller, Freeman, and Nkomo10:10 a.m. Refreshment BreakValvular Heart Disease: Surgical InterventionModerator: William K. Freeman, M.D.10:30 a.m. Minimally Invasive Cardiac Surgery Harold M. Burkhart, M.D.11:00 a.m. Intraoperative Echocardiography Vuyisile T. Nkomo, M.D.11:30 a.m. Tricuspid Valve Surgery: Indications, Techniques, and New Developments Harold M. Burkhart, M.D.12:00 p.m. Questions and Comments Drs. Burkhart and Nkomo12:15 p. m. Lunch
  7. 7. Small Group Breakout Sessions 1:10 – 2:00 p.m. Concurrent Sessions: (Pick one) A. Valve Hemodynamics Dr. Klarich B. Assessment of Diastolic Function Drs. Lester and Unzek C. Interesting Stress Echo Cases Dr. McCully D. Practical Imaging Workshop for Sonographers Ron A. Roth, R.D.C.S. and Paul M. Bastiansen, R.D.C.S. 2:10 – 3:00 p.m. Concurrent Sessions: (Pick one) A. Valve Hemodynamics Dr. Klarich B. Assessment of Diastolic Function Drs. Lester and Unzek C. Interesting Stress Echo Cases Dr. McCully D. Practical Imaging Workshop for Sonographers Ron A. Roth, R.D.C.S. and Paul M. Bastiansen, R.D.C.S.3:00 p.m. AdjournSATURDAY, MARCH 23, 20137:30 a.m. Continental BreakfastCardiomyopathies, Pericardial Disease, and Heart FailureModerator: Steven J. Lester, M.D.8:00 a.m. Dilated Cardiomyopathy, Echo Evaluation and Role in Device Intervention (CRT and LVAD) Steven J. Lester, M.D.8:30 a.m. Hypertrophic Cardiomyopathy: Evaluation and Differential Diagnosis; Implications for Risk Stratification and Management William K. Freeman, M.D.9:00 a.m. Restrictive Cardiomyopathy: And Other Unusual Causes of Heart Failure Vuyisile T. Nkomo, M.D.9:30 a.m. Pericardial Disease: Constrictive Pericarditis and Cardiac Tamponade; Evaluation by Echocardiography, Technique of Echo-Directed Pericardiocentesis Fletcher A. Miller, Jr., M.D10:10 a.m. Questions and Comments Drs. Lester, Freeman, Nkomo, and Miller10:20 a.m. Refreshment BreakIschemic Heart DiseaseModerator: Steven J. Lester, M.D.10:40 a.m. Stress Echocardiography: RWMA Interpretation, Applications, and Prognostication; The Role of Contrast Imaging Robert B. McCully, M.D.11:10 a.m. Mechanical Complications of Myocardial Infarction Sabrina Phillips, M.D.11:40 a.m. Case Studies in Stress Echocardiography Robert B. McCully, M.D.12:30 p.m. Adjourn
  8. 8. SUNDAY, MARCH 24, 20137:30 a.m. Continental BreakfastCongenital Heart DiseaseModerator: Sabrina D. Phillips, M.D.8:00 a.m. Echocardiographic Evaluation of Common Congenital Heart Disease in the Adult Sabrina D. Phillips, M.D.8:30 a.m. Interventional Cardiology in Adult Congenital Heart Disease: Clinical Approach and Imaging Strategies Allison Cabalka M.D.9:00 a.m. Novel Surgical Approaches to Adult Congenital Heart Disease: What’s New in 2013 Harold M. Burkhart, M.D.9:30 a.m. Evaluation of Common Postoperative Congenital Heart Disease in the Adult Sabrina D. Phillips, M.D.10:00 a.m. Questions and Comments Drs. Phillips, Cabalka, and Burkhart10:15 a.m. Refreshment BreakSpecial Topics in EchocardiographyModerator: Sabrina D. Phillips, M.D.10:45 a.m. Acute Aortic Syndromes: Evaluation by TEE, Role of Multi-Modality Imaging William K. Freeman, M.D.11:15 a.m. Imaging for Cardiovascular Risk Prediction Steven J. Lester, M.D.11:45 a.m. Echocardiographic Assessment of Intracardiac and Paracardiac Masses and Thrombus Kyle W. Klarich, M.D.12:15 p.m. Closing Comments Course Directors12:30 p.m. Post-test and Adjourn
  9. 9. REGISTRATION Register online at: Fee:Course Registration (MD, PhD, DO, PharmD) $725.00Course Registration (Resident, Sonographer, RN) $625.00*Registrants in the reduced fees category may be required to submit with the registrationform proof of licensure, a business card, or a letter on official letterhead and signed by adepartment supervisor verifying status.Mayo Clinic Division of Cardiology has recently implemented an onlineconference registration system. If this is your first time using the online system,you will need to create a profile and login account.Register by entering the url: click on Register Now. The system will step you through the profile andlogin process. An email address is required upon registration. A letter ofconfirmation will be forwarded to this address upon receipt of payment andsubmitted registration. Present this letter of confirmation when checking in atthe meeting registration desk. The registration fee includes tuition, electroniccourse syllabus, continental breakfasts, break refreshments, and lunch.Although it is not Mayo School of Continuous Professional Development (CPD)policy to limit the number of registrants for a course, conference room facilitiesmay necessitate closing of enrollment; therefore, early registration is advised.Enrollment for this program is limited. A letter of confirmation will be e-mailedupon receipt of payment. Please present the confirmation letter when checkingin at the meeting registration desk.For additional information, contact:Cardiovascular Continuing Education200 First Street SW - Gonda 6Rochester, MN 55905E-mail: cvcme@mayo.eduPhone: 800-283-6296 or 507-293-2021Website: poLiCYIf you cancel your participation in this course, your registration fee, less a $75administrative fee, will be refunded when written notification is received byMayo School of CPD before March 6, 2013 (fax#: 507-538-0146 or No refunds will be made on or after March 6, 2013.Canceled registrations are non-transferable.Mayo School of CPD reserves the right to cancel or postpone any course due tounforeseen circumstances. In the unlikely event Mayo School of CPD mustcancel or postpone this course, Mayo School of CPD will refund the registrationfee, but is not responsible for any related costs, charges, or expenses toparticipants, including fees assessed by airline/travel/lodging agencies.
  10. 10. Mayo Clinic200 First Street SWRochester, MN 559056th AnnualECHOAn In-Depth Review ofAdult Echocardiography forSonographers and PhysiciansMarch 21 - 24, 2013Hyatt Regency Hill CountrySan Antonio, TexasRegister Now!© 2012 Mayo Foundation for Medical Education and ResearchMC4111-53rev1012