Echo in Marco Island: Case-Based Approach


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Echo in Marco Island: Case-Based Approach

  1. 1. Mayo School of Continuous Professional Development 2nd Annual Echo on Marco Island: Case-Based Approach December 6-9, 2012 Marco Island Marriott Beach & Golf Marco Island, FL Course Directors Roger L. Click, M.D., Ph.D. Naser M. Ammash, M.D. REGISTER ONLINE NOW!
  2. 2. General InformationCOURSE DESCRIPTIONThe program seeks to address competence in using multiple echocardiographictechniques in assessment of cardiac structure and function in adult acquired orcongenital heart disease. This will include concise, clinically relevant didactic lecturesfollowed by a series of illustrative cases which will include audience response anddiscussion presented by echocardiography specialists which would lead to enhancedpatient management. Workshops will be held to demonstrate the techniques foracquiring the echocardiographic data, especially with respect to new contemporarytechniques such as strain imaging.In addition, audience participants are welcome to bring case(s) to share and discuss withthe faculty and audience on Sunday morning. Note, all patient identifiers must beremoved from your modality.TEACHING MATERIALS/SYLLABUSAttendees will be provided with a memory stick containing course materials and arewelcome to bring a laptop computer during the learning sessions. No paper syllabuswill be provided.COURSE LEARNING OBJECTIVESUpon conclusion of this program, participants should be able to:• Demonstrate the application of Doppler principles to assessing hemodynamics• Assess quantitative valvular stenosis and regurgitation severity• Use of echocardiography to assess prosthetic valves• Recognize the role of echocardiography evaluating patients with suspected endocarditis• Demonstrate and interpret diastolic echocardiographic measurements• Define advantages of stress echocardiography and use of contrast• Apply echocardiographic principles in assessment of congestive heart failure• Identify echocardiographic features of common congenital heart abnormalities• Apply echocardiography to access patients with suspected pericardial disease• Define the role of echo in the interventional cardiology practice• Recognize the advantages and disadvantages of 3-D echoAttendance at this Mayo course 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 intended for adult and congenital cardiologists, cardiology fellows, andcardiac sonographers who have basic experience and knowledge in echocardiography.This course is also intended for other medical specialists, internists, surgeons andanesthesiologists working to further their experience in clinical application ofechocardiography.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 live activity for a maximum of 19 AMAPRA Category 1 Credits™. Physicians should claim only the credit commensurate withthe extent of their participation in the activity.Other Health Care ProfessionalsA certificate of attendance will be provided to other health care professionals forrequesting credits in accordance with state nursing boards, specialty societies, or otherprofessional associations.
  3. 3. General InformationEDUCATIONAL GRANTSAt the time of this printing, a complete listing of commercial supporters was not available.Appropriate acknowledgment will be given to all supporters at the time of the meeting.Exhibits will be available for viewing at all scheduled breaks.DATE AND LOCATIONThe Echo on Marco Island course will be held December 6-9. Course headquarters willbe located in Palms Ballroom on the Lobby Level.Marriott Marco Island Beach & Golf400 South Collier Blvd. Phone: 239-394-2511Marco Island, FL 34145 Fax: 239-642-2672Registration..........................................................Palms Ballroom FoyerGeneral Session...................................................Palms Coconut/Sabal/Sentry BallroomExhibits.................................................................Palms Royal Ballroom FLunch.....................................................................Tiki TerraceReception..............................................................Tiki BeachREGISTRATIONTo register online, visit registration fee includes tuition, electronic course syllabus, continental breakfasts,break refreshments, and welcome reception. Although it is not Mayo School ofContinuous Professional Development (CPD) policy to limit the number of registrants fora course, conference room facilities may necessitate closing of enrollment; therefore, earlyregistration is advised. A letter of confirmation will be sent upon receipt of payment andcompleted registration form. Please present the confirmation letter when checking in atthe meeting registration desk.For additional information, contact:Mayo Clinic (Marco Island 2012) E-mail: cvcme@mayo.edu200 First Street SW/GO6-138SW Phone: 800-283-6296 or 507-266-6703Rochester, MN 55905 Fax: 507-266-7403Website: POLICYIf you cancel your participation in this course, your registration fee, less a $75 administrativefee, will be refunded when written notification is received by Mayo School of CPD beforeThursday, November 22, 2012 (fax#: 507-266-7403). No refunds will be made on or afterThursday, November 22, 2012. 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 must cancel orpostpone this course, Mayo School of CPD will refund the registration fee, but is notresponsible for any related costs, charges, or expenses to participants, including feesassessed by airline/travel/lodging agencies.TRAVELMarco Island is the largest of Florida’s Ten Thousand Islands, located at thenorthernmost point of the picturesque Ten Thousand Islands and just south of Naples.Sunshine along with frolicking dolphins, and all of the water and sun sports that go withthe beaches are available for your pleasure.Marco Island is graced with miles of white-sand beaches, beautiful year-round weather,sumptuous restaurants, fine shopping, dining, lively entertainment, attractions and
  4. 4. General Informationplenty of recreational activities from boating and fishing, to golf and tennis, and more, allset amid the stunning subtropical beauty that is unique to Southwest Florida’s Gulf coast.To the north is the Rookery Bay National Estuarine Research Reserve and its BriggsMemorial Nature Center. To the south lies the sprawling 10,000 Islands with over 70coastal miles of fly fishing heaven, inhabited only by the tiny fishing villages of Goodland,Everglades City, Chokoloskee and eventually Flamingo. Included in this southerly stretchis Collier-Seminole State Park, the 10,000 Islands National Wildlife Refuge, FakahatcheeStrand State Preserve, Big Cypress National Preserve and the 5000 square mileEverglades National Park, ensuring continued protection against coastal development.AIRPORTSouthwest Florida International Airport (RSW) in Fort Myers, FL is the recommendedairport for arrival. The hotel is approximately 1 hour from the Fort Myers Airport.Travel arrangements are the sole responsibility of the individual registrant.CAR RENTALIf you prefer to rent a car while on property, Hertz car rental is located in the hotel. Thedirect phone number for reservations is 239-394-3322.LODGING ACCOMMODATIONSGuest rooms have been reserved for attendees and their guests with special course ratesat the Marco Island Marriott. In order to receive the special rate, reservations must bemade before the room block is filled or before the expiration date of Wednesday,November 14, 2012, whichever comes first. Reservations will be taken following thisdate based on space and rate availability. A special rate of $179 single/double has beennegotiated for our group. Please call reservations at 800-438-4373 or 239-394-2511 andidentify yourself as a participant of the ECHO course when making your reservation.Check-in: 4:00 p.m.Check-out: 11:00 a.m.• High speed internet is complimentary in all guest rooms within our block of rooms.• Complimentary resort fitness center.• No resort fee.RESTAURANTSTropiks Restaurant – AmericanInformal restaurant serving the Island’s best breakfast buffet. Open all year for breakfastand seasonally for lunch and dinner.Rookery GrillOpen for lunch. Just off the 18th green located at the clubhouse. Light fare breakfastand lunch daily.400 Pazzis – PizzaOpen for lunch and dinner. Pizza, paninis, and nightly dinner specials, all servedbeachside.Quinn’s on the Beach – AmericanKorals Sushi & Cocktail Lobby BarSushi and appetizers. Open 4:00 p.m.-midnight.Café San MarcoOpen for breakfast, lunch, and dinner. The perfect stop for snacks, coffee, pastries, anddonuts as well as sandwiches and salads.
  5. 5. General InformationKurrentsOpen for dinner. Upscale restaurant that boasts prime steak entrees and seafood.Tiki Bar and GrillA relaxing pool setting specializing in Caribbean appetizers and sandwiches. Open forlunch and dinner.You may wish to visit the Marco Island Convention and Visitors Bureau website( for area information.Lodging arrangements are the sole responsibility of the individual registrant.Mayo School of CPD is not responsible for expenses incurred by an individual who isnot confirmed and for whom space is not available at the meeting. Costs incurred by theregistrant such as airline or hotel fees or penalties are the responsibility of the registrant.PARKINGValet Parking.......................................................$5.00 discountSelf Parking..........................................................ComplimentarySOCIAL PROGRAMSWelcome Reception – Thursday, December 6, 2012 – Tiki BeachAttendees and their guest(s) are cordially invited to join the course faculty for theWelcome Reception on Thursday, December 6. This casual reception welcomes you toMarco Island, officially opens the course, and offers you the perfect opportunity to makeconnections with existing and new colleagues.RECREATION/LEISURE ACTIVITIESPlease visit the beach huts for information on additional water activities. Active waterenthusiasts can enjoy pedal boats, kayaks, water hammocks, hobie cats and more.Activities in the areaBowling (16 miles) Kayaking Table tennisFly-fishing (3 miles) Miniature golf (15 miles) TennisJet-skiing Paddle Boarding Volleyball on the beachJogging/fitness trail Sailing (boat rental and lessons)The following water sports below are offered through the Marriott – 239-642-2740( Bike Tour of Marco Island – DailyCycle past beautiful homes with surrounding views of rare tropical plants and trees. Seethe unique protected wildlife of this beautiful island as you pedal past Burrowing Owlsand Gopher Tortoises. Eagles, Osprey, Frigate birds and many tropical birds make thisarea their home. Manatee and dolphins use the extensive waterways to feed and play.Winding our tour through the unique Caxambas area we stop for a break to learn theintriguing history of the fierce Calusa Indians. Walk among the ancient Indian shellmounds where early pioneers settled this untamed area to hunt, fish and farm. The freshwater spring where the Spanish refilled their water stores before the arduous anddangerous journey home is still visible. Expand your vacation footprint with this uniqueisland experience as you pedal up and down the Indian shell mounds overlookingRoberts Bay and Caxambas Pass.Sailing and Shelling – Daily Excursions 9:00 a.m., Noon, and 3:00 p.m. – 2 ½ hoursThis tour is ranked among the best guided boat tours in Florida. This aquatic adventurebegins as a green-energy sailing outing, but as bottle nose dolphins, sea turtles, andmanatees appear, the intimate 6 passenger catamaran can rapidly create vacationmemories that will last a lifetime. Individual or discounted family packages available.Pricing includes bottled water, towels, and seashell bags.
  6. 6. General InformationWaverunner Guided Excursions – Daily Tours 11:00 a.m. and 2:00 p.m. – 1 hourExperience the native wildlife that resides in the mangrove forests while cruising on awaverunner. Travel over 15 miles round trip and witness pristine beautify of the islandsas you catch glimpses of birds, dolphin, manatee, and other wildlife.Dolphin Watch and Shelling Tour – 2 ½ Hours – two trips offered daily (check with abovefor times)This 45 foot Corinthian Catamaran has a capacity of 49 people. It takes you into the10,000 Islands for a chance to unwind and discover the best of what the Islands have tooffer and offers guests stunning panoramic views.Parasailing – 10-12 minute flight timesParasailing is a family affair, from children, to mom and dad, to grandpa and grandma –everyone is welcome! Fly solo or go with a friend. You will take off and land directly onone of the 12-passenger Para-Tour winch boats. Don’t forget to bring a disposablewaterproof camera!Waverunner Rentals – 9:30 a.m.-4:30 p.m.Explore the unique beauty of the Gulf by renting your own waverunner. Half hour andhour rentals available.Naples Florida Sunset Cruises – Sunset in December is between 5:30 p.m. – 6 p.m.Most sunset cruises depart around 5 pm. – Check with the above for confirmed time.Experience the relaxation of the Calusa Spirit and enjoy the panoramic views of the Gulfof Mexico as the sun goes down. We will start the tour at Caxambas Park then head outinto the Gulf of Mexico to watch for dolphin, manatees, birds, sea turtles and otherdiverse wild life native to the area.With photo opportunities galore you will learn about the unique history and eco-systemsindigenous only to South West Florida and the everglades. We will also travel into thecalm inland waters and tour some of the most exclusive real estate on Marco Island aswell as enjoying a magical sunset over the Gulf.To top off your evening the Calusa Spirit will deliver you to the Esplanade, a uniquelyrefined, up-scale shopping and dinning experience located on Smokehouse Bay. You canenjoy dinner or maybe just a coffee before your return to the resort.FACULTYCourse DirectorsRoger L. Click, M.D., Ph.D., FACCAssociate Professor of Medicine, Mayo Clinic; Consultant, Division of CardiovascularDiseases and Internal Medicine, Mayo Clinic, Rochester, MNNaser M. Ammash, M.D., FACCProfessor of Medicine, Mayo Clinic; Consultant, Division of Cardiovascular Diseases andInternal Medicine, Mayo Clinic, Rochester, MNMayo FacultyJohn Wells Askew, III, M.D., FACC, FAHAAssistant Professor of Medicine, Mayo Clinic; Consultant, Division of CardiovascularDiseases and Internal Medicine, Mayo Clinic, Rochester, MNPaul M. Bastiansen, RDCSAdvanced Clinical and Research Sonographer, Cardiovascular Ultrasound Imaging andHemodynamic Laboratory, Mayo Clinic, Rochester, MNMerri L. Bremer, M.Ed., RN, RDCS, FASEAssistant Professor of Medicine, Mayo Clinic; Quality Improvement/Training Specialist,Mayo Clinic, Rochester, MNHarold M. Burkhart, M.D.Associate Professor of Surgery, Mayo Clinic; Consultant, Thoracic and CardiovascularSurgery, Mayo Clinic, Rochester, MN
  7. 7. General InformationBarry L. Karon, M.D., FACC, FASEAssistant Professor of Medicine, Mayo Clinic; Consultant,Division of Cardiovascular Diseases and InternalMedicine, Mayo Clinic, Rochester, MNKyle W. Klarich, M.D., FACCAssociate Professor of Medicine, Mayo Clinic; Consultant, Division of CardiovascularDiseases and Internal Medicine, Mayo Clinic, Rochester, MNCarolyn Landolfo, M.D., FACCSenior Associate Consultant, Mayo Clinic; Director, Adult Echocardiography Laboratory;and Consultant, Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic,Jacksonville, FLRobert B. McCully, M.D., FACCProfessor of Medicine, Mayo Clinic; Consultant, Division of Cardiovascular Diseases andInternal Medicine, Mayo Clinic, Rochester, MNVuyisile T. Nkomo, M.D., MPH, FACCAssistant Professor of Medicine, Mayo Clinic; Consultant, Division of CardiovascularDiseases and Internal Medicine, Mayo Clinic, Rochester, MNBrian P. Shapiro, M.D.Assistant Professor of Medicine and Radiology, Mayo Clinic; Consultant, Division ofCardiovascular Diseases and Internal Medicine, Mayo Clinic, Jacksonville, FLGuest FacultyNatesa G. Pandian, M.D., FACCProfessor of Medicine, Tufts University School of Medicine; Director, New EnglandHeart Valve Center; Co-Director, Center for Cardiovascular Imaging; Director,Cardiovascular Ultrasound Research, Tufts Medical Center, Boston, MAR. Parker Ward, M.D., FACCAssociate Professor of Medicine, Director, Cardiovascular Fellowship Program, Sectionof Cardiology, The University of Chicago Medical Center, Chicago, ILFACULTY 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. FUTURE PROGRAM DATES December 5-8, 2013
  8. 8. Program ScheduleTHURSDAY, DECEMBER 6, 20127:00 a.m. Registration and Continental Breakfast7:45 a.m. Pre-Test Evaluation and Discussion Roger L. Click, M.D., Ph.D.Moderator: Roger L. Click, M.D., Ph.D.8:00 a.m. Appropriateness Criteria for Echocardiography: Does It Matter? R. Parker Ward, M.D.8:20 a.m. Cases/Discussion8:30 a.m. Assessment of LV Systole – Eyeball vs Calculation Robert B. McCully, M.D.8:50 a.m. Cases/Discussion9:00 a.m. Assessment of Diastolic Function – Just Relax! Naser M. Ammash, M.D.9:20 a.m. Cases/Discussion9:30 a.m. RV Function and Pulmonary Pressure Brian P. Shapiro, M.D.9:50 a.m. Cases/Discussion10:00 a.m. Refreshment Break – Visit Exhibits10:30 a.m. Aortic Valve – Echo Assessment and Challenges Vuyisile T. Nkomo, M.D.10:50 a.m. Cases/Discussion11:00 a.m. Mitral Valve – Echo Assessment and Challenges Carolyn Landolfo, M.D.11:20 a.m. Cases/Discussion11:30 a.m. Tricuspid Valve – Often Ignored Roger L. Click, M.D., Ph.D.11:50 a.m. Cases/Discussion12:00 p.m. The Forgotten Valve Naser M. Ammash, M.D.12:20 p.m. Cases/Discussion12:30 p.m. Lunch – Tiki TerraceModerator: Naser M. Ammash, M.D.1:30 p.m. Prosthetic Valves: Echo Evaluation. Is This Valve Good or Bad? John Wells Askew, III, M.D.1:50 p.m. Cases/Discussion2:00 p.m. Endocarditis – Role of Echo R. Parker Ward, M.D.2:20 p.m. Cases/Discussion2:30 p.m. The Abnormal Aorta Vuyisile T. Nkomo, M.D.2:50 p.m. Cases/Discussion3:00 p.m. 3-D Echo – Get Your Glasses On Natesa G. Pandian, M.D.3:20 p.m. Cases/Discussion3:30 p.m. How and Should My Lab Be Accredited? Merri L. Bremer, M.Ed., RN, RDCS3:50 p.m. Discussion/Questions
  9. 9. Program Schedule4:00 p.m. Adjourn6:00-7:00 p.m. Welcome Reception – Tiki BeachFRIDAY, DECEMBER 7, 20127:30 a.m. Continental Breakfast – Visit ExhibitsModerator: Carolyn Landolfo, M.D.8:00 a.m. Congestive Heart Failure – When to Get An Echo Barry L. Karon, M.D.8:20 a.m. Cases/Discussion8:30 a.m. Restrictive Cardiomyopathy – Echo to the Rescue! Kyle W. Klarich, M.D.8:50 a.m. Cases/Discussion9:00 a.m. Hypertrophic Cardiomyopathy – Role of Echo in Assessment and Screening Robert B. McCully, M.D.9:20 a.m. Cases/Discussion9:30 a.m. Strain – A Blessing or a Pain? Barry L. Karon, M.D.9:50 a.m. Cases/Discussion Paul M. Bastiansen, RDCS10:00 a.m. Refreshment Break -– Visit Exhibits10:30 a.m. LVAD – The Challenges of Assessment By Echo Barry L. Karon, M.D.10:50 a.m. Cases/Discussion11:00 a.m. Pericardial Disease – Constriction, Tamponade or Normal. How Can the Echo Tell? John Wells Askew, III, M.D.11:20 a.m. Cases/Discussion11:30 a.m. Systemic Disease. Cardiac Involvement Kyle W. Klarich, M.D.11:50 a.m. Cases/Discussion12:00 p.m. Adjourn - Afternoon off to enjoy Marco IslandSATURDAY, DECEMBER 8, 20127:30 a.m. Continental Breakfast – Visit ExhibitsModerator: Naser M. Ammash, M.D.8:00 a.m. Stress Echo – The Patient Can Exercise Robert B. McCully, M.D.8:20 a.m. Cases/Discussion8:30 a.m. Contrast Echo – How, When, Advantages Natesa G. Pandian, M.D.8:50 a.m. Cases/Discussion9:00 a.m. Stress Echo – My Patient Cannot Exercise Robert B. McCully, M.D.9:20 a.m. Cases/Discussion9:30 a.m. Echo and Acute Coronary Syndrome Roger L. Click, M.D., Ph.D.
  10. 10. Program Schedule9:50 a.m. Cases/Discussion10:00 a.m. Refreshment Break – Visit Exhibits10:30 a.m. Congenital Heart Disease – The Easy Stuff! Naser M. Ammash, M.D. and Harold M. Burkhart, M.D.10:50 a.m. Cases/Discussion11:00 a.m. Intraoperative Echo – What the Surgeon Wants to Know Roger L. Click, M.D., Ph.D. and Harold M. Burkhart, M.D.11:20 a.m. Cases/Discussion11:30 a.m. Congenital Heart Disease – The Harder Stuff! Naser M. Ammash, M.D. and Harold M. Burkhart, M.D.11:50 a.m. Cases/Discussion12:00 p.m. Lunch – Tiki Terrace1:30 p.m. Breakout Sessions – Each session will be 40 minutes and will be repeated. Rotate as you desire. (Room locations to be provided on-site.) • Strain – How To Do It Paul M. Bastiansen, RDCS and Barry L. Karon, M.D. • Hemodynamics Carolyn Landolfo, M.D., Brian P. Shapiro, M.D. and Merri L. Bremer, M.Ed., RN, RDCS • Cases – Test Your Skills Roger L. Click, M.D., Ph.D. and Natesa G. Pandian, M.D.3:30 p.m. AdjournSUNDAY, DECEMBER 9, 20127:30 a.m. Continental Breakfast – Visit ExhibitsModerator: Roger L. Click, M.D., Ph.D.7:45 a.m. Post Test Evaluation and Discussion Roger L. Click, M.D., Ph.D.8:00 a.m. Cardiac Masses – OMG! Kyle W. Klarich, M.D.8:20 a.m. Cases/Discussion8:30 a.m. Echo Pitfalls, Artifacts, and Mistakes John Wells Askew, III, M.D. and Vuyisile T. Nkomo, M.D.8:50 a.m. Cases/Discussion9:00 a.m. Interventional Echo – Expanding Role of Echocardiography Natesa G. Pandian, M.D.9:20 a.m. Cases/Discussion10:00 a.m. Challenging Cases – Test Your Skills In addition, the audience is welcome to bring challenging cases to discuss. All Faculty10:50 a.m. Post-Test and Discussion11:00 a.m. Adjourn
  11. 11. REGISTRATION Register online: Fee:Course Registration (MD, PhD, DO, PharmD) $650.00Course Registration (Fellows, Sonographers, RN) $475.00Mayo 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: and click on RegisterNow. The system will step you through the profile and login process. An emailaddress is required upon registration. A letter of confirmation will be forwardedto this address upon receipt of payment and submitted registration. Present thisletter of confirmation when checking in at the meeting registration desk.The registration fee includes tuition, electronic course syllabus, continentalbreakfasts, break refreshments, and reception. Although it is not Mayo School ofContinuous Professional Development (CPD) policy to limit the number ofregistrants for a course, conference room facilities may necessitate closing ofenrollment; therefore, early registration is advised. Enrollment for this programis limited. A letter of confirmation will be e-mailed upon receipt of payment.Please present the confirmation letter when checking in at the meetingregistration desk.For additional information, contact:Cardiovascular Continuing Education200 First Street SW - Gonda 6Rochester, MN 55905E-mail: cvcme@mayo.eduPhone: 800-283-6296 or 507-266-6703Website:
  12. 12. MAYO CLINIC200 First Street SW/GO6-138SWRochester, MN 55905Mayo School of Continuous Professional Development2nd AnnaulEcho on Marco Island:Case-Based ApproachDecember 6-9, 2012Marco Island Marriott Beach & Golf • Marco Island, FLIf you already received a copy of this brochure, please give this brochure to an interested colleague.© 2012 Mayo Foundation for Medical Education and Research Limited Attendance - Register Today!MC4052-67rev0312