Mayo School of Continuous Professional Development

A Case-Based UpdateOctober 4-6, 2013 • Swissotel, Chicago, IL

Course DirectorsCharles J. Bruce, M.D. & Heidi M. Connolly, M.D.

Course DescriptionThis annual course is designed to provide a continuing case-based update on the diagnosis 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 heart disease, pulmonary hypertension, obstructive sleep apnea, and preventive cardiology. The case-based review will address the relevant guidelines and latest treatment options for patients with these conditions.

Challenges inCliniCal Cardiology

Register Online Today!www.mayo.edu/cme/challenges2013

Thursday, October 3, 2013

6:00 – 8:00 p.m. Early Registration

Friday, October 4, 2013

Moderator: Rajiv Gulati, M.D., Ph.D. Surgical Perspective: Hartzell V. Schaff, M.D.

7:00 a.m. Continental Breakfast and Registration

7:50 a.m. Welcome

8:00 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 Thrombin Inhibitor: 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 Break

Moderator: 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 Heart Failure 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 Failure

Patient 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

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.P

1:30 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 Break

Moderators: Heidi M. Connolly, M.D. and Charanjit S. Rihal, M.D.

3:20 p.m. Dual Antiplatelet Rx Plus Systemic Anticoagulation: Bleeding Risk 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. Adjourn

Saturday, October 5, 20137:00 a.m. Continental Breakfast and Registration

7:50 a.m. Welcome

Moderator: 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.

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 Break Moderator: 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 Back

Moderators: 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 Radiofrequency Ablation Really?

Paul A. Friedman, M.D.

2:25 p.m. Atrial Fibrillation (Part 4): Beyond Warfarin: New Options for Stroke Prevention

Christopher J. McLeod, M.B., Ch.B., Ph.D.

2:50 p.m. Atrial Fibrillation (Part 5): Challenging Cases and Treatment Decisions

Panel: Samuel J. Asirvatham, M.D, Peter A. Brady, M.B., Ch.B., M.D., Paul A. Friedman, M.D., and Christopher J. McLeod, M.B., Ch.B., Ph.D.

Moderator: Heidi M. Connolly, M.D.

3:15 p.m. Refreshment Break

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 I Measure 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. Adjourn

Sunday, October 6, 2013

7:00 a.m. Continental Breakfast and Registration

7:50 a.m. Welcome

Moderator: 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: Diagnosis and 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’T

Require Intervention? Rehka Mankad, M.D.

10:05 a.m. Refreshment Break

Moderator: 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 Smoking Gun? Treatment Update

Guy S. Reeder, M.D.

11:20 a.m. Non Cardiac Surgery in my Adult Congenital Heart Disease Patient: Pitfalls to Avoid!

Heidi M. Connolly, M.D.

11:45 p.m. Wrap Up

12:00 p.m. Adjourn

COURSE LEARNING OBJECTIVESUpon conclusion of this program, participants should be able to:

• Summarize current treatment of non-ST elevation myocardial infarction in patients with heparin induced thrombophilia

• Describe how to treat patients with coronary artery disease and diabetes

• Describe treatment of congestive heart failure in patients with renal dysfunction and those with preserved ejection fraction

• Identify how to evaluate cardiotoxicity in patients on chemotherapy

• Review current pharmacologic, non-pharmacologic and anticoagulation strategies in patients with atrial fibrillation

• Describe how to measure the QT interval, and how to manage patients with frequent PVCs

• Describe how to evaluate and treat patients with acute pulmonary embolism.

• Describe when to refer adults for PFO closure

• Describe how to make a diagnosis of constrictive pericarditis

• Describe how to avoid pitfalls in caring for patients with adult congenital heart disease undergoing non cardiac surgery.

Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.

INTENDED AUDIENCEThe intended audience includes cardiologists, internal medicine sub-specialists, general internists, nurse practitioners, physician assistants, and other primary healthcare providers.

CREDIT College of Medicine, Mayo Clinic, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

College of Medicine, Mayo Clinic, designates this live activity for a maximum of 17.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

DATE AND LOCATIONChallenges in Clinical Cardiology will be held October 4-6, 2013. Course headquarters will be located in the Zurich Ballroom of the Swissotel, 323 E. Wacker Drive, Chicago, IL.

LODGING ACCOMMODATIONSGuest rooms have been reserved for attendees and their guests with special course rates at the Swissotel, Chicago, IL. In order to receive the special rate, reservations must be made before the room block is filled or before the expiration date of September 9, 2013 whichever comes first. Please identify yourself as a part of the Mayo Clinic Challenges group when making your reservation. Course headquarters will be located in the Grand Ballroom of the Swissotel.

Swissotel323 E. Wacker DriveChicago, IL 60601 $259 single/double

For reservations go to https://resweb.passkey.com/go/mayoclinicchallenges

Or call 888-73-SWISS, Group Name: Mayo Clinic

Lodging arrangements are the sole responsibility of the individual registrant.

FACULTYCourse DirectorsCharles J. Bruce, M.D. Heidi M. Connolly, M.D.

Mayo Faculty Michael 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 (Mayo School of Continuous Professional Development) must ensure balance, independence, objectivity and 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 educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

REGISTRATION

www.mayo.edu/cme/challenges2013

This course has sold out in the past; therefore, early registration is strongly

advised!

The registration fee includes tuition, electronic course syllabus, continental breakfasts, break refreshments, lunches, and a welcome reception.

Registration Fees:MD, PhD, DO, PharmD $779

Resident, Fellow, RN, NP, PA $679

For additional information, contact:E-mail cvcme@mayo.eduPhone: 800-283-6296 or 507-266-0677Website: www.mayo.edu/cme/

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