21st century treatment of heart failure: synchronizing surgical & medical therapies for better...
TRANSCRIPT
October 18-19, 2012InterContinental Hotel & Bank of America Conference Center Cleveland, Ohio
In cooperation with Cleveland Clinic Kaufman Center for Heart Failure and the American Association for Thoracic Surgery
www.ccfcme.org/heartfailure12
21st Century Treatment of
Heart Failure Synchronizing Surgical and Medical Therapies for Better Outcomes
R e g i s t e R n o w
This activity has been approved for AMA PRA Category 1 Credit™.
The Kaufman Center for Heart Failure at Cleveland Clinic and The American Association for Thoracic Surgery have partnered once again to present an educational event for all healthcare providers who care for patients with heart failure; 21st Century treatment of Heart Failure: synchronizing surgical and Medical therapies for Better outcomes. Heart failure is not only a growing and costly problem but one that is associated with significant morbidity and mortality. The increasing prevalence of heart failure is due to the aging population as well as the marked increase in survival of patients who suffered from myocardial infarction and valvular disease.
The current state of management, however, is far from optimal. Moreover, the therapeutic armamentarium has remained stagnant since the introduction of resynchronization devices, with no new therapies in development. Given the undertreatment of heart failure and the lack of new therapies, the focus of management has shifted to optimizing existing medical and device therapies, including long term mechanical circulatory support.
Now in its 15th year, this Summit will feature a faculty of world renowned cardiologists and cardiovascular surgeons who will offer a clinically relevant review and discussion of current and future therapies for managing heart failure.
ta Rge t audien Ce
This program is intended for cardiologists, cardiovascular surgeons, internists, nurses, physician assistants, perfusionists, and researchers involved in the management of patients with heart failure.
21st Century Treatment of
Heart Failure Synchronizing Surgical and Medical Therapies for Better Outcomes
Copyright © 2012 The Cleveland Clinic Foundation. All Rights Reserved.
to piC s will in Clude
• The Growing Role of Devices in Heart Failure Management — ICD, CRT, and Hemodynamic Monitoring
• Management of Advanced Heart Failure and Transplantation
• The LVAD as destination therapy: State of the art and beyond
• Reducing heart failure readmissions: Does telemonitoring and the use of implanted devices improve outcomes?
• Management and decision making in the setting of acute decompensated heart failure
• Challenges in MCS patient selection
• Long term management of the patient on MCS: Reducing readmissions, infections, and pump thrombosis
• Ethics, Economics, and Resource Allocation in Heart Failure
• Shared Decision Making in Therapies for Advanced Heart Failure
le a Rnin g o B jeC t iv e s
• Successfully treat patients with acute and chronic heart failure
• Use new insights in managing patients on long term LVAD support
• Employ recent knowledge of managing comorbidities in heart failure patients
• Successfully manage arrhythmias in heart failure patients
• Discuss management and decision making in the setting of acute decompensated heart failure
• Evaluate the current role of heart transplantation in the contemporary era
aC CReditat io n
The Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Cleveland Clinic Foundation Center for Continuing Education designates this live activity for a maximum of 14 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit.
nursesFor the purposes of recertification and relicensure, The American Nurses Credentialing Center accepts AMA PRA Category 1 Credit issued by organizations accredited by the ACCME.
perfusionistsThe American Board of Cardiovascular Perfusion has allotted for the following Category 1 CEUs:
• Thursday, October 18 7.1 CEUs
• Friday, October 19 8.8 CEUs
• Total Possible 15.9 CEUs
Cle vel and CliniC FaCult y
leslie Cho, Md
eiran Z. gorodeski, Md, MpH
Mazen a. Hanna, Md
Robert e. Hobbs, Md
eileen M. Hsich, Md
samir R. Kapadia, Md
sangjin lee, Md
nader Moazami, Md
Maria M. Mountis, do
walid saliba, Md
nicholas g. smedira, Md
edward g. soltesz, Md
Randall C. starling, Md, MpH
david o. taylor, Md
james B. young, Md
pRo gR a M d iReC to Rs
Katherine j. Hoercher, Rn Cleveland Clinic
nader Moazami, Md Cleveland Clinic
soon j. park, Md Mayo Clinic
nicholas g. smedira, Md Cleveland Clinic
Randall C. starling, Md, MpH Cleveland Clinic
james B. young, Md Cleveland Clinic
2012 K auFM a n CenteR awa Rdee a nd leC tuReR
o.H. Frazier, Md Texas Heart Institute
21st Century Treatment of
Heart Failure Synchronizing Surgical and Medical Therapies for Better Outcomes
gue s t FaCult y
philip B. adamson, Md Oklahoma Heart Hospital Oklahoma City, OK
william e. Cohn, Md Texas Heart Institute Houston, TX
john M. Conte, Md Johns Hopkins University School of Medicine Baltimore, MD
todd F. dardas, Md, Ms University of Washington Seattle, WA
walter p. dembitsky, Md Sharp Health Care San Diego, CA
g. Michael Felker, Md Duke Clinical Research Institute Durham, NC
gregg C. Fonarow, Md David Geffin School of Medicine UCLA Los Angeles, CA
o.H. Frazier, Md Texas Heart Institute Houston, TX
daniel j. goldstein, Md Montifiore Einstein Medical Center Bronx, NY
sharon a. Hunt, Md Stanford University School of Medicine Stanford, CA
valluvan jeevanandum, Md University of Chicago Chicago, IL
vigneshwar Kasirajan, Md VCU Healthcare Richmond, VA
james K. Kirklin, Md University of Alabama Birmingham, AL
sudhir s. Kushwaha, Md Mayo Clinic Rochester, MN
Michael s. lauer, Md National Heart Lung and Blood Institute Bethesda, MD
edwin C. Mcgee, jr., Md Northwestern University Chicago, IL
Christopher M. o’Connor, Md Duke Heart Center Durham, NC
Francis d. pagani, Md, phd University of Michigan Health System Ann Arbor, MI
soon j. park, Md Mayo Clinic Rochester, MN
joseph g. Rogers, Md Duke University Medical Center Durham, NC
Mark s. slaughter, Md University of Louisville Louisville, KY
george wieselthaler, Md UCSF School of Medicine San Francisco, CA
Clyde w. yancy, Md Northwestern Memorial Hospital Chicago, IL
agenda | tHuRsday, o C to BeR 18 , 2012
session i: Heart Failure 2012: Critical updates and state of the scienceModerators: james B. young, Md and Randall C. starling, Md, MpH
8:30am getting with the guidelines: why is evidence Based Care still Failing to improve HF outcomes?
Gregg C. Fonarow, MD
8:50am performance Measures: Readmissions, Mortality, or Qol?
Clyde W. Yancy, MD
9:10am Comparative effectiveness Research in the Heart Failure population: what are the Key areas to answer in Heart Failure?
Michael S. Lauer, MD
9:30am telemonitoring and other HF disease Management strategies: why Have they Failed and is there Hope for Better tools in the Future? lesson learned from Heart Care at Home
Eiran Z. Gorodeski, MD, MPH
9:50am Panel Discussion
10:10am Break
session ii: Heart Failure 2012: optimizing Medical Management Moderators: Robert e. Hobbs, Md and eileen M. Hsich, Md
10:40am New Biomarkers for Risk Stratification and Creating Management strategies: galactin and troponin i
G. Michael Felker, MD, MHS
11:00am does invasive Hemodynamic Monitoring Help with outpatient Management: lessons learned from the CHaMpion trial and new developments in the Field
Philip B. Adamson, MD
11:20am addressing Co-morbidities in the Heart Failure patient: anemia and sleep disordered Breathing
Mazen A. Hanna, MD
11:40am Who Really Benefits from CRT: Defining the patients to Better allocate Resources
Walid Saliba, MD
12:00pm Panel Discussion
12:30pm Lunch
session iii: Kaufman Center awardee and Keynote lecture
1:45pm O.H. Frazier, MD
session iv: Management and decision Making in the setting of acute decompensated Heart FailureModerators: leslie Cho, Md and Christopher M. o’Connor, Md
2:15pm the Role of Hemodynamic Characterization and Risk of elevated pa pressure
Sudhir S. Kushwaha, MD
2:35pm diuretic strategies in volume Management: looking at Cost and outcomes
Christopher M. O’Connor, MD
2:55pm short term Mechanical support for acute Heart Failure in the Community Hospital: what are the Best Choices: axial Flow vs. eCMo?
Samir R. Kapadia, MD
3:15pm Resurgence of eCMo for Management of acute Cardiogenic shock
Walter P. Dembitsky, MD
3:35pm Break
3:55pm post infarct vsd: MCs, percutaneous Closure, or standard Repair?
John M. Conte, MD
4:10 pm the art of doing nothing: when to Back off
Sharon A. Hunt, MD
4:30pm shared decision Making in therapies for advanced Heart Failure: a Critical element for patients and physicians
Eileen M. Hsich, MD
4:45pm Panel Discussion
5:00pm Reception and Poster Viewing
21st Century Treatment of
Heart Failure Synchronizing Surgical and Medical Therapies for Better Outcomes
agenda | FRiday, o C to BeR 19, 2012
session v: MCs and transplant: ongoing Challenges and ControversiesModerators: nader Moazami, Md and sangjin lee, Md
8:15am Definitive Therapy for Advanced Heart Failure in 2012
why MCs should now Be the First Choice
James K. Kirklin, MD
why Heart transplant is still the Best option
Edward G. Soltesz, MD
8:45am should lvads only Be implanted in “Centers of excellence” or More widely disseminated?
Soon J. Park, MD
9:00am Challenges in MCs patient selection: why implant the less ill patient
Francis D. Pagani, MD, PhD
9:20am should unos Heart allocation priorities Be Changed: who is at Highest Risk awaiting Heart transplant?
Todd F. Dardas, MD, MS
9:40am Break
10:10am should patients on long term “destination therapy” be listed for transplant? under what Conditions and at what status?
Mark S. Slaughter, MD
10:25am why destination therapy growth Continues to be Blunted? is it the Cost or something else?
Valluvan Jeevanandam, MD
10:45am are we able to predict post MCs Morbidity and Mortality?
Joseph G. Rogers, MD
11:05am Heart tx 2012: Have the Risk Factors Changed?
David O. Taylor, MD
11:25am summary and CommentaryRandall C. Starling, MD, MPH
11:45am Panel Discussion
12:15pm Lunch
session vi: MCs and transplant: ongoing technical Challenges and ControversiesModerators: nicholas g. smedira, Md and edward g. soltesz, Md
1:15pm Concomitant procedures during lvad placement improves long term outcomesO.H. Frazier, MD
1:30pm the Minimalist approach during vad surgery for Concomitant procedures Edwin C. McGee, Jr., MD
1:45pm Continuos Flow pumps in the setting of av disease: From the “Cohn plug” to tavRWilliam E. Cohn, MD
2:00pm Management of Biventricular Failure taH is the only optionVigneshwar Kasirajan, MD
Bivad with Continuous Flow pumpsGeorge Wieselthaler, MD
2:30pm Management of suspected pump thrombosis Daniel J. Goldstein, MD, PhD
2:45pm Management of MCs infections: the achilles Heel of long term supportNader Moazami, MD
3:00pm Panel Discussion
3:20pm Break
session vii: Management of the patient on long term MCs Moderators: Randall C. starling, Md, MpH and Mark s. slaughter, Md
3:40pm MCs Beyond survival:
what are the Risk Factors for Readmission?Nicholas G. Smedira, MD
Cardiac Recovery: we only Read about it But why do we never see it?Maria M. Mountis, DO
improving QolEiran Z. Gorodeski, MD, MPH
4:25pm what Milestones Must Be Met to Make dt as Cost effective as tavR?James B. Young, MD
4:45pm ethics, economics, and Resource allocation in the treatment of Heart Failure: if i Could start from scratch, what would i Change? David O. Taylor, MD
5:05pm Panel Discussion
5:25pm Adjourn
a B s tR aC t suBMis s io n
The Heart-Failure Summit invites you to submit abstracts of original investigation for consideration in the Poster Session.
Abstracts previously presented at other national or international meetings will be accepted. Accepted abstracts will be printed in the syllabus. the deadline for submission is september 21, 2012.
submission instructionsAbstracts must be submitted by e-mail to [email protected]. The one page abstract should be submitted as a Microsoft Word attachment using no smaller than an 11pt font size. There is no limit to the number of abstracts a presenter can submit.
style instructions• Figures, graphs and simple tables
are allowed
• Use of standard abbreviations is desirable; place unusual abbreviations in parentheses after first use of the full term
poster presentationsYour acceptance notice will indicate your poster assignment number. Each poster board measures 4' high (121cm) and 6' wide (138cm); you must provide a copy of the abstract, typed in large type for posting on the board. Illustrations must be readable from distances of at least three feet. Use lightweight poster board only; heavy board is difficult to secure. Push pins will be available on-site.
21st Century Treatment of
Heart Failure Synchronizing Surgical and Medical Therapies for Better Outcomes
geneR a l inFo RM atio n
FaCult y d is Clo suRe inFo RM atio n
The Cleveland Clinic Foundation Center for Continuing Education has implemented a policy to comply with the current Accreditation Council for Continuing Medical Education Standards for Commercial Support requiring resolution of all faculty conflicts of interest. Faculty declaring a relevant commercial interest will be identified in the activity syllabus.
a MeRiC a ns witH d is a Bil it ie s aC t
The Cleveland Clinic Foundation Center for Continuing Education fully intends to comply with the legal requirements of the Americans with Disabilities Act. If you need assistance, please notify Jamie Belkin at 216.932.3448 at least two weeks prior to the activity.
gR a nto R a nd e x HiB it in g o pp o Rtunit ie s
For more information on grantor and exhibitor opportunities, please contact Lisa Savin at 216.932.3448 or [email protected].
geneR a l inFo RM atio n
Mee t in g lo C at io ninterContinental Hotel & Bank of america Conference Center 9801 Carnegie Avenue Cleveland, OH 44106 216.707.4000
H otel Re seRvat io nsA block of rooms has been reserved at the InterContinental Hotel & Conference Center. To make a reservation, contact the hotel directly via phone or online at www.ichotelsgroup.com. Please mention the Heart Failure Summit (online code: VFC) to receive the special rate of $189.00 plus tax per night.
Individual rooms must be canceled by 4:00pm (Eastern time) on the day prior to the scheduled arrival date to avoid a no-show charge.
gRound tR a nsp o Rtat io n /pa RKin gTaxi service is available from Cleveland Hopkins International Airport to the InterContinental Hotel. Valet parking is available at the hotel for an additional charge. Additional parking is available in the 100th Street Garage.
For additional information on this course, please contact Jamie Belkin at:
216.932.3448 office [email protected]
www.ccfcme.org/heartfailure12
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21st Century Treatment of
Heart Failure Synchronizing Surgical and Medical Therapies for Better Outcomes
jamie Belkin eventsManagement and Production2460 Fairmount Boulevard Suite 303Cleveland, Ohio 44106216.932.3448www.jamiebelkinevents.com
21st Century treatment of Heart FailureinterContinental Hotel & Conference Center, Cleveland, ohio Course 020950october 18-19, 2012
General registration deadline is october 15, 2012 at 5:00pm. Please register on-site after October 15th. Refunds and cancellations are subject to a $50.00 service charge. A request for refund must be submitted in writing to [email protected] by October 15, 2012. No refunds will be issued after November 1, 2012. Registrations are transferable through October 15th.
Fee includes: syllabus, continental breakfasts, lunches & refreshment breaks. payment must be received prior to admittance to the summit.
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Prof./Nurse/Nurse Practitioner/Perfusionist Student $50.00
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