Conference Faculty - Case
Welcome to
9th Annual
Cardiovascular Disease Update
October 27, 2015
Evaluation and CME Credit Certificate
The conference evaluation and CME credit certificate are available via the Internet. Once you have completed the evaluation and claimed credit commensurate with your participation in this activity a printable certificate of credit will be available.
• Please go to the link to the evaluation and certificate. You will also be emailed this link following the conference.
• At the end of the evaluation you will be automatically forwarded to the credit claim screen. If you have already registered with the Case Western Reserve University CME website, please log in using your email address and password. If you have never logged into the Case Western Reserve University CME website before, enter your email address, select the “I am a new user” radio button and follow the prompts. You must set up a profile before you can enter the CME code.
• Enter CME Code 170870.
• You will be asked enter the credits commensurate with your participation in the activity. Once you’ve entered those credits a certificate will come up that you can print for your records.
Physicians: Case Western Reserve University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
Case Western Reserve University School of Medicine designates this live activity for a maximum of 3 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Nurses & Physician Assistants: The American Nurses Credentialing Center (ANCC) and the American Academy of Physician Assistants (AAPA) accept AMA PRA Category 1 CreditsTM toward recertification requirements.
For Further Information
Contact the CME Program
10524 Euclid Avenue
Cleveland, OH 44106-6026
Tel: (216) 983-1239 Fax: (216) 844-8133
Email: medcme@case.edu
Program Agenda
5:00-6:00pm Registration and reception
6:00-6:10 Introduction and Welcome
Daniel Simon, MD
6:10-6:35 Heart Failure: Who is Refractory and When Should I Refer for Advanced Therapies?
Michael Zacharias, DO
6:35-7:00 Cardiovascular Risk Prediction: Risk Scores and Beyond
Daniel Simon, MD
7:00-7:30 Mini Debate: MitraClip vs. Surgical Mitral Valve Repair for High Risk Patients with Mitral Regurgitation
Guilherme Attizzani, MD and Benjamin Medalion, MD
7:30-7:55 AAA: Open Surgical Repair or EVAR?
Vikram Kashyap, MD
7:55-8:05 Break
8:05-9:00 Clinical Case Discussion
Moderator: Sri Krishna Madan Mohan, MD
Panelists: Teresa Carman, MD; Barry Effron, MD; Naim Farhat, MD; Atul Hulyalkar, MD; Judith Mackall, MD; Gregory Stefano, MD; William Wolf, MD; Todd Zeiger, MD; Christine Zirafi, MD
9:00-9:15 Closing Remarks
Daniel Simon, MD
Conference Faculty
Guilherme Attizzani, MD
Associate Director, Cardiovascular Imaging Core Laboratory
UH Case Medical Center
Assistant Professor of Medicine
Case Western Reserve University School of Medicine
Dr. Attizzani reports no financial relationship with a commercial interest relevant to this activity. Presentation will include discussion of unlabeled/investigational uses of a commercial product.
Teresa Carman, MD
Director, Vascular Medicine
Medical Director, Center for Wound Care
UH Case Medical Center
Medical Director, Anticoagulation Monitoring Service
UH Harrington Heart & Vascular Institute
Assistant Professor of Medicine
Case Western Reserve University School of Medicine
Dr. Carman has received research funding from Portola Pharmaceuticals and Tactile Inc., and the CME Program has determined there is no conflict of interest. Contribution will include discussion of unlabeled/investigational uses of a commercial product.
Barry Effron, MD
Director, Evaluation & Prevention Center
UH Harrington Heart & Vascular Institute
Figgie Family Chair in Clinical Cardiovascular Excellence
UH Case Medical Center
Associate Professor of Medicine
Case Western Reserve University School of Medicine
Dr. Effron has received honoraria for speaking/teaching from Amgen and Boehringer-Ingelheim, and the CME Program has determined there is no conflict of interest.
Naim Farhat, MD
Medical Director, Harrington Heart & Vascular Institute at UH Elyria Medical Center
Clinical Associate Professor of Medicine
Case Western Reserve University School of Medicine
Dr. Farhat reports no financial relationship with a commercial interest relevant to this activity.
Atul Hulyalkar, MD
Medical Director, Harrington Heart & Vascular Institute at St. John Medical Center
Assistant Professor of Medicine
Case Western Reserve University School of Medicine
Dr. Hulyalkar reports no financial relationship with a commercial interest relevant to this activity.
Vikram Kashyap, MD
Co-Chair, Clinical Executive Committee
UH Harrington Heart & Vascular Institute
Chief, Division of Vascular Surgery and Endovascular Therapy
UH Case Medical Center
Professor of Surgery
Case Western Reserve University School of Medicine
Dr. Kashyap reports no financial relationship with a commercial interest relevant to this activity. Presentation will include discussion of unlabeled/investigational uses of a commercial product.
Judith Mackall, MD
Chief Community Officer – Eastern Region
UH Harrington Heart & Vascular Institute
Spitz Master Clinician
Director, Electrophysiology Fellowship Program
UH Case Medical Center
Associate Professor of Medicine
Case Western Reserve University School of Medicine
Dr. Mackall has received honoraria from St. Jude Medical, and the CME Program has determined there is no conflict of interest.
Benjamin Medalion
Department of Surgery
UH Case Medical Center
Clinical Associate Professor of Surgery
Case Western Reserve University School of Medicine
Dr. Medalion reports no financial relationship with a commercial interest relevant to this activity. Presentation will include discussion of unlabeled/investigational uses of a commercial product.
Sri Krishna Madan Mohan, MD
Chief Quality Officer
UH Harrington Heart & Vascular Institute
Assistant Professor of Medicine
Case Western Reserve University School of Medicine
Dr. Mohan reports no financial relationship with a commercial interest relevant to this activity.
Daniel Simon, MD
Course Director
President, UH Harrington Heart & Vascular Institute
Chief, Division of Cardiovascular Medicine
UH Case Medical Center
Herman K. Hellerstein Chair in Cardiovascular Research
Professor of Medicine
Case Western Reserve University School of Medicine
Dr. Simon has received honoraria and grant support from Medtronic, honoraria from HeartFlow and is owner/founder and maintains intellectual property rights in Sujana Biotech, and the CME Program has determined there is no conflict of interest.
Gregory Stefano, MD
Medical Director, Harrington Heart & Vascular Institute at UH Geauga Medical Center
Assistant Professor of Medicine
Case Western Reserve University School of Medicine
Dr. Stefano reports no financial interest with a commercial interest relevant to this activity.
William Wolf, MD
Medical Director, Harrington Heart & Vascular Institute at UH Ahuja Medical Center
Assistant Clinical Professor of Medicine
Case Western Reserve University School of Medicine
Dr. Wolf has received honoraria for speaking from AstraZeneca, and the CME Program has determined there is no conflict of interest.
Michael Zacharias, DO
Division of Cardiovascular Medicine
Harrington Heart & Vascular Institute
UH Case Medical Center
Assistant Professor of Medicine
Case Western Reserve University School of Medicine
Dr. Zacharias reports no financial relationship with a commercial interest relevant to this activity.
Todd Zeiger, MD
Vice President
UH Primary Care Institute
Dr. Zeiger reports no financial relationship with a commercial interest relevant to this activity.
Christine Zirafi, MD
Director, women’s Cardiovascular Center
Harrington Heart & Vascular Institute
Medical Director, UH Harrington Heart & Vascular Institute at UH Parma Medical Center
Dr. Zirafi reports no financial relationship with a commercial interest relevant to this activity.
Planning Committee
Daniel Simon, MD
Course Director
Dr. Simon has received honoraria and grant support from Medtronic, honoraria from HeartFlow and is owner/founder and maintains intellectual property rights in Sujana Biotech, and the CME Program has determined there is no conflict of interest.
Barry Effron, MD
Dr. Effron has received honoraria for speaking/teaching from Amgen and Boehringer-Ingelheim, and the CME Program has determined there is no conflict of interest.
Disclosure Policy
The policy of Case Western Reserve University School of Medicine CME Program requires that the Activity Director, planning committee members and all activity faculty (that is, anyone in a position to control the content of the education activity) disclose to the activity participants all relevant financial relationships with commercial interests. Disclosure will be made to activity participants prior to the commencement of the activity. Case Western Reserve University School of Medicine also requires that faculty make clinical recommendations based on the best available scientific evidence and that faculty identify any discussion of “off-label” or investigational use of pharmaceutical products or medical devices.
Learning Objectives
After attending this program, participants will be able to:
• Describe advanced therapies such as cardiac resynchronization therapy and mechanical circulatory assistance for refractory heart failure patients
• Explain the importance of risk assessment with respect to new lipid guidelines and primary prevention
• Identify the risks and benefits of mitral valve replacement vs. repair
• Define the indications for open surgical repair vs. EVAR
• Discuss the latest diagnostics and treatment strategies for patients with DVT/PE, AF, CAD and PAD
Medical Disclaimer
Medicine is an ever-changing science. As new research and clinical experience broaden our knowledge, changes in treatment and drug therapy are required. The authors have checked with sources believed to be reliable in their efforts to provide information that is complete and generally in accord with the standards accepted at the time of publication.
Although every effort is made to ensure that this material is accurate and up-to-date, it is provided for the convenience of the user and should not be considered definitive. Since medicine is an ever-changing science, neither the authors nor Case Western Reserve School of Medicine nor any other party who has been involved in the preparation or publication of this work warrants that the information contained herein is in every respect accurate or complete, and they are not responsible for any errors or omissions or for the results obtained from the use of such information.
Readers are encouraged to confirm the information contained herein with other sources. This information should not be construed as personal medical advice and is not intended to replace medical advice offered by physicians. Case Western Reserve University School of Medicine will not be liable for any direct, indirect, consequential, special, exemplary, or other damages arising therefrom.
Acknowledgments
Funding from our industry partners is gratefully acknowledged
Grants
Thoratec
Exhibitors
Abbott Vascular ♦ Abiomed ♦ Amgen ♦ AstraZeneca
Bayer ♦ Boston Scientific ♦ Bristol-Myers Squibb
Daiichi-Sankyo ♦ eNNOVEA Medical ♦ Genzyme ♦ Gilead
HeartWare Inc. ♦ Janssen ♦ Lantheus ♦ Lilly, USA
Medtronic ♦ Merck & Co., Inc. ♦ Novartis
Otsuka ♦ Pfizer ♦ Regeneron
St. Jude Medical ♦ The Medicines Company
Acceptance of funding in support of this program does not constitute endorsement of any product or manufacturer.
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