21st Century Treatment of Heart Failure: Synchronizing Surgical & Medical Therapies for Better...

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.



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



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


5:00pm Reception and Poster Viewing



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


3:20pm 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


5:25pm 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.



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

$E.9

3 St.

E.90 St.

E.89 St.

E.105 St.

E.102 St.

E.100 St.

E.100 St.

E.101 St.

E.96 St.

E.96 St.

E.93 St.

E.97 St.

E.101 St.

E.90 St.

E.89 St.

E.87 St.

E.105 St.

E.106 St.

Stokes Blvd.

Cedar Ave.Cedar Ave. Cedar Ave.

Carnegie Ave.

Wilbur Ave.

Carnegie Ave. Carnegie Ave.

Euclid Ave.Euclid Ave.Euclid Ave.

Chester Ave.Chester Ave. Chester Ave.

Foundation House

InterContinentalHotel Suites

Stanley Shalom Zielony Plaza White

Mansion

BuntsAuditorium

Employee ParkingEmployee Parking

Employee Parking

Service Center

Cleveland ClinicGuesthouse

Ronald McDonaldHouse

Taussig Cancer Institute

Callahan Center

Children’s Hospital

Sydell & Arnold MillerFamily Pavilion

Main Entrance

Surgery Center

Laboratory Medicine

Meyer MRI

Emergency

Glickman Tower

Crile Building

Cole Eye Institute

W.O. Walker Center

Center for Geriatric MedicineDiabetes Center

Shops/Restaurants Bank

Church

UnitedCerebral

PalsyAmerican Cancer

Society

PostOffice

DrugStore

Mellen Center

GCIC

CCFPolice

InterContinental Hotel and Bank of AmericaConference Center

Imaging Center

FloristInnovations Upper Carnegie

Employee Parking

Employee Parking

Lerner Research Institute

SherwinResearchBetsy de Windt

Cancer Laboratories

Center for Genomics Research

CCD

Gamma Knife

Bank

Employee Parking

Employee ParkingEmployee Parking

SurfaceParking

Guesthouse Parking

Employee Parking

Imaging Center

Employee Parking

U

R

M

T

RR

TT

DV

SJ

JJ

HPF

G

Q

A

i

C

B

X

EL

ND

UAHS

JJN

JJS

NA

NB

NENN

NC

P

P

P

P

P

P

P P

P

#1

#4

#2

SKYWAY

SKYWAY

SKYWAY

TUNNEL

SKYWAY

P

Construction

P

$Rx

$

$

$

v

v

v

v

?Rx

Rx

?

??

??

??

?v

v

v

$$PRx

300 feet



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.

Please print

Last Name First MI

Degree/Title Specialty

Affiliation/Institute

Mailing Address

City State Zip Code

Phone Fax Number Email

I will attend the luncheon on Thursday, October 18 I will attend the luncheon on Friday, October 19 I will attend the Thursday, October 18, 2012 Poster Reception I require a vegetarian lunch

Make check payable to: Cleveland Clinic or charge to the following account: Visa MasterCard American Express Discover

Card number Expiration date Sec code

Signature (not valid without signature)

For registration questions or to register for one day, please call: 216.448.0777 Fax Number: 216.448.0783

Registration

RegisteR online www.ccfcme.org/heartfailure12

Once you register online, please do not mail or fax in a registration form.

Mailing Address: The Cleveland Clinic Education Foundation PO Box 931653 Cleveland, OH 44193-1082

Physician $350.00 CCF Comprecare Affiliate $227.50 CCF Alumni $210.00 Corporate $350.00 Resident/Fellow $150.00 Scientist/Researcher/Professor $150.00 CCF Employees Complimentary

Physician Asst./CRNA/Allied HealthProf./ $150.00 Nurse/Nurse Practitioner/Perfusionist

CCHS Physician $350.00 CCHS Resident/Fellow $50.00 CCHS Physician Asst./CRNA/Allied Health $50.00

Prof./Nurse/Nurse Practitioner/Perfusionist Student $50.00

Oct

ober

18

-19,

201

2In

terC

ontin

enta

l Hot

el &

B

ank

of A

mer

ica

Con

fere

nce

Cen

ter

Clev

elan

d, O

hio

www.ccfcm

e.org/

hear

tfailure12

21s

t Cen

tury

Tre

atm

ent o

f

Hea

rt Fa

ilure

Syn

chro

nizi

ng S

urgi

cal a

nd

Med

ical

The

rapi

es fo

r B

ette

r O

utco

mes

Re

gi

st

eR

n

ow

This

act

ivity

has

bee

n ap

prov

ed fo

r

AMA

PRA

Cate

gory

1 C

redi

t™.

The

Clev

elan

d Cl

inic

Fou

ndat

ion

950

0 Eu

clid

Ave

nue

/ JJ4

0Cle

vela

nd,

OH

441

95

21st Century Treatment of Heart Failure: Synchronizing Surgical & Medical Therapies for Better...

Documents

Transcript of 21st Century Treatment of Heart Failure: Synchronizing Surgical & Medical Therapies for Better...