October 19th, 2019Hotel Hilton - Milano (MI)

SECONDARY PREVENTION IN HIGH RISK PATIENTS WITHATRIAL FIBRILLATION AND AFTER ACUTE CORONARY SYNDROME:

FROM DISCHARGE TO CARDIAC REHABILITATION

LA PREVENZIONE SECONDARIA NEI PAZIENTI ADALTO RISCHIO DOPO SINDROME COR ONARICA ACUTA: DALLA DIMISSIONE ALLA CARDIOLOGIA RIABILITATIVA

A satellite symposium of the 2019 autumn meeting of the Section Nucleus of Secondary Prevention and Rehabilitation of the European Association of Preventive Cardiology (EAPC)

There is current need for discussion of structured secondary prevention intervention in high risk patients after acute coronary syndrome (ACS) and/or with atrial fi brillation. Particularly in the fi eld of thrombotic and lipid management, since the availability of modern strategies (i.e. new antiplatelet agents, novel anticoagulants, and PCSK9 inhibitors), a tailored prescription based on individual clinical and risk profi le is mandatory. Together with appropriate drug prescription, there is also need to promote better patient’s adherence – both embracing treatments and lifestyle – in order to ensure favourable outcomes and to reduce the global burden of cardiovascular disease in the population.As a satellite symposium of the annual autumn meeting of the Section Nucleus of Secondary Prevention and Rehabilitation of the European Association of Preventive Cardiology (EAPC), the present appointment provides the opportunity to discuss real life situations in the context of acute cardiology and cardiac rehabilitation, with the presence of national and European experts.

•Marco Ambrosetti (IT)•Thomas Berger (AT)•Veronique Cornelissen (BE)•Ines Frederix (BE)

•Andreas Gevaert (BE)•Marie Christine Iliou (FR)•Hareld Kemps (NL)•Nicolle Kraenkel (DE)

•Jari Laukkanen (FI)•Roberto Pedretti (IT) •Maria Simonenko (RU)•Matthias Wilhelm (CH)

Section Nucleus 2018-2020Chair: Heinz Voeller (DE)Chair-elect: Dominique Hansen (BE)Secretary: Wolfram Doehner (DE) Past-Chair: Ana Abreu (PT)

Nucleus members:

Web info su Section EAPC: https://www.escardio.org/Sub-specialty-communities/European-Association-of-Preventive-Cardiology-(EAPC)/About/Secondary-Prevention-and-Rehabilitation-Section

CONCEPT

• How to perform a “modern” risk estimation after acute coronary syndrome

• Antiplatelet therapy in the fi rst year and in the long-term after ACS

• Epidemiology of atrial fi brillation after ACS or CABG and how it affects cardiovascular risk, comorbilities, disability, and quality of life

• Recommended strategy of anticoagulation in atrial fi brillation after ACS or CABG

• Current lipid lowering modalities in CAD, in both ACS and SCAD, in Italy and across Europe: a snapshot of real life

• Focus on new lipid lowering strategies for high risk groups: who does what

• How to evaluated exercise tolerance and prescribe physical activity in high risk patients after ACS

• How to integrate the acute and cardiac rehabilitation setting for ensuring better prognosis in high-risk ACS patients

• Guided clinical cases on “high needs patients” after ACS or CABG: 1) patient who needs prolonged antiplatelet regimens; 2) patient who needs triple antithrombotic regimen; 3) patient who needs new lipid lowering regimens.

Main topics

AGENDA9:00 Welcome to the participants R. Pedretti

9:05 Presentation of the Section Activities H. Voller

Session 1. Prevention and Rehabilitation are strictly linkedChairs: R. Pedretti, H. Voller

9:15 Is Cardiac Rehabilitation still effective after an acute coronary syndrome? The results of the CROS project C. Davos

9:30 Cardiovascular prevention after acute coronary syndrome in European guidelines: shared care stressed? M. Piepoli

9:45 Cardiac rehabilitation after acute coronary syndrome in the incoming revised European guidelines: what is probably new?

M. Ambrosetti

10:00 Minimal and optimal delivery of cardiac rehabilitation core components in the perspective of a European accreditation process

A. Abreu

10:15 Discussion Discussants: M.C. Iliou, E. Venturini

ACS masterclass Chair: M. Guazzi

10:30 Prevention of Sudden Death after ACS: where we are? S. Priori

10:45 Break

Session 2. “Clots & Fats” after acute coronary syndromeChairs: G. Mureddu, C. Giannattasio

11:00 Antiplatelet therapy in the fi rst year and in the long-term after ACS M. Lettino

11:15 Lipid lowering strategies for high-risk groups: who does what P. Faggiano

11:30 How atrial fi brillation affects cardiovascular risk, comorbilities, disability, and quality of life S. Sarzi Braga

11:45 Recommended strategy of anticoagulation in atrial fi brillation and after ACS R. Pedretti

12:00 Discussion Discussants: A. Frisinghelli, L. Dalla Vecchia

Session 3. Exercise and boundaries after acute coronary syndromesChairs: C. Vigorito, M. Piepoli

12:15 Exercise after ACS: what should be unquestionably done and the potential role of decision support systems D. Hansen

12:30 Time to integrate cardiopulmonary testing with advanced imaging? M. Guazzi

12:45 Proposed road maps to educate clinical cardiologists in prescribing structured exercise after ACS M. Wilhelm

13:00 Discussion Discussants: M.T. La Rovere, S. Scalvini

13:15 Lunch

ACS masterclassChair: O. Febo

14:30 Global treatment adherence after ACS R. Pedretti

Session 4. Casi clinici di real life/Clinical cases in real life(a cura degli staff cardiologici di ICS Maugeri /

presented by the cardiological staff of ICS Maugeri, Care and Research Institutes)Chairs: M.T. La Rovere, F. Tarro Genta, C. Marcassa

15:00 Caso 1. Paziente con esigenza di prolungata doppia antiaggregazione piastrinica dopo SCA Case 1. Prolonged dual antiplatelet treatment after ACS O. Catalano

15:30 Caso 2. Paziente con esigenza di triplice terapia antitrombotica per SCA e fi brillazione atriale Case 2. Triple antithrombotic treatment after ACS in patients with atrial fi brillation A. Lucini

16:00 Caso 3. Paziente con diffi coltoso raggiungimento del target lipidico dopo SCA Case 3. Patient with diffi cult lipid lowering target E. Traversi

16:30 Take-home messages R. Pedretti, M. Ambrosetti

Abreu AnaAmbrosetti MarcoBerger ThomasCatalano Oronzo Cornelissen VeroniqueDalla Vecchia Laura AdelaideDavos ConstantinosDoehner WolframFaggiano PompilioFebo OresteFrisinghelli AnnaGevaert AndreasGiannattasio CristinaGuazzi MarcoHansen DominiqueIliou Marie ChristineKemps HareldKraenkel Nicolle

La Rovere Maria TeresaLaukkanen JariLettino MaddalenaLucini AnnaMarcassa ClaudioMureddu Gian FrancescoPedretti RobertoPiepoli MassimoPriori SilviaSarzi Braga SimonaScalvini SimonettaSimonenko MariaTarro Genta FrancoTraversi EgidioVenturini ElioVigorito CarloVoeller HeinzWilhelm Matthias

Faculty:

Date and venue October 19th, 2019Hotel Hilton MilanVia Luigi Galvani 1220124 Milano (MI)Tel. : 02 69831

CME (Continuing Medical Education) 604-272781The CME Provider is scheduling into its 2019 program the event “SECONDARY PREVENTION IN HIGH RISK PATIENTS WITH FANV AND AFTER ACUTE CORONARY SYNDROME: FROM DISCHARGE TO CARDIAC REHABILITATION”with the aim to assign 4 credits. The event is intended for n. 50 Physicians (Categories: Cardiology, Cardiac Rehabilitation). In order for participants to attain the credits it is mandatory to attend the program in its 90%. Attendance is set to be recorded throughout the event in conjunction with the assessment of learning.

CME Provider and Organizing Secretariat SUMMEET Srl Via P. Maspero, 5 - 21100 Varese Tel. 0332 231416 - Fax 0332 317748 info@summeet.it - www.summeet.it CME Provider n° 604

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