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Target Audience
GPs, Internists, Cardiologists, Nurses, Students, and Residents.
Learning Objectives
By attending this activity, participants will be able to:
- Describe up-to-date management of anticoagulation and its reversal, atrial fibrillation, acute coronary, syndromes, congestive heart failure, risk management and reduction of cardiovascular risk factors, peripheral vascular disease, and valvular disease.
- Incorporate a practical evidence-based approach to challenging clinical situations in their practices.
- Understand implications, indications and interpretation of common cardiac diagnostic tools. Participate in a heart team approach to complex cardiac pathology.
- Examine the interaction of cardiovascular disease and gender.
Accreditation Statement
McMaster University, Continuing Health Sciences Education Program (CHSE) is fully accredited by the Committee on Accreditation of Continuing Medical Education (CACME) to provide CFPC Mainpro+ and RCPSC Maintenance of Certification (MOC) study credits for Continuing Medical Education.
This activity is an Accredited Group Learning Activity (Section 1) as defined by the Maintenance of Certification program of The Royal College of Physicians and Surgeons of Canada and approved by McMaster University, Continuing Health Sciences Education Program for up to 11.75 MOC Section 1 hours.
Through an agreement between The Royal College of Physicians and Surgeons of Canada and The American Medical Association, physicians may convert Royal College MOC credits to AMA PRA Category 1 CreditsTM. Information on the process to convert Royal College MOC credit to AMA credit can be found at:
www.ama-assn.org/go/internationalcme.
*Each healthcare provider should claim only those hours of credit that he/she actually spent in the educational activity.
Planning Committee:
James Velianou, MD, FRCPC - Co-Chair
Associate Professor
Division of Cardiology
Department of Medicine
McMaster University
Richard Whitlock, MD, PhD, FRCSC - Co-Chair
Professor
Division of Cardiac Surgery
Department of Surgery
McMaster University
Emilie Belley-Côté, MD, PhD, FRCPC - Co-Chair
Assistant Professor
Division of Cardiology
Department of Medicine
McMaster University
Jeff Healey, MD, MSc, FRCPC, FHRS
Director of Arrhythmia Services
Hamilton Health Sciences
Senior Scientist and PHRI Chair in Cardiology Research
Population Health Research Institute
McMaster University
Eva Lonn, MD, FRCPC, FACC
Professor
Division of Cardiology
Department of Medicine
McMaster University
Madhu Natarajan, MD, MSc, FRCPC, FACC
Professor
Division of Cardiology
Department of Medicine
McMaster University
Sheilah Laffan
CHSE Program Manager
Continuing Health Sciences Education
McMaster University
Carol Stewart, CMP
CHSE Lead Coordinator
Continuing Health Sciences Education
McMaster University
FRIDAY - SESSION SPECIFIC LEARNING OBJECTIVES:
NOAC reversal agents in single-payer systems: can we afford the airbag?
Deborah Siegal
By the end of this session learners will be able to:
- Identify an approach to NOAC-related bleeding
- Assess the need for reversal or hemostatic therapies
- Evaluate the literature for reversal and hemostatic therapies
- Discuss the cost-effectiveness of reversal agents and other strategies
OAC and the cardiac surgery population
Richard Whitlock
By the end of this session learners will be able to:
- Discuss evidence around DOAC efficacy and safety with focus on the surgical population
- Review the interruption, bleeding and reversal in the surgical population
- Highlight challenges and unresolved issues in the surgical population
Atrial fibrillation: The bigger part of the iceberg
Jeff Healey
By the end of this session learners will be able to:
- Review indications for anticoagulation in AF with a focus on updates in the CCS guidelines
- Identify patients with atrial arrhythmias that may not need anticoagulation
One year after my MI; what now? Long-term antiplatelet/anticoagulant considerations
Shamir Mehta
By the end of this session learners will be able to:
- Review evidence and guidelines for antiplatelet therapy post myocardial infarction
- Evaluate evidence and indications for long-term anticoagulation and antiplatelet therapy post myocardial infarction
Treatment of Atrial Fibrillation: How will we have to update our approach
Jeff Healey
By the end of this session learners will be able to:
- Discuss population-based screening for atrial fibrillation
- Understand novel predictors for AF occurrence
- Summarize medical and interventional strategies for rate and rhythm control
Approach to ventricular tachycardia: medical ablation or device
Gabe Acosta
By the end of this session learners will be able to:
- Outline the initial approach to a patient with ventricular tachycardia
- Describe indications for ICD
- Discuss evidence for ventricular tachycardia ablation and characteristics of candidates
Device infections: Prediction, Prevention and Processes
William McIntyre
By the end of this session learners will be able to:
- Outline risk factors for, prevalence and outcomes of cardiac electronic device infection
- Describe the diagnostic and therapeutic approaches to cardiac electronic device infection
Interactive ECG session
By the end of this session learners will be able to:
- Discuss the approach to complex ECGs
- Describe ECG criteria for common cardiac pathologies
The Pericardium: Approach to Pathologies
Craig Ainsworth
By the end of this session learners will be able to:
- Review approach to echocardiographic and clinical assessment for pericardial diseases
- Identify echocardiographic and clinical characteristics for pericardial constriction
New heart failure management approaches that improve outcomes
Eva Lonn
By the end of this session learners will be able to:
- Review guideline indicated therapies in heart failure management
- Gain understanding of newer therapeutic approaches in heart failure management
Closing the gap during hospitalization and beyond: What works?
Harriette Van Spall
By the end of this session learners will be able to:
- Describe evidence that supports use of guideline directed medical therapy (GDMT) in HFrEF
- Describe strategies to initiate, titrate, and monitor GDMT inHFrEF
- Review healthcare services that improve outcomes in HFrEF
Palliative Care in the heart failure patient
Sabria Kanani:
By the end of this session learners will be able to:
- Understand what a palliative approach to care is and how to apply it to patients with heart failure
- Symptom management in heart failure
Diabetic therapies for cardiovascular patients: what all doctors need to know
Ally Prebtani
By the end of this session learners will be able to:
- Describe evidence behind diabetes therapies & CV outcomes
- To have an approach to multifaceted therapy in preventing CV complications in diabetes
- Review the different classes of drugs in diabetes and their role
Bariatric Surgery: Is it just for show?
Mehran Anvari
By the end of this session learners will be able to:
- Review the health consequences of morbid obesity
- Understand the indications for the surgical treatment of obesity
- Review the evidence supporting bariatric surgery
My patient has a stroke with unknown source: now what?
Mike Sharma
By the end of this session learners will be able to:
- Define cryptogenic stroke and identify the characteristics of patients with this stroke subtype
- Describe the diagnostic approach to patients with stroke of unknown source
- Initiate preventive therapy for patients
McMaster Late Breaking Trials - The COMPLETE Trial
Shamir Mehta
By the end of this session learners will be able to:
- Review the rationale for and results of the COMPLETE trial
- Recognize the role of non-culprit lesion PCI in patients with STEMI
McMaster Late Breaking Trials – Hope IV trial
JD Schwalm
By the end of this session learners will be able to:
- Review the rationale for and results of the HOPE IV trial
Keynote Controversy Debate: Why do we need Diversity & Equity Strategies in Medicine and Cardiology
Sonia Anand and William Harper
By the end of this session learners will be able to:
- Describe the current issues regarding gender inequities and lack of diversity in medicine
- Explore solutions to increase diversity in leadership
SATURDAY - SESSION SPECIFIC LEARNING OBJECTIVES
Cardiac CT: Who and for what?
Natalia Pinilla
By the end of this session learners will be able to:
- Describe the utility of coronary CT imaging for patients with suspected coronary artery disease
- Discuss other indications for cardiac CT
- Highlight possible limitations of cardiac/coronary CT
PFO, to close or not to close; what is the answer?
Madhu Natarajan
By the end of this session learners will be able to:
- Review the epidemiology of PFO and PFO-related complications
- Describe guideline recommendations for PFO closure
- Discuss catheter-based strategies for PFO closure
Carotids needing intervention should be stented - Pro
Brian Van Adel
By the end of this session learners will be able to:
- Evidence for carotid revascularization
- Indications for carotid stenting
- Review sample cases
Carotids needing intervention should be stented - Con
John Harlock
By the end of this session learners will be able to:
- Discuss the indications for carotid revascularization
- Review the evidence in favor of a surgical approach to carotid disease
- Contrast the outcomes of surgical and catheter based carotid revascularization
All aortic stenosis patients should have TAVR - Pro
All aortic stenosis patients should have TAVR - Con
Tej Sheth/André Lamy
By the end of this session learners will be able to:
- Review indications for aortic valve replacement
- Discuss the management of low-risk patients with severe aortic stenosis
- Highlight situations where surgical aortic valve replacement should be favored
- Contrast early complication rates and long-term outcomes with TAVR versus SAVR
Achieving worry-free surgery
Emilie Belley-Côté
By the end of this session learners will be able to:
- Describe a historical perspective on major paradigm shifts that have improved surgical safety
- Describe the role of the new Division of Perioperative Care
Common issues and complications after cardiac surgery: What Cardiologists, Internists and Primary Care Physicians need to know
Saurabh Gupta
By the end of this session learners will be able to:
- Review the clinical presentation and management of frequent complications after cardiac surgery
- Identify which complications require a surgical assessment
Optimizing your patient before surgery: Blood matters
Linda Pickrell
By the end of this session learners will be able to:
- Review current evidence based practices to optimize hemoglobin levels prior to surgery.
- Discuss current interdisciplinary strategies at HHS to identity at risk pre-operative cardiovascular patients
Complex Case Review: The Heart Team in Action!
By the end of this session learners will be able to:
- Identify the type of cases that require a heart-team approach
- Describe the nature of multidisciplinary discussions occurring during heart team rounds