Document 63358

CME Information
LEARNING OBJECTIVES
TARGET AUDIENCE
CREDIT DESIGNATION
•
Identify the increasing prevalence of adults with congenital
heart disease and address some of the complications that
can result from lifelong congenital heart disease.
•
Consult and coordinate with expert maternal-fetal medicine
care for optimization of outcomes for mothers and babies
and determining appropriate contraceptive options.
This conference is intended for pediatricians, primary care
physicians, internists, cardiologists and surgeons who
specialize in both pediatric and adult CHD, electrophysiologists,
anesthesiologists, nurses, nurse practitioners, geneticists, maternal
fetal medicine specialists, obstetricians and gynecologists,
radiologists and other health care professionals with a special
interest in the evaluation, diagnosis and management of adults with
congenital heart disease.
MedStar Washington Hospital Center designates this live activity
for a maximum of 12.5 AMA PRA Category 1 CreditsTM. Physicians
should claim only the credit commensurate with the extent of their
participation in the activity.
•
•
Appraise the catheter-based (interventional and
electrophysiology) procedures in adults with congenital heart
disease, and compare the risks and benefits of each modality
and approach.
Evaluate the relationship of ACHD patients with heart failure,
pulmonary hypertension, and pursue advanced treatment
options for this patient subset.
CME ACCREDITATION
This activity has been planned and implemented in accordance
with the Essential Areas and Policies of the Accreditation Council
for Continuing Medical Education (ACCME) through the joint
sponsorship of MedStar Washington Hospital Center and Children’s
National Medical Center. MedStar Washington Hospital Center is
accredited by the Accreditation Council for Continuing Medical
Education to provide continuing medical education for physicians.
DISCLOSURE OF FINANCIAL RELATIONSHIPS WITH ANY
COMMERCIAL INTEREST
As a sponsor accredited by the ACCME, it is the policy of MedStar
Washington Hospital Center to require that everyone who is in a
position to control the content of an educational activity disclose all
relevant financial relationships with any commercial interest prior
to the educational activity.
The ACCME considers relationships of the person involved in
the CME activity to include financial relationships of a spouse or
partner. Any individual who refuses to disclose relevant financial
relationships will be disqualified from participating in the CME
activity. For an individual with no relevant financial relationship(s),
the participants must be informed that no conflicts of interest or
financial relationships exist.
Due to advances in medical and surgical therapies for patients with Congenital Heart Disease (CHD), children and
adolescents with CHD have over a 90% survival rate. As a result, the number of adults with CHD in the United States
has now surpassed the number of children with these conditions. There are currently more than 1.3 million adults
with CHD and this prevalence is expected to increase 5% annually. As a result, the hospital admissions for patients
with adult congenital heart disease have risen by 101% between 1998 and 2005. Of these admissions, the number
of admissions involving heart failure or pulmonary hypertension increased 83% and 66%, respectively. In addition,
some CHD patients are diagnosed for the first time in adulthood often creating diagnostic and therapeutic dilemmas
that may be difficult to approach.
CHD represents a medical challenge that spans the life a patient from birth through adolescence and onto adulthood.
This includes an increasing number of women with CHD who are in their childbearing years. Between 1998 and
2007, the number of annual deliveries in women with congenital heart disease rose by 35% as compared to a 21%
increase in women with no CHD. Women with CHD are 8 times as likely to experience cardiovascular complications
during pregnancy and have a 6 times higher risk of dying than women without CHD. Women with complex congenital
heart disease are twice as likely to have cardiovascular complications compared to those with simple heart defects.
Managing these patients through pregnancy safely can be extremely challenging. This challenge can be adequately
met by a coordination of efforts from physicians and other healthcare providers amongst a variety of specialties.
This conference will focus on several challenging aspects of CHD including the management of the pregnant
patient, heart failure/pulmonary hypertension, and arrhythmia with emphasis on a multidisciplinary approach to the
evaluation and treatment of these patients.
For updated program information and to register online, please visit: CME.MedStarWashington.org/ACHD
MEDSTAR
WASHINGTON
HOSPITAL
CENTER
MedStar Washington Hospital Center
100 Irving Street, NW, Suite 6D-21
Washington, DC 20010
PAID
NON-PROFIT ORG.
U.S. POSTAGE
May 16 & 17, 2014
Bethesda North Marriott Hotel & Conference Center | Bethesda, MD
Adult Congenital Heart Disease
in the 21st Century
Adult Congenital Heart Disease
in the 21st Century
May 16 & 17, 2014
Bethesda North Marriott Hotel & Conference Center | Bethesda, MD
Course Director:
Course Co-Directors:
Anitha S. John, MD, PhD
Washington Adult Congenital
Heart Center
Children’s National Medical Center
Washington, DC
Melissa H. Fries, MD
MedStar Washington Hospital Center
Washington, DC
George Ruiz, MD
Washington Adult Congenital
Heart Center
MedStar Washington Hospital Center
Washington, DC
Faculty
COURSE DIRECTOR
Anitha S. John, MD, PhD
INVITED FACULTY
Hassan A. Adeniji-Adele, MD
Director, Washington Adult Congenital Heart Program
Children’s National Medical Center
MedStar Washington Hospital Center
MedStar Heart Institute
Washington, DC
Attending Physician, Anesthesiology
MedStar Washington Hospital Center
Washington, DC
Registered Nurse Clinician, The Heart and Vascular Center
University of Virginia Health Medical Center
Charlottesville, VA
Director, Adult Congenital Heart Clinic
Director, Sports Cardiology Program
Vice Chief, Cardiology Outreach
University of Virginia Health Systems
Charlottesville, VA
Interim Chairman, Department of OB/GYN
Director, Genetics and Fetal Medicine
MedStar Washington Hospital Center
Washington, DC
Nancy H. Klein, BSN
Clinical Program Coordinator, WACH
Children’s National Medical Center
Washington, DC
Charles I. Berul, MD
George Ruiz, MD
Director, Pulmonary Hypertension Program Washington Adult Congenital Heart Center
MedStar Washington Hospital Center
MedStar Heart Institute
Washington, DC
Chief, Division of Cardiology
Co-Director, Children’s National Heart Institute
Children’s National Medical Center
Washington, DC
Karen S. Kuehl, MD, MPH
Stephen C. Cook, MD
Dilip S. Nath, MD
Director, Adolescent and Young Adult
Congenital Heart Disease Center Children’s Hospital of Pittsburgh of UPMC
UPMC Heart and Vascular Institute
Pittsburgh, PA
KEYNOTE SPEAKERS
Leonard L. Bailey, MD
Jane E. Crosson, MD
Director, Pediatric Electrophysiology
The Johns Hopkins Hospital
Baltimore, MD
Distinguished Professor, Cardiovascular and
Thoracic Surgery and Pediatrics
Department of Cardiovascular and Thoracic Surgery
Loma Linda University School of Medicine
Surgeon-in-Chief
Loma Linda University Children’s Hospital
Loma Linda, CA
Director, Fetal Heart Program
Director, Critical Care Delivery Service
Director, Advanced Cardiac Imaging Fellowship
Children’s National Medical Center
Washington, DC
Medical Director, Pulmonary Hypertension Clinic
Aurora St. Luke’s Medical Center
Milwaukee, WI
Stacy D. Fisher, MD
Director, Women’s and Complex Heart Diseases
University of Maryland Medical Center
University of Maryland School of Medicine
Baltimore, MD
Cardiologist, WACH
George Washington University School of Medicine Washington, DC
Attending Physician, Congenital Cardiac Surgery
Children’s National Medical Center
Washington, DC
8:00 AM
Welcome and Introduction to the WACH
Program & Faculty
George Ruiz, MD
SESSION I: ADULT CONGENITAL HEART DISEASE
(ACHD) OVERVIEW
Manisha S. Patel, MD
Director, Adult Congenital Heart Disease Clinic
Attending Physician, Pediatric Cardiology
Greenville Health System
Greenville, SC
SESSION III: BREAKOUT SESSIONS
10:45 AM - 12:00 PM
Attendees may attend one breakout session: A, B or C.
Please see below for more details.
12:15 PM Lunch and Visit the Exhibits
9:40 AM
Questions and Discussion
Panelists: H. Adele, M. Donofrio,
M. Fries, A. John
2:50 PM
Indications for Pacemaker/ICD Therapy
in the ACHD Patients with Heart Failure
Maully Shah, MBBS
9:55 AM
Break and Visit the Exhibits
3:15 PM
Roundtable Discussion
Panelists: D. Nath, G. Ruiz, M. Shah
3:30 PM
Closing Remarks
Anitha S. John, MD
3:45 PM
Adjourn
BREAKOUT SESSIONS
BREAKOUT SESSION A: ELECTROPHYSIOLOGY
CONSIDERATIONS IN ACHD
Moderator: Anitha S. John, MD, PhD
11:35 AM Outpatient Management and Medical
Staff Education
Nancy H. Klein, BSN
10:45 AM Sudden Death in ACHD – What are the
Risk Factors?
Ali N. Zaidi, MD
12:00 PM Roundtable Discussion
Panelists: V. Freedenberg, N. Klein,
D. Pearson
BREAKOUT SESSION C: INNOVATIVE TOOLS AND
TECHNIQUES IN CONGENITAL HEART DISEASE
Moderator: Christopher Talluto, MD
11:35 AM Exercise Guidelines and
Recommendations in ACHD Patients
Robert W. Battle, MD
10:45 AM 3D Printing - How to Hold Your Heart in
Your Hand
Laura Olivieri, MD
12:00 PM Roundtable Discussion
Panelists: R. Battle, J. Crosson
11:10 AM
BREAKOUT SESSION B: THE ROLE OF THE ADVANCED
PRACTITIONER IN ACHD CARE
Moderator: Adrienne Garo , RN
10:45 AM Mindfulness Based Stress Reduction:
Strategies to Reduce Stress and Anxiety
Vicki Freedenberg, MSN, PhD
11:10 AM
Research Initiatives by Advanced Practitioners in ACHD
Disty Pearson, PA-C
Radiation Free MRI Cardiac
Catheterization
Kanishka Ratnayaka, MD
11:35 AM Defibrillator Implantation in Complex CHD When You Can’t Get There from Here
Charles I. Berul, MD
12:00 PM Roundtable Discussion
Panelists: C. Berul, L. Olivieri,
K. Ratnayaka
Registration Information
REGISTRATION FEES
CANCELLATION POLICY
Registration Type
Full Meeting
One Day
Physician
$250
$140
Resident/Fellow
$175
$95
Nurse
$175
$95
Allied Health
Professional
$175
$95
ONLINE REGISTRATION PREFERRED
Please visit our secure website at
http://cme.medstarwashington.org/ACHD for updated
program and registration information. We are unable
to accept registrations or cancellations by telephone. If
you wish to pay your registration fee by check, please
download and print a registration form and mail it to the
address on the registration form with your check.
All registrations will be confirmed by email only. Please
use an email address that you check regularly. If you
have questions regarding registration or do not receive
an email confirmation of your registration within 1-2
business days, please contact us at [email protected]
com or 202-877-7808.
SESSION I: CONSIDERATIONS IN CARDIAC DISEASE
Moderator: Manisha S. Patel, MD
Surgical and Immunological
Considerations in ACHD Transplantation
Dilip Nath, MD
2:25 PM
Management of Atrial Tachycardias
in ACHD
Jane E. Crosson, MD
Welcome and Introduction
Melissa H. Fries, MD
Diagnosis and Coordination of Care for
the Fetus with Congenital Heart Disease
Mary T. Donofrio, MD
Medical Therapy of Heart Failure in
ACHD and When to Consider
Transplantation
George Ruiz, MD
11:10 AM
7:50 AM
9:15 AM
2:00 PM
10:15 AM Break and Visit the Exhibitors
Director, Adult Congenital Heart Disease Program
Montefiore Einstein Center for Heart and Vascular Care
The Children’s Hospital of Montefiore
Bronx, NY
Contraception Recommendations in
Patients with CHD
Melissa H. Fries, MD
Questions and Discussion
Roundtable Discussion
Panelists: S. Cook, P. Sinha, M. Slack
Ali N. Zaidi, MD
8:50 AM
1:50 PM
9:50 AM
Director, Adult Congenital Cardiology Clinic
Physician, Pediatric Cardiology
Child Cardiology Associates
Arlington, VA
Anesthesia Management in the
Pregnant CHD Patient
Hassan A. Adeniji-Adele, MD
Keynote Address: History of Transplantation
in Congenital Heart Disease and
Outcomes of Long-Term Survivors
Leonard L. Bailey, MD
Considerations for Re-Operation in
Patients with TOF: What Does the
Surgeon Need to Know?
Pranava Sinha, MD
Christopher J. Talluto, MD
8:25 AM
1:20 PM
9:30 AM
Senior Pediatric/Congenital Interventional Cardiologist
Children’s National Heart Institute
Founder & Director, Adult Congenital/Structural
Interventional Catheterization Program
MedStar Washington Hospital Center
Washington, DC
Physiology of Pregnancy and Delivery
Anitha S. John, MD
Questions and Discussion
Percutaneous Interventions in the
Post-Operative TOF Patient
Michael C. Slack, MD
Director, Electrophysiology Program
The Children’s Hospital of Philadelphia
Philadelphia, PA
8:00 AM
8:30 AM
9:05 AM
Maully J. Shah, MBBS
Agenda Saturday, May 17
SESSION IV: TRANSPLANT AND HEART FAILURE
Moderator: Pranava Sinha, MD
Management of TOF Patients: Does
“Repaired Mean Repaired?”
Stephen C. Cook, MD
Attending Physician, Interventional Pediatric Cardiology
Children’s National Medical Center
Washington, DC
Michael C. Slack, MD
Director, Cardiovascular 3D Printing Program
Sheikh Zayed Institute for Surgical Innovation
Attending Physician, Cardiac MRI, Echocardiography
Children’s National Health System
Washington, DC
ACHD: Past, Present, and Future
Anitha S. John, MD, PhD
8:40 AM
Clinical Director, Third Floor Operating Room
Attending Physician, Anesthesiology
MedStar Washington Hospital Center
Washington, DC
Attending Physician, Pediatric Cardiac Surgery
Children’s National Medical Center Washington, DC
Director, Cardiac Genetics Center
MedStar Washington Hospital Center
MedStar Heart Institute
Washington, DC
8:05 AM
SESSION II: TETRALOGY OF FALLOT (TOF)
Moderator: Karen S. Kuehl, MD, MPH
Daniel I. Perlin, MD
Pranava Sinha, MD
Susan O’Donoghue, MD
Agenda Friday, May 16
Senior Physician Assistant
The Boston Adult Congenital Heart and Pulmonary
Hypertension Service
Boston Children’s Hospital
Boston, MA
Kanishka Ratnayaka, MD
Laura Olivieri, MD
Mary T. Donofrio, MD
Dianne L. Zwicke, MD
Disty Pearson, PA-C
Nurse Clinician, Electrophysiology
Children’s National Medical Center
Washington, DC
Adrienne Garo, RN, MSN
Robert W. Battle, MD
COURSE CO-DIRECTORS
Melissa H. Fries, MD
Vicki Freedenberg, PhD, RN
Cancellations made in writing by Thursday, April 3,
2014 will be subject to a 50% penalty. No refunds will
be given after Thursday, April 3, 2014. Cancellations
will not be accepted by telephone. In the unlikely event
that the course is canceled, MedStar Washington
Hospital Center will refund the registration fee, but is
not responsible for any travel costs.
Please call 202-877-7808 or email [email protected]
com if you any questions or need any additional
information.
Venue Information
BETHESDA NORTH MARRIOTT HOTEL &
CONFERENCE CENTER
5701 Marinelli Road
North Bethesda, MD 20852
(301) 822-9200
SESSION II: CASE BASED LEARNING –
MANAGEMENT OF COMPLEX CONGENITAL
HEART DISEASE
Moderator: George Ruiz, MD
This session will focus on the management of several
common, complex congenital heart lesions followed by a
multidisciplinary panel discussion. Cases will review the management of anticoagulation in
pregnancy, left sided obstructive lesions, and common
right sided lesions such as tetralogy of fallot.
10:10 AM Case 1
10:45 AM Case 2
11:20 AM Case 3
12:00 PM Lunch and Visit the Exhibits
SESSION III: SPECIAL CONSIDERATIONS –
MANAGEMENT OF HIGH RISK PREGNANCY
Moderator: Melissa H. Fries, MD
1:05 PM
Keynote Lecture: Pulmonary
Hypertension
Dianne L. Zwicke, MD
1:30 PM
Peripartum Cardiomyopathy
George Ruiz, MD
1:55 PM
Coronary Artery Disease and Pregnancy
Stacy D. Fisher, MD
2:20 PM
Management of Arrhythmias
During Pregnancy
Susan O’Donoghue, MD
2:45 PM
Questions and Discussion
Panelists: S. Fisher, S. O’Donoghue,
G. Ruiz, D. Zwicke
3:00 PM
Closing Remarks
George Ruiz, MD
3:15 PM
Adjourn