ECHO. April 7-10, 2016 Hyatt Regency Hill Country San Antonio, Texas. An In-Depth Review of Adult Echocardiography for Sonographers and Physicians

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1 9th Annual ECHO An In-Depth Review of Adult Echocardiography for Sonographers and Physicians April 7-10, 2016 Hyatt Regency Hill Country San Antonio, Texas Program Directors: and Division of Cardiovascular Diseases LEARN. ADVANCE. CONNECT. celinks.mayo.edu/echofiesta2016

2 General Information COURSE DESCRIPTION Echo Fiesta is designed to provide a practical review of the current uses and limitations of 2-D echocardiography, Doppler and color flow imaging in the assessment of adult myocardial, ischemic, pericardial, and valvular heart disease. Traditional topics in the field of echocardiography including the assessment of systolic and diastolic function, quantitative Doppler, and stress echocardiography will be presented. In addition, newer techniques including 3-D echo and Doppler and 2-D strain imaging will be presented. The program will concentrate on practical points regarding daily use of these techniques with illustrative examples from a wide variety of cardiovascular disorders. MAINTENANCE OF CERTIFICATION (MOC) LEARNING MODULE Thursday, April 7 7-9:00 p.m. The MOC learning module will provide an opportunity to review questions on a Knowledge Module for Maintenance of Certification. This session is intended to assist physicians with completing the ABIM requirements. COURSE LEARNING OBJECTIVES Upon conclusion of this program, participants should be able to: Identify current two-dimensional, three-dimensional, and Doppler methods to assess left ventricular systolic function; Develop an integrated approach to the assessment of valvular stenosis and valvular regurgitation; Describe the diastolic filling patterns in diverse cardiac disorders including cardiomyopathies, systemic diseases, and pericardial disease; Recognize echocardiographic findings of ischemic heart disease, including clinical applications and interpretation of stress echocardiography, and detection of mechanical complications of myocardial infarction; Define the role of echocardiography in the evaluation and management of the cardiomyopathies; Describe echocardiography findings in congenital heart disease; Recognize the potential of new technology in the field of echocardiography. Attendance at this program does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course. INTENDED AUDIENCE This course is designed for cardiologists, cardiovascular trainees, and cardiac sonographers who perform and interpret echo exams and wish to enhance their knowledge of the echocardiographic assessment of adult cardiac disease. Participants with a basic knowledge of echocardiographic techniques and applications will benefit most from this program. CREDIT Mayo Clinic College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Mayo Clinic College of Medicine designates this educational activity for a maximum of AMA PRA Category 1 Credits. Physicians should only claim credit commensurate with the extent of their participation in the activity.

3 General Information DATE AND LOCATION Echo Fiesta will be held April 7-10, 2016 at the Hyatt Regency Hill Country, 9800 Hyatt Resort Drive, San Antonio, TX The program will be held in the Fredericksburg Ballroom. Step into an atmosphere of timeless charm at the Hyatt Regency Hill Country. This location is the perfect blend of the natural beauty of the Texas Hill Country and provides an opportunity to enjoy the on-site activities such as 27 holes of championship golf and the four acre water park. Conveniently located, the hotel is adjacent to SeaWorld of Texas and a short drive from the historic Alamo, downtown San Antonio s famed River Walk, and Six Flags Fiesta Texas Theme Park. LODGING ACCOMMODATIONS Guest rooms have been reserved for participants and their guests with special program rates at the Hyatt Regency Hill Country. In order to receive the special rate, reservations must be made before the room block is filled or before the expiration date of Wednesday, March 15, 2016, whichever comes first. Reservations will be taken following this date based on space and rate availability. Please identify yourself as a participant of the Mayo Echo Fiesta continuing education program when making your reservation. Lodging arrangements are the sole responsibility of the individual registrant. Hyatt Regency Hill Country For Reservations: 9800 Hyatt Resort Drive Phone: San Antonio, Texas On-line: $205 single/double + $5 Resort Fee MayoClinic2016 Website: The resort service program($5) provides the use of the resort activities and amenities to include: wireless Internet, hard-wired Internet, unlimited use of health club, unlimited access local, 800, and 888 calls, unlimited use of tennis courts, bicycles, chipping and putting greens, golf club storage, full access to golf practice facility, preferred golf tee times, complimentary personalized golf bag tag, outdoor activities, coffee, tea, in-room safe, and local newspaper Monday through Friday. There is complimentary self-parking. The Hyatt Regency Hill Country requires that all reservations be guaranteed by a check or major credit card equal to one night s room and tax. Cancellations must be made forty-eight (48) hours prior to the day of arrival. Reservations can only be canceled by calling the hotel directly and obtaining a cancellation number. No-shows will be charged accordingly.

4 General Information FACULTY Course Directors, F.A.C.C., F.A.S.E. Professor of Medicine, Mayo Clinic College of Medicine, Scottsdale, AZ, F.A.C.C., F.R.C.P. (C), F.A.S.E. Associate Professor of Medicine, Mayo Clinic College of Medicine, Scottsdale, AZ Mayo Clinic Faculty Jennifer L. Betz, B.S., R.D.C.S. Echocardiography Laboratory, Mayo Clinic, Rochester, MN Kyle W. Klarich, M. D., F.A.C.C., F.A.S.E. Professor of Medicine, Mayo Clinic College of Medicine, Rochester, MN Rekha Mankad, M.D., F.A.C.C., F.A.S.E. Assistant Professor of Medicine, Mayo Clinic College of Medicine, Rochester, MN Sunil V. Mankad, M.D., F.A.C.C., F.A.S.E. Associate Professor of Medicine, Mayo Clinic College of Medicine, Rochester, MN Robert B. McCully, M.D., F.A.C.C., F.A.C.P. Professor of Medicine, Mayo Clinic College of Medicine, Rochester, MN Vuyisile T. Nkomo, M.D., M.P.H., F.A.C.C. Associate Professor of Medicine, Mayo Clinic College of Medicine, Rochester, MN Muhammad Y. Qureshi, M.B.B.S. Assistant Professor of Pediatrics, Mayo Clinic College of Medicine, Rochester, MN John W. Stulak, M.D. Assistant Professor of Surgery, Mayo Clinic College of Medicine, Rochester, MN Nathaniel W. Taggart, M.D. Assistant Professor of Pediatrics, Mayo Clinic College of Medicine, Rochester, MN Jennifer A. Warmsbecker, B.S., R.D.C.S. Echocardiography Laboratory, Mayo Clinic, Rochester, MN Susan Wilansky, M.D., F.A.C.C., F.A.S.E. Associate Professor of Medicine, Mayo Clinic College of Medicine, Scottsdale, AZ FACULTY DISCLOSURE As a provider accredited by ACCME, Mayo Clinic College of Medicine, (Mayo School of Continuous Professional Development) must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course director(s), planning committee, faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation. NATIONAL PHYSICIAN PAYMENT TRANSPARENCY PROGRAM Mayo Clinic College of Medicine complies with the requirements of the National Physician Payment Transparency Program OPEN PAYMENTS (Physician Payments Sunshine Act).

5 Course Schedule THURSDAY, APRIL 7, :00-7:45 a.m. Continental Breakfast and Registration 7:45-8:00 a.m. Welcome, Course Overview, Audience Survey and Pre-Test and Left Ventricular Systolic and Diastolic Function Moderator: 8:00 a.m. 2D and 3D Echo Measures of Left Ventricular Size and Function Rekha Mankad, M.D. 8:30 a.m. Echocardiographic Evaluation of Left Ventricular Diastolic Function Susan Wilansky, M.D. 9:00 a.m. The Silent Epidemic: Diastolic Function and Clinical Outcome 9:20 a.m. Case Studies in the Evaluation of Left Ventricular Diastolic Function Susan Wilansky, M.D. and 9:50 a.m. Questions and Comments 10:00 a.m. Refreshment Break 10:20 a.m. Myocardial (Strain) Imaging for the Assessment of Left Ventricular Function 10:50 a.m. Echocardiography: A PA Catheter in a Box Robert B. McCully, M.D. 11:20 a.m. Echocardiographic Evaluation of Right Ventricular Size and Function 11:50 a.m. Questions and Comments 12:00-1:00 p.m. Lunch Cardiomyopathies and Pericardial Disease Moderator: 1:00-1:30 p.m. Hypertrophic Cardiomyopathy: Diagnosis and Management 1:30-2:00 p.m. Hypertrophic Cardiomyopathy or Phenocopy: Thick Walls Why? 2:00-2:30 p.m. Cardiomyopathies: Uncommon Etiologies Rekha Mankad, M.D. 2:30-3:00 p.m. Pericardial Disease: Constrictive Pericarditis and Cardiac Tamponade 3:00-3:15 p.m. Questions and Comments 3:15-3:30 p.m. Refreshment Break

6 3:30-5:00 p.m. Concurrent Sessions 3:30-4:10 Groups Rotate 4:20-5:00 5:00 p.m. Adjourn 1. How To Perform 3D Imaging To Assess Left Ventricular Size and Function Sunil V. Mankad, M.D. and Jennifer L. Betz, B.S., R.D.C.S. 2. How To Perform Strain Imaging and Jennifer A. Warmsbecker, B.S., R.D.C.S. 7:00 9:00 p.m. MOC Knowledge Module ABIM Learning Session Cardiovascular Disease Drs. Klarich, S. Mankad, and Freeman FRIDAY, APRIL 8, :30-8:00 a.m. Continental Breakfast Valve Disease: Stenosis and Regurgitation Moderator: 8:00 a.m. Echocardiographic Evaluation of Aortic Stenosis Robert B. McCully, M.D. 8:30 a.m. Aortic Stenosis: Area Gradient Mismatch 9:00 a.m. TAVR: What Do I Need to Do Prior to Implantation and What is the Echocardiologist s Role During the Procedure? Vuyisile T. Nkomo, M.D., M.P.H. 9:30 a.m. Post TAVR: How Do I Assess The Severity of Regurgitation if Any? Sunil V. Mankad, M.D. 9:55 a.m. Questions and Comments 10:10 a.m. Refreshment Break 10:30 a.m. Aortic Regurgitation: Assessment of Etiology and Severity Kyle W. Klarich, M.D. 11:00 a.m. Valvular Disease: Uncommon Etiologies (Systemic Disease, Radiation & Drug-Induced) 11:30 a.m. Tricuspid and Pulmonary Valve Disease: 2-D Assessment and Doppler Quantitation of Severity; Prognostic Implications Kyle W. Klarich, M.D. 12:00 p.m. Questions and Comments 12:15 p.m. Lunch 1:15 p.m. Mitral Regurgitation: Assessment of Etiology and Quantitation of Severity Rekha Mankad, M.D. 1:45 p.m. Mitral Clip: Is my Patient a Candidate and What Do I Need to Assess Prior to the Procedure? Vuyisile T. Nkomo, M.D., M.P.H. 2:15 p.m. Mitral Clip: What is the Echocardiologist s Role During the Procedure? Sunil V. Mankad, M.D.

7 2:45 p.m. Questions and Comments 3:00-3:45 p.m. Read With the Experts: Interesting Cases of Valvular Heart Disease Drs. S. Mankad, Nkomo, and R. Mankad 3:45 p.m. Adjourn SATURDAY, APRIL 9, :30-8:00 a.m. Continental Breakfast Prosthetic Valves Moderator: 8:00 a.m. Echocardiographic Evaluation of Aortic Valve Prosthesis Susan Wilansky, M.D. 8:20 a.m. Echocardiographic Evaluation of Mitral Valve Prosthesis Kyle W. Klarich, M.D. 8:40 a.m. Cases Presentations: Prosthetic Valves, What s the Abnormality? Drs. Freeman, Wilansky, and R. Mankad 9:15 a.m. Endocarditis: Diagnosis, Evaluation, and Management 9:45 a.m. Questions and Comments 10:00 a.m. Refreshment Break Let s Talk With the Surgeon Moderator: 10:15 a.m. Mitral and Tricuspid Valve Surgery: Techniques and New Developments John M. Stulak, M.D. 10:45 a.m. Case Presentations and Discussion with the Surgeon Secondary Mitral Regurgitation: Should We Operate? Sunil V. Mankad, M.D. and John M. Stulak, M.D. Aortic Regurgitation: Can We Repair This Valve? and John M. Stulak, M.D. Tricuspid Regurgitation: Should We Operate or Wait? Kyle W. Klarich, M.D. and John M. Stulak, M.D. 11:30 a.m. Intraoperative Echocardiography Sunil V. Mankad, M.D. 12:00 p.m. Questions and Comments 12:15-1:15 p.m. Lunch Ischemic Heart Disease Moderator: 1:15 p.m. Stress Echocardiography: Indications, Applications, Interpretation, and Prognostication Robert B. McCully, M.D. 1:45 p.m. Complications of Myocardial Infarction Rekha Mankad, M.D.

8 2:15 p.m. Stress Echocardiography in Valvular Heart Disease Susan Wilansky, M.D. 2:45 p.m. Case Studies in Stress Echocardiography Robert B. McCully, M.D. 3:15 p.m. Questions and Comments 3:30 p.m. Adjourn SUNDAY, APRIL 10, :30-8:00 a.m. Continental Breakfast Congenital Heart Disease Moderator: Nathaniel W. Taggart, M.D. 8:00 a.m. Echo Assessment of Single Ventricle Heart Disease Muhammad Y. Qureshi, M.B.B.S. 8:30 a.m. Why is the Right Heart So Big? Nathaniel W. Taggart, M.D. 9:00 a.m. Transposition of the Great Arteries: The Systemic Right Ventricle Muhammad Y. Qureshi, M.B.B.S. 9:30 a.m. Coarctation of the Aorta and Interrupted Aortic Arch Nathaniel W. Taggart, M.D. 10:00 a.m. Questions and Comments 10:15 a.m. Refreshment Break Special Topics in Echocardiography Moderator: 10:30 a.m. Echocardiographic Assessment of Intracardiac and Paracardiac Masses and Thrombus Kyle W. Klarich, M.D. 11:00 a.m. Acute Aortic Syndromes: Evaluation by TEE, Role of Multi-Modality Imaging 11:30 a.m. Contrast Echocardiography: Incremental Value or Just an Added Hassle 12:00 p.m. Closing Remarks and Post-Test 12:20 p.m. Adjourn

9 REGISTRATION Echo Fiesta: An In-Depth Review of Adult Echocardiography for Sonographers and Physicians Register online: Course Registration (MD, PhD, DO, PharmD) $750 Reduced Course Registration (Fellow, Resident, RN, NP, PA, Sonographer) $650 The registration fee includes tuition, electronic syllabus, continental breakfasts, break refreshments, and lunch. Mayo Clinic Division of Cardiovascular Diseases has an online conference registration system. If this is your first time using the online system, you will need to create a profile and login account. Returning participants will use the profile created with previous registration. Register by entering the url: visit and click on Register Now. The system will step you through the profile and login process. An address is required upon registration. A letter of confirmation will be forwarded to this address upon receipt of payment and submitted registration. Present this letter of confirmation when checking in at the meeting registration desk. Although it is not Division of Cardiovascular Diseases policy to limit the number of registrants for a course, conference room facilities may necessitate closing of enrollment; therefore, early registration is advised For additional information, contact: Website: Cardiovascular Continuing Education Phone: First Street SW GO cvcme@mayo.edu Rochester, MN CANCELLATION POLICY If you cancel your participation in this course, your registration fee, less a $75 administrative fee, will be refunded when written notification is received by Division of Cardiovascular Diseases before March 24, 2016 to cvcme@ mayo.edu. No refunds will be made on or after March 24, Canceled registrations are non-transferable. Division of Cardiovascular Diseases reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event Division of Cardiovascular Diseases must cancel or postpone this course, Division of Cardiovascular Diseases will refund the registration fee, but is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.

10 MAYO CLINIC 200 First Street SW Rochester, MN th Annual ECHO An In-Depth Review of Adult Echocardiography for Sonographers and Physicians April 7-10, 2016 Hyatt Regency Hill Country San Antonio, Texas Highlights 3-D Echocardiography Strain Imaging MOC Learning Session (Optional) Diastolic Function Adult Congenital Heart Disease Intended Audience This course is designed for cardiologists, cardiovascular trainees, and cardiac sonographers who perform and interpret echo exams and wish to enhance their knowledge of the echocardiographic assessment of adult cardiac disease. Participants with a basic knowledge of echocardiographic techniques and applications will benefit most from this program Mayo Foundation for Medical Education and Research MC rev CREDITS ECHO CME CREDITS

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