2012 Innovations in Heart Failure and Pulmonary Hypertension

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1 ALLEGHENY GENERAL HOSPITAL CARDIOVASCULAR INSTITUTE PRESENTS 2012 Innovations in Heart Failure and Pulmonary Hypertension Friday, September 28, 2012 Marriott Pittsburgh City Center Pittsburgh, Pennsylvania SPONSORED BY Cardiovascular Institute Allegheny General Hospital West Penn Allegheny Health System Pittsburgh, Pennsylvania

2 COURSE DIRECTORS STEPHEN H. BAILEY, MD Assistant Professor of Cardiothoracic Surgery Drexel University College of Medicine Associate Professor of Cardiothoracic Surgery Temple University College of Medicine Co-Director, Thoracic Residency Program Director, Division of Cardiac Surgery Surgical Director, Cardiac Transplantation/ VAD Program RAYMOND L. BENZA, MD Professor of Medicine James Magovern Chair for Cardiovascular Research Program Director Advanced Heart Failure, Transplantation, Pulmonary Vascular Diseases Division of Cardiovascular Medicine GEORGE J. MAGOVERN JR., MD Professor of Cardiothoracic Surgery Drexel University College of Medicine and Chairman, Department of Thoracic and Cardiovascular Surgery West Penn Allegheny Health System Director, Thoracic Surgery Residency Training Program SRINIVAS MURALI, MD, FACC, FACP Professor of Medicine Adjunct Professor, Department of Biomedical Engineering Carnegie Mellon University Director, Division of Cardiovascular Medicine Medical Director, Cardiovascular Institute INVITED FACULTY JAMES C. COONS, PHARMD, BCPS University of Pittsburgh School of Pharmacy Pittsburgh, Pennsylvania WPAHS FACULTY RICHA AGARWAL, MD Section of Heart Failure, Transplant, MEGAN BARNES, PHARMD, BCPS Clinical Specialist, Cardiovascular Institute MARTHA BOWMAN, DO Heart Failure and Transplantation Fellow MARCO CACCAMO, DO Heart Failure and Transplantation Fellow Advanced Heart Failure and Transplantation Cardiology Program JUDY GERMANI, RN Clinical Coordinator, Heart Failure and MANREET KANWAR, MD, FACC Section of Heart Failure, Transplant, In accordance with the Accreditation Council for Continuing Medical Education (ACCME) and the policy of Allegheny General Hospital, presenters must disclose all relevant financial relationships, which in the context of their presentation(s), could be perceived as a real or apparent conflict of interest, (e.g., ownership of stock, honoraria or consulting fees). Any identifiable conflicts will be resolved prior to the activity. Any such relationships will be disclosed to the learner prior to the presentation(s).

3 WPAHS FACULTY (continued) EMERSON LIU, MD Electrophysiology, Division of Cardiology ROBERT J. MORACA, MD Assistant Professor of Cardiothoracic Surgery Drexel University College of Medicine and Chief, Section of Aortic and Atrial Fibrillation KHALED NASHER, MD Adjunct Assistant Professor Division of Nephrology and Hypertension AMRESH RAINA, MD Section of Heart Failure, Transplant, GEORGE G. SOKOS, DO, FACC Fellowship Director, Advanced Heart Failure and Transplantation Cardiology Program Section of Heart Failure, Transplant, MICHELE SVITEK RN BSN Clinical Coordinator Heart Failure/ COORDINATING COMMITTEE LORA DERNUS Senior Manager Department of Thoracic and Cardiovascular Surgery WILLIAM K. JOHNJULIO, MD System Chair, Department of Family Medicine West Penn Allegheny Health System JESSICA LAZAR, MPA, PA-C Director, Quality Research and Education Division of Cardiovascular Medicine KIMBERLEY LITTON, RN, MS, CS, CCRN Clinical Specialist/Educator/NSED and Professional Development RACHEL MIGLIORE Coordinator, Continuing Medical Education ACKNOWLEDGMENT The conference directors of the 2012 Innovations in Heart Failure and conference gratefully acknowledge an educational grant from the Pennsylvania Chapter of the American College of Cardiology.

4 CONFERENCE SCHEDULE FRIDAY, SEPTEMBER 28, :00 a.m. Registration and Continental Breakfast (Visit Exhibits) 7:55 a.m. Welcome, Introduction and Overview Srinivas Murali, MD 8:00 a.m. The Critical Role of the ACC in Shaping Cardiovascular Care Srinivas Murali, MD SESSION A HEART FAILURE I 8:30 a.m. Anti-remodeling Strategies: Medical George Sokos, DO 8:45 a.m. Anti-remodeling Strategies: Surgical Stephen Bailey, MD 9:00 a.m. Anti-remodeling Strategies: Future Directions Srinivas Murali, MD 9:15 a.m. Questions and Discussion 9:30 a.m. Case Studies in Heart Failure Moderator: Discussants: George Sokos, DO Stephen Bailey, MD Manreet Kanwar, MD Case 1: 75 Year Old with Stage D Heart Failure Martha Bowman, DO Case 2: 45 Year Old with Recent Large Anterior Wall Myocardial Infarction Marco Caccamo, DO 10:15 a.m. B R E A K (Visit Exhibits) SESSION B PULMONARY HYPERTENSION I 10:45 a.m. Diagnosis: IPAH vs. PH from the Left Heart Disease Amresh Raina, MD 11:00 a.m. Risk Stratification 11:15 a.m. Treatment Algorithm for PAH Richa Agarwal, MD 11:30 a.m. Questions and Discussion 11:45 a.m. Case Studies in Moderator: Discussants: Richa Agarwal, MD Srinivas Murali, MD Amresh Raina, MD Case 1: 75 Year Old with Martha Bowman, DO Case 2: 45 Year Old IPAH Patient Marco Caccamo, DO 12:30 p.m. L U N C H (Visit Exhibits) (continued)

5 CONFERENCE SCHEDULE (continued) FRIDAY, SEPTEMBER 28, :00 p.m. LUNCH AND LEARN SESSIONS (Please choose track you would like to attend on the registration form) Physician Track Models for Shared Care in HF and PH: Partnering with the Community Moderators: Srinivas Murali, MD Nursing Track Symptoms and Signs of Worsening HF and PH: Practical Lessons Moderators: Judy Germani, RN Michele Svitek, RN Pharmacy Track Drug Interactions in HF and PH Patients: Individualizing Optimal Care Moderators: James Coons, PharmD Megan Barnes, PharmD SESSION C PULMONARY HYPERTENSION II 1:30 p.m. CTEPH: Diagnosis and Medical Management Manreet Kanwar, MD 1:45 p.m. CTEPH: Surgical Management Robert Moraca, MD 2:00 p.m. Questions and Discussion 2:15 p.m. B R E A K (Visit Exhibits) SESSION D HEART FAILURE II 2:30 p.m. Atrial Fibrillation in HF Emerson Liu, MD 2:45 p.m. Cardio Renal Syndrome Khaled Nashar, MD 3:00 p.m. Questions and Discussion 3:15 p.m. Closing Remarks 3:30 p.m. A D J O U R N M E N T

6 SYMPOSIUM OVERVIEW/INTENDED AUDIENCE The Cardiovascular Institute at Allegheny General Hospital is pleased to offer this exciting educational opportunity highlighting innovations in heart failure and pulmonary hypertension. This course will provide a review of the latest innovations in the management of heart failure including novel medical and surgical treatments, and new insights into the pathogenesis and treatment strategies for pulmonary hypertension patients. It is intended for cardiologists, cardiothoracic surgeons, internists, pulmonologists, critical care specialists, physician assistants, nurse practitioners, cardiovascular nurses, pharmacists and other health care professionals who have direct responsibility for, or interest in, advanced cardiovascular patient care. STATEMENT OF NEED Both heart failure and pulmonary hypertension remain a tremendous burden on society with a very high morbidity and mortality. Heart failure is the leading cause of cardiovascular death and the number one cause of hospitalization in the United States. Pulmonary hypertension often co-exists with heart failure and worsens morbidity and mortality. Several large clinical trials conducted over the past two decades have shown that pharmacologic interventions, surgery, and device-therapy can dramatically reduce the morbidity and mortality associated with both heart failure and pulmonary hypertension. Based on evidence, new clinical practice guidelines have been developed for medical and surgical management of these patients. Despite these evidence based guidelines, it has been shown that providers do not consistently follow recommendations in clinical practice. Unfortunately this often results in patients being referred late in the disease for advanced therapies, often without receiving a complete diagnostic workup, and sometimes on inappropriate treatments. EDUCATIONAL OBJECTIVES At the conclusion of the conference, participants should have the ability to: improve compliance with evidence-based guidelines for the medical management of heart failure explore mechanisms and processes that can impact patient outcomes such as readmission rates apply published guidelines of medical and surgical management to unique clinical cases of heart failure and pulmonary hypertension patients determine appropriate timing for device-based therapies and advanced therapies for heart failure and pulmonary hypertension patients apply knowledge of state-of-the-art diagnostic and treatment modalities in the clinical spectrum of heart failure and pulmonary hypertension INTENDED OUTCOME We want to positively impact patient care in Western Pennsylvania by providing up-to-date information to all healthcare professionals caring for patients with heart failure and pulmonary hypertension.

7 ACCREDITATION AMA PRA Category 1 Credits TM Allegheny General Hospital is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Allegheny General Hospital designates this live activity for a maximumof 6.0 AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Family Practice Physicians Application has been filed with the American Academy of Family Physicians. Determination is pending. Nursing Credits The Western Pennsylvania Hospital is an approved provider for continuing education in nursing by the Pennsylvania State Nurses Association, an accredited approver by the American Nurses Credentialing Center s Commission on Accreditation. Application has been made for 4.5 contact hours through the Pennsylvania State Nurses Association. Pharmacy Credits Application will be made with the Accreditation Council for Pharmacy Education (ACPE(r)) credits. SEMINAR LOCATION Marriott Pittsburgh City Center 112 Washington Place Pittsburgh, Pennsylvania Telephone (412) PARKING/DRIVING DIRECTIONS Chatham Center Parking Garage Parking is available in the Chatham Center parking garage with easy elevator access to the hotel meeting rooms. Self-parking is $12.00 per day, no in and out privileges. Sorry, parking cannot be validated. For driving directions to the hotel, please visit their Web site at Mellon Arena Parking Lots Parking is also available in the Mellon Arena outside parking lots directly across the street from the Marriott at a flat rate of $7.00 (early bird) per day. For driving directions to these lots, please visit their Web site at site37.php.

8 REFUND POLICY A refund of the registration fee, less a $25 processing fee, will be made when a written request or a telephone request followed by a written confirmation is received prior to September 24, After this date, refunds cannot be made. Fees will not be refunded for failure to attend. REGISTRATION INFORMATION The registration fee includes the course materials, continental breakfast, lunch and break refreshments. FEE: Physicians $150 Nurses and Other Health Care Professionals $75 WPAHS Physicians, Trainees and Staff (Must present ID badge at registration desk) No Charge DEADLINE: September 24, 2012 (Registrations will be taken after the deadline date on a space-available basis.) TO REGISTER: To register online, please go to To register by mail or fax, complete the registration form and return it with the registration fee or fax to: Continuing Medical Education Allegheny General Hospital 320 East North Avenue Pittsburgh, Pennsylvania Fax (412) ADDITIONAL INFORMATION The preferred method of payment is by VISA, MasterCard, American Express or Discover; however checks will be accepted made payable to Allegheny General Hospital. For additional information concerning the conference, please contact the Continuing Medical Education office by at by telephone at (412)

9 REGISTRATION FORM Registration for 2012 Innovations in Heart Failure and is required. Please complete this registration form and return it with your payment no later than September 24, PLEASE INDICATE: I prefer a vegetarian lunch. I will attend the Lunch and Learn Physician Track. I will attend the Lunch and Learn Nursing Track. I will attend the Lunch and Learn Pharmacy Track. NAME DEGREE SPECIALTY AFFILIATION ADDRESS CITY STATE ZIP TELEPHONE ( ) FAX ( ) ADDRESS METHOD OF PAYMENT: CREDIT CARD TYPE: Credit Card Check Visa MasterCard American Express Discover If you require assistance with hearing, vision or mobility to make this conference accessible to you, please check this box and contact the CME office at (412) at least two weeks prior to the conference date. TOTAL AMOUNT CREDIT CARD # EXP. DATE NAME ON CARD SIGNATURE* * By signing this form, I authorize Allegheny General Hospital to charge my credit card for the above amount. My signature also indicates that I will not dispute this charge in the future through my credit card company.

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