Diastology and New Echo Technologies Summit

CME Group, April 2009

Diastology and New Echo Technologies Summit provides a unique opportunity for participants to view key opinion leaders and review updates in heart valve disease, diastology, new and emerging echo technologies, and contrast echocardiography.

Allan L. Klein, MD, FRCP(C), FACC, FAHA, FASE, Professor of Medicine, Director of Cardiovascular Imaging Research, Department of Cardiovascular Medicine, Heart and Vascular Institute, Cleveland Clinic is the summit director.

TARGET AUDIENCE

This activity is designed for cardiologists, sonographers, nurses, cardiology fellows, and other healthcare professionals interested in diastology, new echocardiographic technologies, contrast echocardiography, and heart valve disease.

LEARNING OBJECTIVES:

After viewing this activity, the participant will be able to do the following for each session:

HEART VALVE
- Describe state-of-the-art multimodality imaging in valvular heart disease
- Describe the natural history of mitral regurgitation and when to treat medically or surgically
- Discuss Doppler quantitative approaches to mitral regurgitation and aortic regurgitation
- Describe mechanisms and treatment of ischemic mitral regurgitation and aortic regurgitation
- Discuss surgical mitral and tricuspid valve repair
- Discuss new mechanisms and therapies for aortic stenosis
- Discuss the epidemiology of aortic regurgitation and when to intervene
- Describe percutaneous approaches to mitral and aortic diseases

DIASTOLOGY
- Discuss new advances in valvular heart disease including epidemiology, clinical diagnostic approaches to mitral, tricuspid, and aortic regurgitation and aortic stenosis
- Identify new approaches to aortic valve repair including robotic and percutaneous techniques
- Highlight new advances in diastolic heart failure including epidemiology, clinical diagnostic approaches, specific diseases, and effects of therapy for diastolic heart failure
- Examine recent and future clinical trials in Diastology
- Highlight new and emerging applications in real time 3-D and 4-D echo, live 3-D TEE, 2-D strain, torsion, stress echo, cardiac resynchronization, and interventional echo
- Present basic principles of contrast echo, rest and stress LVO and EBD, myocardial perfusion, and new research applications
- Discuss the revised black boxed warning in contrast echocardiography

NEW ECHOCARDIOGRAPHY TECHNOLOGIES
- Describe the role of 3-D and 4-D echo in clinical practice
- Discuss advances in transesophageal echo imaging including real-time imaging
- Discuss 2-D strain to assess cardiac function
- Describe the use of LV torsion in clinical practice
- Discuss the role of strain in stress echo
- Discuss the value of echo measurements of CRT
- Describe how to perform 3-D, CRT, strain and strain rate imaging and torsion by a sonographer
- Discuss the role of echo in percutaneous valve surgery and LAA closure

CONTRAST ECHOCARDIOGRAPHY
- Describe the basics of contrast echocardiography, including the contrast and ultrasound interaction
- Discuss the various contrast imaging modalities, including low or high mechanical index
- Discuss the role of contrast in rest and with stress echo and salvaging the difficult echo
- Discuss how to do an LVO and myocardial perfusion exam
- Discuss the prognostic value of stress perfusion echo
- Describe techniques for reading perfusion at rest and stress in a busy echo lab
- Discuss how to interpret EBD, LVO, and myocardial perfusion
- Discuss new research developments including atherosclerosis imaging and targeted microbubbles

A note on the format:

DVD: Video - DVD: Includes 10 DVDs with carrying case, a comprehensive course syllabus on CD-ROM and self-assessment examination.

Topics & Speakers:

HEART VALVE DISEASE

Mitral and Tricuspid Valve Disease

- Keynote Address: State-of-the-Art of Multimodality Imaging in Valvular Heart Disease 2009: Strengths and Weaknesses
Robert O. Bonow, MD

- Epidemiology of Mitral Valve Regurgitation: When Do We Intervene? Medicine or Surgery?
William J. Stewart, MD

- Quantification of Mitral Regurgitation: From Basics to Advanced Measurements
Christopher P. Appleton, MD

- Ischemic/Functional Mitral Regurgitation: Mechanism and Treatment
Robert O. Bonow, MD

- Mitral Valve and Tricuspid Valve Repair: What is the Role For Robotic Surgery?
A. Marc Gillinov, MD

Aortic Valve Disease and Percutaneous Techniques

- Aortic Stenosis–New Mechanisms and Therapies: What Do You Do in Asymptomatic Patients?
Gian M. Novaro, MD

- Epidemiology of Aortic Valve Regurgitation: When Do We Intervene? Medicine or Surgery?
Robert O. Bonow, MD

- Aortic Regurgitation: How Do We Quantify? New Methods?
James D. Thomas, MD

- Percutaneous Techniques for Mitral and Aortic Valve Disease: State-of-the-Art
Cardiologist’s Perspective: William J. Stewart, MD
Surgeon’s Perspective: A. Marc Gillinov, MD

- Panel Discussion and Questions

DIASTOLOGY

Epidemiology, Biology, Physiology and Basic Doppler Assessment

- Keynote Address: State-of-the-Art of Diastology 2009: Strengths and Weaknesses; Role of Echo vs. Other Methods
Miguel A. Quinones, MD

- Epidemiology: What Diseases? How Do We Assess? Prognosis?
Allan L. Klein, MD

- Biology, Physics, and Physiology of Diastolic Function: The Basics
Robert O. Bonow, MD

- Echo Assessment of Diastolic Function: Mitral Inflow, Pulmonary Vein, Tissue Doppler Imaging, and Color M-mode Doppler; Which One Do We Use?
Christopher P. Appleton, MD

Practical Techniques, Filling Pressures, and New Tools

- Comprehensive Diastolic Examination with Left and Right Heart Evaluation: How Should We Perform It?
Annitta J. Morehead, RDCS

- Estimation of LV Filling Pressures Using Current Diastology Tools: What Pressures? Which Variables? Is It Elevated or Not?
Miguel A. Quinones, MD

- New Tools for Assessment of Diastolic Function Using Strain, Strain Rate Imaging, Torsion and 2-D Strain: Is It Ready? What Does It Add?
James D. Thomas, MD

Diseases with Diastolic Dysfunction

- Pericardial Diseases: Constriction vs. Restriction?
Allan L. Klein, MD

- Cardiomyopathies: Role of Newer Indices in Treatment and Prognosis
Craig R. Asher, MD

- Coronary Artery Disease, HOCM, and Hypertension: What Does Diastolic Dysfunction Mean in These Diseases? How Do We Assess?
Christopher P. Appleton, MD

Therapy of Diastolic Function and Clinical Applications

- Therapy of Diastolic Dysfunction: How Do We Treat? Which Therapeutic Agents? Results of Clinical Trials?
W. H. Wilson Tang, MD

- Clinical Applications in Diastology: How Do We Use in a Clinical Setting? When Do We Use BNP? Influence of New Guidelines
Miguel A. Quinones, MD

- Panel Discussion and Questions

- Workshops

- Diastolic Function Exam Cases: A Read-with-the-Experts Session
Craig R. Asher, MD, Coordinator
Wael A. Jaber, MD
Gian M. Novaro, MD
Miguel A. Quinones, MD
William J. Stewart, MD
James D. Thomas, MD

NEW ECHOCARDIOGRAPHY TECHNOLOGIES

3-D and 4-D Echo, Real Time TEE, and Stress Echo

- Keynote Address: State-of-the-Art of New Echo Technologies 2009: Strengths and Weaknesses
Michael H. Picard, MD

- 3-D and 4-D Echo: How to Include It in Clinical Practice? What Indication?
James D. Thomas, MD

- Real-Time Transesophageal 3D Echocardiography: A Revolution of Echocardiography
Michael H. Picard, MD

- 3-D Echo: A Sonographer’s Practical Guide to Collecting Accurate Data
Deborah A. Agler, RDCS

Cardiac Resynchronization and Cardiac Function

- Role of Echo in Cardiac Resynchronization: What Is Its Value? Results of Recent Trials
Michael H. Picard, MD

- How Do You Perform a CRT Exam? A Sonographer’s Approach
Deborah A. Agler, RDCS

- 2-D Strain for Cardiac Function: Speckle Tracking, Velocity Vector Imaging for What?
Miguel A. Quinones, MD

- Tissue Velocity, Strain and Strain Rate Imaging, Torsion For the Sonographer: A Guide to Collecting High Quality Imaging Data
Annitta J. Morehead, RDCS

Stress Echo, Hand Helds, and New Research Developments

- Stress Echocardiography: Should We Use Strain Daily to Assess Wall Motion? Diastology Stress Test?
Wael A. Jaber, MD

- Hand-Held Echo Devices: Role in Screening Athletes
Craig R. Asher, MD

- Role of Echo in Percutaneous Valve Repair or Replacement and LAA Closure
William J. Stewart, MD

- New Research Developments in Echo Technologies: What Is the Future in the Era of Multimodality Imaging?
James D. Thomas, MD

Panel Discussion and Questions

Workshops

- New Echo Technologies: “Read-with-the-Experts” Session: 3-D, CRT and Strain, TEE and Stress Echo
Wael A. Jaber, MD, Coordinator
Christopher P. Appleton, MD
Ruvin S. Gabriel, MD
Allan L. Klein, MD
Miguel A. Quinones, MD
William J. Stewart, MD

CONTRAST ECHOCARDIOGRAPHY

Contrast Basics, Physics, and Imaging Modalities

- Keynote Address: State-of-the-Art of Contrast Echo: Strengths and Weaknesses 2009 and Revised Black Box Warning
Thomas R. Porter, MD

- Contrast 101: The Marriage of Contrast Agents and Ultrasound — Real Time or Triggered?
Jonathan R. Lindner, MD

- Contrast Imaging for Sonographers: Techniques for Collecting High Quality Images
Annitta J. Morehead, RDCS

Left Ventricular Opacification — Rest and Stress Echo

- Salvaging the Technically Difficult Echo: Quantitative and Qualitative LV Function
Michael H. Picard, MD

- Contrast Stress Echo: Is It Worth the Effort?
Wael A. Jaber, MD

Myocardial Perfusion, 3-D Echo and New Research Developments

- Clinical Trials on Myocardial Perfusion: What Are the Results and What Is Next?
Thomas R. Porter MD

- New Research Developments in Contrast Echo: Atherosclerosis Imaging and Targeted Microbubbles
Jonathan R. Lindner, MD

- Panel Discussion and Questions

LV Perfusion: Rest and Stress Echo

- Stress Perfusion Echo: Better than Wall Motion?
How Do You Do It? Prognosis?
Thomas R. Porter, MD

- How to Read Perfusion at Rest and Stress in a Busy Echo Lab: Tricks of the Trade
Jonathan R. Lindner, MD

- Workshop: “Read-with-the-Experts”:LVO and Stress Perfusion Cases
Deborah A. Agler, RDCS
Craig R. Asher, MD
Ruvin S. Gabriel, MD
Wael A. Jaber MD
Allan L. Klein, MD
Jonathan R. Lindner, MD
Annitta J. Morehead, RDCS
Michael H. Picard, MD
Thomas R. Porter, MD
James D. Thomas, MD

Also available

• Cardiovascular Medicine: Review and Update for the Practitioner
• Intensive Review of Cardiology

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