2019 Cardiovascular Update

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1 2019 Cardiovascular Update May 31, 2019 Drew Lecture Hall Medical Services Building Piedmont Athens Regional

2 About the Conference Welcome The Georgia Chapter of the American College of Cardiology (ACC) would like to invite you to attend the 2019 Cardiovascular Update. This meeting reflects our dedication to reducing cardiovascular risk and improving patient outcomes. Registered Nurses, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, and Clinical Pharmacists should participate in order to enhance their knowledge, improve assessment skills, and network with colleagues. At this meeting, you will have the opportunity to learn more about the latest research and clinical guideline updates in cardiovascular medicine and apply this information to your own clinical practice. We look forward to providing you with an individualized experience that meets all of your learning needs. Kathi Davis, RN, CCCC Program Director About the Conference The conference registration desk will be open from 7:00am - 3:00pm on Friday. The program will begin promptly at 8:00am and continue until 3:00pm. floor of the Medical Services Building (#8 on the map below). You may park in the MSB parking lot and one of the CME team will validate your parking ticket if needed. All registrants will need to provide their member or non member ID# and address. Each attendee will be sent an evaluation link from mconnor@pami.org following the course. Once the evaluation has been completed, you will be prompted to enter your name (as you would like for it to appear on your certificate) and your address. Once this information has been submitted your certificate will be automatically sent to the address you provided. Attire Casual attire is appropriate throughout the conference. Website Information regarding this meeting can be found on our website at under Educational Events in Georgia. Parking The conference will be held in the Drew Lecture Hall which is located on the third Piedmont Athens Regional Medical Services Building, 242 King Avenue Directions to the hospital can be found on our website: 2 Background psd created by ydlabs -

3 FRIDAY, MAY 31, 2019 Georgia ACC, Cardiovascular Update 2019 Friday, May 31, 2019 Drew Lecture Hall, Medical Services Building 7:00am 8:00am 8:10am 8:55am 8:55am 9:40am 9:40am 10:25am 10:25am - 10:45am 10:45am 11:15am 11:15am 12:00pm 12:00pm 12:45pm Breakfast, Registration, Exhibits Opening Remarks Jeff Marshall, MD, FACC Governor GA ACC NE GA Health System Gainesville, GA Cardiac Amyloidosis Andrew Darlington, DO Piedmont Heart Institute Samsky Heart Atlanta, GA Cardiogenic Shock Tanveer Rab, MD, FACC Emory University Hospital Atlanta, GA Prevention of Heart Disease and Stroke in Women Gina Lundberg, MD Emory University Hospital Atlanta, GA Break and Exhibits Getting Adept in DAPT Paul Johnson, MD, FACC Piedmont Heart Institute What Every Provider Needs to Know About Preventive Cardiology Matthew Crim, MD, FACC Piedmont Heart Institute Lunch 3

4 12:45pm 1:30pm 1:30pm 2:15pm 2:15pm 3:00pm What Do Your ECHO Results Really Mean? Joseph Poole, MD Piedmont Heart Institute Vascular FAQ s Jonathan Woody, MD Updated Hypertension Guidelines Kofi Osei, MD Piedmont Athens Hospitalist Group Only sessions where education is occurring are eligible for CME credits. Breaks and meals without lectures are not eligible for CME credits. Official amount of credits will be determined by the CME Program. Speakers and Objectives 4 Jeff Marshall, MD, FACC Dr. Marshall received his medical degree from University of Florida. He completed his residency in Internal Medicine, and his fellowship in Cardiology and Angioplasty, at Medical College of Virginia. He is board certified in Internal Medicine, Cardiovascular Disease and Interventional Cardiology. Dr. Marshall is the Chairman of The Heart Center of Northeast Georgia Medical Center (NGMC). He led the creation of the angioplasty program at NGMC and a regional emergency heart attack response program called Northeast Georgia Regional STEMI System, which has received national recognition for its life-saving work. Dr. Marshall is former President of the Society for Cardiovascular Angiography and Interventions (SCAI), which recognized him as a Master Interventionalist (MSCAI) in He also previous served on the faculty at Emory University, where he was an associate professor of Medicine and Cardiology for 11 years, as well as the faculty at Medical College of Virginia. Andrew Darlington, DO Dr. Darlington earned his medical degree at the Philadelphia College of Osteopathic Medicine in Philadelphia. He completed his internship and residency in Internal Medicine at the University of Florida College of Medicine in Jacksonville, where he was the Chief Medical Resident. Following his residency, he completed a Cardiology fellowship at the University of Florida and served as the Chief Cardiovascular Fellow. Dr. Darlington completed his fellowship training in Advanced Heart Failure and Transplant Cardiology at Yale University. He is board certified in Internal Medicine, Cardiovascular Medicine, Echocardiology and Nuclear Cardiology. Dr. Darlington is a fellow of the American College of Cardiology and a member of the International Society of Heart and Lung Transplantation and Cardiomyopathy. He has a special interest in Congestive Heart Failure and Cardiomyopathy. In his spare time, Dr. Darlington enjoys all sports as well as traveling with his family.

5 Cardiac Amyloidosis Amyloidosis is a multisystem disease that is often misdiagnosed, with diagnosis previously occurring after death during the autopsy. However, recent advancement of technologies have increased the diagnosis of the disease. The prognosis depends on the extent of the protein deposits in the body and the type of amyloidosis. Providers will need to be aware of the testing available to differentiate the type and the treatment options that are available. Objectives: After participating in this activity, learners will be able to: 1) Explain the pathophysiology of amyloid disease and different phenotypes. 2) Describe the differences in AL amyloid and TTR amyloid- wild type or inherited. S. Tanveer Rab, MD, FACC Dr. Rab is an Interventional Cardiologist at Emory Hospital practicing at the Cardiac Catheterization Laboratory at Emory Hospital. He received his Medical degree in 1979 from the University of Karachi Pakistan Between 1983 and 1986 he completed residency training in Internal Medicine at the Henry Ford Hospital in Detroit, Michigan. He trained at Emory University between in Cardiology and Interventional Cardiology. Between , he developed an extensive system of satellite cardiology clinics in North Georgia. In 1998, he joined the Emory University faculty in Atlanta, where he is currently an Associate Professor in Interventional Cardiology and is extensively involved in the training and teaching of general cardiology and interventional cardiology fellows. He is Board Certified in Medicine, Cardiology and Interventional Cardiology and is a fellow of the American College of Cardiology and Society of Coronary Angiography and Interventions. Cardiogenic Shock Providers should be able to recognize the clinical symptoms associated with cardiogenic shock, utilize and apply appropriate pharmacologic and interventional therapies and manage such therapies. Objectives: After participating in this activity, learners will be able to: 1) Increase understanding of the pathophysiology of cardiogenic shock. 2) Increase understanding of the management principles and interventional therapies for cardiogenic shock. Gina Lundberg, MD Dr. Lundberg is the Clinical Director of the Emory Women s Heart Center and a Preventive Cardiologist with Emory Clinic in East Cobb. Dr. Lundberg is an Associate Professor of Medicine at Emory University School of Medicine. She is a National American Heart Association (AHA) spokesperson and has been a Board Member for Atlanta chapter from 2001 till Dr. Lundberg was the Honoree for American Heart Association s North Fulton/ Gwinnett County Heart Ball for In 2009 she was awarded the Women with Heart Award at the Go Red Luncheon for outstanding dedication to the program. She is also a Circle of Red founding member and Cor Vitae member for AHA. She has been interviewed on the subject of Heart Disease in Women in various media channels including CNN and in USA Today. Governor Sonny Perdue appointed Dr. Lundberg to the Advisory Board for the Department of Women s Health for the State of Georgia in 2007 till In 2005, Atlanta Woman Magazine awarded Dr. Lundberg the Top 10 Innovator Award for Medicine. In 2008 Atlanta Woman Magazine named her one of the Top 25 Professional Women to Watch and the only woman in the field of medicine. She attended the Medical College of Georgia and trained in Internal Medicine at Atlanta Medical Center (Georgia Baptist). Her cardiology fellowship was at Rush University in Chicago. She has been in practice in Atlanta since She is Board Certified in Cardiology and Internal Medicine and recertified in both in Prevention of Heart Disease and Stroke in Women Providers should be knowledgeable on optimal risk factor assessment and management of the female population. They should also be knowledgeable of the appropriate therapies that are available for disease prevention. Objectives: After participating in this activity, learners will be able to: 1) Learners will gain knowledge on optimal risk factor management for the female population. 2) Learners will gain knowledge on optimal pharmacological therapies for women in the prevention of heart disease and stroke. Paul Johnson, MD, FACC Dr. Johnson earned his medical degree from the Medical College of Georgia in He completed internship and residency at the University of North Carolina (UNC) Hospitals, where he also served as Chief Resident in Internal Medicine. He subsequently completed fellowship in cardiovascular disease and interventional cardiology at UNC Hospitals and North Carolina Heart and Vascular, in Raleigh, NC. Dr. Johnson was also named Chief Cardiology Fellow at while UNC. Dr. Johnson is board certified in Internal Medicine, Cardiovascular Disease, Echocardiography, Nuclear Cardiology, and is a Registered Physician in Vascular Ultrasound Interpretation (RPVI). He is a Fellow of the American College of Cardiology. Dr. Johnson specializes in the treatment of coronary artery disease, radial Getting Adept in DAPT Providers need to be aware of the current guideline recommendations for DAPT use after PCI for stable angina and acute coronary syndrome. Providers also need to recognize controversies regarding DAPT use, including duration of treatment and options for treatment in patients with an indication for oral anticoagulation. Objectives: After participating in this activity, learners will be able to: 1) Describe the available antiplatelet agents used after percutaneous coronary intervention. 2). Explain when prasugrel or ticagrelor should be used instead of clopidogrel. 5

6 Speakers and Objectives Matthew Crim, MD, FACC Dr. Crim is board certified in Cardiovascular Disease, Internal Medicine, Echocardiography, and Nuclear Cardiology. He is an Assistant Professor of Medicine with the Augusta University/University of Georgia Medical Partnership, a fellow of the American College of Cardiology, and a member of the American Heart Association. Dr Crim earned his medical degree from Johns Hopkins. He completed his residency in internal medicine at Johns Hopkins, and fellowship in cardiology at Emory. Dr. Crim is a cardiologist at the Piedmont Heart Insitute in Athens, GA. What Every Provider Needs to Know About Preventive Cardiology All providers should be knowledgeable about and educate patients regarding cardiovascular health risk factors to reduce atherosclerotic cardiovascular disease morbidity and mortality. Providers should also be knowledge of available risk calculators and testing options to refine risk prediction, and updated strategies to enhance cardiovascular health as offered by the AHA and ACC guidelines. Objectives: After participating in this activity, learners will be able to: 1) Describe the American Heart Association s Like Simple 7 factors for ideal cardiovascular health. 2) Discuss the role of coronary artery calcium scoring in coronary artery disease prevention. Joseph Poole, MD, FACC Dr. Poole earned his medical degree and a PhD in Vascular Biology from the Medical College of Georgia in He completed his Internal medicine residency and Cardiology fellowship at Emory University School of Medicine in He received his undergraduate degree from Duke University. Dr. Poole is board certified in Internal Medicine and Cardiovascular Diseases. He has additional certifications in Adult Echocardiography, Vascular Medicine and Nuclear Cardiology. He has a special interest in the effects of aging on the cardiovascular system and additional expertise in the field of Cardio-oncology. What Do Your ECHO Results Really Mean? Providers should be knowledgeable of what echocardiogram findings warrant the initiation of therapy or should warrant further investigation. Providers should also be knowledgeable of what therapies are available. Objectives: After participating in this activity, learners will be able to: 1) Explain the implications of reduced LV systolic function as an independent predictor of mortality. 2) More capably relay cardiovascular disease prevention measures to patients regarding incidental findings on an echocardiogram report. Jonathan Woody, MD Dr. Jonathan Woody is a vascular surgeon in Athens, Georgia and is affiliated with multiple hospitals in the area, including Piedmont Athens Regional Medical Center and St. Mary s Health Care System-Athens. He received his medical degree from Wake Forest School of Medicine and has been in practice for more than 20 years. He is one of 5 doctors at Piedmont Athens Regional Medical Center and one of 5 at St. Mary s Health Care System-Athens who specialize in Vascular Surgery. Vascular FAQ s Providers should be aware of the risk factors associated with PAD as 66% of patients affected do not have symptoms or have atypical symptoms. Providers should also be knowledgeable of findings that are associated with PAD on physical exam and what the appropriate confirmatory testing should be. Providers should be aware of the most recent guidelines associate with PAD. Objectives: After participating in this activity, learners will be able to: 1) Describe the management of Peripheral Arterial Disease. 2) Define a PAD emergency. Kofi Osei, MD Dr. Osei, MD is a practicing Internist in. Dr. Osei graduated from University of Ghana School of Medicine & Dentistry in 2009 and has been in practice for 9 years. He completed a residency at St Vincents Medical Center. Dr. Osei is in practice in. Updated Hypertension Guidelines Providers should be aware of updated ACC/AHA guidelines on the management of hypertension. The failure to recognize these developments and the appropriate timing and sequence of initiating therapies can lead to varied patient outcomes. Providers need to stay informed of pharmacologic advances and ACC/AHA recommendations for management of hypertension in the clinical setting. Objectives: After participating in this activity, learners will be able to: 1) Learners will gain knowledge on optimal risk factor management related to blood pressure as established by the most current guidelines. 2) Learners will gain knowledge of the appropriate pharmacologic therapies to treat hypertension based on the most current guideline. 6

7 Statement of Need: The practice of clinical cardiology is evolving rapidly. Managing the needs of the cardiovascular patient has become increasingly complex. Utilizing the guidelines for the management and treatment of the CV patient is prominent in maintaining the highest quality of patient care. Goal Statement: The goal of this event is to provide evidence-based, relevant information regarding the evaluation and treatment of cardiovascular disease in the clinical setting. Cardiovascular Team members will participate in didactic lectures as well as an interactive assessment workshop to enhance their scientific knowledge and clinical skills. Educational Design: CVT members will participate in didactic lectures as well as interactive workshops to enhance their scientific knowledge and assessment skills. Target Audience: The target audience for this course is Cardiologists, Nurses, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants and Pharmacists that are based in a hospital or private practice. Credit Statement: The Georgia Chapter of the American College of Cardiology is accredited by the Medical Association of Georgia to provide continuing medical education for physicians. The Georgia Chapter of the American College of Cardiology designates this live activity for a maximum of 5.75 AMA PRA Category 1 Credits TM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Program Director: Activity Program Director Kathi Davis, NP-CCCC Piedmont Healthcare Cardiovascular Nurse Practitioner 7

8 American College of Cardiology, GA Chapter 4850 Golden Parkway Suite B-418 Buford, GA Registration 2019 Cardiovascular Update Provided by the The Georgia Chapter of the American College of Cardiology May 31, 2019 Piedmont Athens Regional Medical Services Building Members: $75 Non-Members $95 To register for the 2019 Cardiovascular Update, please type this link into your browser: Please click the GA ACC Member option to get the discounted member rate. Georgia Chapter of the American College of Cardiology 4850 Golden Parkway, Suite B-418, Buford, Georgia Telephone: Fax:

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