FRIDAY DECEMBER 8, 2017

Transcription

1 FRIDAY DECEMBER 8, :20-9:05 Keynote Address - Genetics of Stroke: Getting Up Close and Personal Guillaume Paré MD, MSc, FRCPC Associate Professor, McMaster University Canada Research Chair in Genetic & Molecular Epidemiology Director, Genetic and Epidemiology Laboratory Understand principles of evidence-based pharmacogenetics Understand the latest developments in anti-platelet pharmacogenetics Understand the latest developments in anti-coagulant pharmacogenetics 9:10-10:55 Plenary 1 Heart Disease in Special Populations Heart Interventions in Older Patients - Filtering For Frailty Allen Huang MDCM, FRCPC, FACP Associate Professor, University of Ottawa Head, Division of Geriatric Medicine, University of Ottawa and the Ottawa Hospital Understand the construct of frailty in older people Perform a cognitive screening test Describe a framework for patient-centered decision-making Heart Disease and Pregnancy - The Top 3 Things You Need To Know Samuel Siu MD, SM, MBA, FRCPC Professor of Medicine, Western University Understand how cardiovascular changes of pregnancy affect women with heart disease Understand approaches to risk stratification of pregnant women with heart disease Understand management principles of pregnancy women with heart disease Heart Disease, Athletes and the Weekend Warrior Aaron Baggish MD Associate Director, Cardiovascular Performance Program Massachusetts General Hospital

2 To review the cardiac responses to exercise and athletic training Managing cardiac disease in athletic patients Assessing cardiac risk in non-professional athletes 11:20-12:50 F1-01: Acute Stroke and Early Management (concurrent workshop) Jennifer Mandzia MD, PhD, FRCPC Assistant Professor, Western University Neurologist, London Health Sciences Centre Co-Medical Director Southwest Ontario Stroke Network Review the medical management of the acute stroke patient (ischemic and hemorrhagic stroke) pertaining to thrombolytic, endovascular, and antithrombotic therapy. Review the medical management of the acute stroke patient (ischemic and hemorrhagic stroke) pertaining to blood pressure control and investigations. Discuss the role and benefit for stroke unit care and non medical interventions in acute stroke care. 11:20-12:50 F1-02: Spontaneous Intracerebral Hemorrhage (concurrent workshop) Ashkan Shoamanesh MD, FRCPC Assistant Professor of Medicine (Neurology) Marta and Owen Boris Chair in Stroke Research and Care, McMaster University Review epidemiology and underlying etiologies of spontaneous ICH Discuss acute management of ICH Review ICH preventative strategies 11:20-12:50 F1-03: Managing Diabetes in 2017 What to Add, When And Why? (concurrent workshop) Maria Wolfs MD, MHSc, FRCPC Assistant Professor, University of Toronto Endocrinologist, St. Michael's Hospital Identify patient factors that impact the addition of non insulin pharmacotherapy in Type 2 Diabetes. Discuss the glycemic and cardiovascular end point evidence among non insulin pharmacotherapies in Type 2 Diabetes. Apply evidence based diabetes management to individual patient care. 11:20-12:50 F1-04: An Update on Sleep Apnea (concurrent workshop) Douglas Bradley BA, MD

3 Senior Scientist, Toronto General Research Institute (TGRI) & Toronto Rehabilitation Institute (TRI) Research Division Head, Toronto Rehabilitation Institute (TRI) Explain the association between OSA and cardiovascular diseases Describe the cardiovascular effects of treating OSA Describe the different treatment modalities of OSA 11:20-12:50 F1-05: Athlete s Workshop (concurrent workshop) Aaron Baggish MD Associate Director, Cardiovascular Performance Program Massachusetts General Hospital To review the cardiac responses to exercise and athletic training Managing cardiac disease in athletic patients Exercise prescription in patients with heart disease Assessing cardiac risk in non-professional athletes 11:20-12:50 F1-06: Practical Management of NOACs (concurrent workshop) John Eikelboom MBBS, MSc Hematologist, Hamilton Health Sciences Associate Professor, Department of Medicine, McMaster University Select the right anticoagulant for the right patient Follow up NOAC treated patients Manage interruption of treatment and bleeding 14:00-15:30 F2-07: Driving and the Heart and Stroke Patient (concurrent workshop) Catherine Ballyk MD, FRCPC Medical Director, Stroke Unit, Brant Community Health Care System, Brantford, Ontario Elke Hilgendag OT Navigator, Stroke Unit, Brant Community Health System, Brantford, Ontario By the end of this session, participants will be equipped to Assess and screen for driving competency. Appreciate the importance of driving and community re-integration for our patients after stroke or cardiac event. Understand how physical, visuospatial and cognitive impairments post stroke can affect driving. Be aware of the physician's responsibilities and legal requirements with regards to driving after stroke.

4 14:00-15:30 F2-08: Cardiac Rhythm Devices: Pacemakers, ILR ICD, CRT: What's Out There and What Should I Know? (concurrent workshop) William McIntyre MD, FRCPC Clinical and Research Fellow, Cardiac Arrhythmia Population Health Research Institute, McMaster University Know what are the devices available now. Know what are the indications for these devices. Know what should I know and be aware of if my patient has a device. 14:00-15:30 F2-09: Indigenous Health and Cultural Safety (concurrent workshop) Darlene Kitty, MD, CCFP Director, Indigenous Program at Faculty of Medicine, University of Ottawa Indigenous Physicians Association of Canada Sheldon Tobe MD, MScCH (HPTE), FRCPC, FACP, FASH Hypertension and Nephrology HSF/NOSM Chair in Aboriginal and Rural Health Research Professor in Medicine, University of Toronto and Northern Ontario School of Medicine Apply basic principles of cultural safety, which will enable practitioners to engage in a positive dialog with patient and form a treatment plan. Identify the greater risk of heart disease and stroke than the general population as presented in the recent research and demographics highlighted during the workshop. Identify and consider health inequalities and social determinants of Indigenous peoples, so practitioners can better understand the community and individual needs before coming up with viable solutions for patients. 14:00-15:30 F2-10: Palliative Care for the Heart and Stroke Patient (concurrent workshop) Jeff Myers MD, MSEd, CCFP (PC) Associate Professor, University of Toronto Palliative Care Physician, Sinai Health System Outline an expanded and earlier role for palliative & supportive care of Heart & Stroke patients. Describe the roles for Heart & Stroke clinicians in palliative and supportive care provision. Explain what it means to integrate a palliative approach to care of the Heart & Stroke patient. 14:00-15:30 F2-11: The 3 Minute Neurological Exam Demystified (concurrent workshop) W.J. Oczkowski MD, FRCPC Professor and Head, Division of Neurology, McMaster University, Hamilton Health Sciences

5 After active participation in this workshop participants will be able to: Understand neurological signs. Use a standard neurological exam using the NIHSS as a backbone. Use the neurological exam in different patient presentations. 14:00-15:30 F2-12: Keeping Your Patient Out of the Hospital by Preventing A Second Stroke (concurrent workshop) Grant Stotts MD, FRCPC Assistant Professor, uottawa Brain and Mind Institute Medical Director, Champlain Regional Stroke Network After active participation in this workshop participants will be able to: Develop an approach for common social issues that arise for patients after a stroke. Incorporate discussion of the importance of activity and exercise with patients who have had TIAs or strokes. Understand the role of dual antiplatelet use in stroke prevention. Order the appropriate tests for screening of paroxysmal atrial fibrillation and carotid stenosis after a TIA or stroke. 15:55-17:40 Plenary 2 Stroke in Women Migraines and Stroke Christine Lay MD, FRCP, FAHS Associate Professor, Neurology, University of Toronto Director, Centre for Headache, Women's College Hospital Assess the risk of stroke in patients with migraine with and without aura. Describe the association of other risk factors for stroke in patients with migraine. Explain and manage patients with migraine and stroke, and migraine and risk factors for stroke. Hormone Replacement Therapy and Stroke Cheryl Jaigobin MD, MSc Division of Neurology, University Health Network Associate Professor, Department of Medicine, University of Toronto Explain the risk of stroke associated with use of HRT. Explain the evidence of stroke risk based on a summary of primary and secondary prevention studies. Manage the symptoms of menopause. Pregnancy and Stroke Rick Swartz MD, PhD Assistant professor, Neurology, Faculty of Medicine, University of Toronto Director, Sunnybrook Stroke Research Unit

6 Explain the risks of stroke during pregnancy and list the risk factors. Choose an approach to management of patients with risk factors for stroke during pregnancy. Choose an approach to management of patients with stroke or TIA during pregnancy. Choose an approach to management of patients with prior stroke during pregnancy. SATURDAY DECEMBER 9, :00-9:45 Plenary 3 Therapeutic Update New Trials and Controversies in Hypertension Eva Lonn MD, MSc, FRCPC Professor of Medicine, McMaster University Senior Scientist, Population Health Research Institute Provide an overview of recent large RCTs in Hypertension Management. Analyze the controversies in Hypertension Management. Provide an overview of new recommendations in the 2017 CHEP Guidelines. Optimizing Cholesterol Lowering Therapy in Patients with Statin Muscle Complaints Robert Rosenson MD, FACC, FACP, FAHA, FESC Cardiovascular Drugs and Therapy, Mount Sinai Medical Center, Mount Sinai School of Medicine Define statin associated muscle symptoms. Understand the potential cardiovascular risks associated with statin intolerance Learn the utility of a validated tool, statin muscle clinical index, for the accurate diagnosis of statin associated muscle symptoms. Learn to implement a structured approach to the detection and management of cholesterol lowering in patients with statin associated muscle symptoms. Diabetes Management in 2017: The Tides are Turning Catherine Yu MD, FRCPC, MHSc Staff, Division of Endocrinology & Metabolism, St. Michael's Hospital Associate Professor, Faculty of Medicine and Dalla Lana School of Public Health, University of Toronto Associate Scientist, Li Ka Shing Knowledge Institute of St. Michael's Hospital Individualize antihyperglycemic agent regimens to patient characteristics, with particular attention to the role of incretin and SGLT2i agents 10:10-11:40 S3-13: Lipids: Looking Forward to 2018 (concurrent workshop)

7 Robert Hegele MD, FRCPC, FACP, FAHA, FCAHS, FCCS Jacob J. Wolfe Distinguished Medical Research Chair in Human Gene Function Martha G. Blackburn Chair in Cardiovascular Research Director, London Regional Genomics Centre Scientist, Robarts Research Institute Distinguished University Professor, Western University Consider implications of new practice guidelines. Review recent clinical trials and their impact. Discuss strategies for managing commonly encountered lipid problems and medication side effects. 10:10-11:40 S3-14: Managing Atrial Fibrillation: Beyond Anticoagulation (concurrent workshop) Peter Leong-Sit MD, MSc, FRCPC, FHRS Associate Professor, Western University Cardiologist, London Heart Rhythm Program Compare management strategies for atrial fibrillation. Identify good candidates for rhythm control or ablation for atrial fibrillation. Provide an overview of atrial fibrillation ablation principles. Provide an overview of invasive options for stroke prevention. 10:10-11:40 S3-15: Addressing Challenges in Heart Failure Management (concurrent workshop) Stuart J. Smith MD, FRCPC Associate Professor, Western University Director, Heart Failure Service London Health Sciences Centre and St. Joseph Hospital Maureen Leyser RNEC, BScN, MN London Health Sciences Centre, University Hospital Inpatient Cardiology, Heart Failure and LVAD Clinics Understand the classifications of heart failure, epidemiology, treatment and prognosis. Identify factors that lead to recurrent hospital admissions and poor outcomes. Consider strategies to maximize good outcomes with the goals of improving quality of life, decreasing hospitalization and possibly affecting prognosis. Review common patient management problems and possible solutions. Introduce participants to new topics in heart failure that are relevant to the general physician. 10:10-11:40 S3-16: A Case-Based Approach to ECGs (concurrent workshop)

8 Lorne Gula MD, FRCPC Professor, Western University Cardiologist, Heart Rhythm Specialist Director, Electrophysiology Laboratory, London, Ontario Damian Redfearn MB, ChB, MRCPI, FRCPC Director of Heart Rhythm Service, Kingston General Hospital After active participation in the workshop participants will be able to diagnose the following conditions on ECG and review principles of clinical management: Bradycardia, conduction abnormalities, and tachycardia. Myocardial ischemia, acute and previous myocardial infarction. Other systemic disorders with ECG manifestations. 10:10-11:40 S3-17: Management of Patients with TIA (concurrent workshop) Cheryl Jaigobin MD, FRCPC, MSc Division of Neurology, University Health Network Associate Professor, Department of Medicine, University of Toronto Differentiate between TIA and TIA mimics. Identify the mechanisms that underlie TIA. Explain the timeliness of required workup and management of TIA patients in an interdisciplinary setting. Explain the management of patients with TIA (antiplatelet, anticoagulation, revascularization). 10:10-11:40 S3-18: Interpretation and Common Pitfalls of Neurovascular Imaging (concurrent workshop) Kanjana Perera MD, FRCPC Assistant Professor, McMaster University Stroke Neurologist, Hamilton Health Sciences After active participation in the workshop, participants will be able to: Know the basics of CT and MRI, and their differences and indications for use. To know common conundrums elicited by imaging of cerebrovascular disease. To part with practical knowledge of neurovascular imaging. 11:40-13:10 Closing Lunch & Learn - Digital Health and Patient Self-Care of Chronic Illness Joseph Cafazzo PhD, PEng Executive Director, Biomedical Engineering, UHN Lead, Centre for Global ehealth Innovation Senior Director, Healthcare Human Factors Associate Professor, Faculty of Medicine, University of Toronto

9 Apply e-health approaches that facilitate efficient, timely interaction with heart failure patients. Describe how added e-health technology in the home can optimize patient monitoring. Determine the situations where more complex e-health platforms are indicated. (647) To ensure you are notified moving forward please with the subject line CU