keepthebeatconference 2014

Texas Children s Hospital keepthebeatconference 2014 Thursday, May 1 Saturday, May 3, 2014 Presented by Texas Children s Hospital and Baylor College of Medicine Texas Children s Pavilion for Women 4th Floor Conference Center n 6621 Fannin St. n Houston, TX 77030 This year s program includes two exciting tracks! Inpatient cardiology Track View program and register online at BaylorCME.org/CME/1489-MI outpatient cardiology Track View program and register online at BaylorCME.org/CME/1489-MO Heart Murmur Workshop May 3 View page 8 for more information. Co-sponsored by Texas Children s Hospital and Baylor College of Medicine

Planning Committee Director, Community and Program Development, Texas Children s Hospital, Baylor College of Medicine William B. Kyle, MD Pediatric Cardiologist, Texas Children s Hospital, Baylor College of Medicine Priscila P. Reid, RN, FNP-C, PNP-AC Nurse Practitioner, Texas Children s Hospital Instructor of Pediatrics, Baylor College of Medicine guest faculty University of California - San Diego Ganga Krishnamurthy, MD Columbia University Chitra Ravishankar, MD University of Pennsylvania Marah N. Short Senior Staff Researcher James A. Baker, III Institute for Public Policy Rice University baylor college of medicine activity faculty Steven A. Abrams, MD Hugh D. Allen, MD Carolyn A. Altman, MD Dean B. Andropoulos, MD Patricia Bastero, MD Kenneth M. Brady, MD Ronald A. Bronicki, MD Antonio G. Cabrera, MD Paul Checchia, MD Caridad M. De La Uz, MD Susan W. Denfield, MD Heather A. Dickerson, MD W. Jeffrey Dreyer, MD Charles D. Fraser, Jr, MD Professor of Surgery Pamela S. Griffiths, MD Jeffrey S. Heinle, MD Associate Professor of Surgery Aamir Jeewa, MD Joshua A. Kailin, MD Jeffrey J. Kim, MD William B. Kyle, MD Wilson W. Lam, MD Cardiology Fellow Regina L. Lantin-Hermoso, MD Emily J. Lawrence, DO Aimee Liou, MD Keila N. Lopez, MD E. Dean McKenzie, MD Associate Professor of Surgery Allison E. Mahlstedt, PA-C Instructor of Pediatrics Shiraz A. Maskatia, MD Carlos M. Mery, MD Assistant Professor of Surgery Christina Y. Miyake, MD Antonio R. Mott, MD Mary C. Niu, MD Cory V. Noel, MD Elena C. Ocampo, MD Dhaval R. Parekh, MD Jack F. Price, MD Athar M. Qureshi, MD S. Chandra-Bose Reddy, MD Thomas J. Seery, MD Kristen Sexton-Tejtel, MD, PhD, MPH Santiago O. Valdes, MD Steven B. Wolfe, MD

Needs statement As care for children with cardiac conditions becomes increasingly complex, it is essential for providers (general pediatricians, advanced practice providers and pediatric cardiology subspecialists) to stay abreast of current information to supplement their current understanding. Failure to correctly identify and treat patients with congenital heart disease can have serious consequences. Further, evaluating patients who may have congenital heart disease is a source of anxiety for many practitioners. Participants in this activity will learn practical lessons in managing congenital heart disease patients from a group of experts in the field. Educational Methods Lectures n Case Presentations n Question and Answer Sessions Evaluation Evaluation by questionnaire will address program content, presentation, and possible bias. Accreditation/Credit Designation Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Baylor College of Medicine designates this live activity for a maximum of 12.75 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Each track is approved for 12.75 AMA PRA Category 1 Credits. inpatient cardiology track Target Audience Pediatric cardiologists, neonatologists, intensivists, pediatric cardiology fellows, advanced practice providers, registered nurses and others interested in the inpatient management of children with congenital heart disease and heart failure. Objectives At the conclusion of the program, participants should be able to: Screen pediatric patients who have had cardiac surgery for developmental delays and refer for further evaluation and treatment. Recognize the patient presenting with Proteinlosing enteropathy and manage appropriately. Recognize subtle changes in infants with Hypoplastic Left Heart Syndrome who have undergone the Norwood procedure that suggest the need to transfer the patient to a higher level of care. Recognize signs and symptoms in the pediatric cardiac transplant patient that may indicate more serious health concerns and treat appropriately. Recognize signs and symptoms of low cardiac output and manage appropriately. Faculty, topics, program schedule, and credit are subject to change. Audio or videotaping is prohibited without written permission from the Activity Director and the OCME, Baylor College of Medicine, Houston, Texas. outpatient cardiology track Target Audience Community pediatricians, pediatric hospitalists and emergency room personnel, pediatric residents, advanced practice providers and registered nurses who care for children. Objectives At the conclusion of the program, participants should be able to: Based on established best-evidence criteria, identify which patients with diagnosed or suspected heart defects/disease should be referred to a pediatric cardiologist for further evaluation and treatment. Identify crucial red flags in a patient presenting with chest pain, dizziness/lightheadedness, syncope, or palpitations and determine which patients should be referred to a specialist for further examination. Differentiate benign chest pain from more serious causes of chest pain (e.g. cardiac conditions) and select the appropriate tests to help establish a diagnosis. Recognize historical (particularly patient and family cardiovascular history) and physical examination findings that suggest a child may be at risk for sudden death by participating in sports. Apply guidelines of the American Heart Association and the American Academy of Pediatrics to detect, manage, and treat atypical Kawasaki disease patients. Identify techniques to detect and intervene upon neurodevelopmental deficits in children with congenital heart disease.

Pediatric Cardiology: Yesterday, Today and Tomorrow thursday, May 1, 2014 4:30 pm Reception and Registration 5:30 Welcome William B. Kyle, MD Priscila P. Reid, RN, FNP-C, PNP-AC 5:45 How Far Have We Come? Charles D. Fraser, Jr, MD 6:00 pm Neonatal Cardiovascular Care: Impact on Outcomes Ganga Krishnamurthy, MD 7:00 Speaking to Children and Families About Chronic Disease Allison E. Mahlstedt, PA-C 7:30 Kawasaki Disease: Where Do We Stand in 2014? 7:45 Adjourn Inpatient cardiology Track n friday, May 2, 2014 7:00 am Breakfast THE NEONATAL HEART 8:00 The Big Switch: The Fetal to Neonatal Circulatory Transition Pamela S. Griffiths, MD 8:15 Critical Heart Disease in the Neonate: How and Where to Care Best? Ganga Krishnamurthy, MD 8:45 Hearts and Minds: What Are the Neurocognitive Outcomes in Congenital Heart Defects? Dean B. Andropoulos, MD 9:05 Risky Business: Can We Feed the Neonate with Left Side Obstructive Lesions? Heather A. Dickerson, MD 9:25 Calorie Counting: An Approach to Nutritional Assessment in the Term and Preterm Infant Steven A. Abrams, MD 9:50 Question and Answer Session 10:00 Break THE STAGE I SINGLE VENTRICLE 10:15 The Act of Balancing QP: QS Before and After the Norwood Antonio R. Mott, MD 10:35 Norwood Procedure for Hypoplastic Left Heart Syndrome: Blalock-Taussig Shunt vs. Right Ventricle-Pulmonary Artery Conduit E. Dean McKenzie, MD 10:55 The Role of Near-infrared Spectroscopy Monitoring in Contemporary Cardiac Care Kenneth M. Brady, MD 11:15 Red Flags: Preventing Interstage Mortality in Norwood Infants 11:35 The Impact of a Single Ventricle Home Monitoring Program: Pearls of a Dedicated Program Elena C. Ocampo, MD 11:55 Case Study: Stage I Palliation 12:10 pm Lunch THE FONTAN PALLIATION 1:00 pm Physiology and Limitations of the Fontan Circulation Regina L. Lantin-Hermoso, MD 1:20 The Post-Op Fontan Has Arrived: Acute Evaluation and Management Patricia Bastero, MD 1:40 The Failing Fontan: Evaluation and Management in an Acute Setting Chitra Ravishankar, MD 2:00 Protein-Losing Enteropathy and Other Consequences of the Fontan Circulation Antonio R. Mott, MD 2:20 Is There a Role for ACE Inhibitors and Pulmonary Vasodilators? Dhaval R. Parekh, MD 2:40 Question and Answer Session 2:55 Break INPATIENT ELECTROPHYSIOLOGY 3:15 Assessing the Rhythm: What is THAT? Mary C. Niu, MD 3:30 The Stable Arrhythmia: Evaluation and Management Caridad M. De La Uz, MD 3:45 To Shock or Not to Shock: Evaluation and Management of the Unstable Rhythm Jeffery J. Kim, MD 4:00 Long QT: Assessment in the Peri-Operative and Post-Operative Period Christina Y. Miyake, MD 4:15 Pacing: Understanding the Basics of Pacemaker Settings Santiago O. Valdes, MD 4:30 Question and Answer Session 4:40 ADJOURN

Inpatient cardiology Track n saturday, May 3, 2014 7:00 am Breakfast HEMODYNAMIC INSTABILITY 8:00 Evaluation and Management of Low Cardiac Output in the Preterm and Term Neonate Ganga Krishnamurthy, MD 8:20 Clinical Manifestations of Respiratory Distress: Is it the Heart or the Lungs? Chitra Ravishankar, MD 8:40 Fluid Resuscitation: What Kind, How Much, and Why Paul Checchia, MD 9:00 Vasoactive Agents: How to Use Them Wisely Ronald A. Bronicki, MD 9:20 Question and Answer Session 9:30 Break THE FAILING HEART 9:45 am Evaluation and Management of Marginally Compensated Heart Failure Antonio G. Cabrera, MD 10:05 Clinical Manifestations of Impending Decompensated Heart Failure Jack F. Price, MD 10:25 Care of a Ventricular Assist Device Patient on an Inpatient Unit Aamir Jeewa, MD 10:45 Is Transplant the Next Step? When to Transfer to a Transplant Center W. Jeffrey Dreyer, MD 11:05 Noncardiac Issues that Impact the Transplant Patient Susan W. Denfield, MD 11:25 Question and Answer Session 11:40 ADJOURN outpatient cardiology Track n friday, May 2, 2014 7:00 am Breakfast ALL IN THE FAMILY 8:00 Chromosomes, Genes, and Congenital Heart Defect for the Office and the Boards Steven B. Wolfe, MD 8:30 Hearts and Inheritance: When to Screen Family Members Cory V. Noel, MD 8:55 The Psychosocial Impact of Congenital Heart Defects on Patients and Their Loved Ones Emily J. Lawrence, DO 9:20 A New Addition: Cardiac Concerns in the Newborn and Young Infant Joshua A. Kailin, MD 9:50 Question and Answer Session 10:00 Break THE HEART OF THE MATTER: COMMON CARDIAC CONCERNS IN THE PEDIATRIC PRACTICE 10:15 Murmurs and More Carolyn A. Altman, MD 10:55 Slow, Speedy, and Skipping Hearts: A Practical Approach to Arrhythmias Wilson W. Lam, MD 11:15 Chest Pain in Children: When to Worry, When to Reassure Hugh D. Allen, MD 11:35 The Essentials of Pediatric Syncope and Presyncope Caridad M. De La Uz, MD 12:00 Question and Answer Session 12:10 pm Lunch OUTSIDE THE BOX 1:00 pm The Rollout: An Update on the Affordable Care Act Marah N. Short 1:25 The Latest Evidence on ADHD and the Heart Christina Y. Miyake, MD 1:50 Before the Game: Keys to the Preparticipation Sports History and Physical 2:15 Fever That Just Won t Quit: An Overview of Endocarditis and Rheumatic Fever 2:45 Question and Answer Session 2:55 Break THE BIG FIX 3:15 Behind the Drape: Answering Parents Questions About the Cardiac OR Carlos M. Mery, MD 3:35 Outcomes in Pediatric Heart Surgery Today Jeffrey S. Heinle, MD 3:50 Innovation: An Introduction to Problems That Can Be Treated in the Cath Lab Athar M. Qureshi, MD 4:10 Hearts and Minds: Relationships Between Congenital Heart Defects and Neurodevelopment William B. Kyle, MD 4:30 Question and Answer Session 4:40 ADJOURN

outpatient cardiology Track n saturday, May 3, 2014 7:00 am Breakfast KEEPING THE BEAT 8:00 Kawasaki Disease: More Than Just Making the Diagnosis 8:20 Sorting Out Shunts: A Case-Based Approach to Atrial Septal Defects, Ventricular Septal Defects, Patent Ductus Arteriosus and More Shiraz A. Maskatia, MD 8:40 ECG Basics: Do I Need to Refer? S. Chandra-Bose Reddy, MD 9:00 CPR: What Every PCP Should Know Thomas J. Seery, MD 9:20 Question and Answer Session 9:30 Break HEALTHY HEARTS 9:45 am Kids and Cholesterol Kristen Sexton-Tejtel, MD, PhD, MPH 10:10 Hypertension in the Young Wilson W. Lam, MD 10:30 More Than Murmurs: The Rest of the Cardiac Exam Aimee Liou, MD 10:55 Obesity and Congenital Heart Defects: The Latest and The Greatest Keila N. Lopez, MD 11:10 Not Just Another Virus: Myocarditis and Other Cardiac Concerns 11:30 Question and Answer Session 11:40 ADJOURN Heart Murmur Workshop saturday, May 3, 2014 n 12:00-1:00 pm This interactive activity will bring together a group of patients with benign and pathologic murmurs for practitioners to examine under the guidance of pediatric cardiology subspecialists. Participants will be divided into smaller groups. Time will be spent examining the patients, explaining the findings, and answering participant questions. This workshop is not designated and/or eligible for CME credit. An additional fee is required to participate. See registration panel on page 8 for more information.

disclosure policy In order to meet the requirements of the Accreditation Council for Continuing Medical Education it is the policy of Baylor College of Medicine that all individuals who are in a position to control the content of a CME activity (activity director, planning committee members, and faculty) disclose relevant financial relationships with commercial interests. All identified conflicts of interest are managed to help ensure that the educational material is scientifically based, accurate, and objectively presented. Specific disclosure will be made to the participants prior to the educational activity. Fee, Registration and Confirmation Information Refer to the registration form for the fee schedule. Your registration will not be processed until payment is received. Your registration will be confirmed. If you have not received confirmation at least 5 business days before the activity start date, contact the Office of Continuing Medical Education (OCME) immediately. If you plan to register on-site, contact OCME at least 24 hours in advance to confirm activity status and space availability. The OCME reserves the right to limit the number of participants in an activity and will not be responsible for any expenses incurred by an individual whose registration is not confirmed and for whom space is not available. To register/pay online for the Inpatient Cardiology Track, visit the website at BaylorCME.org/CME/1489-MI and follow the instructions. To register/pay online for the Outpatient Cardiology Track, visit the website at BaylorCME.org/CME/1489-MO and follow the instructions. Cancellation/Refund Policy Requests for registration refunds must be in writing and received by the OCME at least 10 business days before the activity begins. The date the request is received by the OCME will be considered the cancellation date. Requests received after the refund deadline will not be processed. Cancellations are subject to a $50 administrative fee deducted from the registration fee paid to cover guarantees and other expenses. Requests should be mailed to the OCME or faxed to 713.798.7955. The OCME reserves the right to cancel activities, not less than 10 business days before the scheduled date, if extenuating circumstances make it necessary. Registrants will be notified at the contact number indicated on the registration form followed by written notification. If an activity is cancelled, OCME s liability is limited to the registration fee paid. Note: If payment is made by check, a social security number is required to process the refund. conference location Texas Children s Pavilion for Women n 4th Floor Conference Center n 6621 Fannin St. n Houston, TX 77030 accommodations A limited number of rooms have been reserved at the Houston Marriott at the Texas Medical Center. Accommodations may be made with Marriott reservations at 1.800.228.9290. Please identify yourself with Baylor College of Medicine Keep the Beat conference to receive the special group rate ($159 single/double). The deadline to receive the special rate is Thursday, April 10, 2014, unless the room block has already been filled. RESERVE YOUR ROOM EARLY. For more Information Baylor College of Medicine n Office of Continuing Medical Education One Baylor Plaza, MS: BCM 155 n Houston, TX 77030 Phone: 713.798.8237 n Fax: 713.798.7955 n cme@bcm.edu attire Attire for the conference is business casual. Since meeting room temperatures and personal comfort levels vary, it is recommended that you bring a sweater or light jacket to the educational activities.

keepthebeatconference 2014 Thursday, May 1 Saturday, May 3, 2014 Texas Children s Pavilion for Women 4th Floor Conference Center 6621 Fannin Street Houston, TX 77030 (Please print clearly) Name: Degree: Affiliation: Address: First MI Last Please check if: Resident Fellow City: State: Zip: Phone: Fax: Email: Specialty: Prof. License: Emergency Contact: Phone: No./State There are two concurrent sessions from which to choose. Please register for either the Inpatient Track or the Outpatient Track. I am registering for the Inpatient Cardiology Track (You may also register online at: BaylorCME.org/CME/1489-MI) I am registering for the Outpatient Cardiology Track (You may also register online at: BaylorCME.org/CME/1489-MO) Heart Murmur Workshop (May 3, 2014) Yes, I will attend the Heart Murmur Workshop* An additional $100 fee required for registration. *Not designated and/or eligible for CME credit. Concurrent Sessions Registration Fees (Heart Murmur Workshop not included.) Physician $295 Advanced Practice Provider $245 Nurse $195 Resident* $50 Fellow* $50 *Fax verification of status within 24 hours of registration. Method of Payment (Your registration must be PREPAID) Check or money order (in U.S. funds) made payable to: Baylor College of Medicine Visa MasterCard Discover AMEX $ Total amount enclosed Card No. Exp. Date: Name on the Card: Authorized Signature: If registering by U.S. mail, please return completed form and payment to: Baylor College of Medicine Office of CME (1489) P.O. Box 4708 Houston, TX 77210-4708 If paying by credit card, you may fax completed registration form to 713.798.7955. Special Requests Contact BCM OCME if you have any dietary needs (specify below) or any ADA accommodation needs. FOR OFFICIAL USE ONLY CK CC LB Cash Date: Amount: