ECHOCARDIOGRAPHY. May 5-7, in the Nation s Capital. Hyatt Regency Washington on Capitol Hill Washington, DC

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ECHOCARDIOGRAPHY in the Nation s Capital May 5-7, 2005 Hyatt Regency Washington on Capitol Hill Washington, DC Program Directors Fletcher A. Miller, Jr., M.D., F.A.C.C., F.A.S.E. Barry L. Karon, M.D., F.A.C.C., F.A.S.E. Co-sponsored by:

General Information Course Description Echocardiography in the Nation s Capital is designed to provide a practical review of the current uses and limitations of two-dimensional echocardiography, Doppler and color flow imaging in the assessment of adult myocardial, ischemic, pericardial and valvular disease. Recent advances in the field of echocardiography including the assessment of systolic and diastolic function, quantitative Doppler, and stress echocardiography will be presented. The lectures will be illustrated with clinical case examples in echocardiography including an audience response system. Time has also been allowed for registrants to ask questions as well as interact closely with the course faculty. All participants will have the opportunity to attend breakout sessions on Thursday and Friday. The additional hemodynamic breakout sessions will be conducted to allow participants the opportunity to apply the principles they are learning. The breakout sessions have been designed to meet the special needs of all participants with Focus For Physicians and Focus For Sonographers. Participants will receive a comprehensive syllabus and hemodynamic guide for their future reference. Attendees are encouraged to bring their own calculators to maximize participation in the hemodynamic workshops. Course Objectives As a result of participating in this program, attendees will be able to: Correlate the pathology and etiology of valvular heart disease Apply Doppler principles and hemodynamics to the assessment of valvular heart disease and the systematic assessment of prosthetic valves Develop an integrated approach to the assessment of valvular stenosis and valvular regurgitation Demonstrate current two-dimensional and Doppler methods to assess left ventricular systolic function Utilize the proper technique for the assessment and clinical application of diastolic function of the heart Identify diastolic filling patterns found in various cardiac disorders Recognize pathology and echocardiographic findings of myocardial infarction and mechanical complications Discuss clinical applications of stress echocardiography Identify the two-dimensional and Doppler findings for pericardial disease Appreciate the potential of new technology in the field of echocardiography Who Should Attend This course in designed for either physicians or sonographers who perform and interpret echo exams and wish to enhance their knowledge of the echocardiographic assessment of adult cardiac disease. Participants with a basic knowledge of echocardiographic techniques and applications will benefit most from this program. Credit The American Society of Echocardiography is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The American Society of Echocardiography designates this educational activity for a maximum of 18.25 category 1 credits toward the AMA Physician's Recognition Award. Each physician should claim only the credits that he/she actually spent in the activity. The American Society of Echocardiography adheres to ACCME Standards regarding industry support of continuing medical education. Disclosure of faculty and commercial support sponsor relationships, if any, will be made known at the symposium.

Date and Location Echo in the Nation s Capital will be held May 5-7, 2005. The program will be held at the Hyatt Regency Washington on Capitol Hill. Registration To register, complete the attached registration form and return by mail or fax. The registration fee includes tuition, comprehensive course syllabus, continental breakfasts, break refreshments, lunch and reception. A letter of confirmation will be sent upon receipt of payment and completed registration form. Please present the confirmation letter when checking in at the meeting registration desk. Cancellation Policy Your registration fee, less a $50 administrative fee, will be refunded when written notification is received before April 15, 2005. No refunds will be made after April 15, 2005. Lodging Accommodations A block of guestrooms have been reserved with special rates at the Hyatt Regency Washington on Capitol Hill. Hyatt Regency Washington on Capitol Hill 400 New Jersey Avenue NW Single Occupancy: $164 Washington, D.C. 20001 Double Occupancy: $189 To ensure accommodations and the discounted rate please make your reservations by April 5, 2005, and identify yourself as a participant of the Echo in the Nation s Capital course. Reservations may be made by calling (800) 492-8823 or (800) 233-1234 or through the web-site at www.washingtonregency.hyatt.com. Please note, room block may be sold out prior to April 5, 2005. Faculty Program Co-Directors Fletcher A. Miller, Jr., M.D., F.A.C.C., FASE Consultant, Cardiovascular Diseases and Internal Medicine Director, Echocardiography Laboratory Professor of Medicine, Program Director, MSHS DMS Echocardiography Program Assistant Professor of Medicine, Barry L. Karon, M.D., F.A.C.C., FASE Consultant, Cardiovascular Diseases and Internal Medicine Assistant Professor of Medicine, Program Faculty Consultant, Laboratory Medicine and Pathology Professor of Medicine, Mayo Clinic College of Pathology Robert B. McCully, M.D., F.A.C.C. Consultant, Cardiovascular Diseases and Internal Medicine Associate Professor of Medicine, Bruce K. Daniels, B.S., R.D.C.S., FASE Cardiac Sonographer Instructor of Medicine, Mary (Libby) Hagen, A.A., R.N., R.D.C.S. Lead Research Sonographer

Course Schedule Thursday, May 5, 2005 7:15 a.m. Registration Continental Breakfast 8:00 a.m. Welcome and Course Overview Course Directors 8:10 a.m. Orientation to the Audience Response System Focus on Valvular Heart Disease 8:20 a.m. Doppler Hemodynamic Assessment: Principles, Formulae, and Calculations Bruce K. Daniels, B.S., R.D.C.S., FASE 8:45 a.m. Pathology of Aortic and Mitral Stenosis 9:10 a.m. Aortic and Mitral Stenosis: 2-D/Doppler Assessment and Quantitation of Severity 9:40 a.m. Pathology of Right Heart Valves 10:05 a.m. Echocardiographic Assessment of Tricuspid and Pulmonic Disease: Right Heart Pressures and Right Ventricular Function (RIMP) 10:30 a.m. Refreshment Break Visit Exhibits 11:00 a.m. Breakout Session Focus For Physicians Introduction to TEE Hemodynamic Cases in Valvular Stenosis Low output AS Stress testing for MS Question and Answer Focus For Sonographers Multiple Windows for Aortic Stenosis Demonstration: MultipleWindows Hemodynamic Cases in Valvular Stenosis How to assess low output AS Stress testing for MS Question and Answer 12:15 p.m. Lunch 12:30 p.m. Box Lunch Case Review Session: Valvular Heart Disease Fletcher A. Miller, Jr., M.D., FASE 1:30 p.m. Pathology of Aortic and Mitral Regurgitation and Endocarditis 2:00 p.m. Mitral Regurgitation: Echocardiographic Assessment by 2-D and Doppler Libby Hagen, R.N., R.D.C.S. 2:25 p.m. Aortic Regurgitation: Echocardiographic Assessment by 2-D and Doppler Robert B. McCully, M.D. 2:50 p.m. Quantitative Assessment of Valvular Regurgitation Dr. Fletcher A. Miller, Jr., M.D., FASE 3:15 p.m. Refreshment Break Visit Exhibits

3:45 p.m. Breakout Session Focus For Physicians Assessment of Prosthetic Valves and Endocarditis Hemodynamic Cases in Valvular Regurgitation When to quantitate MR/AR Pitfalls to watch for Question and Answer Focus For Sonographers Echo Assessment of Prosthetic Valves and Endocarditis Technical Tips for PISA Hemodynamic Cases in Valvular Regurgitation PISA MR PISA AR Question and Answer 5:00 5:30 p.m. Welcome Reception Special Evening Session (Select one session) 5:30 p.m. A B Quality Assurance: Cases From Mayo Clinic Echocardiography Laboratory The Physics of Echocardiography: Artifacts, Doppler and More! Bruce Daniels, B.S., R.D.C.S., FASE 6:30 p.m. Adjournment Friday, May 6, 2005 7:00 a.m. Continental Breakfast Visit Exhibits 7:15 a.m. Early Bird Case Review Session: Myocardial Disease Focus on Myocardial Disease 8:00 a.m. Assessment of Left Ventricular Systolic Function: 2-D and Doppler Parameters (Ejection Fraction, LV Volumes, Cardiac Output, LIMP) Libby Hagen, A.A., R.N., R.D.C.S. 8:25 a.m. Echocardiographic Assessment of Diastolic Function: Basic Concepts, Practical Hints and Clinical Application Fletcher A. Miller, Jr., M.D., FASE 8:55 a.m. Dilated Cardiomyopathy and Cardiac Transplant: 2-D and Doppler Assessment of Systolic and Diastolic Function Bruce K. Daniels, B.S., R.D.C.S., FASE 9:20 a.m. Hypertrophic Cardiomyopathy: 2-D and Doppler Assessment of Systolic and Diastolic Function Robert B. McCully, M.D. 9:45 a.m. Questions and Answers 10:00 a.m. Refreshment Break Visit Exhibit 10:30 a.m. Restrictive Cardiomyopathy: 2-D and Doppler Assessment 10:55 a.m. Coronary Artery Anatomy and Myocardial Infarction Including Mechanical Complications of MI 11:20 a.m. Echocardiographic Assessment of Myocardial Infarction and Related Mechanical Complications 11:45 a.m. Lunch Box Lunch

Special Luncheon Panel Discussion 12:00 noon Safety for the Echo Lab: Prevention of Work-Related Musculoskeletal Disorders in Cardiac Sonographers Fletcher A. Miller, Jr., M.D., FASE and Janel M. Mays, R.N., R.D.C.S. 12:30 p.m. Breakout Session Focus on Physicians Focus on Sonographers Biventricular Pacing in Technical Tips for Diastolic Function Heart Failure Stress Echo Case Reviews Stress Echo Cardiography Hemodynamic Cases in Hemodynamic Cases in Diastolic Function Diastolic Function Grade I Grade I Grade II Grade II Grade III-IV Grade III-IV Question and Answer Question and Answer 2:00 p.m.. Adjournment 2:30 Optional Afternoon Special Session 4:30 p.m. ICAEL Lab Accreditation Tutorial Presenter: Cassie Robbins, R.D.C.S., ICAEL Technical Manager Saturday, May 7, 2005 7:15 a.m. Continental Breakfast Visit Exhibits 7:30 a.m. Early Bird Case Review Session: Stress Echocardioraphy Robert B. McCully, M.D. Focus on Special Topics 8:00 a.m. Left Atrial Volumes: Technical Tips and Expanding Clinical Practice Bruce K. Daniels, B.S., R.D.C.S., FASE and 8:25 a.m. New Technology: Strain and Strain Rate Imaging Libby Hagen, A.A., R.N., R.D.C.S. and Fletcher A. Miller, Jr., M.D. 8:55 a.m. Cardiac Tamponade and Constriction: Echocardiographic Assessment by 2-D and Doppler 9:20 a.m. Echo Guided Pericardiocentesis Robert B. McCully, M.D. 9:35 a.m. Potpourri of Cardiac Masses: Echo and Pathology Correlation Fletcher A. Miller, Jr., M.D., FASE and 10:05 a.m. Questions and Answers 10:20 a.m. Refreshment Break 10:50 a.m. Echocardiography in Aortic Diseases 11:15 a.m. Atrial Septal Defects: Assessment by TTE, TEE and Intracardiac Echo (ICE) Fletcher A. Miller, Jr., M.D., FASE 11:45 a.m. Closing Remarks and Return Course Evaluation 12:00 p.m. Adjourn

Registration Form ECHOCARDIOGRAPHY in the Nation s Capital May 5 7, 2005 Fax or Mail form and payment to: Mayo Clinic (ATTN: Deborah Feils) 200 1st Street SW; GO-6-138 Rochester, MN 55905 Telephone: 507-266-0677 Fax: 507-538-0146 E-mail: cvcme@mayo.edu Please print or type all information. Duplicate this form for multiple registrations. Name M.D. [ ] D.O. [ ] R.D.C.S. [ ] R.C.S.[ ] Other [ ] Institution Home Work Address City State Zip Telephone ( ) FAX ( ) E-mail []Check box if you have special accommodation needs. If so, please indicate your needs here: Special dietary needs: [ ] Kosher [ ] Vegetarian Evening Workshop (select one) A Quality Assurance: Cases From Mayo Clinic Echocardiography Laboratory B The Physics of Echocardiography: Artifacts, Doppler and More! Yes, I will attend the FREE ICAEL Pre-conference Tutorial Friday, May 6, 2005 2:30 4:30 p.m. P A Y M E N T Early tuition received Tuition received on or before April 15, 2005 after April 15, 2005 ASE Member $380 $420 Nonmember $475 $525 Total Amount Due: $ Check enclosed (payable to Mayo Clinic) Card number Expiration date (mo/yr) Signature Date Cancellation Policy Your registration fee, less a $50 administrative fee, will be refunded when written notification is received before April 15, 2005. No refunds will be made after April 15, 2005.

Mayo Clinic 200 First Street SW/GO-06-138 Rochester, Minnesota 55905 Non-Profit Organization U.S. POSTAGE PAID Minneapolis, MN Permit No. 3395 ECHOCARDIOGRAPHY in the Nation s Capital in the Nation s Capital May 5-7, 2005 Continuing Medical Education Hyatt Regency Washington on Capitol Hill Washington, DC Register Today! Co-sponsored by: 2005, Mayo Press Printed in U.S.A. MC4111-14rev0105