36Th Bethesda Conference Pdf

Online Learning Catalog American College of Cardiology. Cardiac Transplantation Current Outcomes and Contemporary Controversies JACC Heart Failure December 2. November 2. 7, 2. CME 1 MOC 1 COP 1. Despite advances in pharmacologic and device treatment of chronic heart failure, long term morbidity and mortality remain high and many patients progress to end stage heart failure. Over the last five decades, heart transplantation HTx has become the preferred therapy for select patients with end stage heart disease. However, while HTx has become standard of care for the management of end stage heart failure, challenges continue to exist. The number of patients with end stage heart failure is increasing, while the number of donor organs remains constant and a limiting factor in HTx. Not only are there more potential heart transplant candidates, but HTx candidates today are more complex older, sensitized, and with mechanical circulatory support. Such candidates are at higher risk for poor outcomes including primary graft dysfunction and antibody mediated rejection. This article will focus on current post transplant outcomes as well as recent advances in HTx that could address the current challenges. These advances include 1 attempts to expand the donor pool 2 proposed changes in HTx allocation policy for more equitable organ distribution 3 a better understanding of the definition and management of primary graft dysfunction and 4 advances in the management of sensitized HTx candidates. Developments in these areas could result in expansion and more equitable distribution of the donor pool and improved survival and quality of life for HTx recipients. The 3. B perspectives in CRT JACC Clinical Electrophysiology October 2. November 2. 0, 2. CME 1 MOC 1 COP 1 Cardiac resynchronization therapy CRT is an established non pharmacological treatment for patients with heart failure HF, reduced left ventricular LV ejection fraction, and a wide QRS complex. Ideal Cardiovascular Health Score and Fuster Bewat Score for Predicting Subclinical Atherosclerosis in Low Risk Individuals JACC November 2. November 1. 3, 2. CME 1 MOC 1 COP 1. Term of ApprovalDate of CMEMOC Expiration November 1. The ideal cardiovascular health score ICHS is recommended for use in primary prevention. Simpler tools not requiring laboratory tests, such as the Fuster BEWAT score FBS, are also available. Quantitative Pericardial Delayed Hyperenhancement Informs Clinical Course in Patients with Recurrent Pericarditis JACC Cardiovascular Imaging November 2. November 6, 2. 01. CME 1 MOC 1 COP 1 Pericardial DHE on cardiac magnetic resonance imaging CMR may persist beyond the acute phase of pericarditis, suggesting continued pericardial inflammation. Intracardiac Echocardiography from the Left Atrium for Procedural Guidance of Transcatheter Left Atrial Appendage Occlusion JACC Interventions November 2. November 6, 2. 01. CME 1 MOC 1 COP 1 TEE with general anesthesia is the current gold standard to guide LAAO. By the use of ICE from the LA, LAAO can be performed in local anesthesia and may potentially have advantages over TEE. Fat and Sugar Consumption in HFp. EF JACC Basic to Translational Science October 2. October 3. 0, 2. 01. CME 1 MOC 1 COP 1. Heart failure with preserved ejection fraction HFp. EF is associated with obesity and, indirectly, with unhealthy diet. Heart Failure with Mid Range Borderline Ejection Fraction Clinical Implications and Future Directions JACC Heart Failure November 2. October 3. 0, 2. 01. CME 1 MOC 1 COP 1. Filme Kostenlos Runterladen Legal. The IoF was founded in 2001 by Dr. Chris D. Geddes, Professor and Director. Under the leadership of Dr. Chris D. Geddes, the IoF has earned a welldeserved. We randomly assigned 2499 HIVseronegative men or transgender women who have sex with men to receive a combination of two oral antiretroviral drugs, emtricitabine and. Assistant Chief Kelly Harris joined the Boynton Beach Police Department in September 1997. Her initial assignment was to the Uniform Services Patrol Division, where. Description Heart failure HF with borderline ejection fraction HFb. EF was first defined in 2. American College of CardiologyAmerican Heart Association Guidelines as the presence of the typical symptoms of HF and a left ventricular ejection fraction LVEF of 4. Ablation Index and Surround Flow Catheter Irrigation Impedance Based Appraisal in Clinical Ablation JACC Clinical Electrophysiology October 2. October 1. 6, 2. 01. CME 1 MOC 1 COP 1. In preclinical studies, ablation power and catheter irrigation are determinants of ablation efficacy in this study their impact was assessed during clinical radiofrequency ablation using impedance drop. Catheter Ablation Versus Medical Rate control in Atrial Fibrillation and Systolic Dysfunction CAMERA MRI JACC October 2. October 9, 2. 01. Bethesda Conference 36 and the European Society of Cardiology Consensus Recommendations Revisited A Comparison of U. S. and European Criteria for Eligibility and. CME 1 MOC 1 COP 1. The restoration of sinus rhythm with CA results in significant improvements in ventricular function, particularly in the absence of ventricular fibrosis on CMR. This challenges the current treatment paradigm that rate control is the appropriate strategy in patients with AF and LVSD. Background Small studies suggest that telemonitoring may improve heartfailure outcomes, but its effect in a large trial has not been established. Methods We randomly. Role of Cardiac Magnetic Resonance in the Diagnosis and Prognosis of Non Ischemic Cardiomyopathy JACC Cardiovascular Imaging October 2. October 2, 2. 01. CME 1 MOC 1 COP 1. Cardiac magnetic resonance CMR is a valuable tool for the evaluation of patients with, or at risk for, heart failure and has a growing impact on diagnosis, clinical management, and decision making. Through its ability to characterize the myocardium using multiple different imaging parameters, it provides insight into the etiology of the underlying heart failure and its prognosis. CMR is widely accepted as the reference standard for quantifying chamber size and ejection fraction. Additionally, tissue characterization techniques such as late gadolinium enhancement LGE and other quantitative parameters such as T1 mapping, both native and with measurement of extracellular volume fraction, T2 mapping, and T2 mapping have been validated against histology in a wide range of clinical scenarios. In particular, the pattern of LGE in the myocardium can help determine the underlying etiology of the heart failure. The presence and extent of LGE determines prognosis in many of the non ischemic cardiomyopathies. The use of CMR should increase as its utility in characterization and assessment of prognosis in cardiomyopathies is increasingly recognized. Transcatheter and Surgical Management of Mitral Paravalvular Leak Long term Outcomes JACC Interventions October 2. October 2, 2. 01. CME 1 MOC 1 COP 1. Percutaneous treatment of mitral PVL has emerged as an alternative to surgical treatment in high risk surgical candidates. There are limited data on the utilization trends, safety, and efficacy of both procedures in the management of mitral PVL. Sleep Disordered Breathing and Heart Failure What Does The Future Hold JACC Heart Failure October 2. The preparticipation physical evaluation is a commonly requested medical visit for amateur and professional athletes of all ages. The overarching goal is to maximize. The Cathedral of Learning, a Pittsburgh landmark listed in the National Register of Historic Places, is the centerpiece of the University of Pittsburghs main campus. Satellite TV News for the Asia Pacific Region. September 2. 5, 2. CME 1 MOC 1 COP 1. The majority of patients with heart failure HF have sleep disordered breathing SDB with central rather than obstructive sleep apnea becoming the predominant form in those with more severe disease. Cyclical apnea and hypopneas are associated with sleep disturbance, hypoxemia, hemodynamic changes, and sympathetic activation. Purple/v4/ef/dc/91/efdc91e8-3ec5-ff32-a65a-d9a02dc7fc9e/screen1136x1136.jpeg' alt='36th Bethesda Conference Pdf Reader' title='36th Bethesda Conference Pdf Reader' />Such patients have a worse prognosis than those without SDB. Mask based therapies of positive airway pressure targeted at SDB can improve measures of sleep quality and partially normalize the sleep and respiratory physiology, but recent randomized trials of cardiovascular outcomes in central sleep apnea in chronic HF with reduced ejection fraction have been neutral or suggested the possibility of harm, likely from increased sudden death. Further randomised outcome studies are required to determine whether mask based treatment is appropriate for patients with chronic HFr.