Contemporary Diagnosis and Management of Adults with Congenital Heart Disease

May 21, 2016 • 8am - 4pmLi Ka Shing Center for Learning and Knowledge, Stanford, CAA Continuing Medical Education Conference Presented by the Division of Cardiovascular Medicine and Pediatric Cardiology at the Stanford University School of MedicineSponsored by the Stanford University School of Medicine

Topics Will Include: • Atrial Septal Defects and Pulmonary Hypertension • Risk Stratification for Sudden Cardiac Death in

Adults with Congenital Heart Disease • Outcomes in Tetralogy of Fallot• What to Expect When an Adult Congenital Heart

Disease (ACHD) Patient Arrives in Your Clinic • Interactive Case Presentations

on Congenital Heart Disease

Overview

Program (subject to change)

Statement of NeedThis symposium seeks to increase the knowledge of pediatric and adult physicians in contemporary diagnosis and management of adults with congenital heart disease. It is geared toward practicing adult and pediatric cardiologists, internists, pulmonologists, high-risk obstetricians, and hospitalists who are seeing their pediatric CHD patients transition to adult-oriented care. Topics will include: atrial septal defects and pulmonary hypertension, risk stratification for sudden cardiac death in adults with congenital heart disease, outcomes in Tetralogy of Fallot, and what to expect when an adult congenital heart disease (ACHD) patient arrives in your clinic. The symposium will utilize lectures, case presentation, and panel discussions to optimize learning.

Learning ObjectivesAt the conclusion of this activity, participants should be able to:• Determine when to use the following tools to help risk stratify Adult Congenital

Heart Disease (ACHD) patients presenting with Tetrology of Fallot (TOF)• MRI mass/volume measurements• Ventricular stimulation function test • Cardiopulmonary exercise testing

• Develop an evidence-based management plan for patients with moderate and complex congenital heart disease.

• Recognize adults with moderate and complex congenital heart disease (CHD) who require consultation or referral to a specialty center for optimal management

• Review appropriate selection of anti-coagulation therapy for prevention of stroke in patients with congenital heart disease

Target AudienceThis regional conference is designed to meet the educational needs of community adult and pediatric cardiologists, internists, pulmonologists, high-risk obstetricians, hospitalists, nurses and other allied health professionals who care for patients with ACHD.

AccreditationThe Stanford University School of Medicine is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Credit Designation Stanford University School of Medicine designates this live activity for a maximum of 5.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The California Board of Registered Nursing recognizes that Continuing Medical Education (CME) is acceptable for meeting RN continuing education requirements; as long as the course is certified for AMA PRA Category 1 Credit™ (rn.ca.gov). Nurses will receive a Certificate of Attendance following this activity that may be used for license renewal.

7:30-8:00 am Registration and Continental Breakfast

8:00-8:05 Welcome and Introduction

8:05-8:20 Anatomy of Atrial Septal Defects: Not so Simple George K. Lui, MD

8:20-8:30 Q&A

8:30-8:50 Pitfalls of Imaging Atrial Septal Defects Ian S. Rogers, MD

8:50-9:00 Q&A

9:00-9:20 All ASDs with Pulmonary Hypertension Should be Closed?

Roham Zamanian, MD

9:20-9:40 No ASDs with Pulmonary Hypertension Should be Closed?

Anitra W. Romfh, MD

9:40-10:00 Case Presentation: Pulmonary Hypertension and ACHD Panelists: Jeffrey A. Feinstein, MD, Anitra W. Romfh, MD and

Roham Zamanian, MD

10:00-10:30 Break

10:30-11:10 Keynote: Risk Stratification of Adults with Congenital Heart Disease for Sudden Cardiac Death

Paul Khairy, MD

11:10-11:45 Case Presentation: Arrhythmias that Keep Coming Back and Anticoagulation in ACHD Panelists: Anne M. Dubin, MD, Paul Khairy, MD and Mohan Viswanathan, MD

11:45-1:00 Lunch

1:00-1:20 Tetralogy of Fallot: Natural History and Outcome Alison K. Meadows, MD

1:20-1:30 Q&A

1:30-1:50 Advanced Imaging in Tetralogy of Fallot: 3D, 4D, and Beyond

Frandics Chan, MD

1:50-2:00 Q&A

2:00-2:30 Case Presentation: My Best ACHD Cases Panelists: Daniel J. Murphy, Jr., MD

and Nikola H. Tede, MD

2:30-3:00 Break

3:00-3:20 What to Expect When an ACHD Patient Arrives in Your Clinic: Gaps in Care and Knowledge

Susan M. Fernandes, LP.D., PA-C

3:20-3:30 Q&A

3:30-4:00 Case Presentation: Fixing Broken Hearts with Catheters Panelists: David P. Lee, MD, Doff McElhinney, MD

and Howard M. Rosenfeld, MD

4:00-4:05 pm Closing Remarks

Faculty

REGISTER AT CME.STANFORD.EDU/CARDIO

Course Co-DirectorsGeorge K. Lui, MDMedical Director, Adult Congenital Heart ProgramLucile Packard Children’s Hospital and Stanford Health Care collaborationClinical Assistant Professor, Cardiovascular Medicine and Pediatric CardiologyStanford University School of Medicine

Stafford Grady, MD Clinical Associate Professor, Pediatrics Stanford University School of Medicine Director, LPCH Pediatric Cardiac Outreach

Keynote SpeakerPaul Khairy, MD, PhD, FRCPCProfessor, MedicineCanada Research Chair, Electrophysiology and Adult Congenital Heart DiseaseDirector, Clinical Epidemiology and Outcomes ResearchDirector, Adult Congenital Heart CenterMontreal Heart Institute, University of Montreal

FacultyFrandics Chan, MDAssociate Professor, RadiologyStanford University School of Medicine

Anne M. Dubin, MDProfessor, PediatricsDirector, Pediatric ElectrophysiologyStanford University School of Medicine

Jeffrey A. Feinstein, MD, MPHThe Dunlevie Family Professor, Pediatric Cardiology, and by courtesy, BioEngineering Director, Vera Moulton Wall Center for Pulmonary Vascular Disease Director, Pediatric Pulmonary Hypertension Program Stanford University School of Medicine

Susan M. Fernandes, LP.D., PA-C Clinical Associate Professor, Pediatric CardiologyClinical Associate Professor, Cardiovascular Medicine Program Director, Adult Congenital Heart ProgramStanford University School of Medicine

David P. Lee, MD Associate Professor, Cardiovascular MedicineDirector, Cardiac Catheterization and Coronary Intervention LaboratoriesDirector, Interventional Cardiology Fellowship ProgramStanford University School of Medicine

Doff McElhinney, MDProfessor, Cardiothoracic Surgery (Pediatric Cardiac Surgery)Director, Clinical and Translational ResearchStanford University School of Medicine

Alison K. Meadows, MDDirector, Adult Congenital Heart ProgramNorthern California Kaiser Permanente

Daniel J. Murphy, Jr., MDProfessor, Pediatric CardiologyStanford University School of Medicine

Ian S. Rogers, MDClinical Assistant Professor, Cardiovascular Medicine and Pediatric CardiologyStanford University School of Medicine

Anitra W. Romfh, MD Clinical Assistant Professor, Cardiovascular Medicine and Pediatric CardiologyStanford University School of Medicine

Howard M. Rosenfeld, MD, FACCChief, Division of Pediatric CardiologyChildren’s Hospital and Research Center Oakland

Nikola H. Tede, MD, FAAP, FACCDirector, Pediatric CardiologyCalifornia Pacific Medical CenterStanford Children’s Health

Mohan Viswanathan, MDClinical Associate Professor, Cardiovascular MedicineDirector, Ventricular Tachycardia Ablation ProgramStanford University School of Medicine

Roham Zamanian, MD, FCCPAssociate Professor, Pulmonary & Critical Care MedicineDirector, Adult Pulmonary Hypertension Service, Vera Moulton Wall Center for Pulmonary Vascular Disease Clinical Director, VMWC Pulmonary Hypertension Database, Vera Moulton Wall Center for Pulmonary Vascular DiseaseStanford University School of Medicine

REGISTER AT CME.STANFORD.EDU/CARDIO

Registration

QuestionsFor questions about the symposium, please contact Cassandra Alcazar, CME Conference Coordinator, at (650) 724-5318 or email cassalcazar@stanford.edu

Stanford Center for Continuing Medical Education1070 Arastradero Road, Suite 230 • Palo Alto, CA 94304Phone: (650) 497-8554 • Email: stanfordcme@stanford.edu Web: cme.stanford.edu/

Stanford University School of Medicine is fully ADA compliant. If you have needs that require special accommodations, including dietary concerns, please contact cassalcazar@stanford.edu.

TuitionPhysician $125Nurse/Allied Health $75

Conference LocationLi Ka Shing Center for Learning and Knowledge291 Campus Drive2nd Floor Conference CenterStanford, CA 94305lksc.stanford.edu/

Cancellation PolicyCancellations received in writing on or before April 29, 2016 will be refunded, less a $25 administrative fee. No refunds will be made on cancellations received after that date. Please send cancellation requests to stanfordcme@stanford.edu.

Stanford University School of Medicine reserves the right to cancel this program; in the event of cancellation, course fees will be fully refunded.

Faculty DisclosureThe Stanford University School of Medicine adheres to ACCME Essential Areas, Standards, and Policies regarding industry support of continuing medical education. Disclosure of faculty and commercial relationships will be made prior to the activity.

RegistrationRegistration includes continental breakfast, lunch, course materials and certificate of attendance.

Register online by visiting cme.stanford.edu/cardio. Our online registration process requires the use of MasterCard or Visa in order to complete payment. Registrations are confirmed with a confirmation number on the screen and via email immediately following your online registration. Be sure to include an email address that you check frequently. Your email address is used for critical information, including registration confirmation, evaluation, and certificate. If you prefer to pay by check, please call (650) 497-8554 for assistance.