Echo in Marco Island: Case-Based Approach

December 6-9, 2012Marco Island Marriott Beach & GolfMarco Island, FL

Course DirectorsRoger L. Click, M.D., Ph.D.Naser M. Ammash, M.D.

2nd Annual

Echo on Marco Island:Case-Based Approach

Mayo School of Continuous Professional Development

http://www.mayo.edu/cme/cardiovascular-diseases-2012r623REGISTER ONLINE NOW!

General Information

COURSE DESCRIPTIONThe program seeks to address competence in using multiple echocardiographic techniques in assessment of cardiac structure and function in adult acquired or congenital heart disease. This will include concise, clinically relevant didactic lectures followed by a series of illustrative cases which will include audience response and discussion presented by echocardiography specialists which would lead to enhanced patient management. Workshops will be held to demonstrate the techniques for acquiring the echocardiographic data, especially with respect to new contemporary techniques such as strain imaging.

In addition, audience participants are welcome to bring case(s) to share and discuss with the faculty and audience on Sunday morning. Note, all patient identifiers must be removed from your modality.

TEACHING MATERIALS/SYLLABUSAttendees will be provided with a memory stick containing course materials and are welcome to bring a laptop computer during the learning sessions. No paper syllabus will be provided.

COURSE LEARNING OBJECTIVESUpon conclusion of this program, participants should be able to:• DemonstratetheapplicationofDopplerprinciplestoassessinghemodynamics• Assessquantitativevalvularstenosisandregurgitationseverity• Useofechocardiographytoassessprostheticvalves• Recognize the role of echocardiography evaluating patients with suspected endocarditis• Demonstrateandinterpretdiastolicechocardiographicmeasurements• Defineadvantagesofstressechocardiographyanduseofcontrast• Applyechocardiographicprinciplesinassessmentofcongestiveheartfailure• Identifyechocardiographicfeaturesofcommoncongenitalheartabnormalities• Applyechocardiographytoaccesspatientswithsuspectedpericardialdisease• Definetheroleofechointheinterventionalcardiologypractice• Recognizetheadvantagesanddisadvantagesof3-Decho

Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.

INTENDED AUDIENCE

This course is intended for adult and congenital cardiologists, cardiology fellows, and cardiac sonographers who have basic experience and knowledge in echocardiography. This course is also intended for other medical specialists, internists, surgeons and anesthesiologists working to further their experience in clinical application of echocardiography.

CREDITCollege of Medicine, Mayo Clinic, is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

College of Medicine, Mayo Clinic, designates this live activity for a maximum of 19 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Health Care ProfessionalsA certificate of attendance will be provided to other health care professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

General Information

EDUCATIONAL GRANTSAt the time of this printing, a complete listing of commercial supporters was not available. Appropriate acknowledgment will be given to all supporters at the time of the meeting.

Exhibits will be available for viewing at all scheduled breaks.

DATE AND LOCATIONTheEchoonMarcoIslandcoursewillbeheldDecember6-9.Courseheadquarterswillbe located in Palms Ballroom on the Lobby Level.

Marriott Marco Island Beach & Golf400 South Collier Blvd. Phone: 239-394-2511MarcoIsland,FL34145 Fax: 239-642-2672

Registration .........................................................Palms Ballroom FoyerGeneral Session ..................................................Palms Coconut/Sabal/Sentry BallroomExhibits ................................................................Palms Royal Ballroom FLunch ....................................................................Tiki TerraceReception .............................................................Tiki Beach

REGISTRATIONTo register online, visit http://www.mayo.edu/cme/cardiovascular-diseases-2012r623. The registration fee includes tuition, electronic course syllabus, continental breakfasts, break refreshments, and welcome reception. Although it is not Mayo School of Continuous Professional Development(CPD)policytolimitthenumberofregistrantsfora course, conference room facilities may necessitate closing of enrollment; therefore, early registration is advised. 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.

For additional information, contact:Mayo Clinic (Marco Island 2012) E-mail: [email protected]/GO6-138SW Phone: 800-283-6296or507-266-6703Rochester,MN55905 Fax: 507-266-7403

Website: http://www.mayo.edu/cme/cardiovascular-diseases-2012r623

CANCELLATION POLICYIfyoucancelyourparticipationinthiscourse,yourregistrationfee,lessa$75administrative fee,willberefundedwhenwrittennotificationisreceivedbyMayoSchoolofCPDbeforeThursday, November 22, 2012(fax#:507-266-7403).NorefundswillbemadeonorafterThursday,November22,2012.Canceledregistrationsarenon-transferable.

MayoSchoolofCPDreservestherighttocancelorpostponeanycourseduetounforeseencircumstances.IntheunlikelyeventMayoSchoolofCPDmustcancelorpostponethiscourse,MayoSchoolofCPDwillrefundtheregistrationfee,butisnotresponsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.

TRAVELMarco Island is the largest of Florida’s Ten Thousand Islands, located at the northernmost point of the picturesque Ten Thousand Islands and just south of Naples. Sunshine along with frolicking dolphins, and all of the water and sun sports that go with the beaches are available for your pleasure.

MarcoIslandisgracedwithmilesofwhite-sandbeaches,beautifulyear-roundweather,sumptuous restaurants, fine shopping, dining, lively entertainment, attractions and

General Information

plenty of recreational activities from boating and fishing, to golf and tennis, and more, all set amid the stunning subtropical beauty that is unique to Southwest Florida’s Gulf coast.

To the north is the Rookery Bay National Estuarine Research Reserve and its Briggs MemorialNatureCenter.Tothesouthliesthesprawling10,000Islandswithover70coastal miles of fly fishing heaven, inhabited only by the tiny fishing villages of Goodland, Everglades City, Chokoloskee and eventually Flamingo. Included in this southerly stretch isCollier-SeminoleStatePark,the10,000IslandsNationalWildlifeRefuge,FakahatcheeStrandStatePreserve,BigCypressNationalPreserveandthe5000squaremileEverglades National Park, ensuring continued protection against coastal development.

AIRPORTSouthwest Florida International Airport (RSW) in Fort Myers, FL is the recommended airport for arrival. The hotel is approximately 1 hour from the Fort Myers Airport.

Travel arrangements are the sole responsibility of the individual registrant.

CAR RENTALIf you prefer to rent a car while on property, Hertz car rental is located in the hotel. The directphonenumberforreservationsis239-394-3322.

LODGING ACCOMMODATIONSGuest rooms have been reserved for attendees and their guests with special course rates at the Marco Island Marriott. In order to receive the special rate, reservations must be made before the room block is filled or before the expiration date of Wednesday, November 14, 2012, whichever comes first. Reservations will be taken following this datebasedonspaceandrateavailability.Aspecialrateof$179single/doublehasbeennegotiatedforourgroup.Pleasecallreservationsat800-438-4373or239-394-2511andidentify yourself as a participant of the ECHO course when making your reservation.

Check-in: 4:00 p.m.Check-out: 11:00 a.m.•Highspeedinternetiscomplimentaryinallguestroomswithinourblockofrooms.•Complimentaryresortfitnesscenter.•Noresortfee.

RESTAURANTSTropiks Restaurant – AmericanInformal restaurant serving the Island’s best breakfast buffet. Open all year for breakfast and seasonally for lunch and dinner.

Rookery Grill Openforlunch.Justoffthe18thgreenlocatedattheclubhouse.Lightfarebreakfastand lunch daily.

400 Pazzis – PizzaOpen for lunch and dinner. Pizza, paninis, and nightly dinner specials, all served beachside.

Quinn’s on the Beach – American

Korals Sushi & Cocktail Lobby BarSushiandappetizers.Open4:00p.m.-midnight.

Café San Marco Open for breakfast, lunch, and dinner. The perfect stop for snacks, coffee, pastries, and donuts as well as sandwiches and salads.

General Information

KurrentsOpen for dinner. Upscale restaurant that boasts prime steak entrees and seafood.

Tiki Bar and GrillA relaxing pool setting specializing in Caribbean appetizers and sandwiches. Open for lunch and dinner.

You may wish to visit the Marco Island Convention and Visitors Bureau website (http://www.paradisecoast.com/) for area information.

Lodging arrangements are the sole responsibility of the individual registrant.

MayoSchoolofCPDisnotresponsibleforexpensesincurredbyanindividualwhoisnot confirmed and for whom space is not available at the meeting. Costs incurred by the registrant such as airline or hotel fees or penalties are the responsibility of the registrant.

PARKINGValet Parking ......................................................$5.00discountSelf Parking .........................................................Complimentary

SOCIAL PROGRAMSWelcome Reception – Thursday, December 6, 2012 – Tiki BeachAttendees and their guest(s) are cordially invited to join the course faculty for the WelcomeReceptiononThursday,December6.ThiscasualreceptionwelcomesyoutoMarco Island, officially opens the course, and offers you the perfect opportunity to make connections with existing and new colleagues.

RECREATION/LEISURE ACTIVITIESPlease visit the beach huts for information on additional water activities. Active water enthusiasts can enjoy pedal boats, kayaks, water hammocks, hobie cats and more.

Activities in the areaBowling(16miles) Kayaking TabletennisFly-fishing(3miles) Miniaturegolf(15miles) TennisJet-skiing PaddleBoarding VolleyballonthebeachJogging/fitness trail Sailing (boat rental and lessons)

ThefollowingwatersportsbelowareofferedthroughtheMarriott–239-642-2740(http://www.marcoislandwatersports.com/)

Guided Bike Tour of Marco Island – DailyCycle past beautiful homes with surrounding views of rare tropical plants and trees. See the unique protected wildlife of this beautiful island as you pedal past Burrowing Owls and Gopher Tortoises. Eagles, Osprey, Frigate birds and many tropical birds make this area their home. Manatee and dolphins use the extensive waterways to feed and play. Winding our tour through the unique Caxambas area we stop for a break to learn the intriguing history of the fierce Calusa Indians. Walk among the ancient Indian shell mounds where early pioneers settled this untamed area to hunt, fish and farm. The fresh water spring where the Spanish refilled their water stores before the arduous and dangerous journey home is still visible. Expand your vacation footprint with this unique island experience as you pedal up and down the Indian shell mounds overlooking Roberts Bay and Caxambas Pass.

Sailing and Shelling – Daily Excursions 9:00 a.m., Noon, and 3:00 p.m. – 2 ½ hoursThis tour is ranked among the best guided boat tours in Florida. This aquatic adventure beginsasagreen-energysailingouting,butasbottlenosedolphins,seaturtles,andmanateesappear,theintimate6passengercatamarancanrapidlycreatevacationmemories that will last a lifetime. Individual or discounted family packages available. Pricing includes bottled water, towels, and seashell bags.

General Information

Waverunner Guided Excursions – Daily Tours 11:00 a.m. and 2:00 p.m. – 1 hourExperience the native wildlife that resides in the mangrove forests while cruising on a waverunner.Travelover15milesroundtripandwitnesspristinebeautifyoftheislandsas you catch glimpses of birds, dolphin, manatee, and other wildlife.

Dolphin Watch and Shelling Tour – 2 ½ Hours – two trips offered daily (check with above for times)This45footCorinthianCatamaranhasacapacityof49people.Ittakesyouintothe10,000 Islands for a chance to unwind and discover the best of what the Islands have to offer and offers guests stunning panoramic views.

Parasailing – 10-12 minute flight timesParasailing is a family affair, from children, to mom and dad, to grandpa and grandma – everyone is welcome! Fly solo or go with a friend. You will take off and land directly on oneofthe12-passengerPara-Tourwinchboats.Don’tforgettobringadisposablewaterproof camera!

Waverunner Rentals – 9:30 a.m.-4:30 p.m.Explore the unique beauty of the Gulf by renting your own waverunner. Half hour and hour rentals available.

Naples Florida Sunset Cruises – Sunset in December is between 5:30 p.m. – 6 p.m. Most sunset cruises depart around 5 pm. – Check with the above for confirmed time.Experience the relaxation of the Calusa Spirit and enjoy the panoramic views of the Gulf of Mexico as the sun goes down. We will start the tour at Caxambas Park then head out into the Gulf of Mexico to watch for dolphin, manatees, birds, sea turtles and other diverse wild life native to the area.

Withphotoopportunitiesgaloreyouwilllearnabouttheuniquehistoryandeco-systemsindigenous only to South West Florida and the everglades. We will also travel into the calm inland waters and tour some of the most exclusive real estate on Marco Island as well as enjoying a magical sunset over the Gulf.

To top off your evening the Calusa Spirit will deliver you to the Esplanade, a uniquely refined,up-scaleshoppinganddinningexperiencelocatedonSmokehouseBay.Youcanenjoy dinner or maybe just a coffee before your return to the resort.

FACULTYCourse DirectorsRoger L. Click, M.D., Ph.D., FACCAssociateProfessorofMedicine,MayoClinic;Consultant,DivisionofCardiovascularDiseasesandInternalMedicine,MayoClinic,Rochester,MN

Naser M. Ammash, M.D., FACCProfessorofMedicine,MayoClinic;Consultant,DivisionofCardiovascularDiseasesandInternal Medicine, Mayo Clinic, Rochester, MN

Mayo FacultyJohn Wells Askew, III, M.D., FACC, FAHAAssistantProfessorofMedicine,MayoClinic;Consultant,DivisionofCardiovascularDiseasesandInternalMedicine,MayoClinic,Rochester,MN

Paul M. Bastiansen, RDCSAdvanced Clinical and Research Sonographer, Cardiovascular Ultrasound Imaging and Hemodynamic Laboratory, Mayo Clinic, Rochester, MN

Merri L. Bremer, M.Ed., RN, RDCS, FASEAssistant Professor of Medicine, Mayo Clinic; Quality Improvement/Training Specialist, Mayo Clinic, Rochester, MN

Harold M. Burkhart, M.D.Associate Professor of Surgery, Mayo Clinic; Consultant, Thoracic and Cardiovascular Surgery, Mayo Clinic, Rochester, MN

General Information

Barry L. Karon, M.D., FACC, FASEAssistant Professor of Medicine, Mayo Clinic; Consultant, DivisionofCardiovascularDiseasesandInternalMedicine, Mayo Clinic, Rochester, MN

Kyle W. Klarich, M.D., FACCAssociateProfessorofMedicine,MayoClinic;Consultant,DivisionofCardiovascularDiseasesandInternalMedicine,MayoClinic,Rochester,MN

Carolyn Landolfo, M.D., FACCSeniorAssociateConsultant,MayoClinic;Director,AdultEchocardiographyLaboratory;andConsultant,DivisionofCardiovascularDiseasesandInternalMedicine,MayoClinic,Jacksonville, FL

Robert B. McCully, M.D., FACCProfessorofMedicine,MayoClinic;Consultant,DivisionofCardiovascularDiseasesandInternal Medicine, Mayo Clinic, Rochester, MN

Vuyisile T. Nkomo, M.D., MPH, FACCAssistantProfessorofMedicine,MayoClinic;Consultant,DivisionofCardiovascularDiseasesandInternalMedicine,MayoClinic,Rochester,MN

Brian P. Shapiro, M.D.AssistantProfessorofMedicineandRadiology,MayoClinic;Consultant,DivisionofCardiovascularDiseasesandInternalMedicine,MayoClinic,Jacksonville,FL

Guest FacultyNatesa G. Pandian, M.D., FACCProfessorofMedicine,TuftsUniversitySchoolofMedicine;Director,NewEnglandHeartValveCenter;Co-Director,CenterforCardiovascularImaging;Director,Cardiovascular Ultrasound Research, Tufts Medical Center, Boston, MA

R. Parker Ward, M.D., FACCAssociateProfessorofMedicine,Director,CardiovascularFellowshipProgram,Sectionof Cardiology, The University of Chicago Medical Center, Chicago, IL

FACULTY DISCLOSUREAs a provider accredited by ACCME, College of Medicine, Mayo Clinic (Mayo School of ContinuousProfessionalDevelopment)mustensurebalance,independence,objectivityand scientific rigor in its educational activities. Course director(s), planning committee, faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercialbiashavebeenputinplace.Facultyalsowilldiscloseanyoff-labeland/orinvestigational use of pharmaceuticals or instruments discussed in their presentation. Disclosureofthisinformationwillbepublishedincoursematerialssothoseparticipantsin the activity may formulate their own judgments regarding the presentation.

FUTURE PROGRAM DATES

December5-8,2013

Program Schedule

THURSDAY, DECEMBER 6, 2012

7:00a.m. RegistrationandContinentalBreakfast

7:45a.m. Pre-TestEvaluationandDiscussion Roger L. Click, M.D., Ph.D.

Moderator: Roger L. Click, M.D., Ph.D.

8:00a.m. AppropriatenessCriteriaforEchocardiography:DoesItMatter? R. Parker Ward, M.D.

8:20a.m. Cases/Discussion

8:30a.m. AssessmentofLVSystole–EyeballvsCalculation Robert B. McCully, M.D.


9:00a.m. AssessmentofDiastolicFunction–JustRelax! Naser M. Ammash, M.D.


9:30a.m. RVFunctionandPulmonaryPressure Brian P. Shapiro, M.D.


10:00 a.m. Refreshment Break – Visit Exhibits

10:30a.m. AorticValve–EchoAssessmentandChallenges Vuyisile T. Nkomo, M.D.


11:00 a.m. Mitral Valve – Echo Assessment and Challenges Carolyn Landolfo, M.D.


11:30a.m. TricuspidValve–OftenIgnored Roger L. Click, M.D., Ph.D.


12:00 p.m. The Forgotten Valve Naser M. Ammash, M.D.

12:20p.m. Cases/Discussion

12:30p.m. Lunch–TikiTerrace

Moderator: Naser M. Ammash, M.D.

1:30p.m. ProstheticValves:EchoEvaluation.IsThisValveGoodorBad? John Wells Askew, III, M.D.


2:00 p.m. Endocarditis – Role of Echo R. Parker Ward, M.D.


2:30p.m. TheAbnormalAorta Vuyisile T. Nkomo, M.D.


3:00p.m. 3-DEcho–GetYourGlassesOn Natesa G. Pandian, M.D.


3:30p.m. HowandShouldMyLabBeAccredited? Merri L. Bremer, M.Ed., RN, RDCS

3:50p.m. Discussion/Questions

Program Schedule

4:00 p.m. Adjourn

6:00-7:00p.m. WelcomeReception–TikiBeach

FRIDAY, DECEMBER 7, 20127:30a.m. ContinentalBreakfast–VisitExhibits

Moderator: Carolyn Landolfo, M.D.

8:00a.m. CongestiveHeartFailure–WhentoGetAnEcho Barry L. Karon, M.D.


8:30a.m. RestrictiveCardiomyopathy–EchototheRescue! Kyle W. Klarich, M.D.


9:00 a.m. Hypertrophic Cardiomyopathy – Role of Echo in Assessment and Screening

Robert B. McCully, M.D.


9:30a.m. Strain–ABlessingoraPain? Barry L. Karon, M.D.

9:50a.m. Cases/Discussion Paul M. Bastiansen, RDCS

10:00a.m. RefreshmentBreak-–VisitExhibits

10:30a.m. LVAD–TheChallengesofAssessmentByEcho Barry L. Karon, M.D.


11:00a.m. PericardialDisease–Constriction,TamponadeorNormal.HowCantheEchoTell?

John Wells Askew, III, M.D.


11:30a.m. SystemicDisease.CardiacInvolvement Kyle W. Klarich, M.D.


12:00p.m. Adjourn-AfternoonofftoenjoyMarcoIsland

SATURDAY, DECEMBER 8, 20127:30a.m. ContinentalBreakfast–VisitExhibits

Moderator: Naser M. Ammash, M.D.

8:00a.m. StressEcho–ThePatientCanExercise Robert B. McCully, M.D.


8:30a.m. ContrastEcho–How,When,Advantages Natesa G. Pandian, M.D.


9:00 a.m. Stress Echo – My Patient Cannot Exercise Robert B. McCully, M.D.


9:30a.m. EchoandAcuteCoronarySyndrome Roger L. Click, M.D., Ph.D.

Program Schedule


10:00 a.m. Refreshment Break – Visit Exhibits

10:30a.m. CongenitalHeartDisease–TheEasyStuff! Naser M. Ammash, M.D. and Harold M. Burkhart, M.D.


11:00a.m. IntraoperativeEcho–WhattheSurgeonWantstoKnow Roger L. Click, M.D., Ph.D. and Harold M. Burkhart, M.D.


11:30a.m. CongenitalHeartDisease–TheHarderStuff! Naser M. Ammash, M.D. and Harold M. Burkhart, M.D.


12:00 p.m. Lunch – Tiki Terrace

1:30p.m. BreakoutSessions–Eachsessionwillbe40minutesandwillberepeated. Rotate as you desire.

(Roomlocationstobeprovidedon-site.)

• Strain–HowToDoIt Paul M. Bastiansen, RDCS and Barry L. Karon, M.D.

• Hemodynamics Carolyn Landolfo, M.D., Brian P. Shapiro, M.D. and Merri L. Bremer, M.Ed., RN, RDCS

• Cases–TestYourSkills Roger L. Click, M.D., Ph.D. and Natesa G. Pandian, M.D.

3:30p.m. Adjourn

SUNDAY, DECEMBER 9, 20127:30a.m. ContinentalBreakfast–VisitExhibits

Moderator: Roger L. Click, M.D., Ph.D.

7:45a.m. PostTestEvaluationandDiscussion Roger L. Click, M.D., Ph.D.

8:00a.m. CardiacMasses–OMG! Kyle W. Klarich, M.D.


8:30a.m. EchoPitfalls,Artifacts,andMistakes John Wells Askew, III, M.D. and Vuyisile T. Nkomo, M.D.


9:00 a.m. Interventional Echo – Expanding Role of Echocardiography Natesa G. Pandian, M.D.


10:00 a.m. Challenging Cases – Test Your Skills In addition, the audience is welcome to bring challenging cases to discuss. All Faculty

10:50a.m. Post-TestandDiscussion

11:00 a.m. Adjourn

Register online: http://www.mayo.edu/cme/cardiovascular-diseases-2012R623

Registration Fee:Course Registration (MD, PhD, DO, PharmD) $650.00Course Registration (Fellows, Sonographers, RN) $475.00

MayoClinicDivisionofCardiologyhasrecentlyimplementedanonlineconference registration system. If this is your first time using the online system, you will need to create a profile and login account.

Register by entering the url: http://www.mayo.edu/cme/cardiovascular-diseases-2012R623 and click on Register Now. The system will step you through the profile and login process. An email address is required upon registration. A letter of confirmation will be forwarded to this address upon receipt of payment and submitted registration. Present this letter of confirmation when checking in at the meeting registration desk.

The registration fee includes tuition, electronic course syllabus, continental breakfasts, break refreshments, and reception. Although it is not Mayo School of ContinuousProfessionalDevelopment(CPD)policytolimitthenumberofregistrants for a course, conference room facilities may necessitate closing of enrollment; therefore, early registration is advised. Enrollment for this program islimited.Aletterofconfirmationwillbee-maileduponreceiptofpayment.Please present the confirmation letter when checking in at the meeting registration desk.

For additional information, contact:Cardiovascular Continuing Education200FirstStreetSW-Gonda6Rochester,MN55905

E-mail: [email protected]: 800-283-6296or507-266-6703Website: www.mayo.edu/cme/cardiovascular-diseases-2012R623

REGISTRATION

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Documents

Echo in Marco Island: Case-Based Approach