Mayo School of Continuous Professional Development

Heart Failure Management for Nurse Practitioners, Physician Assistants and Primary Care Providers

March 17-19, 2013

Omni La Mansión del RioSan Antonio, Texas

• Clinical Syndrome of Heart Failure• Foundations of Treatment for Heart Failure

• Heart Failure Across the Stages • Advanced Heart Failure Management

• End of Life Management

Course Directors:Jean A. Wagner, M.S., C.N.P.

Barry L. Karon, M.D.

REGISTER ONLINE NOW!http://www.mayo.edu/cme/cardiovascular-diseases-2013r998

Update 2013

COURSE DESCRIPTION

Heart failure is a devastating disease that causes debilitating symptoms and excess mortality. It affects more than 5 million persons in this country, with over 700,000 new cases diagnosed each year. It remains the most common discharge diagnosis for hospitalized adults and accounts for 12 to 15 million office visits annually. Despite our best efforts, more than one-third of patients with heart failure are re-hospitalized within weeks of hospital discharge. Certainly as our population ages, the number of patients afflicted with this disease will grow. The economic burden now exceeds 10 billion dollars, and is forecasted to grow.

It is essential that heart failure is recognized promptly and proven therapies are applied to manage this chronic disease. Nurse practitioners, physician assistants and primary care providers play a pivotal role in the care of these patients. Using a case-based approach, this course will enhance the attendees’ confidence in caring for these challenging patients.

COURSE LEARNING OBJECTIVES

Upon conclusion of this program, participants should be able to:

• Recognizetheclinicalsyndromeofheartfailureandwhoisatrisk;• Articulatetypicaldiagnostictestingessentialfordiagnosisandmanagementof

heartfailure;• Incorporateappropriatepharmacologicandnon-pharmacologicstrategiesfor

patientsacrossthespectrumofheartfailure;• Describewhenreferralforadvancedheartfailuretherapiesisindicated;and,• Describetreatmentstrategiestomanagesymptomswhenconventionaltherapies

have been exhausted.

AttendanceatthisMayocoursedoesnotindicatenorguaranteecompetenceorproficiency in the performance of any procedures which may be discussed or taught in this course.

INTENDED AUDIENCE

This course is appropriate for nurse practitioners, physician assistants, registered nurses, cardiologists, and primary care providers interested in an update on heart failure.

CREDIT

CollegeofMedicine,MayoClinic,isaccreditedbytheAccreditationCouncilforContinuingMedicalEducationtoprovidecontinuingmedicaleducationforphysicians.

CollegeofMedicine,MayoClinic,designatesthisliveactivityforamaximumof15.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Optional Session:CollegeofMedicine,MayoClinic,designatesthisliveactivityforamaximumof1.50 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Health Care ProfessionalsAcertificateofattendancewillbeprovidedtootherhealthcareprofessionalsforrequesting credits in accordance with state nursing boards, specialty societies, or other professional associations.

DATE AND LOCATION

Heart Failure Management: Update 2013 willbeheldMarch17–19,2013attheOmniLaMansióndelRioinSanAntonio,Texas.TheprogramwillbeheldintheIberianBallroom,SecondFloor.

LODGING ACCOMMODATIONS

Guest rooms have been reserved for attendees and their guests with special course ratesattheOmniLaMansióndelRio.Inordertoreceivethespecialrate,reservations must be made before the room block is filled or before the expiration dateofFebruary12,2013,whichevercomesfirst.Reservationswillbetakenfollowing this date based on space and rate availability. Please identify yourself as a participantoftheMayoHeartFailureProgramwhenmakingyourreservationtoensure the group rate.

Omni La Mansión del Rio $209single/double112CollegeStreetSanAntonio,Texas78205Phone:1-800-The-Omni(1-800-843-6664)

Lodging arrangements are the sole responsibility of the individual registrant.

MayoSchoolofCPDisnotresponsibleforexpensesincurredbyanindividualwhois not 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.

PARKING

Valet and self-parking is available. The cost for parking is not included in the registration fee.

FACULTY

Course DirectorsBarry L. Karon, M.D.Jean A. Wagner, M.S., C.N.P.

Mayo FacultyNandan S. Anavekar, M.B., B.Ch.Christopher J. Arendt, Pharm.D., R.Ph.Dalene M. Bott Kitslaar, M.S., C.N.P.Robert P. Frantz, M.D.Janell G. Grazzini Frantz, M.S., C.N.P.

FACULTY DISCLOSURE

AsaprovideraccreditedbyACCME,CollegeofMedicine,MayoClinic(MayoSchoolofContinuousProfessionalDevelopment)mustensurebalance,independence,objectivityandscientificrigorinitseducationalactivities.Coursedirector(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 educationalactivity.Safeguardsagainstcommercialbiashavebeenputinplace.Facultyalsowilldiscloseanyoff-labeland/orinvestigationaluseofpharmaceuticalsor instruments discussed in their presentation. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

Wayne L. Miller, M.D., Ph.D.Jill J. Nagel, P.A.-C.Pankaj Shah, M.D.Keith M. Swetz, M.D.Amy W. Williams, M.D.

Sunday, March 17, 2013

7:00a.m. Registration&ContinentalBreakfast

7:50a.m. OpeningRemarksandPreTest

The Clinical Syndrome of Heart FailureModerator: Barry L. Karon, MD.

8:00a.m. IsThisHeartFailure?MakingtheClinicalDiagnosis Jean Wagner, M.S., C.N.P.

8:25a.m. Questions

8:30a.m. TheEchoReport:DecipheringtheJibberish Barry L. Karon, M.D.

8:55a.m. Questions

9:00a.m. DiagnosticImaginginHeartFailure–WhichOne,When? Nuclear,CT,MRI,PET Nandan S. Anavekar, M.B., B.Ch.

9:25a.m. Questions

9:30a.m. BNPforDiagnosis,RiskStratification,andGuidingTherapyinHeartFailure

Barry L. Karon, M.D.

9:55a.m. Questions

10:00a.m. RefreshmentBreak

10:20a.m. ExerciseStressTests:WhenandWhytoUseThem Grace Lin, M.D.

10:45a.m. Questions

10:50a.m. EtiologyandClinicalCharacteristicsofDilatedCardiomyopathy Janell G. Grazzini Frantz, M.S., C.N.P.

11:15a.m. Questions

11:20a.m. TheNextGenerationofHeartFailurePatients– TheCardiometabolicSyndrome Pankaj Shah, M.D.

11:45a.m. Questions

11:50a.m. HypertensionManagementAlongtheContinuumofHeart FailureStages Amy W. Williams, M.D.

12:15p.m. Questions

12:20p.m. Lunch

1:20p.m. PracticePearlsforPatientswithHeartFailureandDiabetes Pankaj Shah, M.D.

1:45p.m. Questions

P R O G R A M

1:50p.m. HeartFailurewithPreservedEjectionFraction Barry L. Karon, M.D.

2:15p.m. Questions

2:20p.m. NonPharmacologicManagementinHeartFailure Janell Grazzini Frantz, M.S., C.N.P.

2:45p.m. Questions

2:50p.m. SoYourPatientHasHeartFailure: DiscussingtheHFTrajectorywithYourPatient Jean A. Wagner, M.S., C.N.P.

3:15p.m. Questions

3:20p.m. Adjourn

Monday, March 18, 2013

7:30a.m. ContinentalBreakfast

Foundations of Heart Failure TreatmentModerator: Jean A.Wagner, M.S., C.N.P.

8:00a.m. ACEInhibitorsandBetaBlockers–PracticePearlsBeyondtheGuidelines

Janell Grazzini Frantz, M.S., C.N.P.

8:25a.m. Questions

8:30a.m. TheOtherHeartFailureDrugs:Digoxin,Spironolactone,Eplerenone Wayne L. Miller, M.D., Ph.D.

8:55a.m. Questions

9:00a.m. OutpatientFluidManagementBeyondFurosemide Jean A. Wagner, M.S., C.N.P.

9:25a.m. Questions

9:30a.m. ApproachingtheHospitalizedPatientwithHeartFailure Grace Lin, M.D.

9:55a.m. Questions

10:00a.m. RefreshmentBreak

10:20a.m. DevicesinHeartFailure:Prevention,Treatment,andMonitoring Jill J. Nagel, P.A.-C.

10:45a.m. Questions

10:50a.m. PolypharmacyintheGeriatricHeartFailurePatient–WatchOut! Christopher J. Arendt, Pharm.D., R.Ph.

11:15a.m. Questions

11:20a.m. AnticoagulationPearlsforHeartFailurePatients Dalene M. Bott Kitslaar, M.S., C.N.P.

11:45a.m. Questions

11:50a.m. AtrialFibrillationinHeartFailurePatients Jill J. Nagel, P.A.-C.

12:15p.m. Questions

12:20pm Lunch

1:20p.m. Left-SidedValvularHeartDisease:MedicationsorSurgery? Grace Lin, M.D.

1:45p.m. Questions

1:50p.m. TreatingHeartFailureintheSettingofAdvancedKidneyDisease Amy W. Williams, M.D.

2:15p.m. Questions

2:20p.m. UpdateinPulmonaryHypertensionandRightHeartFailure Robert P. Frantz, M.D.

2:45p.m. Questions

2:50p.m. CommonMistakesMadeinHeartFailureManagement– CaseStudies Moderator: Barry L. Karon, M.D. Panel: Drs. Lin, Williams, Wagner, Arendt, and Anavekar

3:30p.m. Adjourn

Tuesday, March 19, 2013

7:30a.m. ContinentalBreakfast

7:50 a.m. Post Test

Advanced Heart FailureModerator: Jean A. Wagner, M.S., C.N.P.

8:00a.m. DiscussingPrognosis,PalliativeCare,andHospice Keith M. Swetz, M.D.

8:25a.m. Questions

8:30a.m. WhentoConsiderChronicOutpatientInotropeTherapy Wayne L. Miller, M.D., Ph.D.

8:55a.m. Questions

9:00a.m. ManagingSymptomsatEndofLife–Dyspnea,Anxiety,Pain Keith M. Swetz, M.D.

9:25a.m. Questions

9:30a.m. CardiacReplacement:LVADs–HowTheyWork,WhoNeedsThem,andWhatShouldIKnowIfMyPatientHasOne

Robert P. Frantz, M.D.

10:00a.m. RefreshmentBreak

10:20a.m. CardiacReplacement:Transplant–WhentoReferandWhatShouldIKnowIfMyPatientHasHadaTransplant

Robert P. Frantz, M.D.

10:45a.m. Questions

10:50a.m. IllustrativeCasesinAdvancedHeartFailure Moderator:Jean A. Wagner, M.S., C.N.P. Panel: Drs. Swetz, Miller, Frantz, and Ms. Grazzini Frantz

11:45a.m. Adjourn

Optional Session – Please sign-up when registering1:30–3:00p.m. Echo Basic Tutorial Barry L. Karon, M.D.

Register online: http://www.mayo.edu/cme/cardiovascular-diseases-2013R998

Registration Fee:Full Registration Fee (MD, PhD, PharmD) $675

Reduced Registration Fee (Fellow/Resident, RN, Emeritus) $600

Mayo Clinic Division of Cardiology has recently implemented an online conference registration system. If this is your first time using the online system, you will need to create a profile and login account. The system will step you through the profile and login process. An email address is required upon registration. Please keep the login information for future use in completing the course evaluation and obtaining your cme record of attendance.

The registration fee includes tuition, electronic syllabus, continental breakfasts and break refreshments. Although it is not Mayo School of Continuous Professional Development (CPD) policy to limit the number of registrants for a course, conference room facilities may necessitate closing of enrollment; therefore, early registration is advised. A letter of confirmation will be e-mailed upon receipt of payment. Please present the confirmation letter when checking in at the meeting registration desk.

For additional information, contact:Mayo Cardiovascular CME Office200 First Street SW – Gonda 6-472Rochester, MN 55905

E-mail: cvcme@mayo.eduPhone: 800-283-6296Fax: 507-538-0146Website: http://www.mayo.edu/cme/cardiovascular-diseases-2013R998

CANCELLATION POLICYIf you cancel your participation in this course, your registration fee, less a $75 administrative fee, will be refunded when written notification is received by Mayo Cardiovascular CME office by March 3, 2013 (fax#: 507-538-0146). No refunds will be made on or after March 3, 2013. Canceled registrations are non-transferable.

Mayo School of CPD reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event Mayo School of CPD must cancel or postpone this course, Mayo School of CPD will refund the registration fee, but is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.

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