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Mayo School of Continuous Professional Development

ECG and Heart Rhythm: A Case-Based Approach

December 5-8, 2013

The Westin Kierland Resort & Spa Scottsdale, AZ

Co-Course DirectorsPaul A. Friedman, M.D.

Komandoor Srivathsan, M.D.

REGISTER ONLINE NOW! http://www.mayo.edu/cme

Mayo School of Continuous Professional Development

2nd Annual Heart Rhythm Meeting

COURSE DESCRIPTIONThis course will focus on clinical and hospital-based cardiac rhythm issues and other topics for both physicians and allied health staff.

COURSE HIGHLIGHTS• Unique one day ECG course (first day)

• This course will cover practical ECG tips and develop skills to interpret ECG with clinical correlation

COURSE LEARNING OBJECTIVES Upon conclusion of this program, participants should be able to:• Recognize arrhythmias from ECG

session• Describe the current guidelines and

new strategies for treatment of atrial fibrillation

• Discuss early evaluation, acute management and referral options for arrhythmia

• Decide when to refer patients for primary prevention of sudden death

• Recognize patient population for primary prevention of sudden death

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 AUDIENCEThis course offers sessions for all levels of professionals and is intended for general internists, hospitalists, family practitioners, and allied health staff participating in cardiac services.

CREDIT College 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 18.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AOAThis program has been accredited by the American Osteopathic Association for 18.5 credits of AOA Category 2-A.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.

GRANTS AND EXHIBITS At the time of this printing, a complete listing of commercial supporters (financial or in-kind) 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.

REGISTRATION To register online, visit http://www.mayo.edu/cme/cardiovascular-diseases-2013j475, or complete the attached registration form and return by mail or fax. The registration fee includes tuition, comprehensive electronic course 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 sent upon receipt of payment and completed registration form. Please present the confirmation letter when checking in at the meeting registration desk.

CANCELLATION POLICY If 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 School of CPD on or before November 21, 2013 (cme-jax@mayo.edu or fax#: (904) 956-3096). No refunds will be made after November 21, 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.

MEETING LOCATION & LODGING ACCOMMODATIONS Westin Kierland Resort and Spa 6902 E. Greenway Parkway Scottsdale, AZ 85254

(480) 624-1000 or (800) 354-5892 www.kierlandresort.com

Make your hotel reservations online at www.starwoodmeeting.com/Book/HeartRythm2013

The Westin Kierland Resort & Spa has reserved a limited block of luxurious guest rooms for attendees at a special

GUEST FACULTY Sumeet S. Chugh, M.D.Cedars-Sinai Heart InstituteLos Angeles, CA Arshad Jahangir, M.D.Aurora Health CareMilwaukee, WI

MAYO FACULTY

group rate of $179 (USD), single or double occupancy, run of house, per night for course participants and guests. Group rates will apply three days prior to and three days following the course dates, based upon group room availability. To receive the special rate, make reservations before the room block is filled or by the expiration date of November 13, 2013. To make your reservation, call (800) 354-5892. When making a reservation, identify yourself as a participant of the “Mayo Clinic Heart Rhythm Course”. All guest room rates are quoted exclusive of applicable state and local taxes. High speed internet in guest rooms and complimentary self-parking are included.

TRANSPORTATION Ground Transportation: Hertz is offering a reduced daily rate for participants attending the course. Call (800) 654-2240 and refer to CV Number #03NR0008 when making reservations.

SuperShuttle vans offer airport transportation to and from the hotel. To make reservations, call (800) 258-3826 or (602) 244-9000.

RECREATION/LEISURE ACTIVITIES Visit www.visitphoenix.com or www.scottsdalecvb.com for additional recreation and leisure activities.

6:50 a.m. Registration and Continental Breakfast 7:15 Welcome, Introduction and Pre-Test - Komandoor Srivathsan, M.D. 7:30 Localization of Myocardial Infarction with Illustrative Cases Komandoor Srivathsan, M.D. 8:00 Superventricular Tachycardia Recognition with Practical Cases Win-Kuang Shen, M.D. 8:30 Aberrancy versus Ventricular Tachycardia - Luis R. Scott, M.D. 9:00 Localization of Ventricular Tachycardia - Paul A. Friedman, M.D. 9:30 Refreshment Break 10:00 Conduction System Disease: Where is the Block? Stephen C. Hammill, M.D.10:30 Show Me the Chamber that is Abnormal (Chamber Hypertrophy) Win-Kuang Shen, M.D.11:00 A Flutter, Pre-Excited Atrial Fibrillation and Torsade Stephen C. Hammill, M.D.11:30 Metabolic Changes, Ion Channel Problems and Unusual Problems Paul A. Friedman, M.D. Noon Adjourn

Friday, December 6, 2013 - Artial Fibrillation

Moderators: Sumeet S. Chugh, M.D. and Komandoor Srivathsan, M.D. 7:00 a.m. Continental Breakfast 7:30 Atrial Fibrillation: Clinical Cases Where Underlying Causes Changed Management? - Paul A. Friedman, M.D. 7:50 Difficult Rate Control Cases: Medications versus AV Node Ablation Win-Kuang Shen, M.D. 8:10 Medications for Maintaining Sinus Rhythm: What do the Guidelines Say? - Sumeet S. Chugh, M.D. 8:25 When Does Ablation Have a Role? - Komandoor Srivathsan, M.D.

Thursday, December 5, 2013 - Special ECG Readings

Jane L. Bazzell, R.N.Krishnaswarmy Chandrasekaran, M.D.Paul A. Friedman, M.D.Stephen C. Hammill, M.D.Joseph B. Hejlik, R.N.Dawn E. Jaroszewski, M.D.Thomas M. Munger, M.D.Douglas L. Packer, M.D.

Luis R. Scott, M.D.Win-Kuang Shen, M.D.Komandoor Srivathsan, M.D.

GUEST FACULTY Sumeet S. Chugh, M.D.Cedars-Sinai Heart InstituteLos Angeles, CA Arshad Jahangir, M.D.Aurora Health CareMilwaukee, WI

8:50 Stroke in Atrial Fibrillation: Guidelines and Practical Tips Sumeet S. Chugh, M.D. 9:10 Panel Discussion 9:30 Refreshment Break10:00 What if my Patient Can’t or Won’t Take Anticoagulation for Atrial Fibrillation? Komandoor Srivathsan, M.D.10:25 Surgery for Atrial Fibrillation? What is my Role? Dawn E. Jaroszewski, M.D. 10:50 Panel Discussion11:30 Artial Fibrillation-Case ManagementModerator: Sumeet S. Chugh, M.D. Panelists: Paul A. Friedman, M.D. and Win-Kuang Shen, M.D. First Case: Luis R. Scott, M.D. Second Case: Thomas M. Munger, M.D.12:15 Adjourn

Saturday, December 7, 2013 - Ventricular Arrhythmias

6:50 a.m. Continental Breakfast 7:00 Early Bird Session- Review of Interesting ECG’s Komandoor Srivathsan, M.D.Moderator: Paul A. Friedman, M.D. 7:30 Case Selection for Primary Prevention of Sudden Death Komandoor Srivathsan, M.D. 7:50 Ablation Made a Difference in These VT Cases - Douglas L. Packer, M.D. 8:15 Patients with ICD-What you Need to Know? - Luis R. Scott, M.D. 8:40 Pericardial Access: Is There a Role in Ablation? Case Review Thomas M. Munger, M.D. 9:05 Panel Discussion 9:30 Refreshment Break10:00 Long QT and Brugada Cases - Win-Kuang Shen, M.D.10:25 PVC’s and Cardiomyopathy Cases - Douglas L. Packer, M.D. 10:50 These Patients Should not be in Competitive Sports Win-Kuang Shen, M.D.11:15 Panel Discussion11:35 Case Based Workshop: ARVD, Brugada, Frequent PVC’sModerator: Douglas L. Packer, M.D. Panelists: Paul A. Friedman, M.D. and Win-Kuang Shen, M.D. First Case: Brugada Syndrome - Komandoor Srivathsan , M.D. Second Case: ARVD - Paul A. Friedman, M.D.12:15 p.m. Adjourn

Sunday, December 8, 2013

Moderator: Paul A. Friedman, M.D. 6:50 a.m. Continental Breakfast 7:00 Early Bird Session: Learning from the 12-Lead ECG - Win-Kuang Shen, M.D. 7:30 How Do I Use Remote Monitoring of Pacemakers - Paul A. Friedman, M.D. 7:55 Recurrent ICD Shocks: A Practical Case - Thomas M. Munger, M.D. 8:20 Young Female with Recurrent Syncope and Tachycardia Win-Kuang Shen, M.D. 8:45 Not So Benign When VT Happens with Exercise: RVOT-VT, CPVT or Rare Syndromes, Ablation or Medication? - Arshad Jahangir, M.D. 9:10 Panel Discussion 9:30 Refreshment Break 10:00 Heart Failure Helped by Pacemaker, CRT, A Practical Case Komandoor Srivathsan, M.D. 10:25 Right Ventricle Pacing Induced Heart Failure-How Did I Manage? A Practical Case - Luis R. Scott, M.D. 10:50 Echo Imaging in EP Cases: Practical Tips - Krishnaswarmy Chandrasekaran, M.D. 11:15 Remote Monitoring Helped These Patients - Jane L. Bazzell, R.N. 11:35 I Help When There are Complications - Joseph B. Hejlik, R.N. Noon Panel Discussion / Post test 12:20 p.m. Closing Remarks and Adjourn

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(Please print or type all information. You may duplicate this form for multiple registrations.)

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Registration Fees:

Physicians/Scientists – $550

December 5-8, 2013The Westin Kierland Resort & Spa, Scottsdale, AZ

REGISTRATION FORM 2013J475

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FACULTY DISCLOSURE As a provider accredited by ACCME, College of Medicine, Mayo Clinic (Mayo School of Continuous Professional Development) must ensure balance, independence, objectivity and 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 commercial bias have been put in place. Faculty also will disclose any off-label and/or investigational use of pharmaceuticals or 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.

Residents, Physician Assistants and Nurse Practitioners – $450

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2nd Annual Heart Rhythm Meeting ECG and Heart Rhythm: A Case-Based Approach