Cardiology Update in Primary Care Medicine: An Evidence-Based Approach - June, 2009

Venue: Hyatt Sarasota on Sarasota Bay

Location: Sarasota, Florida, United States

Event Date/Time: Jun 22, 2009 End Date/Time: Jun 26, 2009
Registration Date: Jun 22, 2009
Early Registration Date: May 23, 2009
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Description

SPECIFIC OBJECTIVES FOR THIS COURSE: DAY 1 - HYPERTENSION - Hypertension for the general population and various subgroups. Importance of isolated systolic hypertension. Low diastolic pressure may be prognostically good or bad. CHEST PAIN AND NON-INVASIVE TESTING FOR CORONARY ARTERY DISEASE - Differentiate life-threatening from more benign chest pain. Approach to chest pain, with the use of probability analysis. Relative merits of the various diagnostic tests. RISK FACTORS - Risk factors for coronary artery disease. Modifiable and non-modifiable risk factors. How emerging risk factors affect cardiovascular risk. Causes and consequences of obesity. RISK STRATIFICATION - Framingham Model for assessment of absolute risk. Limitations of the Framingham Model. Assessment of absolute risk to guide therapy. DAY 2 - RISK REDUCTION - National guidelines for primary and secondary risk reduction. Treatment of lipid disorders. How major trials affect decisions on pharmacologic reduction of risk. ATRIAL FIBRILLATION - Importance of anticoagulation in the management of atrial fibrillation. Pharmaceutical and non-pharmaceutical methods of normalizing ventricular rate. Compare two possible strategies for cardioversion in atrial fibrillation. Potential benefit and harm of antiarrhythmic therapies. AORTIC VALVE DISEASE - Identify the patient with aortic valve disease through history and physical examination. Role of non-invasive and invasive testing in diagnosis and management. Medical therapy and indications for aortic valve replacement. MITRAL VALVE DISEASE - Identify the patient with mitral valve disease through history and physical examination. Role of non-invasive and invasive testing in diagnosis and management. Medical therapy and indications for mitral valve replacement and repair. Symptoms and adverse outcomes that do and do not result from mitral valve prolapse. DAY 3 - CONGESTIVE HEART FAILURE - Cardiac etiologies of pulmonary congestion. Ejection fraction and stroke volume. Causes of systolic heart failure. Standard-of-care therapies, differentiating between those treatments which reduce mortality and those that improve symptoms. DIASTOLIC HEART FAILURE AND HYPERTROPHIC CARDIOMYOPATHY - Prevalence and pathophysiology of diastolic failure. Treatment strategies for diastolic heart failure. Prognosis in patients with hypertrophic cardiomyopathy. Treatment strategies in patients with hypertrophic cardiomyopathy. DISEASES OF THE AORTA – ABDOMINAL AORTIC ANEURYSM, ACUTE AORTIC SYNDROMES - Lethality of aortic rupture and dissection. Screening for and management of aortic aneurysms. Acute aortic dissection and those at risk. CARDIAC EMERGENCIES – ACUTE PULMONARY EDEMA AND SHOCK - Differentiate cardiac from non-cardiac pulmonary edema. Chronic and acute heart failure. Therapies for acute pulmonary edema. Cardiogenic shock in hemodynamic and clinical terms. Differential diagnosis for shock. Importance of revascularization in the patient with shock due to acute myocardial infarction. DAY 4 - PERIOPERATIVE CARDIAC EVALUATION AND MANAGEMENT - What the surgical team wants to know. Cardiovascular effects of anesthesia and surgery. Preoperative evaluation, including non-invasive testing for coronary artery disease, using national guidelines. Perioperative measures which may reduce the risk of cardiac complications. SYNCOPE - Common underlying pathophysiology. Benign and life-threatening causes of syncope. Diagnostic yield in the work-up. Clinical history to help focus the work-up. SUDDEN CARDIAC DEATH, BRADYCARDIA, ATRIOVENTRICULAR BLOCK - Which patients need additional evaluation and treatment of ventricular arrhythmias. Which patients need additional evaluation and treatment of cardiac conduction abnormalities. Indications for permanent electronic pacemakers. PALPITATIONS AND SUPRAVENTRICULAR TACHYCARDIA - Algorithm for differentiating various supraventricular tachycardias. How to acutely treat and chronically manage reentrant supraventricular tachycardias. Diagnostic approach for palpitations. Recognize benign from potentially life-threatening causes of palpitations. DAY 5 - ACUTE ST- ELEVATION MYOCARDIAL INFARCTION - Relate the differences in plaque morphology to the differences between stable angina and acute coronary syndromes. Identify acute ST-elevation myocardial infarction, including the use of newer markers of cardiac injury. Treatment strategies that reduce mortality, and the importance of minimizing time delay. Complications of acute infarction. Post-infarction risk. UNSTABLE ANGINA PECTORIS/NON ST-ELEVATION MYOCARDIAL INFARCTION AND STABLE ANGINA - Unstable angina or non ST-elevation infarction and tailor therapy to the degree of risk. Who benefits from revascularization. Determinants of myocardial oxygen demand and supply, and the effects of medications. Treatment of stable angina. INTERESTING CLINICAL CASES - Clinical aspects in diagnosis, evaluation, management of cardiac risk factors. Clinical aspects in the diagnosis, evaluation, management of cardiac symptoms. Clinical aspects in the diagnosis, evaluation, management of known cardiac diseases. When to refer complex patients for subspecialty care. WOMEN AND CORONARY ARTERY DISEASE - How coronary risk factors affect women. Strategy for evaluating chest pain in women. Different clinical profiles of men and women with acute myocardial infarction. Risks and benefits of therapeutic modalities in women with coronary disease.

Venue

1000 Boulevard of the Arts
Sarasota
Florida
United States
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Additional Information

Physician Fees $745.00 Regular Registration (30 days prior to seminar start date) $795.00 Late Registration Non Physician/Resident* Fees $645.00 Regular Registration (30 days prior to seminar start date) $695.00 Late Registration