2004 Cardiology Update
A Symposium for Primary Care Physicians and
Cardiac Care Nurses
Schedule
Friday, September 24th
7:30 am
Registration and Continental Breakfast
Visit with Exhibitors
8:00
Opening Remarks: Course Director and Moderator
Stuart J. Bresee, MD
8:10
Evidence Based Medicine: A Basis for Payment Methodology
David Hall, MBA
Many physicians use evidence-based medicine to optimally treat patients and soon, payors will use it to determine payment for hospitals and physicians. Systems that are prepared can prosper and care could actually improve.
8:30
The Renin-Angiotensin System in Cardiovascular Disease
Helmy Siragy, MD
Dr. Siragy will bring us up to date on what is known about angiotensin receptor blockade, endothelial and cardiovascular function, and vascular inflammation. These effects can determine clinical outcomes in both congestive heart failure and vascular occlusive events.
9:20
Carotid Stenting: A Bold Gamble in a High Stakes Game
Scott Stevens, MD
Has percutaneous technology eclipsed surgical skill in this unforgiving locale?
9:55
Break and Visit Exhibits
10:25
BREAKOUT SESSIONS:
The Old Ticker
Barb Bancroft, RN, MSN
Ms. Bancroft will discuss the changes that occur with ithe inevitable process of senescence in the cardiovascular system.
Lipid Management in 2004
John Acker, MD
Which patients should have determination of particle size and subfractions? All patients with coronary disease? What is the best test to order for this? Who should have homocysteine and CRP measurements? Dr. Acker will use case-based instruction; participants are encouraged to bring their own problem panels for discussion.
Practical Smoking Cessation
Paul Branca, MD
Cigarette smoking remains a huge public health problem. Our patients struggle and fail daily in their attempts to quit. Here's how to help.
11:20
An Apple a Day: The ABCs of Diet and Cardiovascular Disease
Barb Bancroft, RN, MSN
Ms. Bancroft will provide a practical guide for improving the health of your patients as well as provide the scientific basis for recommendations regarding vitamins, anti-oxidants, and lowering cholesterol and cardiac risk through diet.
11:35
Balloon Mitral Valvotomy: A Video Case Presentation
Dale Wortham, MD
Dr. Wortham is the only physician in Tennessee certified to perform balloon mitral valvotomy using the Inoue-Balloon. Before screening the video, Dr. Wortham will outline the clinical indications and selection of patients for this procedure. This video presentation will show a cath lab procedure from start to finish, with commentary from Dr. Wortham.
12:00 pm
Lunch and Visit Exhibits
FRIDAY AFTERNOON SESSION
Course Co-Director and Moderator
James W. Cox, MD
1:00
Atrial Fibrillation Update
James Cox, MD
The cardiology community is changing their medical approach to this, the oldest of the arrhythmias. At the same time, radiofrequency ablation is almost ready for prime time. Dr. Cox will outline an approach for selection of patients for rate control, anti-arrhythmic drug therapy, or referral for ablation.
1:40
Panel Discussion
James Cox, MD, Jeff Hirsh, MD, Russell Huntsinger, Md, and John Acker, MD
The panel will work their way through the management of a patient with atrial fibrillation, inviting input from the attendees along the way utilizing the audience response system.
2:35
Break and Visit Exhibits
3:00
BREAKOUT SESSIONS:
Interventional Pulmonary Procedures
Paul Branca, MD
Dr. Branca will describe the current state-of-the-art therapeutic procedures that can be performed through the bronchoscope, and will outline patient selection criteria. Particular emphasis will be placed on lung cancer wand palliative care.
Heart Disease in Women: Where are we in 2004?
Jeffrey H. Johnson, MD
Dr. Johnson will discuss the important differences in the clinical presentation of ischemic syndromes in women and appropriate use of diagnostic testing. Gender differences in response to therapy will also be reviewed. Finally, the latest on hormonal replacement therapy will be discusssed.
The Approach to the Patient with PVCs
Jeffrey Hirsh, MD
PVCs were commonly treated in the post-MI setting 20 years ago. After the CAST Trial, it was no longer clear what to do for patients with PVCs. Dr. Hirsh will present the data supporting a more aggressive approach to managing this very heterogeneous group and , using a case-based approach, provide guidelines for referral for defibrillator therapy.
3:50
The Efficient Evaluation of the Patient with Chest Pain
Russell Huntsinger, MD
When patients present with obvious acute myocardial infarction, their management is usually fairly straightforward. Dr. Huntsinger will focus on those patients presenting the ED or office without definitive findings of ischemia and will discuss a method of evaluation that is both efficient and accurate.
4:25
Cardiac PET
Gary Smith, MD
Rubidium-82 position emission tomography eclipses cardiac SPECT imaging in speed and accuracy. Dr. Smith will discuss the clinical utility of this procedure and outline our experience with it at UT Medical Center.
5:00
Adjournment
6:30
Reception
7:30
Dinner and Address by William Bass, PhD
8:15- 11:30
Dancing and Salsa Instruction
Saturday, September 25th
8:00 am
Registration and Continental Breakfast
9:00
Opening Remarks: Course Co-Director and Moderator
Dale C. Wortham, MD
9:10
Atrial Septal Defect
Dale Wortham, MD
ASDs can now be closed percutaneously. Dr. Wortham will review the common clinical presentations of ASDs and how to select patients for referral for closure. A video presentation of an actual ASD closure procedure will follow.
10:00
Cardiac MRI
Robert Spencer, MD
While we are still a few years away from magnetic resonance coronary angiography replacing conventional coronary angiography, MRI is ready for prime time for many indications. Dr. Spencer will outline those patients who could benefit from cardiac MRI in 2004 and in the near future.
10:40
Acute Coronary Syndromes
Joseph Liu, MD
Dr. Liu will present a method for risk stratification that will help one determine who requires cardiac catheterization and for whom it would be considered optional. The rational use of clopidogrel and GP 2b3a inhibitors will also be described, using a case-based presentation.
11:20
Break
11:40
BREAKOUT SESSIONS:
The Clinical Utilization of CT Angiography and MR Angiography
Judson Gash, MD
CT angiography and MR angiography are replacing conventional angiography for many indications. Dr. Gash will outline how to use these technologies now and in the very near future for several common diagnoses.
Diagnosis and Management of Pulmonary Embolosm
Michael McCormack, MD
Clinical assessment, CT scanning, VQ scanning, and venous dopplers can be used in combination to exclude or diagnose pulmonary embolism in various settings. Dr. McCormack will use a case-based presentation to illustrate a useful management algorithm.
Congestive Heart Failure Update
Lee Jordan, MD
Dr. Jordan will review the current status of evaluation and treatment of CHF with practical tips on the use of beta-blockers as well as the role of B-type naturetic peptide as a diagnostic test and therapeutic tool.
12:30
The Approach to the Patient with Claudication
David Cassada, MD
Dr. Cassada will describe a rational approach to the evaluation and management of the patient with leg pain upon ambulation. Also described are more aggressive interventional options for patients with arterial insufficiency including cryoplasty and subintimal recanalization for lower extremity revascularization.
1:15 pm
Adjournment
1:45
Bus leaves Conference Center for Star of Knoxville
