2017 47th Annual Cardiology Teaching Day

Physicians & Advanced Practitioners (NP, PA)
This activity utilizes a flipped classroom design. This begins with a foundational self-study followed by Live Conference on 10/18/2017, where all participants will have the opportunity to interact with the faculty and other learners. This provides an opportunity to discuss more specific management questions and strategies of care. https://www.surveymonkey.com/r/2017cardioquestions

How To Obtain Your CME Certificate
1.  Read the learning objectives and faculty disclosures.
2.  Physicians and Advanced Practitioners, who successfully, participate in the live component, complete the post-test and evaluation will receive CME credit.
3.  Successfully completing a segment means you must score 100% to receive 3 credits per segment for completion of the “Flipped Classroom” Material for a maximum of 9 additional credits.
4.  You must score 80% on the post-test to receive ABIM MOC credit for this activity. Click Here to take the post test  - Click Here for evaluation form

Cryptogenic Stroke Introduction - Shalin Patel, MD, Attending Cardiologist, The Heart Center a Division of Hudson Valley Cardiovascular P.C. 
1. Saver JL. Cryptogenic Stroke. NEJM 2016; 374:2065.
2. Brambatti M, Connolly SJ, Gold MR, et al. Temporal relationship between subclinical atrial fibrillation and embolic events. Circulation 2014; 129:2094.

Left Atrial Appendage Closure- Sankar Varanasi, MD Director of electrophysiology , Attending Cardiologist,The Heart Center a Division of Hudson Valley Cardiovascular P.C.
Panaich et al; Left Atrial Appendage Occlusion ,Journal of American College of Cardiology , January 31 2017
Holmes et al;Journal of the American College of Cardiology,July 8,2014,PREVAIL trial

Patent Foramen Ovale Occlusion– Rajeev Narayan, MD, FACC, FSCAI, RPVI, Director of  Endovascular VassarBrothers Medical Center Services and Clinical Assistant Professor of Medicine and Cardiology Rutgers- New Jersey Medical School
Respect trial
Closure I trial
PC-trial

THE FORGOTTEN RIGHT HEART
Pulmonary Hypertension– Benjamin Schaefer MD, Attending Cardiologist, The Heart Centera Division of Hudson Valley Cardiovascular P.C.    
1. Pulmonary hypertension: diagnosis and management. BMJ 2013;346:f2028
2. The Joint Task Force for the Diagnosis and Treatment of Pulmonary Hypertension of the European Society of Cardiology (ESC) and the European Respiratory Society (ERS). 2015 ESC/ERS Guidelines for the diagnosis and treatment of pulmonary hypertension. European Heart Journal (2016) 37, 67–119

Pulmonary Emboli   – Daniella Kadian-Dodov, MD, FACC, FSVM, RPVI, Assistant Professor of Medicine (Vascular Medicine), Zena and Michael A. Wiener Cardiovacular Institute and Marie-Josée, and Henry R. Kravis Center for Cardiovascular Health
Eur Heart J 2014; 35: 3033 - 3080
Chest 2016; 149:315-352
Vasc Med 2015; 20: 143-152

 Catheter Directed Therapy for Pulmonary Embolism – Mira Herman, MD, Interventional Radiologist Hudson Valley Radiology
-Meyer G, Vicaut, et al. Fibrinolysis for patients with intermediate-risk pulmonary embolism. N Engl J Med 2014;370:1402-1411.
Chatterjee S, Chakraborty A, Weinberg I, Kadakia M, Wilensky RL, Sardar P, Kumbhani DJ, Mukherjee D, Jaff MR, Giri J. Thrombolysis for Pulmonary Embolism and Risk of All-Cause Mortality, Major Bleeding, and Intracranial HemorrhageA Meta-analysis. JAMA. 2014;311(23):2414–2421.
Kucher N, et al. Randomized, Controlled Trial of Ultrasound-Assisted Catheter-Directed Thrombolysis for Acute Intermediate-Risk Pulmonary Embolism. Circulation 2014; 129: 479-486.
G. Piazza, B. Hohlfelder, M.R. Jaff, et al. A prospective, single-arm, multicenter trial of ultrasound-facilitated, catheter-directed, low-dose fibrinolysis for acute massive and submassive pulmonary embolism: The SEATTLE II study. J Am Coll Cardiol Intv. 2015; 8:1382-1392.
Kuo WT, et al. Pulmonary Embolism Response to Fragmentation, Embolectomy, and Catheter Thrombolysis (PERFECT): Initial Results From a Prospective Multicenter Registry. Chest. 2015 Sep;148(3):667-673.

OLD VALVES- NEW TREATMENTS
Management of Asymptomatic Mitral Regurgitation - Benoit Bewley, MD, Attending Cardiologist, The Heart Center a Division of Hudson Valley Cardiovascular P.C.
Foster E. Clinical Practice. Mitral regurgitation due to degenerative mitral-valve disease. N Engl J Med. 2010 Jul 8;363(2):156-65Grayburn PA, Weissman NJ, Zamorano JL. Quantification of mitral regurgitation.  Circulation. 2012 Oct 16;126(16):2005-17.Graybrun PA, Carabello B, Hung J, Gillam LD, Liang D, Mack, MJ, McCarthy PM, Miller DC, Trento A, Siegel RJ. Defining “severe” secondary mitral regurgitation: emphasizing and integrated approach.  J Am Coll Cardiol.2014 Dec 30;64(25):2792-801.

Introduction to Three Dimensional Echocardiography – Kamran Haleem, MD,FACC, FASE, RPVI, Director of  Endovascular Vassar Brothers Medical Center Services and Clinical Assistant Professor of Medicine and Cardiology Rutgers- New Jersey Medical School 
Lang RM et al. AEA/ASE Recommendations for Image Acquisition and Display Using Three-Dimensional Echocardiography; EHJ CV Imaging 2012 (13), 1-46.
Vegas A. Three-dimensional transesophageal echocardiography: Principles and clinical applications. Ann Card Anaesth 2016;19, Suppl S1:35-43
Mitral Clip Procedures  - Rajeev Narayan, MD, FACC, FSCAI, RPVI, Director of  Endovascular Vassar Brothers Medical   Center Services and Clinical Assistant Professor of Medicine  and Cardiology Rutgers- New Jersey Medical School
Everest 2 trial
Everest trial

Mitral Valve Surgery – Jason Sperling, MD, Director Cardiothoracic Surgery, Vassar Brothers Medical Center
Survival Advantage and Improved Durability of Mitral Repair for Leaflet Prolapse Subsets in the Current Era Rakesh M. Suri, MD, DPhil, Hartzell V. Schaff, MD, Joseph A. Dearani, MD, Thoralf M. Sundt III, MD, Richard C. Daly, MD, Charles J. Mullany, MB, MS, Maurice Enriquez-Sarano, MD, and Thomas A. Orszulak, MD Division of Cardiovascular Surgery, Mayo Clinic College of Medicine, Rochester, Minnesota Ann Thorac Surg 2006;82:819–27
Long-term results of aortic root repair using the reimplantation technique. David TE, Armstrong S, Manlhiot C, McCrindle BW, Feindel CM. J Thorac Cardiovasc Surg. 2013 Mar;145(3 Suppl):S22-5
Quality of life after aortic valve repair is similar to Ross patients and superior to mechanical valve replacement: a cross-sectional study. Zacek P, Holubec T, Vobornik M, Dominik J, Takkenberg J, Harrer J, Vojacek J. BMC Cardiovasc Disord. 2016 Apr 2;16:6