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Cardiovascular Symposium

HeartBook2015 (digital)

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Stress Echocardiography<br />

Thursday afternoon, September 17, 2015<br />

Saint John Regional Hospital – Amphitheatre Level 5D<br />

Moderator: David Bewick, MD<br />

Learning Objectives:<br />

• Discuss the utility of stress echocardiography in the evaluation<br />

and management of patients with valvular heart disease<br />

• Discuss the advantages and limitations of a pharmacological echo<br />

versus exercise stress echocardiography<br />

• Evaluate the utility of stress echocardiography in non-ischemic heart disease with a LBBB<br />

• Practical application of stress echwocardiography utilizing a case presentation format<br />

Target Audience:<br />

Cardiologists<br />

Internists<br />

Sonographers<br />

Cardiology<br />

Technologists<br />

1200 – 1255 Registration – Level 1, Amphitheatre<br />

1255 – 1300<br />

Introduction<br />

David Bewick, MD<br />

1300 – 1320<br />

Anthony Sanfilippo, MD<br />

1320 – 1400<br />

Howard Leong-Poi, MD<br />

1400 – 1420<br />

Sarah Ramer, MD<br />

1420 – 1440<br />

David Bewick, MD<br />

Assessment of Functional Severity of Valvular Regurgitation – Does<br />

Stress Echo Add Any Incremental Value?<br />

This presentation will review the hemodynamic and structural adaptations to volume loading,<br />

how Stress Echo may provide insights as to the status of the asymptomatic patient and review<br />

current guidelines.<br />

Diagnosis of Low Flow, Low Gradient Aortic Stenosis<br />

With and Without LV Systolic Dysfunction<br />

• Practical utility of dobutamine stress echo<br />

• Pearls and pitfalls<br />

• How to diagnose “surgical” low flow low gradient aortic stenosis with preserved EF<br />

The diagnosis of severe valvular aortic stenosis (AS) is challenging when mean transaortic<br />

gradients are

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