Cardiovascular Symposium
HeartBook2015 (digital)
HeartBook2015 (digital)
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Device/Arrhythmia<br />
Thursday morning, September 17, 2015<br />
Saint John Regional Hospital – Amphitheatre, Level 1D<br />
Moderator: Michel D`Astous, MD<br />
Challenges in Arrhythmias<br />
Learning Objectives:<br />
• Evaluate and incorporate contemporary approaches, treatment and<br />
management strategies in patients with atrial and ventricular arrhythmias<br />
• Identify the challenges in the management of patients with an implantable<br />
cardiac defibrillator<br />
• Discuss the assessment and management of patients with clinically<br />
important arrhythmias using a case based format<br />
0730 – 0830 Registration – Level 1, Amphitheatre<br />
Target Audience:<br />
Registered Nurses<br />
Physicians<br />
Cardiology Technologists<br />
0825 – 0830<br />
David Bewick, MD<br />
0830 – 0900<br />
John Sapp, MD<br />
0900 – 0930<br />
Martin Gardner, MD<br />
0930 – 1000<br />
Sean Connors, MD<br />
Welcome and Introduction<br />
Learning Track: Rhythm Management<br />
Challenges in the Management of Atrial Fibrillation<br />
• Contemporary use of anti-arrhythmic drugs – when should I worry?<br />
--<br />
Pro-arrhythmia, QT prolongation, medication interactions, electrolyte disturbances<br />
• Lenient Versus Strict Rate Control?<br />
--<br />
A 65 year old man has permanent AF and 24 hour Holter shows average<br />
heart rate 100 bpm, range 80-140 bpm. He feels well. Is this rate control good enough?<br />
ICDs and Ventricular Tachycardia<br />
• AICD indications – what’s inappropriate in 2015?<br />
• Does patient age affect risk of death/rehospitalisation after primary ICD?<br />
• Management of VT/VF storm in advanced heart failure<br />
Some patients with low ejection fraction may not benefit from prophylactic ICD implantation.<br />
How can you identify such patients and not refer for consideration? Is patient age one of those<br />
adverse risks? VT/VF storm in advanced heart failure is difficult to successfully treat. We will<br />
discuss what not to miss and what to avoid.<br />
Avoiding Sudden Death<br />
20 Year old female runner presented with syncope and QTC 490 ms<br />
• How do you make the diagnosis of a familial arrhythmia syndrome?<br />
• The Cardiac Channelopathies: Who needs genetic testing. Who needs an ICD?<br />
• ARVC in Atlantic Canada – How common is it?<br />
1000 – 1030 Nutrition Break – Please visit our exhibitors in the Light Court.<br />
1030 – 1200<br />
Moderator:<br />
Martin Green, MD<br />
Challenging the Experts<br />
Expert Panel: Dr. Sean Connors, Martin Gardner and John Sapp<br />
• A 76 year-old woman with CHA2DS2VASc score of 4, palpitations and brief AF<br />
on implanted pacemaker – how much atrial fibrillation buys you anticoagulation?<br />
• A 25 year old man with a Brugada pattern ECG<br />
• My 280 lb 54 year old patient with obstructive sleep apnea has AF<br />
and wants an ablation – weight loss and lifestyle?<br />
• 23 year old male with severe asymptomatic PR, dilated RV and transient,<br />
asymptomatic 3 rd degree AV block detected on Holter<br />
1200 – 1300 Lunch – Please visit our exhibitors in the Light Court.<br />
Please note that 25% question/answer time is included in each lecture/presentation time allotment.<br />
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