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The 21st Annual Meeting of the Ohio Chapter of the American College

of Cardiology

The Conference Center at NorthPointe Lewis Center, Ohio Saturday, October 15, 2011

Special Session for Fellows-in-Training and Networking Luncheon for Women in Cardiology Program Co-Directors

Jennifer E. Cummings, MD, FACC Laxmi S. Mehta, MD, FACC Jointly Sponsored/Co-Provided by

The American College of Cardiology Foundation and the Ohio Chapter of the American College of Cardiology


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7:00-7:55 a.m.

Registration, Exhibits, Posters, and Continental Breakfast

7:55-8:00 a.m.

Welcoming Remarks Robert E. Hobbs, MD, FACC

8:00-8:45 a.m.

Health Care Legislation: What’s in Store for You? – Report from the ACC Richard J. Kovacs, MD, FACC

8:45-9:30 a.m. New Therapies for Resistant Hypertension Sanjay Gandhi, MD, FACC, FAHA, FSCAI _________________________________________ 8:45 a.m.-10:15 a.m. Fellow-in-Training Session: Next Steps in a Cardiology Career You will not want to miss important information about taking the next step in your cardiology career. Find out how to evaluate practice culture, clinical practice style, financial and business aspects of the practice, employment agreements, practice governance, management, risk management, partnership opportunities, how to select a geographical location, private practice vs. academe, what is the right salary, what to include in your CV, what questions to ask in an interview, what benefits to expect, and more. Christopher J. Cooper, MD, FACC Kanny S. Grewal, MD, FACC Richard J. Kovacs, MD, FACC Daniel W. Mudrick, MD, MPH Florence G. Rothenberg, MS, MD, FACC Scott Simmons, MBA, Discussion Leader _________________________________________ 9:30-10:15 a.m.

An Interactive Tutorial on Cardiac Oncology Guilherme H. Oliveira, MD

10:15-11:00 a.m.

Break, Exhibits, Poster Competition

11:00-11:30 a.m.

Fellows-in-Training Oral Competition

11:30 a.m.-12:15 p.m.

What Do You Know About Cardiac Hemodynamics? James C. Fang, MD, FACC

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12:15-1:00 p.m. Lunch ___________________________________________________ 12:15-1:00 p.m. Special Networking Luncheon for Women in Cardiology ___________________________________________________ 1:00-1:45 p.m.

A Practical Guide to the New Anticoagulants DP Suresh, MD, FACC, FSCAI

1:45-2:00 p.m.

Break

2:00-2:45 p.m.

Name That Image! Cardiac Imaging to Guide Decision Making for Heart Valve Disease
 Kanny S. Grewal, MD, FACC Richard A. Grimm, DO, FACC Moderator: Thomas J. Ryan, MD, MBA, FACC

2:45-3:30 p.m.

How to Manage Heart Failure & Cardio-Renal Syndrome William T. Abraham, MD, FACC

3:30 p.m.

Poster Winner and Oral Competition Winner Announcements & Adjournment


p ro g r am co - d i re cto r s

Jennifer E. Cummings, MD, FACC Associate Professor of Medicine Northeastern Ohio Universities College of Medicine Staff Cardiologist City Cardiology Associates Akron, Ohio Laxmi S. Mehta, MD, FACC Clinical Director of the Women’s Cardiovascular Health Program Division of Cardiovascular Medicine The Ohio State University Secretary/Treasurer, Ohio Chapter of the American College of Cardiology Columbus, Ohio


p ro g r am committ ee Anna M. Broz, RN, MSN, CNP, AACC Nurse Practitioner North Ohio Heart Center Lorain, Ohio

William R. Lewis, MD, FACC Chief, Clinical Cardiology MetroHealth Medical Center Cleveland, Ohio

Mangeet Chahal, MD Cardiovascular Fellow University of Toledo Toledo, Ohio

Anjli Maroo, MD, RVT, FACC Staff Interventional Cardiologist Fairview Hospital Cleveland, Ohio

William R. Colyer, Jr., MD, FACC Associate Professor of Medicine University of Toledo Toledo, Ohio The Ohio State University Columbus, Ohio

Michael B. Rocco, MD, FACC Medical Director of Cardiac Rehabilitation and Stress Testing Section of Preventive Cardiology Staff Cardiologist Section of Clinical Cardiology and Preventive Cardiology Department of Cardiovascular Medicine Cleveland Clinic Cleveland, Ohio

Christopher J. Cooper, MD, FACC Chief, Division of Cardiovascular Medicine Professor of Medicine University of Toledo Toledo, Ohio Michael S. Firstenberg, MD, FACC Assistant Professor of Surgery The Ohio State University Columbus, Ohio Sanjay Gandhi, MD, FACC, FAHA, FSCAI Director, Endovascular Cardiology Assistant Professor of Medicine MetroHealth Campus, Case Western Reserve University Cleveland, Ohio Kanny S. Grewal, MD, FACC Co-Director of Cardiac Imaging Laboratory McConnell Heart Hospital at Riverside Methodist Hospital MidOhio Cardiology and Vascular Consultants Columbus, Ohio Robert E. Hobbs, MD, FACC Staff Cardiologist, Section of Heart Failure and Transplant Medicine Department of Cardiovascular Medicine Cleveland Clinic President, Ohio Chapter of the American College of Cardiology Cleveland, Ohio

Florence G. Rothenberg, MS, MD, FACC Assistant Professor University of Cincinnati Cincinnati, Ohio Sakima Smith, MD Cardiovascular Fellow The Ohio State University Columbus, Ohio Tanya S. Verga, RN, BSN Pacemaker and Arrhythmia Services Northeast Ohio Cardiovascular Specialists Akron, Ohio Bryan M. White, MD, FACC Major, MC, USAF Staff Cardiologist Wright Patterson Cardiology Dayton, Ohio


fac u lt y

William T. Abraham, MD, FACP, FACC, FAHA, FESC Professor of Internal Medicine Director, Division of Cardiovascular Medicine The Ohio State University Columbus, Ohio Christopher J. Cooper, MD, FACC Chief, Division of Cardiovascular Medicine Professor of Medicine University of Toledo Toledo, Ohio James C. Fang, MD, FACC Professor of Medicine Director, Clinical Cardiovascular Services Medical Director, Heart Failure Transplant, Mechanical Circulatory Support Case Western Reserve University, University Hospitals Case Medical Center Cleveland, Ohio Sanjay Gandhi, MD, FACC, FAHA, FSCAI Director, Endovascular Cardiology Assistant Professor of Medicine MetroHealth Campus, Case Western Reserve University Cleveland, Ohio Kanny S. Grewal, MD, FACC Co-Director of Cardiac Imaging Laboratory McConnell Heart Hospital at Riverside Methodist Hospital MidOhio Cardiology and Vascular Consultants Columbus, Ohio Richard A. Grimm, DO, FACC Director of the Echocardiography Laboratory Staff Cardiologist, Section of Cardiovascular Imaging Department of Cardiovascular Medicine Cleveland Clinic Cleveland, Ohio Richard J. Kovacs, MD, FACC Immediate Past Chair, Board of Governors American College of Cardiology Indianapolis, Indiana

Daniel W. Mudrick, MD, MPH MidOhio Cardiology and Vascular Consultants Columbus, Ohio Guilherme H. Oliveira, MD Staff Cardiologist, Section of Heart Failure and Cardiac Transplant Medicine Department of Cardiovascular Medicine Cleveland Clinic Cleveland, Ohio Florence G. Rothenberg, MS, MD, FACC Assistant Professor University of Cincinnati Cincinnati, Ohio Thomas J. Ryan, MD, MBA, FACC Director, Heart and Vascular Center John G. and Jeanne Bonnet McCoy Chair in Cardiovascular Medicine Professor, Cardiovascular Medicine The Ohio State University Columbus, Ohio Scott Simmons, MBA Director, Special Initiatives Office of Physician Recruitment Professional Staff Affairs Cleveland Clinic Cleveland, Ohio DP Suresh, MD, FACC, FSCAI Director, Heart & Vascular Group St. Elizabeth Physicians Edgewood, Kentucky


C al l f o r poste rs Fellows-In-Training

Visit http://ohioaccmeetings.org/am/poster/ for submission details. All current Ohio fellows in an Ohio cardiology training program are invited to present their research (past or present) during the poster session, scheduled for Saturday, October 15. Eligible posters may present recent data, case study* or information that has been presented previously at a local or national meeting. The abstracts will be judged in advance to select the top two abstracts for oral presentation. The rest of the accepted abstracts will be presented as posters and judged at the poster presentation on Saturday, October 15. There are cash prizes! Visit http://ohioaccmeetings.org/am/poster/ *If you submit a case study: 1. Case reports should be of a rare, unusual, or unexpected finding in a patient; 2. The diagnosis should be known or the workup as complete as possible (all evidence as to the diagnosis should be included); 3. There should be a brief review of the literature including numbers of patients with similar findings/outcomes, risk factors, how it has been evaluated/treated, and outcomes where known; 4. The case should include as much follow-up as is available; 5. Pathology slides and supporting evidence should be included.


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Statement of Need Cardiovascular disease is the leading health care problem throughout the world. In the United States alone, an estimated 70 million people have been diagnosed with one or more forms of cardiovascular disease (CV), and over 910,000 Americans die from CV disease each year. The cardiac care team is increasingly asked to develop systems of care, the methods for which are not necessarily part of the traditional medical training. We are asked to do this better, faster, more efficiently and at a lower cost. Overall Goal The overall goal of this activity is to increase learner competence by discovering strategies to anticipate researchdriven changes in practice, to enhance professional growth, and to demonstrate efficacy in team based patient care practice as new clinical approaches and technologies change. Learner Objectives Upon completion of this program, participants should be able to: • Recognize the impact of Health Care Reform legislation on the practice of cardiology. • Address common problems unique to adult patients with resistant hypertension. • Identify and determine the appropriate cardiovascular treatment and management options for patients undergoing treatment for cancer. • Describe practice options and necessary steps to attaining a position to meet the needs of the cardiac patient population. • Recognize and interpret hemodynamic findings in patients with complex cardiovascular disease. • Maximize the net clinical benefit of antithrombotic therapy in preventing stroke in the setting of atrial fibrillation. • Discuss the appropriate selection and use of cardiac CT and MRI imaging in patients with cardiac disease. • Address and apply the guidelines and the treatment options available for the complex heart failure patient, including those with cardiorenal syndrome. Target Audience Adult Cardiologists, Pediatric Cardiologists, Cardiothoracic Surgeons, Cardiology Fellows-in-Training, Nurses, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, Pharmacists


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ACCF Disclosure & COI Policy Statement ACCF/Chapter committee members, faculty, staff and other individuals who are in a position to control the content of this activity are required to disclose all real or apparent conflicts of interest. All relevant potential conflicts of interest that are identified are thoroughly vetted through a process that includes course directors and appropriate peer review by education committee chairs/members, for fair balance, scientific objectivity and validity, patient care and safety recommendations. Full disclosure will be published in the syllabus. Accreditation Physicians This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint sponsorship of the American College of Cardiology Foundation and the Ohio Chapter of the American College of Cardiology. The American College of Cardiology Foundation is accredited by the ACCME to provide continuing medical education for physicians. The ACCF designates this educational activity for a maximum of 5.75 AMA PRA Category 1 Credit(s)™. Physicians should only claim credits commensurate with the extent of their participation in the activity. Nurses American College of Cardiology Foundation is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. The ACCF designates this educational activity for a maximum of 5.75 continuing education hours. Requirement for successful completion is attendance at the program in its entirety and completing the evaluation tool. While offering CME and CNE credits noted above, this program is not intended to provide extensive training or certification in the field. Acknowledgment At the time of printing, a complete listing of industry supporters was not available. Appropriate acknowledgment will be made upon confirmation of support and at the time of the program.


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Registration You may register online at www.ohioacc.org. The registration fee for the meeting includes educational materials, continental breakfast, breaks and lunch. Physician  Ohio-ACC Member ........................................................................$90 Non-Member Physician ................................................................$100 Cardiac Care Associate  Ohio-ACC Member ........................................................................$60 Non-Member ................................................................................$70 Practice Managers......................................................................... $35 Residents, Fellows, and Students................... FREE with pre-registration Cancellations

Cancellation requests must be received by October 7, 2011. No refunds will be made after that date. Meeting Location

The Conference Center at NorthPointe www.conferencecenteratnorthpointe.com 9243 Columbus Pike Lewis Center, Ohio 43035 1-866-233-9393 Accommodations

Call The Conference Center at NorthPointe at 1-866-233-9393 for room reservations by September 19, and mention the Ohio-ACC meeting. Room reservation rates INCLUDE dinner on Friday, October 14, in the dining room from 5:308:00 pm (or boxed dinner for late arrival with prior notification), and overnight accommodations. The special discounted rates are as follows: • Meeting attendee single occupancy ................................... $199 + tax • Meeting attendee double occupancy....$175 + tax per meeting attendee Nearby Activities

Nearby shopping includes Polaris Mall (anchor stores: Saks Fifth Avenue, Macy’s, JCPenney, Great Indoors, Sears, etc.). Nearby restaurants include Olive Garden, Molly Woo’s, Brio, The Cheesecake Factory, Benihana, etc. There is an 18-screen Rave movie theater nearby. Magic Mountain (miniature golf & go-karts) is less than 5 miles away. The Columbus Zoo is less than 10 miles away. Questions? Call 1-800-983-OHIO or 614-859-ACC3.


Please return registration form to: AX: 404.795.9105

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Ohio Chapter ACC 21st Annual Meeting The Conference Center at NorthPointe Register online at www.ohioacc.org The registration fee for the meeting includes educational materials, breakfast, breaks, and lunch. First Name _____________________________________________________ Middle Initial ___________ Last Name ___________________________________________________________________________

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ACC Member ID (if applicable): _______________________________________________________

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Title/Degree __________________________________________________________________________ Company Name _______________________________________________________________________

Mee ing

Address _____________________________________________________________________________

440 Laurel Chase Court NW Atlanta, GA 30327 614-859-2223 1-800-983-OHIO FAX 404-795-9105

City/State/Zip _________________________________________________________________________

email: ohioacc@gmail.com www.ohioacc.org

Daytime Phone ______________________________________ Fax ______________________________ E-mail address ________________________________________________________________________ 1. Mee ing

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Total

Physician ❑ Ohio-ACC Member - $90

$____________________

❑ Non-Member - $100

$____________________

Cardiac Care Associate (RN, APN, PA, Pharmacist): ❑ Ohio-ACC Member - $60

$____________________

❑ Non-Member - $70

$____________________

❑ Practice Manager - $35

$____________________

❑ Resident, Fellow or Student - $0

$____________________

TOTAL COST

$____________________

2. Mee ing P

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❑ General Scientific Session ❑ Fellow-in-Training Breakout Session ❑ Fellow-in-Training Poster Competition ❑ Women in Cardiology Networking Luncheon 3. P y

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❑ Check payable to Ohio Chapter-ACC

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(please check one) ❑ Credit card

Cardholder Name printed ______________________________________________________________

❑ Visa ❑ MasterCard ❑ American Express Account #___________________________________________________________________________ Card Security #__________________________ Expiration Date _______________________________ Signature ___________________________________________________________________________ Billing Address for credit card, including zip: ___________________________________________________________________________________

You will receive confirmation via fax or e-mail in advance of the meeting.


Ohio-ACC Meeting Brochure 2011