March 21 - 24, 2013Hyatt Regency Hill CountrySan Antonio, Texas

ECHOAn In-Depth Review of Adult Echocardiography for Sonographers and Physicians

program Co-Directors:William K. Freeman, M.D., F.A.C.C., F.A.S.E.Steven J. Lester, M.D., F.A.C.C., F.A.S.E.Sabrina D. Phillips, M.D., F.A.C.C., F.A.S.E.

register online today!http://www.mayo.edu/cme/cardiovascular-diseases-2013r001

neW LoCation & proGram Format!

6th Annual

General Information

COURSE DESCRIPTION

Echo Fiesta is designed to provide a practical review of the current uses and limitations of two-dimensional echocardiography, Doppler and color flow imaging in the assessment of adult myocardial, ischemic, pericardial and valvular heart disease. Traditional topics in the field of echocardiography including the assessment of systolic and diastolic function, quantitative Doppler, and stress echocardiography will be presented. In addition, newer techniques including 3D echo and Doppler and 2D strain imaging will be presented. The program will concentrate on practical points regarding daily use of these techniques with illustrative examples from a wide variety of cardiovascular disorders.

COURSE LEARNING OBJECTIVES

Upon conclusion of this program, participants should be able to:

• Identify current two-dimensional, three-dimensional, and Doppler methods to assess left ventricular systolic function (LV volumes, ejection fraction, cardiac output, index of myocardial performance);

• Develop an integrated approach to the assessment of valvular stenosis and valvular regurgitation, including quantitative assessment by the PISA method;

• Apply echo imaging and Doppler hemodynamic principles to the systematic assessment of prosthetic heart valves;

• Describe the diastolic filling patterns in diverse cardiac disorders including cardiomyopathies, systemic diseases, and pericardial disease;

• Recognize echocardiographic findings of ischemic heart disease, including clinical applications and interpretation of stress echocardiography, detection of mechanical complications of myocardial infarction;

• Define the role of echocardiography in the evaluation and management of the cardiomyopathies; and

• Recognize the potential of new technology in the field of echocardiography, including 3D imaging and strain imaging.

Attendance at this program does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.

INTENDED AUDIENCE

This course is designed for cardiologists, cardiovascular trainees and cardiac sonographers who perform and interpret echo exams and wish to enhance their knowledge of the echocardiographic assessment of adult cardiac disease. Participants with a basic knowledge of echocardiographic techniques and applications will benefit most from this program.

Note: Bringing one’s personal laptop will also facilitate review of the electronic syllabus. Attendees are encouraged to come prepared with a fully charged battery as power sources will be limited. A central charging station will be available in the back of the room for short term charging.

CREDIT

College of Medicine, Mayo Clinic is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

College of Medicine, Mayo Clinic designates this educational activity for a maximum of 20.5 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

General Information

DATE AND LOCATION

Echo Fiesta will be held March 21 - 24, 2013 at the Hyatt Regency Hill Country, 9800 Hyatt Resort Drive, San Antonio, TX 78251. The program will be in the Fredricksburg Ballroom. Step into an atmosphere of timeless charm at the Hyatt Regency Hill Country. This location is the perfect blend of AAA Four Diamond pampering and the natural beauty of the Texas Hill Country. A two hundred-acre wooded escape tucked away among the rolling hill of Southwest Texas with Texas-style hospitality. Enjoy the on-site activities from the 27 holes of championship golf, world-class Windflower The Hill Country Spa and four-acre water park. Conveniently located, the hotel is adjacent to SeaWorld of Texas and a short drive from the historic Alamo, downtown San Antonio’s famed River Walk and Six Flags Fiesta Texas Theme Park.

LODGING ACCOMMODATIONS

Guest rooms have been reserved for participants and their guests with special program rates at the Hyatt Regency Hill Country. In order to receive the special rate, reservations must be made before the room block is filled or before the expiration date of Wednesday, February 27, 2013, whichever comes first. Reservations will be taken following this date based on space and rate availability. Please identify yourself as a participant of the Mayo Echo Fiesta continuing education program when making your reservation. Lodging arrangements are the sole responsibility of the individual registrant.

Hyatt Regency Hill Country For Reservations Call:9800 Hyatt Resort Drive 888-421-1442 San Antonio, Texas 78251 $194 single/double + $5 Resort Fee

Website: www.hillcountry.hyatt.com

The resort service program provides the use of the resort activities and amenities to include: wireless internet, hard-wired internet, unlimited use of health club, unlimited access local, 800, 888 calls, unlimited use of tennis courts, bicycles, chipping and putting greens, golf club storage, full access to golf practice facility, preferred golf tee times, complimentary personalized golf bag tag, outdoor activities, coffee, tea, in-room safe and local newspaper Monday through Friday and complimentary self-parking.

The Hyatt Regency Hill Country requires that all reservations be guaranteed by a check or major credit card equal to one night’s room and tax. Cancellations must be made forty-eight (48) hours prior to the day of arrival. Reservations can only be canceled by calling the hotel directly and obtaining a cancellation number. No-shows will be charged accordingly.

General Information

FACULTY

Course Directors

William K. Freeman, M.D., F.A.C.C., F.A.S.E.Associate Professor of Medicine, College of Medicine; Consultant, Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, MN

Steven J. Lester, M.D., F.A.C.C., F.A.S.E.Associate Professor of Medicine, College of Medicine; Consultant, Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Scottsdale, AZ

Sabrina D. Phillips, M.D., F.A.C.C., F.A.S.E.Assistant Professor of Medicine, College of Medicine; Consultant, Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, MN

Mayo Clinic Faculty

Harold M. Burkhart, M.D.Associate Professor of Surgery, College of Medicine; Consultant, Division of Cardiovascular Surgery, Mayo Clinic, Rochester, MN

Kyle W. Klarich, M.D., F.A.C.C., F.A.S.E.Associate Professor of Medicine, College of Medicine; Consultant, Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, MN

Robert B. McCully, M.D, F.A.C.C.Associate Professor of Medicine, College of Medicine; Consultant, Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, MN

Fletcher A. Miller, Jr., M.D., F.A.C.C., F.A.S.E.Professor of Medicine, College of Medicine; Consultant, Division of Cardiovascular Diseases and Internal Medicine; Mayo Clinic, Rochester, MN

Vuyisile T. Nkomo, M.D.Assistant Professor of Medicine, College of Medicine; Consultant, Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Rochester, MN

Samuel Unzek, M.D.Assistant Professor of Medicine, College of Medicine; Senior Associate Consultant, Division of Cardiovascular Diseases and Internal Medicine, Mayo Clinic, Scottsdale, AZ

FACULTY DISCLOSURE

As a provider accredited by ACCME, College of Medicine, Mayo Clinic (Mayo School of Continuous Professional Development) must ensure balance, independence, objectivity and scientific rigor in its educational activities. Course director(s), planning committee, faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

THURSDAY, MARCH 21, 2013

7:15 a.m. Registration and Continental Breakfast

8:10 a.m. Welcome: Course Overview, Audience Survey, and Pre-Test Drs. Freeman and Lester

Left Ventricular Systolic and Diastolic FunctionModerator: William K. Freeman, M.D.

8:30 a.m. Echo Assessment of Left Heart Chambers: 2-D and 3-D Echo for LV Volume, Systolic Function, and Cardiac Output; LA Volume

Samuel Unzek, M.D.

9:00 a.m. Echocardiographic Assessment of Diastolic Function Steven J. Lester, M.D.

9:30 a.m. Strain Imaging for Assessment of Left Ventricular Function Fletcher A. Miller, Jr., M.D. 10:00 a.m. Questions and Comments Drs. Freeman, Lester, and Miller 10:15 a.m. Refreshment Break

ConCurrent SeSSionS

Transesophageal Echocardiography: Technique and Applications

Workshop for Sonographers: 3-D Imaging and Strain Imaging

10:40 a.m. Transesophageal Echocardiography (TEE): Indications, Technique, 2-D and 3-D Anatomic Correlation, Clinical Applications William K. Freeman, M.D.

10:40 a.m. How to Perform 3-D Imaging to Assess Left Ventricular Size and Function Ron A. Roth, R.D.C.S.

11:25 a.m. Transesophageal Echocardiography: Utility in the Interventional Cardiac Laboratory Vuyisile T. Nkomo, M.D.

11:25 a.m. How to Perform Strain Imaging; Practical Points and Pitfalls Paul M. Bastiansen, R.D.C.S.

12:15 p.m. Lunch

Left-Sided Valvular Heart Disease: regurgitation and StenosisModerator: Steven J. Lester, M.D.

1:15 p.m. Mitral Regurgitation: 2-D Assessment of Etiology and Quantitation of Severity by Doppler (PISA, Continuity Equation)

Fletcher A. Miller, Jr., M.D.

1:45 p.m. Mitral Stenosis: Comprehensive 2-D and Doppler Assessment Sabrina D. Phillips, M.D.

2:15 p.m. Aortic Stenosis: Comprehensive 2-D and Doppler Assessment with both Normal and Abnormal LV Function: Implications in the Era of TAVR

Robert B. McCully, M.D.

2:45 p.m. Aortic Regurgitation: 2-D Assessment of Etiology and Quantitation of Severity by Doppler (PISA, Continuity Equation)

Kyle W. Klarich, M.D.

3:15 p.m. Questions and Comments Drs. Miller, Phillips, McCully, and Klarich

Course Schedule

3:25 p.m. Refreshment Break

right Ventricular Function, right Heart Hemodynamics, and right-Sided Valvular DiseaseModerator: Steven J. Lester, M.D.

3:45 p.m. Evaluation of Right Ventricular Function and Pressures: Implications for the Management of Pulmonary Hypertension

Robert B. McCully, M.D.

4:25 p.m. Tricuspid and Pulmonary Valve Disease: 2-D Assessment and Doppler Quantitation of Severity; Prognostic Implications

Kyle W. Klarich, M.D.

5:00 p.m. Adjourn

FRIDAY, MARCH 22, 2013

7:30 a.m. Continental Breakfast

Special topics in Valvular Heart DiseaseModerator: William K. Freeman, M.D.

8:00 a.m. Echocardiographic Evaluation of Prosthetic Valve Dysfunction: Incorporation of the ASE Guidelines

Fletcher A. Miller, Jr., M.D. 8:30 a.m. Endocarditis: TTE and TEE 2-D and Doppler Echo for Diagnosis,

Evaluation, and Management William K. Freeman, M.D.

9:00 a.m. Valvular Heart Disease: When Symptoms and Findings Don’t Correlate – What More Can Echo Offer?

Vuyisile T. Nkomo, M.D.

9:30 a.m. Valvular Disease: Uncommon Etiologies (Systemic Disease, Radiation & Drug-Induced)

William K. Freeman, M.D.

10:00 a.m. Questions and Comments Drs. Miller, Freeman, and Nkomo 10:10 a.m. Refreshment Break

Valvular Heart Disease: Surgical interventionModerator: William K. Freeman, M.D.

10:30 a.m. Minimally Invasive Cardiac Surgery Harold M. Burkhart, M.D.

11:00 a.m. Intraoperative Echocardiography Vuyisile T. Nkomo, M.D.

11:30 a.m. Tricuspid Valve Surgery: Indications, Techniques, and New Developments

Harold M. Burkhart, M.D.

12:00 p.m. Questions and Comments Drs. Burkhart and Nkomo

12:15 p. m. Lunch

SmaLL Group Breakout SeSSionS

1:10 – 2:00 p.m. Concurrent Sessions: (Pick one)

A. Valve Hemodynamics Dr. KlarichB. Assessment of Diastolic Function Drs. Lester and UnzekC. Interesting Stress Echo Cases Dr. McCullyD. Practical Imaging Workshop for Sonographers Ron A. Roth, R.D.C.S. and Paul M. Bastiansen, R.D.C.S.

2:10 – 3:00 p.m. Concurrent Sessions: (Pick one)

A. Valve Hemodynamics Dr. KlarichB. Assessment of Diastolic Function Drs. Lester and UnzekC. Interesting Stress Echo Cases Dr. McCullyD. Practical Imaging Workshop for Sonographers Ron A. Roth, R.D.C.S. and Paul M. Bastiansen, R.D.C.S.

3:00 p.m. Adjourn

SATURDAY, MARCH 23, 2013

7:30 a.m. Continental Breakfast

Cardiomyopathies, pericardial Disease, and Heart Failure Moderator: Steven J. Lester, M.D.

8:00 a.m. Dilated Cardiomyopathy, Echo Evaluation and Role in Device Intervention (CRT and LVAD)

Steven J. Lester, M.D.

8:30 a.m. Hypertrophic Cardiomyopathy: Evaluation and Differential Diagnosis; Implications for Risk Stratification and Management

William K. Freeman, M.D.

9:00 a.m. Restrictive Cardiomyopathy: And Other Unusual Causes of Heart Failure Vuyisile T. Nkomo, M.D.

9:30 a.m. Pericardial Disease: Constrictive Pericarditis and Cardiac Tamponade; Evaluation by Echocardiography, Technique of Echo-Directed Pericardiocentesis

Fletcher A. Miller, Jr., M.D

10:10 a.m. Questions and Comments Drs. Lester, Freeman, Nkomo, and Miller

10:20 a.m. Refreshment Break

ischemic Heart DiseaseModerator: Steven J. Lester, M.D.

10:40 a.m. Stress Echocardiography: RWMA Interpretation, Applications, and Prognostication; The Role of Contrast Imaging

Robert B. McCully, M.D.

11:10 a.m. Mechanical Complications of Myocardial Infarction Sabrina Phillips, M.D.

11:40 a.m. Case Studies in Stress Echocardiography Robert B. McCully, M.D.

12:30 p.m. Adjourn

SUNDAY, MARCH 24, 2013

7:30 a.m. Continental Breakfast

Congenital Heart DiseaseModerator: Sabrina D. Phillips, M.D.

8:00 a.m. Echocardiographic Evaluation of Common Congenital Heart Disease in the Adult

Sabrina D. Phillips, M.D.

8:30 a.m. Interventional Cardiology in Adult Congenital Heart Disease: Clinical Approach and Imaging Strategies

Allison Cabalka M.D.

9:00 a.m. Novel Surgical Approaches to Adult Congenital Heart Disease: What’s New in 2013 Harold M. Burkhart, M.D.

9:30 a.m. Evaluation of Common Postoperative Congenital Heart Disease in the Adult Sabrina D. Phillips, M.D.

10:00 a.m. Questions and Comments Drs. Phillips, Cabalka, and Burkhart

10:15 a.m. Refreshment Break

Special topics in echocardiographyModerator: Sabrina D. Phillips, M.D.

10:45 a.m. Acute Aortic Syndromes: Evaluation by TEE, Role of Multi-Modality Imaging

William K. Freeman, M.D.

11:15 a.m. Imaging for Cardiovascular Risk Prediction Steven J. Lester, M.D.

11:45 a.m. Echocardiographic Assessment of Intracardiac and Paracardiac Masses and Thrombus Kyle W. Klarich, M.D.

12:15 p.m. Closing Comments Course Directors

12:30 p.m. Post-test and Adjourn

Register online at: http://www.mayo.edu/cme/cardiovascular-diseases-2013r001

Registration Fee:Course Registration (MD, PhD, DO, PharmD) $725.00Course Registration (Resident, Sonographer, RN) $625.00

*Registrants in the reduced fees category may be required to submit with the registration form proof of licensure, a business card, or a letter on official letterhead and signed by a department supervisor verifying status.

Mayo Clinic Division of Cardiology has recently implemented an online conference registration system. If this is your first time using the online system, you will need to create a profile and login account.

Register by entering the url: http://www.mayo.edu/cme/cardiovascular-diseases-2013r001and click on Register Now. The system will step you through the profile and login process. An email address is required upon registration. A letter of confirmation will be forwarded to this address upon receipt of payment and submitted registration. Present this letter of confirmation when checking in atthe meeting registration desk. The registration fee includes tuition, electronic course syllabus, continental breakfasts, break refreshments, and lunch.

Although it is not Mayo School of Continuous Professional Development (CPD) policy to limit the number of registrants for a course, conference room facilities may necessitate closing of enrollment; therefore, early registration is advised. Enrollment for this program is limited. A letter of confirmation will be e-mailedupon receipt of payment. Please present the confirmation letter when checking in at the meeting registration desk.

For additional information, contact:Cardiovascular Continuing Education200 First Street SW - Gonda 6Rochester, MN 55905

E-mail: cvcme@mayo.eduPhone: 800-283-6296 or 507-293-2021Website: www.mayo.edu/cme/cardiovascular-diseases

CanCeLLation poLiCYIf you cancel your participation in this course, your registration fee, less a $75 administrative fee, will be refunded when written notification is received by Mayo School of CPD before March 6, 2013 (fax#: 507-538-0146 or e-mail cvcme@mayo.edu). No refunds will be made on or after March 6, 2013. Canceled registrations are non-transferable.

Mayo School of CPD reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event Mayo School of CPD must cancel or postpone this course, Mayo School of CPD will refund the registration fee, but is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.

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