Educational Symposia

NOTEBOOK

Incorporating New Echocardiographic Technology into Contemporary Clinical PracticeProgram Directors: Drs. Sunil V. Mankad and Hector R. Villarraga

Friday, June 12, 2015

The Westin Copley Place10 Huntington AveBoston, MA

Location:America South Ballroom

Registration:On-site in Boston at The Westin Copley Place – Limited AttendanceThere is no charge for this activity.

5:30 p.m. Registration and Buffet Dinner6:25 p.m. Session Begins8:30 p.m. Adjourn

Sponsored by Mayo Clinic Division of Cardiovascular Diseases

This event is not a part of the official ASE 26th Annual Scientific Sessions, as planned by the Program Committee, or in any way endorsed or affiliated with ASE. For more information and to register for ASE 2015, please visit www.asescientificsessions.org.

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Dear Colleagues,

Mayo Clinic’s heart program is commemorating its 100th anniversary as one of the largest, most integrated programs in the world. In the intervening 100 years, amazing developments in the understanding and treatment of heart disease in all of its manifestations have occurred. We are proud of the many contributions by Mayo Clinic cardiology and cardiovascular surgery staff to the field of cardiovascular diseases.

While Mayo Clinic is honoring its sesquicentennial anniversary in 2014, Mayo Clinic’s cardiovascular specialty was formally recognized in 1914 when the first electrocardiogram (ECG) was performed. Since then, Mayo Clinic’s heart program has focused on pioneering and perfecting techniques that have advanced the treatment of heart conditions around the world.

Thank you for joining us at this educational offering in 2015. We remain committed to our mission of excellence by providing unsurpassed care to every patient through integrated practice, education, and research.

Sincerely,

Charanjit S. Rihal, MD, MBA Chair, Division of Cardiovascular Diseases Mayo Clinic in Rochester, Minnesota

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Welcome to

Mayo Clinic Satellite Educational Symposia

at 2015 ASE Scientific Session

We are delighted that you are participating in this continuing education program.

COURSE DESCRIPTION

This program will include short case presentations illustrating the use of novel echocardiographic techniques

followed by concise, clinically relevant discussion. The faculty consists of experts in echocardiography, with a

focus on 3-D echocardiography, strain imaging, and contrast echocardiography.

OBJECTIVES

• Review the importance of comprehensive echocardiographic evaluation, including 3-D, contrast, Doppler,

and strain

• Examine the benefits of echocardiography improving quality and value in a busy echocardiographic

practice

• Demonstrate the role of 3-D echocardiography in guiding interventional procedures

• Review the role of strain imaging in cardio-oncology and in the assessment of cardiomyopathies as well as

in the evaluation of right ventricular function

EVALUATION

The CME program evaluation can be accessed via a link which will be emailed to you following the activity to

the email address provided to the American Society of Echocardiography. The CME activity evaluation is

brief and will only take a few minutes to complete.

Your feedback is very important to us and will be used for planning future programs, as well as identifying

faculty strengths and opportunity for growth.

CME RECORD OF ATTENDANCE

Upon completion of the course evaluation, you will be able print a Record of Attendance. The Record of

Attendance allows attendees to calculate their own credits of participation in the educational activity. The total

number of credits participants can earn is noted on the Record of Attendance.

The Record of Attendance can be used for requesting credits in accordance with state licensing boards,

specialty societies, or other professional associations.

CREDIT

Mayo Clinic College of Medicine is accredited by the Accreditation Council for Continuing Medical Education

to provide continuing medical education for physicians.

Mayo Clinic College of Medicine designates this live activity for a maximum of 2.5 AMA PRA Category 1

Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the

activity.

Other Health Care Professionals A certificate of attendance will be provided to other health care professionals for requesting credits in

accordance with state nursing boards, specialty societies, or other professional associations.

RECORDING DEVICE POLICY

No recording devices, audio or visual, may be used during Mayo Clinic College of Medicine, Mayo Clinic

CPD activities. Duplication, distribution, or excerpting of this program, without the express written permission

of Mayo Clinic, is strictly prohibited.

All of the proceedings of this program, including the presentation of scientific papers, are intended for limited

publication only, and all property rights in the material presented, including common-law copyright, are

expressly reserved by the Faculty and/or Mayo Clinic. No statement of presentation made is to be regarded as

dedicated to the public domain. Any sound reproduction, transcript, or other use of the material presented at

this CME activity without the permission of Mayo Clinic is prohibited to the full extent of common-law

copyright in such material.

ELECTRONIC DEVICES

Please turn all electronic devices (cellular telephones, pagers, etc.) to silent mode. As a courtesy to the

presenters and other participants, phone calls should be taken outside of the general session.

Instructions for Online Evaluation and Certificate of Attendance

This system consists of two parts—the event evaluation, which is completed anonymously, and a login account where you

generate and keep track of your certificates.

https://cardiovascular.education-registration.com/

Note: You have a profile. Do not use “Create Profile”. If you don’t know your email or password, please use “Forgot My

Password” or stop at the Course Registration Desk. If not at the course, please email cvcme@mayo.edu.

Step 1 – Begin an evaluation Once you’ve signed in, you will begin the evaluation process. Your sign-in credentials should already be set up from when

you registered for the course. To begin the evaluation, click on “Start Evaluation”. Respond to each question. If you need

to leave and return later, make sure you save your changes before quitting. You can go to the evaluation link again and

continue where you left off.

Step 2 – Finalize the evaluation

Once you have clicked the “finalize” button, your responses will be recorded and you will be able to generate your

certificate of attendance.

Username: ______________________________ Password: ______________________________

Step 3 – Record your attendance

Enter your actual hours of attendance for each day, up to the specified maximum.

Step 4 – Generate certificate

After recording your attendance, you may generate your certificate. This certificate will be created as a PDF file, pre-filled

with your personal information. You may save or print your certificate as needed. If you need to return later to retrieve a

previous certificate, just log in to your account and click the “My Certificates” tab on your dashboard.

Mayo Clinic CV CME Phone: 800-283-6296

Email: cvcme@mayo.edu

Cardiovascular Education Dashboard Your personal dashboard is a tool to manage the program details of specific continuing medical education

programs which you attend. The following detailed information will guide you through your dashboard.

How to access your personal dashboard: 1. Verify internet connection.

2. Connect to Website at: https://cardiovascular.education-registration.com/

3. Login using the email address and password that you entered in your

registration profile when you registered for the conference. If you don’t

remember the password you created when registering, please use the reset password option.

Do not create a new profile.

Information available on my personal dashboard: 1. Event Materials with note taking features

2. Confirmation Letter

3. Invoice/Receipt

4. CME Activity Evaluation

5. Certificate of Attendance

6. Submit questions or comments for moderator/speakers

7. Monitor Twitter Feed

Social Media Guidelines

Social media is a new vehicle for communicating updates and engaging participants to provide information that

may be of interest extending the learning beyond the live CME events. Feel free to follow the Mayo Clinic

Cardiovascular CME Team at #MayoCVCME. Please share the key points or summarize valuable information for

improving the care of cardiovascular patients with other health professionals.

Twitter

Follow the Mayo Cardiovascular Education Team on Twitter and join in the conversation.

#MayoCVCME

Facebook Follow the Mayo Clinic on Facebook. Become a fan of the Mayo Facebook page and meet other

healthcare professionals.

YouTube

Visit the Mayo Clinic YouTube channel to view exciting and informative interviews from Mayo Clinic

Physicians.

Incorporating New Echocardiographic Technology into Contemporary Clinical Practice

Program Directors: Drs. Sunil V. Mankad and Hector R. Villarraga

Friday, June 12, 2015

Location: The Westin Copley Place

10 Huntington Ave

Boston, MA

Ballroom: America South Ballroom

5:30 p.m. Registration and Buffet Dinner

6:25 p.m. Session Begins

8:30 p.m. Adjourn

PROGRAM

5:30 p.m. Registration and Buffet Dinner

5:55 p.m. Welcome and Introductions Dr. Patricia A. Pellikka

6:00 p.m. Practical Application of 3-D Echocardiography in Daily Clinical Practice Dr. Sunil V. Mankad

6:25 p.m. Role of 3-D Echocardiography for Guiding Structural Heart Interventions Dr. Sorin V. Pislaru

6:50 p.m. Cutting Edge Contrast Echocardiography: Pushing the Envelope Dr. Sharon L. Mulvagh

7:15 p.m. Strain Imaging: Is It Ready for Prime Time? Dr. Hector R. Villarraga

7:40 p.m. Putting It All Together. How to Incorporate New Technologies Into A Busy

Practice: Tips and Tricks Dr. Jae K. Oh

8:05 p.m. Panel Discussion

8:30 p.m. Closing Remarks and Adjourn

FACULTY, PLANNING COMMITTEE, AND PROVIDER DISCLOSURE SUMMARY

Incorporating New Echocardiographic Technology into Contemporary Clinical Practice

C55ASE15

As a provider accredited by ACCME, Mayo Clinic College of Medicine (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.

Listed below are individuals with control of the content of this program who have disclosed. Relevant financial relationship(s) with industry:

NAME COMPANY FINANCIAL

Sharon L. Mulvagh, M.D. GE, Bracco Consultant

Lantheus, Astellas Grant/Reasearch Support

Jae K. Oh, M.D. Medtronic Consultant

Patricia A. Pellikka, M.D. GE Healthcare, Grant/Research Support

Intersocietal Accreditation Commission No relevant financial relationship(s) with industry: Sheila Fick

Sunil V. Mankad, M.D.

Sorin V. Pislaru, M.D., Ph.D.

Hector R. Villarraga, M.D.

I do not intend to discuss off-label/investigative uses(s) of the following commercial

product(s)/devices(s):

Sharon L. Mulvagh, M.D. Lantheus Definity, Optison

Course Directors:

Sunil V. Mankad, M.D.

Dr. Mankad completed a 6 year accelerated BS/MD program at the Northeastern Ohio Medical

University (NEOMED) in 1989 and stayed on for his residency in Internal Medicine at Akron City

Hospital, Akron, OH (SUMMA Health Care). He subsequently completed Fellowships in Critical Care

Medicine and Cardiovascular Disease at the University of Pittsburgh Medical Center, Pittsburgh, PA. He

then completed an Advanced Cardiac Imaging Fellowship (Magnetic Resonance Imaging and

Transesophageal Echocardiography) at Allegheny General Hospital, Pittsburgh, PA. Dr. Mankad is board

certified in Internal Medicine, Critical Care Medicine, Cardiovascular Medicine, and Echocardiography.

He is a Fellow of the American College of Cardiology, the American College of Chest Physicians, and

the American Society of Echocardiography. He currently is on the Board of Governors of the American

College of Cardiology and on the Board of Directors of the American Society of Echocardiography. He

served as the Director of the Cardiac Intensive Care Unit at Allegheny General Hospital from 1999-2002

and Program Director of the Cardiology Fellowship and Director of Echocardiography at Allegheny

General Hospital from 2001-2006. Since 2006, he has been a member of the Division of Cardiovascular

Disease at Mayo Clinic, Rochester. He currently is an Associate Professor of Medicine at Mayo Clinic

College of Medicine. He currently serves as Director of Transesophageal Echocardiography and

Associate Director of the Cardiology Fellowship at Mayo Clinic, Rochester, MN. He has published

numerous scientific manuscripts and has received grant support from the American Heart Association

and the National Institution of Health/National Heart Lung and Blood Institute. His research interests

include post-infarction left ventricular remodeling, three-dimensional echocardiography, valvular heart

disease, and new technologies in echocardiography.

Hector R. Villarraga, M.D.

Dr. Villarraga is a cardiologist at the Mayo Clinic in Rochester Minnesota. He is an Assistant Professor

of Medicine at the College of Medicine Mayo Clinic. His research interests include evaluation of

myocardial mechanical function by speckle strain in cardiomyopathies with normal ejection fraction and

cardio-oncology. He is a member of the American Society of Echocardiography Writing Group for the

consensus on the echocardiographic evaluation and treatment of adult patients during and after cancer

therapy.

Mayo Faculty:

Sharon L. Mulvagh, M.D.

Dr. Mulvagh is Professor of Medicine, Mayo College of Medicine, Consultant in Cardiovascular

Diseases and Internal Medicine, Director of Women’s Heart Clinic and Associate Director of Preventive

Cardiology, at Mayo Clinic, Rochester, Minnesota. She is a clinical noninvasive cardiologist whose

interests focus on echocardiographic imaging using newer technologies including enhanced cardiac

ultrasound with microbubble contrast agents.

She received her MD from the University of Ottawa, Canada, and completed post-graduate training at

Dalhousie University, Canada, Boston University, MA and Baylor College of Medicine, TX. Dr.

Mulvagh is a fellow of the American College of Cardiology, American Heart Association, American

Society of Echocardiography, and Royal College of Physicians and Surgeons of Canada. She has served

on the Board of Directors for the American Society of Echocardiography and chaired the “Clinical

Applications of Ultrasonic Contrast Agents in Echocardiography” consensus statements.

Jae K. Oh, M.D. Dr. Oh was born in Korea and came to the United States at the age of 17. He earned a Bachelor Degree in

Biochemistry with honor at the University of Pennsylvania and a Doctor of Medicine degree at the

Pennsylvania State University in 1979. He completed Internal Medicine Residency and Cardiovascular

Diseases Fellowship at Mayo Graduate School of Medicine in 1982 and in 1985, respectively. He received the

Outstanding Resident Travel Award for his Internal Medicine training. Dr. Oh is certified by the American

Board of Internal Medicine and Cardiovascular Diseases. He is also certified in Echocardiography. He will be

a Board member of American Board of Internal Medicine in Cardiology in July 2009.

Dr. Oh’s clinical interests are Echocardiography, Coronary Care Unit, Diastolic Heart Failure, and Pericardial

Diseases. He is now serving as a Co-Director of Echocardiography Laboratory at Mayo Clinic Rochester. His

research interests follow very closely his clinical interests centered around the clinical applications of

Echocardiography, Cardiac Imaging in Coronary Care Unit, and evaluation as well as treatment of Pericardial

Diseases, especially constrictive pericarditis. He has published more than 200 peer-reviewed manuscripts. He

created the Echo Core Lab in 1999 which he has participated in more than 15 clinical trials since, including

the largest cardiac surgical trial, STICH, for which he received a NIH grant and NIH supported Heart Failure

Network trials. He is also passionate about education and was selected as a best teacher by Cardiovascular

fellows several times. He runs several educational Echocardiography meetings including Echo Board Review

Course in Rochester.

Dr. Oh’s most recent professional endeavors are to integrate Cardiovascular Imaging modalities and to

participate in the Mayo-Samsung Collaboration project. At Mayo Rochester, the Integration project has

Division of Cardiovascular Diseases and the Department of Radiology to collaborate in various CV Imaging

modalities in all three shields of education, research, and practice. As a part of the Mayo-Samsung

Collaboration, he is now serving as Co-Director of Cardiovascular Center and Director of Cardiovascular

Imaging Center at the Samsung Medical Center.

Patricia A. Pellikka, M.D. Past-President, American Society of Echocardiography

Director, Echocardiography Laboratory, Mayo Clinic

Professor of Medicine, Mayo Medical School, Rochester, USA

Dr. Pellikka studied biology and chemistry at Gustavus Adolphus College and graduated with highest

honors. She received her medical degree from Mayo Medical School, Mayo Clinic College of Medicine.

She did her internship in Internal Medicine at New England Deaconess Hospital, Harvard Medical

School, and then returned to Mayo Clinic for residency in Internal Medicine and fellowship in

Cardiovascular Diseases. Thereafter, she joined the faculty at Mayo Clinic, Division of Cardiovascular

Diseases and achieved the rank of Professor of Medicine in 2001.

Patricia A. Pellikka, M.D., studies the application of echocardiography and stress testing to accurately

detect cardiovascular disease and improve patient outcomes. Dr. Pellikka's research on noninvasive

detection of cardiovascular disease and timing of intervention is directed to improvement of survival and

quality of life for patients with valvular heart disease, ischemic heart disease, diastolic dysfunction and

frailty. Dr. Pellikka's research has been funded by the National Institutes of Health, American Heart

Association, American Society of Echocardiography, and intramurally. Dr.Pellikka has mentored more

than 75 cardiology fellows and junior faculty from around the world; many have gone on to hold

important leadership positions in their academic medical centers and echocardiography laboratories.

Professional highlights: President, American Society of Echocardiography, 2012-2013; Director,

Echocardiography Laboratory, Mayo Clinic, 2011-present; Editorial Boards — Journal of the American

College of Cardiology (2005-present); JACC Cardiovascular Imaging (2008-present); ACCEL (2007-

present); European Heart Journal (2009-2012), Clinical Cardiology (2002-2011); American Heart Journal

(2005-2011); Journal of the American Society of Echocardiography (2006-2010); Outstanding Mentor,

Department of Medicine, Mayo Clinic, 2012. She has published more than 250 original articles, more

than 275 abstracts, letters and editorials, and more than 25 chapters. She has served on numerous

committees and task forces for ASE, ACC and AHA.

Sorin V. Pislaru, M.D., Ph.D., FACC, FASE

Dr. Pislaru is an associate professor and consultant at the Mayo Clinic – Rochester. He is also the co-

director of the Cardiovascular Ultrasound Imaging and Hemodynamic Laboratory. He graduated from

medical school from the Carol Davila University of Medical and Pharmacy in Romania. His interests are

in valvular heart disease, development of percutaneous valvular interventions, and emerging imaging

technologies. He is certified by the American Board of Internal Medicine, American Board of

Echocardiography, and the American Board of Internal Medicine – Cardiovascular Diseases.

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Cardiovascular Self-Study Information

These self-study programs provide a comprehensive overview on a variety of cardiovascular topics and provide clinical pearls, technical skills and management

strategies for patients seen within the cardiovascular practice.

Topics Include:Electrophysiology Instructional Video

Electrophysiology (ECG Tutorials)Echocardiography Tutorials

Circulatory Failure

Mayo Clinic College of Medicine is accredited by the Accreditation Council for Continuing

Medical Education to provide continuing medical education for physicians.

This activity has been approved for AMA PRA Category 1 Credit.™

For Information Visit:https://cardiovascular.education-registration.com/selfstudy

Contact Information:Cardiovascular Self-Study

200 First Street SW, Gonda 6-472Rochester, MN 55905

Email: cvselfstudy@mayo.eduPhone: 800-283-6296

Committed to unparalleled healthcare in cardiovascular diseases by providing

education for healthcare providers – without boundaries.

MC4111-90Nrev0515.indd 39 5/11/15 7:13 AM

MC4111-167N

2015

JuneCardiac Rhythm Device Summit: Implantation, Management and Follow-UpJune 26-28, 2015Chicago, IL

July29th Annual Echocardiographic Symposium at Vail. New Technologies, Live Scanning, Clinical Decision-Making, and Multimodality ImagingJuly 20-23, 2015Vail, CO

AugustSuccess with Failure: Strategies for the Evaluation and Treatment of Heart Failure in Clinical PracticeAugust 10-12, 2015Dana Point, CA

Electrophysiology Review for Boards and RecertificationAugust 14-16, 2015Rochester, MN

Transeptal and Epicardial Workshop - Live CasesAugust 17, 2015Rochester, MN

Cardiovascular Review Course for Cardiology Boards and RecertificationAugust 22-27, 2015Rochester, MN

SeptemberChallenges in Clinical Cardiology: A Case-Based UpdateSeptember 18-20, 2015Chicago, IL

Echo in the City of Rivers: Practical Review of Myocardial and Ischemic DiseaseSeptember 19-20, 2015Pittsburgh, PA

Interventional CardiologyBoard ReviewSeptember 25-27, 2015Rochester, MN

OctoberAdvanced Catheter Ablation: New Tips, Techniques & Technologies for Complex ArrhythmiaOctober 2-6, 2015Washington, DC

Echocardiography in Pediatric & Adult Congenital Heart DiseaseOctober 8-11, 2015Phoenix, AZ

Cases in Echocardiography, Cardiac CT, and MRIOctober 21-24, 2015Napa, CA

NovemberCoronary Artery Disease: Case-Based LearningNovember 20-22, 2015Las Vegas, NV

DecemberEcho on Marco Island: Case-Based ApproachDecember 3-6, 2015Marco Island, FL

The Heart Beat of Cardiology: Practical Application of EchocardiologyDecember 10-12, 2015Chicago, IL

2016

JanuaryUpdate at South Beach: A Focus on PreventionJanuary 17-20, 2016Miami, FL

February Mayo Clinic Cardiovascular Reviews in BahrainJanuary 27-30, 2016Bahrain

Arrhythmias & The Heart: A Cardiovascular UpdateFebruary 1-5, 2016Wailea, HI

Hawaii Heart: Case-Based Clinical Decision MakingFebruary 8-12, 2016Kauai, HI

Cardiovascular Conference at SnowbirdFebruary 12-15, 2016Snowbird, UT

Innovations in Valve and Structural Heart DiseaseFebruary 15-17, 2016Bahamas

Cardiology at Cancun: Topics in Clinical CardiologyFebruary 22-26, 2016Cancun, Mexico

MarchEcho Workshop on 2-D and Doppler Echo at VailMarch 7-10, 2016Vail, CO

Heart Failure Management for NPs, PAs, and Primary Care ProvidersMarch 18-20, 2016Lake Buena Vista, FL

Additional information on individual courses as well as registration available online at: http://ce.mayo.edu/cardiovascular-diseases/cardiology

2015 -2016 CARDIOVASCUL AR CONTINUING MEDICAL EDUCATION PROGR AMS

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