6 Weeks, 2 hours per week
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About This Course
Objective of the course: To be able to Diagnose and Treat Acute Coronary Syndrome
Cardiovascular causes are the primary cause of mortality in the adult population around the world. Coronary atherosclerosis and its complications are responsible for the vast majority of these. Whereas coronary atherosclerosis may remain silent for many years in many people, the acute manifestations result in Non ST segment Elevation Myocardial Infarction (NSTEMI) and ST segment elevation Myocardial Infarction (STEMI) diagnosed by characteristic ECG changes and elevations in cardiac serum biomarkers . Early diagnosis, prompt and appropriate management have dramatic impact on outcome and long term prognosis. Otherwise, patients are faced with the prospect of early demise, compromised left ventricular function or complex ventricular arrhythmias
Understanding the many ways of clinical presentation enables the treating physician to order the correct diagnostic tests. These determine the next steps that need to be taken, the urgency with which one approaches a patient and eventually determining the long term prognosis and treatment.
The introduction of pharmacological agents specifically addressing the underlying pathogenesis of atherosclerotic plaque rupture is very important in the early management. There are quite a few oral and parenteral drugs, which the treating physician need to be familiar with.
Coronary angiography is often the cornerstone of management, following which the appropriate revascularization strategy can be advised. Sophisticated intra-coronary imaging techniques are often used to guide revascularization and aid in the percutaneous treatment (i.e. stent placement). Non Invasive imaging using ECHO, nuclear, MRI and CT scans are invaluable to determine post syndrome prognosis and to determine the need for further revascularization, advanced heart failure therapy or primary prevention of sudden death.This course will discuss acute coronary syndromes and will comprise of presentations of modules by cardiologists who are experts in their fields, addressing the issues briefly outlined above. Each module will consist of a topic with subheadings. Cases examples will be presented to emphasize clinical relevance of the discussion. There will be questions on the topic with answers provided later.
Meet the Instructor
Dr. Michael FaulxCleveland Clinic.
Dr. Michael Faulx, MD, FACC, is a staff cardiologist in the Section of Clinical Cardiology within the Robert and Suzanne Tomsich Department of Cardiovascular Medicine at the Sydell and Arnold Miller Family Heart & Vascular Institute and Associate Program Director for Cleveland Clinic's Internal Medicine Residency Program. He also serves as an instructor at the Cleveland Clinic Lerner College of Medicine, where he is g an assistant professor of medicine. Dr. Faulx has a keen interest in medical education and clinical research. He has authored several review articles and book chapters on a variety of core cardiovascular medicine topics and he continues to remain active in clinical research, primarily exploring the relationship between obstructive sleep apnea and hear.
Dr. Grant ReedCleveland Clinic.
Dr. Grant Reed, MD, MSc, FACC is an interventional cardiologist in the Invasive and Interventional Cardiology Section of the Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart & Vascular Institute. He sees patients at Cleveland Clinic main campus.His special interests are Interventional cardiology, percutaneous coronary intervention, interventions for structural heart defects, transcatheter aortic valve replacement (TAVR), balloon aortic valvuloplasty, patent foramen ovale (PFO) closure, atrial septal defect (ASD) closure, percutaneous mitral valve repair, left atrial appendage closure, paravalvular leak closure, peripheral vascular intervention.
Dr. Paul CremerCleveland Clinic.
Dr. Paul Cremer, MD, is a cardiologist in the Section of Cardiovascular Imaging in the Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart & Vascular Institute. He sees patients at Cleveland Clinic Main Campus. Dr. Cremer has special interest in Complex valvular heart disease, prosthetic valve dysfunction and native and prosthetic valve infection (endocarditis), re-do valve surgery, anomalous coronary arteries, functional capacity and exercise, echocardiography, nuclear cardiology, including PET and myocardial blood flow, cardiovascular CT and MR.
Dr. Ann GageCleveland Clinic.
Dr. Ann Gage MD, MS, is a staff cardiologist in the Section of Interventional Cardiology within the Robert and Suzanne Tomsich Department of Cardiovascular Medicine at the Sydell and Arnold Miller Family Heart & Vascular Institute. She works as both an Interventional Cardiologist and a Critical Care Cardiologist.Dr. Gage is board-certified in internal medicine, adult cardiovascular disease and comprehensive adult echocardiography. Dr. Gage maintains both an Interventional Cardiology and a Cardiac Critical Care practice. She specializes in the treatment of coronary artery disease and cardiogenic shock.Her special interests are Coronary artery disease, cardiogenic shock, appropriate revascularization strategies for cardiogenic shock, cardiac critical care and mechanical circulatory support.
Dr. Joseph CampbellCleveland Clinic.
Dr. Joseph Campbell, MD, is a physician in the Interventional Cardiology and Vascular Medicine Section in the Robert and Suzanne Tomsich Department of Cardiovascular Medicine, Sydell and Arnold Miller Family Heart & Vascular Institute. He sees patients at Cleveland Clinic main campus. Dr. Campbell has special interest in Complex valvular heart disease, prosthetic valve dysfunction and native and prosthetic valve infection (endocarditis), re-do valve surgery, anomalous coronary arteries, functional capacity and exercise, echocardiography, nuclear cardiology, including PET and myocardial blood flow, cardiovascular CT and MRI.
What will you learnAt the completion of this course the participant will be able to:
- familiarize participants with the clinical entities which constitute acute coronary syndromes.
- discuss the presentation, prognosis and diagnostic methods
- discuss comprehensive management including pharmacological therapy and the role of revascularization
- Clinical presentation, natural history, complications, Initial evaluation
- Anti-coagulation and antiplatelet therapy in ACS
- Parenteral anticoagulation and antiplatelets
- Non invasive testing in ACS syndromes
- Intracoronary imaging and physiological testing
- Revascularization in ACS
The information in this educational activity is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient's medical condition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by DocMode. In no event will DocMode be liable for any decision made or action taken in reliance upon the information provided through this CME activity.
The following faculty have indicated they have no relationship which, in the context of their presentations, could be perceived as a potential conflict of interest:
Dr. Michael Faulx
Dr. Grant Reed
Dr. Paul Cremer
Dr. Ann Gage
Dr. Joseph Campbell
DocMode and The Cleveland Clinic acknowledge that no educational grants were received for the creation of this Internet Enduring activity.
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