Estancia La Jolla Hotel
La Jolla, California


SYMPOSIUM INFORMATION

>General Information
>Faculty
>Program/Schedule
>Accreditation
>Registration
>Hotel Reservations

 

Sponsored by:

UC San Diego Sulpizio Cardiovascular Center

Endorsed by:
The Heart Failure Society of America



American College of Cardiology



California Chapter

 

IMPORTANT CME CREDIT NOTICE
CME Certificates will be issued digitally after Speaker Evaluations and Overall Surveys are completed. Surveys are accessible after logging in with the email address you submitted during registration.

Surveys will be available online starting the day of the symposium. You must complete the process by March 24, 2018 in order to receive your certificate. Certificates will be available online until November 1, 2018 and are printable directly from the website.

ACCREDITATION
This Live activity, Biomarkers in Heart Failure and Acute Coronary Syndromes: Diagnosis, Treatment and Devices, with a beginning date of March 2, 2018 has been reviewed and is acceptable for up to 6.0 Prescribed credit(s) by the American Academy of Family Physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

AMA: AAFP Prescribed credit is accepted by the American Medical Association as equivalent to AMA PRA Category 1 Credit toward the AMA Physician's Recognition Award.

AANPCP: The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts AAFP Prescribed credit.

ANCC: According to the ANCC, the continuing education hours approved by the AAFP meet the ANCC-accredited CNE criteria.

AAPA: The American Academy of Physician Assistants accepts AAFP Prescribed credit for AAPA Category 1 CME credit.

COURSE DESCRIPTION
This annual event is designed to provide the latest clinical data, guidelines and evidence related to the clinical application of novel biomarkers in cardiovascular conditions. Topics cover state of the art application of biomarkers in the following clinical categories:

Current standards/guidelines and biomarkers in the prediction, diagnosis and management of patients.

High sensitivity troponin testing and the evolution of this novel biomarker in acute myocardial infarction and other cardiovascular conditions.

Clinical application of biomarkers as a tool in the evolution of precision therapeutics.

Evidence based biomarker data in the peer reviewed literature in cardiovascular, endocrine, renal, pulmonary and related diseases.

The application of biomarkers in therapeutic and device trials as qualification criteria, surrogate endpoints, etc.

OBJECTIVES
At the conclusion of this activity, participants should be able to:

1. Describe the current standards of care associated with the application of biomarkers in the care of patients with acute coronary syndrome (ACS) (hsTroponin), heart failure
(natriuretic peptides and others), acute kidney injury (AKI) (cell cycle markers,
ProEnkephalin, NGAL, etc.) as well as diabetes, pulmonary hypertension and related illness.
2. Cite recent literature that provides an evidence-basis for the use of biomarkers for
prediction, diagnosis and management of disease.
3. Discuss the emerging biomarker applications in cardiac disease based on recent
breaking clinical studies and clinical trials.
4. Review new data in ACS, heart failure, diabetes, AKI, and other categories and biomarker tools in the emerging era of precision medicine.
5. Apply non-traditional biomarkers including heart rate, serum sodium concentration,
and pulmonary artery pressure to guide and improve the treatment of patients with
cardiovascular disease.
6. Apply biomarkers to help optimize selection of patients for cardiac devices, assess for
response to device therapy, and improve prognostication of patients with devices.
7. Identify novel mobile technologies, applications, and devices that are impacting patient care and personalized medicine, and describe various ways they are being used.

TARGET AUDIENCE
The target audience for this activity includes Cardiologists, Internists, Primary Care Physicians, Emergency Medicine Physicians, Clinical Laboratorians, Nursing Professionals and Allied Healthcare Professionals.

NEEDS ASSESSMENT
Cardiovascular disease (CVD) is the leading cause of death in the United States and is responsible for 17% of national health expenditures.1 As the population ages, these costs are expected to increase substantially. This program is intended to interpret the current standards of care associated with the application of biomarkers in cardiac clinical care as well as review recent literature that provides an evidence basis for the diagnostic, prognostic and management application of cardiac biomarkers.

The diagnosis and management of cardiovascular conditions, including heart failure, by traditional clinical means alone is often inadequate.2 Until recently, biomarker testing in heart failure (HF) syndromes has been viewed as an elective supplement to diagnostic evaluation of patients suspected to suffer from this condition. This approach to the use of biomarker testing contrasts with other cardiovascular diagnoses for which biomarkers are integral to disease process definition, risk stratification, and in some cases treatment decision making.3 It is also noteworthy that advanced guidelines have emerged regarding the application of biomarkers in heart failure that need to be integrated into educational initiatives for clinical caregivers.4 There is emerging data on the use of biomarkers to assist with patient selection for advanced therapies such as biventricular pacemakers, and to assist with therapy optimization and disease prognostication among patients with cardiac devices.

In other related cardiovascular conditions such as acute coronary syndromes, biomarkers have played a definitive diagnostic role yet confusion has evolved as the sensitivity of biomarkers such as cardiac troponin has improved.5 The definition of myocardial infarction, and the meaning of troponin elevations in clinical scenarios outside of an acute coronary syndrome, continue to evolve amid controversy. These new and evolving issues are critical for clinicians to be prepared to interpret at the point of care.

Diabetes treatments now look beyond glucose normalization as a singular goal and have worked to identify direct impact on macrovascular outcomes. These data often utilize biomarkers as surrogate endpoints or secondary endpoints. New literature must be put into clinical context.

The content of this educational activity was determined by a rigorous review of recent medical literature as well as the changes in biomarker evidence, use and guidelines in the United States over the past 4 years. Evidence-based medical education is of significant importance to the target clinical audience across the US.6

References:
1. http://circ.ahajournals.org/content/123/8/933
2. http://www.sciencedirect.com/science/article/pii/S0009898114002617
3. http://www.clinchem.org/content/58/1/127.full.pdf+html
4. Circulation. 2013;128:e240-e327; originally published online June 5, 2013;
5. Heart 2011;97:447e452. doi:10.1136/hrt.2010.205617 447
6. http://www.accme.org/for-public/why-accredited-cme-is-important

CULTURAL AND LINGUISTIC COMPENTENCY
This activity is in compliance with California Assembly Bill 1195 which requires continuing medical education activities with patient care components to include curriculum in the subjects of cultural and linguistic competency. Cultural competency is defined as a set of integrated attitudes, knowledge, and skills that enables health care professionals or organizations to care effectively for patients from diverse cultures, groups, and communities. Linguistic competency is defined as the ability of a physician or surgeon to provide patients who do not speak English or who have limited ability to speak English, direct communication in the patient’s primary language. Cultural and linguistic competency was incorporated into the planning of this activity.