Course Description:

Approximately every 34 seconds, an American has a coronary event. One person dies from this event every minute. High quality care requires rapid identification and treatment to ensure appropriate guideline management for the right patient at the right time. Despite these goals and widespread dissemination of recent guidelines and updates, adherence to best practices is far from universal among clinicians.

The Heart Course provides an opportunity for practitioners to discuss emerging data, new guidelines, and optimal treatment strategies for the management of cardiac and vascular emergencies. In addition, they will learn to apply cutting edge, state-of-the-art cardiovascular diagnostic, prognostic, and therapeutic modalities; and improve their current practice.

Target Audience:

The Heart Course is intended for physicians, nurses, nurse practitioners, physician assistants, and advanced practice professionals that provide care to patients with acute cardiovascular problems.

Learning Objectives:

At the conclusion of this activity, participants will be able to initiate safe and effective management of a wide variety of patients who present with cardiovascular emergencies in the emergency department including:

  • Review emerging heart failure management strategies including diagnosis, classification, risk-stratification, prognosis, optimization of volume status, hyponatremia management, and new therapeutic options
  • Review the new guidelines and evidence based best practice strategies for the early identification, treatment and use of anti-platelet/anticoagulant therapies for patients with acute coronary syndrome (STEMI, and UA/ NSTEMI)
  • Evaluate and manage high-risk, life threatening arrhythmias
  • Understand and apply optimal management strategies for the treatment of stroke in patients with atrial fibrillation
  • Describe the mechanisms of action and optimal evidence based use of new oral anticoagulants (NOAC) therapy

Desired Educational Outcomes:

At the conclusion of this activity, participants will demonstrate effective management of cardiovascular emergencies in the acute setting including:

  • Implementation of state-of-the-art cardio-vascular resuscitation strategies
  • Demonstrate immediate lifesaving actions for high-risk, high-threat electrocardiography (ECG) findings and threatening arrhythmias
  • Evaluate and treat patients with complex dysrhythmias
  • Apply latest evidence for risk-stratification and management of the chest pain and acute coronary syndromes
  • Review the evidence based strategies for the management of transient ischemic attack (TIA), stroke, and cerebral hemorrhage
  • Discuss the emerging data on current and new oral anticoagulants (NOAC) therapy used in the management of patients with cardiovascular disease
  • Identify optimal Emergency Department antiplatelet and anticoagulant management strategies for patients with acute coronary syndrome (ACS), atrial fibrillation (AF), venous thromboembolism (VTE) and stroke.
  • Implement strategies for effective emergency department management of the acute heart failure patient, including diagnosis, classification, risk-stratification, prognosis, optimization of volume status, hyponatremia management, organ protection, and potential impact on both short and long-term outcomes
  • Review the indications, contraindications, and applications of noninvasive positive pressure ventilation (NIPPV) in the emergency department
  • Review the new guidelines and emerging management strategies for aortic dissection
  • Discuss the benefits, limitations, and utilization of novel anticoagulants for stroke prevention in AF

2015 Heart Course Topics:

  • Focused echocardiography for acute care physicians and advanced practice providers
  • Advanced ECG interpretation:
    • Syncope
    • Sudden death
    • ACS
    • Brady and Tachydysrhythmias
    • Wide complex tachycardias
    • Where correct interpretation can save a life!
  • Management of Dysrhythmias:
    • Atrial Fibrillation
    • SVT
    • VT
  • Cardiogenic Shock
  • Resuscitation
  • 2015 Focused Cardiovascular Literature Update for the acute care physicians
  • Neurovascular emergencies:
    • Stroke
    • SubArachnoid Hemorrhage
  • Vascular emergencies
  • Acute Heart Failure
  • Syncope
  • Device emergencies:
    • Pacemakers
    • ICD
    • VAD – ventricular assist devices
  • Acute coronary Syndromes
  • Chest pain: how to determine low risk
  • Hypertensive emergencies
  • Venous thromboembolism – DVT and PE
  • CV focused board review

Planning Committee:

Bohan-Stephen

Course Director:

J. Stephen Bohan, MS, MD, FAAEM, FACP, FACEP

Executive Vice Chair, Department of Emergency Medicine

Brigham and Women’s Hospital

Associate Professor of Medicine

Harvard Medical School

Boston, Massachusetts

Peter-Pang

Course Director:

Peter S. Pang, MD, MS, FACEP, FAAEM, FACC, FAHA

Associate Professor | Emergency Medicine

Indiana University School of Medicine

Indianapolis, Indiana

Laura-Bontempo

Laura J. Bontempo, MD, FACEP

Assistant Professor

Department of Emergency Medicine

University of Maryland School of Medicine

Baltimore, Maryland

Amal-Mattu

Amal Mattu, MD, FAAEM, FACEP

Professor and Vice Chair

Director, Emergency Cardiology Fellowship

Department of Emergency Medicine

University of Maryland School of Medicine

Baltimore, Maryland

95%

95% of participants reported that The Heart Course addressed clinical issues they face in their practice.

98%

98% of participants reported that The Heart Course will improve their ability to provide excellent patient care.

100%

100% of participants reported that The Heart Course increased their knowledge, skills, and abilities related to their profession.

Past Participant Quotes:

  • The Heart Course was GREAT! EKG Workshop was very helpful.

    - 2014 Attendee
  • I thoroughly enjoyed and benefited from the ECHO workshop. I would like to see more of this in the future.

    - 2014 ECHO Workshop Attendee
  • The Heart Course taught me stuff about SAH I never knew and I’ve done 6 months of neurosurgery as a resident!

    - 2014 Attendee
  • Excellent, great delivery and lectures! Board review portion was great.

    - 2014 Attendee