Information and Schedule

Once weekly an hour long conference consisting of didactic lectures, clinical case presentations, relevant journal article reviews, or on-site clinical research activities will be presented and discussed. Advanced heart failure and rotating fellows will participate in presentations along with clinical faculty. Topics covered will include the following areas which are relevant to clinical competency for the ABIM Board Certification in Advanced Heart Failure and Transplant Cardiology:

Heart Failure
HF risk factors and prognosis
Heart Failure Guidelines (2 part talk)
Pathophysiology of the Normal and Failing heart
Remodeling and other compensatory mechanisms in CHF
Medical management of chronic heart failure
Contraindications in heart failure: medical and therapeutic mismanagement
Disease management and Palliative Care in CHF
Biomarkers in heart failure
Reversible causes of heart failure
Constrictive and Restrictive cardiomyopathy
Hypertrophic cardiomyopathy
Determining myocardial viability and indications for revascularization
Cardiac surgery in heart failure patients
Determining candidates for advanced heart failure therapies
Cardiorenal syndrome
Cardiopulmonary exercise testing
Infiltrative Cardiomyopathies
Genetic Cardiomyopathies
Other causes of Cardiomyopathy
Pathophysiology of heart failure including flow volume loop interpretation
Cardiac MRI in heart failure management and diagnosis
Management of atrial arrhythmias
Ventricular arrhythmias and ICD indications
CRT indications and physiologic considerations
CHF Hemodynamics
Catheterization, Biopsy and RHC
Improving transition from inpatient to outpatient CHF care and initiatives for the reduction of readmission
Heart Failure care in the emergency department
Physical exam and bedside assessment of hemodynamics in heart failure

LVAD basics, terminology, pumps and indications
Patient selection and outcomes in MCS
Teaching and education in the MCS candidate
Psychological assessment and social considerations in MCS pts
MCS/ECMO in cardiogenic shock
External driveline care
LVAD/MCS infections
The role of biventricular support in MCS including TAH
Post op RV failure and management of the right ventricle
Implantation management
Concomitant procedures with MCS
Post implant LVAD management
Echocardiographic assessment of LVADs
Imaging in MCS pts
Complications and side effects of MCS therapy
GI bleeding post LVAD
Thrombus formation and thrombotic complications in the MCS pt including hemolysis
Anticoagulation of MCS pts
End of life considerations in pts with MCS

Pulmonary Hypertension
Pulmonary hypertension in left heart failure
Determining PHTN WHO Group
Medical management of PHTN
Managing the medically refractory PHTN patient

Introduction to heart Transplant overview and selection
Issues in determining candidacy for Transplantation
Managing Donor issues prior to transplant
Immunology basics PRA and sensitization
Desensitization strategies of the highly sensitized patient
Managing immunosuppression and Drugs
Rejection, management and drug therapy
Management of acute and chronic allograft rejection
Post transplant management issues HTN, dyslipidemia, renal disease
Late complications and co morbidities in OHT pts
Combined organ transplant

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