Course Brochure

Division of Cardiovascular Diseases
Cardiac Rhythm Device Summit:
Implantation, Management, and Follow Up
June 26-28, 2015 | Swissotel Chicago
Course Directors:
Paul A. Friedman, M.D.
Yong-Mei Cha, M.D.
David L. Hayes, M.D.
Course Decsription
The Cardiac Device Summit will provide an update on the indications, follow
up, and management of cardiac rhythm technology, emphasizing clinical pearls.
Hundreds of thousands of patients receive cardiac rhythm devices each year for
brady or tachyarrhythmias and heart failure. In addition, the number of people
who may benefit from an implantable cardioverter defibrillator (ICD) and/or
cardiac resynchronization device (CRT) has substantially increased in the past
decade. Evolving device technology has increased programming complexity,
follow-up, and management. Cardiac implantable device management related
to electrophysiology remains a major part of daily practice for cardiologists,
electrophysiologists, and non-physician caregivers involved in the management
of these devices.
Presentations will highlight the following:
1. Update on cardiac pacing technology
2. Review information for device management germane to patient management
3. Lead extraction tips
4. Cardiovascular implantable electronic device infection management
Course Learning Objectives
Upon conclusion of this program, participants should be able to:
•Describe the current indications for pacemakers, ICDs, subcutaneous ICDs,
and resynchronization therapies (CRT)
•Recognize upcoming technologies such as leadless and epicardial pacemakers
•Interpret diagnostic material (electrograms, impedance, radiography, and other
sources) to troubleshoot suspected implantable device malfunction
•Discuss when and how to extract implantable devices
•Identify the current capabilities and roles of remote monitoring to manage
patients with cardiovascular risk and disease
Attendance at this Mayo course does not indicate nor guarantee competence or
proficiency in the performance of any procedures which may be discussed or
taught in this course.
Intended Audience
The symposium is designed for physicians, scientists, and allied health
staff including nurse practitioners, physician assistants, and nurses who are
specialized in cardiology, cardiac rhythm management, or internal medicine.
Date and Location
Cardiac Rhythm Device Summit will be held June 26 -28, 2015, at the Swissotel
Chicago. The conference will be held in the Lucerne Ballroom on the Lucerne
Mayo Clinic College of Medicine is accredited by the Accreditation Council for
Continuing Medical Education to provide continuing medical education for
Mayo Clinic College of Medicine designates this live activity for a maximum
of 18 AMA PRA Category 1 Credits™. Physicians should claim only the credit
commensurate with the extent of their participation in the activity.
Lodging Accommodations
Guest rooms have been reserved for attendees and their guests with special
course rates at the Swissotel Chicago, Chicago, IL. In order to receive the special
rate, reservations must be made before the room block is filled or before the expiration date
of May 25, 2015 whichever comes first. Please identify yourself as a part of the
Mayo Clinic group when making your reservation. Course headquarters will be
located in the Lucerne Ballroom of the Swissotel.
Swissotel ($259 single/double)
323 E. Wacker Drive
Chicago, IL 60601
Call: 888-73-SWISS, Group Name: Mayo Clinic
Online Reservation:
Lodging arrangements are the sole responsibility of the individual registrant.
Course Directors
Paul A. Friedman, M.D.
Yong-Mei Cha, M.D.
David L. Hayes, M.D.
Mayo Faculty
Samuel J. Asirvatham, M.D.
Atta Behfar, M.D., Ph.D.
Bryan C. Cannon, M.D.
Raul E. Espinosa, M.D.
Siva K. Mulpuru, M.D.
Peter A. Noseworthy, M.D.
Michael J. Osborn, M.D.
Sorin V. Pislaru, M.D., Ph.D.
Robert F. Rea, M.D.
Margaret M. Redfield, M.D.
Win-Kuang Shen, M.D.
M. Rizwan Sohail, M.D.
Komandoor Srivathsan, M.D.
K.L. Venkatachalam, M.D.
Guest Faculty
Kenneth Ellenbogen, M.D.
Westby G. Fisher, M.D.
Jagmeet P. Singh, M.D., Ph.D.
Faculty Disclosure
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 offlabel 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.
Friday, June 26, 2015
6:45 a.m.
7:20 a.m.
Registration and
Continental Breakfast
Paul A. Friedman, M.D.
Device Therapy: Basics, Controversies, and
Future Technologies
Moderator: Paul A. Friedman, M.D.
7:45 a.m.
8:15 a.m.
8:40 a.m.
9:00 a.m.
9:20 a.m.
9:40 a.m.
Pacemaker Timing Cycles and Trouble Shooting: Section I
Raul E. Espinosa, M.D.
Pacemaker Timing Cycles and Trouble Shooting: Section II
David L. Hayes, M.D.
Implantable Devices and MRI: When Is It Safe and How Do We Do It?
Paul A. Friedman, M.D.
Device of the Future: Leadless Pacemakers
Yong-Mei Cha, M.D.
Panel Discussion
Drs. Espinosa, Cha, and Hayes
Refreshment Break
Pacemaker Guidelines, Management, and Troubleshooting
Moderator: Yong-Mei Cha, M.D.
10:00 a.m.
10:20 a.m.
10:40 a.m.
11:00 a.m.
11:20 a.m.
11:40 a.m.
12:00 p.m.
Pacemaker and Implantable Monitor
Guideline Update
Win-Kuang Shen, M.D.
Implant Techniques and How to Prevent
and Manage Implant Complications
K. L. Venkatachalam, M.D.
Pacing in Complex Congenital Heart
Bryan C. Cannon, M.D.
Managing Anticoagulation Before,
During, and After Device Implantation
Robert F. Rea, M.D.
Device of the Future: Biologic Pacemaker
Atta Behfar, M.D., Ph.D.
Panel Discussion and Questions
Drs. Shen, Venkatachalam Rea, Cannon,
and Behfar
Lunch Break
Implantable Cardioverter Defibrillator
Moderator: David L. Hayes, M.D.
1:00 p.m.
1:20 p.m.
1:40 p.m.
2:00 p.m. 2:20 p.m.
2:45 p.m.
Primary Sudden Death Prevention Controversies: Dual vs. Single
Chamber ICDs and How to Program Devices to Prevent Shocks and
Prolong Life
Kenneth Ellenbogen, M.D.
SQ-ICD: Patient Selection and Implant Pearls
Paul A. Friedman, M.D.
Lead Performance and Recalls: Managing Patients with Fidelis and
Riata Leads
Kenneth Ellenbogen, M.D.
Clinical Application of Implantable Monitor for Arrhythmia
Peter A. Noseworthy, M.D.
Panel Discussion and Questions
Drs. Friedman, Noseworthy, and Ellenbogen
Saturday, June 27, 2015
7:00 a.m.
7:25 a.m.
Continental Breakfast
Yong-Mei Cha, M.D.
Cardiac Anatomy for Implanters and Safe
Lead Extraction
Pre-registration required at the time of registration.
7:30 a.m.
Cardiac Anatomy to Guide Device Implant
Samuel J. Asirvatham, M.D.
7:50 a.m.
Hands-on Cardiac Anatomy Session
9:30 a.m.
Refreshment Break
Cardiac Resynchronization Therapy (CRT), Monitor and Heart Failure
Moderator: Yong-Mei Cha, M.D.
9:50 a.m.
10:10 a.m.
10:30 a.m.
10:50 a.m.
11:10 a.m.
11:30 a.m.
Expanding CRT Indications for Patients With or Without Heart
Failure: Current Guideline
Jagmeet P. Singh, M.D., Ph.D.
CRT Implant Techniques and Device Selection
Yong-Mei Cha, M.D.
Stepwise Management of CRT Non-responders
Jagmeet P. Singh, M.D., Ph.D.
Device of the Future: Intramyocardial and Epicardial Leads
Samuel J. Asirvatham, M.D.
Utilization of Advanced Device Monitor for Heart Failure
Margaret M. Redfield, M.D.
Panel Discussion
Drs. Singh, Asirvatham, and Redfield
11:45 a.m. Case-Based Discussions
Working Lunch: Illustrative Case Presentations
Moderator: David L. Hayes, M.D.
A 60-year-old Man, CRT-D at ERI, LVEF 50%, Replace CRT-P or CRT-D?
Win-Kuang Shen, M.D.
A 72-year-old Man Received Inappropriate Shocks for AF.
How to Optimize Device Programming and Avoid Inappropriate
ICD Shocks
Westby G. Fisher, M.D.
A 56-year-old Man With Recurrent Syncope: What Monitor Do You
Peter A. Noseworthy, M.D.
Patient Requests to Turn off ICD
David L. Hayes, M.D.
Panel Discussion
Drs. Shen, Hayes, and Noseworthy
1:15 p.m.
Stretch/Refreshment Break
Cardiac Implantable Electronic Device (CIED) Infection and Lead Extraction
Moderator: Samuel J. Asirvatham, M.D.
1:30 p.m.
1:50 p.m.
Diagnosis of CIED Infection
Rizwan M. Sohail, M.D.
Techniques for Extracting Older Leads in High-Risk Patient:
Tips and Tricks
Michael J. Osborn, M.D.
2:10 p.m.
2:30 p.m.
2:50 p.m.
3:10 p.m.
Management and Prevention of CIED Infection
Rizwan M. Sohail, M.D.
Role of Cardiac Imaging in CIED Infection
Sorin V. Pislaru M.D., Ph.D.
Panel Discussion
Drs. Sohail, Osborn, and Pislaru
Refreshment Break
3:30 p.m.
Concurrent Illustrative Case Session
Select session of interest to attend. Pre-registration required at the time of
Lead Extraction: Would you Extract
Moderator: Yong-Mei Cha, M.D.
Cardiac Resynchronization Therapy:
How to Implant S-ICD and CRT?
Moderator: Samuel J. Asirvatham, M.D.
Pocket Infection: How to Diagnose
and Treat
Siva K. Mulpuru, M.D.
Techniques of Implanting S-ICD
Komandoor Srivathsan, M.D.
Extract or Abandon Nonfunctioning
Leads: Pros and Cons
Raul E. Espinosa, M.D.
How to Navigate Coronary Sinus
Anatomy: Choose Deliver System
and LV Leads
Robert F. Rea, M.D.
Failed Extraction From Subclavian
Vein: How to Extract From Below
Michael J. Osborn, M.D.
How to Overcome High Pacing
Threshold and Diaphragmatic
Westby G. Fisher, M.D.
Ask the Expert
Drs. Mulpuru, Espinosa, Osborn, and
Ask the Expert
Drs. Srivathsan, Rea, and Fisher
Sunday, June 28, 2015
7:00 a.m.
Continental Breakfast
Self-Assessment – Cardiac Devices
Moderator: Yong-Mei Cha, M.D.
7:30 a.m.
Interactive Knowledge Assessment
The MOC learning module will provide an opportunity to review
questions on a Knowledge Module for Maintenance of Certification.
This session is intended to assist physicians with completing the ABIM
Panelists: Drs. Shen, Srivathsan, and Venkatachalam
9:30 a.m.
Refreshment Break
Device Troubleshooting
Moderator: Yong-Mei Cha, M.D.
9:50 a.m.
Illustrative Case Presentation (10 min for each case with discussion)
10:30 a.m.
PM/CRT Troubleshooting
David L. Hayes, M.D.
11:00 a.m.
ICD Troubleshooting
Paul A. Friedman, M.D.
11:30 a.m.
Closing Remarks
Paul A. Friedman, M.D.
Register online:
Registration Fee:
Course Registration (MD, PhD, DO, PharmD) ......................................................$685
Course Registration (Fellow, Resident, RN, NP, PA)..............................................$655
Mayo Clinic Division of Cardiology has implemented an online conference
registration system. If this is your first time using the online system, you will need to
create a profile and login account.
Register by entering the url:
and click on Register Now. The system will guide you through the profile and login
process. An e-mail address is required upon registration. A letter of confirmation
will be forwarded to this address upon receipt of payment and submitted
registration. Present this letter of confirmation when checking in at the meeting
registration desk.
The registration fee includes tuition, electronic course materials, continental
breakfasts, break refreshments, and lunch. Although it is not Mayo School of
Continuous Professional Development (CPD) policy to limit the number of
registrants for a course, conference room facilities may necessitate closing of
enrollment; therefore, early registration is advised. A letter of confirmation will
be e-mailed upon receipt of payment. Please present the confirmation letter when
checking in at the meeting registration desk.
For additional information contact:
Cardiovascular Continuing Education
200 First Street SW – Gonda 6
Rochester, MN 55905
E-mail:[email protected]
Cancellation Policy
If you cancel your participation in this course, your registration fee, less a $75
administrative fee, will be refunded when written notification is received by Mayo
Cardiovascular CME before June 12, 2015 ([email protected] or fax#: 507-538-0146).
No refunds will be made on or after June 12, 2015. Canceled registrations are nontransferable.
Mayo School of CPD reserves the right to cancel or postpone any course due to
unforeseen circumstances. In the unlikely event Mayo School of CPD must cancel or
postpone this course, Mayo School of CPD will refund the registration fee, but is not
responsible for any related costs, charges, or expenses to participants, including fees
assessed by airline/travel/lodging agencies.
©2014 Mayo Foundation for Medical Education and Research
Swissotel Chicago
Chicago, IL
June 26-28, 2015
Implantation, Management,
and Follow Up
Cardiac Rhythm
Device Summit:
200 First Street SW
Rochester, MN 55905