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Heart Rhythm On Demand 2016/ Summits on Demand 2016 

Up to 76.5 CME credits available now!

The Heart Rhythm Sessions On Demand product is available as an online product (with optional USB purchase) and is comprised of the sessions and presentations from Heart Rhythm 2016 in San Francisco, CA. Heart Rhythm On Demand has hundreds of hours of content at your finger tips, available when YOU want it.   Also available, online access to the AF, VT/VF, and Left Atrial Appendage Summits from the Heart Rhythm 2016 Scientific Sessions.

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Self-Assessment and Exam Prep in CCEP

ABIM Boards October 2016 - are you prepared? 
Test your knowledge - compare your practice results with your peers.

One hundred American Board of Internal Medicine (ABIM) style questions contributed by over 60 experts in the field, provides a comprehensive review and self-assessment of knowledge in the field of Clinical Cardiac Electrophysiology.

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Mapping and Ablation of Atrial Tachycardias and Atypical Flutters

This learning pathway discusses the clinically relevant day-to-day challenges in mapping and ablation of atrial tachycardias and atypical flutters. 

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CRT for Atypical Populations

  • Description
  • Presentations
  • Faculty

CRT for Atypical Populations

As the tools to provide successful left ventricular lead placement have expanded, the appropriate patient population to benefit from cardiac resynchronization therapy is still unclear.  Is there a role for CRT in the patient with a non-left bundle branch block pattern, or for a narrow QRS? 

What are future advances?  Once a CRT device is implanted, this pathway will provide insights on how to avoid non-responders.  

HRS Members - Complimentary (after log in)

Non-Members - $29 USD

Learning Pathway presentations include:

CRT in Octogenerians <20 minutes
CRT in Patients with Renal Dysfunction <20 minutes
CRT in Patients with RBBB <20 minutes
CRT Gender and Race Considerations <20 minutes

Debate - Is AV Node Ablation Necessary to Achieve Cardiac Resynchronization in AF Patients? <45 minutes

Cardiac resynchronization therapy in the elderly with or without an implantable defibrillator <20 minutes

Multiple comorbidities and response to CRT-D: Results from the MADIT-CRT long-term follow-up study <20 minutes

CRT for the Patient with a Narrow QRS <20 minutes

Challenges CRT Cases - My Patient has Pacing Induced CM. Should I Implant a CRT-D or CRT-P? <15 minutes
Challenges CRT Cases - My Patient With a PPM Needs an Upgrade to a BiV ICD Cap or Extract? <15 minutes

Sana M. Al-Khatib, MD, MHS, FHRS, CCDS
Duke University Medical Center
Durham, NC

Theofanie Mela, MD
Massachusetts General Hospital
Boston, MA

Maurizio Gasparini, MD
Humanitas Research Hospital
Rozzano-Milano, Italy

Uma N. Srivatsa, MD, FHRS
University of California - Davis Medical Center
Sacramento, CA

Michele Brignole, MD
Ospedali del Tigullio
Lavagna, Italy

Derek V. Exner, MD, MPH, FHRS
Libin Cardiovascular Institute of Alberta
Calgary, AB, Canada

Michael Doering, MD
University Leipzig, Heart Centre
Leipzig, Germany

Emily P. Zeitler, MD
Duke University Hospital
Durham, NC

Rupa Bala, MD
University of Pennsylvania
Philadelphia, PA

Sherry Saxonhouse, MD
Sanger Heart and Vascular Institute
Charlotte, NC

Charles A. Henrikson, MD, FHRS
Oregon Health and Science University, Knight Cardiovascular Institute
Portland, OR

Implantation Procedure for a Subcutaneous Implantable Cardiac Defibrillator (S-ICD)

  • Description
  • Faculty
  • CME Information

Description

This learning pathway discusses the pre-, intra-, and post- procedure care for the implantation of a subcutaneous implantable defibrillator (S-ICD).   This activity is complimentary.

The presentations are:

  • Pre-Procedure S-ICD Assessment – duration <6 minutes
  • S-ICD Implantation Techniques – duration <10 minutes
  • Live Case - Implantation of a S-ICD – duration <25 minutes
  • Successful Implantation of CIED Devices –
    - Ensuring an Adequate Defibrillation Threshold Following a Subcutaneous ICD Implant - duration <20 minutes 
    - CIED Implantation in a Patient on Anticoagulation - duration <20 minutes
  • Post-Procedure S-ICD Assessment – duration <5 minutes
  • Improving Efficacy - 
    -Impact of BMI on Safety and Efficacy of the Subcutaneous ICD - duration <20 minutes
    -Evaluation of a High Pass Filter Designed to Reduce Over-sensing in the S-ICD – duration <20 minutes
    -First Report On Communicating Leadless Anti-Tachycardia Pacemaker and Subcutaneous Implantable Defibrillator – duration <20 minutes
  • Novel Extravascular Defibrillation Configuration with a Coil in the Substernal Space - duration <20 minutes
  • Current Status of the S-ICD and Its Use in Pediatric Patients – duration 25 minutes

 

Raul Weiss, MD, FHRS, CCDS
Ohio State University Medical Center
Division of Cardiovascular Medicine

Emile Dauod, MD, FHRS
Professor of Internal Medicine
Ohio State University Medical Center
Division of Cardiovascular Medicine

Dan L. Musat, MD
Valley Health System
Ridgewood, NJ

David S. Frankel, MD, FHRS
Hospital of the University of Pennsylvania
Philadelphia, PA,

Dominic A. Theuns, PhD
Erasmus Medical Center
Rotterdam, Netherlands

Fleur V.y. Tjong, MD
Academic Medical Center
Amsterdam, Netherlands

Janice Till, MD
Royal Brompton Hospital
United Kingdom

Joseph YS Chan, MD
Prince of Wales Hospital
Hong Kong

No CME is available for this complimentary activity.

Journal CME/HeartRhythm Journal: October 2016 Vol. 13, Issue 10: 'Wide-narrow-wide' QRS complex tachycardia. What is the mechanism?

  • Description
  • Faculty
  • CME Information

The tracing of Figure 1 (leads II, III, and V1 taken simultaneously) has been recorded from a 58-year-old man during the recovery phase of exercise stress testing. At tachycardia onset,the R-R interval is relatively long but shortens over the course of the first few beats.Surprisingly, the event begins with wide QRS complexes, but suddenly beats 8–14 become relatively narrow and quite variable in duration and morphology.

Vincenzo Carbone, MD
Alessio Poggi, MD 
Vincenzo Marafioti, MD
Giuseppe Oreto, MD

The Heart Rhythm Society designates this journal-based CME activity for a maximum of AMA PRA Category 1 Credit™

Journal CME/HeartRhythm Journal: September 2016 Vol. 13, Issue 9: Flecainide versus digoxin for fetal supra ventricular tachycardia: comparison of two drug treatment protocols

  • Description
  • Faculty
  • CME Information

The optimal treatment for fetal supraventricular tachycardia (SVT) with 1:1 atrioventricular relationship is unclear. We compared the effectiveness of transplacental treatment protocols used in two centers.

 

Shankar Sridharan, MRCPCH
Ian Sullivan, FRACP
Viktor Tomek, MD
Joanne Wolfenden, PgDip Medical Ultrasound
Jan Škovránek, MD,PhD
Robert Yates, MBBCh, BSCMED, FRCP
Jan Janoušek, MD, PhD
Troy E.Dominguez, MD
Jan Marek, MD,PhD,FESC

The Heart Rhythm Society designates this journal-based CME activity for a maximum of AMA PRA Category 1 Credit™

Journal CME/HeartRhythm Journal: August 2016 Vol. 13, Issue 8: Spontaneous vs. Nitroglycerin-induced Vasovagal Reflex on Head-up Tilt: Are There Neuroendocrine Differences?

  • Description
  • Faculty
  • CME Information

Head-up tilt test (HUT) has been used for nearly 30 years for diagnosing vasovagal syncope (VVS) and was enhanced by sublingual nitroglycerin (glyceryl trinitrate [GTN]) challenge in the 1990s. The purpose of this study was to explore neuroendocrine differences between spontaneous and drug-induced HUT positivity. 

David Nilsson, MD, PhD
Richard Sutton, DSc
Olle Melander, MD,
Artur Fedorowski, MD

The Heart Rhythm Society designates this journal-based CME activity for a maximum of AMA PRA Category 1 Credit™

Optimal ICD Programming and Testing: Strategies and Highlights from the International Consensus Document

  • Description
  • Faculty
  • CME Information

The HRS/EHRA/APHRS/SOLAECE Expert Consensus Statement on Optimal Implantable Cardioverter-Defibrillator Programming and Testing contains 32 consensus recommendations developed by a writing group of international experts. Learn how to implement these recommendations in your clinical practice by viewing this activity, presented by the document Chairs.

Laurent Fauchier, MD, PhD

Carlos Morillo, MD, FRCPC, FHRS

David Slotwiner, MD, FHRS

Martin Stiles, MBCHB, PhD

Bruce Wilkoff, MD, FHRS, CCDS

No CME credit is attached to this activity.

Mapping and Ablation of Atrial Tachycardias and Atypical Flutters

  • Description
  • Faculty
  • CME Information

This learning pathway discusses the clinically relevant day-to-day challenges in mapping and ablation of atrial tachycardias and atypical flutters. Choose from multiple presentations that each focus on a different aspect and/or audience level of the topic via the HRS Learning Center.

Jonathan M. Kalman, MBBS, PhD, FHRS 
Royal Melbourne Hospital, Melbourne, Australia

Peter M. Kistler, MBBS, PhD
Alfred Hospital and Baker Heart and Diabetes Institute, Melbourne, Australia

Samuel J. Asirvatham, MD, FHRS
Mayo Clinic, Rochester, MN

Natasja De Groot, MD, PhD 
Erasmus Medical Center, Rotterdam, Netherlands

Edward P. Gerstenfeld, MD, FHRS
Cardiac Electrophysiology 
Univeristy of California, San Francisco

Fermin C.Garcia, MD
Hospital of the University of Pennsylvannie, Philadelphia, PA

Pierre Jais, MD 
Hôpital Haut-Lévêque, Bordeaux, France

Mark McGuire, MBBS, PhD 
Royal Prince Alfred Hospital, Sydney, Australia

CME/CE is NOT available for this activity

Preparing for the New MACRA, Medicare MIPS & APM Payment Updates

  • Description
  • Faculty
  • CME Information

In April 2015, President Obama signed into law the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) that will dramatically change the face of the United States’ health care environment. The new law repeals the sustainable growth rate (SGR) methodology for determining updates to the Medicare physician fee schedule and establishes:

- The annual positive or flat fee updates for 10 years and institutes a two-track fee update beginning in 2019.
- The Merit-based Incentive Payment System (MIPS) that consolidates existing Medicare quality programs.
- A pathway for physicians to participate in an Alternative Payment Model (APM).

This 30 min complimentary on-demand webinar, presented by David Slotwiner, MD, FHRS and Robert Jasak, JD, provide an overview of the program as it is detailed in the law. (Note: The Centers for Medicare and Medicaid Services will release the proposed regulations establishing the program in spring 2016 and the final regulations in Fall 2016.)

David J. Slotwiner, MD, FHRS
Chair, Health Policy Committee

Robert Jasak, JD
Vice-President
Coverage and Payment Policy
Hart Health Strategies, Inc.

This activity does not provide CME credits.

Barriers in Anticoagulation

  • Description
  • Faculty
  • CME Information

This learning pathway discusses the clinically relevant day-to-day challenges in anticoagulation management that may not be addressed in the guidelines, but are common in clinical practice.  Choose from six presentations available within this pathway via the HRS Learning Center.

Ralph Verdino, MD
Director, Cardiology Electrophysiology Fellowship Program
Associate Professor of Medicine at the Hospital of the University of Pennsylvania and 
the Presbyterian Medical Center of Philadelphia and the Veteran's Administration Medical Center

Cynthia Tracy, MD
Associate Director, Division of Cardiology
George Washington University Medical Center

Stuart J. Connolly, MD, FRCPC
Director, Division of Cardiology 
McMaster University 
Population Health Research Institute
Hamilton Health Sciences

David A. Vorchheimer, MD, FACP, FACC
Cardiologist
Montefiore Hospital

Charles Pollack, MA, MD, FACEP, FAAEM, FESC, FAHA
Professor of Emergency Medicine and Associate Provost
Thomas Jefferson University
Philadelphia, PA

No CME is available for this activity. Participation credit only.

Imaging Technologies Applied to the EP Lab

  • Description
  • Faculty
  • CME Information
This learning pathway focuses on the utility of imaging technologies applied to the EP lab. Presentations provide useful tips for the use of intracardiac echography (ICE) to guide catheter ablation procedures (from basics of ICE imaging to more advanced tips on the use of ICE to guide complex ablation procedures). The utility of pre-procedural MRI to predict success of AF ablation as well as to guide AF ablation strategies is also discussed. This activity is complimentary.

The presentations are:

  • Utility of Pre-Procedural MRI Prior to Initial and Repeat AF Ablations (<22 minutes)
  • An overview of the role of MRI in assessing pre-ablation fibrosis and post-ablation atrial scar
  • Atrial MRI: The Impact on Techniques and Clinical Outcomes (<23 minutes)
  • A focus on the technical issues in obtaining a good artial MRI and the steps involved in processing atrial MRIs and the signal to noise ratio for pre- and post-ablations MRIs.
  • MRI Imaging of Scar: Is There Clinical Value? (<15 minutes)
  • (as presented at the 2015 AF Summit)
  • Debate Session :Protagonist and Antagonist (<38 minutes) 
  • This House Believes That Current Imaging Technologies Can Reliably Detect Artial Fibrosis
  • (as presented at HR2015)

Mark D. O'Neill, MB, BCh, BAO, DPhil, FHRS 
St. Thomas' Hospital & King's College London 
London, United Kingdom

Ravi Ranjan, MD, PhD, FHRS 
University of Utah
Salt Lake City, UT

Nassir F. Marrouche, MD, FHRS 
University of Utah 
Salt Lake City, UT

No CME credit is available for this complimentary activity.

2015 Consensus Statement:Remote Interrogation & Monitoring of Cardiovascular Implantable Electronic Devices

  • Description
  • Faculty
  • CME Information

In 2015, the Heart Rhythm Society released the Expert Consensus Statement on Remote Interrogation and Monitoring for Cardiovascular Electronic Implantable Devices. In this 60 minute webinar, the document Chair, Dr. David J. Slotwiner, and Co-Chair, Dr. Niraj Varma, in collaboration with writing group member Dr. Renato Pietro Ricci present highlights from the expert consensus statement. They are joined by Dr. Bruce Wilkoff, Chair of the 2015 Expert Consensus Statement For Optimal ICD Programming and Testing.

Dr. David J. Slotwiner, Chair, 2015 Consensus Statement:Remote Interrogation & Monitoring of Cardiovascular Implantable Electronic Devices

Dr. Niraj Varma, Co-Chair, 2015 Consensus Statement:Remote Interrogation & Monitoring of Cardiovascular Implantable Electronic Devices

Dr. Renato Pietro Ricci, writing group member, 2015 Consensus Statement:Remote Interrogation & Monitoring of Cardiovascular Implantable Electronic Devices

Dr. Bruce Wilkoff, Chair, Chair of the 2015 Expert Consensus Statement For Optimal ICD Programming and Testing

No CME credit is awarded for this acitivity.

Navigating the Open Payments Program

  • Description
  • Faculty
  • CME Information

As required by law, the Centers for Medicare & Medicaid Services (CMS) implemented the Sunshine Act and developed the Open Payments Program. Manufacturers are required to submit annual data on payment and other transfers of value that they make to covered recipients. This information is released to the public on an annual basis in June. The Heart Rhythm Society is pleased to present a complimentary 15 minute webinar, presented by David Slotwiner, MD, FHRS and Richard Fogel, MD, FHRS, providing an overview of the program as well as step by step instructions on how to review and dispute the information submitted by the manufacturer.

The intended audiencefor this activity  is:

  • U.S. based cardiac electrophysiologists 
  • U.S. based cardiology and cardiac electrophysiology fellows 
  • U.S. based pediatric electrophysiologists 
  • U.S. based teaching hospital administrators

 

David Slotwiner, MD, FHRS 

Richard Fogel, MD, FHRS

No CME is awarded for this activity.

Mastering Cardiogenetics (Presented by Ambry Genetics)

  • Description
  • Associate - Industry Activiity
  • Complimentary Access

Ambry Genetics introduces Mastering Cardiogenetics, an on-demand webinar series for  healthcare providers offering an overview of cardiovascular genetics and the clinical utility of genetic testing.  The faculty for presentations are all presented by specialized, Board-certified genetic counselors practicing in the field. Mastering Cardiogenetics is intended to introduce electrophysiologists, cardiologists and other healthcare providers to cardiovascular genetics, as well as how to incorporate genetic testing and implement results from that testing.

Company-specific education products or programs may include sessions that are developed and produced by industry partners. These activities may include product-specific educational sessions, and are non-promotional and do not include continue medical education credits (CME).

Access provided via Ambry Genetics

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IBHRE SAP and ABIM CCEP Online Study Module

Self-Assessment and Exam Prep in Clinical Cardiac Electrophysiology (CCEP) consists of 100 American Board of Internal Medicine (ABIM) style questions contributed by over 60 experts in the field, provides a comprehensive review and self-assessment of knowledge in the field of Clinical Cardiac Electrophysiology.

The IBHRE Exam Prep Self-Assessment Program is designed for physicians and allied professionals preparing for the International Board of Heart Rhythm Examiner’s (IBHRE) Certification Examination for Competency in Cardiac Rhythm Device Therapy (CCDS designation). The Program is revised and updated to align with the 2016 exam blueprint.