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19th Annual Symposium Cardiology for the Practitioner


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Overview Objectives
Accreditation Course Outline
Chairs Faculty
Travel & Lodging Cancellation Policy

Department: Medicine
Course Number: MMH03001
Start: Sunday, October 20, 2002
End: Wednesday, October 23, 2002
Location: Yosemite, California
Yosemite Lodge, Yosemite National Park
Fees: $400.00: Physicians
$300.00: Allied Health Professionals
UCSF Association of Clinical Faculty Vouchers are accepted for this course. For more information please call the Office of Continuing Medical Education at 415-476-4251. 
Credit: 16.5 AMA PRA Category 1 Credit(s)™

Yosemite National Park will be the site for the nineteenth annual course,"Cardiology for the Practitioner." This three-day symposium is an intensive course designed for internists, primary care physicians, family practitioners, cardiologists, and other health care providers who encounter patients with various heart diseases. Recent advances in pathophysiology, treatment, and clinical relevance of common cardiovascular disorders will be presented. Emphasis will be placed on the frequently encountered clinical problems in cardiac patients by primary care physicians. There will be comprehensive reviews on coronary artery disease and acute coronary syndromes. Special emphasis will be placed on review of various newer diagnostic modalities in chest pain patients and selection of therapeutic choice in patients with acute coronary syndromes. There will be state-of-the- art reviews on therapeutic approaches in hypertension, hypercholesterolemia, heart failure, and newer drugs versus devices in patients at risk of sudden death. As before, this year's program will be devoted to topics of clinical relevance in practice. The program will include special emphasis on cost-effective evaluation of various symptoms in cardiac patients. Emphasis will be placed on review of data from recent studies comparing the role of various drugs in hypertension, dyslipidemia, CAD, heart failure, and cardiac arrhythmias. The topics and speakers will put a special emphasis on the clinical problems frequently encountered by the primary care physician in his/her practice. As in previous years, special features of the program this year will include a workshop on ECG interpretation and cardiac auscultation. Throughout this course, efforts will be made to provide the clinician with practical knowledge required for the management of cardiac patients by the primary care physician. Special emphasis will be placed on selection of evidence-based, cost-effective therapies in the era of managed-care and capitation.

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At the conclusion of this program, participants will have gained significant knowledge in the following areas:

  • Pathophysiology of atherosclerosis and the role of inflammation
  • Role of plaque fissuring/rupture and thrombosis in acute coronary syndromes
  • Comparison of various therapeutic approaches in acute coronary syndromes
  • Role of newer antiplatelet and antithrombotic agents in acute coronary syndromes
  • Management of patients with acute transmural myocardial infarction
  • Selection of appropriate diagnostic test (ETT, stress echo, EBCT, or nuclear scan) for CAD
  • Evaluation and management of established and novel coronary risk factors
  • Evaluation and management of patients with syncope
  • Role of drugs vs. devices in patients with CHF and ventricular arrhythmias
  • Rate vs. rhythm control for chronic atrial fibrillation
  • Interpretation of electrocardiogram and recognition of common abnormalities
  • Recognition of common cardiac sounds including various gallops and cardiac murmurs
  • Identification and management of patients with common cardiovascular symptoms
  • Appropriate selection of diagnostic tests in evaluation of cardiac patients
  • Role of aggressive lipid-lowering therapy for primary and secondary prevention
  • Controversies and newer therapies for management of high-risk hypertensive patients
  • Evaluation and management of cardiac disorders in the elderly and women
  • Review of various established practice guidelines for cardiovascular disorders

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The University of California, San Francisco School of Medicine (UCSF) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. UCSF designates this educational activity for a maximum of 16.5 hours of category 1 credit of the Physician's Recognition Award of the American Medical Association and the Certificate Program of the California Medical Association. Each physician should claim only those hours of credit actually spent in the educational activity.

Other Information

Faculty of CME programs who have received funds from a commercial entity whose products will be discussed
will be identified in the program syllabus.

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Course Outline:
Sunday, October 20, 2002

3:00 - 5:00 p.m. Registration - The Ahwahnee Hotel Lobby
6:00 Complimentary Reception and Photo Exhibit.
Meet the faculty and join us for refreshments amid the splendor of Yosemite's natural beauty and experience a journey through the Valley by visiting the special photography exhibit.

Please note that all morning sessions are at Yosemite Lodge. For emergency phone calls during the program,
please give out the following numbers: The Ahwahnee Hotel Front Desk 209-372-1407, or the Yosemite Lodge
Front Desk 209-372-1274. For babysitting services, check with the front desk at the Ahwahnee Hotel or the
Yosemite Lodge.

Monday, October 21, 2002

All morning sessions will be held in the Cliff/Falls Room at Yosemite Lodge.

7:00 a.m. Registration - Yosemite Lodge (Cliff/Falls Room)
7:30 Complimentary Continental Breakfast (For Registrants Only)

Session Chair: Prakash C. Deedwania

8:00 Welcome and Introduction - Prakash C. Deedwania, Program Director
8:05 Pathophysiology of Atherosclerosis and the Role of Inflammation: Should CRP Be Measured for Coronary Risk Assessment? - George Mensah
8:45 Questions and Answers
8:55 An Update on Acute Coronary Syndromes: The Role of Unstable Plaque and Thrombosis in ACS with Emphasis on New Evolving Therapeutic Strategies - William Parmley
9:40 Questions and Answers
9:50 An Overview Regarding the Management of Patients with Q-Wave MI During the Acute Phase and in the Postinfarction Period - Elliot Rapaport
10:30 Questions and Answers
10:40 Meet the Faculty and Refreshments
10:55 A Review and Critique of the New 2002 ACC/AHA Practice Guidelines for Unstable Angina and Non-Q-MI - Melvin Cheitlin
11:20 Questions and Answers
11:30 What's New Regarding the Role of Lipid-Lowering Drugs in Primary and Secondary Prevention of CAD: An Update on ATPIII Guidelines in Light of HPS - Elliot Rapaport
12:15 Questions and Answers
12:30 Adjourn
12:30-6:00 Relaxation time for hiking, bicycling, and sightseeing

Monday p.m.

6:00 to 7:30 Meet the Experts (Each participant may attend two sessions, 45 minutes each):

  • A. How to Evaluate and Manage the Coronary Risk Factors in Asymptomatic Individuals - Prakash C. Deedwania, Elliot Rapaport
  • B. How to Evaluate the Need for AICD: Should Every High-Risk Patient Get One? - Melvin Scheinman, George Mensah
  • C. Is Secondary Prevention Strategy Cost Effective and Necessary in Elderly Patients? - Melvin Cheitlin, William W. Parmley.

Tuesday, October 22, 2002

7:30 a.m. Complimentary Continental Breakfast (Registrants Only)
8:00 ECG Workshop: Special Interactive Session on ECG Interpretation (participants are encouraged to bring 35 mm slides of challenging ECGs from their practices) - Melvin Scheinman

Session Chair: Prakash C. Deedwania

8:45 State-of-the-Art Review on Sudden Death and Other Out-of-Hospital Deaths from Heart Disease and Stroke: A National and State-Based Perspective - George Mensah
9:20 Questions and Answers
9:25 The Role of Drugs vs. Devices in Patients with CHF and Others at Risk of Sudden Cardiac Death - Melvin Scheinman
10:10 Questions and Answers
10:15 An Update on the Evaluation and Management of Patients with Syncope - Nora Goldschlager
10:45 Questions and Answers
10:55 Refreshment Break and Meet the Faculty


11:10 CAD in the Elderly: Diagnostic and Management Strategies - Melvin Cheitlin
11:35 Questions and Answers
11:40 Cardiovascular Disorders in Women: Evaluation and Management (Including the New HERSII Data) - Rita Redberg
12:15 Questions and Answers
12:25 Atrial Fibrillation: The Pros and Cons of Rate vs. Rhythm Control - Melvin Scheinman
1:00 Questions and Answers
1:15 Adjourn
4:00 Special Activity for the Entire Family - Camera Walk and Tour of Yosemite Valley conducted by the Yosemite Institute.
(Please gather at Yosemite Lodge Amphitheater by 3:15)

Tuesday p.m.

This evening session will be held at the Yosemite Lodge (Cliff Falls Room).
6:00 - 7:30 Cardiac Auscultation Workshop Using Classic Examples: Come, Listen, and Learn More About Heart Sounds, Gallops, Murmurs - Melvin Cheitlin

Wednesday, October 23, 2002

7:30 a.m. Complimentary Continental Breakfast (Registrants Only)

Session Chair: Enrique V. Carbajal

8:00 Bedside Risk Stratification of Patients with Chest Pain in the ER/Office - Ezra Amsterdam
8:35 Questions and Answers
8:45 How to Use Clinical Acumen and Diagnostic Tools to Define the Etiology of Dyspnea? Does BNP Have a Role in Diagnosing CHF? - Kanu Chatterjee
9:15 Questions and Answers
9:30 How to Diagnose Vascular Disease in the Asymptomatic Individual: EBCT, MRI, Carotid Scan, Stress Test, Ankle/Brachial Index? - Rita Redberg
10:00 Questions and Answers
10:15 Refreshment Break and Meet the Faculty


10:30 Hypertension Beyond High Blood Pressure: The Role of Emerging Therapies in Minimizing the Risk of Cardiovascular Disease - Venkata Ram
11:15 Questions and Answers
11:30 The Clinical Features, Significance, and Therapeutic Options in Systolic vs. Diastolic Heart Failure - Kanu Chatterjee
12:15 Questions and Answers
12:30 Adjourn

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Prakash C. Deedwania, MD, FACC
Clinical Professor of Medicine, UCSF School of Medicine, San Francisco; Clinical Professor of Medicine, Stanford University, Palo Alto; Chief, Cardiology Section, VA Medical Center, Fresno, California

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Ezra Amsterdam, MD, FACC
Professor of Medicine, Chief, Cardiac Care Units,
UC Davis School of Medicine, Sacramento, California

Enrique V. Carbajal, MD, FACC
Assistant Clinical Professor of Medicine, UCSF School of Medicine;
Staff Cardiologist, VA Medical Center, Fresno, California

Kanu Chatterjee, MD, FACC
Professor of Medicine; Lucie Stern Professor of Cardiology; Associate Chief,
Cardiovascular Division, UCSF School of Medicine, San Francisco, California

Melvin Cheitlin, MD, FACC
Emeritus Professor of Medicine, UCSF School of Medicine, Cardiology Staff,
San Francisco General Hospital, San Francisco, California

Nora F. Goldschlager, MD, FACC
Professor of Clinical Medicine, UCSF School of Medicine; Director,
Coronary Care Unit, San Francisco General Hospital, San Francisco, California

George Mensah, MD, FACC, FAHA
Chief, Cardiovascular Health Branch, Centers for Disease Control and Prevention, Atlanta, Georgia

William W. Parmley, MD, FACC
Professor of Medicine and Araxe Vilensky Professor of Cardiology,
UCSF School of Medicine; H.C. Moffitt and Joseph Long Hospitals,
San Francisco, California; Past President, American College of Cardiology

Vankata Ram, MD, FACC, FAHA
Clinical Professor of Medicine, University of Texas Southwestern, Dallas, Texas

Elliot Rapaport, MD, FACC, FAHA
Emeritus Professor of Medicine, UCSF School of Medicine, San Francisco, California

Rita Redberg, MD, FACC, FAHA
Associate Clinical Professor of Medicine, UCSF School of Medicine,
San Francisco; Director, Center for Excellence for Heart Disease in Women at UCSF.

Melvin Scheinman, MD, FACC
Professor of Medicine, UCSF School of Medicine, San Francisco, California

Planning Committee:

Chairman: Prakash C. Deedwania, MD, FACC
Members: Enrique Carbajal, MD, Susan Dominic, MD, Yangheng Fu, MD, Patrick Golden, MD, Martin Lauber, MD, Nagabushana Malakkla, MD, Douglas Stanley, MD, Patricia DeMasters, RN, John Zweifler, MD

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