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Overview

5th Annual Physiology of Pacing Symposium

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Activity URL:

https://www.achlcme.org/detail/4426/5th-Annual-Physiology-of-Pacing-Symposium

Registration is currently closed for the symposium. Please contact Karen Catino at kcatino@achlcme.org for questions.

5th Annual Physiology of Pacing Symposium
Format
Live In-person Meeting
Time to Complete
8.25 hr(s).
Date
Friday, October 22, 2021 07:30 AM CT
Location
Chicago , IL

The 5th Annual Physiology of Pacing Symposium 2021 is designed to provide clinicians with an in-depth understanding of current methods and strategies to optimize physiological pacing of the heart. This one-day symposium will focus on conduction system pacing (CSP) approaches including His-bundle Pacing (HBP), left bundle branch area pacing (LBBAP), and left ventricular septal pacing (LVSP), which are evolving pacing modalities that have the most potential to achieve electrical excitation of the heart through the normal specialized conduction system. Participants will review the history and relevant anatomy of the conduction system with regard to HBP/LBBAP/LVSP, with particular educational emphasis on tips and methods for successful implantation. The program will then serve to provide an overview of clinical applications that have been established and are currently being evaluated through clinical trials. Comparative clinical and/or surgical strategies to achieve cardiac resynchronization through leadless technology, multisite pacing, and left ventricular (LV) endocardial pacing will be highlighted as well, with emphasis of physiologic considerations.

This educational activity is designed for electrophysiologists, but also open for general cardiologists and electrophysiology fellows in training.  

The 5th Annual Physiology of Pacing Symposium 2021 is designed to provide clinicians with an in-depth understanding of current methods and strategies to optimize physiological pacing of the heart. This one-day symposium will focus on conduction system pacing (CSP) approaches including His-bundle Pacing (HBP), left bundle branch area pacing (LBBAP), and left ventricular septal pacing (LVSP), which are evolving pacing modalities that have the most potential to achieve electrical excitation of the heart through the normal specialized conduction system. Participants will review the history and relevant anatomy of the conduction system with regard to HBP/LBBAP/LVSP, with particular educational emphasis on tips and methods for successful implantation. The program will then serve to provide an overview of clinical applications that have been established and are currently being evaluated through clinical trials. Comparative clinical and/or surgical strategies to achieve cardiac resynchronization through leadless technology, multisite pacing, and left ventricular (LV) endocardial pacing will be highlighted as well, with emphasis of physiologic considerations.

Upon completion of this activity, participants will be able to:
  • Outline current and emerging therapies for cardiac pacing, with emphasis on physiologic mechanism and responses to cardiac resynchronization therapy.
  • Review the relationship between electrical stimulation of the heart with mechanics of myocardial contraction.
  • Discuss the evolving role of conduction system pacing (CSP) strategies including His-bundle Pacing (HBP), left bundle branch area pacing (LBBAP), and left ventricular septal pacing (LVSP) for standard permanent pacing as well as for cardiac resynchronization.
  • Review history and recent advances in CSP with emerging clinical situations and applications in the setting of narrow and wide QRS morphology patients.
  • Describe challenges and methods for implantation technique of permanent His-bundle pacemaker.
  • Review the relevant anatomy of the membranous septum, conduction system with relation to the right atrium, and tricuspid valve.
  • Explain the potential role of His-bundle Pacing for patients with atrial fibrillation.
  • Summarize strategies and clinical evidence for the various approaches to achieve cardiac resynchronization including leadless technology, multisite pacing, and left ventricular (LV) endocardial pacing.
  • Discuss strategies for improving current technologies and tools for cardiac resynchronization.

Convene
16 W. Adams St.
Chicago , IL 60603 USA
Click here to view location map
Comment: COVID 19 Protocols: Participants attending the 5th Annual Physiology of Pacing Symposium must be vaccinated. Proof of vaccination and ID will be requested upon arrival.

7:25 am - Welcome

Anatomy and Physiology of the Conduction System
7:30 AM New Imaging Techniques of Conduction System Anatomy - Kalyanam Shivkumar
7:45 AM Noninvasive Imaging of HBP and LBBP Activation Patterns - Zach Whinnett
8:00 AM Comparative Physiology and Hemodynamics of Stimulation Sites - Frits Prinzen
8:15 AM UHF-ECG and Patterns of Activation in CSP: HBP, LBBP, and LVS - Karol Curila
8:30 AM Panel Discussion - Kenneth Ellenbogen, Roderick Tung

Physiologic Pacing in Narrow QRS
8:45 AM Methods and Maneuvers to Differentiate Conduction System Capture during LBBAP - Marek Jastrzebski
9:00 AM HBP in Narrow QRS: Data and Gaps - Gopi Dandamudi
9:15 AM  LBBP and LV Septal Pacing in Bradycardia - Kevin Vernooy
9:30 AM Biventricular Pacing in AV Block: Lessons from BioPace - Niraj Varma
9:45 AM BLOCK-HF in 2021: From Design to Guidelines - Anne Curtis
10:00 AM Prolonged PR and CSP: Update on HOPE - Zach Whinnett
10:10 AM  Panel Discussion - Pugal Vijayaraman, Jeanne Poole


10:25 AM Break


Physiologic Pacing and Wide QRS - Right Bundle Branch Block & Intraventricular Conduction Delay
10:45 AM Optimizing CRT in non-LBBB Patients - Valentina Kutyifa
11:00 AM New Tools, Stylet-Driven Leads for CSP - Francesco Zanon  
11:15 AM What is IVCD? - Pierre Bordachar
11:30 AM What is the Value of QLV, Adaptive CRT, ENHANCE CRT in IVCD vs LBBB - Jagmeet Singh
11:45 AM What is the Role of CSP in IVCD? HOT-CRT and LOT-CRT -  Pugal Vijayaraman
12:00 PM Panel Discussion - Gaurav Upadhyay, Anne Curtis

12:00 PM Lunch With "How-to" Recorded Cases 

Left Bundle Branch Block
1:00 PM  Defining LBBB and Response to CRT - Michael Gold 
1:15 PM  Optimization Algorithms for BiV-CRT - Suneet Mittal 
1:30 PM  Comparative Trials in His-CRT vs. BiV-CRT - Faiz Subzposh 
1:45 PM  LBBAP for CRT in LBBB - Parik Sharma
2:00 PM LB Pacing- Huang 2 - Lead Technique and Defining Conduction System Capture - Weijian Huang
2:15 PM Identifying IVCD from ECG and Intracardiac Mapping - Gaurav Upadhyay
2:30 PM Effect of Retrograde Left Intrahisian Block on QRS during LBBP - Roderick Tung
2:45 PM  Panel Discussion - Gopi Dandamudi, Atul Verma 

3:00 PM Break 

Durability, Follow-Up, and New Approaches
3:15 PM Clinical Outcomes and Lead Stability after HBP and LBBAP - Santosh Padala
3:30 PM LOT-CRT and CSP in Advanced HF - Bengt Herweg 
3:45 PM New Tools, Stylet-Driven Leads for CSP HBP adn LBBAP: Surveying your evolving real world practice and evidence base - Mina Chung 
4:00 PM Follow-up for CSP: Lessons from Post-Op Care - Mihail Chelu  
4:15 PM Leadless Approaches for Physiologic Pacing - Mikhael El-Chami
4:30 PM Debate: Where do we go in future trials? - Ken Ellenbogen, Jeanne Poole, Pugal Vijayaraman, Jag Singh, Atul Verma, Valentina Kutyifa 

5:30 PM Adjourn

Commercial support is pending 

Cancellations/Refunds and Fellows Reimbursement: 
Full refunds will only be given prior to October 2, 2021.  After October 2, no refunds will be provided. All refund requests should be submitted to mstradal@achlcme.org.

Please note: Fellows who are recorded onsite will be refunded their pre-registration fee of $50 following the meeting. Please allow at least four weeks for refund processing. 

The symposium will be recorded and available to all registered participants post-conference, an email link will be sent.

Lodging Information:

Palmer House a Hilton Hotel   
17 E. Monroe St.  
Chicago, IL 60603
 
Book your hotel rooms early and receive a discount. 
Group Code: UOC 
Book online at: Website: https://book.passkey.com/go/5thAnnualPacingSymposium
Cutoff: September 28th 
 
OR
 
By calling 312-726-7500   

Gopi Dandamudi, MD, MBA, FHRS
Medical Director & Dyad Leader, Cardiovascular Service Line
CHI Franciscan, Pacific Northwest
CommonSpirit Health
Adjunct Assistant Professor, Indiana University School of Medicine

Kenneth A. Ellenbogen, MD
Martha M. and Harold W. Kimmerling Professor of Cardiology
Director Electrophysiology and Pacing
VCU School of Medicine

Roderick Tung, MD, FACC, FHRS
Professor of Medicine
Chief, Division of Cardiology
Director, Cardiovascular Clinical Research
Director, Banner Cardiovascular Center
The University of Arizona College of Medicine-Phoenix
Banner University Medical Center- Phoenix

Gaurav A. Upadhyay, MD, FACC, FHRS
Assistant Professor of Medicine | Director, Heart Station
Section of Cardiology |Center for Arrhythmia Care
The University of Chicago Medicine

Pugazhendhi Vijayaraman, MD
Departments of Cardiology, Thoracic and Cardiothoracic Surgery
Geisinger Wyoming Valley Medical Center

Fellow travel scholarships are available, please contact Rossana Martinez at rmartinez10@medicine.bsd.uchicago.edu

Deadline for submission: Thursday, October 7, 2021 

Please include the following in your email:
Full Name (include credentials)
Email address
City, State
Year of Fellowship Graduation
Institution
Program Director Name
Program Director Email
Please note membership in Heart Rhythm Society (HRS) or if pending application
Please state your motivation for attending PPS5 in 2-3 sentences 

Marek Jastrzebski, MD
TBD

Niraj Varma, MD
Cleveland Clinic

Santosh Padala, MD
TBD

Suneet Mittal, MD
Director, Electrophysiology Associate Chair, Cardiology The Valley Hospital

Atul Verma, MD
TBD

Karol Curila, PhD
Cardiocenter, 3-rd Faculty of Medicine, Charles University in Prague

Kenneth Ellenbogen, MD
Kimmerling Professor of Medicine VCU School of Medicine Richmond, VA

Mikhael El-Chami, MD
TBD

Gaurav Upadhyay, MD
TBD

Pugal Vijayaraman, MD
TBD

Faiz Subzposh, MD
TBD

Jeanne Poole, MD
University of Washington

Frits Prinzen, PhD
TBD

Anne Curtis, MD
Charles and Mary Bauer Professor and Chair of Medicine Jacobs School of Medicine and Biomedical Sciences University at Buffalo

Jagmeet Singh, MD
TBD

Kevin Vernooy, MD
Department of cardiology, Maastricht University Medical Center, Maastricht, The Netherlands

Parik Sharma, MD, MPH, FACC, FHRS
Parikshit (Parik) S Sharma, MD, MPH, FACC, FHRS Associate Professor of Medicine Heart Rhythm Specialist Chief, Section of Electrophysiology Director of Electrophysiology Laboratory Dept of Internal medicine, Division of Cardiology Rush University Medical Center Chicago, IL

Michael Gold, MD
TBD

ACHL requires that the faculty participating in an accredited continuing education activity disclose all affiliations or other financial relationships (1) with the manufacturers of any commercial product(s) and/or provider(s) of commercial services discussed in an educational presentation and (2) with any commercial supporters of the activity. All conflicts of interest have been mitigated prior to this activity.

Faculty disclosures will be provided before the meeting.

ACHL staff members, University of Chicago staff members, and others involved with the planning, development, and review of the content for this activity have no relevant affiliations or financial relationships to disclose. 

The content for this activity was developed independently of the commercial supporters. All materials are included with permission. The opinions expressed are those of the faculty and are not to be construed as those of the publisher or grantors.

This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Recommendations involving clinical medicine in a continuing medical education (CME/CE) activity must be based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients. All scientific research referred to, reported, or used in CME/CE in support or justification of a patient care recommendation must conform to the generally accepted standards of experimental design, data collection, and analysis.

This CME activity might describe the off-label, investigational, or experimental use of medications that may exceed their FDA-approved labeling. Physicians should consult the current manufacturers’ prescribing information for these products. ACHL requires the speaker to disclose that a product is not labeled for the use under discussion.

To receive credit, participants are required to participate in the live activity and complete the evaluation online. Once the evaluation form is completed, a certificate will be immediately available and also emailed. Participants will receive a certificate code after the meeting, to complete the evaluation and receive their certificate. 

The Academy for Continued Healthcare Learning is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Academy for Continued Healthcare Learning designates this live activity for a maximum of 8.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Karen Catino
kcatino@achlcme.org
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