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Overview

7th Annual International Physiology of Pacing Symposium 2023

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Activity URL:

https://www.achlcme.org/detail/4863/7th-Annual-International-Physiology-of-Pacing-Symposium...

Registration is closed for this activity.

7th Annual International Physiology of Pacing Symposium 2023
Format
Live In-person Meeting
Time to Complete
9.50 hr(s).
Date
Friday, November 03, 2023 07:00 AM CT
Location
Chicago, IL

The 7th Annual Physiology of Pacing Symposium 2023 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.

Upon completion of this activity, participants will be able to: 
  • Discuss the evolving role of conduction system pacing (CSP) pacing for standard permanent pacing as well as for cardiac resynchronization.
  • Describe challenges and methods for implantation technique of permanent His-bundle pacing (HBP), left bundle branch area pacing (LBBAP), and left ventricular septal pacing (LVSP)
  • Review the relationship between electrical stimulation of the heart with mechanics of myocardial contraction.
  • Review history and recent advances of CSP and emerging clinical situations and applications in the setting of narrow and wide QRS morphology patients.
  • Review the relevant anatomy of the membranous septum conduction system with relation to the right atrium, tricuspid valve, and ventricular septum.
  • Summarize strategies and clinical evidence for the various approaches to achieve cardiac resynchronization including leadless technology, multisite pacing, and left ventricular (LV) endocardial pacing.
  • Outline approaches to complications during implant procedures for CSP.
  • Discuss approaches for remote monitoring and optimization of CSP and CRT systems.

David Rubenstein Forum at the University of Chicago
1201 E. 60th St.
Chicago, IL 60637 USA
Click here to view location map

Anatomy and Physiology of the Conduction System
7:30 AM New Imaging Techniques of  Conduction System Anatomy - Kalyanam Shivkumar
7:45 AM Noninvasive Activation Patterns in Conduction System Pacing—Comparing HBP and LBBAP - Zachary Whinnett
8:00 AM Comparative LVAT Between Stimulation Sites—HBP, LBBAP, and LVSP - Margarida Pujol-Lopez
8:15 AM Hemodynamics of site stimulation: comparing HBP, LBBAP, and LVSP - Fritz Prinzen
8:30 AM Panel Discussion: “How does pacing site impact electrical activation pattern and hemodynamics?” Chairs: Ken Ellenbogen and Roderick Tung

Physiologic Pacing in Narrow QRS
8:45 AM HBP as for Bradycardia Pacing: First line or bailout for LBBAP? - Gopi Dandamudi
8:55 AM LBBP versus LV Septal Pacing for Bradycardia Indications: Are their differences in outcomes? - Kevin Vernooy
9:05 AM Methods and Maneuvers to Identify Conduction System Capture during LBBAP - Marek Jastrzebski
9:20 AM Biventricular pacing in AV Block: Which populations derive benefit? - Anne Curtis
9:30 AM UHF-ECG and patterns of activation in pacing: comparing sites of RVP and CSP - Karol Curila
9:45 AM Reducing the risk of pacing induced cardiomyopathy—Choosing between BiV vs CSP for patients with advanced AV block - Suneet Mittal
9:55 AM Panel Discussion: “How should we approach BiV vs CSP in narrow QRS patients with AV block and normal or moderately reduced LVEF?” Chairs: Mina Chung and Gaurav Upadhyay

10:15 AM  Break

Physiologic Pacing and Wide QRS
Right Bundle Branch Block & Intraventricular Conduction Delay
10:30 AM CSP after for chronically paced patients and after AVN ablation - Jacqueline Joza
10:40 AM Device selection for non-LBBB: What do the new HRS Guidelines Recommend? - Mina Chung
10:50 AM Optimizing CRT in non-LBBB Patients: Lead Targeting, QLV, and role of Adaptive Algorithms - Valentina Kutyifa
11:00 AM Beyond Pacing for CRT Non-Response: How do we use Barostim, cardiac contractility modulation (CCM), and AI to improve outcomes? - Jagmeet Singh
11:15 AM What is the role of CSP in IVCD? Pugal Vijayaraman
11:25 AM LBBB associated cardiomyopathy: CRT-P or CRT-D? SS Ponnusamy
11:45 PM Panel Discussion: “What is the best approach to manage RBB and IVCD patients?” - Chairs: Gopi Dandamudi and Jeanne Poole
12:15 PM  Lunch with “How-to” Recorded Cases: Ponnusamy (LBBAP for CRT), Herweg (HOT-CRT/LOT-CRT and Cardiac Memory), Jastrzebski (LBBAP with stylet driven leads)

Left Bundle Branch Block
1:00 PM BiVP in LBBB—What do the trials tell us and how should we deliver leads? - Jeanne Pool

1:10 PM  Thinking out of the box for HF: Sex height and LV size on selecting pacing prescription (CRT, LBBAP and CCM) - Niraj Varma

1:25 PM LBBAP for CRT in LBBB—Pearls for Implant Success - Parik Sharma

1:35 PM LB Pacing- Huang 2- lead Technique and Defining Conduction System Capture - Weijian Huang
1:50 PM Comparing outcomes between HBP, LBBAP, and BiV in CRT—gaps in present work and questions for future trials - Michael Gold
2:00 PM Returning to the surface ECG—Assessing Level of Block to Inform Device Selection - Gaurav Upadhyay
2:15 PM Determinants of QRS Characteristics during LBBAP: Width or LVAT - Roderick Tung
2:30 PM Panel Discussion: “How best to utilize identify populations and procedures for CRT in LBBB?” Ken Ellenbogen and Pugal Vijayaraman

2:45 PM  Break

Durability, Follow-Up, and New Approaches
3:00 PM Physiological Pacing for HFpEF - Daniel Lustgarten
3:15 PM New Tools, Stylet- Driven Leads for CSP - Francesco Zanon
3:25 PM New data from stylet-driven registries - Pugal Vijayraman

3:35 PM Complications of CSP and How to avoid them - Atiqa Batul 
3:45 PM New developments in Leadless Pacing - Mikhael El-Chami
4:00 PM Extraction tips and tricks for CPS - Robert Schaller
4:10 PM Pearls for Follow-Up for SCP Devices - Haran Buri
4:20 PM Remote monitoring and use of cloud-based providers for CSP - Atul Verma

4:30 PM Debate: Where do we go in future trials?

Ken Ellenbogen
Valentina Kutyifa
Roderick Tung
Jeanne Poole
Jag Singh
Atul Verma
Mihail Chelu
Pugal Vijayaraman

This activity is supported by educational grants from Abbott, Biotronik, Boston Scientific, CVRx, Medtronic, and MURJ, Inc. 

Cancellations/Refunds and Fellows Reimbursement: 
Full refunds will only be given prior to October 13, 2023.  After October 13th, no refunds will be provided. All refund requests should be submitted to kcatino@achlcme.org. 

Please note: Fellows who are recorded onsite will be refunded their pre-registration fee 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:

PLEASE NOTE THAT CURRENTLY THE STUDY IS SOLD OUT 

The Study at University of Chicago (Next Door to The David Rubenstein)
1227 E. 60th Street
Chicago, IL 60637

You can book online at a discounted rate, below is the link: 
https://reservations.thestudyatuniversityofchicago.com/114529?RatePlanId=5591771      
Use the discount code: UNIV 

OR

By calling the reservations department at 773-643-1600

Additional lodging at the Sophy Hotel: 
1411 E. 53rd Street
Chicago, IL 60615 

SOPHY UChicago Friends Discount (15% Discount)

SOPHYhotel.com

Book Online:
SOPHY UC Friends & Family Booking Link
Enter preferred dates of stay and click ‘Check Availability’

OR

Book by Phone:
(833) 347 – 0042 

Request Promo Code: UNCH

Industry meeting events space:

Please contact Rossana Martinez at: rmartinez10@uchicagomedicine.org 

Free Street Parking and Paid Parking:  David Rubenstein Forum does not have their own parking.  Located behind the STUDY HOTEL you can park at the Kimbark South Parking Garage or free street parking.  You will find free parking on the Midway Plaisance on both the east and west directional boulevards, as well as 59th and 60th streets on a first come first served basis.  

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 any ineligible company. 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 grantor(s).

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/CE activity might describe the off-label, investigational, or experimental use of medications and/or devices 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.

Gopi Dandamudi, MD, MBA
Executive Medical Director
Center for Cardiovascular Health
Virginia Mason Franciscan Health 

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

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

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

Kenneth A. Ellenbogen, M.D.
Kimmerling Professor of Cardiology
Director, Electrophysiology and Pacing
 Division of Cardiology
VCU Pauley Heart Center
Medical College of Virginia / VCU School of Medicine

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 9.5 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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