CME Instructions

Cardiology Review® Online, December 2013, Volume 29, Issue 6

CME Reviews: Volume 29, No. 6

Release date: December 23, 2013

Expiration date: December 23, 2014

Media used: Internet-based

Estimated time to complete this CME activity: 1 hour

Statement of Need

Cardiovascular disease (CVD) is the leading cause of death in the United States. It is estimated that 83 million American adults have one or more forms of CVD. New agents, procedures, and interventions have improved patient outcomes with decreased mortality and morbidity rates. However, as the population ages and as younger adults are developing comorbidities due to unhealthy lifestyles, the patient population at risk of cardiovascular events is increasing.

Care for patients with CVD has become increasingly complex and community-based cardiologists often struggle to stay up to date with the volume of new data. The overall goals of this publication are to provide timely and pertinent original research articles that review current guidelines, practices and new developments in the field of cardiovascular medicine. The publication also emphasizes preventing CVD by modifying risk factors, such as healthy eating, regular exercise, and avoidance of smoking.

Target Audience

The target audience for this activity is cardiologists.

Learning Objectives

Integrate concepts, theories, novel therapies, and practical skills that allow cardiologists to:

  1. Compare the effectiveness of cardiac resynchronization therapy with pacemaker (CRT-P) to that of CRT with implantable defibrillators (CRT-D) with respect to improved survival in patients with systolic heart failure.
  2. Appraise the benefit of echocardiographic screening for structural and valvular heart disease in the general population, as shown in the study by Lindekleiv et al.
  3. Explain why the FAME and FAME-2 studies demonstrate the concept that revascularization for ischemia is reasonable, but may not prove superiority of FFR-guided versus angiography-guided decision-making.
  4. Assess the implications of Kerlin et al’s randomized trial of nighttime ICU intensivist staffing on outcomes including ICU length of stay, hospital length of stay, ICU mortality, in-hospital mortality, ICU readmission, and home discharge.
  5. Identify the correlation between hospital performance and readmission rates.
  6. Interpret data on the role of statins in the prevention of contrast-induced acute kidney injury following coronary angiography.
  7. Evaluate evidence from the VitDISH study on the effects of intermittent cholecalciferol supplementation on blood pressure and other cardiometabolic markers in older patients with isolated systolic hypertension.

Financial Disclosure

As a sponsor accredited by the ACCME, it is the policy of Physicians’ Education Resource®, LLC (PER®) to require the disclosure of anyone who is in a position to control the content of an educational activity. All relevant financial relationships with any commercial interests and/or manufacturers must be disclosed to participants prior to the beginning of each CME activity. PER® has identified and resolved all conflicts of interest prior to the release of this activity.

Off-Label Disclosure and Disclaimer

This CME activity may or may not discuss investigational, unapproved, or off-label use of drugs. Participants are advised to consult prescribing information for any products discussed. The information provided in this CME activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options for a specific patient’s medical condition.

Sources of Funding

No educational grants from commercial interests were received.

Instructions for Receiving Credit

In order to receive a CME certificate for this activity, participants must

  • Read each review.
  • Take the posttest and record their answers online at www.cardiology-review.com. A passing score of 70% or higher is required to obtain a CME certificate.
  • Complete the CME activity evaluation at www.cardiology-review.com. Participants can immediately download their CME certificates upon successful passing of the posttest and completion of the CME activity evaluation.

Accreditation and Designation of Credit

Physicians’ Education Resource®, LLC is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Physicians’ Education Resource®, LLC, designates this enduring material for a maximum of 1.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty

Editor-in-Chief

Debabrata Mukherjee, MD, MS, FACC

Chief, Cardiovascular Medicine

Clinical and Research Fellow

Vice Chairman, Department of Internal Medicine

Texas Tech University Health Sciences Center

El Paso, TX

Ragavendra Baliga, MD, MBA, FACP, FRCP (Edin), FACC

Vice Chief/ Assistant Division Director

Division of Cardiovascular Medicine

Wexner Medical Center

Professor of Internal Medicine

The Ohio State University

Columbus, OH

Eric R. Bates, MD

Professor of Internal Medicine

University of Michigan Medical School

Ann Arbor, MI

Harry E. Davis, MD FACP

Associate Professor of Medicine

Vice Chair of Education

Department of Internal Medicine

Texas Tech University Health Science

El Paso, TX

Mohammad Dalabih, MD

Pulmonary and Critical Care Fellow

University of Arizona College of Medicine

Tucson, AZ

Michael P. Habib, MD, CM

Chief, Medicine Care Line Southern Arizona

VA Health Care System

Professor of Medicine

Arizona Respiratory Center

University of Arizona

Tucson, AZ

Niki Katsiki, Msc, PhD, MD, FRSPH

Aristotle University of Thessaloniki

Thessaloniki, Greece

Dimitri P. Mikhailidis, BSc, MSc, MD, FRSPH, FCP, FFPM, FRCP, FRCPath

Academic Head, Dept. of Clinical Biochemistry

(Vascular Disease Prevention Clinics)

Royal Free Hospital campus

University College London Medical School

London, England

Michael W. Rich, MD

Professor of Medicine

Washington University School of Medicine

Director of Cardiac Rapid Evaluation Unit

Barnes-Jewish Hospital

St. Louis, MO

Mushabbar A. Syed, MD, FACC

Director, Cardiovascular Imaging

Associate Professor of Medicine Cardiology and Radiology

Cell & Molecular Physiology

Loyola University of Chicago

Stritch School of Medicine

Maywood, IL

Srikanth Seethala, MD, MPH

Assistant Professor

Department of Internal Medicine

University of New Mexico

Albuquerque, NM

Provider Contact Information:

Physicians’ Education Resource®, LLC

666 Plainsboro Road, Suite 356

Plainsboro, NJ 08536

Toll Free: 888-949-0045

Local: 609-378-3701

Fax: 609-257-0705

info@gotoper.com

The following individuals have relevant financial relationship(s) with commercial interests to disclose:

Authors: Michael Habib, MD, CM — Grant/Research Support: InterMune, and GlaxoSmithKline. Member of Speaker’s Bureau: Daiichi-Sankyo.

The following individuals have no relevant financial relationships with commercial interests to disclose:

Ragavendra Baliga, MD, MBA, FACP, FRCP (Edin), FACC; Eric R. Bates, MD; Mohammad Dalabih, MD; Niki Katsiki, Msc, PhD, MD, FRSPH;

Dimitri P. Mikhailidis, BSc, MSc, MD, FRSPH, FCP, FFPM, FRCP, FRCPath; Michael W. Rich, MD; Srikanth Seethala, MD, MHP; Mushabbar A. Syed, MD, FACC

Planner, reviewer, and editor-in-chief: Debabrata Mukherjee, MD, MS, FACC

PER planners and staff: Ann C. Lichti, CCMEP, Megan O’Connell, Emily Valko, and Jackie Syrop

Cardiology Review Publication staff: Bea Riemschneider