Cardiovascular Care for Women

Description

Sex-specific differences in the pathophysiology and treatment of cardiovascular disease is increasingly being recognized but knowledge gaps persist. Highlighting this gap is the rising maternal mortality in the Unites States for which cardiovascular disease is a leading cause of maternal death. Additionally, coronary artery dissection is increasingly being recognized as an etiology of myocardial infarction, particularly in young women, but management remains inconsistent. This one-day course is dedicated to educating front-line caregivers with up-to-date diagnosis and management of women with cardiovascular conditions including during pregnancy, women with coronary artery dissection, microvascular disease and myocardial infarction with nonobstructive coronary arteries (MINOCA). In addition, guidance and strategies on the development of women heart centers and cardio obstetric programs will be provided.

Learning Objectives

Upon completion of this activity, participants will be able to:

• Evaluate the normal hemodynamics of pregnancy and its impact on maternal and fetal outcomes among women with underlying cardiac disease
• Counsel pregnant women with cardiovascular disease or those contemplating pregnancy on maternal and fetal risks, and guide pre, intra and post-partum evaluation and management
• Evaluate the cardiac risk of preeclampsia and hypertensive disorders of pregnancy
• Manage women with valvular disease, cardiomyopathy, coronary artery disease and those needing anticoagulation during pregnancy
• Recognize spontaneous coronary artery dissection and understand its pathophysiology
• Incorporate UpToDate medical and interventional management of coronary artery dissection
• Identify sex specific differences in cardiovascular outcomes and unique risk factors in women
• Recognize MINOCA, microvascular disease and takotsubo syndrome as unique causes of ischemia
• Summarize the unique aspects of management of arrhythmias, heart failure and valvular heart disease in women
• Upon completion of the activity, participants will be able to discuss the benefits of plant-based nutrition

Target Audience

This course is targeted to primary care physicians, specialty physicians, physician assistants, nurses and nurse practitioners. This course may also be of interest to physicians who practice in anesthesiology, cardiology and vascular medicine, emergency medicine, family medicine, internal medicine, obstetrics and gynecology.

Course Directors

Nandita S. Scott, MD

Co-Director, Corrigan Women's Heart Health Program, Massachusetts General Hospital
Co-Director, Cardiovascular Disease and Pregnancy Service, Massachusetts General Hospital
Assistant Professor Medicine, Harvard Medical School

Malissa J. Wood, MD

Co-Director, Corrigan Women's Heart Health Program, Massachusetts General Hospital
Associate Professor of Medicine, Harvard Medical School

Doreen DeFaria Yeh, MD

Associate Director, Mass General Adult Congenital Heart Disease Program, Massachusetts General Hospital
Co-Director, Mass General Cardiovascular Disease and Pregnancy Service, Massachusetts General Hospital
Assistant Professor of Medicine, Harvard Medical School

8:00 a.m. — 8:05 a.m. - Introduction

8:05 a.m. — 8:30 a.m. - Sex Differences in Cardiovascular Outcomes and Unique Risk Factors in Women
Michael Honigberg, MD

8:30 a.m. — 8:50 a.m. - Cardiovascular Hemodynamics During Pregnancy
Doreen DeFaria Yeh, MD

8:50 a.m. — 9:20 a.m. - Valvular Heart Disease and Pregnancy
Nandita Scott, MD

9:20 a.m. — 9:50 a.m. - Venous Thomboembolism and Anticoagulation in Pregnancy
Annemarie Fogerty, MD

Break
Amy Sarma, MD

10:30 a.m. — 11:00 a.m. - Hypertensive Disorders in Pregnancy
Anjali Kaimal, MD, MAS

11:00 a.m. — 11:30 a.m. - Cardiovascular Disease Among Survivors of Breast Cancer
Tomas Neilan, MD, MPH

11:30 a.m. — 11:50 a.m. - Microvascular Angina and the Role of Stress PET
Viviany Taqueti, MD

11:50 a.m. — 12:45 p.m. - The Benefits on Cardiovascular Health of Plant Based Eating
Kimberly Parks, DO 

12:45 p.m. — 1:15 p.m. - MINOCA/Takotsubo
Sarah Tsiaras, MD

1:15 p.m. — 1:45 p.m. - SCAD and Anteriopathy
Malissa Wood, MD

1:45 p.m. — 2:15 p.m. - Arrhythmias in Women
Theofanie Mela, MD

2:15 p.m. — 2:45 p.m. - Congestive Heart Failure in Women
Jennifer Ho, MD

2:45 p.m. — 3:15 p.m. - Unique Considerations for Valvular Heart Disease in Women
Sammy Elmariah, MD

3:15 p.m. — 3:30 p.m. - Break

3:30 p.m. — 4:00 p.m. - Importance of Women Heart Centers & Cardio Obstetric Programs, & Strategies for Program Development
Whitney Coppolino, MD, Doreen DeFaria Yeh, MD, Allison Bryant Mantha, MD, MPH, Nandita Scott, MD, Malissa Wood, MD 

4:00 p.m. — 4:30 p.m. - Advice on Career Development for Trainees and Young Faculty
Whitney Coppolino, MD, Doreen DeFaria Yeh, MD, Allison Bryant Mantha, MD, MPH, Nandita Scott, MD, Malissa Wood, MD