Comprehensive Heart Failure Management in 2022

This Comprehensive Heart Failure symposium will provide practical insights for all clinicians who manage patients with heart failure. Massachusetts General Hospital leaders from the Corrigan Minehan Heart Center will address state-of-the-art approaches to heart failure, including emerging heart failure biomarkers, percutaneous treatment options, contemporary heart failure clinical trials, and more. The course highlights best practices for cardiovascular team-based care in the management of patients across the entire spectrum of heart failure.

Learning Objectives

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

• Explain the pathophysiology of heart failure and describe the comprehensive assessment of heart failure diagnostics
• Determine and manage co-morbidities that contribute to heart failure
• Describe current evidence-based medical and device therapeutics for heart failure
• Recognize the importance of co-managing heart failure patients with APPs and partner hospitals for advanced heart failure, as well as timing of palliative care and ongoing need for equity

Course Directors

Erin Coglianese, MD

Medical Director, Mechanical Cardiac Support Program
Fellowship Director, Advanced HF and Cardiac Transplant Program, Massachusetts General Hospital

Gregory Lewis, MD

Section Head, Heart Failure
Director, Cardiopulmonary Exercise Testing Laboratory
Medical Director, Cardiac Transplantation Program, Massachusetts General Hospital

Lana Tsao, MD

Associate Medical Director, Massachusetts General Hospital Cardiac Transplantation Program
Director, Community Heart Failure, Massachusetts General Hospital

Mass General Faculty

Julia Allen, NP

Nurse Practitioner, Advanced HF and Cardiac Transplant Program

Kemar Brown, MD

Clinical and Research Cardiology Fellow

William Carlson, MD, PhD

Heart Failure and Transplant Cardiologist

Jerome Crowley, MD, MPH

Cardiac Anesthesiologist
Co-Director, Temporary Mechanical Circulatory Support

David A. D'Alessandro, MD

Surgical Director, Heart Transplantation and Ventricular Assist Devices

Doreen DeFaria Yeh, MD

Associate Director, Mass General Adult Congenital Heart Disease Program
Co-Director, Mass General Cardiovascular Disease and Pregnancy Service
Program Director, Mass General Cardiology Fellowship

Meaghan Doucette, NP

Nurse Practitioner, Advanced HF and Cardiac Transplant Program

David M. Dudzinski, MD

Intensive Care Cardiologist
Director, Cardiac Intensive Care Unit

Sammy Elmariah, MD, MPH

Director, Interventional Cardiology Research

Ryan Finn, NP

Nurse Practitioner, Advanced HF and Cardiac Transplant Program

Hanna Gaggin, MD, MPH

Cardiologist

Julia Gallagher, MD

Hospice and Palliative Care

Denise Gee, MD

Vice Chair of Clinical Operations, Department of Surgery
Section Head, Swallowing, Heartburn and Esophageal Disease Program
Surgical Director, Mass General Weight Center

Brian B. Ghoshhajra, MD, MBA

Division Chief, Cardiovascular Imaging, Department of Radiology
Program Director, Cardiac Imaging Fellowship, Department of Radiology

Ignacio Inglessis-Azuaje, MD

Director, Structural Heart Disease Program

Farouc Jaffer, MD, PhD

Director, Coronary Intervention
Director, Chronic Total Occlusion (CTO) Percutaneous Coronary Intervention (PCI) Program

James Januzzi, MD

Director, Dennis and Marilyn Barry Fellowship in Cardiology Research

Megan Kramer, NP

Nurse Practitioner, Advanced HF and Cardiac Transplant Program

Rajeev Malhotra, MD

Associate Program Director, Mass General Cardiovascular Disease Fellowship

Ioannis Mastoris, MD

Heart Failure and Transplant Cardiologist

Christine McCarthy, CNP

Clinical Nurse Practitioner

Theofanie Mela, MD

Cardiac Electrophysiologist
Director, Lead Management Program

Eriberto Michel, MD

Cardiac and Thoracic Transplant Surgeon

Christopher Newton-Cheh, MD, MPH

Heart Failure Cardiologist

Erin Osipowich, NP

Nurse Practitioner, Advanced HF and Cardiac Transplant Program

Judith Restrepo, MD

Psychiatrist

Josanna Rodriguez-Lopez, MD

Director, HHT Center
Director, Pulmonary Hypertension and Thromboendarterectomy Program

Jacqueline Ruckel, NP

Nurse Practitioner, Heart Failure and Transplantation

Nandita Scott, MD

Co-Director, Corrigan Women's Heart Health Program
Co-Director, Cardiovascular Disease and Pregnancy Service

Michael Silverman, MD, MPH

Cardiac Critical Care Cardiologist

Jag Singh, MD, PhD

Cardiologist and Cardiac Electrophysiologist
Founding Director, Resynchronization and Advanced Cardiac Therapeutics

Charounipha Soydara, NP

Nurse Practitioner, Advanced HF and Cardiac Transplant Program

Aferdita Spahillari, MD

Co-Director, Guideline-Directed Medical Therapy Clinic

Van-Khue Ton, MD, PhD

Co-Director, Temporary Mechanical Circulatory Support Program

Vlada Usherenko, NP

Nurse Practitioner, Advanced HF and Cardiac Transplant Program

Jessica Witchey

Registered Dietitian

Daniel Zlotoff, MD, PhD

Heart Failure Cardiologist

Friday, September 16, 2022

8:00 am - 8:05 am	Introduction and Welcome Lana Tsao, MD, Erin Coglianese, MD, Gregory Lewis, MD
8:05 am - 8:10 am	Case Presentation: The Journey Begins
8:10 am - 8:30 am	HF Pathophysiology and Epidemiology Across the LVEF Spectrum Gregory Lewis, MD
8:30 am - 8:50 am	Initial Evaluation of Heart Failure Erin Coglianese, MD
8:50 am - 9:10 am	Optimal Integration of Biomarkers into Diagnostic Evaluation of HF James Januzzi, MD
9:10 am - 9:30 am	Diagnostic Imaging in Heart Failure Brian Ghoshhajra, MD
9:30 am - 9:50 am	Panel Q&A
9:50 am - 10:00 am	Break
10:00 am - 10:30 am	Keynote Speaker: Hospital Based Management of ADHF: Optimal GDMT in 2022 Clyde Yancy, MD
10:30 am - 10:40 am	Panel Q&A
10:40 am - 10:55 am	Therapeutic Devices for HF Jagmeet Singh, MD
10:55 am - 11:10 am	Diagnostic Devices for HF - Remote Monitoring in HF Ioannis Mastoris, MD
11:10 am - 11:25 am	Coronary Intervention for the Management of HF Farouc Jaffer, MD, PhD
11:25 am - 11:45 am	Management of Valvular Heart Disease in HF: AS, TR, & MR Ignacio Inglessis-Azuaje, MD
11:45 am - 12:00 pm	Panel Q&A
12:00 pm - 12:20 pm	Break
12:20 pm - 12:50 pm	Cardioplumonary Exercise Testing: From Lab Establishment to HF - Specific Reports Gregory Lewis, MD
12:50 pm - 1:20 pm	Clinical Case Presentations Julia Allen, NP, Kristian Bakken, NP, Jacqueline Ruckel, NP, Charounipha Soydara, NP, and Vlada Usherenko, NP
1:20 pm - 1:35 pm	Origins of HFpEF and Diagnostic Approach Jennifer Ho, MD
1:35 pm - 1:50 pm	Comprehensive Phenotyping of HFpEF to Define Subtypes and Treatment Targets Gregory Lewis, MD
1:50 pm - 2:10 pm	Treatment of HFpEF in 2022 and Beyond Scott Solomon, MD
2:10 pm - 2:25 pm	When and How to Consider Cardiac Amyloidosis Hannah Gaggin, MD, MPH
2:25 pm - 2:35 pm	Panel Q&A Jennifer Ho, MD; Gregory Lewis, MD; Scott Solomon, MD; Hannah Gaggin, MD, MPH
2:35 pm - 2:45 pm	Break
2:45 pm - 3:15 pm	Breakout Sessions How to Set Up a GDMT Clinic Aferdita Spahillari, MD How to Set Up Shared Care = Patient Centered Care With a Nontransplant Center- Set Up Maxwell Afari, MD; Erin Coglianese, MD; Lana Tsao, MD; Esther Shao, MD
3:15 pm - 3:25 pm	Break
3:25 pm - 3:40 pm	Management of Comorbidities in HF: Diabetes James Januzzi, MD
3:40 pm - 3:55 pm	The Crossroads of Cancer and Heart Failure Daniel Zlotoff, MD, PhD
3:55 pm - 4:10 pm	Pregnancy in HF Nandita Scott, MD
4:10 pm - 4:25 pm	Iron Deficiency in HF Rajeev Malhotra, MD
4:25 pm - 4:40 pm	Adult Congenital Heart Disease in HF Doreen DeFaria Yeh, MD
4:40 pm - 4:50 pm	Case Wrap-up
4:50 pm - 5:00 pm	Panel Q&A and Closing Remarks Doreen DeFaria Yeh, MD; Rajeev Malhotra, MD; James Januzzi, MD; Daniel Zlotoff, MD, PhD; Lana Tsao, MD

Saturday, September 17, 2022

7:55 am - 8:00 am	Opening Remarks
8:00 am - 8:10 am	Case presentation (Equity in Advanced HF Care and Management of Advanced HF Care): The Journey Continues Kemar Brown, MD
8:10 am - 8:40 am	Keynote speaker: Equity in Heart Failure Care Ileana Pina, MD, MPH
8:40 am - 8:55 am	Q&A Ileana Pina, MD, MPH; Kemar Brown, MD; Gregory Lewis, MD; Lana Tsao, MD
8:55 am - 9:10 am	Is My Patient Getting Worse? What Should I Do? Recognizing Advanced Heart Failure (return to case)  Van-Khue Ton, MD, PhD
9:10 am - 9:30 am	Inotropes and Pressors: The Management of Very Decompensated HF Michael Silverman, MD, MPH
9:30 am - 9:50 am	A Surgeon's Perspective on Advanced Heart Failure David D'Alessandro, MD
9:50 am - 10:05 am	Cardiogenic Shock: Recognize and Treat Quickly Eriberto Michel, MD
10:05 am - 10:20 am	When Do I Deploy Temporary Circulatory Support? Jerome Crowley, MD
10:20 am - 10:35 am	Panel Q&A Gregory Lewis, MD, Van-Khue Ton, MD, PhD, Michael Silverman, MD, Jerome Crowley, MD, Eriberto Michel, MD, David D'Alessandro, MD
10:35 am - 10:45 am	Break
10:45 am - 11:00 am	When Should You Consider OHT and for Whom? Lana Tsao, MD
11:00 am - 11:15 am	Heart Transplant in 2022 Gregory Lewis, MD
11:15 am - 11:30 am	Durable LVAD in 2022 Erin Coglianese, MD
11:30 am - 11:50 am	Management of Patients Who Are Not Transplant or VAD Candidates: Palliative Care as the Third and Concurrent Option for Management of Advanced HF Christine McCarthy, NP, Julia Gallagher MD
11:50 am - 12:05 pm	Panel Q&A Gregory Lewis, MD; Erin Coglianese, MD; Lana Tsao, MD; Nilay Sutaria, MD; Christine McCarthy, NP; Julia Gallagher, MD
12:05 pm - 12:40 pm	Lunch Break
12:40 pm - 12:55 pm	Who Needs a Genetic Evaluation for HF in 2022? Christopher Newton- Cheh, MD, MPH
12:55 pm - 1:10 pm	HFpEF Masqueraders: When and How to Consider HCM, ARVC, LVNC, Chagas William Carlson, MD, PhD
1:10 pm - 1:30 pm	Arrhythmia Management in HF – AF, VT and Beyond Theofanie Mela, MD
1:30 pm - 1:45 pm	The Forgotten Ventricle: What About the RV? Lana Tsao, MD
1:45 pm - 2:00 pm	Management of Pulmonary Hypertension and OSA in HF Josanna Rodriguez-Lopez, MD
2:00 pm - 2:20 pm	Panel Q&A Theofanie Mela, MD; Christopher Newton-Cheh, MD, MPH; Doreen DaFaria Yeh, MD; Lana Tsao, MD; Josanna Rodriguez-Lopez, MD; Erin Coglianese, MD
2:20 pm - 2:30 pm	Break
2:30 pm - 2:45 pm	Nutrition in Heart Failure Jessica Witchey, RD
2:45 pm - 3:00 pm	Management of Obesity and HF Denise Gee, MD
3:00 pm - 3:15 pm	Frailty in HF and the Power of Cardiac Rehab Sarah Wright, PT
3:15 pm - 3:30 pm	Depression, Anxiety and Social Support in HF Judith Restrepo, MD
3:30 pm - 3:50 pm	Panel Q&A Erin Coglianese, MD; Dennis Gee, MD; Jessica Witchey, Sarah Wright, PT; Judith Strepo
3:50 pm - 4:05 pm	HF Management in Sepsis, Surgery and Beyond David Dudzinski, MD
4:05 pm - 4:20 pm	COVID Myocarditis Christopher Newton-Cheh, MD
4:20 pm - 4:30 pm	Panel Q&A Gregory Lewis, MD; Christopher Newton-Cheh, MD
4:30 pm - 4:45 pm	Case Conclusion: The Journey Ends
4:45 pm - 5:00 pm	Q&A and Closing Remarks Erin Coglianese, MD, Greg Lewis, MD, Lana Tsao, MD

The Harvard Medical School is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The Harvard Medical School designates this live activity for a maximum of 16.50 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.