Cardiac Rhythm Device Summit: Implantation, Management, and Follow Up

Cardiac Rhythm Device Summit

Cardiac Rhythm Device Summit: Implantation, Management, and Follow Up

Ritz Carlton Laguna Niguel, Dana Point, CA

6/30/2017 - 7/2/2017


The Cardiac Device Summit will provide an update on the indications, follow up, and management of cardiac rhythm technology, emphasizing clinical pearls.  Hundreds of thousands of patients receive cardiac rhythm devices each year for brady or tachyarrhythmis and heart failure. In addition, the number of people who may benefit from an implantable cardioverter defibrillator (ICD) and/or cardiac resynchronization device (CRT) has substantially increased in the past decade. Evolving device technology has increased programming complexity, follow-up, and management. Cardiac implantable device management related to electrophysiology remains a major part of daily practice for cardiologists, electrophysiologists, and non-physician caregivers involved in the management of these devices.

-Update on cardiac pacing technology
-Review information for device management germane to patient management
-Lead extraction tips
-Cardiovascular implantable electronic device infection management

• Describe the current indications for pacemaker, ICD, subcutaneous ICD, and resynchronization therapies
• Recognize upcoming technologies such as leadless and epicardial devices
• Interpret diagnostic material (electrocradiograms, impedance, radiography, and other sources) to troubleshoot suspected implantable device malfunction
• Discuss CIED related common issues such as management of device patients having MRI, radiation, infection and extract implantable devices
• Identify the current capabilities and roles of remote monitoring to manage patients with cardiovascular risk and disease
• Recognize precise cardiac anatomy to facilitate lead placement

The symposium is designed for physicians, scientists, and allied health staff including nurse practitioners, physician assistants, and nurses who are specialized in cardiology, cardiac rhythm management, or internal medicine.


Friday, June 30, 2017

6:45 a.m. Registration and Continental Breakfast
7:20 a.m. Welcome and Pre-test
Yong-Mei Cha, M.D.

Device Therapy: Basics, Guidelines, and Future Technologies
Moderator: Yong-Mei Cha, M.D.

7:45 a.m. Case-Based Pacemaker Timing Cycles
Raul E. Espinosa, M.D.
8:30 a.m. Current Pacing Guidelines and Common Issues: Reimplant, Venous Obstruction, Up/down Grade, and More
Robert F. Rea, M.D.
8:55 a.m. State of the Art:  Is It the Prime Time for Leadless Pacing and What is the Future?
Yong-Mei Cha, M.D.
9:20 a.m. Panel Discussion
Drs. Espinosa and Rea
9:40 a.m. Refreshment Break

Pacemaker Controversial, Management and Troubleshooting
Moderator: Paul A. Friedman, M.D.

10:00 a.m. Device Implant Techniques and How to Prevent and Manage Implant Complications
Siva K. Mulpuru, M.D.
10:20 a.m. PM/ICD in Patients With Complex Congenital Heart Diseases: Do We Manage Them Differently?
Christopher J. McLeod, M.B., Ch.B., Ph.D.
10:40 a.m. Managing Anticoagulants Around the Time of Device Implant: NStop, Briding, or Continue?
Fred Kusumoto, M.D.
11:00 a.m. Performing MRI in Device Patients Per New Guidelines
Paul A. Friedman, M.D.
11:20 a.m. Panel Discussion and Questions
Drs. Mulpuru, McLeod, and Kusumoto
11:45 a.m. Lunch Break

Implantable Cardioverter Defibrillator
Moderator: Paul A. Friedman, M.D.

1:00 p.m. ICD for Sudden Death Prevention in 2017: Indication, DFT, and More
Win-Kuang Shen, M.D.
1:20 p.m. SQ-ICD: Current and Future
Paul A. Friedman, M.D.
1:40 p.m. Lead Performance and Management: What the New Guideline Says
Fred Kusumoto, M.D.
2:00 p.m. Managing Device Patients During Radiation Therapy
Robert F. Rea, M.D.
2:20 p.m. How to Manage the Information from ICD/PM Remote Monitor: ICD Therapies, HF and AF
Peter A. Brady, M.B., Ch.B., M.D.
2:40 p.m. Panel Discussion and Questions
Drs. Shen, Kusumoto, Rea, and Brady
3:00 p.m. Adjourn

Saturday, July 1, 2016

7:00 a.m. Continental Breakfast
7:25 a.m. Daily Overview
Yong-Mei Cha, M.D.

Cardiac Resynchronization Therapy  (CRT)
Moderator: Yong-Mei Cha, M.D.

7:30 a.m. Who Benefits the Most From Cardiac Resyncronization Therapy (CRT): Current Guidelines
Jeanne E. Poole, M.D.
7:50 a.m. How to Improve CRT Response: From LV Lead Placement to Maximize Biventricular Pacing
Christopher J. McLeod, M.B., Ch.B., Ph.D.
8:10 a.m. His Bundle Pacing: Is It Feasible and an Alternative to CRT?
Siva K. Mulpuru, M.D.
8:30 a.m. State-of-the-Art: Cardiovascular Implantable Electronic Device (CIED), Patent Foramen Ovale (PFO) and Risk of Stroke
Samuel J. Asirvatham, M.D.
8:50 a.m. Panel Discussion
Drs. Poole, McLeod, Mulpuru, and Asirvatham
9:10 a.m. Refreshment Break

Cardiovascular Implantable Electronic Device Infection and Lead Extraction
Moderator: Paul A. Friedman, M.D.

9:30 a.m. Cardiovascular Impactable Electronic Device (CIED) Pocket Infection: Diagnosis and Management
Raul E. Espinosa, M.D.
9:50 a.m. CIED Related Systemic Infection and Endocarditis
M. Rizwan Sohail, M.D.
10:10 a.m. Lead Extraction: Indication, Technical Challenges, and Outcomes
Michael J. Osborn, M.D.
10:30 a.m. Role of Cardiac Imaging in CIED Infection
Sunil V. Mankad, M.D.
10:50 a.m. Panel Discussion
Drs. Espinosa, Sohail, Osborn, and Mankad
11:10 a.m. Working Lunch - Pickup Lunch and Return to Meeting Room

Illustrative Case Presentations
Moderator:  David L. Hayes, M.D.

11:30 a.m. 85 yo Female Developed New LBBB After TAVR: What Is Risk for AV Block and Need a PM?
Yong-Mei Cha, M.D.
11:45 a.m. 72 yo Male Had a Cryptogenic Stroke: Role of Ambulatory and Implantable Monitor
Peter A. Noseworthy, M.D.
12:00 p.m. 85 yo Male Requests to Turn Off ICD
David L. Hayes, M.D.
12:15 p.m. 22 yo Female Has Current Neurocardiogenic Syncope: Is There a Role for Pacemaker?
Win-Kuang Shen, M.D.
12:30 p.m. Panel Discussion
Drs. Cha, Hayes, Noseworthy, and Shen
12:40 p.m. Stretch/Break

Cardiac Anatomy for Implanters and Safe Lead Extraction

12:50 p.m. Cardiac Anatomy to Guide Device Implant
Samuel J. Asirvatham, M.D.
1:20 p.m. Hands-on Cardiac Anatomy Session
Samuel J. Asirvatham, M.D.
3:00 p.m. Adjourn

Sunday, July 2, 2017

7:00 a.m. Continental Breakfast
7:15 a.m. Post Test

CIED Programming and Trouble Shooting
Moderator: Yong-Mei Cha, M.D.

7:30 a.m.

Bringing New Cardiac Technology to Americans: FDA Perspective
Jonathan D. Reich, M.D., M.Sc.
7:50 a.m. Questions and Answers
Drs. Friedman, Poole, Asirvatham, and Hayes
8:00 a.m. Appropriate ICD and CRT-D Programming and How to Avoid Inappropriate Therapies
Jeanne E. Poole, M.D.
8:25 a.m. Common Device Troubleshooting: Case Presentations
Shawn J. Anderson, R.N., Michael J. Hillestad, R.N., and Dean D. Engle, R.N.
9:15 a.m. PM/CRT Troubleshooting
David L. Hayes, M.D.
10:10 a.m. ICD Troubleshooting
Paul A. Friedman, M.D.
11:00 a.m. Closing Remarks
Yong-Mei Cha, M.D.
11:15 a.m. Adjourn


Paul A. Friedman, M.D.
Yong-Mei Cha, M.D.
David L. Hayes, M.D.

Sandra (Shawn) J. Anderson, R.N.
Samuel J. Asirvatham, M.D.
Peter A. Brady, M.B., Ch.B., M.D.
Dean D. Engle, R.N.
Raul E. Espinosa, M.D.
Michael J. Hillestad, R.N.
Fred Kusumoto, M.D.
Sunil V. Mankad, M.D.
Christopher J. McLeod, M.B., Ch.B., Ph.D.
Siva K. Mulpuru, M.D.
Peter A. Noseworthy, M.D.
Michael J. Osborn, M.D.
Robert F. Rea, M.D.
Win-Kuang Shen, M.D.
M. Rizwan Sohail, M.D.

Jeanne E. Poole, M.D.
Jonathan D. Reich, M.D., M.Sc.


Mayo Clinic College of Medicine and Science is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Mayo Clinic College of Medicine and Science designates this live activity for a maximum of 16.75 Category 1 CreditsTM Physicians should claim only the credit commensurate with the extent of their participation in activity.

A certificate of attendance will be provided to other health care professionals for requesting credits in accordance with state nursing boards, specialty societies, or other professional associations. Attendees should ensure in advance that their credentialing or licensing organization accepts AMA PRA Category 1 CreditsTM from the sponsor of this activity.

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 16.75 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.



MD, PhD, DO, PharmD $755
Fellow, Resident, RN, NP, PA, Technologist $695

The registration fee includes tuition, electronic course syllabus, continental breakfasts, break refreshments, and lunch. Although it is not Mayo Clinic Cardiovascular CME (CV CME) policy to limit the number of registrants for a course, conference room facilities may necessitate closing of enrollment; therefore, early registration is advised. Enrollment for this program is limited.

If you cancel your participation in this course, your registration fee, less a $75 administrative fee, will be refunded when written notification is received by Mayo Clinic CV CME before Friday, June 16, 2017, (email: No refunds will be made on or after Friday, June 16, 2017. Canceled registrations are non-transferable.

Mayo Clinic CV CME reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event Mayo Clinic CV CME must cancel or postpone this course, Mayo Clinic CV CME will refund the registration fee, but is not responsible for any related costs, charges, or expenses to participants, including fees assessed by airline/travel/lodging agencies.

This course is intended to be a live learning experience. If you do not attend this course on-site as a live learner, you will not be allowed access to the materials/lectures during or after the course. No refunds will be given for no-show registrants.




Guest rooms have been reserved for attendees and their guests with special course rates at The Ritz-Carlton, Laguna Niguel. In order to receive the special rate, reservations must be made before the room block is filled or before the expiration date of May 28, 2017, whichever comes first. Please identify yourself as a part of the Mayo Clinic Cardiac Device Seminar group when making your reservation.

The Ritz-Carlton, Laguna Niguel
One Ritz-Carlton Drive
Dana Point, CA 92629

Group Rate: $320
Online Reservations
Phone Reservations: 877-266-6065
Group Name: Mayo Clinic Cardiac Device Seminar

The area can be reached from a number of airports in the area.  The Ritz-Carlton, Laguna Niguel is located in South Orange County midway between Los Angeles and San Diego.

From                                                                Distance
John Wayne/Orange County Airport; SNA     25 minutes/23 miles
Los Angeles International Airport; LAX          60 minutes/63 miles
San Diego Lindbergh Field Airport; SAN       75 minutes/67 miles

Private transportation services (sedan/limousine) to/from all airports can be arranged by contacting The Ritz-Carlton, Laguna Niguel Concierge Desk at 949-240-5094. 24-hour advance notice required.

The Ritz-Carlton, Laguna Niguel provides valet parking for all vehicles.  Self parking is NOT available. 

Lodging and travel arrangements are the sole responsibility of the individual registrant.

Mayo Clinic Cardiovascular CME is not responsible for expenses incurred by an individual who is not confirmed and for whom space is not available at the meeting. Costs incurred by the registrant such as airline or hotel fees or penalties are the responsibility of the attendee.

Commercial Support

At the time of this printing, a complete listing of commercial supports (financial or in-kind) was not available. Appropriate acknowledgement will be given to all supporters at the time of the meeting.

This course offers the opportunity for commercial companies to interact with health care providers and highlight their products and services. If you are interested in exhibit space during this course, please contact Char Tri. Exhibits will be available for viewing at all scheduled breaks.

Connect with a Mayo Clinic Cardiologist

Arizona: 866-629-6362

Florida: 800-634-1417

Minnesota: 855-MAYOHRT

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