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

6/29/2018 - 7/1/2018

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$795 - $855 | Early registration saves $100

Course Overview

The Cardiac Rhythm 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.

• 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 cardiologists, internists, family practitioners, physician’s assistants and cardiovascular nurse practitioners and technologists caring for patients with cardiac rhythm management.


Fri, June 29
6:45 a.m.
Registration | Continental Breakfast
7:20 a.m.
Welcome and Pre-test
Moderator(s): Fred Kusumoto, MD
Moderator(s): Fred Kusumoto, MD
7:30 a.m.
Indications for Pacing: Who to Pace and What type of Device
Raul Espinosa, MD
7:50 a.m.
His Bundle Pacing and LV Only Pacing – Are we there yet for bradycardia indications?
Paul Friedman, MD
8:10 a.m.
Leadless Pacing: What Are the Data?
Yong Mei Cha, MD
8:30 a.m.
Cases: Patient and Device Selection + Troubleshooting
Yong Mei Cha, MD, Paul Friedman, MD, Raul Espinosa, MD
Moderator(s): Fred Kusumoto, MD
9:30 a.m.
Refreshment Break
Moderator(s): Paul Friedman, MD
10:00 a.m.
Device Implant Techniques and How to Prevent and Manage Implant Complications
Siva Mulpuru, MD
10:20 a.m.
How to Avoid Device Infection Around the Time of Implantation
Muhammad Sohail, MD
10:40 a.m.
Managing Anticoagulants (Warfarin and DOACs) Around the Time of Device Implant: Stop, Bridging or Continue?
Fred Kusumoto, MD
11:00 a.m.
Performing MRI in Device Patients Per New Guidelines
Paul Friedman, MD
11:20 a.m.
Panel Discussion and Questions
Siva Mulpuru, MD, Muhammad Sohail, MD, Fred Kusumoto, MD, Paul Friedman, MD
11:45 a.m.
Lunch Break
Moderator(s): Yong Mei Cha, MD
1:00 p.m.
ICD for Sudden Death Prevention in 2017: Indication, DFT, and More
Win Kuang Shen, MD
1:20 p.m.
How to Optimally Program ICDs
Charles Swerdlow, MD
1:40 p.m.
Lead Performance and Management: What the New Guidelines Say
Fred Kusumoto, MD
2:00 p.m.
Extravascular ICDs: Current and Future State
Yong Mei Cha, MD
2:20 p.m.
How to Manage AF Detected During Remote Monitoring of Pacemakers and Defibrillators
Peter Noseworthy, MD
2:40 p.m.
Panel Discussion and Questions
Win Kuang Shen, MD, Fred Kusumoto, MD, Paul Friedman, MD, Charles Swerdlow, MD
3:00 p.m.
Sat, June 30
6:45 a.m.
Continental Breakfast
7:00 a.m.
Early Bird Session: Interesting ECG’s: Pacing and CRT
Peter Noseworthy, MD
7:40 a.m.
Daily Overview
Fred Kusumoto, MD
Moderator(s): Yong Mei Cha, MD
7:45 a.m.
Who Benefits the Most From Cardiac Resynchronization Therapy (CRT): Current Guidelines?
8:05 a.m.
How to Improve CRT Response and Manage Non-responders: From LV Lead Placement to Maximize Biventricular Pacing
8:25 a.m.
Is There a Role for Endocardial or Epicardial Non-venous CRT? From Jurdham to LV seed to Epicardial Leads
Samuel Asirvatham, MD
8:45 a.m.
The Great Debate: His Bundle Pacing Should Be Used Instead of an LV Lead for Patients With a CRT Indication
Siva Mulpuru, MD, Win Kuang Shen, MD
9:10 a.m.
Refreshment Break
Moderator(s): Paul Friedman, MD
9:30 a.m.
Differential Diagnosis and Management of a Painful, Red or Swollen Pocket
Raul Espinosa, MD
9:50 a.m.
CIED Infection: Diagnosis and Treatment
Muhammad Sohail, MD
10:10 a.m.
Lead Extraction: Indication, Technical Challenge, and Outcomes
Michael Osborn, MD
10:30 a.m.
Role of Cardiac Imaging in CIED infection
Panithaya Chareonthaitawee, MD, Raul Espinosa, MD
10:50 a.m.
Interesting Cases
Raul Espinosa, MD, Muhammad Sohail, MD, Michael Osborn, MD, Panithaya Chareonthaitawee, MD
Moderator(s): Siva Mulpuru, MD
11:15 a.m.
Working Lunch - Pickup lunch return to meeting room
Moderator(s): David Hayes, MD
11:30 a.m.
Pacing After TAVR?
Yong Mei Cha, MD
11:45 a.m.
Is This Lead Fractured?
Charles Swerdlow, MD
12:00 p.m.
Is This Patient Infected or Allergic?
David Hayes, MD
12:15 p.m.
22 yo Female Has Recurrent Neurocardiogenic Syncope: Is There a Role for Pacemaker?
Win Kuang Shen, MD
12:30 p.m.
Panel Discussion
Charles Swerdlow, MD, Yong Mei Cha, MD, Win Kuang Shen, MD, Muhammad Sohail, MD
12:40 p.m.
1:00 p.m.
Cardiac Anatomy to Guide Device Implant: With Focus on LV leads, and His Bundle Pacing
Samuel Asirvatham, MD
1:30 p.m.
Hands-on Cardiac Anatomy Session
Samuel Asirvatham, MD
3:00 p.m.
Sun, Jul 1
6:45 a.m.
Continental Breakfast
7:00 a.m.
Early Bird Session: Common Device Troubleshooting: Case Presentations
7:45 a.m.
Post Test
Yong Mei Cha, MD
8:00 a.m.
When Should Pacemakers or ICDs Be Turned Off? End of Life Decisions
David Hayes, MD
8:30 a.m.
Lead Management Cases: Extraction, Venoplasty, and Abandonment
Ulrika Birgersdotter-Green, MD
8:55 a.m.
PMM/CRT Troubleshooting
David Hayes, MD
9:40 a.m.
ICD/CRT Troubleshooting
Charles Swerdlow, MD
10:20 a.m.
Device Troubleshooting - Audience Cases
Fred Kusumoto, MD, David Hayes, MD, Charles Swerdlow, MD, Yong Mei Cha, MD
Moderator(s): Paul Friedman, MD
10:55 a.m.
Closing Remarks
Moderator(s): Fred Kusumoto, MD
11:00 a.m.


Yong-Mei Cha, M.D.
Paul A.Friedman, M.D.
Fred Kusumoto, M.D.

Samuel J. Asirvatham, M.D.
Freddy Del-Caprio Munoz, MD
Panithaya Chareonthaitawee, MD
Raul E. Espinosa, M.D.
David L. Hayes, M.D.
Siva K. Mulpuru, M.D.
Peter A. Noseworthy, M.D.
Michael J. Osborn, M.D.
Win-Kuang Shen, M.D.
M. Rizwan Sohail, M.D.
Linda J. Schwartz, R.N.

Charles D. Swerdlow, M.D.
UCLA & Cedars Sinai Medical Center

As a provider accredited by ACCME, Mayo Clinic College of Medicine and Science (Mayo School of Continuous Professional Development) must ensure balance, independence, objectivity, and scientific rigor in its educational activities. Course directors, planning committee, faculty, and all others who are in a position to control the content of this educational activity are required to disclose all relevant financial relationships with any commercial interest related to the subject matter of the educational activity. Safeguards against commercial bias have been put in place. Faculty also will disclose any off-label and/or investigational use of pharmaceuticals or instruments discussed in their presentation. Disclosure of this information will be published in course materials so those participants in the activity may formulate their own judgments regarding the presentation.

Mayo Clinic College of Medicine and Science complies with the requirements of the National Physician Payment Transparency Program OPEN PAYMENTS (Physician Payments Sunshine Act).


Accreditation Statement

In support of improving patient care, Mayo Clinic College of Medicine and Science is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Credit Statement
Mayo Clinic College of Medicine and Science designates this live activity for a maximum of 17 AMA PRA Category 1 CreditsTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Other Health Care Professionals
A certificate of attendance will be provided to other health care professionals for requesting credits in accordance with state nursing boards, specialty societies, and 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 17 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.

Participation information will be shared with ABIM through PARS.


MD, PhD, DO, PharmD

Registration fee paid in full by May 29, 2018

After May 29, 2018 - $855

Fellow, Resident, NP, PA, RN

Registration fee paid in full by May 29, 2018

After May 29, 2018 - $795

The registration fee includes tuition, on-line course syllabus, continental breakfasts, and break refreshments.. 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 administration fee, will be refunded when written notification is received by Mayo Clinic CV CME before Friday, June 15, 2018 (email: No refunds will be made on or before Friday, June 15, 2018. Canceled registrations are non-refundable.

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.

Mayo Clinic CV CME reserves the right to cancel or postpone any course due to unforeseen circumstances. In the unlikely event Mayo Clinic 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 airlines/travel/lodging agencies.


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, 2018, 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
Phone Reservations: 877-266-6065
Group Name: Mayo Clinic Cardiac Device Seminar
Online Reservations

The Ritz-Carlton, Laguna Niguel provides valet parking for all vehicles.  Self parking is NOT available. Parking Fee is $25 for the day.

Resort Fee

For this program, the daily resort fee has been WAIVED. Included in this fee are the following amenities and services:

  •  Unlimited in-room High Speed Internet Access, wireless and wired
  •  Local telephone calls in Southern California
  •  24-hour computer access to the Private Business Centers
  •  Daily Yoga and Pilates classes in the Gazebo overlooking the Pacific Ocean
  •  Individual guest use of The Ritz-Carlton Spa’s sauna and steam rooms
  •  Shuttle service to and from Salt Creek Beach on an individual guest request basis
  •  Access to resort’s Beach Butler Service and use of beach recreation equipment including fins, towel service, umbrellas, and beach chairs
  • Unlimited use of the Tennis Courts including rackets. Tournament and clinic fees are additional
  • Preferred golf tee-times at Monarch Beach Golf Links, including shuttle service and golf bag storage on an individual guest request basis. (not applicable to group transfers)
  • Participation in the resort’s scheduled “Garden” and “Connect the Dots” Eco-Adventure Tour (once daily)

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.

Travel Information

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.


At the time of this posting, a complete listing of commercial support (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 unique 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 Charlene Tri

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