Heart Failure Up North: Practical Approaches to the Management of Congestive Heart Failure

Heart Failure Up North

Heart Failure Up North: Practical Approaches to the Management of Congestive Heart Failure

Maddens on Gull Lake, Brainerd, Minnesota

6/24/2017 - 6/25/2017


This course will be focused on heart failure seen in daily clinical practice.  The program will be primarily case based with a few supplemental lectures covering the bread and butter for heart failure, novel therapies, hospital readmission and advanced heart failure.  Save the date to spend a 1.5 days with faculty for an update in heart failure management and enjoying the land of 10,000 lakes.

Upon conclusion of this program, participants should be able to:

• Recognize the clinical syndrome of heart failure and who is at risk
• Describe typical diagnostic testing essential for diagnosis and management of heart failure
• Apply appropriate pharmacologic and non-pharmacologic strategies for patients across the spectrum of heart failure
• Describe when referral for advanced heart failure therapies is indicated
• Describe treatment strategies to manage symptoms when conventional therapies have been exhausted

Program Topics:

  • Bread and butter Heart Failure Information
  • New Drugs and Cardiomems
  • Hospital Pre-admission
  • Advanced Heart Failure
  • LVAD
  • Transplants

Attendance at this Mayo course does not indicate nor guarantee competence or proficiency in the performance of any procedures which may be discussed or taught in this course.

The symposium is designed for primary care physicians, heart failure, nurse practitioners, physician assistants and cardiologist caring for heart failure patients. 


Friday, June 23, 2017

8:00 - 9:00 p.m.

Pre-Registration & Northern Lights Reception

Join Mayo Clinic faculty, participants, and guests to gather around the campfire for a s’more’s and refreshments

Saturday, June 24, 2017

7:00 a.m. Registration & Continental Breakfast
7:25 a.m.



The Basics of Heart Failure

Moderator:  Brooks S. Edwards, M.D.

7:30 a.m.

Lecture: Evaluating the Patient in your Office for Heart Failure

Paul M. McKie, M.D.

7:55 a.m.

Clinical Cases Vignette

Patient Presenting with HFrEF

Shannon M. Dunlay, M.D., M.S.

8:10 a.m.

Patient Presenting with HFpEF

Daniel D. Borgeson, M.D.

8:25 a.m.

Questions and Answers

Drs. McKie, Dunlay & Borgeson

8:35 a.m.

Lecture:  Heart Failure Medical Management:  New & Old Friends

Daniel D. Borgeson, M.D.


Clinical Illustrative Cases

Panel: Drs. Borgeson, Edwards, and Ms. Wagner

9:00 a.m.

Outpatient Management Dilemmas

Tyler J. Peterson, M.D.

9:15 a.m.

In Patient Management Dilemmas

Shannon M. Dunlay, M.D.

9:30 a.m.

Right Heart Management Dilemmas
Daniel D. Borgeson, M.D.

9:45 a.m.

Refreshment Break


Utilization of Cardiovascular Imaging in Heart Failure

Moderator:  Daniel D. Borgeson, M.D.

10:15 a.m.

Lecture: The Role of Imaging in Heart Failure

Tyler J. Peterson, M.D.

10:40 a.m. 

Illustrative Cases for Imaging in Heart Failure Assessment

Echo Imaging: Systolic vs. Diastolic Heart Failure

Fletcher A. Miller, Jr., M.D.

10:55 a.m.

CT / MRI -  The Heart Failure Picture   (DCM)

Tyler J. Peterson, M.D.

11:10 a.m.

Echo Imaging: Amyloid Heart Disease  (TTR/AL)

Fletcher A. Miller, Jr., M.D.

11:25 a.m.

Lecture:  Evolving Interventional Strategies for Aortic Stenosis

Charanjit S. Rihal, M.D.

11:50 a.m.

Clinical Case Vignettes

ICD in Heart Failure – Ischemic vs. DCM, Lessons from the DANISH Trial

Thomas M. Munger, M.D.

12:10 p.m.

New Management HF tool – Cardiomems

Daniel D. Borgeson, M.D.

12:25 p.m.

Interventional Cardiologist in Heart Failure:  When Hemodynamic Assessment is Needed.

Charanjit S. Rihal, M.D.

12:40 p.m.

Questions and Answers

Drs. Peterson, Miller, Rihal, and Munger

12:55 p.m. Summary Daily Session
1:00 p.m. Adjourn

Sunday, June 25, 2017

6:45 a.m. Continental Breakfast
7:00 a.m.

Lecture: How to Discuss Disease Trajectory with Patients (25 min.)

Jean A. Wagner, APRN, C.N.P


Interventions and Devices in Heart Failure

Moderator:  Daniel D. Borgeson, M.D.

7:30 a.m.

Lecture: Pre-operative Clearance for Non-Cardiac Surgery

Paul M. McKie, M.D.

7:55 a.m.

Illustrative Cases

Mitral Clip

Charanjit S. Rihal, M.D.

8:10 a.m.

Atrial Fibrillation and Heart Failure           

Thomas M. Munger, M.D.

8:25 a.m.

Coronary Surgery for Patient with Heart Failure

John M. Stulak, M.D.

8:40 a.m.

Cardiac Resynchronization Therapy (CRT)/Biventricular Pacing

Thomas M. Munger, M.D.

8:55 a.m.

Questions and Answers

Drs. McKie, Rihal, Munger and Stulak

9:10 a.m. Refreshment Break

Advanced Heart Failure

Moderator:  Brooks S. Edwards, M.D.

9:30 a.m.

Strategies to Reduce 30 Day Readmission Rates

Shannon M. Dunlay, M.D., M.S.

9:55 a.m.

Illustrative Cases

Advanced Therapy:  Options in 2017

Brooks S. Edwards, M.D.

10:10 a.m.

Palliative Care

Jean A. Wagner, APRN, C.N.P

10:25 a.m.

Hypertrophic Cardiomyopathy:  Goals of Community Management and When to Consider Surgery

Paul M. McKie, M.D.

10:40 a.m.

LVAD – When they return home – What to do

Shannon M. Dunlay, M.D.

10:55 a.m.

Transplant – Medical Perspective

Brooks S. Edwards, M.D.

11:10 a.m.

Promising New LVAD Therapy

John M. Stulak, M.D.

11:25 a.m.

Lecture: Cell Based Therapy for Heart Failure

Brooks S. Edwards, M.D.

11:45 a.m.

Questions and Answers

Drs. Dunlay, Stulak and Jean Wagner

11:50 a.m. Summary & Conclusion
12:00 p.m. Adjourn




Daniel D. Borgeson, M.D.
Brooks S. Edwards, M.D.


Shannon Dunlay, M.D.
Paul Mckie, M.D.
Fletcher Miller, Jr., M.D.
Thomas Munger, M.D.
Tyler Peterson, M.D.
Charanjit Rihal, M.D.
John Stulak, M.D.
Jean Wagner, APRN, C.N.P



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 9.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

MOC Statement
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 9.75  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.

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, 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.


MD, PhD, DO, Pharm D            $389.00

Fellows, PA, NP, RN Technologist, Cardiac Sonographer            $389.00

The registration fee includes tuition, electronic course syllabus, continental breakfasts, break refreshments, and reception. 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 9, 2017 (email: cv cme@mayo.edu). No refunds will be made on or after Friday, June 9, 2017. Canceled registrations are non-transferable.

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


Guest rooms have been reserved for attendees with special course rates at Maddens on Gull Lake. In order to receive the special rate, reservations must be made before the room block is filled or before the expiration date of May 22, 2017, whichever comes first.  Please identify yourself as a participant of the Mayo Heart Failure Program when making your reservation to ensure the group rate.

Maddens on Gull Lake
11266 Pine Beach Peninsula
Brainerd, MN  56401
Online Reservations
Reservation Phone:  1-800-642-5363

Bay View & Villas        $215
Suites & Villas w/loft    $255

Room rate is per unit price, per night and is subject to 18% service charge and applicable sales tax.   All guest rooms are non-smoking and include wet bars, mini-refrigerators, cable TV, coffeemakers, personal care amenities and hair dryers, irons and ironing boards and daily maid service.  When reservations are made, full package payment is due.  Deposit is refundable 31 days prior to scheduled arrival minus a $25 cancellation fee.  Guests at Maddens will enjoy sandy beaches, swimming pools, saunas, whirlpools, fitness center and business center.  Discounted rates are available on Madden’s courses. 

Check-in:  4:30 p.m.               Check-out:  12:00 Noon

Lodging arrangements are the sole responsibility of the individual registrant.


Madden's on Gull Lake is easily accessible - just a 2-1/2 hour drive from MSP International Airport, 20 minutes from Brainerd Lakes Regional Airport, or right outside our gates, the East Gull Lake airport for private aircraft.

Madden's Information:

Restaurant Info

Golf Packages

Spa Brochure

Recreation Guide

Property Map



Commercial Support

At the time of posting, 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 Charlene Tri. Exhibits will be available for viewing at all scheduled breaks.

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