Overview
7th Annual International Physiology of Pacing Symposium 2023
Registration is closed for this activity.
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- Discuss the evolving role of conduction system pacing (CSP) pacing for standard permanent pacing as well as for cardiac resynchronization.
- Describe challenges and methods for implantation technique of permanent His-bundle pacing (HBP), left bundle branch area pacing (LBBAP), and left ventricular septal pacing (LVSP)
- Review the relationship between electrical stimulation of the heart with mechanics of myocardial contraction.
- Review history and recent advances of CSP and emerging clinical situations and applications in the setting of narrow and wide QRS morphology patients.
- Review the relevant anatomy of the membranous septum conduction system with relation to the right atrium, tricuspid valve, and ventricular septum.
- Summarize strategies and clinical evidence for the various approaches to achieve cardiac resynchronization including leadless technology, multisite pacing, and left ventricular (LV) endocardial pacing.
- Outline approaches to complications during implant procedures for CSP.
- Discuss approaches for remote monitoring and optimization of CSP and CRT systems.
1201 E. 60th St.
Chicago, IL 60637 USA
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Anatomy and Physiology of the Conduction System
7:30 AM New Imaging Techniques of Conduction System Anatomy - Kalyanam Shivkumar
7:45 AM Noninvasive Activation Patterns in Conduction System Pacing—Comparing HBP and LBBAP - Zachary Whinnett
8:00 AM Comparative LVAT Between Stimulation Sites—HBP, LBBAP, and LVSP - Margarida Pujol-Lopez
8:15 AM Hemodynamics of site stimulation: comparing HBP, LBBAP, and LVSP - Fritz Prinzen
8:30 AM Panel Discussion: “How does pacing site impact electrical activation pattern and hemodynamics?” Chairs: Ken Ellenbogen and Roderick Tung
Physiologic Pacing in Narrow QRS
8:45 AM HBP as for Bradycardia Pacing: First line or bailout for LBBAP? - Gopi Dandamudi
8:55 AM LBBP versus LV Septal Pacing for Bradycardia Indications: Are their differences in outcomes? - Kevin Vernooy
9:05 AM Methods and Maneuvers to Identify Conduction System Capture during LBBAP - Marek Jastrzebski
9:20 AM Biventricular pacing in AV Block: Which populations derive benefit? - Anne Curtis
9:30 AM UHF-ECG and patterns of activation in pacing: comparing sites of RVP and CSP - Karol Curila
9:45 AM Reducing the risk of pacing induced cardiomyopathy—Choosing between BiV vs CSP for patients with advanced AV block - Suneet Mittal
9:55 AM Panel Discussion: “How should we approach BiV vs CSP in narrow QRS patients with AV block and normal or moderately reduced LVEF?” Chairs: Mina Chung and Gaurav Upadhyay
10:15 AM Break
Physiologic Pacing and Wide QRS
Right Bundle Branch Block & Intraventricular Conduction Delay
10:30 AM CSP after for chronically paced patients and after AVN ablation - Jacqueline Joza
10:40 AM Device selection for non-LBBB: What do the new HRS Guidelines Recommend? - Mina Chung
10:50 AM Optimizing CRT in non-LBBB Patients: Lead Targeting, QLV, and role of Adaptive Algorithms - Valentina Kutyifa
11:00 AM Beyond Pacing for CRT Non-Response: How do we use Barostim, cardiac contractility modulation (CCM), and AI to improve outcomes? - Jagmeet Singh
11:15 AM What is the role of CSP in IVCD? Pugal Vijayaraman
11:25 AM LBBB associated cardiomyopathy: CRT-P or CRT-D? SS Ponnusamy
11:45 PM Panel Discussion: “What is the best approach to manage RBB and IVCD patients?” - Chairs: Gopi Dandamudi and Jeanne Poole
12:15 PM Lunch with “How-to” Recorded Cases: Ponnusamy (LBBAP for CRT), Herweg (HOT-CRT/LOT-CRT and Cardiac Memory), Jastrzebski (LBBAP with stylet driven leads)
Left Bundle Branch Block
1:00 PM BiVP in LBBB—What do the trials tell us and how should we deliver leads? - Jeanne Pool
1:10 PM Thinking out of the box for HF: Sex height and LV size on selecting pacing prescription (CRT, LBBAP and CCM) - Niraj Varma
1:25 PM LBBAP for CRT in LBBB—Pearls for Implant Success - Parik Sharma
1:35 PM LB Pacing- Huang 2- lead Technique and Defining Conduction System Capture - Weijian Huang
1:50 PM Comparing outcomes between HBP, LBBAP, and BiV in CRT—gaps in present work and questions for future trials - Michael Gold
2:00 PM Returning to the surface ECG—Assessing Level of Block to Inform Device Selection - Gaurav Upadhyay
2:15 PM Determinants of QRS Characteristics during LBBAP: Width or LVAT - Roderick Tung
2:30 PM Panel Discussion: “How best to utilize identify populations and procedures for CRT in LBBB?” Ken Ellenbogen and Pugal Vijayaraman
2:45 PM Break
Durability, Follow-Up, and New Approaches
3:00 PM Physiological Pacing for HFpEF - Daniel Lustgarten
3:15 PM New Tools, Stylet- Driven Leads for CSP - Francesco Zanon
3:25 PM New data from stylet-driven registries - Pugal Vijayraman
3:35 PM Complications of CSP and How to avoid them - Atiqa Batul
3:45 PM New developments in Leadless Pacing - Mikhael El-Chami
4:00 PM Extraction tips and tricks for CPS - Robert Schaller
4:10 PM Pearls for Follow-Up for SCP Devices - Haran Buri
4:20 PM Remote monitoring and use of cloud-based providers for CSP - Atul Verma
4:30 PM Debate: Where do we go in future trials?
Ken Ellenbogen
Valentina Kutyifa
Roderick Tung
Jeanne Poole
Jag Singh
Atul Verma
Mihail Chelu
Pugal Vijayaraman
Full refunds will only be given prior to October 13, 2023. After October 13th, no refunds will be provided. All refund requests should be submitted to kcatino@achlcme.org.
PLEASE NOTE THAT CURRENTLY THE STUDY IS SOLD OUT
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Please contact Rossana Martinez at: rmartinez10@uchicagomedicine.org
Free Street Parking and Paid Parking: David Rubenstein Forum does not have their own parking. Located behind the STUDY HOTEL you can park at the Kimbark South Parking Garage or free street parking. You will find free parking on the Midway Plaisance on both the east and west directional boulevards, as well as 59th and 60th streets on a first come first served basis.
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This educational activity was planned and produced in accordance with the ACCME Standards for Integrity and Independence in Accredited Continuing Education. Recommendations involving clinical medicine in a continuing medical education (CME/CE) activity must be based on evidence that is accepted within the profession of medicine as adequate justification for their indications and contraindications in the care of patients. All scientific research referred to, reported, or used in CME/CE in support or justification of a patient care recommendation must conform to the generally accepted standards of experimental design, data collection, and analysis.
This CME/CE activity might describe the off-label, investigational, or experimental use of medications and/or devices that may exceed their FDA-approved labeling. Physicians should consult the current manufacturers’ prescribing information for these products. ACHL requires the speaker to disclose that a product is not labeled for the use under discussion.
Executive Medical Director
Center for Cardiovascular Health
Virginia Mason Franciscan Health
The Academy for Continued Healthcare Learning designates this live activity for a maximum of 9.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
