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Session details


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Friday December 8, 2017 

8:20-9:05

Keynote Address - Genetics of Stroke: Getting Up Close And Personal

Dr Pare staring forward in front of a pink background

Guillaume Paré MD, MSc, FRCPC
Associate Professor, McMaster University
Canada Research Chair in Genetic & Molecular Epidemiology
Director, Genetic and Epidemiology Laboratory          

Learning objectives:
Upon completion of this session, participants will be equipped to:

  • Understand principles of evidence-based pharmacogenetics
  • Understand the latest developments in anti-platelet pharmacogenetics
  • Understand the latest developments in anti-coagulant pharmacogenetics

9:05-9:10 Active Living – Fitness Participation

Heart Interventions in Older Patients - Filtering For Frailty
Allen Huang MDCM, FRCPC, FACP, FACP
Associate Professor, University of Ottawa
Head, Division of Geriatric Medicine, University of Ottawa and the Ottawa Hospital

 

Learning objectives:
Upon completion of this session, participants will be equipped to:

  • Understand the construct of frailty in older people
  • Perform a cognitive screening test
  • Describe a framework for patient-centered decision-making
     

Heart Disease and Pregnancy - The Top 3 Things You Need To Know
Samuel Siu MD
Professor of Medicine, Cardiologist
Schulich School of Medicine & Dentistry
Western University

Upon completion of this session, participants will be equipped to:

  • Understand how cardiovascular changes of pregnancy affect women with heart disease
  • Understand approaches to risk stratification of pregnant women with heart disease
  • Understand management principles of pregnancy women with heart disease


Heart Disease, Athletes and the Weekend Warrior
Aaron Baggish MD
Associate Director, Cardiovascular Performance Program
Massachusetts General Hospital

Friday December 8, 2017

11:20-12:50

F1-01: Acute Stroke and Early Management

Jennifer Mandzia MD, PhD, FRCPC
Assistant Professor, Western University
Neurologist, London Health Sciences Centre
Co-Medical Director Southwest Ontario Stroke Network 

Learning objectives:
After active participation in the workshop participants will be able to:

  • Review the medical management of the acute stroke patient (ischemic and hemorrhagic stroke) pertaining to thrombolytic, endovascular, and antithrombotic therapy.
  • Review the medical management of the acute stroke patient (ischemic and hemorrhagic stroke) pertaining to blood pressure control and investigations.
  • Discuss the role and benefit for stroke unit care and non‐medical interventions in acute stroke care.
Friday December 8, 2017

11:20-12:50

F1-02: Spontaneous Intracerebral Hemorrhage

Ashkan Shoamanesh MD, FRCPC
Assistant Professor of Medicine (Neurology)
Marta and Owen Boris Chairin Stroke Research and Care, McMaster University

Learning objectives:
After active participation in the workshop participants will be able to:

  • Review epidemiology and underlying etiologies of spontaneous ICH
  • Discuss acute management of ICH
  • Review ICH preventative strategies
Friday December 8, 2017

11:20-12:50

F1-03: Managing Diabetes in 2018 – What to Add, When And Why?

Maria Wolfs MD, MHSc, FRCPC
Assistant Professor, University of Toronto
Endocrinologist, St. Michael's Hospital

Learning objectives:
After active participation in the workshop participants will be able to:

  • Identify patient factors that impact the addition of non‐insulin pharmacotherapy in Type 2 Diabetes.
  • Discuss the glycemic and cardiovascular end‐point evidence among non‐insulin pharmacotherapies in Type 2 Diabetes.
  • Apply evidence based diabetes management to individual patient care.
Friday December 8, 2017

11:20-12:50

F1-04: An Update on Sleep Apnea

Douglas Bradley BA, MD
Senior Scientist, Toronto General Research Institute (TGRI) & Toronto Rehabilitation Institute (TRI)
Research Division Head, Toronto Rehabilitation Institute (TRI)

Learning objectives:
After active participation in the workshop participants will be able to:

  • Explain the association between OSA and cardiovascular diseases.
  • Describe the cardiovascular effects of treating OSA.
  • Describe the different treatment modalities of OSA.
Friday December 8, 2017

11:20-12:50

F1-05: Athlete’s Workshop

Aaron Baggish MD
Associate Director, Cardiovascular Performance Program
Massachusetts General Hospital

Email clinicalupdate@heartandstroke.ca  with the subject: F2-09 if you would like to be notified when this session’s learning objectives are posted.

Friday December 8, 2017

11:20-12:50

F1-06: Practical Management of Noacs

John Eikelboom MBBS, MSc
Hematologist, Hamilton Health Sciences
Associate Professor, Department of Medicine, McMaster University  

Learning objectives:
After active participation in the workshop participants will be able to:

  • Select the right anticoagulant for the right patient.
  • Follow up NOAC treated patients.
  • Manage interruption of treatment and bleeding.
Friday December 8, 2017

14:00-15:30

F2-07: Driving and the Heart and Stroke Patient

Catherine Ballyk MD, FRCPC
Medical Director, Stroke Unit, Brant Community Health Care System, Brantford, Ontario

Elke Hilgendag OT
Navigator, Stroke Unit, Brant Community Health System, Brantford, Ontario

Learning objectives:

By the end of this session, participants will be equipped to:

  • Assess and screen for driving competency.
  • Appreciate the importance of driving and community re-integration for our patients after stroke or cardiac event.
  • Understand how physical, visuospatial and cognitive impairments post stroke can affect driving.
  • Be aware of the physician's responsibilities and legal requirements with regards to driving after stroke.
Friday December 8, 2017

14:00-15:30

F2-08: Cardiac Rhythm Devices: Pacemakers, ILR ICD, CRT: What's Out There and What Should I Know?

William McIntyre MD, FRCPC
Clinical and Research Fellow, Cardiac Arrhythmia
Population Health Research Institute, McMaster University

Learning objectives:
After active participation in the workshop participants will be able to:

  • Know what are the devices available now.
  • Know what are the indications for these devices.
  • Know what should I know and be aware of if my patient has a device.
Friday December 8, 2017

14:00-15:30

F2-09: Indigenous Health and Cultural Safety

TBC

Email clinicalupdate@heartandstroke.ca with the subject: F2-09 if you would like to be notified when this session’s speakers and learning objectives are posted.

Friday December 8, 2017

14:00-15:30

F2-10: Palliative Care for the Heart and Stroke Patient

Jeff Myers MD, MSEd, CCFP (PC)
Associate Professor, University of Toronto
Palliative Care Physician, Sinai Health System

Learning objectives:
After active participation in the workshop participants will be able to:

  • Outline an expanded and earlier role for palliative & supportive care of Heart & Stroke patients.
  • Describe the roles for Heart & Stroke clinicians in palliative and supportive care provision.
  • Explain what it means to integrate a palliative approach to care of the Heart & Stroke patient.
Friday December 8, 2017

14:00-15:30

F2-11: The 3 Minute Neurological Exam Demystified

W.J. Oczkowski MD, FRCPC
Professor and Head, Division of Neurology, McMaster University, Hamilton Health Sciences

Learning objectives:
After active participation in this workshop participants will be able to:

  • Understand neurological signs.
  • Use a standard neurological exam using the NIHSS as a backbone.
  • Use the neurological exam in different patient presentations.
Friday December 8, 2017

14:00-15:30

F2-12: Keeping Your Patient Out of the Hospital by Preventing A Second Stroke

Grant Stotts MD, FRCPC
Assistant Professor, uOttawa Brain and Mind Institute
Medical Director, Champlain Regional Stroke Network

Learning objectives:
After active participation in this workshop participants will be able to:

  • Develop an approach for common social issues that arise for patients after a stroke.
  • Incorporate discussion of the importance of activity and exercise with patients who have had TIAs or strokes.
  • Understand the role of dual antiplatelet use in stroke prevention.
  • Order the appropriate tests for screening of paroxysmal atrial fibrillation and carotid stenosis after a TIA or stroke.
Friday December 8, 2017

15:55-17:40

Plenary 2 – Stroke in Women

Migraines and Stroke
Christine Lay MD, FRCP, FAHS
Associate Professor, Neurology, University of Toronto
Director, Centre for Headache, Women's College Hospital

Learning objectives:
Upon completion of this session, participants will be equipped to:

  • Assess the risk of stroke in patients with migraine with and without aura.
  • Describe the association of other risk factors for stroke in patients with migraine.
  • Explain and manage patients with migraine and stroke, and migraine and risk factors for stroke.

Hormone Replacement Therapy and Stroke
Cheryl Jaigobin MD, MSc
Division of Neurology, University Health Network
Associate Professor, Department of Medicine, University of Toronto

Learning objectives:
Upon completion of this session, participants will be equipped to:

  • Explain the risk of stroke associated with use of HRT.
  • Explain the evidence of stroke risk based on a summary of primary and secondary prevention studies.
  • Manage the symptoms of menopause.

Pregnancy and Stroke
Rick Swartz MD, PhD
Assistant professor, Neurology, Faculty of Medicine, University of Toronto
Director, Sunnybrook Stroke Research Unit

Learning objectives:
Upon completion of this session, participants will be equipped to:

  • Explain the risks of stroke during pregnancy and list the risk factors.
  • Choose an approach to management of patients with risk factors for stroke during pregnancy.
  • Choose an approach to management of patients with stroke or TIA during pregnancy.
  • Choose an approach to management of patients with prior stroke during pregnancy.
Saturday December 9, 2017

8:00-9:45

Plenary 3 – Therapeutic Update

New Trials and Controversies in Hypertension
Eva Lonn MD, MSc, FRCPC
Professor of Medicine, McMaster University
Senior Scientist, Population Health Research Institute

Learning objectives:
Upon completion of this session, participants will be equipped to:

  • Provide an overview of recent large RCTs in Hypertension Management.
  • Analyze the controversies in Hypertension Management.
  • Provide an overview of new recommendations in the 2017 CHEP Guidelines.

Optimizing Cholesterol Lowering Therapy in Patients with Statin Muscle Complaints
Robert Rosenson MD, FACC, FACP, FAHA, FESC
Cardiovascular Drugs and Therapy, Mount Sinai Medical Center, Mount Sinai School of Medicine

Learning objectives:
Upon completion of this session, participants will be equipped to:

  • Define statin associated muscle symptoms.
  • Understand the potential cardiovascular risks associated with statin intolerance.
  • Learn the utility of a validated tool, statin muscle clinical index, for the accurate diagnosis of statin associated muscle symptoms.
  • Learn to implement a structured approach to the detection and management of cholesterol lowering in patients with statin associated muscle symptoms.

 
Diabetes Management in 2017: The Tides are Turning
Catherine Yu MD, FRCPC, MHSc
Staff, Division of Endocrinology & Metabolism, St. Michael's Hospital
Associate Professor, Faculty of Medicine and Dalla Lana School of Public Health, University of Toronto
Associate Scientist, Li Ka Shing Knowledge Institute of St. Michael's Hospital

Learning objectives:
Upon completion of this session, participants will be equipped to:

  • Individualize antihyperglycemic agent regimens to patient characteristics, with particular attention to the role of incretin and SGLT2i agents.
Saturday December 9, 2017

10:10-11:40

S3-13: Lipids: Looking Forward to 2018

Robert Hegele MD, FRCPC, FACP, FAHA, FCAHS, FCCS
Jacob J. Wolfe Distinguished Medical Research Chair in Human Gene Function
Martha G. Blackburn Chair in Cardiovascular Research
Director, London Regional Genomics Centre
Scientist, Robarts Research Institute
Distinguished University Professor, Western University

Learning objectives:
After active participation in the workshop participants will be able to:

  • Consider implications of new practice guidelines.
  • Review recent clinical trials and their impact.
  • Discuss strategies for managing commonly encountered lipid problems and medication side effects. 
Saturday December 9, 2017

10:10-11:40

S3-14: Managing Atrial Fibrillation: Beyond Anticoagulation

Peter Leong-Sit MD, MSc, FRCPC, FHRS
Associate Professor, Western University
Cardiologist, London Heart Rhythm Program

Learning objectives:

After active participation in the workshop participants will be able to:

  • Compare management strategies for atrial fibrillation.
  • Identify good candidates for rhythm control or ablation for atrial fibrillation.
  • Provide an overview of atrial fibrillation ablation principles.
  • Provide an overview of invasive options for stroke prevention.
Saturday December 9, 2017

10:10-11:40

S3-15: Addressing Challenges in Heart Failure Management

Stuart J. Smith MD, FRCPC
Associate Professor, Western University
Director, Heart Failure Service
London Health Sciences Centre and St. Joseph Hospital

Maureen Leyser RNEC, BScN , MN - NP
London Health Sciences Centre, University Hospital
Inpatient Cardiology, Heart Failure and LVAD Clinics

Learning objectives:
After active participation in the workshop participants will be able to:

  • Understand the classifications of heart failure, epidemiology, treatment and prognosis.
  • Identify factors that lead to recurrent hospital admissions and poor outcomes.
  • Consider strategies to maximize good outcomes with the goals of improving quality of life, decreasing hospitalization and possibly affecting prognosis.
  • Review common patient management problems and possible solutions.
  • Introduce participants to new topics in heart failure that are relevant to the general physician.

Saturday December 9, 2017

10:10-11:40

S3-16: A Case-Based Approach to ECGs  

Lorne Gula MD, FRCPC
Professor, Western University
Cardiologist, Heart Rhythm Specialist
Director, Electrophysiology Laboratory, London, Ontario

Damian Redfearn MB, ChB, MRCPI, FRCPC
Director of Heart Rhythm Service, Kingston General Hospital

Learning objectives:
After active participation in the workshop participants will be able to diagnose the following conditions on ECG and review principles of clinical management:

  • Bradycardia, conduction abnormalities, and tachycardia.
  • Myocardial ischemia, acute and previous myocardial infarction.
  • Other systemic disorders with ECG manifestations.
Saturday December 9, 2017

10:10-11:40

S3-17: Management of Patients with TIA

Cheryl Jaigobin MD, FRCPC, MSc
Division of Neurology, University Health Network
Associate Professor, Department of Medicine, University of Toronto

Learning objectives:
After active participation in the workshop participants will be able to:

  • Differentiate between TIA and TIA mimics.
  • Identify the mechanisms that underlie TIA.
  • Explain the timeliness of required workup and management of TIA patients in an interdisciplinary setting.
  • Explain the management of patients with TIA (antiplatelet, anticoagulation, revascularization).
Saturday December 9, 2017

10:10-11:40

S3-18: Interpretation and Common Pitfalls of Neurovascular Imaging

Kanjana Perera MD, FRCPC
Assistant Professor, McMaster University
Stroke Neurologist, Hamilton Health Sciences

Learning objectives:
After active participation in the workshop, participants will be able to:

  • Know the basics of CT and MRI, and their differences and indications for use.
  • To know common conundrums elicited by imaging of cerebrovascular disease.
  • To part with practical knowledge of neurovascular imaging.
Saturday December 9, 2017

11:40-13:10

Closing Lunch & Learn - Digital Health and Patient Self-Care of Chronic Illness

Joe Cafazzo in front of a blue screen

Joseph Cafazzo PhD, PEng
Executive Director, Biomedical Engineering, UHN
Lead, Centre for Global eHealth Innovation
Senior Director, Healthcare Human Factors
Associate Professor, Faculty of Medicine, University of Toronto

Learning objectives:
Upon completion of this session, participants will be equipped to:

  • Apply e-health approaches that facilitate efficient, timely interaction with heart failure patients.
  • Describe how added e-health technology in the home can optimize patient monitoring.
  • Determine the situations where more complex e-health platforms are indicated

Register

To ensure you are notified moving forward please email with the subject line CUemail.