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Cardiology Clinical Vignette

Amresh Raina


Eric Fenstad


Garvan Kane


Gautam Ramani


Mellisa Smallfield


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Course ID: 2356

Course Authors

Amresh Raina, MD
Cardiologist
Allegheny General Hospital
Pittsburgh, PA

David Ishizawar, MD
Assistant Professor of Medicine
Heart Failure, Transplant, and Pulmonary Hypertension
Subspecialty Education Coordinator (Cardiology)
University of Pittsburgh
Pittsburgh, PA

Eric Fenstad, MD
Cardiologist
Mayo Clinic Rochester,
Rochester, MN

Garvan Kane, MD
Cardiologist
Mayo Clinic Rochester
Rochester, MN

Gautam Ramani, MD
Assistant Professor of Medicine
University of Maryland School of Medicine,
Baltimore, MD

Melissa Smallfield, MD
Cardiologist
Heart Failure and Transplant
Virginia Commonwealth University,
Richmond, VA

Miriam Jacbob, MD
Cardiology and Internal Medicine
Cleveland Clinic
Cleveland, OH

Navin Rajagopalan
Medical Director, Assistant Professor of Medicine
Cardiology and Internal Medicine
UK Advanced Heart Failure Clinic
University of Kentucky
Lexington, Kentucky

Course Reviewer

Gautam Ramani, MD
Assistant Professor of Medicine
University of Maryland School of Medicine, Baltimore, MD

Murali Chakinala, MD
Associate Professor
Division of Pulmonary and Critical Care Medicine
Washington University School of Medicine
St. Louis, Missouri

Learning Objectives

Upon successful completion of this course, participants will be able to:

1. Appropriately diagnose and treat cardiovascular conditions that lead to pulmonary hypertension (eg, systolic and diastolic dysfunction and mitral valve disease)
2. Recognize and differentiate among conditions that may mimic pulmonary arterial hypertension, but that have vastly different treatments (eg, pulmonary veno-occlusive disease and partial anomalous pulmonary venous return)
3. Recognize medical conditions in patients with pulmonary arterial hypertension that may require specialized treatment (eg, pericardial effusion, pregnancy)

Release Date

April 2, 2014

Expiration Date

April 2, 2016

Accreditation and Credit

This enduring activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint sponsorship of Washington University School of Medicine, Continuing Medical Education and the Pulmonary Hypertension Association. Washington University is accredited by the ACCME to provide continuing medical education for physicians.

Washington University designates this educational activity for a maximum of 1.0 AMA PRA Category 1 Credits. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Disclosure Policy

It is the policy of Washington University School of Medicine, Continuing Medical Education, to ensure balance, independence, objectivity and scientific rigor in all its educational activities.  All planners, faculty and other persons who may influence content of this CME activity have disclosed all relevant financial relationships with commercial interests.  All disclosures have been reported and are indicated with their presentations. Any potential conflicts were addressed and resolved.

All members of the CME department have nothing to disclose.

Speakers are also expected to openly disclose inclusion of discussion of any off-label, experimental, or investigational use of drugs or devices in their presentations.

Presentations are expected to be based on evidence that is accepted within the profession of medicine as adequate justification for their indication in the care of patients.  All scientific research should conform to the generally accepted standards of experimental design, data collection and analysis.

These presentations are not an endorsement of any commercial interests.

The presenters' views do not represent the policy or position of Washington University School of Medicine.

Instructions for Earning Credit

This activity is a self-study program. Upon entering the activity, participants should read the text, examine any images and/or multimedia features, and review the content presented within all of the links provided. Once the course has been reviewed in its entirety, participants will be asked to complete a post-test and evaluation online. Participants must receive a test score of 100% in order to proceed to the course evaluation; the post-test can be repeated until all questions are answered correctly. All evaluation questions must be completed in order to receive a certificate of credit. If needed, participants may save their answers and complete the course at a later date. Saved courses can be found by using the "My Courses" link at the top of the page, and then click on "My Classes."

Faculty Disclosures

It is the policy of Washington University School of Medicine, Continuing Medical Education, to ensure balance, independence, objectivity and scientific rigor in all its educational activities. All planners, faculty and other persons who may influence content of this CME activity have disclosed all relevant financial relationships with commercial interests. All disclosures have been reported and are indicated with their presentations. Any potential conflicts were addressed and resolved.

All members of the CME department have nothing to disclose.

Speakers are also expected to openly disclose inclusion of discussion of any off-label, experimental, or investigational use of drugs or devices in their presentations.

Presentations are expected to be based on evidence that is accepted within the profession of medicine as adequate justification for their indication in the care of patients. All scientific research should conform to the generally accepted standards of experimental design, data collection and analysis.

These presentations are not an endorsement of any commercial interests.

These presentations are the views and experiences of the presenters. The presenters' views do not represent the policy or position of Washington University School of Medicine. Washington University School of Medicine, Continuing Medical Education, is the sponsor for CME credits.

Disclosures are reported below:

Amresh Raina, MD has served as a Consultant/Advisory Board/Steering Committee member for United Therapeutics Corporation

David Ishizawar, MD has served as a Consultant/Advisory Board/Steering Committee member for United Therapeutics Corporation

Eric Fenstad, MD has no relevant personal financial relationships to disclose

Garvan Kane, MD has no relevant personal financial relationships to disclose

Gautam Ramani, MD has served as a Consultant/Advisory Board/Steering Committee member for United Therapeutics Corporation, Gilead Sciences

Melissa Smallfield, MD has no relevant personal financial relationships to disclose

Miriam Jacbob, MD has no relevant personal financial relationships to disclose

Navin Rajagopalan, MD has no relevant personal financial relationships to disclose

Disclaimer

The information presented in this activity reflects the views of the faculty only and not necessarily those of the Pulmonary Hypertension Association (PHA), Washington University in St. Louis, or the educational grant providers. All participants should verify the information and data presented before treating patients or utilizing any therapies noted in these materials. No portion of this activity may be reproduced without the expressed written consent of PHA.

Estimated Time to Complete This Activity

10 - 15 minutes per clinical vignette

Technical Requirements:

This course requires an internet browser. For optimum display, please use Mozilla Firefox, Safari or Google Chrome.

Privacy Policy

For information about the PHA's privacy policy, visit http://www.PHAssociation.org/PrivacyPolicy.

 

This activity is made possible through educational grants from Actelion, Gilead, Pfizer and United Therapeutics.

 

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