Texas Children’s Hospital keepthebeatconference 2014

Thursday, May 1 – Saturday, May 3, 2014 Presented by Texas Children’s Hospital and Baylor College of Medicine

Texas Children’s Pavilion for Women 4th Floor Conference Center n 6621 Fannin Street n Houston, TX 77030

This year’s program includes two exciting tracks!

Inpatient cardiology outpatient cardiology Track Track View program and register online at View program and register online at BaylorCME.org/CME/1489-MI BaylorCME.org/CME/1489-MO

Heart Murmur Workshop May 3 View page 8 for more information.

Co-sponsored by Texas Children’s Hospital and Baylor College of Medicine Planning Committee Silvana M. Lawrence, MD, PhD Director, Community and Program Development, Texas Children’s Hospital Associate Professor of Pediatrics, Baylor Collge of Medicine William B. Kyle, MD Pediatric Cardiologist, Texas Children’s Hospital Assistant Professor of Pediatrics, Baylor Collge of Medicine Priscila P. Reid, RN, FNP-C, PNP-AC Nurse Practitioner, Texas Children’s Hospital Instructor of Pediatrics, Baylor Collge of Medicine guest faculty Jane Burns, MD Chitra Ravishankar, MD Professor of Pediatrics Assistant Professor of Pediatrics University of California - San Diego University of Pennsylvania Ganga Krishnamurthy, MD Marah N. Short Assistant Professor of Pediatrics Senior Staff Researcher Columbia University James A. Baker, III Institute for Public Policy Rice University baylor college of medicine faculty Steven A. Abrams, MD Jeffrey S. Heinle, MD Christina Y. Miyake, MD Professor of Pediatrics Associate Professor of Surgery Assistant Professor of Pediatrics Hugh D. Allen, MD Aamir Jeewa, MD Antonio R. Mott, MD Professor of Pediatrics Assistant Professor of Pediatrics Associate Professor of Pediatrics Carolyn A. Altman, MD Joshua A. Kailin, MD Mary C. Niu, MD Associate Professor of Pediatrics Assistant Professor of Pediatrics Assistant Professor of Pediatrics Dean B. Andropoulos, MD Jeffrey J. Kim, MD Cory V. Noel, MD Professor of Pediatrics Associate Professor of Pediatrics Assistant Professor of Pediatrics Patricia Bastero, MD William B. Kyle, MD Elena C. Ocampo, MD Associate Professor of Pediatrics Assistant Professor of Pediatrics Assistant Professor of Pediatrics Kenneth M. Brady, MD Wilson W. Lam, MD Dhaval R. Parekh, MD Associate Professor of Pediatrics Cardiology Fellow Assistant Professor of Pediatrics Ronald A. Bronicki, MD Regina L. Lantin-Hermoso, MD Jack F. Price, MD Associate Professor of Pediatrics Associate Professor of Pediatrics Associate Professor of Pediatrics Antonio G. Cabrera, MD Silvana M. Lawrence, MD, PhD Athar M. Qureshi, MD Assistant Professor of Pediatrics Associate Professor of Pediatrics Senior Faculty Paul Checchia, MD Emily J. Lawrence, DO S. Chandra-Bose Reddy, MD Professor of Pediatrics Assistant Professor of Pediatrics Assistant Professor of Pediatrics Caridad M. De La Uz, MD Aimee Liou, MD Thomas J. Seery, MD Assistant Professor of Pediatrics Assistant Professor of Pediatrics Assistant Professor of Pediatrics Susan W. Denfield, MD Keila N. Lopez, MD Kristen Sexton-Tejtel, MD, PhD, MPH Associate Professor of Pediatrics Assistant Professor of Pediatrics Assistant Professor of Pediatrics Heather A. Dickerson, MD E. Dean McKenzie, MD Santiago O. Valdes, MD Assistant Professor of Pediatrics Associate Professor of Surgery Assistant Professor of Pediatrics W. Jeffrey Dreyer, MD Allison E. Mahlstedt, PA-C Steven B. Wolfe, MD Professor of Pediatrics Instructor of Pediatrics Assistant Professor of Pediatrics Charles D. Fraser, Jr, MD Shiraz A. Maskatia, MD Professor of Surgery Assistant Professor of Pediatrics Pamela S. Griffiths, MD Carlos M. Mery, MD Assistant Professor of Pediatrics Assistant Professor of Surgery Needs statement As care for children with cardiac conditions becomes increasingly complex, it is essential for providers (general pediatricians, advanced practice practitioners and pediatric cardiology subspecialists) to stay abreast of current information to supplement their current understanding. Failure to correctly identify and treat patients with congenital heart disease can have serious consequences. Further, evaluating patients who may have congenital heart disease is a source of anxiety for many practitioners. Participants in this activity will learn practical lessons in managing congenital heart disease patients from a group of experts in the field. Educational Methods Lectures n Case Presentations n Question and Answer Sessions Evaluation Evaluation by questionnaire will address program content, presentation, and possible bias. Accreditation/Credit Designation Baylor College of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Baylor College of Medicine designates this live activity for a maximum of 12.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Each track is approved for 12.75 AMA PRA Category 1 Credits™. inpatient cardiology track outpatient cardiology track Target Audience Target Audience Pediatric cardiologists, neonatologists, intensivists, Community pediatricians, pediatric hospitalists and pediatric cardiology fellows, advanced practice emergency room personnel, pediatric residents, practitioners, registered nurses and others pediatric advanced practice practitioners such as interested in the inpatient management of children physician assistants and nurse practitioners and with congenital heart disease and heart failure. registered nurses who care for children. Objectives Objectives At the conclusion of the program, participants At the conclusion of the program, participants should should be able to: be able to: • Screen pediatric patients who have had cardiac • Based on established best-evidence criteria, identify surgery for developmental delays and refer for which patients with diagnosed or suspected heart further evaluation and treatment. defects/disease should be referred to a pediatric • Recognize the patient presenting with Protein- cardiologist for further evaluation and treatment. losing enteropathy and manage appropriately. • Identify crucial “red flags” in a patient presenting • Recognize subtle changes in infants with with chest pain, dizziness/lightheadedness, syncope, Hypoplastic left heart syndrome who have or palpitation and determine which patients should undergone the Norwood procedure that suggest be referred to a specialist for further examination. the need to transfer the patient to a higher level • Differentiate benign chest pain from more serious of care. causes of chest pain (e.g. cardiac conditions) and • Recognize signs and symptoms in the pediatric select the appropriate tests to help establish a cardiac transplant patient that may indicate more diagnosis. serious health concerns and treat appropriately. • Recognize historical (particularly patient and family • Recognize signs and symptoms of low cardiac cardiovascular history) and physical examination output and manage appropriately. findings that suggest a child may be at risk for sudden death by participating in sports. • Apply guidelines of the American Heart Association Faculty, topics, program schedule, and credit and the American Academy of Pediatrics to detect, are subject to change. Audio or videotaping is manage, and treat atypical Kawasaki disease patients. prohibited without written permission from the • Identify techniques to detect and intervene upon Activity Director and the OCME, Baylor College neurodevelopmental deficits in children with of Medicine, Houston, Texas. congenital heart disease.

Pediatric Cardiology: Yesterday, Today and Tomorrow thursday, May 1, 2014

4:30 pm reception and Registration 6:00 pm Neonatal Cardiovascular Care: Impact on Outcomes 5:30 Welcome Ganga Krishnamurthy, MD Silvana M. Lawrence, MD, PhD 7:00 Speaking to Children and Families About William B. Kyle, MD Chronic Disease Priscila P. Reid, RN, FNP-C, PNP-AC Allison E. Mahlstedt, PA-C 5:45 How Far Have We Come? 7:30 Kawasaki Disease: Where Do We Stand in 2014? Charles D. Fraser, Jr, MD Jane Burns, MD 7:45 Adjourn

Inpatient cardiology Track n friday, May 2, 2014

7:00 am Breakfast THE FONTAN PALLIATION

THE NEONATAL HEART 1:00 pm Physiology and Limitations of the Fontan Circulation 8:00 The Big Switch: The Fetal to Neonatal Regina L. Lantin-Hermoso, MD Circulatory Transition 1:20 The Postop Fontan Has Arrived: Acute Pamela S. Griffiths, MD Evaluation and Management 8:15 Critical Heart Disease in the Neonate: Patricia Bastero, MD How and Where to Care Best? 1:40 The Failing Fontan: Evaluation and Ganga Krishnamurthy, MD Management in an Acute Setting 8:45 Hearts and Minds: What Are the Neurocognitive Chitra Ravishankar, MD Outcomes in Congenital Heart Defect? 2:00 Protein-Losing Enteropathy and Other Dean B. Andropoulos, MD Consequences of the Fontan Circulation 9:05 Risky Business: Can We Feed the Neonate Antonio R. Mott, MD with Left Side Obstructive Lesions? 2:20 Is There a Role for ACE Inhibitors and Heather A. Dickerson, MD Pulmonary Vasodilators? 9:25 Calorie Counting: An Approach to Nutritional Dhaval R. Parekh, MD Assessment in the Term and Preterm Infant 2:40 Question and Answer Session Steven A. Abrams, MD 2:55 Break 9:50 Question and Answer Session 10:00 Break INPATIENT ELECTROPHYSIOLOGY

THE STAGE I SINGLE VENTRICLE 3:15 Assessing the Rhythm: What is THAT? Mary C. Niu, MD 10:15 The Act of Balancing QP: QS Before and After 3:30 The Stable Arrhythmia: Evaluation the Norwood and Management Antonio R. Mott, MD Caridad M. De La Uz, MD 10:35 Norwood Procedure for Hypoplastic Left 3:45 To Shock or Not to Shock: Evaluation and Heart Syndrome: Blalock-Taussig Shunt vs. Management of the Unstable Rhythm Right Ventricle-Pulmonary Artery Conduit Jeffery J. Kim, MD E. Dean McKenzie, MD 4:00 Long QT: Assessment in the Peri-Operative 10:55 The Role of Near-infrared Spectroscopy and Post-Operative Period Monitoring in Contemporary Cardiac Care Christina Y. Miyake, MD Kenneth M. Brady, MD 4:15 Pacing: Understanding the Basics 11:15 Red Flags: Preventing Interstage Mortality of Pacemaker Settings in Norwood Infants Santiago O. Valdes, MD Silvana M. Lawrence, MD, PhD 4:30 Question and Answer Session 11:35 The Impact of a Single Ventricle Home 4:40 ADJOURN Monitoring Program: Pearls of a Dedicated Program Elena C. Ocampo, MD 11:55 Case Study: Stage I Palliation 12:10 pm Lunch Inpatient cardiology Track n saturday, May 3, 2014

7:00 am Breakfast THE FAILING HEART

HEMODYNAMIC INSTABILITY 9:45 am Evaluation and Management of Marginally Compensated Heart Failure 8:00 Evaluation and Management of Low Cardiac Antonio G. Cabrera, MD Output in the Preterm and Term Neonate 10:05 Clinical Manifestations of Impending Ganga Krishnamurthy, MD Decompensated Heart Failure 8:20 Clinical Manifestations of Respiratory Distress: Jack F. Price, MD Is it the Heart or the Lungs 10:25 Care of a Ventricular Assist Device Patient Chitra Ravishankar, MD on an Inpatient Unit 8:40 Fluid Resuscitation: What Kind, How Much, Aamir Jeewa, MD and Why 10:45 Is Transplant the Next Step? When to Transfer Paul Checchia, MD to a Transplant Center 9:00 Vasoactive Agents: How to Use Them Wisely W. Jeffrey Dreyer, MD Ronald A. Bronicki, MD 11:05 Noncardiac Issues That Impact 9:20 Question and Answer Session the Transplant Patient 9:30 Break Susan W. Denfield, MD 11:25 Question and Answer Session 11:40 ADJOURN

outpatient cardiology Track n friday, May 2, 2014

7:00 am Breakfast OUTSIDE THE BOX

ALL IN THE FAMILY 1:00 pm The Rollout: An Update on the Affordable Care Act 8:00 Chromosomes, Genes, and Congenital Heart Marah N. Short Defect for the Office and the Boards 1:25 The Latest Evidence on ADHD and the Heart Steven B. Wolfe, MD Christina Y. Miyake, MD 8:30 Hearts and Inheritance: When to Screen 1:50 Before the Game: Keys to the Preparticipation family Members Sports History and Physical Cory V. Noel, MD Silvana M. Lawrence, MD, PhD 8:55 The Psychosocial Impact of Congenital Heart 2:15 Fever That Just Won’t Quit: An Overview Defect on Patients and Their Loved Ones of Endocarditis and Rheumatic Fever Emily J. Lawrence, DO Jane Burns, MD 9:20 A New Addition: Cardiac Concerns in the 2:45 Question and Answer Session Newborn and Young Infant 2:55 Break Joshua A. Kailin, MD 9:50 Question and Answer Session THE BIG FIX 10:00 Break 3:15 Behind the Drape: Answering Parents’ THE HEART OF THE MATTER: COMMON CARDIAC Question and Answer About the Cardiac O.R. Carlos M. Mery, MD CONCERNS IN THE PEDIATRIC PRACTICE 3:35 Outcomes in Pediatric Heart Surgery Today 10:15 Murmurs and More Jeffrey S. Heinle, MD Carolyn A. Altman, MD 3:50 Innovation: An Introduction to Problems 10:55 Slow, Speedy, and Skipping Hearts: That Can Be Treated in the Cath Lab A Practical Approach to Arrhythmias Athar M. Qureshi, MD Wilson W. Lam, MD 4:10 Hearts and Minds: Relationships 11:15 Chest Pain in Children: When to Worry, Between Congenital Heart Defect and When to Reassure Neurodevelopment Hugh D. Allen, MD William B. Kyle, MD 11:35 The Essentials of Pediatric Syncope 4:30 Question and Answer Session and Presyncope 4:40 ADJOURN Caridad M. De La Uz, MD 12:00 Question and Answer Session 12:10 pm Lunch outpatient cardiology Track n saturday, May 3, 2014

7:00 am Breakfast HEALTHY HEARTS

KEEPING THE BEAT 9:45 am Kids and Cholesterol Kristen Sexton-Tejtel, MD, PhD, MPH 8:00 Kawasaki Disease: More Than Just Making 10:10 Hypertension in the Young the Diagnosis Wilson W. Lam, MD Jane Burns, MD 10:30 More Than Murmurs: The Rest of the 8:20 Sorting Out Shunts: A Case-Based Approach Cardiac Exam to Atrial Septal Defects, Ventricular Septal Aimee Liou, MD Defects, Patent Ductus Arteriosus and More 10:55 Obesity and Congenital Heart Defect: Shiraz A. Maskatia, MD The Latest and the Greatest 8:40 ECG Basics: Do I Need to Refer? Keila N. Lopez, MD S. Chandra-Bose Reddy, MD 11:10 Not Just Another Virus: Myocarditis 9:00 CPR: What Every PCP Should Know and Other Cardiac Concerns Thomas J. Seery, MD Jane Burns, MD 9:20 Question and Answer Session 11:30 Question and Answer Session 9:30 Break 11:40 ADJOURN

Heart Murmur Workshop saturday, May 3, 2014 n 12:00 - 1:00 pm

This interactive activity will bring together a group of patients with benign and pathologic murmurs for practitioners to examine under the guidance of pediatric cardiology subspecialists. Participants will be divided into smaller groups. Time will be spent examining the patients, explaining the findings, and answering participant questions. This workshop is not designated and/or edigible for CME credit. An additional fee is required to participate. See registration panel on page 8 for more information. disclosure policy In order to meet the requirements of the Accreditation Council for Continuing Medical Education it is the policy of Baylor College of Medicine that all individuals who are in a position to control the content of a CME activity (activity director, planning committee members, and faculty) disclose relevant financial relationships with commercial interests. All identified conflicts of interest are managed to help ensure that the educational material is scientifically based, accurate, and objectively presented. Specific disclosure will be made to the participants prior to the educational activity. Fee, Registration and Confirmation Information Refer to the registration form for the fee schedule. Your registration will not be processed until payment is received. Your registration will be confirmed. If you have not received confirmation at least 5 business days before the activity start date, contact the Office of Continuing Medical Education (OCME) immediately. If you plan to register on-site, contact OCME at least 24 hours in advance to confirm activity status and space availability. The OCME reserves the right to limit the number of participants in an activity and will not be responsible for any expenses incurred by an individual whose registration is not confirmed and for whom space is not available. To register/pay online for the Inpatient Cardiology Track, visit the website at BaylorCME.org/CME/1489-MI and follow the instructions. To register/pay online for the Outpatient Cardiology Track, visit the website at BaylorCME.org/CME/1489-MO and follow the instructions. Cancellation/Refund Policy Requests for registration refunds must be in writing and received by the OCME at least 10 business days before the activity begins. The date the request is received by the OCME will be considered the cancellation date. Requests received after the refund deadline will not be processed. Cancellations are subject to a $50 administrative fee deducted from the registration fee paid to cover guarantees and other expenses. Requests should be mailed to the OCME or faxed to 713.798.7955. The OCME reserves the right to cancel activities, not less than 10 business days before the scheduled date, if extenuating circumstances make it necessary. Registrants will be notified at the contact number indicated on the registration form followed by written notification. If an activity is cancelled, OCME’s liability is limited to the registration fee paid. Note: If payment is made by check, a social security number is required to process the refund. conference location Texas Children’s Pavilion for Women, 4th Floor n 6621 Fannin St. n Houston, TX 77030 accomodations A limited number of rooms have been reserved at the Houston Marriott at the Texas Medical Center. Accomodations may be made with Marriott reservations at 1.800.228.9290. Please identify yourself with Baylor College of Medicine Keep the Beat conference to receive the special group rate ($159 single/double). The deadline to receive the special rate is Thursday, April 19, 2014, unless the room block has already been filled. RESERVE YOUR ROOM EARLY.

For more Information Baylor College of Medicine n Office of Continuing Medical Education One Baylor Plaza, MS: BCM 155 n Houston, TX 77030 Phone: 713.798.8237 n Fax: 713.798.7955 n [email protected] attire Attire for the conference is business casual. Since meeting room tempatures and personal comfort levels vary, it is recommended that you bring a sweater or light jacket to the educational activities. keepthebeatconference 2014 Thursday, May 1 – Saturday, May 3, 2014 Texas Children’s Pavilion for Women 4th Floor Conference Center | 6621 Fannin Street | Houston, TX 77030

(Please print clearly)

Name: First MI Last Degree: Please check if: ❑ Resident ❑ Fellow Affiliation: Address: City: State: Zip: Phone: Fax: Email: Specialty: Prof. License: No./State Emergency Contact: Phone:

There are two concurrent sessions from which to choose. Concurrent Sessions Registration Fees Please register for either the Inpatient Track or the Outpatient Track. (Heart Murmur Workshop not included.) ❑ I am registering for the Inpatient Cardiology Track ❑ Physician $295 (You may also register online at: BaylorCME.org/CME/1489-MI) ❑ Advanced Practice Practitioner $245 ❑ I am registering for the Outpatient Cardiology Track ❑ Nurse $195 (You may also register online at: BaylorCME.org/CME/1489-MO) ❑ Resident* $50 ❑ Fellow* $50 Heart Murmur Workshop (May 3, 2014) *Fax verification of status within 24 hours of registration. ❑ Yes, I will attend the Heart Murmur Workshop* An additional $100 fee required for registration. *Not designated and/or eligible for CME credit.

Method of Payment (Your registration must be PREPAID) ❑ Check or money order (in U.S. funds) made payable to: Baylor College of Medicine ❑ Visa® ❑ MasterCard® ❑ Discover® ❑ Amex® Special Requests $ Total amount enclosed Contact BCM OCME if you have any dietary needs Card No. Exp. Date: (specify below) or any ADA accommodation needs. Name on the Card: Authorized Signature:

If registering by U.S. mail, please return completed form and payment to: Baylor College of Medicine Office of CME (1489) • P.O. Box 4708 FOR OFFICIAL USE ONLY Houston, TX 77210-4708 CK CC LB Cash Date: Amount: If paying by credit card, you may fax completed registration form to 713.798.7955.