Mitral and Tricuspid Valve Disease

• Keynote Address: State-of-the-Art of
  Multimodality Imaging in Valvular Heart
  Disease 2009: Strengths and Weaknesses
  Robert O. Bonow, MD
• Epidemiology of Mitral Valve Regurgitation:
  When Do We Intervene? Medicine or Surgery?
  William J. Stewart, MD
• Quantification of Mitral Regurgitation:
  From Basics to Advanced Measurements
  Christopher P. Appleton, MD
• Ischemic/Functional Mitral Regurgitation:
  Mechanism and Treatment
  Robert O. Bonow, MD
• Mitral Valve and Tricuspid Valve Repair:
  What is the Role For Robotic Surgery?
  A. Marc Gillinov, MD

Aortic Valve Disease and Percutaneous Techniques

• Aortic Stenosis–New Mechanisms and Therapies:
  What Do You Do in Asymptomatic Patients?
  Gian M. Novaro, MD
• Epidemiology of Aortic Valve Regurgitation:
  When Do We Intervene? Medicine or Surgery?
  Robert O. Bonow, MD
• Aortic Regurgitation: How Do We Quantify?
  New Methods?
  James D. Thomas, MD
• Percutaneous Techniques for Mitral and Aortic
  Valve Disease: State-of-the-Art
  Cardiologist’s Perspective: William J. Stewart, MD
  Surgeon’s Perspective: A. Marc Gillinov, MD
• Panel Discussion and Questions

Epidemiology, Biology, Physiology and Basic Doppler Assessment

• Keynote Address: State-of-the-Art of
  Diastology 2009: Strengths and Weaknesses;
  Role of Echo vs. Other Methods
  Miguel A. Quinones, MD
• Epidemiology: What Diseases?
  How Do We Assess? Prognosis?
  Allan L. Klein, MD
• Biology, Physics, and Physiology of
  Diastolic Function: The Basics
  Robert O. Bonow, MD
• Echo Assessment of Diastolic Function:
  Mitral Inflow, Pulmonary Vein, Tissue
  Doppler Imaging, and Color M-mode Doppler;
  Which One Do We Use?
  Christopher P. Appleton, MD

Practical Techniques, Filling Pressures, and New Tools

• Comprehensive Diastolic Examination with
  Left and Right Heart Evaluation: How Should
  We Perform It?
  Annitta J. Morehead, RDCS
• Estimation of LV Filling Pressures Using
  Current Diastology Tools: What Pressures?
  Which Variables? Is It Elevated or Not?
  Miguel A. Quinones, MD
• New Tools for Assessment of Diastolic Function
  Using Strain, Strain Rate Imaging, Torsion and
  2-D Strain: Is It Ready? What Does It Add?
  James D. Thomas, MD

Diseases with Diastolic Dysfunction

• Pericardial Diseases: Constriction vs. Restriction?
  Allan L. Klein, MD
• Cardiomyopathies: Role of Newer Indices in Treatment
  and Prognosis
  Craig R. Asher, MD
• Coronary Artery Disease, HOCM, and Hypertension:
  What Does Diastolic Dysfunction Mean in These Diseases?
  How Do We Assess?
  Christopher P. Appleton, MD

Therapy of Diastolic Function and Clinical Applications

• Therapy of Diastolic Dysfunction: How Do We Treat?
  Which Therapeutic Agents? Results of Clinical Trials?
  W. H. Wilson Tang, MD
  
• Clinical Applications in Diastology: How Do We Use in
  a Clinical Setting? When Do We Use BNP?
  Influence of New Guidelines
  Miguel A. Quinones, MD
  
• Panel Discussion and Questions
  
• Workshops
  
• Diastolic Function Exam Cases:
  A Read-with-the-Experts Session
  Craig R. Asher, MD, Coordinator
  Wael A. Jaber, MD
  Gian M. Novaro, MD
  Miguel A. Quinones, MD
  William J. Stewart, MD
  James D. Thomas, MD

3-D and 4-D Echo, Real Time TEE, and Stress Echo

• Keynote Address: State-of-the-Art of New Echo
  Technologies 2009: Strengths and Weaknesses
  Michael H. Picard, MD
  
• 3-D and 4-D Echo: How to Include It in
  Clinical Practice? What Indication?
  James D. Thomas, MD
  
• Real-Time Transesophageal 3D Echocardiography:
  A Revolution of Echocardiography
  Michael H. Picard, MD
  
• 3-D Echo: A Sonographer’s Practical Guide to
  Collecting Accurate Data
  Deborah A. Agler, RDCS

Cardiac Resynchronization and Cardiac Function

• Role of Echo in Cardiac Resynchronization:
  What Is Its Value? Results of Recent Trials
  Michael H. Picard, MD
  
• How Do You Perform a CRT Exam?
  A Sonographer’s Approach
  Deborah A. Agler, RDCS
  
• 2-D Strain for Cardiac Function: Speckle Tracking,
  Velocity Vector Imaging for What?
  Miguel A. Quinones, MD
  
• Tissue Velocity, Strain and Strain Rate Imaging,
  Torsion For the Sonographer: A Guide to Collecting
  High Quality Imaging Data
  Annitta J. Morehead, RDCS

Stress Echo, Hand Helds, and New Research Developments

• Stress Echocardiography: Should We Use Strain
  Daily to Assess Wall Motion? Diastology Stress Test?
  Wael A. Jaber, MD
  
• Hand-Held Echo Devices: Role in Screening Athletes
  Craig R. Asher, MD
  
• Role of Echo in Percutaneous Valve Repair or
  Replacement and LAA Closure
  William J. Stewart, MD
  
• New Research Developments in Echo Technologies:
  What Is the Future in the Era of Multimodality Imaging?
  James D. Thomas, MD
  
• Panel Discussion and Questions

Workshops

• New Echo Technologies: “Read-with-the-Experts” Session:
  3-D, CRT and Strain, TEE and Stress Echo
  Wael A. Jaber, MD, Coordinator
  Christopher P. Appleton, MD
  Ruvin S. Gabriel, MD
  Allan L. Klein, MD
  Miguel A. Quinones, MD
  William J. Stewart, MD

Contrast Basics, Physics, and Imaging Modalities

• Keynote Address: State-of-the-Art of Contrast
  Echo: Strengths and Weaknesses 2009 and
  Revised Black Box Warning
  Thomas R. Porter, MD
  
• Contrast 101: The Marriage of Contrast
  Agents and Ultrasound — Real Time or Triggered?
  Jonathan R. Lindner, MD
  
• Contrast Imaging for Sonographers: Techniques
  for Collecting High Quality Images
  Annitta J. Morehead, RDCS

Left Ventricular Opacification — Rest and Stress Echo

• Salvaging the Technically Difficult Echo:
  Quantitative and Qualitative LV Function
  Michael H. Picard, MD
  
• Contrast Stress Echo: Is It Worth the Effort?
  Wael A. Jaber, MD

Myocardial Perfusion, 3-D Echo and New Research Developments

• Clinical Trials on Myocardial Perfusion:
  What Are the Results and What Is Next?
  Thomas R. Porter MD
  
• New Research Developments in Contrast Echo: 
  Atherosclerosis Imaging and Targeted Microbubbles
  Jonathan R. Lindner, MD
  
• Panel Discussion and Questions

LV Perfusion: Rest and Stress Echo

• Stress Perfusion Echo: Better than Wall Motion?
  How Do You Do It? Prognosis?
  Thomas R. Porter, MD
  
• How to Read Perfusion at Rest and Stress in a
  Busy Echo Lab: Tricks of the Trade
  Jonathan R. Lindner, MD
  
• Workshop: “Read-with-the-Experts”:
  LVO and Stress Perfusion Cases
  Deborah A. Agler, RDCS
  Craig R. Asher, MD
  Ruvin S. Gabriel, MD
  Wael A. Jaber MD
  Allan L. Klein, MD
  Jonathan R. Lindner, MD
  Annitta J. Morehead, RDCS
  Michael H. Picard, MD
  Thomas R. Porter, MD
  James D. Thomas, MD

SUMMIT DIRECTOR

SUMMIT CO-DIRECTORS

GUEST FACULTY

CLEVELAND CLINIC FACULTY

Wael A. Jaber, MD, FACC
Director of Stress Lab and Imaging Core Lab
Department of Cardiovascular Medicine
Heart and Vascular Institute

William J. Stewart, MD, FACC, FASE
Associate Professor of Medicine
Department of Cardiovascular Medicine
Heart and Vascular Institute

CLEVELAND CLINIC FLORIDA FACULTY

• Describe state-of-the-art multimodality imaging in valvular heart disease
• Describe the natural history of mitral regurgitation and when to treat medically or surgically
• Discuss Doppler quantitative approaches to mitral regurgitation and aortic regurgitation
• Describe mechanisms and treatment of ischemic mitral regurgitation and aortic regurgitation

• Discuss surgical mitral and tricuspid valve repair
• Discuss new mechanisms and therapies for aortic stenosis
• Discuss the epidemiology of aortic regurgitation and when to intervene
• Describe percutaneous approaches to mitral and aortic diseases

• Discuss new advances in valvular heart disease including epidemiology, clinical diagnostic approaches to mitral, tricuspid, and aortic regurgitation and aortic stenosis
• Identify new approaches to aortic valve repair including robotic and percutaneous techniques
• Highlight new advances in diastolic heart failure including epidemiology, clinical diagnostic approaches, specific diseases, and effects of therapy for diastolic heart failure
• Examine recent and future clinical trials in Diastology

• Highlight new and emerging applications in real time 3-D and 4-D echo, live 3-D TEE, 2-D strain, torsion, stress echo, cardiac resynchronization, and interventional echo
• Present basic principles of contrast echo, rest and stress LVO and EBD, myocardial perfusion, and new research applications
• Discuss the revised black boxed warning in contrast echocardiography

• Describe the role of 3-D and 4-D echo in clinical practice
• Discuss advances in transesophageal echo imaging including real-time imaging
• Discuss 2-D strain to assess cardiac function
• Describe the use of LV torsion in clinical practice

• Discuss the role of strain in stress echo
• Discuss the value of echo measurements of CRT
• Describe how to perform 3-D, CRT, strain and strain rate imaging and torsion by a sonographer
• Discuss the role of echo in percutaneous valve surgery and LAA closure

• Describe the basics of contrast echocardiography, including the contrast and ultrasound interaction
• Discuss the various contrast imaging modalities, including low or high mechanical index
• Discuss the role of contrast in rest and with stress echo and salvaging the difficult echo
• Discuss how to do an LVO and myocardial perfusion exam

• Discuss the prognostic value of stress perfusion echo
• Describe techniques for reading perfusion at rest and stress in a busy echo lab
• Discuss how to interpret EBD, LVO, and myocardial perfusion
• Discuss new research developments including atherosclerosis imaging and targeted microbubbles