Integrated multidisciplinary care is so central to managing infective endocarditis (IE) that it’s the focus of the very first recommendation in new guidelines on IE released by the American Association for Thoracic Surgery (AATS) last year: “Patients with suspected IE should ideally be cared for at centers with access to a complete team, including cardiology, infectious disease, cardiac surgery, and other services needed to handle IE complications.”
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That principle is at the core of “Multidisciplinary Master Class in Endocarditis and Other Cardiovascular Infections,” an unprecedented two-day CME symposium offered by Cleveland Clinic on Thursday and Friday, April 12-13, 2018, at the InterContinental Hotel and Conference Center on Cleveland Clinic’s main campus.
“This is the first comprehensive multidisciplinary symposium in the U.S. on managing infective endocarditis and other cardiovascular infections and their complications,” says course co-director Gosta Pettersson, MD, PhD, a Cleveland Clinic cardiothoracic surgeon and co-chair of the writing committee for the above AATS guidelines.
The course takes the “multidisciplinary” in its name seriously, in at least two critical ways:
- The nearly three dozen course faculty — from Cleveland Clinic, a half dozen other leading U.S. medical centers, plus Kobe University in Japan — represent a broad range of disciplines involved in IE care: cardiac surgeons, cardiologists, cardiac imaging specialists, infectious disease physicians, diagnostic radiologists, neurosurgeons, neurologists, nephrologists and behavioral health specialists.
- In 10 topically focused sessions across two full jam-packed days, the course touches on all aspects of IE management, from diagnosis and all aspects of treatment to the management of the many vexing complications of IE and other heart infections, ranging from kidney failure to embolization. Additionally, numerous case presentations and panel discussions will share how various specialties can learn from each other and how to optimally collaborate in IE management.
The expansive two-day agenda allows for plenty of nuanced focus on narrower questions and challenges often not addressed at meetings. A sampling of presentation titles gives a hint of that focus:
- Choice of Prosthesis in Left-Sided Endocarditis
- The Diagnostic Contribution of MDCT, SPECT, PET-CT, MRI and Other Imaging Modalities
- The Role of the Neurosurgeon in Infective Endocarditis
- Outcome Metrics and Public Reporting for Treatment of Endocarditis
- Fungal Endocarditis
“The program is also designed to put a premium on exploring the many complex clinical decision-making processes involved in infective endocarditis,” notes course co-director Brian Griffin, MD, Cleveland Clinic’s Section Head of Cardiovascular Imaging. “For example, we’ll consider the choice of transthoracic versus transesophageal echocardiography for diagnosing IE in different circumstances, and also the signs and symptoms that indicate a need for surgery, as well as how best to time that surgery.”
“Additional sessions will describe the decision-making approach to managing aortic infections, infections of VADs and sternal wound infections,” notes course co-director Steven Gordon, MD, Chairman of Cleveland Clinic’s Department of Infectious Disease.
“Other sessions will weigh the pros and cons of surgery for infective endocarditis and debate issues associated with surgically treating all patients with prosthetic valve infections,” adds Dr. Pettersson.
All of this can be covered thanks to the division of the course into highly focused 10- or 15-minute presentations, with plenty of panel discussions to allow deeper dives into topics of most interest.
One such high-interest topic — the impact of opioid addiction on IE and its outcomes — will be at the center of a special 90-minute luncheon session.
The symposium is designated for a maximum of 15.75 AMA PRA Category 1 Credits™.
For more information and to register, visit ccfcme.org/endocarditis18.