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The Mark E. Josephson Thirty-First Annual State-of-the -Art Arrhythmia Symposium 2024


LIVEAAPACMEConferences & Symposia
The Mark E. Josephson Thirty-First Annual State-of-the -Art Arrhythmia Symposium 2024 Banner

  • Overview
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Add to Calendar The Mark E. Josephson Thirty-First Annual State-of-the -Art Arrhythmia Symposium 2024 9/7/2024 7:30:00 AM 9/7/2024 5:00:00 PM America/New_York For More Details: https://upenn.cloud-cme.com/arrhythmia2024 Description: The conference materials have been printed and shipped on-site. Any registration received after 10:00 AM on Friday, September 6, 2024 will be considered a walk-in.This is the 31st year for the State-of-the-Art Arrhythmia Symposium. Using a combination of case presentations with audience participation, didactic presentations, and question and answer sessions, our goal is to educate the participants in state-of-the-art i... Philadelphia Marriott Old City false MM/DD/YYYY


Date & Location
Saturday, September 7, 2024, 7:30 AM - 5:00 PM, Philadelphia Marriott Old City, Philadelphia, PA

Course Overview

The conference materials have been printed and shipped on-site. Any registration received after 10:00 AM on Friday, September 6, 2024 will be considered a walk-in.  

This is the 31st year for the State-of-the-Art Arrhythmia Symposium. Using a combination of case presentations with audience participation, didactic presentations, and question and answer sessions, our goal is to educate the participants in state-of-the-art information on invasive and non-invasive electrophysiologic and electrocardiographic tools used in the current diagnosis, evaluation and treatment of cardiac rhythm disorders. The program is taught by members of the faculty and staff from the University of Pennsylvania Health System, Department of Electrophysiology, in addition to invited speakers from other institutions. The course is structured to meet the educational needs of electrophysiologists, cardiologists, internists, nurses, and associated professionals with an interest in the care of patients with cardiac rhythm disorders. In addition to the morning session with lectures aimed at the entire audience, there are three breakout sessions in the afternoon aimed at 1) associated professionals 2) general cardiology and 3) an advanced electrophysiology session aimed at EP fellows, electrophysiologists, and EP lab staff. The State-of-the-Art Symposium is coupled each year with the Leonard N. Horowitz Memorial Lecture which is given by a leader in cardiology.


Target Audience
Specialties - INTERNAL MEDICINE - Cardiovascular Disease, INTERNAL MEDICINE - Clinical Cardiac Electrophysiology, INTERNAL MEDICINE - Interventional Cardiology

Learning Objectives

After completing this activity, participants should be able to:


  1. Describe the appropriate evaluation of patients with frequent PVCs and NSVT as well as indications for treatment including ablation and antiarrhythmic medications
  2. Identify ECG clues to detect patients at risk for sudden death.
  3. Explain the use and value of new techniques and technologies employed for complex EP device and ablation cases.
  4. Describe evaluation and new treatment for patients presenting with POTS, inappropriate sinus tachycardia and neurocardiogenic syncope.
  5. Apply in practice the newest information regarding evaluation and treatment of atrial arrhythmias including screening for episodes and ablation indications, techniques, and endpoints
  6. Discuss the indications for “leadless” pacing and defibrillating devices
  7. Discuss the indications, contraindications, and complications associated with left atrial (LA) appendage occlusion and closure
  8. Review the methods, techniques, associated tools, and equipment including emerging technologies to perform to catheter ablation of atrial fibrillation and flutter
  9. Describe the importance of risk modification in the treatment of atrial fibrillation
  10. Apply into practice the ECG patterns/clinical characteristics, evaluation, and treatment of patients with genetically linked arrhythmia syndromes
  11. Describe common cardiac rhythm device implantation complications and malfunction

Registration
LIVE AND VIRTUAL PRESENTATIONS
The Mark E. Josephson Thirty-First Annual State-of-the-Art Arrhythmia Symposium will be held Saturday, September 7, 2024 by in-person or live-stream (virtual) attendance. The live and virtual presentations will follow the scheduled agenda in real time (EDT).
 
TO ATTEND IN-PERSON:
Meeting Location
Marriott Old City
One Dock Street
Philadelphia, PA 19106
 
TO ATTEND BY LIVE-STREAM (VIRTUAL):
Attendees who are registered to attend virtually will receive an email including the link to join the symposium 48 hours in advance. All virtual attendees will be required to sign into the meeting using your first name, last name and email address in order to be marked as attended, receive credit and view the recordings.
 
REGISTRATION FEES
IN-PERSON ATTENDANCE:
The fees to attend in-person are as follows: $90 for physicians and industry attendees, $75 for nurse practitioners, physician assistants and other healthcare professionals. There is no fee for residents, fellows, students and Penn Medicine employees, faculty and staff to attend.
 
All pre-registered, in-person attendees will receive access to the conference, attendee booklet, continental breakfast, lunch, breaks and the reception. Registration also includes access to view the presentations online for one year. Walk-ins are discouraged. Please be sure to register in advance.
 
LIVE-STREAM (VIRTUAL) ATTENDANCE:
The fee to attend this symposium virtually is $75 for all attendees.

48 hours prior to the symposium, all registered attendees will receive an email that includes a link with instructions to join the virtual platform,  as well as the downloadable booklet. Registration also includes access to view the presentations online for one year.
 
How to Register? Click either the LIVE STREAM or IN-PERSON attendance option and then select the appropriate fee. 

PLEASE NOTE:
If you do not already have a UPenn Cloud CME profile, first create one before registering for this activity. Start by clicking on the "SIGN-IN" button in the toolbar at the top left.  Then click the "SIGN-IN WITH EMAIL AND PASSWORD” option, followed by clicking "CREATE NEW ACCOUNT" for your initial entry. DO NOT CREATE A NEW PROFILE IF YOU ALREADY HAVE ONE. Penn Medicine employees sign in with the PennKey and password option.

Need to Register by Mail?
Please note: mailed registrations can take up to 5-10 business days before they are received because we continue to experiencing longer delays receiving mail. We encourage all attendees to register online. See the registration form for mailing instructions. All registrations will be confirmed by email as long as your registration is received no later than September 5, 2024.

Please save our Penn Medicine email ([email protected]) to alleviate our emails going to spam. 

Accreditation
In support of improving patient care, Penn Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.  
 
Designation of Credit
Physicians: Penn Medicine designates this live activity for a maximum of 7.75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
Nurses: This program provides 7.75 NCPD hours.
 
Physician Assistants: Penn Medicine has been authorized by the American Academy of PAs (AAPA) to award AAPA Category 1 CME credit for activities planned in accordance with AAPA CME Criteria. This activity is designated for 7.75 AAPA Category 1 CME credits. PAs should only claim credit commensurate with the extent of their participation.

Credits
AMA PRA Category 1 Credits™ (7.75 hours), American Academy of Physician Assistants (7.75 hours), Non-Physician Attendance / Participation (7.75 hours)

Additional Information
Cancellation Policy
In order to process refunds for course withdrawals, cancellations must be received in writing by August 23, 2024 (subject to a service charge equivalent to 10% of the registration fee, but no less than $25.00). No refunds will be issued thereafter. 

The University reserves the right to cancel or postpone any course due to unforeseen circumstances. In the event of cancellation or postponement, the University will refund registration fees but is not responsible for related costs or expenses to participants, including cancellation fees assessed by hotels, airlines, and travel agencies.

Mitigation of Relevant Financial Relationships


Penn Medicine adheres to the ACCME’s Standards for Integrity and Independence in Accredited Continuing Education. Any individuals in a position to control the content of a CE activity, including faculty, planners, reviewers or others are required to disclose all relevant financial relationships with ineligible entities (commercial interests). All relevant conflicts of interest have been mitigated prior to the commencement of the activity.

Monica Austin, PA-C
Physician Assistant
Chester County Hospital
West Chester, PA
Trevor Bonney Jr., PA-C
Physician Assistant
Penn Medicine
Philadelphia, PA
Monique Brooks, CRNP
Penn Medicine
Perkasie, PA
John Bullinga, MD
Director, Cardiac Electrophysiology
Penn Presbyterian Medical Center
Philadelphia, PA
David Callans, MD
Penn Medicine
Philadelphia, PA
Kirstan Clay-Weinfeld, MSN, RN
Nurse Practitioner
Penn Medicine
Philadelphia, PA
Kristine Conn, RN
Nurse Manager
Penn Medicine
Sewell, NJ
Benjamin D'Souza, MD
University of Pennsylvania
Bala Cynwyd, PA
Rajat Deo, MD
Penn Medicine
Philadelphia, PA
Sanjay Dixit, MD
Professor
Penn Medicine
Philadelphia, PA
Andres Enriquez, MD
Associate Professor
Hospital of the University of Pennsylvania
Wynnewood, PA
Andrew E. Epstein, MD
Professor of Medicine
University of Pennsylvania
Philadelphia, PA
David Frankel, MD
Professor of Medicine
Penn Medicine
Philadelphia, PA
Fermin Garcia, MD
Penn Medicine
philadelphia, PA
Edward Gerstenfeld, MD
Prof of medicine
UCSF School of Medicine
San Francisco, CA
Gustavo S Guandalini, MD
Penn Medicine
Narberth, PA
Balaram Krishna J Hanumanthu, MBBS
University of Pennsylvania
Philadelphia, PA
Haris M Haqqani, MBBS PhD
Associate Professor
University of Queensland, Prince Charles Hospital
Brisbane, Australia
Robert Hipp, PA-C
Physician Assistant
Penn Medicine
Macungie, PA
Matthew C. Hyman, MD, PhD
Assistant Professor of Medicine
Penn Medicine
Philadelphia, PA
Ramanan Kumareswaran, MD
Penn Medicine
Philadelphia, PA
David Lin, MD
Penn Medicine
Philadelphia, PA
Jeffrey J Luebbert, MD
Clinical Assistant Professor of Medicine
University of Pennsylvania
Mount Laurel Township, PA
Francis Marchlinski, MD
Penn Medicine
Philadelphia, PA
Timothy Markman, MD
Assistant Professor of Medicine
Penn Medicine
Wynnewood, PA
Alanna Miller, CRNP RN
CRNP
Penn Presbyterian
Conshohocken, PA
Tracey Munson, NP
Nurse Practitioner
The Hospital of the University of Pennsylvania
Wallingford, PA
Saman Nazarian, MD
Professor of Medicine
Penn Medicine
Philadelphia, PA
Tara Parham-Graham, CRNP RN
Nurse Practitioner
University of Pennsylvania Health System
Philadelphia, PA
Ashley Penza, CRNP RN
Penn medicine
Cherry hill, NJ
Michael Riley, MD
Penn Medicine
Philadelphia, PA
Robert D. Schaller, MD
Penn Medicine
Philadelphia, PA
Caroline Scherer, PA-C
Penn Medicine
Newtown Square, PA
Vincent Y See, MS
PSOM/PAH/HUP
Philadelphia, PA
Maully Shah, MBBS, FACC, FHRS, CCDS, CEPS
Professor of Pediatrics
Children's Hospital of Philadelphia
Philadelphia, PA
Poojita Shivamurthy, MD
Assistant Professor in Clinical Medicine
Hospital of the University of Pennsylvania
Philadelphia, PA
Justin E Sowers, PA-C
Physician Assistant
Hospital of the University of Pennsylvania
Philadelphia, PA
Gregory Supple, MD
Penn Medicine
Philadelphia, PA
Cory M Tschabrunn, PhD
Penn Medicine
Philadelphia, PA
Emily S Winkler, PA-C
Physician Assistant
Penn Medicine
Marlton, PA
Christian Yacono, MD
Physician Assistant
Penn Medicine
Philadelphia, PA
Erica Zado, PA-C
Physician Assistant
Penn Medicine
Philadelphia, PA

Saturday, September 7, 2024

Coffee and Light Breakfast
7:00AM - 7:30AM
Morning Combined Group Session

Moderator: Francis Marchlinksi, MD
Welcome and Introduction
7:30AM - 7:35AM
Francis Marchlinski, MD
Nonsustained Ventricular Tachycardia: What We Know and Don’t Know
8:05AM - 8:30AM
Gregory Supple, MD

• Appropriate testing
• ECG markers of risk
• Imaging markers of risk
• When to consider programmed stimulation in EP lab?
• How to best monitor
• Who gets an ICD?

Role of Catheter Ablation in HFpEF and Advanced HF
8:30AM - 8:45AM
Matthew C. Hyman, MD, PhD
Medications Versus Catheter Ablation as Initial Afib Therapy – Changing the Order of Things?
8:45AM - 9:00AM
Francis Marchlinski, MD
Epicardial Ablation and Ligament of Marshall Alcohol Ablation to Overcome the Challenges Associated with Advanced Atrial Disease
9:00AM - 9:15AM
Fermin Garcia, MD
State of the Art Lecture (20 minute presentation + 5 min Q and A): New Considerations Regarding Anticoagulation
9:15AM - 9:40AM
David Callans, MD
Break and Visit Exhibits
9:40AM - 10:10AM
Panel Discussion: Atrial Fibrillation Management (Case based presentation/audience response)
10:10AM - 10:40AM
Francis Marchlinski, MD (Moderator)
David Callans, MD (Panelist)
Andrew E. Epstein, MD (Panelist)
Fermin Garcia, MD (Panelist)
Matthew C. Hyman, MD, PhD (Panelist)
Haris M Haqqani, MBBS PhD (Panelist)

• Why the excitement regarding pulsed field ablation?
• How to select the best drug therapy?
• Can we stop anticoagulation after catheter ablation in moderate risk patients?

Debate: Patients With Frequent PVCs Should Undergo PVC Ablation Even in the Absence of Symptoms or LV Dysfunction (PRO)
10:40AM - 10:55AM
David Frankel, MD
Debate: Patients With Frequent PVCs Should Undergo PVC Ablation Even in the Absence of Symptoms or LV Dysfunction (CON)
10:55AM - 11:10AM
Robert D. Schaller, MD
Q&A
11:10AM - 11:15AM
Lunch and Visit Exhibits
12:00PM - 1:00PM
Mark E. Josephson Keynote ECG Lecture

The ElectroPHYSIOLOGY of Pacing: When the 12-lead ECG Defines Procedural Success
7:35AM - 8:05AM
Haris M Haqqani, MBBS PhD

• Issues with conventional RV and BiV pacing
• ECG and mechanical dyssynchrony
• Anatomic subtleties of the conduction system
• Optimal pacing site to capture the conduction system?
• Defining conduction system capture with the ECG

Leonard N. Horowitz M.D. Memorial Lecture - Keynote

Can We Treat Atrial Fibrillation Early Before Remodeling Occurs?
11:15AM - 12:00PM
Edward Gerstenfeld, MD

• New information about ectopy induced atrial remodeling
• Can we prevent progressive atrial fibrosis?
• Why recent clinical trials have put AFFIRM to rest

Advanced EP Afternoon Session – PART I

Moderator: Saman Nazarian, MD, PhD
Fluoro-less Mapping and Ablation – Pearls and Challenges
1:00PM - 1:30PM
Andres Enriquez, MD

• What are the goals?
• How to be safe and achieve successful procedural outcomes
• New study results

Challenges With PFA and How to Avoid or Minimize
1:30PM - 2:00PM
Edward Gerstenfeld, MD

• Coronary spasm
• Hemolysis and renal dysfunction
• Phrenic nerve injury

Pulsed Field Ablation in the Ventricle
2:00PM - 2:30PM
Cory M Tschabrunn, PhD

• Review of current technologies under development
• Safety and efficacy data from pre-clinical studies
• Next steps for clinical translation and evaluation

Challenging WPW Cases
2:30PM - 3:10PM
Maully Shah, MBBS, FACC, FHRS, CCDS, CEPS

• Multiple bypass tracts
• Diverticuli
• Ebstein’s Anomaly
• Mastering mid septal pathways

Associated Professionals Afternoon Breakout Session – PART I

Moderator: Kristine Conn, MSN, RN
Update on the ACC/AHA Atrial Fibrillation Guidelines – What’s New?
1:00PM - 1:30PM
Robert Hipp, PA-C

• Importance of early rhythm control
• Updated indications for catheter ablation and LAAO
• Thinking beyond CHA2DS2-VASc score for stroke prediction/prevention
• Treatment of AF associated with non-cardiac illness and surgery

New Ablation and Device Technologies – 2024 Update
1:30PM - 2:10PM
Christian Yacono, MD

• Pulsed field ablation for AF
• Extravascular ICD
• Dual chamber leadless pacemaker
• Radiation therapy for VT

Panel Discussion/Audience Response: Case Presentations Highlighting the Management of Complications Observed After Device Implantation
2:10PM - 3:10PM
Kirstan Clay-Weinfeld, MSN, RN (Panelist)
Alanna Miller, CRNP RN (Panelist)
Tracey Munson, NP (Panelist)
Caroline Scherer, PA-C (Moderator)
Monique Brooks, CRNP (Panelist)
Justin E Sowers, PA-C (Panelist)

• Wound hematoma
• Infection
• Tamponade
• Pneumothorax

General Cardiology Afternoon Session – PART I

Moderator: Michael Riley, MD, PhD
Vasovagal Syncope and POTS
1:00PM - 1:25PM
Timothy Markman, MD

• High risk conditions
• Medical treatment recommendations
• Role of pacing therapy
• Role of neuromodulation

Device Diagnostic Information for Optimizing Evaluation and Treatment of VPDs and Sustained Ventricular Arrhythmias
1:25PM - 1:50PM
Poojita Shivamurthy, MD

• Clues to establish VT diagnosis
• Identification of “clinical” VT/PVC
• Identifying PVC burden before and after therapy
• Clues for identifying septal or free wall origin

Syncope 3.0
1:50PM - 2:15PM
Ramanan Kumareswaran, MD

• Clues to distinguish benign from malignant syncope
• Who should undergo EP evaluation?
• Threshold for implantable monitor implantation
• Common bradycardia syndromes
• Unusual arrhythmic causes for syncope

Focused Overview on Leadless Devices (15 minutes with 5 minute Q&A)
2:15PM - 2:35PM
Robert D. Schaller, MD
Case Discussions/Audience Participation
2:35PM - 3:10PM
John Bullinga, MD
Jeffrey J Luebbert, MD
Robert D. Schaller, MD
Gregory Supple, MD (Moderator)
Haris M Haqqani, MBBS PhD
Balaram Krishna J Hanumanthu, MBBS

• Patient selection for leadless pacing
• Patient selection for nonvascular defibrillator
• Technical implant and removal considerations
• Efforts to maintain AV synchrony.
• Outcome comparison with devices that have intravascular leads

Break and Visit Exhibits
3:10PM - 3:30PM
Advanced EP Afternoon Session – PART II

Moderator: Francis Marchlinski, MD
What have we learned about non PV Afib triggers?
3:30PM - 3:45PM
Francis Marchlinski, MD
Role of CO2 insufflation for pericardial adhesion identification
3:45PM - 4:00PM
Matthew C. Hyman, MD, PhD
Vertebral vein stimulation – Lessons learned
4:00PM - 4:15PM
Timothy Markman, MD
High output pacing to identify VT circuits
4:15PM - 4:30PM
Sanjay Dixit, MD
New Directions in Mapping and Imaging to Improve Ablation Outcomes
4:30PM - 5:00PM
Saman Nazarian, MD

• High density mapping catheters
• High density signal analysis techniques
• Imaging non-viable myocardium: fibrosis versus fat, and why it matters

Associated Professionals Afternoon Breakout Session – PART II

Moderator: Trevor Bonney, PA-C
Demystifying Localization of Arrhythmias on ECG and in the EP Lab
3:30PM - 4:00PM
Andres Enriquez, MD

• Basics of entrainment and pacemapping
• ECG clues to PVC/VT localization prior to ablation
• SVT discrimination on the ECG and in the EP lab

ECG and Device Jeopardy
4:00PM - 5:00PM
Tara Parham-Graham, CRNP RN (Panelist)
Erica Zado, PA-C (Moderator)
Monica Austin, PA-C (Panelist)
Ashley Penza, CRNP RN (Panelist)
Emily S Winkler, PA-C (Panelist)

• Device malfunction and diagnostics
• Bradycardia and conduction disturbance
• Tachycardia
• “Can’t miss” ECGs and device electrograms

General Cardiology Afternoon Session - PART II

Moderator: David Lin, MD
Additional Afib Treatment Pearls-Considerations
3:30PM - 3:55PM
Saman Nazarian, MD

• Role of diet and GLP inhibitors in controlling Afib
• AF ablation therapy in asymptomatic patients
• Cognitive decline in Afib – How strong is the evidence?

Case Presentations/Audience Response – Genetically Linked Syndromes
3:55PM - 5:00PM
Rajat Deo, MD (Moderator)
Andrew E. Epstein, MD (Panelist)
Gustavo S Guandalini, MD (Panelist)
David Lin, MD (Panelist)
Benjamin D'Souza, MD (Panelist)
Vincent Y See, MS (Panelist)

The CME/CNE-accredited symposium, The Mark E. Josephson Thirty-First Annual State-of-the-Art Arrhythmia Symposium 2024 will be presented Saturday, September 7, 2024, at the Marriott Old City, One Dock Street, Philadelphia, PA 19106.
 
Standard exhibit space is available during this event at $4,000.00 per table. Each exhibitor will receive a standard 6’ table.  A tablecloth and electric will be provided, if required. Your company will be acknowledged in the conference materials, on the signage and by the course director(s) during the welcome address. 
 
In addition to the standard table display, we are now offering a branded display. This includes the standard exhibit space and the addition of either a hands-free sanitizing station or a branded locker charging station at $8,000.00 per table. Custom Branding Stations will consist of a 19-inch LCD screen and dual-speakers for your promotional media. Videos (MP4) or images (PNG) of any size with aspect ratio of 16:9. 

If you are interested in reserving exhibit space, please complete and sign the attached Exhibitor Agreement and return it along with your exhibit fee to my attention. Please feel free to contact us with any questions at [email protected].

Contact Us:
Crystal Mathis
Penn Medicine
3400 Civic Center Boulevard
JMEC, 6th Floor, Building 421
Philadelphia, PA 19104-5162
Phone: 2158988005
Email: [email protected]



Exhibitor Packages

Exhibitor Package - Standard Exhibit Opportunity Price: $4000.00
Includes:
  • Recognition as a Standard Display Exhibitor
  • (1) 6ft. Tabletop display, (2) chairs, electricity
  • Number of Exhibitor Badges: 2
  • Complimentary continental breakfast, refreshments and lunch (available with Exhibitor Badge)
  • Product to be shipped directly to facility by exhibitor at own cost. Call for details.
  • Exhibit Location: Foyer; Unassigned Table

Deadline for order commitment is 8/30/2024 12:00:00 AM.

Exhibitor Package - Branded Exhibit Opportunity Price: $8000.00
Includes:
  • Recognition as a Branded Table-top Exhibit Exhibitor
  • Custom Branding Stations will consist of a 19-inch LCD screen and dual-speakers for your promotional media. Videos (MP4) or images (PNG) of any size with aspect ratio of 16:9, (1) 6ft. Tabletop display, (2) chairs, electricity
  • Number of Exhibitor Badges: 2
  • Complimentary continental breakfast, refreshments and lunch (available with Exhibitor Badge)
  • (1) 6ft. Tabletop display, (2) chairs, electricity
  • Exhibit Location: Foyer; Unassigned Table

Deadline for order commitment is 8/30/2024 12:00:00 AM.

Post-Test
The post-test will not be available until attendance has been verified for virtual attendees.  Once available, an email will be sent to alert you that the test has been enabled. 
Purchase

Office of Continuing Medical and Interprofessional Education, Penn Medicine, JMEC, SPE, 6th Floor, 3400 Civic Center Boulevard, Building 421, Philadelphia, PA 19104-5162 
Contact us:  [email protected] | 215-898-8005 © 2019 The Trustees of the University of Pennsylvania. Privacy Policy
 
UPenn is Joint Accredited for Interprofessional Continuing Education
In support of improving patient care, Penn Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
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