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0351_SHVGR_When Surgery Makes Sense for Asymptomatic Valvular Disease_Live_2024
Description:
How can we determine when a patient requires surgery for valvular disease? What if a patient is asymptomatic, does it then make sense to proceed with surgery and if so, what types of surgeries are available for consideration? This presentation is designed to help clinicians make informed, evidence-based decisions to these questions including identifying key indicators for performing surgery as well as considering any contraindications.
Target Audience
Nurse Practitioner (NP)
Nurse, Registered (RN)
Pharmacists (PharmD)
Physicians (MD or DO)
Physician Assistant (PA)
Psychologists
Social Workers
Other Healthcare Professionals
Students of Health Professions
Learning Objectives
After completing this course, learners should be able to:
• Review natural history of mitral valve regurgitation.
• Discuss indicators for surgery to treat asymptomatic mitral regurgitation.
• Appraise individual contraindications or benefits to minimally invasive cardiac surgery and refer patient appropriately.
References Provided for Self-Directed Learning in Compliance with Assembly Bills 1195 & 241- Providing Culturally Appropriate Care which is Free of Implicit Biases:
- Nathan AS, Yang L, Yang N, Eberly LA, Khatana SAM, Dayoub EJ, Vemulapalli S, Julien H, Cohen DJ, Nallamothu BK, Baron SJ, Desai ND, Szeto WY, Herrmann HC, Groeneveld PW, Giri J, Fanaroff AC. Racial, Ethnic, and Socioeconomic Disparities in Access to Transcatheter Aortic Valve Replacement Within Major Metropolitan Areas. JAMA Cardiol. 2022 Feb 1;7(2):150-157. doi: 10.1001/jamacardio.2021.4641. https://pubmed.ncbi.nlm.nih.gov/34787635/
- Chinta VR, Maddika SR, Abader P, Elbeblawy R, Jagadish PS, Ashraf U, Vallurupalli S, Ibebuogu UN, Khouzam RN. Aortic Stenosis in African Americans: Focus On Disparities in Treatment and Outcomes. J Natl Med Assoc. 2019 Jun;111(3):328-333. doi: 10.1016/j.jnma.2018.11.004. https://pubmed.ncbi.nlm.nih.gov/30591233/
- Ahmed Y, van Bakel PAJ, Hou H, Sukul D, Likosky DS, van Herwaarden JA, Watkins DC, Ailawadi G, Patel HJ, Thompson MP; Structural Heart and Aortic Diseases Outcomes Research Workgroup Investigators. Racial and ethnic disparities in diagnosis, management and outcomes of aortic stenosis in the Medicare population. PLoS One. 2023 Apr 10;18(4):e0281811. doi: 10.1371/journal.pone.0281811. https://pubmed.ncbi.nlm.nih.gov/37036876/
Disclosure of Financial or In-Kind Commercial Support & Conflict of Interest
Junaid Khan, faculty for this activity, receives consultant and speaker fees from Edwards, Medtronic, AngioDynamics, AtriCure, and Abbot. These ineligible financial relationships were mitigated via peer review by Drs. Russell Stanten and Keith Korver, whom neither of which have any ineligible relationships.
Sophia Humphreys, a planning team member for this activity, receives honoraria form Pharmacosmos for her role consulting on the IV Iron Consensus paper which was deemed not relevant to this activity’s topic. Further, she has recently ended financial relationships with the following ineligible companies: Coherus Bioscience (ended 11/2021), Fresenius Kabi (ended 10/2022), and Heron (ended 10/2022).
No one else involved in the planning or presentation of this educational activity have any relevant financial relationship(s) to disclose with ineligible companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients. No financial or in-kind commercial support was received to produce or promote this educational activity.
– Provider Designee/Verification: Kerri Maya, PhD (c), MSL, RN, NPD-BC
Keith Korver, Board certified cardiothoracic surgeon
Russell Stanten
Junaid Khan
Accreditation
In support of improving patient care, Sutter Health, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), the American Nurses Credentialing Center (ANCC), and the Association of Social Work Boards (ASWB) to provide continuing education for the healthcare team.
Credit Designation Statement
Sutter Health designates this LIVE activity for a maximum of 1.0 AMA PRA Category 1 Credits™ for physicians, 1.0 continuing professional development contact hours for nurses, 1.0 knowledge-based contact hours for pharmacists, and 1.00 approved continuing education hours for social workers. Learners should claim only the credit commensurate with the extent of their participation in the activity.
Note to Other Disciplines: AMA PRA Category 1 Credits™ Continuing Medical Education is acceptable for meeting the continuing education requirements for Pharmacists, Physician Assistants, Psychologists, Registered Nurses, and Respiratory Care Practitioners. For other disciplines, please check with the regulatory board for your discipline to confirm what type of credits meet the continuing education requirements. Continuing education hours for nurses accredited by ANCC, via Joint Accreditation.
Attendance & Credit Claiming
Text the 6-letter attendance verification code to (916) 866-7913 to claim credit.
Available Credit
- 1.00 ACPE
In support of improving patient care, Sutter Health, 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.
Sutter Health designates this Live activity for a maximum of 1.00 of ACPE credit(s). Credits for pharmacists and technicians will be transmitted to CPE Monitor and will be available within 60 days post-activity pending submission of individual NABP e-PID and DOB (mm/dd only). Learners should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 AMA PRA Category 1 Credit™
In support of improving patient care, Sutter Health, 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.
Sutter Health designates this Live activity for a maximum of 1.00 AMA PRA Category 1 Credit™ for physicians. Learners should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 AMA PRA Category 1 Credit™ Hour(s)
In support of improving patient care, Sutter Health, 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.
Sutter Health certifies this Live activity was designated for a maximum of 1.00 AMA PRA Category 1 Credit™ Hour(s). Non-physicians should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 ANCC
In support of improving patient care, Sutter Health, 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.
This course/program has been awarded 1.00 ANCC contact hour(s). Sutter Health is accredited provider of nursing continuing professional development. Learners should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 ASWB-ACE
As a Jointly Accredited Organization, Sutter Health is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved under this program. Regulatory boards are the final authority on courses accepted for continuing education credit. Social workers completing this course receive 1.00 continuing education credits.
- 1.00 CA BRN
This activity is approved for 1.00 contact hour(s) by Sutter Health, which is an approved provider by the California Board of Registered Nursing. (Provider Number 17182). Learners should claim only the credit commensurate with the extent of their participation in the activity.
- 1.00 IPCE
This activity was planned by and for the healthcare team, and learners will receive 1.00 Interprofessional Continuing Education (IPCE) credit for learning and change.
