1.00 / AMA PRA Category 1 CreditTM 1.00 / CE for Pharmacists (0.10 CEUs)
This activity is provided by The Cleveland Clinic Foundation Center for Continuing Education.
The Cleveland Clinic Foundation Center for Continuing Education acknowledges an educational grant for support of this activity from Novartis Pharmaceuticals Corporation.
The interactive Webinar “Advances in Heart Failure Pharmacotherapy” is based on a videotaped “Tall Rounds” didactic presentation of the same name held at the Heart and Vascular Institute of the Cleveland Clinic on November 2, 2016. The “Tall Rounds” expert faculty discusses heart failure agents and recommendations for their use, as described in the 2013 American College of Cardiology Foundation (ACCF)/American Heart Association (AHA) Guideline for the Management of Heart Failure. Topics include conventional drug classes, such as angiotensin-converting enzyme (ACE) inhibitors, angiotensin II receptor blockers (ARBs), beta blockers, diuretics, and aldosterone antagonists; the role of new and emerging agents with novel mechanisms of action; safety and efficacy data of new agents, based on clinical trials; and the potential role of new agents in practice. Discussion concludes with a look at how a multidisciplinary team approach to management can benefit patients with chronic heart failure.
Table of Contents
Introduction When to Consider Aldosterone Receptor Antagonists When to Consider Sacubitril/Valsartan When to Consider Ivabradine Adverse Effects, Dose Titration and Contraindications Panel Discussion & Questions
This activity has been designed to address the educational needs of physicians and pharmacists. It may also be of benefit to other healthcare providers such as PAs, nurse practitioners, and other healthcare professionals who make up the multidisciplinary team responsible for the treatment of patients with chronic heart failure.
Upon proper completion of this activity, participants should be better able to:
Summarize recommendations for pharmacologic treatment of chronic heart failure according to current clinical data and the 2013 ACCF/AHA Guideline for the Management of Heart Failure
Describe the mechanisms of action of, clinical evidence for, and appropriate use of newer chronic heart failure therapies
Explain the benefits of a multidisciplinary team approach to treating patients with chronic heart failure, using examples of potential collaboration among healthcare practitioners
Conflict Of Interest Disclosure Policy
In accordance with the Standards for Commercial Support issued by the Accreditation Council for Continuing Medical Education (ACCME), The Cleveland Clinic Foundation Center for Continuing Education requires resolution of all faculty conflicts of interest to ensure CME activities are free of commercial bias.
W. H. Wilson Tang, MD (Chair) Director Center for Clinical Genomics Research Director and Staff Cardiologist Section of Heart Failure and Cardiac Transplantation Medicine Cleveland Clinic Professor of Medicine Cleveland Clinic Lerner College of Medicine of Case Western Reserve University Cleveland, OH
Dr. Tang has no financial relationships to disclose.
Nancy M. Albert, PhD, CCNS, CHFN, CCRN, NE-BC, FAHA, FCCM, FAAN Associate Chief Nursing Officer Office of Nursing Research and Innovation Cleveland Clinic Health System Clinical Nurse Specialist Kaufman Center for Heart Failure Heart and Vascular Institute Cleveland Clinic Cleveland, OH
Dr. Albert has the following financial relationships to disclose: Consulting: Novartis Pharmaceuticals Corporation Teaching/Speaking: Amgen Inc.; Novartis Pharmaceuticals Corporation
Eiran Z. Gorodeski, MD, MPH Director Center for Connected Care Staff Cardiologist Section of Heart Failure and Cardiac Transplantation Medicine Cleveland Clinic Assistant Professor of Medicine Cleveland Clinic Lerner College of Medicine of Case Western Reserve University Cleveland, OH
Dr. Gorodeski has the following financial relationships to disclose: Consulting: Novartis Pharmaceuticals Corporation
Antonio L. Perez, MD Fellow, Advanced Heart Failure and Transplant Cardiology Cleveland Clinic Cleveland, OH
Dr. Perez has no financial relationships to disclose.
J. Bradley Williams, PharmD, BCPS Heart Failure/Heart Transplant Clinical Pharmacy Specialist Department of Pharmacy Cleveland Clinic Cleveland, OH
Dr. Williams has no financial relationships to disclose.
Activity Director: Katherine J. Hoercher, RN, FAHA Senior Director Heart and Vascular Institute Director Kaufman Center for Heart Failure Director of CME Education Heart and Vascular Institute Clinical Lead Care Paths and Bundles Cleveland Clinic Cleveland, OH
Accredited Provider Disclosure
All other planners, CME staff, and content reviewers, have no relevant financial relationships to disclose.
Katherine J. Hoercher, RN, FAHA, has no financial relationships to disclose. Amanda Glazar, PhD, has no financial relationships to disclose. Laura Gilsdorf has no financial relationships to disclose.
AMA PRA Category 1 Credit(s)TM
The Cleveland Clinic Foundation Center for Continuing Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The Cleveland Clinic Foundation Center for Continuing Education designates this enduring material for a maximum of 1.00 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Participants claiming CME credit from this activity may submit the credit hours to the American Osteopathic Association for Category 2 credit.
CE for Pharmacists
Global Education Group is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education.
Global Education Group designates this continuing education activity for 1.00 contact hour (0.10 CEUs) of the Accreditation Council for Pharmacy Education.
(Universal Activity Number – 0530-9999-16-415-H01-P)
This is a knowledge-based activity.
This activity is provided by Global Education Group.
PA Continuing Education AAPA accepts certificates of participation for educational activities certified for AMA PRA Category 1 CreditTM from organizations accredited by ACCME or a recognized state medical society. PAs may receive a maximum of 1.00 Category 1 credits for completing this activity.
Nurse Practitioner Continuing Education The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts certificates of participation for educational activities certified for AMA PRA Category 1 CreditTM from organizations accredited by the ACCME. Individuals are responsible for checking with the AANPCP for further guidelines.
The information in this educational activity is provided for general medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options of a specific patient’s medical condition. The viewpoints expressed in this CME activity are those of the authors/faculty. They do not represent an endorsement by The Cleveland Clinic Foundation. In no event will The Cleveland Clinic Foundation be liable for any decision made or action taken in reliance upon the information provided through this CME activity.
To receive a CE certificate of participation, you should:
Follow the "Start Activity" button to go to the Paradigm Medical Communications website, where you will complete the pretest.
View the online activity in its entirety.
Complete and submit the online post-test and evaluation. You must answer 70% of the post-test questions correctly to earn credit. You will have unlimited opportunities to successfully complete the post-test.
A certificate of participation will be available for download/printing immediately following your successful completion of the post-test and evaluation. Your certificate will be saved on the Paradigm Medical Communications website and will not be available in your myCME CME History.
Please note: To claim CPE credit, please make sure you include your date of birth and NABP number. All credit information will be uploaded into CPE Monitor within 30 days.
There is no fee required for participation in this activity.
For questions regarding CE credit, contact the Paradigm CME Department at (845) 398-5949.
Technical Support: If you have any technical problems or playback issues, please email Paradigm at firstname.lastname@example.org.
The Cleveland Clinic Foundation, Global Education Group and Paradigm Medical Communications, LLC are committed to protecting the privacy of those who participate in the activities (herein referred to as “website") located at www.paradigmmc.com. The information below describes the security of the website for safeguarding personal information and the rationale for collection and use of personal information.
Security/safeguarding personal information This website has physical and procedural safeguards in place to prevent unauthorized access to personal information used to access this website.
Collection and use of your personal information The submission of certain personally identifiable information is necessary to award and track the credits participants may earn after completing the program. Required items include first name, last name, degree, and email address. These items are necessary. Participants are also required to complete an evaluation of the CME activity. All evaluative information submitted is collected and retained, and used by the Cleveland Clinic Foundation, Global Education Group and Paradigm Medical Communications, LLC to continuously improve the learning experience.
The Cleveland Clinic Foundation, Global Education Group and Paradigm Medical Communications, LLC does not transfer, sell, or share personal information with outside parties. The Cleveland Clinic Foundation, Global Education Group and Paradigm Medical Communications, LLC will not otherwise disclose personal information unless required to in a legal process. The Cleveland Clinic Foundation, Global Education Group and Paradigm Medical Communications, LLC staff members review individual test results to the extent necessary to record and track participants’ credits.