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Critical Assessment and Diagnostic Strategies for HFpEF: A Stepwise Approach for the Cardiovascular Clinician

Critical Assessment and Diagnostic Strategies for HFpEF: A Stepwise Approach for the Cardiovascular Clinician

Format

Cases

Time to Complete

30 minutes

Released

June 18, 2019

Expires

July 31, 2020
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Maximum Credits

0.50 / AMA PRA Category 1 CreditTM
0.50 / CNE Contact Hour

Accredited Provider

Provided by the American College of Cardiology Foundation in collaboration with Haymarket Medical Education

Commercial Supporter

Supported by an educational grant from Novartis Pharmaceuticals Corporation

Program Description

While there is a broad evidence base to guide clinicians on the treatment of heart failure with reduced ejection (HFrEF), there is a dearth of data on what works best in patients with HF with preserved ejection fraction (HFpEF). Nevertheless, the percentage of patients with HFpEF is high—and outcomes are not substantially different from those in HFrEF. In this myCMETM House Call video, a noted expert uses a case study to demonstrate a patient-specific stepwise approach to treatment of HFpEF that is tailored to the individual patient phenotype. In addition to providing practical guidance on management, the patient-clinician dialogue serves as a model of good practices in patient-clinician communication and shared decision-making.

Intended Audience

This activity is intended for cardiologists, internists, primary care physicians, nurses, nurse practitioners (NPs), physician assistants (PAs), and other clinicians who manage patients with chronic heart failure

Educational Objectives

At the conclusion of this activity, participants should be better able to:

  • Compare and contrast assessment findings in HFrEF vs HFpEF
  • Interpret diagnostic findings indicative of HFpEF
  • Tailor individualized treatment regimens using shared decision-making

Accredited Provider Disclosure of Conflicts of Interest Statement & Disclosure Policy

As a provider accredited by the Accreditation Council for Continuing Medical Education (ACCME) and the American Nurses Credentialing Center (ANCC), the American College of Cardiology Foundation (ACCF) must ensure balance, independence, objectivity, and scientific rigor in all of its directly provided or jointly provided/co-provided educational activities. Planners, presenters, and other contributors in a position to control the content are required to disclose to the audience all relevant financial relationships he/she and/or his/her spouse or domestic partner may have, occurring within the past 12 months, with any entity producing, marketing, reselling, or distributing healthcare goods or services consumed by, or used on, patients. When an unlabeled use of a commercial product or an investigational use not yet approved for any purpose is discussed during an educational activity, the contributor should disclose that the product is not labeled for the use under discussion or that the product is still investigational.

ACCF is committed to providing its learners with high-quality activities and materials that promote improvements and quality in healthcare and not a specific proprietary business or commercial interest. The intent of this disclosure is not to prevent participation in certified educational activities by persons with a financial or other relationship, but rather to provide learners with information on which they can make their own determination whether financial interests or relationships may influence the certified activity.

ACCF assesses conflict of interest with its faculty, planners, managers, staff, and other individuals who are in a position to control the content of certified CME/CNE activities. All relevant potential conflicts of interest that are identified are thoroughly vetted by course directors, ACCF education staff, and members of the Accreditation Compliance Workgroup through a process that includes appropriate peer review for fair balance, scientific objectivity and validity, and patient care and safety recommendations.

Faculty

Javed Butler, MD, MPH, MBA
Professor and Chair, Department of Medicine
University of Mississippi Medical Center
Jackson, MS

Dr. Butler has received consultant fees/honoraria from Adrenomed AG, Array Biopharma, AstraZeneca Pharmaceuticals, Bayer, Berlin Cures GmbH, Boehringer Ingelheim Pharmaceuticals, Inc., CardioCell, CVRx, Innolife Co. Ltd., Janssen Pharmaceuticals, Inc., Lantheus Medical Imaging, LivaNova PLC, Luitpold Pharmaceuticals, Inc. [now American Regent, Inc.], Medtronic, Merck & Co., Inc., Novartis Pharmaceuticals Corporation, Relypsa Inc., Roche, Sanofi-Aventis, scPharmaceuticals, and Vifor Pharma; he was on the Data Safety Monitoring Board for Amgen and Bristol-Myers Squibb Company; he was on the speakers’ bureaus for Janssen Pharmaceuticals, Inc., and Novartis Pharmaceuticals Corporation.

CME/CNE Review Committee

Ellen L. Cohen, Cert Ed, Dip Ed, CHCP
CME Director
Director, Learning Innovation
Science, Education, Quality & Publications
American College of Cardiology
Washington, DC

Ms. Cohen has no relevant financial relationships to disclose.

Christine Keenan, MSN, RN, CCRN, CHSE
Educational Planner
Learning Innovation Architect
American College of Cardiology
Washington, DC

Ms. Keenan has no relevant financial relationships to disclose.

Kimberly V. Cheramie, MSN, RN-BC
Lead Nurse Planner
American College of Cardiology
Washington, DC

Ms. Cheramie, MSN, RN-BC, has no relevant financial relationships to disclose.

Accredited Provider Disclosure

ACCF staff involved in this activity have no relevant financial relationships to disclose.

Haymarket Medical Education staff involved in this activity have no relevant financial relationships to disclose.

Credit

0.50

Type

AMA PRA Category 1 Credit(s)TM

Accreditation Statement

The American College of Cardiology Foundation (ACCF) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

Designation Statement

The ACCF designates this enduring material for a maximum of 0.50 AMA PRA Category 1 CreditTM .  Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Physician Assistants
The American Academy of Physician Assistants (AAPA) accepts certificates of participation for educational activities certified for AMA PRA Category 1 CreditTM   from organizations accredited by ACCME.

Credit

0.50

Type

CNE Contact Hour(s)

Accreditation Statement

The American College of Cardiology Foundation (ACCF) is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

Designation Statement

The ACCF designates this educational activity for a maximum of 0.50 continuing nursing education contact hour. Requirements for successful completion are viewing of module in its entirety and completing the evaluation tool.

While offering credits noted above, the module is not intended to provide extensive training or certification in the field.

Disclosure of Unlabeled Use

This CME/CE activity may or may not discuss investigational, unapproved, or off-label use of drugs. Participants are advised to consult prescribing information for any products discussed. The information provided in this CME/CE activity is for continuing medical education purposes only and is not meant to substitute for the independent medical judgment of a physician relative to diagnostic and treatment options for a specific patient’s medical condition.

Disclaimer

The American College of Cardiology Foundation (ACCF) is not responsible for statements made by any contributor. Statements or opinions expressed in this program reflect the views of the contributors and do not reflect the official policy of the ACCF.

Instructions

To obtain credit, a score of 70% or better on the post-test is required. This activity is offered at no cost to participants. Please proceed with the activity until you have successfully completed this program, answered all test questions, completed the post-test and evaluation, and have received a digital copy of your credit certificate. Your online certificate will be saved on myCME within your Profile/CME History, which you can access at any time.

If you have an American College of Cardiology (ACC) account, you can choose to have your credit information sent to your ACC transcript upon completion of the course. You will be prompted to log in to your ACC account, which will automatically trigger your credit submission. If you do not have an ACC account, you will have the opportunity to create one.

ACCF Learner Bill of Rights

The American College of Cardiology Foundation (ACCF) recognizes that you are a lifelong learner who has chosen to engage in continuing medical education to identify or fill a gap in knowledge or skill, and to attain or enhance a desired competency. As a participant in an ACCF activity, you have the right to expect that your continuing medical education experience with ACCF includes the following.

Content that:

  • Promotes improvements or quality in healthcare
  • Is current, valid, reliable, accurate, and evidence-based
  • Addresses the stated objectives or purpose
  • Is driven and based on an independent survey and analysis of learner needs, not commercial interests
  • Has been reviewed for bias and scientific rigor
  • Offers balanced presentations that are free of commercial bias
  • Is vetted through a process that resolves any conflicts of interest of planners and faculty
  • Is evaluated for its effectiveness in meeting the identified educational need

A learning environment that:

  • Is based on adult learning principles that support the use of various modalities
  • Supports learners’ abilities to meet their individual needs
  • Respects and attends to any special needs of the learners
  • Respects the diversity of groups of learners
  • Is free of promotional, commercial, and/or sales activities

Disclosure of:

  • Relevant financial relationships that planners, teachers, and authors have with commercial interests related to the content of the activity
  • Commercial support (funding or in-kind resources) of this activity

SYSTEM REQUIREMENTS

Hardware and Software Requirements
  • A computer with an internet connection
  • Internet Browser: Internet Explorer 7.x or higher, Firefox 4.x or higher, Safari 2.x or higher, or any other W3C standards compliant browser
  • Additional Software: Adobe Flash Player and/or an HTML 5 capable browser maybe required for video or audio playback. PowerPoint or Adobe Acrobat Reader may occasionally be required
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