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The Bidirectional Impact of Heart Failure and Comorbidities—Attention Required

The Bidirectional Impact of Heart Failure and Comorbidities—Attention Required

Format

Cases

Time to Complete

1 hour

Released

June 7, 2019

Expires

July 31, 2020
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Maximum Credits

1.00 / AMA PRA Category 1 Credit(s)TM
1.00 / 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

Heart failure (HF) is typically accompanied by multiple comorbidities that can make diagnosis and management more challenging. Clinicians must be prepared to consider the bidirectional impact of one or more comorbidities on heart failure and heart failure on the comorbidities. Clinicians should also be aware of how concomitant HF and other diseases can also make patient self-management more daunting and be ready to help patients navigate adherence to sometimes complex medication regimens as well as diet, exercise, and other lifestyle recommendations. Case presentations in this activity involve patients with HF plus hypertension, chronic obstructive pulmonary disease, kidney disease, and obesity.

Intended Audience

Cardiologists, internists, primary care physicians, nurse practitioners (NPs), physician assistants (PAs), and other clinicians who provide care for patients with heart failure

Educational Objectives

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

  • Differentiate dyspnea secondary to chronic obstructive pulmonary disease (COPD)
  • Identify the impact of hypertension (HTN) and kidney disease on heart failure (HF) treatment planning
  • Analyze the impact of obesity on prognosis

Accredited Provider Disclosure of Conflicts of Interest Statement and 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 (COI) 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

Eldrin F. Lewis, MD, MPH, FACC, FAHA
Associate Professor of Medicine/Harvard Medical School
Brigham and Women’s Hospital
Boston, MA

Dr. Lewis receives consultant fees and honoraria from DalCor, Merck & Co., Inc., and Novartis Corporation. He also has received research grants from Amgen, Inc., Merck & Co., Inc., Novartis, Inc., and Sanofi Aventis.

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
Nurse Planner/Instructional Designer
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 has no relevant financial relationships to disclose.

Accredited Provider Disclosures

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

Haymarket Medical Education staff involved in the planning and content review of this activity have no relevant financial relationships to disclose.

Credit

1.00

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 1.00 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

1.00

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 1.00 continuing nursing education contact hour.

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 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 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

Default 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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