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Med-IQ Express Med-IQ Express

Mechanical Circulatory Support for Patients With Advanced Heart Failure: A Focus on Left Ventricular Assist Devices


This activity was developed by Med-IQ in collaboration with Duke Health.

Med-IQ      Duke Medicine
 

Released:
10/7/19
Expires:
10/6/20

Maximum Credits:

0.25
By clicking "Continue," you are confirming that you have reviewed the CME information and read, understood, and unconditionally agreed to the Privacy Notice and Terms of Use.

Med-IQ Express Med-IQ Express
By clicking "Continue," you are confirming that you have reviewed the CME information and read, understood, and unconditionally agreed to the Privacy Notice and Terms of Use.
Released:
10/7/19

Expires:
10/6/20

Maximum Credits:
0.25
Med-IQ Express Med-IQ Express
By clicking "Continue," you are confirming that you have reviewed the CME information and read, understood, and unconditionally agreed to the Privacy Notice and Terms of Use.

Released:
10/7/19
Expires:
10/6/20


Maximum Credits:
0.25


Overview: This brief CME publication explores clinical evidence for the use of left ventricular assist devices (LVADs) in patients with advanced heart failure. It also reviews the evolution of LVADs from first-generation to third-generation devices and discusses therapeutic indications and contraindications for LVADs. Additionally, in a short introductory video, a faculty expert discusses approaches for identifying patients who may be candidates for LVADs and the evolving role of these devices in the treatment of advanced heart failure.

CME Information:

Faculty
Jacob N. Schroder, MD
Assistant Professor of Surgery
Director, Heart Transplantation Program
Co-Director, Cardiothoracic Surgery ICU
Division of Cardiovascular and Thoracic Surgery
Duke University Medical Center
Durham, NC
 
Activity Planners
Amy Burdette, PhD
Manager, Educational Strategy & Content
Med-IQ
Baltimore, MD
 
Laura Rafferty, ELS
Managing Editor
Med-IQ
Baltimore, MD
 
Samantha Gordon
CME Specialist
Med-IQ
Baltimore, MD
 
Kathryn Schaefer, MSN, RN, CPHRM
Senior Manager, Accreditation and Compliance
Med-IQ
East Lansing, MI
 
Writer
Genevieve J. Long, PhD, PC
Hood River, OR
 
Learning Objectives
Upon completion, participants should be able to:

  • Recognize the benefits and limitations of LVAD therapy
  • Apply emerging clinical data and recommendations for the use of LVADs in patients with advanced heart failure

Target Audience
This activity is intended for cardiologists, cardiothoracic surgeons, cardiology-focused nurse practitioners and physician assistants, and other clinicians who manage patients with heart failure.
 
Statement of Need
Heart failure (HF) affects approximately 5.7 million individuals in the United States. Advanced or end-stage HF remains a major healthcare problem in terms of patient morbidity and mortality. Although heart transplant is considered to be the gold standard for individuals with refractory end-stage HF, many patients are not optimal candidates for this procedure. In addition, there is a significant discrepancy between the number of potential heart transplant candidates and the number of donor organs. Mechanical circulatory support devices, particularity left ventricular assist devices (LVADs), have assumed an increasingly important role in the management of patients with advanced HF. Initially indicated for bridge to heart transplantation, LVADs are also used as destination therapy in individuals with advanced HF who are not candidates for transplantation. LVADs have undergone a significant transformation, including device design to further improve outcomes and reduce adverse events, and data from pivotal clinical trials comparing outcomes of second- and third-generation LVADs are emerging. Physicians need to become more knowledgeable about these advances, including the benefits and limitations of LVADs and implications for patient care.

Collaboration Statement
This activity was developed by Med-IQ in collaboration with Duke Health.
 
Accreditation/Designation Statements
Med-IQ is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
 
Med-IQ designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 
Medium/Method of Participation
This CME activity consists of a 0.25-credit online publication. To receive credit, read the introductory CME material, read the publication, and complete the evaluation, attestation, and post-test, answering at least 70% of the post-test questions correctly.
 
Initial Release Date: October 7, 2019
Expiration Date: October 6, 2020
Estimated Time to Complete This Activity: 15 minutes

Disclosure Policy
Med-IQ requires any person in a position to control the content of an educational activity to disclose all relevant financial relationships with any commercial interest. The ACCME defines “relevant financial relationships” as those in any amount occurring within the past 12 months, including those of a spouse/life partner, that could create a conflict of interest (COI). Individuals who refuse to disclose will not be permitted to contribute to this CME activity in any way. Med-IQ has policies in place that will identify and resolve COIs prior to this educational activity. Med-IQ also requires faculty to disclose discussions of investigational products or unlabeled/unapproved uses of drugs or devices regulated by the US Food and Drug Administration.

Disclosure Statement
The content of this activity has been peer reviewed and has been approved for compliance. The faculty and contributors have indicated the following financial relationships, which have been resolved through an established COI resolution process, and have stated that these reported relationships will not have any impact on their ability to give an unbiased presentation. 
 
Jacob N. Schroder, MD
Consulting fees/advisory boards: Abbott Laboratories
 
The writer, peer reviewers, and activity planners have no financial relationships to disclose.
 
Statement of Evidence-Based Content
Educational activities that assist physicians in carrying out their professional responsibilities more effectively and efficiently are consistent with the ACCME definition of continuing medical education (CME). As an ACCME-accredited provider of CME, it is the policy of Med-IQ to review and ensure that all the content and any recommendations, treatments, and manners of practicing medicine in CME activities are scientifically based, valid, and relevant to the practice of medicine. Med-IQ is responsible for validating the content of the CME activities it provides. Specifically, (1) all recommendations addressing the medical care of patients must be based on evidence that is scientifically sound and recognized as such within the profession; (2) all scientific research referred to, reported, or used in CME in support or justification of a patient care recommendation must conform to generally accepted standards of experimental design, data collection, and analysis.
 
Med-IQ is not liable for any decision made or action taken in reliance upon the information provided through this activity.
 
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For questions or comments about this activity, please contact Med-IQ. Call (toll-free) 866 858 7434 or email info@med-iq.com.

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The information provided through this activity is for continuing 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.

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