1Heart Rhythm 2017

Ruth A. Madden, MPH, RNCleveland, OHHas attended 6 Scientific Sessions

TOGETHER WE ARE

CHALLENGERSTOGETHER WE ARE

Attending the Scientific Sessions provides me the opportunity to acquire new knowledge, share best practices, and network with other heart rhythm professionals – all vitally important to attaining our shared mission.

HANDS-ON GUIDE

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The Hands-On Educational Session is a must-attend event for a complete curriculum. This session allows you the opportunity to supplement the Allied Professionals Forums with engaging, tactile training on industry’s latest technology and therapies in a less formal setting. The case studies and topics discussed in Allied Professionals Forums will be correlated to the Hands-On Educational Session to create a comprehensive experience.

SESSION OVERVIEWWednesday, May 10 | 11 a.m. - 2 p.m.Room 186

Create your own Heart Rhythm 2017 digital experience using the Mobile App andOnline Itinerary Planner.

Comprehensive navigational tools make navigatingthe meeting effortless- and fun! Search by session,speaker or exhibitor, claim CME/CE credits, collecta Certificate of Attendance, and explore maps of McCormick Place.

Online Itinerary Plannersupported by:

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As part of the Society’s effort to reduce its impact on the

environment, printed versions of the Final Program Book

will not be offered.

Mobile Appsponsored by:

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LUNDBECK

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IOSE

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Company Tables

Abbott 1-3

Biosense Webster, Inc. 4-6

Lundbeck 7-10

Continuing Medical Education (CME) is not offered during this Hands-On Session.

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Table 1

ViewMate™ Ultrasound Console and ViewFlex™ Xtra ICE CatheterThe ViewMate™ Ultrasound Console is a full featured Intracardiac Echocardiography (ICE) system designed for exceptional, real-time image guidance and visualization of anatomical structures. With proprietary Zone Sonography Technology, the ViewMate system decreases image acquisition time while improving image quality compared to standard ICE systems. The ViewFlex™ Xtra ICE Catheter provides seamless, one-handed maneuverability with its ergonomic auto-locking handle, four-way tip deflection and extended catheter reach, allowing physicians to focus more on the procedure and less on catheter manipulation to enhance procedural workflow. Together, the system delivers fast, high fidelity imaging performance to assist clinicians while performing complex electrophysiology and interventional procedures.

Table 2

Confirm Rx™ Insertable Cardiac Monitor* & Cardiac Resynchronization Therapy (CRT) with MultiPoint™ Pacing (MPP)Please note this device has not been approved in the US as this publication went to print. The Confirm Rx™ ICM will be up for FDA approval prior to Heart Rhythm 2017. Check in with Abbott for updates on its latest status!

Confirm Rx™ ICM*: The slimmest ICM available, Confirm Rx™ insertable cardiac monitor (ICM) combines a smartphone app and integrated symptom recorder to make monitoring the heart’s rhythm easy, effective, and discreet. The device continuously monitors the patient’s heart rhythm and the myMerlin™ app proactively transmits information per a schedule set by the clinic.Cardiac Resynchronization Therapy (CRT): The SJM™ Quadra Family with MultiPoint™ Pacing Technology and Quartet™ LV lead provides pioneering solutions resulting in improved outcomes1-3 (reduced surgical lead revisions, addressing non-responder rates, etc.) for both CRT-D and CRT-P patients.

Abbott’s Hands-On demonstrations have been correlated with the following learning objectives from the Heart Rhythm 2017 Allied Professionals Forums:

Allied Professionals Forum 1. Managing Cardiac Rhythm Devices and the Patients that Have ThemLearning Objectives1. To discuss appropriate indications and follow up of CIEDs2. To outline best practices to avoid infection and assist in implantation of CIEDs3. To identify barriers to compliance in use of wearable defibrillators and remote

monitoring of CIEDs

Allied Professionals Forum 2. Contemporary Review of Mapping and Ablation of Cardiac ArrhythmiasLearning Objectives1. To review arrhythmia mechanisms and cardiac anatomy for

the EP professional2. To review SVT arrhythmia differentiation in the EP lab3. To review fundamentals of AF and VT ablation procedures

Allied Professionals Forum 3. Multidisciplinary Care of the Arrhythmia Patient for the AHP – From the Lab, to the Floor, to Home!Learning Objectives1. To discuss the role of the AHP in the EP lab2. To outline the integration of the pharmD and genetics counselor into

EP practice3. To discuss evidenced based care of the arrhythmia patient

Table 3

EnSite Precision™ Cardiac Mapping System with EnSite™ Contact Force Module and Advanced Ablation SolutionsThe EnSite Precision™ Cardiac Mapping System helps diagnose a wide range of arrhythmias. The system is designed to transform procedures with intuitive automation, expand procedural options using superior flexibility and effectively manage patients through great precision.4-6**,*** The fully integrated EnSite™ contact force module gives physicians real-time visualization of the force information that an ablation catheter applies to a patient’s heart wall during an ablation procedure. TactiCath™ Quartz contact force technology was designed to provide physicians with more control to modify that force during ablation procedures in order to create more effective lesions.7 See how tools such as the EnSite Precision Cardiac Mapping System and contact force measurements can combine with Abbott’s Advanced Ablation solutions during this educational session.

*510k pending. Not available for sale in the U.S.**The open-platform feature of the EnSite Precision™ cardiac mapping system allows for use of almost any catheter, thus offering superior flexibility as compared to the CARTO™ system by Biosense Webster, which limits use to Biosense Webster catheters only. ***For greater precision vs. 1.0-robot testing1. Tomassoni, G., Baker II, J., Corbisiero, R., Love, C., Martin, D., Sheppard, R....Niazi, I. (2016). Safety and efficacy of multipoint pacing in cardiac resynchronization therapy: The MultiPoint (MPP) IDE Study. 2016 Heart Rhythm Society, LBCT 01-03.2. Zanon, F., et al. Acute Optimization of Left Ventricular Pacing Site Plus MultiPoint Pacing Improve Remodeling and Clinical Response of CRT at One-year Follow-up. ACC 2016 (Abstract 1194M-03)3. Viani SM, et al. A New Quadripolar Lead For Left Ventricular Pacing: Short Term Reliability and Future Opportunities. Europace 2011 (abstract).4. Ptaszek, L., Moon, B., Sacher, F., Jais, P., Mahapatra, S., & Mansour, M. (2015). A novel tool for mapping multiple rhythms from a single mapping procedure. Poster abstract P849. Europace, 17 (Suppl 3), iii115. 5. Ptaszek, L., Moon, B., Mahapatra, S., & Mansour, M. (2015, Nov). Rapid high density automated electroanatomical mapping using multiple catheter types. Poster presentation P097. APHRS Scientific Sessions, November 21, 2015, Melbourne. 6. St. Jude Medical. Data on File. Report 90212729.7. Reddy, V. Y., Shah, D., Kautzner, J., Schmidt, B., Saoudi, N., Herrera, C., … Kuck K. H. (2012). The relationship between contact force and clinical outcome during radiofrequency catheter ablation of atrial fibrillation in the TOCCATA study. Heart Rhythm, 9(11), 1789-1795. doi: 10.1016/j.hrthm.2012.07.016Rx OnlyBrief Summary: Prior to using these devices, please review the Instructions for Use for a complete listing of indications, contraindications, warnings, precautions, potential adverse events and directions for use.Unless otherwise noted, ™ indicates that the name is a trademark of, or licensed to, St. Jude Medical or one of its subsidiaries. ST. JUDE MEDICAL and the nine-squares symbol are trademarks and service marks of St. Jude Medical, LLC and its related companies. © 2017 St. Jude Medical, LLC. All Rights Reserved.

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Table 4

THERMOCOOL SMARTTOUCH® SF Catheter and the SMARTABLATE™ System The THERMOCOOL SMARTTOUCH® SF Catheter provides a real-time measurement of contact force between the catheter tip and the heart wall, as well as location information when used with CARTO® 3 Navigation System. The Porous tip design enables maximum cooling efficiency regardless of catheter orientation or power delivered and is designed to achieve the level and duration of power necessary to optimize lesion creation. +when compared to SMART AF study

The SMARTABLATE™ System was designed to ensure simple, intuitive, and user friendly operations. With the flexibility to run all functions from the remote control or the generator, The SMARTABLATE™ System has been designed from customer needs to control and allow efficient ablation procedures.

Table 5

CONFIDENSE™ Module with PENTARAY® CATHETERPENTARAY® CatheterExperience an enhanced level of mapping detail across all four chambers with the PENTARAY® Catheter.Enjoy high signal resolution using this navigational diagnostic catheter with five soft, flexible branches for better coverage. When the PENTARAY® Catheter is used with our CONFIDENSE™ Module it allows you to sample multiple points of cardiac mapping data simultaneously for reduced procedure and fluoroscopy time.

CONFIDENSE™ Module:The CONFIDENSE™ Module offers CARTO® 3 System users a complete and streamlined high-density mapping solution. By refining the MEM experience, the CONFIDENSE™ Module introduces a new degree of control over point acquisition and insight into your mapping procedures. This high-performance mapping is fully integrated into the CARTO® System.

Table 6

CARTOSOUND® ModuleThe CARTOSOUND® Module complements the unparalleled accuracy of CARTO® System mapping with real-time ultrasound imaging of the complete cardiac anatomy to optimize workflow efficiency, and enhance confidence.

Biosense Webster, Inc.’s Hands-On demonstrations have been correlated with the following learning objectives from the Heart Rhythm 2017 Allied Professionals Forums:

Allied Professionals Forum 2. Contemporary Review of Mapping and Ablation of Cardiac ArrhythmiasLearning Objectives1. To discuss appropriate indications and follow up

of CIEDs2. To outline best practices to avoid infection and

assist in implantation of CIEDs3. To identify barriers to compliance in use of wearable

defibrillators and remote monitoring of CIEDs

+ when compared to SMART AF study **Natale A, Reddy V, Monir G, et al. Paroxysmal AF catheter ablation with a contact force sensing catheter: results of the prospective, multicenter SMART-AF Trial. J Am Coll Cardiol. 2014;64(7):647-656, and Biosense Webster, Inc., Final Clinical Report, October 2014 (data on file).Important information: Prior to use, refer to the instruction for use supplied with this device for indications, contraindications, side effects, suggested procedure, warnings and precautions This product can only be used by healthcare professionals or a healthcare professional.Indications for use: The intended use of the CARTO® 3 System is catheter-based cardiac electrophysiological (EP) procedures. The CARTO® 3 System provides information about the electrical activity of the heart and about catheter location during the procedure. The system can be used on patients who are eligible for a conventional electrophysiological procedure. The system has no special contraindications.The Biosense Webster THERMOCOOL SMARTTOUCH® Navigation Catheter and related accessory devices are indicated for catheter-based cardiac electrophysiological mapping (stimulating and recording), and when used with a compatible RE generator, for the treatment ofType I atrial flutter in patients age 18 or older.Recurrent drug/device refractory sustained monomorphic ventricular tachycardia (VT) due to prior myocardial infarction (MI) in adults.Drug refractory recurrent symptomatic paroxysmal atrial fibrillation, when used with compatible three-dimensional electroanatomic mapping systems.The use of the SMARTABLATE™ RF Generator and all accessories is indicated in combination with compatible therapeutic catheters for use in conventional intracardiac RF ablation procedures. Read and follow the instructions for use that are provided in the user manual before using the system in a clinical application. Also refer to instructions for use that are supplied with the accessories and with the compatible therapeutic catheters.Always verify catheter tip location using fluoroscopy or IC signals and consult the CARTO® System User Guide regarding recommendations for fluoroscopy use. Sporton S, Earley M, Nathan A, and Schilling R, Electroanatomic versus fluoroscopic mapping for catheter ablation procedures: A prospective randomized study. Journal of Cardiovascular Electrophysiology 2004; 15, 3:310-315

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Table 10

nOH: A Patient’s PerspectiveMeet an nOH patient and understand the daily burden of their disorder and the challenges they face.

Table 8

Diagnosing nOH: What, Where, How?After screening to identify a patient as being at risk for OH, an accurate assessment of the underlying cause(s) is required to determine the appropriate treatment recommendation. This session provides clinicians with a stepwise approach for diagnosis of nOH, specifically starting with measurement of orthostatic blood pressure and heart rate, followed by more detailed autonomic testing in select cases.

Table 9

nOH Treatment: What it Means to Your PatientOnce a patient is diagnosed with nOH, the goal of treatment should not be to normalize standing blood pressure, but the principal treatment goals should serve to reduce the burden of symptoms (especially falls), prolong standing time, and improve the physical capabilities of the patient to restore independence in activities of daily living. This session will allow clinicians the opportunity to review and discuss non-pharmacological measures (e.g., salt intake, blood volume repletion, physical conditioning, etc.), as well as pharmacological treatments, the treatment process and what success looks like as it relates to the patient.

Table 7

The nOH Patient Journey: From Screening and Diagnosis to TreatmentNeurogenic orthostatic hypotension (nOH) is a prevalent disorder that requires clinicians from a variety of specialties to be well informed about screening, diagnosis, treatment, and management. nOH carries a significant burden of morbidity and has also been associated with increased mortality. This Hands-On Educational Session will provide the opportunity for clinicians to familiarize themselves with this condition and evolving management options, which offer substantial symptomatic improvement, as well as better understand the patient’s journey from screening and diagnosis to treatment.

What does nOH look like?Screening for nOH starts with questions to identify the symptoms of OH followed by measurement of blood pressures from the supine (or seated) to standing position. This session provides clinicians with the opportunity to review and discuss the appropriate questions to ask a patient during screening, as well as the techniques associated with timing of blood pressure measurements.

Lundbeck’s presentations have been correlated with the following learning objectives from the Heart Rhythm 2017 Allied Professional Curriculum.

Case Based Tutorial: Rapid Fire Cases: Clinical EP from Lab to Floor and BeyondLearning Objectives1. To discuss appropriate indications and risks/benefits of lead

extraction.2. To outline appropriate management of syncope.3. To identify the signs of EP lab complications and discuss

treatment.

9Heart Rhythm 2017

TOGETHER WE

SHARE A MISSIONHeart Rhythm Society is the only organization that brings together the world’s leading clinicians,

scientists, and allied health professionals to help end death and suffering from heart rhythm

disorders. Membership provides significant registration discounts, networking and volunteer

opportunities, and access to the HeartRhythm Journal.

Michael R. Gold, MD, PhD, FHRSPresident, Heart Rhythm Society

TOGETHER WE ARE

Become a member today!

HRSonline.org/Join

HRS

The International Board of Heart Rhythm Examiners (IBHRE) is offering a limited number of scholarships for allied professionals seeking certification.

The IBHRE Scholarship Award provides opportunities for up to three allied professionals with limited access to certification resources to receive $800 to be applied toward the cost of registration (recipients will receive a discounted registration fee). Scholarships are available for the Certified Cardiac Device Specialist (CCDS) or Certified Electrophysiology Specialist (CEPS) certifications. Awardees will also receive a one-year membership* to the Heart Rhythm Society.

Application deadline is May 31. Visit www.IBHRE.org/Allied-Professionals/IBHRE-Scholarship-Program to learn more.

Submit applications to info@IBHRE.org or via fax at 1-877-386-1044.

SCHOLARSHIPS NOW AVAILABLE FOR ALLIED PROFESSIONALS

Applicants will submit written endorsements by two IBHRE certified individuals along with their applications for consideration by an IBHRE review panel.

Earning certification requires passing a comprehensive computer-based examination that is based upon an international body of knowledge. Candidates must meet established eligibility criteria and have an excellent foundation in the field of device therapy and electrophysiology to earn certification.

*Membership is contingent upon review and meeting HRS membership requirements; a current non-member status of HRS is required to receive the complimentary membership.

About the IBHRE®Since 1985, the International Board of Heart Rhythm Examiners® (IBHRE) has set the standard for global certification in heart rhythm management. IBHRE offers competency certification to physicians and allied professionals to provide quality patient care in cardiac pacing and electrophysiology. Certifications are as follows: Certified Cardiac Device Specialist (CCDS), Certified Electrophysiology Specialist (CEPS), Certified Electrophysiology Specialist – Adult Cardiology (CEPS-AC), and Certified Electrophysiology Specialist – Pediatric Cardiology (CEPS-PC).

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