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The Impact of Antiplatelet Therapy in Cardiac Surgery: Current Practuces, conundrums & Controversies. An Enduring CME Webcourse. Release date: December 30, 2008. Expiration date: December 30, 2009.
Release Date: December 30, 2008         Expiration Date: December 30, 2009

Program Description

The benefits of dual antiplatelet therapy in patients presenting with acute coronary syndrome (ACS) prior to coronary angiography and possible percutaneous coronary intervention (PCI) are proven. However, this practice carries the risk of excess bleeding in the event that these patients require coronary artery bypass graft (CAGB) surgery. Withholding clopidogrel until confirmation of affected vascular anatomy, or discontinuation of clopidogrel therapy 5-7 days prior to elective CABG surgery, are the most reliable ways to overcome the risk of excessive bleeding. However, these are not always practical in the clinical setting. There is also an increasingly recognized need to implement appropriate therapies to reduce risk of thromboembolic events following both CABG and valve replacement surgery.

This webcourse will provide evidence supporting the use of antiplatelet therapy in acute ACS patients and will discuss the current guidelines and recommendations to minimize bleeding risk in these patients requiring CABG. It will also provide valuable insights regarding the use of post-procedural antiplatelet therapy to minimize the risk of thromboembolic events following CABG and valve replacement surgeries. In this dynamic webcourse, faculty members will discuss the current practices, conundrums, and controversies related to antiplatelet therapy in cardiac surgery and provide valuable evidence and insights to make informed decisions about your patients.

Faculty

Faculty Faculty Disclosures
Robert W. Emery, MD (Chair)
Director of Cardiovascular & Thoracic Surgery
St. Joseph's Hospital
Editor-in-Chief, Journal of Heart Valve Disease
St Paul, MN

Robert W. Emery, MD

Speaker: St. Jude Medical; Medtronic // Advisor: ATS Medical; Kipps Bay Medical // Stock: GE; Medtronic; Pfizer; Wyeth; SJM; ATS Medical; CryoLife; Cardica; Boston Scientific; Merck; Tyco

Christopher P. Cannon, MD, FACC
Senior Investigator, TIMI Study Group
Brigham and Women's Hospital
Boston, MA

Christopher P. Cannon, MD, FACC

Research/Grants: Accumetrics; AstraZeneca; Bristol-Myers Squibb/Sanofi Partnership; GlaxoSmithKline; Merck; Merck/Schering-Plough Partnership // Clinical Advisor: Automedics Medical Systems

M. Salik A. Jahania, MD
Associate Professor of Surgery
Associate Program Director, Cardiothoracic Residency
Division of Cardiothoracic Surgery
Wayne State University School of Medicine
Detroit, MI

M. Salik A. Jahania, MD

Speaker: Karmanos Cancer Institute; Scios Inc.

Additional content development by:
Robert M. Mentzer, Jr, MD
Professor of Surgery and Physiology
Dean, Wayne State University School of Medicine
Detroit, MI

Robert M. Mentzer, Jr, MD

Consultant: Hesperion US Inc., Boehringer Ingelheim Pharmaceuticals // Data Safety Monitoring Committee: Neuran Pharmaceuticals


The following non-faculty content contributors reported the following financial relationships or relationships to products or devices they or their spouse/life partner have with commercial interests related to the content of this CME activity:
Barry Watkins, PhD; Stephanie Stowell, MPhil; Dana Simpler, MD; Donna Fucello; Brad Pine: Nothing to Disclose

Target Audience

This program was developed for cardiothoracic surgeons and medical professionals who care for patients undergoing cardiothoracic surgery.

Educational Objectives

This activity was designed to address the following IOM competency:

  • Provide patient-centered care

Upon completion of this activity, participants should understand and demonstrate the ability to:

  1. Describe the effects of antiplatelet agents on outcomes in patients with acute coronary syndrome (ACS) who undergo emergent CABG surgery
  2. Discuss guidelines to reduce the risk of bleeding in patients receiving antiplatelet medications who require CABG surgery
  3. Incorporate post-procedural antiplatelet therapy when appropriate following CABG or heart valve replacement

Program Agenda

Introduction:
Robert Emery, MD (Chair)

Issues in the Management of Acute ACS Patients Requiring CABG:
Christopher Cannon, MD, FACC

Faculty Discussion

Optimizing Management of Patients Following Cardiac Surgery:
M. Salik A. Jahania, MD

Faculty Discussion

System Requirements

In order to view this presentation, your computer must have audio capabilities (working speakers or headphones) and must have an Adobe Flash Player. The Adobe Flash Player can be downloaded here.

Accreditation

PCME Logo The Potomac Center for Medical Education is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Designation Statement

The Potomac Center for Medical Education designates this educational activity for a maximum of 1.0 AMA PRA Category 1 credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Disclosure Information

Potomac Center for Medical Education (PCME) adheres to the policies and guidelines, including the Standards for Commercial Support, set forth to providers by the Accreditation Council for Continuing Medical Education (ACCME) and all other professional organizations, as applicable, stating those activities where continuing education credits are awarded must be balanced, independent, objective, and scientifically rigorous.

All persons in a position to control the content of a continuing medical education program sponsored by the Potomac Center for Medical Education are required to disclose any relevant financial relationships with any commercial interest to PCME as well as to learners. All conflicts are identified and resolved by PCME in accordance with the Standards for Commercial Support in advance of delivery of the activity to learners. Disclosures will be made known to the participants prior to the activity.

The content of this activity was vetted by an external medical reviewer to assure objectivity and that the activity is free of commercial bias.

FDA Disclosure

The contents of some CME/CE activities may contain discussions of non-approved or off label uses of some agents mentioned. Please consult the prescribing information for full disclosure of approved uses.


Sponsored by
PCME Logo
Supported by an educational grant from
Bristol-Myers Squibb
Sanofi Aventis

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