CME Expiration Date: 4/30/2018
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Recommendations for Noninvasive Evaluation of Native Valvular Regurgitation: A Report from the American Society of Echocardiography Developed in Collaboration with the Society for Cardiovascular Magnetic Resonance
CME Information: 2.0 credits
Release date: June 19, 2017 Valid through: April 30, 2018
Introduction/Statement of Need:
Valvular regurgitation continues to be an important cause of morbidity and mortality. While a careful history and physical examination remain essential in the overall evaluation and management of patients with suspected valvular disease, diagnostic methods are often needed and are crucial to assess the etiology and severity of valvular regurgitation, the associated remodeling of cardiac chambers in response to the volume overload, and the characterization of longitudinal changes for optimal timing of intervention. In 2003, the American Society of Echocardiography along with other endorsing organizations provided, for the first time, recommendations for evaluation of the severity of native valvular regurgitation with two-dimensional (2D) and Doppler echocardiography. Advances in three-dimensional (3D) echocardiography and cardiovascular magnetic resonance (CMR) have occurred in the interim that provide additional tools to further delineate the pathophysiology and mechanisms of regurgitation and supplement current methods for assessing regurgitation severity.
This activity is designed for all cardiac sonographers and cardiovascular physicians with a primary interest and knowledge base in the field of echocardiography; in addition, residents, researchers, clinicians, intensivists, and other medical professionals with a specific interest in pediatric and congenital heart disease may find this activity beneficial.
At the end of this activity the reader will better be able to
The American Society of Echocardiography is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.
The American Society of Echocardiography designates this enduring material for a maximum of 2.0 AMA PRA Category 1 CreditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 2.0 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.
ARDMS, CCI and Sonography Canada recognize ASE’s certificates and have agreed to honor the credit hours toward their registry requirements for sonographers.
The American Society of Echocardiography is committed to ensuring that its educational mission and all sponsored educational programs are not influenced by the special interests of any corporation or individual, and its mandate is to retain only those authors whose financial interests can be effectively resolved to maintain the goals and educational integrity of the activity. While a monetary or professional affiliation with a corporation does not necessarily influence an author’s presentation, the Essential Areas and policies of the ACCME require that any relationships that could possibly conflict with the educational value of the activity be resolved prior to publication and disclosed to the audience. Disclosures of faculty and commercial support relationships, if any, have been indicated.
William A. Zoghbi, MD, FASE (Chair), David Adams, RCS, RDCS, FASE, Robert O. Bonow, MD, Maurice Enriquez-Sarano, MD, Elyse Foster, MD, FASE, Paul A. Grayburn, MD, FASE, Rebecca T. Hahn, MD, FASE, Yuchi Han, MD, MMSc,* Judy Hung, MD, FASE, Roberto M. Lang, MD, FASE, Stephen H. Little, MD, FASE, Dipan J. Shah, MD, MMSc,* Stanton Shernan, MD, FASE, Paaladinesh Thavendiranathan, MD, MSc, FASE,* James D. Thomas, MD, FASE, and
Neil J. Weissman, MD, FASE
According to ACCME policy, ASE implemented mechanisms to resolve all conflicts of interest prior to the planning and implementation of this activity.
The following authors reported no actual or potential conflicts of interest in relation to this document:
David Adams, RCS, RDCS, FASE; Robert O. Bonow, MD; Judy Hung, MD, FASE; Stephen H. Little, MD, FASE; Paaladinesh Thavendiranathan, MD, MSc; and Neil J. Weissman, MD, FASE.
The following authors reported relationships with one or more commercial interests:
The following 2016-2017 ASE Board of Directors, Guidelines and Standards Committee and a representative for the Society for Cardiovascular Magnetic Resonance reviewed this document and reported no actual or potential conflicts of interest in relation to this document:
Reviewers included Deborah A. Agler, RCT, RDCS, FASE, Merri L. Bremer, EdD, RN, EDCS, ACS, FASE, Benjamin Byrd, MD, FASE, Hollie D. Carron, RDCS, FASE, Joao L. Cavalcante, MD, FASE, Scott D. Choyce, RDCS, RVT, RDMS, FASE, Frederick C. Cobey, MD, FASE, Patrick H. Collier, MD, PhD, FASE, Keith A. Collins, MS, RDCS, FASE, Mary C. Corretti, MD, FASE, Benjamin Eidem, MD, FASE, Mark K. Friedberg, MD, FASE, Neal Gerstein, MD, FASE, Edward A. Gill, MD, FASE, Yvonne E. Gilliland, MD, FASE, Robi Goswami, MD, FASE, Lanqi Hua, RDCS, FASE, James N. Kirkpatrick, MD, FASE, Jonathan R. Lindner, MD, FASE, Rick Meece, ACS, RDCS, RCIS, FASE, Carol Mitchell, PhD, RDMS, RDCS, RVT, RT(R), ACS, FASE, Maryellen H. Orsinelli, RN, RDCS, FASE, Andy Pellett, PhD, RCS, RDCS, FASE, Patricia A. Pellikka, MD, FASE, Sue D. Phillip, RCS, FASE, Juan Carlos Plana, MD, FASE, Vera H. Rigolin, MD, FASE, Vandana Sachdev, MD, FASE, Anita Sadeghpour, MD, FASE, Liza Y. Sanchez, RCS, FASE, Elaine Shea, ACS, RCS, RCCS, FASE, Roman M. Sniecinski, MD, FASE, Raymond F. Stainback, MD, FASE, Cynthia Taub, MD, FASE, Seth Uretsky, MD, Neil J. Weissman, MD, FASE, and David H. Wiener, MD, FASE.
The following board and guidelines and standards committee members reported relationships with one or more commercial interests:
Frederico Asch, MD, FASE- Medtronic (Research Grant Support); St. Jude Medical (Research Grant Support); Biotronik (Research Grant Support); Sorin Group (Research Grant Support); Boston Scientific (Research Grant Support); Edwards Lifesciences (Research Grant Support); Abbott Vascular (Research Grant Support); Mitralign (Research Grant Support); Direct Flow (Research Grant Support); Xaltis (Research Grant Support); Meryl Cohen, MD, FASE - Johnson & Johnson (Stock Ownership); Pfizer (Stock Ownership); Stephen Heitner, MD, FASE- Johnson & Johnson (Stock Ownership); Millennium Pharmaceuticals (Consultant/ Advisor); Onyx pharmaceuticals (Consultant/ Advisor); Soo Kim, MD, MPH, RPVI, FASE- Philips Ultrasound (Consultant/ Advisor); Allan Klein, MD, FASE -Bayer (Steering Committee);Stamatios Lerakis, MD, FASE- Edwards Lifesciences (Consultant/ Advisor); Stephen Little, MD, FASE- St. Jude Medical (Research Grant Support); Abbott Structural (Research Grant Support); Medtronic (Research Grant Support); Tasneen Naqvi, MD, FASE- Adagio Medical (Stock Ownership); Panasonic CardioHealth Station (Research Grant Support); Lawrence Rudski, MD, FASE- GE (Stock Ownership); Roman Sniecinski, MD, FASE- Grifols Therapeutics (Consultant/ Advisor); Steven Walling, RCS, RDCS, FASE- Lantheus (Speaker/ Speakers Bureau) (Consultant/Advisor); Susan Wiegers MD, FASE- Merck (Stock Ownership); Covance (Spouse Employment)
The following ACCME reviewers, ASE Staff and CME editors reported no actual or potential conflicts of interest in relation to this document:
Pricilla Peters, BA, RDCS, FASE, Alina Nicoara, MD, FASE, Renee Bullock-Palmer, MD, FASE, Rhonda Price, Mary Lawson, and Christina LaFuria
The following ACCME reviewers, ASE Staff and CME editors reported relationships with one or more commercial interests:
Method of Participation: Online Only
Estimated Time to Complete this Activity: 2.0 hours
Receiving CME Credit:
To receive online CME credit for this activity, read the full activity then complete the posttest and evaluation. A score of 70% or higher is required for successful completion. You will be able to print your CME certificate immediately following successful completion of the posttest and evaluation.
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This report is made available by ASE as a courtesy reference source for members. This report contains recommendations only and should not be used as the sole basis to make medical practice decisions or for disciplinary action against any employee. The statements and recommendations contained in this report are primarily based on the opinions of experts, rather than on scientifically verified data. ASE makes no express or implied warranties regarding the completeness or accuracy of the information in this report, including the warranty of merchantability or fitness for a particular purpose. In no event shall ASE be liable to you, your patients, or any other third parties for any decision made or action taken by you or such other parties in reliance on this information. Nor does your use of this information constitute the offering of medical advice by ASE or create any physician patient relationship between ASE and your patients or anyone else.
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