PREVENTIVE CARDIOLOGY, CARDIAC REHABILITATION &

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PREVENTIVE CARDIOLOGY, CARDIAC REHABILITATION &

SPORTS CARDIOLOGY

FROM SET-UP TO NEW FRONTIERS

PROGRAMME | 20-23 NOVEMBER 2017

EAPC Course Director/Local Organizing Committee

Matthias Wilhelm Department of Cardiology, Interdisciplinary Centre for Sports Medicine, Inselspital, Bern University Hospital, Bern, Switzerland Jean-Paul Schmid Department of Cardiology, Clinic Barmelweid, Barmelweid,

Switzerland

INSELSPITAL

UNIVERSITY HOSPITAL, BERN, SWITZERLAND Hörsaal Langhans, Entry 43 A, Pathologisches Institut

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COURSE OBJECTIVES

Cardiovascular diseases remain the leading cause of death and disability in most European countries. Secondary prevention has become a cornerstone of treatment, but a majority of patients do not achieve guideline standards, predisposing them to progression of disease, recurrent events, and heart failure.

Modern preventive cardiology and cardiac rehabilitation programmes, appropriately adapted to medical and cultural settings, have the potential to effectuate a healthier lifestyle, better risk factor control and adherence with cardioprotective medication.

However, in most European countries, less than 50% of cardiac patients attend these programmes. There is a clear need to improve the situation by increasing the number of programmes, facilitating the access to these programmes, and tailoring these programmes to the requirements of the patients. Moreover, the fixed-term and often centre-based programmes have to be modified based on patients preferences and provide concepts for long-term management.

The World Health Organisation underscores in their action plan for the prevention and control of non- communicable diseases the importance of improving quality and coverage of secondary prevention and rehabilitation following heart attacks and stroke.

EDUCATIONAL OBJECTIVES Learn to set up and run a modern

preventive programme, including exercise-based cardiac rehabilitation in cardiac patients with and without heart failure

Learn how to implement a

multidisciplinary approach (exercise prescription, smoking cessation, nutrition and psychosocial counselling) Special focus on optimal medical

therapy

Special focus on patients with a high cardiovascular risk

Special focus on exercise testing Special focus on exercise training and

long-term management

Special focus on sports cardiology and sports in patients with cardiac diseases

Special focus on new frontiers and modern concepts in secondary prevention

The content of the course covers essential knowledge on secondary prevention, cardiac rehabilitation (including rehabilitation of heart failure patients), and sports cardiology according to the Core Curriculum for the European Cardiologist. The course approach is practical, including plenary discussion rounds, workshops, hands-on sessions, and live demonstrations of exercise testing and training.

TARGET AUDIENCE

This course is addressed to the multidisciplinary team of specialists working in the field of secondary prevention, cardiac rehabilitation, and sports cardiology, encompassing

Introduction

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Programme PREVENTIVE CARDIOLOGY

MONDAY, 20 NOVEMBER 2017

09:00 - 09:30

Arrival of participants – registration

09:30 - 10.00 Welcome addresses

Swiss Society of Cardiology SGK

Michael Zellweger Department of Cardiology, Bern University Hospital Stephan Windecker

INTRODUCTORY LECTURE 10:00 - 10:20

What does the invasive cardiologist expect from preventive cardiology?

Stephan Windecker

SESSION 1: PATHOPHYSIOLOGY &

EPIDEMIOLOGY OF CARDIOVASCULAR DISEASE

10:20 - 10:40

Basic science: Atherosclerosis Nicolle Kränkel

10:40 - 11:00

Update: Epidemiology of CVD in Europe Eva Prescott

11:00 - 11:30 | Coffee break

SESSION 2: CARDIOVASCULAR RISK ASSESSMENT

11:30 - 11:50

Traditional risk scores and beyond (Imaging, Biomarkers)

Paul Leeson 11:50 - 12:10

High risk patients - Obesity and Type 2 Diabetes

Markus Laimer 12:10 - 12:30

High risk patients - Familial Hypercholesterolemia Konstantinos Koskinas 12:30 - 12:50

High risk patients - Oncology Thomas Suter

12:50 - 14:00 | Lunch

”HOW TO” SESSION: EXERCISE STRESS TESTING

14:00 - 14:20

Basic concepts: Ergometry Henner Hanssen

LIVE DEMONSTRATION 14:20 - 14:50

Ergometry

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Programme PREVENTIVE CARDIOLOGY

MONDAY, 20 NOVEMBER 2017

SESSION 3: CARDIOVASCULAR PREVENTIVE MEDICATION 14:50 - 15:10

Drug therapy for Hypertension Stefano Rimoldi

15:10 - 15:30

Drug therapy for Dyslipidemias Konstantinos Koskinas

15:30 - 15:50

Drug therapy of Type 2 Diabetes Markus Laimer

15:50 - 16:10

Drug therapy for smoking cessation Reto Auer

16:10 - 16:40 | Coffee break

”HOW TO” SESSION: AMBULATORY BP MEASUREMENT

16:40 - 17:10

Basic concepts: 24h-BP measurement, interpretation of BP recordings Emrush Rexhaj

SESSION 4: SECONDARY

PREVENTION STRATEGIES IN EUROPE 17:10 - 17:40

How eCardiology and eHealth will change our daily clinical practice Hugo Saner

17:40 - 18:00

Insights in the EU-CARE study Ed de Kluiver

Reto Auer, Bern, Switzerland

Ed de Kluiver, Zwolle, The Netherlands Henner Hanssen, Basel, Switzerland Konstantinos Koskinas, Bern, Switzerland Nicolle Kränkel, Berlin, Deutschland Markus Laimer, Bern, Switzerland Paul Leeson, Oxford, United Kingdom

Eva Prescott, Copenhagen, Denmark Emrush Rexhaj, Bern, Switzerland Stefano Rimoldi, Bern, Switzerland Hugo Saner, Olten, Switzerland Thomas Suter, Bern, Switzerland Stephan Windecker, Bern, Switzerland Michael Zellweger, Basel, Switzerland FACULTY OF MONDAY

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SESSION 1: EVIDENCE FOR CARDIAC REHABILITATION

09:00 - 09:20

Basic science: effects of exercise on the cardiovascular system

Dominique Hansen 09:20 - 09:40

What can we learn from CR meta- analyses?

Constantinos Davos 09:40 - 10:00

Core components of comprehensive CR programs

Ana Abreu

10:00 - 10:30 | Coffee break

“HOW TO” SESSION: EXERCISE STRESS TESTING AND EXERCISE PRESCRIPTION

10:30 - 10:50 Basic concepts of CPET Matthias Wilhelm 10:50 - 11:10

CPET in cardiac patients Ines Frederix

11:10 - 11:30

Prescription of endurance training for CR Michael White

11:30 - 11:50

Prescription of strength training for CR Dominique Hansen

CPET in a patient with CAD Local Team

12:30 - 13:30 | Lunch

SESSION 2: MULTIDISCIPLINARY APPROACH OF CR

13:30 - 13:50

Smoking cessation management Silvia Büchler

13:50 - 14:10

Assessment of psychosocial risk profile Mary Princip

14:10 - 14:30 Nutrition counselling Frieda Dähler

“HANDS-ON” SESSION:

A) CARDIOPULMONARY EXERCISE TESTING

14:30 - 15:30

Interpretation of CPET data Philippe Meyer

B) MEET THE PHYSIOTHERAPISTS 14:30 - 15:30

Practical aspects of exercise training Local Team

Programme CARDIAC REHABILITATION

TUESDAY, 21 NOVEMBER 2017

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Programme CARDIAC REHABILITATION

TUESDAY, 21 NOVEMBER 2017

15:30 - 16:00 | Coffee break

SESSION 3: CHALLENGES AND NEW FRONTIERS

16:00 - 16.20

Quality assessment of CR programs Heinz Völler

16:20 - 16.40

Hospital-, community- or home-based CR

Jean-Paul Schmid 16:40 - 17.00 Telerehabilitation Ines Frederix 17:00 - 17.20

Concepts to increase long-term adherence

Ana Abreu

SESSION 4: SPECIAL PATIENT POPULATIONS

17:20 - 17.40

Patients with valvular disease Heinz Völler

17:40 - 18.00

Grown-up with congenital heart disease Markus Schwerzmann

Ana Abreu, Lisbon, Portugal Silvia Büchler, Bern, Switzerland Frieda Dähler, Bern, Switzerland Constantinos Davos, Athens, Greece Ines Frederix, Hasselt & Antwerp, Belgium Dominique Hansen, Hasselt, Belgium

Philippe Meyer, Geneva, Switzerland Mary Princip, Bern, Switzerland Markus Schwerzmann, Bern, Switzerland Heinz Völler, Potsdam, Germany Michael White, Montreal, Canada FACULTY OF TUESDAY

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Programme

CARDIAC REHABILITATION IN HEART FAILURE PATIENTS

WEDNESDAY, 22 NOVEMBER 2017

SESSION 1: STATE OF THE ART 09:00 - 09:40

Treatment of heart failure with preserved and reduced ejection fraction

Micha Mäder

SESSION 2: EVIDENCE FOR CARDIAC REHABILITATION IN HEART FAILURE 09:40 - 10:00

Basic science: exercise and heart failure Ugo Corrà

10:00 - 10:20

What can we learn from meta-analyses of heart failure CR?

Constantinos Davos

10:20 - 10:50 | Coffee break

“HOW TO” SESSION: EXERCISE STRESS TESTING AND EXERCISE PRESCRIPTION

10:50 - 11:10

CPET in heart failure patients Henner Hanssen

11:10 - 11:30

Modern concepts of endurance training in heart failure

Jean-Paul Schmid 11:30 - 11:50

Additional benefit of strength training and inspiratory muscle training in heart failure

CPET in heart failure Local Team

12:30 - 13:30 | Lunch

SESSION 3:

A) MULTIDISCIPLINARY APPROACH 13:30 - 13:50

What is specific in CR for heart failure patients?

Otmar Pfister 13:50 - 14:10

Psychosocial management in heart failure patients

Sarah Holzgang 14:10 - 14:30

Correction of iron deficiency anemia Otmar Pfister

14:30 - 15:00

Optimization of medical treatment and indications of device therapy

Paul Mohacsi

B) HANDS-ON SESSION 13:30 - 15:00

Practical aspects of exercise training in heart failure (HIIT, strenght training, and respiratory muscle training)

Jean-Paul Schmid, Ines Frederix, Dominique Hansen

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Programme

CARDIAC REHABILITATION IN HEART FAILURE PATIENTS

WEDNESDAY, 22 NOVEMBER 2017

SESSION 4: EXERCISE TRAINING IN HIGH-RISK PATIENTS

15:00 - 15:20

Training in patients with ICD/CRT Jean-Paul Schmid

15:20 - 15:40

Training in patients with NYHA class III-IV

Ugo Corrà 15:40 - 16:00

Training in patients with VAD Ioannis Laoutaris

16:00 - 16:30 | Coffee break

“HOW TO” SESSION: EXERCISE TRAINING IN HEART FAILURE PATIENTS - LIVE DEMONSTRATIONS

Local Team 16:30 - 16:50 Strength training 16:50 - 17:10 Endurance training 17:10 - 17:30

Individualising exercise training 17:30 - 17:50

Integrating eHealth in exercise training

18:00

Departure for dinner – Mahogany Hall

Ugo Corrà, Veruno, Italy

Constantinos Davos, Athens, Greece Ines Frederix, Hasselt & Antwerp, Belgium Hanna Gottschalk, Bern, Switzerland Dominique Hansen, Hasselt, Belgium Henner Hanssen, Basel, Switzerland

Sarah Holzgang, Bern, Switzerland Ioannis Laoutaris, Athens, Greece Micha Mäder, St. Gallen, Switzerland Paul Mohacsi, Bern, Switzerland Otmar Pfister, Basel, Switzerland

Stefano Caselli, Rome, Italy

Aneil Malhotra, London, United Kingdom Michael Papadakis, London, United

Christian Schmied, Zurich, Switzerland Markus Schwerzmann, Bern, Switzerland Lukas Trachsel, Bern, Switzerland FACULTY OF WEDNESDAY

FACULTY OF THURSDAY

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Programme SPORTS CARDIOLOGY

THURSDAY, 23 NOVEMBER 2017

SESSION 1: STATE OF THE ART 09:00 - 09:30

The athlete’s heart, gender and ethnicity Michael Papadakis

“HOW TO” SESSION: CARDIAC EVALUATION OF AN ATHLETE I 09:30 - 10:00

ECG interpretation with modern criteria Christian Schmied

10:00 - 10:30 ECG quiz Aneil Malhotra

10:30 - 11:00 | Coffee break

“HOW TO” SESSION: CARDIAC EVALUATION OF AN ATHLETE II 11:00 - 11:30

Exercise testing in athletes Stefano Caselli

CPET in an athlete Local Team

12:15 - 13:30 | Lunch

SESSION 2: SUDDEN DEATH IN SPORTS 13:30 - 13:50

Epidemiology, causes & national registries Matthias Wilhelm

13:50 - 14:10

14:10 - 14:30

Abortion of sudden death by AED / ICD Aneil Malhotra

14:30 - 14:45 | Short break

SESSION 3: DIAGNOSTIC CONUNDRUMS 14:45 - 15:05

HCM vs. athlete’s heart Michael Papadakis 15:05 - 15:25

ARVC – impact of genes and exercise Stefano Caselli

15:25 - 15.45

Left ventricular non compaction and dilated cardiomyopathy versus athlete’s heart Aneil Malhotra

15:45 - 16:05

Exercise and atrial fibrillation Christian Schmied

16:05 - 16:40 | Coffee break

“HOW TO” SESSION: SPORTS ELIGIBILITY IN CARDIAC DISEASES 16:40 - 17:00

Ischemic heart disease and hypertension Lukas Trachsel

17:00 - 17:20

Cardiomyopathies and myocarditis Stefano Caselli

17:20 - 17:40

Arrhythmogenic cardiac conditions Christian Schmied

17:40 - 18:00

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General Information

VENUE

Inselspital, University Hospital, Bern, Switzerland: Hörsaal Langhans, Entry 43 A, Pathologisches Institut

Nearest international airport: Zurich, Switzerland LOCAL ORGANIZING COMMITTEE

Matthias Wilhelm Department of Cardiology, Interdisciplinary Centre for Sports Medicine, Inselspital, Bern University Hospital, Bern, Switzerland

Jean-Paul Schmid Department of Cardiology, Clinic Barmelweid, Barmelweid, Switzerland Website for online & hotel registration: www.kardiologie.insel.ch/EAPC

SECRETARIAT

Catherine Marchand Department of Cardiology, Interdisciplinary Centre for Sports Medicine, Inselspital, Bern University Hospital, Bern, Switzerland

Phone +41 31 632 03 29, Fax +41 31 632 89 77 E-mail: [email protected]

REGISTRATION

The registration fee includes: course participation, lunches and coffee breaks.

Hotel accommodation and transportation are not included in the fees.

Special discount of 10% for EAPC Silver members and 5% for EAPC Ivory members available.

**Early bird registration until 9 October 2017 Dinner on Wednesday 22.11.17: 60 CHF

HOTEL ACCOMMODATION

Category Single room

per night Twin room

per night

**** 170 - 230 CHF 245 - 305 CHF

Packages Early bird** Regular fee On-site payment 1 day:

2 days:

3 days:

4 days:

220 CHF 410 CHF 580 CHF 730 CHF

280 CHF 470 CHF 640 CHF 790 CHF

340 CHF 530 CHF 700 CHF 850 CHF

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Haupteingang Kinderkliniken 50100m

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A 1 Zürich/BaselA 1 Lausanne/Geneva A 12 Vevey/MontreuxAusfahrt: Forsthaus

SCHLOSSSTRASSE KönizstrasseKönizstrasseLoryplatzLoryplatz

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EFFINGERSTRASSE Effi ngerstrasse 77Effi ngerstrasse77134 E6 FrauenklinikEffi ngerstrasse10217 D5 FREIBURGSTRASSE Pavillon 52 Freiburgstrasse 0352 H5 Apotheke Freiburgstrasse 0650 H4 Zahnmedizinische Klinik Freiburgstrasse 0751 G5 Augenklinik Freiburgstrasse 0848 H4 Pavillon 47 Freiburgstrasse 0847 H4 Dekanat Freiburgstrasse 1446 H4 Sahli-Haus 2 Freiburgstrasse 1438 G3 Sahli-Haus 1 Freiburgstrasse 14A37 G3 Sahli-Pavillon Freiburgstrasse 14A37 G3 Kinderkliniken Freiburgstrasse 1531 F5 Operationstrakt Ost Freiburgstrasse 1634 G3 Wirtschaftsgebäude Freiburgstrasse 16A35 G2 Intensivbehandlungs-, Notfall- Freiburgstrasse 16C56 E/F2 und Operationszentrum (INO) Dermatologie Freiburgstrasse 3414 D3 Bettenhochhaus Freiburgstrasse 1833 G4 Polikliniktrakt 1 Freiburgstrasse 1833 G4 Polikliniktrakt 2 Freiburgstrasse 2029 F4 Kapelle, katholisch Freiburgstrasse 16B24 F2 Kapelle, reformiert Freiburgstrasse 30C25 F2 Imhoof-Pavillon Freiburgstrasse 3216 E4 Dermatologische Poliklinik Freiburgstrasse 3415 E4 Ernst-Otz-Haus Freiburgstrasse 3610 D3 SWAN-Haus Freiburgstrasse 28/38140 D/E3 Inselheim Freiburgstrasse 414 C4 Anna-Seiler-Haus Freiburgstrasse 41C2 B3 Lory-Haus Freiburgstrasse 41G1 B4 Personalhaus 1 Freiburgstrasse 44A6 C3 Personalhaus 2 Freiburgstrasse 44B7 C2 Personalhaus 3 Freiburgstrasse 44C8 D2 Pavillon 22 Freiburgstrasse 44D D2 Personalhaus 4 Freiburgstrasse 465 C2 FRIEDBÜHLSTRASSE Friedbühlschulhaus Friedbühlstrasse 11144 G1 Institut für Infektionskrankheiten Friedbühlstrasse 5118 E1 Personalhaus 6 Friedbühlstrasse 539 D2 GÜTERSTRASSE Güterstrasse 13 Güterstrasse 13 121 B2 HOCHBÜHLWEG Personalhaus 7 Hochbühlweg 04 J5 MURTENSTRASSE Insel-Parking Murtenstrasse 1075A J4 Murtenstrasse 10 Murtenstrasse 1075 J4 Murtenstrasse 21 Murtenstrasse 2145 H3 Murtenstrasse 42 Murtenstrasse 4270 J2 Pathologisches Institut Murtenstrasse 2143 H2 M. E. Müller-Haus Murtenstrasse 3542 H2 NIESENWEG Personalhaus 8 Niesenweg 10 J5

GEBÄUDE ADRESSEEINGANG FELD

ADRESSEN

Location Plan

REGISTRATION

Hörsaal Langhans, Entry 43A Pathologisches Institut

Bus line 11 stop from the city to Inselspital

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CONTINUING MEDICAL EDUCATION

The event “Preventive Cardiology, Sports Cardiology & Exercise based Rehabilitation:

From Set-up to New Frontiers” is accredited by the European Union of Medical Specialists -The European Accreditation Council for Continuing Medical Education (UEMS-EACCME) for 24 hours of External CME credits

www.kardiologie.insel.ch/EAPC

This educational programme has received unrestricted grants from: