The Arizona Brain and Heart Symposium

A Collaboration of

Barrow Neurological Institute and

Arizona Heart Rhythm Center

Saturday, October 30, 2021

Hybrid Conference (in-person & virtual) 7 a.m. – 5 p.m. PDT

Goldman Auditorium at Barrow Neurological Institute 350 W. Thomas Rd., Phoenix Arizona, 85013

Who Should Attend

The program has been designed to meet the educational goals of cardiologists and neurologists, including residents and fellows in training in both specialties, as well as internists, physicians, nurses and health care workers involved in the evaluation and treatment of patients with neurologic and cardiac disorders.

Objectives

Define the common conditions of brain-heart related disorders such as stroke, seizure, encephalopathy, arrhythmia
Cite the updated recommendation on the diagnostic workup of the above-mentioned conditions
Manage medically in terms of stroke prevention, arrhythmia control, and seizure control
Explain the options in interventional treatment of cardiac arrhythmia, rhythm control, and stroke prevention

Designation

This activity has been planned and implemented in accordance with the Essential Areas and Policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the American College of Surgeons and the Barrow Neurological Institute. The American College of Surgeons is accredited by the ACCME to provide continuing medical education for physicians.

The American College of Surgeons designates this Other activity (hybrid: in-person and virtual stream) for a maximum of 8 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

CommonSpirit CNE Administration is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

To successfully obtain CNEs for this activity, the learner must: miss no more than 10 minutes and complete a post-conference evaluation.

Course Directors

Vijendra Swarup, MD, FACC, FHRS

Medical Director

Arizona Heart Rhythm Center

David Wang, DO, FAAN, FAHA

Co-Director

Division of Vascular Neurology Barrow Neurological Institute

Robert Lemery, MD, FACC, FHRS

Electrophysiologist

Arizona Heart Rhythm Center

FACULTY

BNI & ST JOSEPH’s HOSPITAL AND MEDICal center

David Wang, DO, FAAN, FAHA

Co-Director

Division of Vascular Neurology

Terry D. Fife, MD

Director

Balance Disorders and Vestibular Neurology Program

Justin Hoskin, MD

Neurologist

Balance Disorders and Vestibular Neurology Program

Supreet Kaur, MD

Neurologist

Division of Vascular Neurology

Paul MacDonald, MD

Neurologist

Division of Vascular Neurology

Andrew Ducruet, MD

Neurosurgeon

Division of Endovascular Neurosurgery

Asim Haque, MD, PhD, MPH

Neurologist Division of Epilepsy

Teddy Youn, MD

Neurologist

Division of Vascular Neurology

Robert Roberts, MD

Executive Director

Heart and Vascular Insititute

Kevin Brady, MD

Cardiothoracic Surgeon Heart and Vascular Insititute

Pallavi Bellamkonda, MD

Cardiologist

Heart and Vascular Insititute

Hursh Naik, MD

Cardiologist

Heart and Vascular Insititute

Rajakrishna Vijaykrishnan, MD

Cardiologist

Norton Thoracic Institute

Arizona Heart Rhythm Center Faculty

Vijendra Swarup, MD, FACC, FHRS

Medical Director

Robert Lemery, MD, FACC, FHRS

Electrophysiologist

Sudarone Thihalolipavan, MD

Electrophysiologist

Guest Faculty

Saibal Kar, MD

Director of Structural Heart Disease and Research at HCA Healthcare

Dhanunjaya R. Lakkireddy, MD, FHRS

Executive Medical Director, Kansas City Heart Rhythm Institute

Vivek Reddy, MD, FACC, FHRS

Medical Director, Mount Sinai Cardiac Arrhythmia Services

Kalyanam Shivkumar, MD, FACC, FHRS

Medical Director, UCLA Cardiac Arrhythmia Center

shephal k. Doshi, MD, FACC,

Cardiac Electrophysiology, Pacific Heart Institute

AGENDA

Saturday, October 30, 2021 (Pacific Daylight Time)

7:00 am Registration and Vendor Exhibit Welcome & Introductions

David Wang, DO, Vijendra Swarup, MD, Robert Lemery, MD

7:30 am Brain Health 2021

David Wang, DO

7:40 am Cardiology and Cardiac Electrophysiology in 2021

Vijendra Swarup, MD

7:50 am Brain-Heart: Brief Historical Perspectives and New Frontiers

Robert Lemery, MD

Early Morning Session: An Introduction to Heart-Brain Interactions

Moderator: Robert Lemery, MD

8:00 am The Brain’s in Charge: Basic Understanding of the Sympathetic and Parasympathetic Nervous System

Justin Hoskin, MD

8:15 am The Heart’s in Charge: The Concept of the Little Brain on the Heart: The Intrinsic Cardiac Nervous System (ICNS)

Robert Lemery, MD

8:30 am Autonomic Imbalance and Dysautonomias: Primary Neurologic Disorders Affecting Day-to-Day Regulation of Blood Pressure

Terry D. Fife, MD

8:45 am Cardiac Syncope: Primary Cardiac Causes of Loss of Conscience: Bradycardia, Tachycardia and Other

Sudarone Thihalolipavan, MD

9:00 am Panel Discussion, Q&A:

Justin Hoskin, MD, Robert Lemery MD, Terry Fife, MD, Sudarone Thihalolipavan, MD

Mid-Morning Session: Brain-Heart, Thrombus, and Bleeding

Moderators: David Wang, DO | Pallavi Bellamkonda, MD

9:15 am Antithrombotics for Stroke and TIA: Pathophysiology and the Neurologist Perspective

Supreet Kaur, MD

9:30 am Brain Bleeds: The Neurosurgeon to the Rescue

Andrew Ducruet, MD

9:45 am Panel Discussion, Q&A: David Wang DO, Pallavi Bellamkonda MD, Supreet Kaur, MD, Andrew Ducruet MD

10:00 am Exhibits and Coffee Break

LIVE and Pre-Recorded Cases, Presentations, and Debate

Moderators: Saibal Kar, MD | David Wang, DO | Robert Lemery, MD

10:15 am LIVE and Pre-Recorded Cases: LAA Closure Device, PFO Closure and Catheter ablation of Atrial Fibrillation

Vijendra Swarup, MD, Hursh Naik, MD, Sudarone Thihalolipavan, MD, Shephal Doshi, MD

Left Atrial Appendage: Clinical Trials of Appendage Closure

Saibal Kar, MD

Debate: Patients with Cryptogenic Stroke Should Undergo Foramen Ovale (PFO) Closure

(PRO) Hursh Naik, MD and (CON) Paul MacDonald, MD

Emerging evidence: Ablation of Atrial Fibrillation for the Prevention of Stroke

Vijendra Swarup, MD

11:45 am Panel Discussion, Q&A: Vijendra Swarup, MD, Hursh Naik, MD, Sudarone Thihalolipavan, MD, Paul MacDonald, MD, Saibal Kar, MD, David Wang, DO, Robert Lemery, MD

12:00 pm Exhibits and Lunch

Early afternoon Session: New Therapies for Cardiac Arrhythmias: Renal Denervation and Cardiac Sympathetic Denervation

Moderators: David Wang, DO | Vijendra Swarup, MD | Robert Lemery, MD

1:00 pm Renal Denervation to treat AF and VT: The Re-Emergence of a Promising Therapy

Vivek Reddy, MD

1:30 pm The Cardiac Patient with VT or ICD Storm: Stellate Ganglion Block and Cardiac Sympathetic Denervation

Kalyanam Shivkumar, MD

2:00 pm Panel Discussion, Q&A:

Vivek Reddy, MD, Kalyanam Shivkumar, MD, David Wang, DO, Vijendra Swarup, MD, Robert Lemery, MD

Mid Afternoon Session: Sudden Death, from Heart or Brain?

Moderators: Robert Roberts, MD | Sudarone Thihalolipavan, MD

2:15 pm The Epileptic Heart

Asim Haque, MD

2:30 pm Genetics and Sudden Death: The Current

Robert Roberts, MD

2:45 pm Panel Discussion, Q&A:

Asim Haque, MD, Robert Roberts, MD, Sudarone Thihalolipavan, MD

3:00 pm Exhibits and Coffee Break

Final Session: CHF and Autonomic Regulation

Moderators: Pallavi Bellamkonda, MD | David Wang, DO | Vijendra Swarup, MD

3:15 pm Covid-19 and Brain-Heart Dilemmas

Dhanunjaya Lakkireddy, MD

3:30 pm The Management of End-Stage Heart Failure

Rajakrishna Vijaykrishnan, MD

3:45 pm LVAD and Other Emerging Bridge to Permanent Devices

Kevin Brady, MD

4:00 pm Mechanical Circulatory Support Devices and Stroke: A Review

Teddy Youn, MD

4:15 pm Strategies to reduce LA Pressure: Percutaneous Creation of Inter- Atrial Shunt for the Management of CHF

Vijendra Swarup, MD

4:30 pm Panel Discussion, Q&A:

Dhanunjaya Lakkireddy, MD, Rajakrishna Vijaykrishnan, MD, Kevin Brady, MD, Teddy Youn, MD, Vijendra Swarup, MD, Pallavi Bellamkonda, David Wang, DO

4:45 pm Concluding Remarks

David Wang, DO, Vijendra Swarup, MD, Robert Lemery, MD