This year's Pediatrics/Adult Congenital Heart Disease program will explore everything from basic science of channelopathic disease, the cutting-edge science of CRISPR gene editing, and stem cell biology to challenging patients cases. Experts will share the stage with rising stars in the field to discuss career development, ablation, lead extraction, and their challenges and successes.Susan Etheridge, MD, FHRS, CEPS-P
Heart Rhythm 2019 has 17 sessions specifically tailored to heart rhythm specialists focused on Pediatrics/Adult Congenital Heart Disease.
Wednesday, May 8
Session Description: This is a session will focus on disease in the newborn patient. These are often some of the most difficult cases we encounter. The session will start with a TED talk that addresses team building. This will be followed by a series of didactic lectures on a variety of issues related to the management of the newborn. This will include ways to use population genetics to understand sudden death in the newborn and the management of newborn arrhythmias with medications, ablation and devices. There will be a talk that discusses the difficult topic of when one can do nothing safely in a newborn with arrhythmic disease.
Session Description: Practitioners have struggled with the treatment of rare types of VT in children and are less experienced using the newest technology that can be applied to this problem. The session will address some of the rare but challenging VT in children such as papillary muscle VT and the VT seen in Brugada Syndrome and ARVC. We will rely on the expertise of adult EP experts to outline their approaches to these rare problems.
Thursday, May 9
Session Description: When it comes to the littlest patients sometimes benign issues can become worrisome. Attendees participating in this session will learn how to identify when cardiology problems should be managed by the electrophysiology and explore when sinus tachycardia, heart block, and sinus pauses become an issue.
Session Description: This is a session with experts in basic science describing how uncommon genetic and genomic issues contribute to disease. Attendees will learn from experts how subtle genetic changes contribute to disease.
Session Description: This is an opportunity to hear three experts in genetic channelopathy address major unresolved issues in the field. The audience will gain insight into the cutting-edge science surrounding the care of a channelopathy patient.
Session Description: This session will cover the basic science and clinical aspects of a diverse series of topics related cardiomyopathies including skeletal myopathies, pacemaker medicated cardiomyopathy, arrhythmia-induced cardiomyopathy, noncompaction and ARVC. Experts will focus on what is new about diagnosing and treating the arrhythmias that can cause significant morbidity in children and young adults.
Session Description: This session is a combination session with the Association of European Pediatric Cardiology. An "out of the box thinking" session focused on the adult congenital heart disease (CHD) population in CIED and MRI, the challenges imposed by atrial fibrillation in complex CHD, and how to consider risk stratification for ACHD patients beyond tetralogy of Fallot where there are well identified risk factors. The attendees should gain an understanding of risk stratification in non-tetralogy substrates.
Session Description: Over the last 4 decades pediatric electrophysiologists have been challenged by device implantation in small children, tools for implant and extraction that were not always pediatric friendly, programming that did not always reflect the needs of the child, and have often extrapolated data from adult studies. While some of these challenges have withstood the test of time they also create an opportunity moving forward for the next 40 years. Attendees should have some understanding of the studies that have looked at children and CRT and how moving forward we can best evaluate candidacy for CRT device implantation.
Session Description: Join us in an informal discussion on the future of electrophysiology; looking forward into the next 40 years, based on what has been discovered in the last 40 years. Speakers will provide insights on the expected and exciting changes that might occur in the field of pediatric EP CEID, ablation and database assessment. Senior EP physicians will explore unique ways junior and mid-level physicians can re-invent themselves and maintain an exciting career in EP.
Friday, May 10
Session Description: Although are adult data that drive indications for PVC ablation, very few data are available in pediatric EP. The debaters will outline their approach as to when and why to proceed to catheter ablation in a child, using the literature to convince the audience that their approach is superior.
Session Description: This is a master class. Two presenters will each present a complex unknown cases to a master electrophysiologists and the audience will watch as the master thinks through the cases. The chair should confer with the case presenters to make sure that there is no overlap, to make sure that there will be ample time, and to ensure that the case will be interesting to the audience.
Session Description: Pediatric electrophysiology still has no consensus on when to place an endocardial vs an epicardial pacing system. The debaters will outline their approaches and try to convince the audience that their approach is superior.
Session Description: This session is a combined session between Pediatrics and ACHD and Clinical EP sections and will feature experts from the pediatric and adult electrophysiology community explaining approaches to challenging EP issues.
Session Description: This series of short, rapid-fire cases will allow the audience to see what the speaker has learned from his or her worst case and how they worked through the problem. The panel will ask the speakers questions about the cases that will help the audience understand the thought processes of the speakers as they navigated the problem and ask the speakers to consider different approaches to the problems.
Session Description: Speakers will use a case-based strategy to outline important patient care issues. The audience will learn from the complications of others.
Session Description: This session will focus on women in the field of pediatric and adult congenital electrophysiology. We have a diverse panel of speakers, from the US and abroad. The session will launch with a TED type talk on what it is like to be a woman and a pediatric electrophysiologist in a field dominated by adult male electrophysiologists, followed by a group of speakers with insights on complex issues related to ablation, ACHD, device management and channelopathies.
Session Description: This session will focus on ventricular arrhythmias in pediatrics and young adults, including athletes. It will focus on the clinical significance of these arrhythmias in the scope of everyday practice and the assessment and appropriate treatment of patients to prevent sudden cardiac death.