Evidence-based Clinical Care: Aortic Valve Disease Clinical Pathway

This course presents different types of aortic valve disease (AVD) and reviews their diagnosis, management and treatment. Aortic stenosis, the most common valve disease in the United States, involves an obstruction of blood flow across the aortic valve. The classic triad of symptoms will be reviewed, as well as the mortality associated with AVD.

Note to Physicians: Be sure to bookmark this course to access all protocols, pathways, policies and procedures at your convenience via your CME Portal account. All power plans are available in Cerner. All EBCC deliverables will be available on the EBCC website.

Target Audience

Cardiologists, Internal Medicine Physicians, Hospitalists, Emergency Department Physicians, Cardiothoracic Surgeons, Radiologists, Advanced Practice Providers, Cardiovascular Technicians and Echocardiography Technicians.
 

Learning Objectives

  • Explain the necessity of systemwide standardization of treatment options for the aortic valve disease (AVD) patient based on current, evidence-based practices.
  • Implement the aortic stenosis, moderate to severe aortic stenosis, valve therapy, aortic regurgitation and bicuspid aortic valve aortopathy clinical pathways and associated power plans that are based on evidence-based practices applicable to the acute care setting.
  • Stratify patients based on outpatient risk assessment of those with AVD and explain the available treatment options for these patients.
  • Describe what aortic stenosis, aortic valve regurgitation and bicuspid aortic valve aortopathy are, along with standardized echocardiogram and imaging criteria associated with AVD.
  • Utilize the criteria for surgical aortic valve replacement (SAVR) case selection and percutaneous transcatheter aortic valve replacement (TAVR).
  • Recognize the clinical sequelae associated with AVD.
  • Monitor the quality measures associated with the treatment/care of AVD patients.
     
Additional information
Bibliography: 
  • American Heart Association 2018 Aortic Valve Stenosis.
  • Recommendations for the Imaging Assessment of Prosthetic Heart Valves:  A Report From the European Association of Cardiovascular Imaging. Endorsed by the Chinese Society of Echocardiography, the Inter-American Society of Echocardiography, and the Brazilian Department of Cardiovascular Imaging.  European Heart Journal – Cardiovascular Imaging, Volume 17, Issue 6, 1, June 2016, Pages 589-590.
  • Recommendations on the Echocardiographic Assessment of Aortic Valve Stenosis:  A Focused Update from the European Association of Cardiovascular Imaging and the American Society of Echocardiography, JASE, April 2017  * 2017 ESC/EACTS Guidelines for the Management of Valvular Heart Disease, European Heart Journal, Volume 38, Issue 36, 21 September 2017, Page 2739-2791.
Resources: 

How to save power plans (EBCC order sets) to your favorites on CERNER? Click here to access video tutorial.​

Course summary
Available credit: 
  • 0.50 AMA PRA Category 1 Credit™
  • 0.50 General certificate of attendance
Course opens: 
10/01/2018
Course expires: 
03/31/2022

Damian Chaupin, M.D.
Clinical Cardiologist
Baptist Health Medical Group
Miami Cardiac & Vascular Institute
Miami, Florida

Damian Chaupin, M.D., faculty of this educational activity, has no relevant financial relationships with ineligible companies* to disclose and has indicated that the presentation or discussion will not include off-label or unapproved product usage.

Physician Chairs

Niberto Moreno, M.D., and Ramon Quesada, M.D., have no relevant financial relationships with ineligible companies* to disclose.

Non-faculty contributors and others involved in the planning, development, and editing/review of the content have no relevant financial relationships to disclose with ineligible companies*. 

*Ineligible companies -- Companies whose primary business is producing, marketing, selling, re-selling, or distributing healthcare products used by or on patients.

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
             
Baptist Health South Florida designates this enduring material for a maximum of 0.50 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
 

Available Credit

  • 0.50 AMA PRA Category 1 Credit™
  • 0.50 General certificate of attendance
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