Identifying Undiagnosed Nonvalvular Atrial Fibrillation in the Age of Telehealth: Novel Screening Technologies and Stroke Prevention Strategies


Identifying Undiagnosed Nonvalvular Atrial Fibrillation in the Age of Telehealth: Novel Screening Technologies and Stroke Prevention Strategies


Release Date: December 18, 2020 
Last Reviewed: December 16, 2020
Expiration Date: December 18, 2021
Time to Complete Activity:  1.25 hours

Faculty 
Christian T. Ruff, MD, MPH

Director, General Cardiology
Brigham and Women’s Hospital
Harvard Medical School
TIMI Study Group
Boston, MA

Mintu Turakhia, MD, MS
Associate Professor of Medicine 
Executive Director, Center for Digital Health
Cardiac Electrophysiology Section
Stanford University School of Medicine
Stanford, CA

This activity is jointly provided by Paradigm Medical Communications, LLC and Educational Review Systems, Inc.   
                                                                                                                 

Cosponsored by the Heart Rhythm Society. 

Disclosure of Commercial Support
This activity is supported by an educational grant from the Bristol-Myers Squibb and Pfizer Alliance.    

Target Audience
This activity has been designed to address the educational needs of cardiologists, interventional cardiologists, primary care providers, allied healthcare professionals (ie, nurse practitioners, PAs, and pharmacists), and other clinicians involved in the care of patients with cardiovascular disease.

Statement of Need
Undetected atrial fibrillation (AF) can lead to a host of related negative sequelae (eg, stroke, heart failure, and sudden death) that are often preventable with appropriate treatment. A variety of novel digital tools have emerged that may be useful in identifying undiagnosed AF noninvasively and remotely—a boon in the era of COVID-19—but their role is unclear. This educational activity will review data on digital tools that can help overcome barriers to AF care and strategies to prevent stroke once AF is detected, including risk assessment and shared decision-making to determine whether (and, if so, what type of) oral anticoagulation is needed. This education is expected to enable identification and management of this serious condition promptly, consistently, and in accordance with the latest evidence.

Learning Objectives
Upon completion of this activity, participants should be able to:

  • Recognize the high clinical impact of AF, including the risk of stroke
  • Implement evidence-based in-office and telehealth strategies for identification of undiagnosed AF
  • Individualize oral anticoagulation decisions regarding stroke prevention in patients with nonvalvular AF (NVAF) based on guideline-recommended risk assessment, patient characteristics, and current evidence

Agenda

  • AF: From Screening to Disease Management With New Technologies
  • Oral Anticoagulant Treatment Decisions After AF Diagnosis
  • Case Studies  
  • Faculty Discussion and Q&A

Physician Accreditation Statement
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of Paradigm Medical Communications, LLC and Educational Review Systems, Inc. Paradigm Medical Communications, LLC is accredited by the ACCME to provide continuing medical education for physicians.

Physician Credit Designation Statement
Paradigm Medical Communications, LLC designates this enduring material for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Pharmacist Accreditation and Designation Statement
Educational Review Systems, Inc is accredited by the Accreditation Council for Pharmacy Education (ACPE) as a provider of continuing pharmacy education. Participants of the session who complete the evaluation and provide accurate NABP e-Profile information will have their credit for 1.25 contact hours (0.125 CEU) submitted to CPE Monitor as early as 14 days after the event and no later than 60 days after the event. Please know that if accurate e-Profile information is not provided within 60 days of the event, credit cannot be claimed after that time. The participant is accountable for verifying the accurate posting of CE credit to their CPE Monitor account within 60 days.  

UAN  # 0761-9999-20-315-H01-P

This is a knowledge-based activity. 

PA Continuing Education
PAs may claim a maximum of 1.25 Category 1 credits for completing this activity. NCCPA accepts AMA PRA Category 1 Credit™ from organizations accredited by ACCME or a recognized state medical society. 

Nurse Practitioner Continuing Education
The American Academy of Nurse Practitioners Certification Program (AANPCP) accepts certificates of participation for educational activities certified for AMA PRA Category 1 Credit™ from organizations accredited by the ACCME. Individuals are responsible for checking with the AANPCP for further guidelines.

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To receive a CME certificate of participation, you should:

  • Follow instructions to register or log in with your professional information and complete the preactivity assessment
  • View the online activity in its entirety
  • Complete and submit the online posttest and evaluation. You must answer 70% of the posttest questions correctly to earn credit. You will have unlimited opportunities to successfully complete the posttest

A certificate of participation will be available for download/printing immediately following your successful completion of the posttest and evaluation.

For questions regarding CME credit, contact the Paradigm CME Department at (845) 398-5949 or cme@paradigmmc.com.

There is no fee required for participation in this activity.

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Disclosures
In accordance with ACCME requirements on disclosure, faculty and contributors are asked to disclose any relationships with commercial interests associated with the area of medicine featured in the activity. These relationships are described below. Any potential conflicts of interest have been resolved.

Faculty 
Christian T. Ruff, MD, MPH

Consulting Fees: Anthos Therapeutics; Bayer Corporation; Boehringer Ingelheim Pharmaceuticals, Inc; Bristol-Myers Squibb Company; Daiichi Sankyo, Inc; Janssen Pharmaceuticals, Inc; Pfizer Inc; Portola Pharmaceuticals, Inc
Grant/Research Support: Anthos Therapeutics; AstraZeneca; Boehringer Ingelheim Pharmaceuticals, Inc; Daiichi-Sankyo, Inc

Mintu Turakhia, MD, MS
Consulting Fees: Abbott Laboratories; Biotronik; Cardiva Medical Inc; iRhythm Technologies; Johnson & Johnson Services, Inc; Medtronic; Milestone Pharmaceuticals; Myokardia; Novartis; Pfizer Inc; sanofi-aventis US LLC
Grant/Research Support: Apple; Bayer Corporation; Boehringer Ingelheim Pharmaceuticals, Inc; Bristol-Myers Squibb Company; Cardiva Medical Inc; Janssen Pharmaceuticals, Inc; SentreHEART, Inc

Paradigm Medical Communications, LLC staff members have no financial relationships to disclose.

Educational Review Systems, Inc staff members have no financial relationships to disclose.

Independent peer reviewer 
Michelle L. O’Donoghue, MD, MPH
Consulting Fees: Amgen Inc; Janssen Pharmaceuticals, Inc; Novartis
Grant/Research Support: Amgen Inc; AstraZeneca; Intarcia Therapeutics, Inc; Novartis 

Resident/fellow reviewer has no financial relationships to disclose.

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Paradigm Medical Communications, LLC has implemented a system to resolve conflicts of interest for each CME activity to help ensure content is objective, fair and balanced, independent, and aligned with the public interest. Conflicts, if any, are resolved through one or more processes. All CME content in this activity has been independently reviewed to ensure that it is free of commercial bias, scientifically rigorous, aligned with the public interest, and compliant with all regulatory guidance and the ACCME’s Standards for Commercial Support of Continuing Medical Education.

Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not approved by the FDA.


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