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Contemporary Review of the Management of Patients with Cardiac Devices: From Implant to the Clinic

This three-part course is focused on the care of patients with CIEDS including indications, follow up, trouble shooting, best practices, complications, and remote monitoring.  These sessions were presented as part of the Allied Professionals Forum at HRS Scientific Sessions 2019.  The Allied Professional Forum promotes quality education and inspire attendees to expand scientific discovery to apply it to their daily practice.

For information on registering for the 2020 Allied Professionals Forum and other sessions at #HRS2020, please click here.  

Part I
To Implant or Not to Implant, That is the Question – Current Limitations of ICD Implantation Guidelines
Christian S. Yacono, MHS, PAC, CCDS, Hospital of the University of Pennsylvania, Springfield, PA

Overview of Peri-operative Strategies to Avoid Device Infections in the EP Lab
Michael Carlozzi, BSN, Beth Israel Lahey Health, Milton, MA

Evaluation and Management of the CRT Non-Responder
Rutuke K. Patel, PAC, Temple University Hospital, Lansdale, PA

Indications, Implant Strategies, and Evolving Role of His Bundle Pacing
Gopi Dandamudi, MD, FHRS, Krannert Institute of Cardiology Indiana University School of Medicine, Indianapolis, IN

Is This Pocket Infected? Assessment and Management of the Subtle Presentations
Robert D. Schaller, DO, FHRS, University of Pennsylvania, Philadelphia, PA

Part II

Identification of High-Risk Lead Extraction Candidates and Complication Prevention Strategies
Julie B. Shea, MS, MSN, FHRS, CCDS, Brigham and Women`s Hospital, Boston, MA

 Best Programming Practices to Avoid Inappropriate Therapies
Robert Hipp, MBA, MS, PA,  University of Pennsylvania, Philadelphia, PA

 Current Role of DFT Testing
Ralph J. Verdino, MD, Univ of Penn Health System, Longboat Key, FL

 Who Gets the SQ-ICD versus a Transvenous System?
Scott W. Kruchan, BSN, CCDS, Cleveland Clinic Foundation, Cleveland, OH

 Best Programming Practices to Avoid Inappropriate Therapies
Melanie T. Gura, MSN, APRN, FHRS, CCDS, NE Ohio Cardiovascular Specialists, Hudson, OH

Part III
Overview of Current Implantable Loop Recorders and Implantation/Programming Techniques
James Armstrong, PAC, St. Elizabeth`s Medical Center, Boston, MA 

Management of Device/Lead Advisories and Recalls
Paul Kohanski, CCRC, CNP, CRNP, FHRS, CCDS, University Hospitals of Cleveland, Cleveland, OH 

Remote Monitoring Best Practices To Maximize Patient / Provider Compliance
Amy Kleinhans, DNP, NP, CEPS, ,Tri-City Cardiology Arrhythmia Center, Chandler, AZ 

Shared Decision Making Strategies for CIEDs
Lori Harvey, CCNS, CNS, CCD, VA, Pine, CO

Learning Objectives

To discuss appropriate indications and follow up of CIEDs
To outline best practices to avoid infection and assist in implantation of CIEDs
o discuss best practice strategies in remote monitoring

Target Audiences

Physician’s Assistant

CME Information
The Heart Rhythm Society is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.


The Heart Rhythm Society designates this enduring activity for a maximum of 5.25 AMA PRA Category 1 Credits™.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The AMA has determined that physicians not licensed in the United States who participate in this CME activity are eligible for AMA PRA Category 1 Credit™.

A CME Certificate (for physicians) or Certificate of Participation (for non-physicians) will be provided to individuals seeking credit from the following organizations which accept AMA PRA Category 1 Credit(s)™ or have identified credit awarded by ACCME accredited providers as being “substantially equivalent” to their own. Note that participants are advised to contact their certifying body for specific information regarding credit submissions:

· American Academy of Family Practice (AAFP) for elective credit

· American Academy of Nurse Practitioners Certification Board (AANPCB)

· American Academy of Physician Assistants (AAPA)

· American Nurses Credentialing Center (ANCC)

· American Osteopathic Association (AOA) for Category 2 credit

· Committee on Accreditation of Continuing Medical Education  (Canada) 

· European Board of Accreditation in Cardiology (EBAC)

· European CME Credits (ECMEC)

· German Chambers of Physicians

· Oman Medical Specialty Board 

· Qatar Council for Health Practitioners 

· Royal College of Physicians and Surgeons of Canada 

The Heart Rhythm Society is committed to the provision of Continuing Medical Education (CME) that is balanced, objective, and evidence-based. The Heart Rhythm Society adheres to the Standards for Commercial Support (SCS) of the Accreditation Council for Continuing Medical Education (ACCME) which requires that those individuals in a position to control the content of an educational activity (including planners, faculty, authors, committee members, content reviewers, editors, and staff) disclose all relevant financial relationships (for self and for spouse/partner) with an ACCME-defined commercial interest within the 12 months prior to the disclosure.


Heart Rhythm Society takes steps to assure its learners and the public that the content of certified activities is accurate and reliable. The following principles are applied to the process of validating CME content. The content is peer-reviewed to ensure the following:

  • Fair Balance - that content is balanced among various options available for treatment and not biased toward a particular product or manufacturer.
  • Patient Treatment Recommendations - that patient treatment recommendations contained in the content are evidence-based, are appropriate for the target audience, and that the patient treatment recommendations contribute to overall improvement in patient care.
  • Scientific Validity - that scientific studies cited in the activity conform to standards accepted by the scientific community.
  • Learning Objectives - that the educational content supports the learning objectives of the activity, and that the objectives stated for performance-in-practice are actionable and measurable.
  • Omission and Commission - are there any studies, data, or best evidence that is missing?
MOC Information

American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program

Successful completion of this CME activity, which includes participation in the evaluation component, enables the participant to earn up to 5.25 MOC points in the American Board of Internal Medicine's (ABIM) Maintenance of Certification (MOC) program. Participants will earn MOC points equivalent to the amount of CME credits claimed for the activity. It is the CME activity provider's responsibility to submit participant completion information to ACCME for the purpose of granting ABIM MOC credit.

American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program

Successful completion of this CME activity, which includes participation in the activity, with individual assessments of the participant and feedback to the participant, enables the participant to earn up to 5.25 MOC points in the American Board of Pediatrics’ (ABP) Maintenance of Certification (MOC) program. It is the CME activity provider’s responsibility to submit participant completion information to ACCME for the purpose of granting ABP MOC credit.


N.A. Lee: 
Nothing relevant to disclose.
C.C. Chiu-Man:
Nothing relevant to disclose.

C.S. Yacono: Nothing relevant to disclose.
M. Carlozzi:
Nothing relevant to disclose.
R.K. Patel:  
Nothing relevant to disclose.
G. Dandamudi: 
Honoraria/Speaking/Consulting Fee - Medtronic, Inc.; Biotronik
R.D. Schaller:  Honoraria/Speaking/Consulting Fee - Medtronic, Inc.; Abbott Vascular; Philips

J.B. Shea: Honoraria/Speaking/Consulting Fee - Medtronic, Inc.
R. Hipp:  Honoraria/Speaking/Consulting Fee - Medtronic, Inc.
R.J. Verdino: Honoraria/Speaking/Consulting Fee - Zoll; SJM
S.W. Kruchan:
Nothing relevant to disclose.
M.T. Gura: 
Nothing relevant to disclose

J. Armstrong: Nothing relevant to disclose.
P. Kohanski: Nothing relevant to disclose.
A. Kleinhans: Nothing relevant to disclose.
L. Harvey: Nothing relevant to disclose.


Availability: On-Demand
Available Jan 03, 2020 to Jan 03, 2022
Cost: Member: $135.00
Non-Member: $270.00
Credit Offered: 5.25 CME Credits
5.25 COP Credits
5.25 ABIM-MOC Points
5.25 ABP-MOC Points
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1325 G Street NW, Suite 400
Washington, DC 20005
P: 202-464-3400 F: 202-464-3401
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